UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 

FORM 10-Q

(Mark one)

(Mark one)
 

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

 

For the quarterly period ended March31, 20222023

 

 

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

 

For the transition period from ___________ to ______________.___________.

 

Commission file number: 000-24477001-37942

 

logo01.jpg

dffn20230331_10qimg001.jpg

 

DIFFUSION PHARMACEUTICALS INC.

(Exact name of registrant as specified in its charter)

 

Delaware

30-0645032

(State of other jurisdiction of incorporation or organization)

(I.R.S. Employer Identification Number)

 

300 East Main Street, Suite 201

Charlottesville, VA 22902

(Address of principal executive offices, including zip code)

 

(434) 220-0718

(Registrant’s telephone number including area code)

 

Title of Each Class

Trading Symbol

Name of Each Exchange on Which Registered

Common Stock, par value $0.001 per share

DFFN

The Nasdaq Capital Market

 

Securities registered pursuant to Section 12(g) of the Act:

None 

 

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

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

 

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

 

Large accelerated filer ☐

Accelerated filer ☐

Non-accelerated filer ☒

Smaller reporting company ☒

 

Emerging growth company ☐

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).Yes ☐   No ☒

 

The number of shares of common stock outstanding at May 11, 20222023 was 2,038,5922,040,025 shares.

 



 

 

 

 

DIFFUSION PHARMACEUTICALS INC.

FORM 10-Q

MARCH 31, 20222023

INDEX

 

 

Page

PART I – FINANCIAL INFORMATION

1

  

ITEM 1.     FINANCIAL STATEMENTS 

1

  

ITEM 2.     MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS 

1415

  

ITEM 3.     QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 

1920

  

ITEM 4.     CONTROLS AND PROCEDURES 

1920

  

PART II – OTHER INFORMATION 

2021

  

ITEM 1.     LEGAL PROCEEDINGS  

2021

  

ITEM 1A.  RISK FACTORS 

2021

  

ITEM 2.     UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS 

2021

  

ITEM 3.     DEFAULTS UPON SENIOR SECURITIES 

21

  

ITEM 4.     MINE SAFETY DISCLOSURES

21

  

ITEM 5.     OTHER INFORMATION 

21

  

ITEM 6.     EXHIBITS

21

 

i

 

Note Regarding Company References and Other Defined Terms1

 

Unless the context otherwise requires, in this Quarterly Report, (i) references to the “Company,"Diffusion," "the Company,” “we,” “our,” or “us” refer to Diffusion Pharmaceuticals Inc. and its subsidiaries and (ii) references to “common stock” refer to the common stock, par value $0.001 per share, of the Company.Company, and (iii) all share and per share amounts related to our common stock give effect to our 1-for-50 reverse stock split effected April 18, 2022. We have also used several other defined terms in this Quarterly Report, many of which are explained or defined below:

 

Term

Definition

2015 Equity Plan

Diffusion Pharmaceuticals Inc. 2015 Equity Incentive Plan, as amended

401(k) Plan

Diffusion Pharmaceuticals Inc. 401(k) Defined Contribution Plan

Altitude Trial

our Phase 1b clinical trial evaluating TSC in normal healthy volunteers subjected to incremental levels of physical exertion while exposed to hypoxic and hypobaric conditions, or “simulated altitude”

Annual Report

our Annual Report on Form 10-K for the year ended December 31, 2020,2022, filed with the SEC on March 16, 202124, 2023

ASC

Accounting Standard Codification of the FASB

ASC 815-40Canaccord

ASC 815-40, Derivatives and Hedging, Contracts in an Entity's Own EquityCanaccord Genuity LLC, our financial advisor

CRO

contract research organization

DLCOEIP

diffusion capacity of lung for carbon monoxideEIP Pharma, Inc., a Delaware corporation

Exchange Act

Securities Exchange Act of 1934, as amended

FASB

Financial Accounting Standards Board

FDA

U.S. Food and Drug Administration

G&A

general and administrative

GAAP

U.S. generally accepted accounting principles

GBM

glioblastoma multiforme brain cancer

Hypoxic Solid Tumor ProgramMerger

our ongoing clinical development programthe proposed merger of Merger Sub with and into EIP, with EIP surviving as a wholly-owned subsidiary of the Company, upon the terms and subject to evaluate TSC as an adjunct to standard of care therapy for hypoxic solid tumors, first announcedthe conditions set forth in November 2021the Merger Agreement

ILDMerger Agreement

interstitial lung diseasethe Agreement and Plan of Merger, dated as of March 30, 2023, by and among the Company, Merger Sub, and EIP

ILD-DLCO TrialMerger Sub

our ongoing Phase 2a clinical trial evaluating TSC in patients with previously diagnosed ILD who haveDawn Merger Sub Inc., a baseline DLCO test result that is abnormal using DLCO as a surrogate measureDelaware corporation and wholly-owned subsidiary of oxygen transfer efficiencythe Company

IND

investigational new drug application

IPR&D

in-process research and development

ii

Nasdaq

Nasdaq Stock Market, LLC

Nasdaq Staff

the staff of the listing qualifications department of Nasdaq

NOL

net operating loss

Oxygenation TrialsPreliminary Merger Proxy Statement

collectively,our preliminary proxy statement/prospectus/information statement related to a special meeting of our stockholders related to the TCOM Trial,transactions contemplated by the Altitude Trial, andMerger Agreement, filed with the ILD-DLCO Trial

Planned Phase 2 Hypoxic Tumor Trial

the first clinical trial in our Hypoxic Solid Tumor Program, which we currently expect to be a Phase 2 clinical trial commencing in the second half of 2022, subject to FDA feedback and the availability of clinical drug supplySEC on May 11, 2023

Quarterly Report

this Quarterly Report on Form 10-Q

R&D

research and development

Regulation S-K

Regulation S-K promulgated under the Securities Act of 1933, as amended

Reverse Stock Split

the reclassification and combination of all shares of our common stock outstanding at a ratio of one-for-50 approved by our stockholders at the Special Meeting and effective April 18, 2022

SEC

U.S. Securities and Exchange Commission

Series C Certificate

the Certificate of Designation of Preferences, Rights, and Limitations of the Series C Preferred Stock, filed with the Secretary of State of the State of Delaware on March 18, 2022

Series C Preferred Stock

the Company's previously outstanding Series C Convertible Preferred Stock, par value $0.001 per share

Special Meeting

the special meeting of our stockholders held on April 18, 2022

TCOM

transcutaneous oxygen measurement

TCOM Trial

our Phase 1b clinical trial evaluating the effects of TSC on peripheral tissue oxygenation in healthy normal volunteers using a TCOM device, completed in March 2021

TSC

trans sodium crocetinate

U.S.

United States

 

iiiii

 

Note Regarding Forward-Looking Statements

 

This Quarterly Report (including, for purposes of this Note Regarding Forward-Looking Statements, any information or documents incorporated herein by reference) includes express and implied forward-looking statements. By their nature, forward-looking statements involve risks and uncertainties because they relate to events, competitive dynamics and industry change, and depend on the economic circumstances that may or may not occur in the future or may occur on longer or shorter timelines than anticipated. Although we believe that we have a reasonable basis for each forward-looking statement contained in this Quarterly Report, we caution you that forward-looking statements are not guarantees of future performance and that our actual results of operations, financial condition, liquidity, and prospects may differ materially from the forward-looking statements contained in this Quarterly Report. In addition, even if our results of operations, financial condition, liquidity, and prospects are consistent with the forward-looking statements contained in this Quarterly Report, they may not be predictive of actual results or reflect unanticipated developments in future periods.

 

Forward-looking statements appear in a number of places throughout this Quarterly Report . We may, in some cases, use terms such as “believes,” “estimates,” “anticipates,” “expects,” “plans,” “intends,” “may,” “could,” “might,” “will,” “should,” “approximately,” or other words that convey uncertainty of future events or outcomes to identify these forward-looking statements. Forward-looking statements also include statements regarding our intentions, beliefs, projections, outlook, analyses or expectations concerning, among other things:

 

 

the approval by our stockholders of the issuance of our common stock in connection with, and the change of control that would be occasioned by, the Merger, the closing of the Merger, including the timing of the Merger,  and the approval of the proposal regarding a potential reverse stock split of our common stock as described in the Preliminary Merger Proxy Statement, the likelihood of the satisfaction of the minimum net cash condition as well as the other conditions to the closing of the Merger, the Exchange Ratio (as defined in the Merger Agreement) and relative ownership levels as of the closing of the Merger, including any adjustments thereto related to Diffusion’s net cash balance at closing of the Merger, the expected benefits of and potential value created by the Merger for the stockholders of Diffusion and EIP, and Diffusion’s ability to control and correctly estimate its operating expenses and its expenses associated with the Merger;

our cash balances following the closing of the Merger, if any;

our ability to obtain additional financing in the future and continue as a going concern ;

the plans, strategies and objectives of management for future operations, including the execution of integration plans and the anticipated timing of filings;

the success and timing of our clinical and preclinical studies, including our ability to enroll subjects in our ongoing and plannedfuture clinical studies at anticipated rates and our ability to manufacture an adequate amount of drug supply for our studies;studies;

 

obtaining and maintaining intellectual property protection for our current or future product candidates and our proprietary technology;technology;

 

the performance of third parties, including contract research organizations, manufacturers, suppliers, and outside consultants, to whom we outsource certain operational, staff and other functions;

our ability to obtain additional financing in the future and continue as a going concern;functions;

 

our ability to obtain and maintain regulatory approval of our current or future product candidates and, if approved, our products, including the labeling under any approval we may obtain;obtain;

 

our plans and ability to develop and commercialize our current or future product candidates and the outcomes of our research and development activities;activities;

 

our estimates regarding expenses, future revenues, capital requirements, and needs for additional financing;financing;

 

our failure to recruit or retain key scientific or management personnel or to retain our executive officers;officers;

 

the accuracy of our estimates of the size and characteristics of the potential markets for our current or future product candidates, the rate and degree of market acceptance of any of our current or future product candidates that may be approved in the future, and our ability to serve those markets;markets;

 

the success of products that are or may become available which also target the potential markets for our current or future product candidates;candidates;

 

our ability to operate our business without infringing the intellectual property rights of others and the potential for others to infringe upon our intellectual property rights;rights;

 

any significant breakdown, infiltration, or interruption of our information technology systems and infrastructure;infrastructure;

 

recently enacted and future legislation related to the healthcare system, including trends towards managed care and healthcare cost containment, the impact of any significant spending reductions or cost controls affecting publicly funded or subsidized healthcare programs, or any replacement, repeal, modification, or invalidation of some or all of the provisions of the Affordable Care Act;system;

 

other regulatory developments in the U.S., E.U., and other foreign jurisdictions;jurisdictions;

 

our ability to satisfy the continued listing requirements of the NASDAQNasdaq Capital Market or any other exchange on which our securities may trade in the future;future;

 

uncertainties related to general economic, political, business, industry, and market conditions, including the ongoing COVID-19 pandemic, inflationary pressures, and geopolitical conflicts;conditions; and

 

other risks and uncertainties, including those discussed under the heading "Risk Factors" in our Annual Report and elsewhere in our other public filings.

 

iviii

 

As a result of these and other factors, known and unknown, actual results could differ materially from our intentions, beliefs, projections, outlook, analyses, or expectations expressed in any forward-looking statements in this Quarterly Report. Accordingly, we cannot assure you that the forward-looking statements contained or incorporated by reference in this Quarterly Report will prove to be accurate or that any such inaccuracy will not be material. You should also understand that it is not possible to predict or identify all such factors, and you should not consider any such list to be a complete set of all potential risks or uncertainties. In light of the foregoing and the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. For all forward-looking statements, we claim the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995.

 

Any forward-looking statements that we make in this Quarterly Report speak only as of the date of such statement, and, except as required by applicable law or by the rules and regulations of the SEC, we undertake no obligation to update such statements to reflect events or circumstances after the date of this Quarterly Report or to reflect the occurrence of unanticipated events. Comparisons of current and any prior period results are not intended to express any ongoing or future trends or indications of future performance, unless explicitly expressed as such, and should only be viewed as historical data.

 

Note Regarding Stock Splits

Unless the context otherwise requires, in this Quarterly Report, all share and per share amounts related to our common stock give effect to our 1-for-50 reverse stock split effective April 18, 2022.

Note Regarding Trademarks, Trade Names and Service Marks

 

This Quarterly Report contains certain trademarks, trade names, and service marks of ours, including “DIFFUSIO2N.” All other trade names, trademarks, and service marks appearing in this Quarterly Report are, to the knowledge of Diffusion, the property of their respective owners. To the extent any such terms appear without the trade name, trademark, or service mark notice, such presentation is for convenience only and should not be construed as being used in a descriptive or generic sense.

 

viv

 

PART I FINANCIAL INFORMATION

 

ITEM 1.

FINANCIAL STATEMENTS

Diffusion Pharmaceuticals Inc.

Consolidated Balance Sheets

(unaudited)

 

March 31,

2022

  

December 31,

2021

  

March 31, 2023

  

December 31, 2022

 

Assets

        

Current assets:

  

Cash and cash equivalents

 $9,872,330  $37,313,558  $14,645,586  $10,113,706 

Marketable securities

 22,680,303  0  2,991,770  12,408,940 

Prepaid expenses, deposits and other current assets

  1,021,496   510,015   767,530   112,406 

Total current assets

 33,574,129  37,823,573  $18,404,886  $22,635,052 

Other assets

  0   15,578 

Total assets

 $33,574,129  $37,839,151 

Liabilities and Stockholders Equity

    
Liabilities and Stockholders’ Equity    

Current liabilities:

  

Accounts payable

 $813,197  $947,495  971,455  1,127,782 

Accrued expenses and other current liabilities

  2,142,633   1,980,189   1,154,475   1,289,554 

Total current liabilities

 2,955,830  2,927,684 

Total liabilities

 2,125,931  2,417,336 

Commitments and Contingencies (Note 9)

          

Stockholders’ Equity:

       

Series C convertible preferred stock, $0.001 par value: 10,000 shares authorized; 10,000 and 0 shares issued and outstanding at March 31, 2022 and December 31, 2021, respectively

 5,000  0 

Common stock, $0.001 par value: 1,000,000,000 shares authorized; 2,038,392 and 2,038,185 shares issued and outstanding at March 31, 2022 and December 31, 2021, respectively

 2,038  2,038 

Common stock, $0.001 par value: 1,000,000,000 shares authorized: 2,040,025 and 2,039,557 shares issued and outstanding at March 31, 2023 and December 31, 2022, respectively

 2,040  2,040 

Additional paid-in capital

 165,192,671  164,914,540  165,968,961  165,847,590 

Accumulated other comprehensive loss

 (49,658) 0  (3,123) (35,375)

Accumulated deficit

  (134,531,752)  (130,005,111)  (149,688,923)  (145,596,539)

Total stockholders' equity

  30,618,299   34,911,467   16,278,955   20,217,716 

Total liabilities and stockholders' equity

 $33,574,129  $37,839,151  $18,404,886  $22,635,052 

 

See accompanying notes to unaudited interim consolidated financial statements.

 

1

 

Diffusion Pharmaceuticals Inc.

Consolidated Statements of Operations and Comprehensive Loss

(unaudited)

 

Three Months Ended March 31,

  

Three Months Ended March 31,

 
 

2022

  

2021

  

2023

  

2022

 

Operating expenses:

  

Research and development

 $2,425,898  $2,916,378  $1,308,589  $2,425,898 

General and administrative

 2,128,552  1,743,510   2,957,691   2,128,552 

Depreciation

  0   24,447 

Loss from operations

 4,554,450  4,684,335  4,266,281  4,554,450 

Interest income

  (27,809)  (40,416)  (173,897)  (27,809)

Net loss

 $(4,526,641) $(4,643,919) $(4,092,384) $(4,526,641)

Per share information:

  

Net loss per share of common stock, basic and diluted

 $(2.22) $(2.81) $(1.95) $(2.22)

Weighted average shares outstanding, basic and diluted

  2,038,323   1,649,969   2,039,737   2,038,323 

Comprehensive loss:

  

Net loss

 $(4,526,641) $(4,643,919) $(4,092,384) $(4,526,641)

Unrealized loss on marketable securities

  (49,658)  0 

Unrealized gain (loss) on marketable securities

  32,252   (49,658)

Comprehensive loss

 $(4,576,299) $(4,643,919) $(4,060,132) $(4,576,299)

 

See accompanying notes to unaudited interim consolidated financial statements.

 

2

 

 

Diffusion Pharmaceuticals Inc.

Consolidated Statements of Stockholders' Equity

Three Months Ended March 31, 2021 and 20222023

(unaudited)

 

  

Common Stock

  

Additional

Paid-in

  

Accumulated

  

Total

Stockholders'

 
  

Shares

  

Amount

  Capital  Deficit  Equity 

Balance at January 1, 2021

  1,280,207  $1,280  $130,722,286  $(105,909,384) $24,814,182 

Sale of common stock

  673,171   673  $31,093,629   0   31,094,302 

Issuance of common stock upon exercise of warrants, net of issuance costs

  84,600   85   2,201,365   0   2,201,450 

Stock-based compensation expense

     0   181,280   0   181,280 

Net loss

     0   0   (4,643,919)  (4,643,919)

Balance at March 31, 2021

  2,037,978  $2,038  $164,198,560  $(110,553,303) $53,647,295 
  

Series C Convertible Preferred Stock

  

Common Stock

  

Additional

Paid-in

  

Accumulated Other Comprehensive

  

Accumulated

  

Total

Stockholders'

 
  

Shares

  

Amount

  

Shares

  

Amount

  Capital  Loss  Deficit  Equity 

Balance at January 1, 2022

    $   2,038,185  $2,038  $164,914,540  $  $(130,005,111) $34,911,467 

Sale of series C preferred stock to related parties

  10,000   5,000                  5,000 

Stock-based compensation expense and vesting of restricted stock units

        207      278,131         278,131 

Unrealized loss on marketable securities

                 (49,658)     (49,658)

Net loss

                    (4,526,641)  (4,526,641)

Balance at March 31, 2022

  10,000  $5,000   2,038,392  $2,038  $165,192,671  $(49,658) $(134,531,752) $30,618,299 

 

  

Series C Convertible

Preferred Stock

  

Common Stock

  

Additional

Paid-in

  

Accumulated Other Comprehensive

  

Accumulated

  

Total

Stockholders'

 
  

Shares

  

Amount

  

Shares

  

Amount

  Capital  Loss  Deficit  Equity 

Balance at January 1, 2022

  0  $0   2,038,185  $2,038  $164,914,540  $0  $(130,005,111) $34,911,467 

Sale of series C preferred stock to related parties

  10,000   5,000   0   0   0   0   0   5,000 

Stock-based compensation expense and vesting of restricted stock units

  0   0   207   0   278,131   0   0   278,131 

Unrealized loss on marketable securities

     0      0   0   (49,658)  0   (49,658)

Net loss

     0      0   0   0   (4,526,641)  (4,526,641)

Balance at March 31, 2022

  10,000  $5,000   2,038,392  $2,038  $165,192,671  $(49,658) $(134,531,752) $30,618,299 
  

Common Stock

  

Additional

Paid-in

  

Accumulated Other Comprehensive

  

Accumulated

  

Total

Stockholders'

 
  

Shares

  

Amount

  Capital  Loss  Deficit  Equity 

Balance at January 1, 2023

  2,039,557  $2,040  $165,847,590  $(35,375) $(145,596,539) $20,217,716 

Stock-based compensation expense and vesting of restricted stock units

  468      121,371         121,371 

Unrealized gain on marketable securities

           32,252      32,252 

Net loss

              (4,092,384)  (4,092,384)

Balance at March 31, 2023

  2,040,025  $2,040  $165,968,961  $(3,123) $(149,688,923) $16,278,955 

 

See accompanying notes to unaudited interim consolidated financial statements.

 

3

 

 

Diffusion Pharmaceuticals Inc.

Consolidated Statements of Cash Flows

(unaudited)

 

 

Three Months Ended March 31,

  

Three Months Ended March 31,

 
 

2022

  

2021

  

2023

  

2022

 

Operating activities:

  

Net loss

 $(4,526,641) $(4,643,919) $(4,092,384) $(4,526,641)

Adjustments to reconcile net loss to net cash used in operating activities:

  

Depreciation

 0  24,447 

Stock-based compensation expense

 278,131  181,280  121,371  278,131 

Amortization of premium and discount on marketable securities

 (13,546) 0  (50,578) (13,546)

Changes in operating assets and liabilities:

  

Prepaid expenses, deposits and other assets

 (495,903) (417,677) (655,124) (495,903)

Accounts payable, accrued expenses and other liabilities

  28,146   (320,501)  (291,405)  28,146 

Net cash used in operating activities

  (4,729,813)  (5,176,370)  (4,968,120)  (4,729,813)
  

Cash flows used in investing activities:

  

Purchases of marketable securities

  (22,716,415)  0    (22,716,415)

Net cash used in investing activities

 (22,716,415) 0 
Maturities of marketable securities  9,500,000    

Net cash provided by (used in) investing activities

  9,500,000   (22,716,415)
  

Cash flows provided by financing activities:

  

Proceeds from the sale of common stock, net of issuance costs

 0  31,094,302 

Proceeds received from the exercise of common stock warrants

 0  2,201,450 

Proceeds from the sale of series C preferred stock to related parties

  5,000   0      5,000 

Net cash provided by financing activities

  5,000   33,295,752      5,000 
  

Net (decrease) increase in cash and cash equivalents

 (27,441,228) 28,119,382 

Cash and cash equivalents at beginning of year

  37,313,558   18,515,595 

Net increase (decrease) in cash and cash equivalents

 4,531,880  (27,441,228)

Cash and cash equivalents at beginning of period

  10,113,706   37,313,558 

Cash and cash equivalents at end of period

 $9,872,330  $46,634,977  $14,645,586  $9,872,330 
  

Supplemental disclosure of non-cash activities:

 

Unrealized loss on marketable securities

 $49,658  $0 
Supplemental disclosure of non-cash financing activities: 
Unrealized gain (loss) on marketable securities $32,252  $(49,658)

 

See accompanying notes to unaudited interim consolidated financial statements.

 

4

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

 

1.

Organization and Description of Business

 

Diffusion Pharmaceuticals Inc., a Delaware corporation, is a biopharmaceutical company that has historically focused on developing novel therapies that may enhance the body’s ability to deliver oxygen to areas where it is needed most. The Company’s leadmost advanced product candidate, TSC, is beinghas been investigated and developed to enhance the diffusion of oxygen to tissues with low oxygen levels, also known as hypoxia, a serious complication of many of medicine’s most intractable and difficult-to-treat conditions, including hypoxic tumors.GBM.

 

On April 18, 2022, the Company effected a 1-for-50 reverse split of its common stock. Any references in the unaudited condensed consolidated financial statements and related notes to share or per share amounts give retroactive effect to this reverse stock split.

 

 

2.

Liquidity

 

The Company has not generated any revenues from product sales and has historically funded operations primarily from the proceeds of public and private offerings of equity, convertible debt, and convertible preferred stock.

In July 2022, the Company entered into an at-the-market sales agreement (the "2022 Sales Agreement") with BTIG pursuant to which the Company may, from time to time and through BTIG as its agent, sell up to an aggregate of $20.0 million in shares of the Company’s common stock by any method permitted that is deemed an “at the market offering” as defined in Rule 415(a)(4) under the Securities Act. To date, the Company has not sold any shares pursuant to the 2022 Sales Agreement.

On October 25, 2022, the Company announced that its Board authorized a thorough review and evaluation of a range of potential strategic opportunities in the interest of enhancing stockholder value, including transactional opportunities such as a merger, joint venture, licensing, sale, or divestiture of assets.

In the first quarter of 2023, in connection with the ongoing strategic review process and efforts to utilize and preserve assets in a manner that maximizes value for its stockholders, the Company committed to a reduction in force that impacted seven of the Company’s thirteen employees. The reduction was a cash preservation measure and impacted employees primarily in the Company’s clinical operations function. In connection with the strategic review process and pending its conclusion, the Company has paused significant portions of its TSC development activities, including initiation of the Company’s previously announced Phase 2 study of TSC in newly diagnosed GBM patients.

On March 30, 2023, the Company entered into the Merger Agreement with EIP and Merger Sub, pursuant to which, and subject to the satisfaction or waiver of the conditions set forth therein, Merger Sub will be merged with and into EIP at the effective time of the Merger, with EIP continuing after the Merger as the surviving corporation and a wholly-owned subsidiary of the Company. The Merger is intended to qualify as a tax-free reorganization for U.S. federal income tax purposes. As of the date of this Quarterly Report, the Merger remains pending and subject to, among other closing conditions, certain approvals by the Company’s stockholders,  and there is no assurance in the Merger or any other transaction will be consummated.

Substantial additional financing will be required by the Company to continue to fund itsany research and development activities. No assurance can be given that any such financing will be available when needed,activities related to the Company's existing or at all, or thatfuture product candidates, including EIP's product candidates if the Company’s research and development efforts will be successful.

Merger is closed. The Company regularly explores alternative means of financing its operations and seeks funding through various sources, including public and private securities offerings, collaborative arrangements with third parties, and other strategic alliances and business transactions. TheHowever, as of the date of this Quarterly Report, the Company does not have any commitments to obtain additional funds and may no assurance can be unable to obtain sufficient fundinggiven that any such financing will be available in the future — when needed, in sufficient amounts, on acceptable terms, ifor at all. If the Company cannot obtain the necessary funding, it willmay need to, among other things, delay, continue to scale back or eliminate some or all of its research and development programs, modify its overall development strategy for one or enter into collaborations with third parties to commercialize potential products or technologies thatmore product candidates (or the Company as a whole) in a manner it might otherwise seek to develop or commercialize independently; consider other various strategic alternatives, including a merger or sale of the Company;would not if sufficient cash resources were available, or cease operations. If the Company engages in collaborations, it may receive lower consideration upon commercialization of such products than if it had not entered such arrangements or if it entered into such arrangements at later stages in the product development process.operations altogether.

5

DIFFUSION PHARMACEUTICALS INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

Operations of the Company are subject to certain additional risks and uncertainties as well, and any one or more of these factors could materially affect the Company’s financial condition, future operations and liquidity needs. Many of these risks and uncertainties are outside of the Company’s control, including the outcome of its ongoing strategic review process and various internal and external factors that willmay affect whether and when the Company’s product candidates become approved drugs and how significant their market share will be, some of which are outsidesuccess or failure of the Company’s control. TheCompany's research and development efforts, the length of time and cost of developing and commercializing thesethe Company's current or future product candidates, and/or failurewhether and when any such product candidates become approved drugs, and how significant a drug's market share will be, if approved, among others.

Subject to the outcome and timing of them at any stageits ongoing strategic review process, and without giving effect to the consummation of the drug approval process will materially affectproposed Merger with EIP, the Company’s financial condition and future operations. The Company expectscurrently expect that its existing cash, cash equivalents and marketable securities as of March 31,2022 will enable it 2023 are sufficient to fund its operating expenses and capital expenditure requirements through 2023.current operations for at least 12 months following the date of this Quarterly Report.

 

 

3.

Basis of Presentation and Summary of Significant Accounting Policies

 

As of the date of this Quarterly Report, the Summary of Significant Accounting Policies included in the Company's Annual Report have not materially changed, except as set forth below.

 

5

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Basis of Presentation

 

The accompanying unaudited interim consolidated financial statements of the Company have been prepared in accordance with GAAP for interim financial information as found in the ASC and ASUs of the FASB, and with the instructions to Form 10-Q10-Q and Article 10 of Regulation S-XS-X promulgated by the SEC. In the opinion of management, the accompanying unaudited interim consolidated financial statements of the Company include all normal and recurring adjustments (which consist primarily of accruals, estimates and assumptions that impact the unaudited interim consolidated financial statements) considered necessary to present fairly the Company’s financial position as of March 31,2022, 2023, and its results of operations and cash flows for the three months ended March 31,2022 2023 and 2021.2022. Operating results for the three months ended March 31,2022 2023 are not necessarily indicative of the results that may be expected for the year ending December 31,2022. 2023. The unaudited interim consolidated financial statements presented herein do not contain the required disclosures under GAAP for annual financial statements. The accompanying unaudited interim consolidated financial statements should be read in conjunction with the annual audited financial statements and related notes as of and for the year ended December 31,2021 2022 filed with the SEC as part of the Annual Report.

 

Use of Estimates

 

The preparation of financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting period.

 

On an ongoing basis, the Company evaluates its estimates using historical experience and other factors, including the current economic environment. Significant items subject to such estimates are assumptions used for purposes of determining stock-based compensation and accounting for research and development activities.compensation. Management believes its estimates to be reasonable under the circumstances. Actual results could differ significantly from those estimates.

 

Fair Value of Financial Instruments

 

The carrying amounts of the Company’s financial instruments, including cash, cash equivalents, and accounts payable approximate fair value due to the short-term nature of those instruments.

 

6

DIFFUSION PHARMACEUTICALS INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Concentration of Credit Risk

 

Financial instruments that potentially exposesubject the Company to significant concentrations of credit risk consist principallyprimarily of cash, on deposit with multiplecash equivalents, and marketable securities. The Company maintains deposits in federally insured financial institutions the balancesin excess of which frequently exceed federally insured limits. The Company has not experienced any losses in such accounts and believes it is not exposed to significant risk on its cash, cash equivalents, and marketable securities.

 

Cash and Cash Equivalents

 

The Company considers any highly-liquid investments, such as money market funds, and commercial paper with an original maturity of three months or less to be cash and cash equivalents.

 

Marketable securities

 

The Company classifies its marketable securities as available-for-sale, which include commercial paper and U.S. government debt securities with original maturities of greater than three months from date of purchase. The Company considers its marketable securities as available for use in current operations, and therefore classifyclassifies these securities as current assets on the consolidated balance sheet. These securities are carried at fair market value, with unrealized gains and losses reported in comprehensive loss and accumulated other comprehensive loss within stockholders’ equity. Gains or losses on marketable securities sold will be based on the specific identification method.

 

The Company routinely monitors the difference between cost and the estimated fair value of its investments. Each reporting period, securities with unrealized losses are reviewed to determine whether the decline in fair value requires the recognition of an allowance for credit losses. Factors considered in the review include (i) current market interest rates, (ii) general financial condition of the issuer, (iii) issuer's industry and future business prospects, (iv) issuer's past defaults in principal and interest payments, and (v) the payment structure of the investment and the issuer's ability to make contractual payments on the investment.

Research and Development

Major components of research and development costs include internal research and development (such as salaries and related employee benefits, equity-based compensation, supplies and allocated facility costs) and contracted services (research and development activities performed on the Company’s behalf). Costs incurred for research and development are expensed as incurred.

Upfront payments made to third parties who perform research and development services on the Company’s behalf are expensed as services are rendered.

67

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

Reverse Stock SplitPatent Costs

 

On April 18, 2022, Patent costs, including related legal costs, are expensed as incurred and are recorded within general and administrative expenses in the consolidated statements of operations and comprehensive loss.

Stock-based Compensation

The Company filedmeasures stock-based awards at grant-date fair value and records compensation expense on a Certificate of Amendment to its Certificate of Incorporation, as amended, withstraight-line basis over the Secretary of Statevesting period of the Stateaward. The Company uses the Black-Scholes Model to value its stock option awards. Estimating the fair value of Delawarestock option awards requires management to effectapply judgment and make estimates, including the Reverse Stock Split at a ratiovolatility of 1-to-50. NaN fractional shares were issued in connection with the Reverse Stock Split. Stockholders who otherwise would have been entitled to receive fractional shares ofCompany’s common stock, are entitled to receive an amount in cash (without interest or deduction) equal to the fractionexpected term of one share to which such stockholder would otherwise be entitled multiplied by $12.93, representing the split-adjusted average closing priceCompany’s stock options, the expected dividend yield and the fair value of the Company’s common stock on the Nasdaq Capital Marketmeasurement date. As a result, if factors change and management uses different assumptions, stock-based compensation expense could be materially different for future awards.

For certain stock option grants, the five consecutive trading days immediately precedingexpected term was estimated using the effective date“simplified method” for employee options as the Company has limited historical information to develop reasonable expectations about future exercise patterns and post vesting employment termination behavior for its stock option grants. The simplified method is based on the average of the Reverse Stock Split. Proportional adjustments were madevesting tranches and the contractual life of each grant. The Company uses the simplified method to estimate the expected term.

For stock price volatility, the Company uses a combination of its own historical stock price and comparable public companies as a basis for its expected volatility to calculate the fair value of option grants. The Company assumes no dividend yield because dividends are not expected to be paid in the near future, which is consistent with the Company’s outstanding warrants, stock options and other equity securities and tohistory of not paying dividends. The risk-free interest rate is based on U.S. Treasury notes with a term approximating the 2015 Equity Plan to reflectexpected term of the Reverse Stock Split,option. The Company accounts for forfeitures in each case, in accordance with the terms thereof. Unless the context otherwise requires, all share and per share amounts in this Quarterly Report have been adjusted to reflect the Reverse Stock Split.periods they occur.

 

Net Loss Per Common Share

 

Basic net loss per share is computed by dividing net loss attributable to common stockholders by the weighted average number of shares of common stock outstanding during each period. Diluted net loss per share includes the effect, if any, from the potential exercise or conversion of securities, such as convertible debt, convertible preferred stock, common stock warrants, stock options and unvested restricted stock that would result in the issuance of incremental shares of common stock. In computing the basic and diluted net loss per share applicable to common stockholders, the weighted average number of shares remains the same for both calculations due to the fact that when a net loss exists, dilutive shares are not included in the calculation as the impact is anti-dilutive.

 

The following potentially dilutive securities outstanding as of March 31,2022 and 2021 have been excluded from the computation of diluted weighted average shares outstanding, as they would be anti-dilutive:

 

 

March 31,

  

March 31,

 
 

2022

  

2021

  

2023

  

2022

 

Common stock warrants

 111,891  112,963  88,252  111,891 

Stock options

 116,564  62,336  104,047  116,564 

Unvested restricted stock awards

  5,182   3,060   2,910   5,182 
  233,637   178,359   195,209   233,637 

 

Recently Adopted Accounting Pronouncements

 

In June 2016, the FASB issued ASU 2016-13,2016-13, Financial InstrumentsCredit Losses, Measurement of Credit Losses on Financial Instruments (Topic 326)326). The standard amends the impairment model by requiring entities to use a forward-looking approach based on expected losses to estimate credit losses for most financial assets and certain other instruments that aren’t measured at fair value through net income. For available-for-sale debt securities, entities will be required to recognize an allowance for credit losses rather than a reduction in carrying value of the asset. Entities will no longer be permitted to consider the length of time that fair value has been less than amortized cost when evaluating when credit losses should be recognized. This newThe Company adopted the guidance is effective for the Companyusing a modified retrospective approach as of January 1, 2023. The Company is currently evaluating the impact of this ASU but does not expect that adoption of this standard will have a material impact on the consolidated financial statements and related disclosures.2023 which resulted in no cumulative-effect adjustment to retained earnings.

 

78

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The updated guidance in ASU 2016-13 also amended the previous other-than-temporary impairment (“OTTI”) model for available-for-sale fixed income securities by requiring the recognition of impairments relating to credit losses through an allowance account and limits the amount of credit loss to the difference between a security’s amortized cost basis and its fair value. In addition, the length of time a security has been in an unrealized loss position will no longer impact the determination of whether a credit loss exists. The Company adopted the guidance related to available-for-sale fixed income securities on January 1, 2023 using a prospective transition approach for available-for-sale fixed income securities that were purchased with credit deterioration or had recognized an OTTI write-down prior to the effective date. The effect of the prospective transition approach was to maintain the same amortized cost basis before and after the effective date.

 

 

4.

Cash, cash equivalents and marketable securities

 

The following is a summary of the Company's cash and cash equivalents as of the date indicated:

 
  

March 31, 2022

  

December 31, 2021

 
         

Cash in banking institutions

 $1,326,178  $30,308,075 

Money market funds

  5,046,607   7,005,483 

Commercial paper

  3,499,545   0 

Total

 $9,872,330  $37,313,558 

  

March 31, 2023

  

December 31, 2022

 
         

Cash in banking institutions

 $631,002  $1,586,920 

Money market funds

  14,014,584   8,526,786 

Total

 $14,645,586  $10,113,706 

 

The following is a summary of the Company's marketable securities as of March 31, 2022:as of the date indicated:

 

 

Amortized cost

 

Unrealized gains

 

Unrealized losses

 

Fair Value

  

Amortized cost

 

Unrealized gains

 

Unrealized losses

 

Fair Value

 
                  
March 31, 2023                

Commercial paper

 $19,716,092  $0  $(39,939) $19,676,153  $1,995,318  210  $(1,437) $1,994,091 

U.S. treasury bonds

  3,013,869   0   (9,719)  3,004,150   999,575    (1,896) 997,679 

Total

 $22,729,961  $0  $(49,658) $22,680,303  $2,994,893  210  $(3,333) $2,991,770 
          
December 31, 2022                

Commercial paper

 $9,445,220  263  $(21,313) $9,424,170 

U.S. treasury bonds

  2,999,095    (14,325) 2,984,770 

Total

 $12,444,315  263  $(35,638) $12,408,940 

 

The Company did not have marketable securities as of December 31, 2021. The Company's marketable securities generally have contractual maturity dates between 37 and 1230 months. Most

As of March 31, 2023, $1,991,770 of the Company’s marketable securities areheld were in an unrealized loss position, at March 31, 2022. Unrealizedall of which have been in an unrealized loss position for less than twelve months. The Company determined that unrealized losses on marketable securities as of March 31, 2022 were not significant and were primarily due to market conditions, including changes in the U.S. Federal Reserve interest rates,rate, and not due credit losses. The Company does not intend to increasedsell the investments and it is not more likely than not that that the Company will be required to sell the investments before the recovery of the amortized cost basis. No allowance for credit risks associated with specific securities. Accordingly, 0 other-than-temporary impairmentlosses related to any of these securities was recorded for the three months ended March 31, 2022 and there were 0 realized gains or losses recorded during the three months ended March 31, 2022.2023.

9

DIFFUSION PHARMACEUTICALS INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

 

5.

Fair Value of Financial Instruments

 

Fair value is the price that could be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. Fair value determination in accordance with applicable accounting guidance requires that a number of significant judgments be made. Additionally, fair value is used on a nonrecurring basis to evaluate assets for impairment or as required for disclosure purposes by applicable accounting guidance on disclosures about fair value of financial instruments. Depending on the nature of the assets and liabilities, various valuation techniques and assumptions are used when estimating fair value. The carrying amounts of certain of the Company’s financial instruments, including prepaid expense and accounts payable are shown at cost, which approximates fair value due to the short-term nature of these instruments. The Company follows the provisions of FASB ASC Topic 820, Fair Value Measurement, for financial assets and liabilities measured on a recurring basis. The guidance requires fair value measurements be classified and disclosed in one of the following three categories:

 

 

Level 1: Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities.

 

Level 2: Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of the asset or liabilities.

 

Level 3: Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).

 

8

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The following table presents the Company’s assets that are measured at fair value on a recurring basis (amounts in thousands):

 

 

Fair value measurement at reporting date

  

Fair value measurement at reporting date

 
 

Quoted prices in

active markets for

identical assets

(Level 1)

  

Significant other

observable inputs

(Level 2)

  

Significant

unobservable inputs

(Level 3)

  

Quoted prices in

active markets for

identical assets

(Level 1)

  

Significant other

observable inputs

(Level 2)

  

Significant

unobservable inputs

(Level 3)

 

March 31, 2022:

      
March 31, 2023      

Cash equivalents:

  

Money market funds

 $5,046,607  $0  $0  $14,014,584  $  $ 

Commercial paper

  0   3,499,545   0          

Total cash and cash equivalents

 $5,046,607  $3,499,545  $0  $14,014,584  $  $ 
  

Marketable securities:

  

Commercial paper

 0  19,676,153  0    1,994,090   

US treasury

  0   3,004,150   0      997,680    

Total marketable securities

 $0  $22,680,303  $0  $  $2,991,770  $ 
              

Total financial assets

 $5,046,607  $26,179,848  $0  $14,014,584  $2,991,770  $ 
 
December 31, 2022:      
Cash equivalents: 

Money market funds

 $8,526,786  $  $ 

Commercial paper

         

Total cash and cash equivalents

 $8,526,786  $  $ 
 
Marketable securities: 

Commercial paper

   9,424,170   

US treasury

     2,984,770    

Total marketable securities

 $  $12,408,940  $ 
       

Total financial assets

 $8,526,786  $12,408,940  $ 

 

The fair valuevalues of the Company’s Level 2 marketable securities are estimated primarily based on benchmark yields, reported trades, market-based quotes, issuer spreads, two-sidedtwo-sided markets, benchmark securities, bids, offers, and reference data including market research publications, which represent a market approach. In general, a market approach is utilized if there is readily available and relevant market activity for an individual security. This valuation technique may change from period to period, based on the relevance and availability of market data.

 

10

DIFFUSION PHARMACEUTICALS INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

6.

Accrued Expenses and Other Current Liabilities

 

Accrued expenses and other current liabilities consisted of the following as of the dates indicated below:

 

  

March 31,

2022

  

December 31,

2021

 

Accrued payroll and payroll related expenses

 $399,847  $879,971 

Accrued professional fees

  142,668   247,704 

Accrued clinical studies expenses

  1,472,119   786,579 

Other

  127,999   65,935 

Total

 $2,142,633  $1,980,189 

  

March 31,

2023

  

December 31,

2022

 

Accrued payroll and payroll related expenses

 $302,085  $131,777 

Accrued professional fees

  734,371   552,785 

Accrued clinical studies expenses

  16,745   475,141 

Other

  101,274   129,851 

Total

 $1,154,475  $1,289,554 

 

 

7.

Stockholders' Equity and Common Stock Warrants

 

Private Placement of Series C Preferred Stock

On March 18, 2022, the Company issued and sold to Robert J. Cobuzzi, Jr., Ph.D., its President & Chief Executive Officer, and William R. Elder, its General Counsel & Corporate Secretary, an aggregate of 10,000 shares of Series C Preferred Stock at an offering price of $0.50 per share, representing 100% of the stated value per share of the Series C Preferred Stock, for aggregate gross proceeds of $5,000.

9

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The Series C Certificate provides that, among other things, (i) each share of Series C Preferred Stock is convertible into 0.02 shares of the Company's common stock, representing a conversion price of $25.00 per share, subject to certain conditions, (ii) each share of Series C Preferred Stock outstanding is counted on an as converted basis, together with the Company’s common stock as a single class, for purposes of determining the presence of a quorum at any meeting at which holders are asked to vote on matters related to the Reverse Stock Split (subject to any applicable exchange listing rules), (iii) each share of Series C Preferred Stock outstanding has the right to cast 1,600 votes per share of Series C Preferred Stock on the Reverse Stock Split on a “mirrored” basis — this means that the holders of the Series C Preferred Stock are required to vote their shares in a manner that “mirrors” the proportions of “For” and “Against” votes cast by the holders of the Company’s common stock are voted on the Amendment (excluding, for the avoidance of doubt, any shares of common stock that are not voted), and (iv) the holders of outstanding shares of Series C Preferred Stock are entitled to dividends, on an as converted basis, equal to dividends actually paid, if any, on shares of common stock and participate in any liquidation of the Company on an as converted basis.

On April 18, 2022, following approval of the Reverse Stock Split by the Company's stockholders, all 10,000 shares of Series C Preferred Stock were converted into an aggregate of 200 shares of the Company's common stock in accordance with the terms of the Series C Certificate.

Common Stock Warrants

 

During its evaluation of equity classification for the Company's common stock warrants issued in previous periods, the Company considered the conditions as prescribed within ASC 815-40, Derivatives and Hedging, Contracts in an Entitys own Equity. The conditions within ASC 815-40 are not subject to a probability assessment. The warrants do not fall under the liability criteria within ASC 480Distinguishing Liabilities from Equity as they are not puttable and do not represent an instrument that has a redeemable underlying security. The warrants do meet the definition of a derivative instrument under ASC 815, but are eligible for the scope exception as they are indexed to the Company’s own stock and would be classified in permanent equity if freestanding.

As of March 31,2022, 2023, the Company had the following warrants outstanding to acquire shares of its common stock:

 

 

Outstanding

  

Range of exercise

price per share

 

Expiration dates

 

Outstanding

  

Range of exercise

price per share

 

Expiration dates

Common stock warrants issued related to the January 2018 common stock offering

 23,639  

$599.71

-$749.76 

January 2023

Common stock warrants issued related to the May 2019 common stock offering

 27,648  

$250.09

-$306.04 

May and December 2024

 27,648  $250.09-$306.04 May and December 2024

Common stock warrants issued related to the November 2019 common stock offering

 4,269   $17.51  

May 2024

 4,269   $17.51  May 2024

Common stock warrants issued related to the December 2019 common stock offering

 6,264  

$21.68

-$34.92 

December 2024 and June 2025

 6,264  $21.68

-

$34.92 December 2024 and June 2025

Common stock warrants issued related to the May 2020 common stock offering

 11,424   $65.65  

March 2025

 11,424   $65.65  March 2025

Common stock warrants issued related to the May 2020 investor warrant exercise

 4,998   $29.7  

November 2025

 4,998   $29.7  November 2025

Common stock warrants issued related to the February 2021 common stock offering

  33,649   $64.08  

February 2026

  33,649   $64.08  February 2026
  111,891         88,252      

 

During the three months ended March 31,2022, 18,077 2023, 23,639 warrants expired.

10

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

 

8.

Stock-Based Compensation

 

2015 Equity Plan

 

The 2015 Equity Plan provides for increases to the number of shares reserved for issuance thereunder each January 1 equal to 4.0% of the total shares of the Company’s common stock outstanding as of the immediately preceding December 31, unless a lesser amount is stipulated by the Compensation Committee of the Company's board of directors. Accordingly, 81,53181,582 shares were added to the reserve as of January 1, 2022, 2023, which shares may be issued in connection with the grant of stock-based awards, including stock options, restricted stock, restricted stock units, stock appreciation rights and other types of awards as deemed appropriate, in each case, in accordance with the terms of the 2015 Equity Plan. As of March 31, 2022, 2023, there were 49,039141,096 shares available for future issuance under the 2015 Equity Plan.

11

DIFFUSION PHARMACEUTICALS INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

The Company recorded stock-based compensation expense in the following expense categories of its unaudited interim consolidated statements of operations and comprehensive loss for the periods indicated:

 

 

Three Months Ended

March 31,

  

Three Months Ended

March 31,

 
 

2022

  

2021

  

2023

  

2022

 

Research and development

 $58,892  $33,000  $12,011  $58,892 

General and administrative

  219,239   148,280   109,360   219,239 

Total stock-based compensation expense

 $278,131  $181,280  $121,371  $278,131 

 

The following table summarizes the activity related to all stock option grants for the three months ended March 31,2022: 2023:

 

  

Number of

Options

  

Weighted

average

exercise

price

per share

  

Weighted

average

remaining

contractual

life

(in years)

  

Aggregate

intrinsic

value

 

Balance at January 1, 2022

  72,454  $265.85         

Granted

  48,300   12.00         

Cancelled/forfeited

  (4,190)  75.33         

Outstanding at March 31, 2022

  116,564  $164.31   8.89  $23,163 

Exercisable at March 31, 2022

  52,849  $346.79   8.13  $1,956 

Vested and expected to vest at March 31, 2022

  116,564  $164.31   8.89  $23,163 
  

Number of

Options

  

Weighted

average

exercise price

per share

  

Weighted

average

remaining

contractual life

(in years)

  

Aggregate

intrinsic

value

 

Balance at January 1, 2023

  140,040  $126.75         

Granted

              

Cancelled

  (35,993)  20.13         

Outstanding at March 31, 2023

  104,047  $163.64   7.99  $ 

Exercisable at March 31, 2023

  78,533  $211.21   7.75  $ 

Vested and expected to vest at March 31, 2023

  104,047  $163.64   7.99  $ 

 

The weighted average grant date fair value of stock option awardsThere were no options granted was $10.90 during the three months ended March 31, 2022. 2023. The total fair value of options vested during the three months ended March 31, 2023 and 2022 and 2021was $0.3$0.1 million and $0.2 million, respectively. NaNNo options were exercised during any of the periods presented. At March 31,2022, 2023, there was $1.3$0.4 million of unrecognized compensation expense that will be recognized over a weighted-average period of 1.971.27 years.

 

Options granted were valued using the Black-Scholes-Merton derivative instrument pricing model and assumptions used to value the options granted during the three months ended March 31, 2022 were as follows:

Expected term (in years)

5.7

Risk-free interest rate

1.7%

Expected volatility

134.7%

Dividend yield

11

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Restricted Stock Unit Awards

 

The Company issues restricted stock units ("RSU") to newly elected, non-executive members of the board of directors that vest in six, tri-monthly installments beginning 18 months after the respective grant date. The fair value of aan RSU is equal to the fair market value price of the Company’s common stock on the date of grant. RSU expense is recorded on a straight-line basis over the service period.

 

The following table summarizes activity related to RSU awards during the period indicated:

 

  

Number of Units

  

Weighted average grant

date fair value

 

Balance at January 1, 2022

  5,509  $34.78 

Vested (1)

  (327)  25.50 

Outstanding at March 31, 2022

  5,182  $35.36 
  

Number of Units

  

Weighted average grant date fair value

 

Balance at January 1, 2023

  3,652  $36.49 

Vested (1)

  (742)  33.72 

Outstanding at March 31, 2023

  2,910  $38.28 

 

(1)(1) The RSUs vested during the three months ended March 31, 2022 2023 were settled on a hybrid basis. The Company withheld 120274 shares of common stock and, in lieu of delivering such shares, paid the RSU holder an amount in cash equal to the fair market value of such shares on the vesting date, representing the holder's approximate tax liability associated with such vesting amount in cash equal to the fair market value of such shares on vesting date, representing the holder's approximate tax liability associated with such vesting.

12

DIFFUSION PHARMACEUTICALS INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

The Company recognized approximately $16,000$14,000 and $5,000$16,000 in expense related to these awards during the three months ended March 31,2022 and March 31, 2021, 2023 and March 31, 2022, respectively. At March 31,2022, 2023, there was approximately $0.1 million of$48,000 in unrecognized compensation cost that will be recognized over a weighted average period of 1.901.04 years.

 

 

9.

Commitments and Contingencies

 

Office Space Lease Commitment

 

The Company has a short term agreementsagreement to utilize membership-based co-working space in both Charlottesville, Virginia and was previously party to a second, similar agreement for co-working space in Philadelphia, Pennsylvania.Pennsylvania, which was terminated during the year ended December 31, 2022. Rent expense related to the Company's short-term agreements was approximately $9,000$1,000 and $31,000$9,000 for the three months ended March 31,2022 2023 and 2021,2022, respectively.

 

Research and Development Arrangements

 

InPrior to the strategic review process and entry into the Merger Agreement with EIP, in the course of normal business operations, the Company entersentered into agreements with universities and CROs to assist in the performance of research and development activities and contract manufacturers to assist with chemistry, manufacturing, and controls related expenses. Expenditures to CROs represent a significant cost in clinical development for the Company. The Company could also enter into additional collaborative research, contract research, manufacturing, and supplier agreements in the future, which may require upfront payments and long-term commitments of cash.

 

Defined Contribution Retirement Plan

 

The Company has established its 401(k)401(k) Plan, which covers all employees who qualify under the terms of the plan. Eligible employees may elect to contribute to the 401(k)401(k) Plan up to 90% of their compensation, limited by the IRS-imposed maximum. The Company provides a safe harbor match with a maximum amount of 4% of the participant’s compensation. The Company made matching contributions under the 401(k)401(k) Plan of approximately $27,000$26,000 and $16,000$27,000 for the three months ended March 31, 2022 2023 and 2021,2022, respectively.

 

Legal Proceedings

 

On August 7, 2014, a complaint was filed in the Superior Court of Los Angeles County, California by Paul Feller, the former Chief Executive Officer of the Company’s legal predecessor under the caption Paul Feller v. RestorGenex Corporation, Pro Sports & Entertainment, Inc., ProElite, Inc. and Stratus Media Group, GmbH (Case No.BC553996) BC553996). The complaint asserts various causes of action, including, among other things, promissory fraud, negligent misrepresentation, breach of contract, breach of employment agreement, breach of the covenant of good faith and fair dealing, violations of the California Labor Code and common counts. The plaintiff is seeking, among other things, compensatory damages in an undetermined amount, punitive damages, accrued interest and an award of attorneys’ fees and costs. On December 30, 2014, the Company filed a petition to compel arbitration and a motion to stay the action. On April 1, 2015, the plaintiff filed a petition in opposition to the Company’s petition to compel arbitration and a motion to stay the action. After a related hearing on April 14, 2015, the court granted the Company’s petition to compel arbitration and a motion to stay the action. On January 8, 2016, the plaintiff filed an arbitration demand with the American Arbitration Association. On November 19, 2018 at an Order to Show Cause Re Dismissal Hearing, the court found sufficient grounds not to dismiss the case and an arbitration hearing was scheduled, originally for November 2020 but later postponed due to the COVID-19COVID-19 pandemic and related restrictions on gatherings in the State of California. In addition, following the November 2018 hearing, an automatic stay was placed on the arbitration in connection with the plaintiff filing for personal bankruptcy protection. On October 22, 2021, following a determination by the bankruptcy trustee not to pursue the claims and release them back to the plaintiff, the parties entered into a stipulation to abandon arbitration and return the matter to state court. A case management conference was held on February 23, 2022 at which aan initial trial date of May 24, 2023 was set, andfollowing which the parties have agreed to stipulate to mediation in advance of the trial. On October 20, 2022, the parties filed a joint stipulation to continue the trial and certain deadlines related to the mediation in order to allow plaintiff's counsel to continue to seek treatment for an ongoing medical issue. On November 1, 2022, based on the parties joint stipulation, the court entered an order continuing the trial date to October 25, 2023.

 

1213

DIFFUSION PHARMACEUTICALS INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

The Company believes the claims in this matter are without merit and intends to defendis defending itself vigorously. However, at this stage, the Company is unable to predict the outcome and possible loss or range of loss, if any, associated with its resolution or any potential effect the matter may have on the Company’s financial position. Depending on the outcome or resolution of this matter, it could have a material effect on the Company’s consolidated financial position, results of operations and cash flows.

  

 

10.

Subsequent Events

Special Meeting, Series C Preferred Stock Conversion, Charter Amendment, and Reverse Stock Split

On April 18, 2022, at the Special Meeting, the Company's stockholders approved an amendment to the Company’s certificate of incorporation, as amended, to effect a reverse stock split of the Company’s outstanding shares of common stock by a ratio of any whole number between 1-for-2 and 1-for-50, at any time prior to December 31, 2022, the implementation and timing thereof subject to the discretion of the Company’s board of directors.

Following the completion of the Special Meeting, in accordance with Section 8(a) of the Series C Certificate, the Company delivered to the holders of the Series C Preferred Stock written notice of the Company’s intent to implement the Reverse Stock Split and the Mandatory Conversion (as defined in the Series C Certificate) of all 10,000 shares of Series C Preferred Stock outstanding into an aggregate of 200 shares of the Company’s common stock.

As described in further detail above under, Note 3. Basis of Presentation and Summary of Significant Accounting Policies, on April 18, 2022, following the completion of the Special Meeting and the Series C Preferred Stock conversion,  the Company implemented the Reverse Stock Split at a ratio of 1-for-50 and beginning with the opening of trading on April 19, 2022, the Company’s common stock was available for trading on the Nasdaq Capital Market on a Reverse Stock Split adjusted basis.

Nasdaq Bid Price Requirement Compliance

On May 3, 2022, the Company received a written notice from the Nasdaq Staff confirming that the Company has regained compliance with Nasdaq Listing Rule 5550(a)(2) because the bid price for the Company’s common stock had closed above $1.00 per share for the previous ten (10) consecutive business days ending May 2, 2022. As previously reported, on May 6, 2021, the Company received a written notice from the Nasdaq Staff indicating that the Company was not in compliance with Nasdaq Listing Rule 5550(a)(2) because the bid price for the Company’s common stock had closed below $1.00 per share for the previous 30 consecutive business day. The May 3, 2022 letter confirmed this matter is now closed.

13
14

ITEM 2.

MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

You should read the following discussion of our financial condition and results of operations together with the unaudited interim consolidated financial statements and the notes thereto included elsewhere in this report and other financial information included in this report. The following discussion may contain predictions, estimates and other forward-looking statements that involve a number of risks and uncertainties, including those discussed under “Part I Item 2. Managements Discussion and Analysis of Financial Condition and Results of OperationsSpecial Note Regarding Forward-Looking Statements” in this report and under “Part I Item 1A. Risk Factors” in our Annual Report.Report, as well as the risk factors discussed under the heading "Risk Factors" in the Preliminary Merger Proxy Statement. These risks could cause our actual results to differ materially from any future performance suggested below.

 

Diffusion Pharmaceuticals: Enhancing Oxygen, Fueling LifeOverview

 

We areDiffusion is a biopharmaceutical company that has historically focused on developing novel therapies that may enhance the body’s ability to deliver oxygen to the areas where it is needed most. Our leadmost advanced product candidate, TSC, is beinghas been investigated and developed to enhance the diffusion of oxygen to tissues with low oxygen levels, also known as hypoxia, a serious complication of many of medicine’s most intractable and difficult-to-treat conditions.conditions, including hypoxic solid tumors like GBM.

 

HighlightsIn our Annual Report on Form 10-K for the year ended December 31, 2021 filed with the SEC in March 2022, we identified the pursuit of an opportunistic transaction with the potential to complement and diversify our portfolio of product candidates as one of our key strategic objectives intended to enhance long-term value for our stockholders. In pursuit of this objective, in July 2022, we engaged Canaccord as our financial advisor to support our process and, in October 2022, following further deterioration of the public capital markets throughout 2022 and the corresponding increase in the cost of capital for small biopharmaceutical companies, we publicly announced our board of directors’ authorization of an expanded evaluation and review of potential strategic transactions, including a joint venture, licensing, merger, reverse merger, sale or divestiture of some of proprietary technologies or a sale of Diffusion, among others.

On March 30, 2023, Diffusion, Merger Sub and EIP entered into the Merger Agreement, pursuant to which, among other things, subject to the satisfaction or waiver of the conditions set forth in the Merger Agreement, Merger Sub will merge with and into EIP, with EIP surviving the merger as the wholly-owned subsidiary of the combined company. If consummated, immediately following the effective time of the Merger, former EIP stockholders are expected to own approximately 77.26% of the outstanding shares of our common stock, and stockholders of Diffusion as of immediately prior to the effective time of the Merger are expected to own approximately 22.74% of the outstanding shares of our common stock, in each case, as calculated in the Merger Agreement and assuming “Parent Net Cash” (as defined in the Merger Agreement, which is attached as an exhibit to this Quarterly Report) at the closing of the Merger is between $13.5 million and $14.5 million. The actual amount of Parent Net Cash  delivered at Closing will depend on many factors, including among others, the date of the closing, and no assurance can be given as to the actual amount of Parent Net Cash that will be delivered.

If the Merger is completed, it will result in a combined company primarily focused on the advancement of central nervous system focused therapeutics, including EIP’s lead drug candidate neflamapimod, which is currently being developed for the treatment of dementia with Lewy bodies (“DLB”).  Phase 2a clinical trial results with neflamapimod in DLB that showed statistically significant positive effects compared to placebo on dementia severity and walking ability were published in a major scientific journal in September 2022, and in January 2023, EIP was awarded $21.0 million in non-dilutive grant funding from the First QuarterNational Institutes of 2022Health’s National Institute on Aging that is expected to fully fund clinical trial costs associated with a planned Phase 2b study evaluating neflamapimod in patients with DLB, a study which EIP anticipates initiating by the end of the second quarter of 2023.

If the Merger is not completed, we will reconsider our strategic alternatives and may pursue one of the following courses of action, which we currently believes are the most likely alternatives if the Merger is not completed:

 

 

Completed DosingPursue another strategic transaction similar to the Merger.  We may resume our process of evaluating other companies interested in the Altitude Trial – On April 11, 2022, we announced the final participant in the Altitude Trial had completed dosing,pursuing a strategic transaction with us and, topline dataif a candidate is expected to be available in June 2022. We also reported the clinical investigators will be presenting abstracts at the Undersea & Hyperbaric Medical Society’s Annual Scientific Meeting in Reno, Nevada scheduled for May 22 to 26, 2022 basedidentified, focus our attention on blinded, aggregated (placebonegotiating and treatment), interim physiological data from the first fifteen participants in the study.completing such a transaction with such candidate.

 

 

Continued Progress the ILD-DLCO TrialDissolve and liquidate its assets, – Enrollment of patientsIf we are unable, or do not believe that we will be able, to find a suitable candidate for another strategic transaction in the ILD-DLCO Trial, which commenced in December 2021, continued inbest interests of our stockholders, we may dissolve and liquidate its assets. In the first quarter. We currently expectevent of dissolution, we would be required to complete dosing inpay all its debts and contractual obligations and to set aside certain reserves for potential future claims. If we dissolve and liquidate our assets, there can be no assurance as to the second halfamount or timing of 2022, with topline results reported within two months of study completion.available cash that will remain for distribution to our stockholders after paying our debts and other obligations and setting aside funds for its reserves.

 

Expanded Scientific Advisory Board – On February 24, 2022, we announced a significant expansion of our Scientific Advisory Board to include five prominent radiation and medical oncologists, who will help guide the design of our recently announced Hypoxic Solid Tumor Program.

Business Update

In the first quarter of 2022, we continued to advance the development of TSC for the treatment of hypoxia and as a platform to enhance standard-of-care treatment for conditions complicated by hypoxia with a particular near-term focus on hypoxic solid tumors.

As of the date of the Quarterly Report, TSC has been administered to more than 220 subjects across 11 clinical trials. Data from these clinical trials support our understanding of the safety, tolerability, pharmacokinetics and pharmacodynamic effects of TSC. Evidence of clinical effect with TSC was reported from a Phase 2 clinical study conducted in patients with PAD with claudication. In addition, post hoc analyses of two prior studies involving patients with COVID-19 and unresected GBM tumors have provided preliminary evidence of TSC’s potential. Although the results small Phase 2 studies were not statistically significant, we believe the results were compelling and subsequent analyses helped identify certain data gaps that have been focus of recent development, including the relationship between TSC  dose and oxygenation.

During 2021, to address these identified gaps in our TSC knowledge base, and guide the future of our TSC development program, we designed and executed on our Oxygenation Trials. The Oxygenation Trials are a series of three short-term, clinical studies designed to provide clinical evidence of the relationship between TSC dose and the effects on oxygenation, each specifically tailored to evaluate the effects of TSC on a different component of the oxygen delivery pathway. We completed the first of these studies, the TCOM Trial, in March 2021. The first participants in the second Oxygenation Trial, the Altitude Trial, were dosed in November 2021 and on April 11, 2022, we announced the completion of dosing for the final participant in the study. Topline data from the Altitude Trial are expected to be available in June 2022. In December 2021 we announced the dosing of the first patients in the final Oxygenation Trial, the ILD-DLCO Trial. We currently expect to complete dosing in this study in the second half of 2022 and to report top line results within two months of study completion.

1415

 

The extensive preclinical and clinical data regarding TSC obtainedSubject to date, including data recently obtained from our Oxygenation Trials and our COVID-19 Trial completed in February 2021, provide significant information related to TSC’s effects on oxygenation, dose response characteristics, pharmacokinetics, and pharmacodynamics. In November 2021, based on the available data and the significant unmet medical need, we announced our intention to focus the next steps in our efforts to develop TSC as an adjunct to standard of care therapy for hypoxic solid tumors. We believe the aforementioned collection of information will allow us to be more efficient and increase our likelihood of success, compared to the Company’s past efforts to develop TSC as a cancer treatment, which were terminated in 2019 due to financial constraints.

During the first quarter of 2022 continued to work with our advisors including our new Scientific Advisory Board members announced in February 2022, on the design of the Hypoxic Solid Tumor Program including the preliminary design of our Planned Phase 2 Hypoxic Tumor Trial protocol and updating our oncology-related IND previously filed with the FDA.

We currently expect to commence our Planned Phase 2 Hypoxic Tumor Trial in the second half of 2022, subject to FDA feedback and the availability of clinical drug supply.

In parallel,additional funding on acceptable terms, we continue to undertake preclinical studies and other opportunities to obtain additional data designed to demonstrate TSC’s potential uses in a broad spectrum of non-cancer indications, as well as our work to further improve the TSC manufacturing process and support the continued  and support the continued availability of high-quality drug product.

Finally, we believe we can leverage what we have learned from themay also consider resuming development of TSC andif the significant skills and experience of our team to opportunistically identify and acquire or in-license novel product candidates that complement TSC and our overall strategy.  We also believe diversifying our asset portfolio through and acquisition or in-license would reduce our Company’s overall risk profile as an investment.

Merger is not completed.

 

Financial Summary

 

As of March 31, 2022,2023, we had cash, cash equivalents, and marketable securities of $32.6$17.6 million, in the aggregate. We have incurred operating losses since inception, have not generated any product sales revenue and have not achieved profitable operations. We incurred a net loss of $4.5$4.1 million for the three months ended March 31, 2022.2023, mostly related to payment of non-recurring severance cost during the period. Our accumulated deficit as of March 31, 20222023 was $134.5$149.6 million, and we expect to continue to incur substantial losses in future periods.

Currently and during the period ended March 31, 2023, the majority of our costs  are and were related to our strategic review process and proposed Merger with EIP. We also anticipate that our operating expenses will increase substantially asexpect, if we complete the Merger, another strategic transaction, or resume development of TSC, to continue to advanceincur substantial losses in future periods for the development of TSC,foreseeable future, including any costs related to:

 

 

our ongoing and planned clinical trials, including our Planned Phase 2 Hypoxic Tumor Trial;

any additional studies we may undertake to evaluate our current or future product candidates, including other preclinical and clinical studies to support the filing of any new drug applicationNDA with the FDA;FDA

 

other research, development, and manufacturing activities designed to develop and optimize formulation, manufacturing processes, dosage, dose forms, and other characteristics prior to regulatory approval;

 

the maintenance, expansion, and protection our global intellectual property portfolio;

 

the hiring of additional clinical, manufacturing, scientific, sales, or other personnel;personnel

research and development related to any other product candidates we may acquire or in-license in the future; and

 

investments in operational, financial, and management information systems.systems

 

WeSubject to the outcome and timing of our ongoing strategic review process, and without giving effect to the consummation of the proposed Merger with EIP, we currently intend to use our existing cash, cash equivalents and marketable securities for working capital and to fund the research and development of TSC. We expect that our existing cash, cash equivalents and marketable securities as of March 31, 2022 will enable us2023 are sufficient to fund our operating expenses and capital expenditure requirements through 2023.current operations for at least 12 months following the date of this Quarterly Report.

 

15

Additionally, if completed, the Merger will result in an ownership change under Section 382 of the U.S. tax code for Diffusion, and our pre-merger NOL carryforwards and certain other tax attributes will be subject to limitation. Similar rules may apply under state tax laws. Consequently, even if the combined company achieves profitability, it may not be able to utilize a material portion of Diffusion’s, EIP’s, and the combined company’s NOL carryforwards and other tax attributes.

 

Financial Operations Overview

 

Revenues

 

We have not yet generated any revenue from product sales. We do not expect to generate revenue from product sales for the foreseeable future.

 

Research and Development Expense

 

R&D expenses include, but are not limited to, third-party CRO arrangements and employee-related expenses, including salaries, benefits, stock-based compensation, and travel expense reimbursement. R&D activities are central to our business model. Product candidates in later stages of clinical development generally have higher development costs than those in earlier stages of clinical development, primarily due to the increased size and duration of later-stage clinical studies. As we advance our product candidates, we expect the amount of R&D costs will continue to increase for the foreseeable future. R&D costs are charged to expense as incurred.

 

General and Administrative Expense

 

G&A expenses consist principally of salaries and related costs for executive and other personnel, including stock-based compensation, other employee benefit costs, expenses associated with investment bank and other financial advisory services, and travel expenses. Other G&A expenses include, facility-related costs, communication expenses and professional fees for legal, patent prosecution and maintenance, consulting, accounting, and other professional services.

 

Interest Income

 

Interest income isconsists of interest earned from our cash, cash equivalents and marketable securities.

 

16

 

Results of Operations for Three Months Ended March 31, 20222023 Compared to Three Months Ended March 31, 20212022

 

The following table sets forth our results of operations for the three months ended March 31, 2022,2023 and 2021.2022.

 

 

Three Months Ended March 31,

      

Three Months Ended March 31,

     
 

2022

  

2021

  

Change

  

2023

  

2022

  

Change

 

Operating expenses:

  

Research and development

 $2,425,898  $2,916,378  $(490,480) $1,308,589  $2,425,898  $(1,117,309

)

General and administrative

 2,128,552  1,743,510  385,042   2,957,691   2,128,552   829,139 

Depreciation

     24,447   (24,447)

Loss from operations

 4,554,450  4,684,335  (129,885) 4,266,281  4,554,450  (288,169

)

Other income:

  

Interest income

  (27,809)  (40,416)  12,607   (173,897

)

  (27,809

)

  (146,088

)

Net loss

 $(4,526,641) $(4,643,919) $117,278  $(4,092,384

)

 $(4,526,641

)

 $434,257 

 

We recognized $2.4$1.3 million in research and development expenses during the three months ended March 31, 20222023 compared to $2.9$2.4 million during the three months ended March 31, 2021. A significant portion of this2022. This decrease was attributabledue to lower project spending due to the timingcompletion and/or wind-down of certain CMC-related activities and clinical trials and drug manufacturing,studies evaluating TSC offset by an increase in salaries and wages and stock-based compensation related to increased headcount.non-recurring severance cost paid during the period.

 

General and administrative expenses increased by $0.4were $3.0 million during the three months ended March 31, 20222023 compared to $2.1 million during the three months ended March 31, 2021, mainly2022. The increase was primarily due to an increase in salaries and wages and stock-based compensationprofessional fees related to increased headcount as well as an increase in outside professional fees.

16

The decrease in depreciation for the three months ended March 31, 2022 compared to the three months ended March 31, 2021 is related to the disposal of property and equipment during the year-ended December 31, 2021.ongoing business development activity.

 

The decreaseincrease in interest income for the three months ended March 31, 20222023 compared to the three months ended March 31, 2021 is2022 was primarily attributable to loweras a result of rising interest earned on cash and investmentsrates during the three months ended March 31, 2022 compared to the three months ended March 31, 2021.

first quarter of 2023.

 

Liquidity and Capital Resources

 

Working Capital

 

As of March 31, 2022,2023, we had $9.9$14.6 million in cash and cash equivalents, $22.7$3.0 million in marketable securities, working capital of $30.6$16.4 million and an accumulated deficit of $134.5$149.6 million. We expect to continue to incur net losses for the foreseeable future. We intend to use our existing cash, cash equivalents, and marketable securities to fund our working capital and, subject to the completion and outcome of our strategic review process, research and development of our product candidates.

 

Cash Flows

 

The following table sets forth our cash flows for the three months ended March 31, 20222023 and 2021:2022:

 

 

Three Months Ended March 31,

  

Three Months Ended March 31,

 

Net cash (used in) provided by:

 

2022

  

2021

 

Net cash provided by (used in):

 

2023

  

2022

 

Operating activities

 $(4,729,813) $(5,176,370) $(4,968,120) $(4,729,813)

Investing activities

 (22,716,415)   9,500,000  (22,716,415)

Financing activities

  5,000   33,295,752      5,000 

Net (decrease) increase in cash and cash equivalents

 $(27,441,228) $28,119,382 

Net increase (decrease) in cash and cash equivalents

 $4,531,880  $(27,441,228)

17

 

Operating Activities

Net cash used in operating activities of $5.0 million during the three months ended March 31, 2023 was primarily attributable to our net loss of $4.1 million and our net change in operating assets and liabilities of $1.1 million. This amount was offset by $0.1 million in stock-based compensation expense. The net change in our operating assets and liabilities is primarily attributable to a decrease in our accrued expenses and other current liabilities due to the timing of our payments to our vendors and employees as well as an increase in our prepaid expenses, deposits, and other current assets.

 

Net cash used in operating activities of $4.7 million during the three months ended March 31, 2022 was primarily attributable to our net loss of $4.5 million and our net change in operating assets and liabilities of $0.5 million. This amount was offset by $0.3 million in stock-based compensation expense. The net change in our operating assets and liabilities is primarily attributable to an increase in our prepaid expenses, deposits and other current assets.

 

Net cash used in operating activities of $5.2 million duringInvesting Activities

During the three months ended March 31, 2021 was primarily attributable to our net loss of $4.6 million and our net change in operating assets and liabilities of $0.7 million. This amount was offset by $0.22023, $9.5 million in stock-based compensation expense and depreciation expense. The net change in our operating assets and liabilities is primarily attributable to a decrease in our accrued expenses and other current liabilities due to the timing of our payments to our vendors and employees as well as an increase in our prepaid expenses, deposits and other current assets.

Investing Activities

marketable securities matured. During the three months ended March 31, 2022, we purchased $22.7 million in marketable securities with cash. There were no investing activities during the three months ended March 31, 2021.

17

 

Financing Activities

 

Net cash provided by financing activities was $5,000 during the three months ended March 31, 2022, attributable to proceeds received from the sale of our Series C Convertible Preferred Stock.

 

Net cash provided by financing activities was $33.3 million during the three months ended March 31, 2021, attributable to net proceeds of $31.1 million received from the sale of our common stock and $2.2 million in proceeds received from the exercise of common stock warrants.

Capital Requirements

 

We currently expect to continue to incurHistorically, we have incurred substantial expenses and generategenerated significant operating losses as we continue to pursue ourpursuing its business strategy of developing TSC. Our operations have consumed substantial amounts of cash since inception and we currently expect to continue to spend substantial amounts of cash to advance the clinical development of TSC and any other product candidates we may in-license or acquire in the future. As of the date of this Quarterly Report, most of our cash resources for clinical development are dedicated to, our ongoing and its planned clinical trials. expenditures are primarily related to, the Merger.

While we believecurrently believes we have adequate cash resources to continuefund our current operations through 2023,for at least 12 months, we anticipate that, if we complete the Merger, another strategic transaction, or resume development of TSC, we will likely need additional funding in orderthe future to completesupport our research and development of TSCactivities and other operations which, if available, could be obtained through additional capital raising transactions, entry into strategic partnerships or collaborations, or alternative financing arrangements.

 

In July 2022, we entered into an At-The-Market Sales Agreement, dated July 22, 2022, with BTIG LLC, as agent (the “2022 Sales Agreement”). The 2022 Sales Agreement is an “at-the-market” sales agreement pursuant to which we may, from time to time and through BTIG as our agent, sell up to an aggregate of $20.0 million in shares of common stock by any permissible method deemed an “at the market offering” as defined in Rule 415(a)(4) under the Securities Act. As of March 31,the date of this Quarterly Report, however, we have not sold any shares pursuant to the 2022 we did not have any credit facilities in place under which we could borrow funds or any other sources of committed capital. Sales Agreement.

In the future, we may seek to raise additional funds through various sources. However, we can give no assurances that we will be able to secure additional sources of funds to support ourits operations, or if such funds are available to us, that such additional financing will be sufficient to meet our needs or be on terms acceptable to us.terms. This risk may increase if economic and market conditions continue to be challenging or deteriorate. If we are unable to obtain additional financing when needed, we may need to curtail portions of our operations, terminate, significantly modify, or delay the development of TSC or our product candidates, or we may need to obtain funds through collaborations or otherwise on terms that may require us to relinquish rights to our technologies, or product candidates or other assets that we might otherwise seek to develop or commercialize independently.independently or receive superior value. If we are unable to raise adequate additional capital as and when required in the future, we could be forced to cease development activities and terminate our operations, and youour stockholders could experience a complete loss of yourtheir investment.

18

 

To the extent that we raise additional capital in the future through the sale of our common stock or securities convertible or exchangeable for common stock such as common stock warrants, convertible preferred stock, or convertible debt instruments, or fund acquisitions or other transactions through the issuance of such securities, the interests of our current stockholders may be diluted or otherwise impacted. In particular, specific rights granted to future holders of preferred stock or convertible debt securities may include voting rights, preferences as to dividends and liquidation, conversion and redemption rights, sinking fund provisions, and restrictions on our ability to merge with or sell our assets to a third party. Debt financing, if available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends.

 

Off-Balance Sheet Arrangements

 

We do not have any off-balance sheet arrangements, as defined by the rules and regulations of the SEC, that have or are reasonably likely to have a material effect on our financial condition, changes in financial condition, revenue or expenses, results of operations, liquidity, capital expenditures, or capital resources. As a result, we are not materially exposed to any financing, liquidity, market, or credit risk that could arise if we had engaged in these arrangements.

 

Critical Accounting Policies

 

As of the date of this Quarterly Report, the Critical Accounting Policies included in our Annual Report have not changed.

 

1819

 

ITEM 3.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

As a “smaller reporting company” as defined by Item 10 of Regulation S-K, we are not required to provide the information required by this Item 3.

 

 

ITEM 4.

CONTROLS AND PROCEDURES

 

Evaluation of Disclosure Controls and Procedures

 

We maintain disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) promulgated under the Exchange Act) that are designed to provide reasonable assurance that information required to be disclosed by us in the reports we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to our management, including our principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. In designing and evaluating our disclosure controls and procedures, we recognize that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and we are required to apply our judgment in evaluating the cost-benefit relationship of possible internal controls. Our management evaluated, with the participation of our principal executive officer and principal financial officer, the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered in this report. Based on that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of the end of such period to provide reasonable assurance that information required to be disclosed in our Exchange Act reports is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding disclosure.

 

Change in Internal Control Over Financial Reporting

 

There were no changes in our internal control over financial reporting (as such term is defined in Rule 13a-15(f) promulgated under the Exchange Act) that occurred during the period ended March 31, 20222023 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

1920

 

PART II OTHER INFORMATION

 

 

ITEM 1.

LEGAL PROCEEDINGS

 

For this item, please refer to Note 9,7, Commitments and Contingencies in the notes accompanying the unaudited interim consolidated financial statements included in Part I, Item 1 of this Quarterly Report, which is incorporated herein by reference.

 

 

ITEM 1A.

RISK FACTORS

 

As of the date of this Quarterly Report, there have been no material changes to our risk factors previously disclosed in our Annual Report.Report except as disclosed under the heading, "Risk Factors" in the Preliminary Merger Proxy Statement.

 

 

ITEM 2.

UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

Unregistered Sales of Equity Securities

 

On March 18, 2022, the Company issued and sold to Robert J. Cobuzzi, Jr., Ph.D., its President & Chief Executive Officer, and William R. Elder, its General Counsel & Corporate Secretary, an aggregate of 10,000 shares of Series C Preferred Stock at an offering price of $0.50 per share, representing 100% of the stated value per share of the Series C Preferred Stock, for aggregate gross proceeds of $5,000.

The Series C Certificate provides that, among other things, (i) each share of Series C Preferred Stock is convertible into 0.02 shares of the Company's common stock, representing a conversion price of $25.00 per share, subject to certain conditions, (ii) each share of Series C Preferred Stock outstanding is counted on an as converted basis, together with the Company’s common stock as a single class, for purposes of determining the presence of a quorum at any meeting at which holders are asked to vote on matters related to the Reverse Stock Split (subject to any applicable exchange listing rules), (iii) each share of Series C Preferred Stock outstanding has the right to cast 1,600 votes per share of Series C Preferred Stock on the Reverse Stock Split on a “mirrored” basis — this means that the holders of the Series C Preferred Stock are required to vote their shares in a manner that “mirrors” the proportions of “For” and “Against” votes cast by the holders of the Company’s common stock on the Amendment (excluding, for the avoidance of doubt, any shares of common stock that are not voted), and (iv) the holders of outstanding shares of Series C Preferred Stock are entitled to dividends, on an as converted basis, equal to dividends actually paid, if any, on shares of common stock and participate in any liquidation of the Company on an as converted basis.

On April 18, 2022, following approval of the Reverse Stock Split by the Company's stockholders, all 10,000 shares of Series C Preferred Stock were converted into an aggregate of 200 shares of the Company's common stock in accordance with the terms of the Series C Certificate.None.

 

Issuer Purchases of Equity Securities

 

None. 

 

20

 

ITEM 3.

DEFAULTS UPON SENIOR SECURITIES

 

None.

 

 

ITEM 4.

MINE SAFETY DISCLOSURES

 

Not applicable.

 

 

ITEM 5.

OTHER INFORMATION

 

None.

 

 

ITEM 6.

EXHIBITS

 

See attached Exhibit Index.

 

21

 

DIFFUSION PHARMACEUTICALS INC.

 

QUARTERLY REPORT ON FORM 10-Q

EXHIBIT INDEX

 

 

Exhibit

No.

Description

Method of Filing

3.12.1

CertificateAgreement and Plan of Amendment to the CertificateMerger, dated as of Incorporation, as amended, ofMarch 30, 2023, by and among Diffusion Pharmaceuticals Inc., EIP Pharma, Inc. and Dawn Merger Sub Inc. (1)

Incorporated by reference to Exhibit 3.12.1 to the registrant's current reportCurrent Report on Form 8-K filed on April 18, 2022March 30, 2023

3.210.1

Amendment to the Bylaws,Form of EIP Pharma, Inc. Stockholder Support Agreement, dated as amended, of Diffusion Pharmaceuticals Inc., effective March 18, 202230, 2023

Incorporated by reference to Exhibit 3.210.1 to the registrant's Current Report on Form 8-K filed on March 30, 2023

10.2

Form of Lock-Up Agreement, dated as of March 30, 2023

Incorporated by reference to Exhibit 10.2 to the registrant's Current Report on Form 8-K filed on March 30, 2023

10.3

Amendment, dated March 29, 2023, to Employment Agreement, dated September 8, 2020, by and between Diffusion Pharmaceuticals Inc. and Robert J. Cobuzzi, Ph.D.

Incorporated by reference to Exhibit 10.3 to the registrant's Current Report on Form 8-K filed on March 30, 2023

10.4

Amendment, dated March 29, 2023, to Employment Agreement, dated September 21, 2018, by and between Diffusion Pharmaceuticals Inc. and William Hornung

Incorporated by reference to Exhibit 10.4 to the registrant's Current Report on Form 8-K filed on March 30, 2023

10.5

Amendment, dated March 29, 2023, to Employment Agreement, dated September 23, 2020, by and between Diffusion Pharmaceuticals Inc. and William Elder

Incorporated by reference to Exhibit 10.5 to the registrant's Current Report on Form 8-K filed on March 30, 2023

10.6

Separation Agreement and General Release, effective as of March 8, 2023, by and between Diffusion Pharmaceuticals and Christopher D. Galloway, M.D.

Incorporated by reference to Exhibit 10.14 to the registrant's Annual Report on Form 10-K for the year ended December 31, 2022, filed on March 24, 2023

10.7

Separation Agreement and General Release, effective as of March 8, 2023, by and between Diffusion Pharmaceuticals and Raven Jaeger

Incorporated by reference to Exhibit 10.15 to the registrant's Annual Report on Form 10-K for the year ended December 31, 2022, filed on March 24, 2023

99.1

Form of Diffusion Pharmaceuticals Inc. Stockholder Support Agreement, dated as of March 30, 2023

Incorporated by reference to Exhibit 99.1 to the registrant's current report on Form 8-K filed on March 18, 2022

3.3

Certificate of Designation of Preferences, Rights, and Limitations of Series C Convertible Preferred Stock

Incorporated by reference to Exhibit 3.1 to the registrant's current report on Form 8-K filed on March 18, 2022

10.1

Form of Subscription Agreement between Diffusion Pharmaceuticals Inc. and the investors named therein, dated March 18, 2022

Incorporated by reference to Exhibit 10.1 to the registrant's current report on Form 8-K filed on March 18, 202230, 2023

31.1

Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 and SEC Rule 13a-14(a)

Filed herewith

31.2

Certification of principal financial officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 and SEC Rule 13a-14(a)

Filed herewith

32.1

Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

Furnished herewith

32.2

Certification of principal financial officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

Furnished herewith

101

The following materials from Diffusion’s quarterly report on Form 10-Q for the quarter ended March 31, 2022,2023, formatted in Inline XBRL (Extensible Business Reporting Language): (i) the Unaudited Consolidated Balance Sheets, (ii) the Unaudited Consolidated Statements of Operations, (iii) the Unaudited Consolidated Statement of Changes in Stockholders’ Equity, (iv) the Unaudited Consolidated Statements of Cash Flows, and (v) Notes to Unaudited Consolidated Financial Statements

Filed herewith

104Cover Page Interactive Data File (formatted as Inline XBRL and containedcontaminated in Exhibit 101). 

(1)          Schedules and exhibits have been omitted from this filing pursuant to Item 601(b)(2) of Regulation S-K. Diffusion agrees to furnish on a supplemental basis a copy of any omitted schedule or exhibit to the SEC upon its request; provided, however, that Diffusion may request confidential treatment pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended, for any schedule or exhibit so furnished.

 

22

  

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

Date: May 12, 202215, 2023

 

  

DIFFUSION PHARMACEUTICALS INC.

    
    
    
 

By:

/s/ Robert J. Cobuzzi, Jr., Ph.D.

 
  

Robert J. Cobuzzi, Jr., Ph.D.

 
  

President and Chief Executive Officer

 
  President and Chief Executive Officer

(Principal Executive Officer)

 
    
    
 

By:

/s/ William Hornung

 
  

William Hornung

 
  

Chief Financial Officer

 
  

(Principal Financial and Accounting Officer)

 

23