UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended:June 30, 2019

March 31, 2020

or

[  ]
TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from _____________ to _____________.

Commission File Number:000-13789

ADHERA THERAPEUTICS, INC.

(Exact name of registrant as specified in its charter)

Delaware11-2658569

Delaware

11-2658569
(State or other jurisdiction of


incorporation or organization)

(IRS Employer


Identification No.)

4721 Emperor Boulevard, Suite 350

Durham,

PO Box 2161
Wake Forest, NC

27703

27588
(Address of principal executive offices)(Zip Code)

(919) 578-5901

518-3748

(Registrant’s telephone number, including area code)

N/A

(Former name, former address and former fiscal year, if changed since last report)

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 [X] No [  ]

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

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

Large accelerated filer[  ]Accelerated filer[  ]
Non-accelerated filer[  ] (Do not check if a smaller reporting company)Smaller reporting company[X]
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 7(a)(2)(B) of the Securities Act: [  ]

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

☒.

As of August 12, 2019,July 3, 2020, there were 10,869,530 shares of the registrant’s common stock outstanding.






ADHERA THERAPEUTICS, INC.

FORM 10-Q

FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2019

MARCH 31, 2020

TABLE OF CONTENTS

Page
Page
3
19
24
25
26
27
27
ITEM 6.3.27
SIGNATURESITEM 4.28

2
ITEM 5.


2


PART I – FINANCIAL INFORMATION

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except for share and per share amounts)

  June 30, 2019  December 31, 2018 
  (Unaudited)    
ASSETS        
         
Current assets        
Cash $1,644  $3,918 
Accounts receivable, net of allowance  94   48 
Inventory  232   242 
Prepaid expenses and other assets  184   469 
Total current assets  2,154   4,677 
         
Operating lease right of use asset  178   - 
Furniture and fixtures, net of depreciation  67   72 
Intangible assets, net of amortization  357   392 
   602   464 
         
Total assets $2,756  $5,141 
         
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)        
         
Current liabilities        
Accounts payable $955  $270 
Due to related party  4   28 
Accrued expenses  1,063   852 
Current portion of operating lease liability  78   - 
Accrued dividends  1,800   1,064 
Loan payable  1,260   - 
Total current liabilities  

5,160

   2,214 
         
Other lease liability, net of current portion  107   - 
Total liabilities  

5,267

   2,214 
         
Commitments and contingencies (Note 9)        
         
Stockholders’ equity (deficit)        
Preferred stock, $0.01 par value; 100,000 shares authorized        
         
Series C convertible preferred stock, $0.01 par value; $5,100 liquidation preference; 1,200 shares authorized; 100 shares issued and outstanding as of June 30, 2019 and December 31, 2018  -   - 
         
Series D convertible preferred stock, $0.01 par value; $300 liquidation preference; 220 shares authorized; 40 shares issued and outstanding as of June 30, 2019 and December 31, 2018  -   - 
         
Series E convertible preferred stock, $0.01 par value; $5,000 liquidation preference; 3,500 shares authorized; 3,478 and 3,488 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively  -   - 
         
Series F convertible preferred stock, $0.01 par value; $5,000 liquidation preference; 2,200 shares authorized; 381 shares issued and outstanding as of June 30, 2019 and December 31, 2018  -   - 
         
Common stock, $0.006 par value; 180,000,000 shares authorized, 10,869,530 and 10,761,684 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively  65   65 
Additional paid-in capital  29,346   28,710 
Accumulated deficit  (31,922)  (25,848)
         
Total stockholders’ equity (deficit)  (2,511)  2,927 
         
Total liabilities and stockholders’ equity (deficit) $2,756  $5,141 

March 31, 2020December 31, 2019
(Unaudited)
ASSETS
Current assets
Cash$65  $50  
Prepaid expenses and other assets250  370  
Total current assets315  420  
Total assets$315  $420  
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Current liabilities
Accounts payable$2,123  $1,403  
Due to related party  
Accrued expenses1,278  1,005  
Accrued dividends2,948  2,565  
Notes payable5,795  5,330  
Total current liabilities12,148  10,307  
Total liabilities12,148  10,307  
Commitments and contingencies (Note 8)
Stockholders’ deficit
Preferred stock, $0.01 par value; 100,000 shares authorized
Series C convertible preferred stock, $0.01 par value; $5,100 liquidation preference; 1,200 shares authorized; 100 shares issued and outstanding as of March 31, 2020 and December 31, 2019—  —  
Series D convertible preferred stock, $0.01 par value; $300 liquidation preference; 220 shares authorized; 40 shares issued and outstanding as of March 31, 2020 and December 31, 2019—  —  
Series E convertible preferred stock, $0.01 par value; $5,000 liquidation preference; 3,500 shares authorized; 3,478 shares issued and outstanding as of March 31, 2020 and December 31, 2019—  —  
Series F convertible preferred stock, $0.01 par value; $5,000 liquidation preference; 2,200 shares authorized; 361 shares issued and outstanding as of March 31, 2020 and December 31, 2019—  —  
Common stock, $0.006 par value; 180,000,000 shares authorized, 10,869,530 shares issued and outstanding as of March 31, 2020 and December 31, 201965  65  
Additional paid-in capital29,650  29,375  
Accumulated deficit(41,548) (39,327) 
Total stockholders’ deficit(11,833) (9,887) 
Total liabilities and stockholders’ deficit$315  $420  
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.


3


ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

(in thousands, except for share and per share amounts)

  For the Three Months Ended  For the Six Months Ended 
  June 30,  June 30, 
  2019  2018  2019  2018 
             
Net sales $66  $-  $69  $- 
Cost of sales  81   -   198   - 
Gross Margin  (15)  -   (129)  - 
                 
Operating expenses                
                 
Sales, marketing and commercial operations  1,148   2,586   2,207   2,586 
Research and development  -   -   -   173 
General and administrative  1,599   1,059   2,966   1,979 
Amortization  17   123   35   247 
Total operating expenses  2,764   3,768   5,208   4,985 
                 
Loss from operations  (2,779)  (3,768)  (5,337)  (4,985)
                 
Other expense                
                 
Interest expense  (1)  (5)  (1)  (149)
Loss on settlement  -   (875)  -   (875)
   (1)  (880)  (1)  (1,024)
                 
Loss before provision for income taxes  (2,780)  (4,648)  (5,338)  (6,009)
                 
Provision for income taxes  -   -   -   - 
                 
Net loss (2,780) (4,648) (5,338) (6,009)
                 
Preferred Stock Dividends  (357) (271) (739) (271)
                 
Net Loss Applicable to Common Stockholders $

(3,137

) $(4,919) $(6,077) $(6,280)
                 
Net loss per share – Common Shareholders - basic and diluted $(0.29) $(0.45) $(0.56) $(0.59)
                 
Weighted average shares outstanding - basic and diluted  10,860,049   10,821,230   10,811,138   10,672,082 

Three Months Ended
March 31,
20202019
Net sales$—  $ 
Cost of sales—  117  
Gross margin—  (114) 
Operating expenses
Sales and marketing784  1,059  
General and administrative539  1,367  
Amortization—  18  
Total operating expenses1,323  2,444  
Loss from operations(1,323) (2,558) 
Other expense
Interest expense(410) —  
Amortization of debt discount(105) —  
Net loss(1,838) (2,558) 
Preferred Stock Dividends(383) (382) 
Net Loss Applicable to Common Stockholders$(2,221) $(2,940) 
Net loss per share – Common Shareholders - basic and diluted$(0.20) $(0.27) 
Weighted average shares outstanding - basic and diluted10,869,530  10,781,684  
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.


4


ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY (DEFICIT)

(in thousands, except for share amounts)

  Series E Preferred Stock  Series F Preferred Stock  Common Stock  Additional  Additional
Paid-in
      
  Number  Par
Value
  Number  Par
Value
  Number  Par
Value
  Paid-in
Capital
  Capital
Warrants
  Accumulated
Deficit
  Total 
                               
Balance, December 31, 2017  -  $-   -  $-   10,521,278  $63  $8,414  $-  $(8,029) $448 
Share based compensation  -   -   -   -   -   -   119   -   -   119 
Net loss  -   -   -   -   -   -   -   -   (1,361)  (1,361)
Balance, March 31, 2018  -   -   -   -   10,521,278   63   8,533   -   (9,390)  (794)
Issuance of Series E Preferred Stock, net of fees  2,812   -   -   -   -   -   12,258   -   -   12,258 
Warrants issued with Series E Preferred Stock  -   -   -   -   -   -   (31,107)  31,107   -   - 
Issuance of Series E Preferred for debt and accounts payable  687   -   -   -   -   -   3,438   -   -   3,438 
Conversion of Series C Preferred stock for common stock  -   -   -   -   433,334   3   (3)  -   -   - 
Conversion of Series D Preferred stock for common stock  -   -   -   -   25,000   -   -   -   -   - 
Warrants issued for settlement of liability  -   -   -   -   -   -   -   1,494   -   1,494 
Shares issued for settlement of litigation  -   -   -   -   210,084   1   249   -   -   250 
Shares issued for License Agreement  -   -   -   -   51,988   -   75   -   -   75 
Accrued dividend  -   -   -   -   -   -   -   -   (271)  (271)
Share based compensation  -   -   -   -   -   -   374   -   -   374 
Cancellation of Series E Preferred Stock  (9)  -   -   -   -   -   (46)  -   -   (46)
Net loss  -   -   -   -   -   -   -   -   (4,648)  (4,648)
Balance, June 30, 2018  3,490  $-   -  $-   11,241,684  $67  $(6,229) $32,601  $(14,309) $12,130 

  Series E Preferred Stock  Series F Preferred Stock  Common Stock  Additional  

Additional

Paid-in

      
  Number  Par 
Value
  Number  Par
Value
  Number  Par 
Value
  Paid-in
Capital
  

Capital -

Warrants

  Accumulated
Deficit
  Total 
                               
Balance, December 31, 2018  3,488  $        -   381  $            -   10,761,684  $65  $(5,384) $34,094  $(25,848) $2,927 
Accrued dividend  -   -   -   -   -   -   -   -   (382)  (382)
Share based compensation  -   -   -   -   -   -   395   -   -   395 
Net loss  -   -   -   -   -   -   -   -   (2,558)  (2,558)
Balance, March 31, 2019  3,488   -   381   -   10,761,684   65   (4,989)  34,094   (28,788)  382 
Conversion of Series E Preferred stock for common stock  (10)  -   -   -   107,846   -   -   -   3   3 
Accrued dividend  -   -   -   -   -   -   -   -   (357)  (357)
Share based compensation  -   -   -   -   -   -   241   -   -   241 
Net loss                          -   -   (2,780)  (2,780)
Balance, June 30, 2019  3,478  $-   381  $-   10,869,530  $65  $(4,748) $34,094  $(31,922) $(2,511)

Series E Preferred StockSeries F Preferred StockCommon Stock
Additional
Paid-in
Capital
Additional
Paid-in
Capital
Warrants
Accumulated
Deficit
Total
Number
Par
Value
Number
Par
Value
Number
Par
Value
Balance, December 31, 20183,488  $—  381  $—  10,761,684  $65  $(5,384) $34,094  $(25,848) $2,927  
Accrued dividend—  —  —  —  —  —  —  —  (382) (382) 
Share based compensation—  —  —  —  —  —  395  —  —  395  
Net loss—  —  —  —  —  —  —  —  (2,558) (2,558) 
Balance, March 31, 20193,488  $—  381  $—  10,761,684  $65  $(4,989) 34,094  $(28,788) $382  

Series E Preferred StockSeries F Preferred StockCommon Stock
Additional
Paid-in
Capital
Additional
Paid-in
Capital
Warrants
Accumulated
Deficit
Total
Number
Par
Value
Number
Par
Value
Number
Par
Value
Balance, December 31, 20193,478  $—  361  $—  10,869,530  $65  $(4,719) $34,094  $(39,327) $(9,887) 
Accrued dividend—  —  —  —  —  —  —  —  (383) (383) 
Share based compensation—  —  —  —  —  —  36  —  —  36  
Issuance of warrants with notes payable, net of discount—  —  —  —  —  —  —  239  —  239  
Net loss—  —  —  —  —  —  —  —  (1,838) (1,838) 
Balance, March 31, 20203,478  $—  361  $—  10,869,530  $65  $(4,683) $34,333  $(41,548) $(11,833) 
The accompanying notes are an integral part of these consolidated financial statements.


5


ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(in thousands)

  For the Six Months Ended June 30, 
  2019  2018 
       
Cash Flows Used in Operating Activities:        
         
Net loss $(5,338) $(6,009)
Adjustments to reconcile net loss to net cash used in operating activities:        
Share based compensation  

636

   493 
Common shares issued for settlement  -   250 
Preferred shares issued for note settlement  -   375 
Common shares issued to license agreement  -   75 
Amortization of intangibles  35   247 
Bad debt expense  

41

   

-

 
Amortization of debt discount  -   113 
Depreciation  5   - 
Non-cash interest expense  1   37 
Non-cash lease expense  62   - 
Loss on settlement  -   875 
Changes in operating assets and liabilities:        
Accounts receivable  (87)  - 
Inventory  10   (80)
Prepaid expenses and other assets  285   (193)
Accounts payable  685   161 
Accrued expenses  218   (330)
Accrued fee payable  -   (320)
Deferred revenue  -   200 
Due to related party  (24)  250 
Lease liability  (62)  - 
         
Net Cash Used in Operating Activities  (3,533)  (3,856)
         
Cash Flows Used in Investing Activities:        
Purchase of furniture and fixtures  -   (10)
         
Net Cash Used in Investing Activities  -   (10)
         
Cash Flows Provided By Financing Activities:        
         
Proceeds from sale of preferred stock, net offering expenses  -   12,258 
Proceeds from loan payable  1,495   - 
Loan payable issuance costs  (236)  - 
Payments for notes payable  -   (144)
         
Net Cash Provided by Financing Activities  1,259   12,114 
         
Net (decrease) increase in cash  (2,274)  8,248 
         
Cash – Beginning of Period  3,918   106 
Cash - End of Period $1,644  $8,354 
         
Supplemental Cash Flow Information:        
Non-cash Investing and Financing Activities:       
Capitalization of operating lease right of use asset $240  $- 
Issuance of warrants for liabilities, related party  -   1,494 
Preferred share settlement of debt and accrued liabilities  -   3,438 
Issuance of warrants  -   31,107 
Accrued dividends  739   271 
Conversion of Series E accrued dividend for common stock  3   - 

For the Three Months Ended March 31,
20202019
Cash Flows Used in Operating Activities:
Net loss$(1,838) $(2,558) 
Adjustments to reconcile net loss to net cash used in operating activities:
Share based compensation36  395  
Amortization of intangibles—  18  
Amortization of debt discount and fees294  —  
Depreciation—   
Non-cash interest expense221  —  
Non-cash lease expense—  31  
Changes in operating assets and liabilities:
Accounts receivable—   
Inventory—  (17) 
Prepaid expenses and other assets121  (22) 
Accounts payable720  52  
Accrued expenses52   
Due to related party—  25  
Lease liability—  (31) 
Net Cash Used in Operating Activities(394) (2,090) 
Cash Flows Provided By Financing Activities:
Proceeds from loan payable, net of discount500  —  
Notes payable issuance costs(91) —  
Net Cash Provided by Financing Activities409  —  
Net increase (decrease) in cash15  (2,090) 
Cash – Beginning of Period50  3,918  
Cash - End of Period$65  $1,828  
Supplemental Cash Flow Information:
Non-cash Investing and Financing Activities:
Capitalization of operating lease right of use asset$—  $240  
Issuance of warrants with notes payable239  —  
Accrued dividends383  382  
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.


6


ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2019

MARCH 31, 2020

(Unaudited)

Note 1 – Nature of Operations, Basis of Presentation and Significant Accounting Policies

Business Overview

Adhera Therapeutics, Inc. (formerly known as Marina Biotech, Inc.) and its wholly-owned subsidiaries, MDRNA Research, Inc. (“MDRNA”), Cequent Pharmaceuticals, Inc. (“Cequent”), Atossa Healthcare, Inc. (“Atossa”), and IThenaPharma, Inc. (“IThena”) (collectively “Adhera,” the “Company,” “we,” “our,” or “us”), is an emerginga specialty pharmaceuticalbiotech company that, leveragesto the extent that resources and opportunities become available, is strategically evolving focus in hopes of a return to a drug discovery and development company, and a departure from active commercialization and promotion of hypertension treatment options in the U.S. market.

During 2019, Adhera Therapeutics was a commercially focused entity that leveraged innovative distribution models and technologies to improve the quality of care for patients in the United States suffering from chronic diseases. The Company is focusedand acute diseases with a focus on fixed dose combination (“FDC”) therapies in hypertension, with plans to expand the portfolio of drugs we commercialize to include other therapeutic areas.

The Company’s mission is to provide effective and patient centric treatment for hypertension while actively seeking additional assets that can be commercialized through our proprietary Total Care System (“TCS”). At the core of our TCS system is DyrctAxess, our patented technology platform. DyrctAxess is designed to offer enhanced efficiency, control and access to the information necessary to empower patients, physicians and manufacturers to achieve optimal care.

The Company ishypertension.These efforts were primarily focused on demonstrating the therapeutic and commercial value of TCS through the commercialization of Prestalia®, a single-pill FDC of perindopril arginine (“perindopril”) and amlodipine besylate, (“amlodipine”) which is used as a first-line treatment for hypertension.we began marketing in June of 2018. Prestalia was developed in coordination with Les Laboratories, Servier, a French pharmaceutical conglomerate, that sells the formulation outside the United States under the brand names Coveram®and/or Viacoram®. Prestalia® was approved by the U.S. Food and Drug Administration (“FDA”) in January 2015, and was licensed bydistributed through our patented DyrctAxess platform.


On December 17, 2019, the Company terminated its then-current business operations, including its commercial operations relating to the sale of Prestalia, and terminated the personnel associated with such operations, starting immediately, with such process being substantially completed on or prior to December 31, 2019. As a result, as of the date of this report, the Company is not engaged in any research, development or commercialization activities, and it is no longer generating any revenues from Symplmed in June 2017. By combiningoperations, including from the sale of Prestalia®, DyrctAxess and an independent pharmacy network, or any other product.

Since the end of 2019, to the extent that resources have been available, the Company has created a proprietary system for drug adherencebeen working with its advisors to restructure our company and to identify potential strategic transactions to enhance the value of our company as such opportunities arise, including patient counselingpotential transactions and prescription reminder services,capital raising initiatives involving the assets relating to our legacy RNA interference programs, as well as improving the distribution of blood pressure monitors for therapeutic drug monitoring (“TDM”).

In 2018,business combination transactions with operating companies. There can be no assurance that the Company discontinuedwill be successful at identifying any such transactions, that we will continue to have sufficient resources to actively attempt to identify such transactions, or that such transactions will be available upon terms acceptable to us or at all. If the Company does not complete any significant strategic transactions, or raise substantial additional capital, in the immediate future, it is likely that the Company will discontinue all significant clinical development activitiesoperations and seek bankruptcy protection.


Furthermore, the Company is evaluating dispositionall strategic options for its development assets, including but not limited to: (i) a next generation celecoxib program of drug candidates for the treatment of acute and chronic pain; (ii) an FDC used to suppress polyps in the precancerous syndrome and orphan indication Familial Adenomatous Polyposis; (iii) an FDC to treat Colorectal Cancer; and (iv) an FDC for irritable bowel disease (IBD). The Company plans to license out-license and/or divest these development assets since they no longer align withour existing intellectual property, including our DyrctAxess platform, which is designed to offer enhanced efficiency, control and access to the Company’s focus on the commercialization of Prestalia.

information necessary to empower patients, physicians and manufacturers to achieve optimal care.


Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions pursuant to the rules and regulations of the Securities and Exchange Commission. Accordingly, they do not include all of the information and note disclosures required by U.S. generally accepted accounting principles (“U.S. GAAP”) for complete audited financial statements. This quarterly report should be read in conjunction with the consolidated financial statements in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.2019. The information furnished in this report reflects all adjustments (consisting of normal recurring adjustments), which are, in the opinion of management, necessary for a fair presentation of our financial position, results of operations and cash flows for each period presented. The results of operations for the three or six months ended June 30, 2019March 31, 2020 are not necessarily indicative of the results for the year ending December 31, 20192020 or for any future period.

Principles of Consolidation


7


The condensed consolidated financial statements include the accounts of Adhera Therapeutics, Inc. and the wholly-owned subsidiaries, Ithena, Cequent, MDRNA, and Atossa, and eliminate any inter-company balances and transactions.

Going Concern and Management’s Liquidity Plans

The accompanying condensed consolidated financial statements have been prepared on the basis that the Company will continue as a going concern, which contemplates realization of assets and the satisfaction of liabilities in the normal course of business. As of June 30, 2019,March 31, 2020, the Company had cash and cash equivalents of $1.6 million$65,000 and has negative working capital of approximately $3.0$11.8 million.

The Company has incurred recurring losses and negative cash flows from operations since inception and has funded its operating losses through the sale of common stock, preferred stock, warrants to purchase common stock, convertible notes and secured promissory notes. The Company incurred a net operating loss of approximately $2.8$1.8 million and $5.3$2.6 million for the three and six months ended June 30,March 31, 2020, and March 31, 2019, respectively. The Company had an accumulated deficit of approximately $31.9$41.5 million as of June 30, 2019.

TheMarch 31, 2020.


In addition, to the extent that the Company expects tocontinues its business operations, the Company anticipates that it will continue to incur operating losses ashave negative cash flows from operations, at least into the near future. However, the Company cannot be certain that it executes the commercialization planswill be able to obtain such funds required for Prestalia®,our operations at terms acceptable to us or at all. General market conditions, as well as other strategicmarket conditions for companies in our financial and business development initiatives.position, as well as the ongoing issue arising from the COVID-19 pandemic, may make it difficult for us to seek financing from the capital markets, and the terms of any financing may adversely affect the holdings or the rights of our stockholders. If the Company is unable to obtain additional financing in the future, there may be a negative impact on the financial viability of the Company. The Company plans to increase working capital by managing its cash flows and expenses, divesting development assets and raising additional capital through private or public equity or debt financing. There can be no assurance that such financing or partnerships will be available or on terms which are favorable to the Company.Company or at all. While management of the Company believes that it has a plan to fund ongoing operations, there is no assurance that its plan will be successfully implemented. Failure to raise additional capital through one or more financings, divesting development assets or reducing discretionary spending could have a material adverse effect on the Company’s ability to achieve its intended business objectives. These factors raise substantial doubt about the Company’s ability to continue as a going concern. The condensed consolidated financial statements do not contain any adjustments that might result from the resolution of any of the above uncertainties.

Summary of Significant Accounting Policies

Use of Estimates

The preparation of the accompanying condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reported period. Significant areas requiring the use of management estimates include revenue and related discounts and allowances and accruals related to our operating activity including legal and other consulting expenses. Actual results could differ materially from such estimates under different assumptions or circumstances.

Fair Value of Financial Instruments

The Company considers the fair value of cash, accounts payable, debt, accounts receivable and accrued expenses not to be materially different from their carrying value. These financial instruments have short-term maturities. We follow authoritative guidance with respect to fair value reporting issued by the Financial Accounting Standards Board (“FASB”) for financial assets and liabilities, which defines fair value, provides guidance for measuring fair value and requires certain disclosures. The guidance does not apply to measurements related to share-based payments. The guidance discusses valuation techniques, such as the market approach (comparable market prices), the income approach (present value of future income or cash flow), and the cost approach (cost to replace the service capacity of an asset or replacement cost). The guidance establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The following is a brief description of those three levels:

Level 1:Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities.
Level 2:Inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.
Level 3:Unobservable inputs in which little or no market data exists, therefore developed using estimates and assumptions developed by us, which reflect those that a market participant would use.

Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities.
Level 2: Inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.

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Level 3: Unobservable inputs in which little or no market data exists, therefore developed using estimates and assumptions developed by us, which reflect those that a market participant would use.
There were no0 liabilities or assets measured at fair value on a recurring basis as of June 30, 2019March 31, 2020 or December 31, 2018.

Accounts Receivable, net

Accounts receivable consists of amounts due from wholesale distributors and specialty pharmacy providers. The Company records an allowance for doubtful accounts at the time potential collection risk is identified. The Company estimates its allowance based on historical experience, assessment of specific risks and discussions with individual customers.  The Company believes the reserve is adequate to mitigate current collection risks. During the three and six months ended June 30, 2019 and 2018, the Company recorded an additional allowance of approximately $41,000 and $0, respectively.

Goodwill and Intangible Assets

The Company periodically reviews the carrying value of intangible assets, including goodwill, to determine whether impairment may exist. Goodwill and certain intangible assets are assessed annually, or when certain triggering events occur, for impairment using fair value measurement techniques. These events could include a significant change in the business climate, legal factors, a decline in operating performance, competition, sale or disposition of a significant portion of the business, or other factors. Specifically, goodwill impairment is determined using a two-step process. The first step of the goodwill impairment test is used to identify potential impairment by comparing the fair value of a reporting unit with its carrying amount, including goodwill. The Company uses level 3 inputs and a discounted cash flow methodology to estimate the fair value of a reporting unit. A discounted cash flow analysis requires one to make various judgmental assumptions including assumptions about future cash flows, growth rates, and discount rates. The assumptions about future cash flows and growth rates are based on the Company’s budget and long-term plans. Discount rate assumptions are based on an assessment of the risk inherent in the respective reporting units. If the fair value of a reporting unit exceeds its carrying amount, goodwill of the reporting unit is considered not impaired and the second step of the impairment test is unnecessary. If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit (including any unrecognized intangible assets) as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit.

During the year ended December 31, 2018, the Company determined that goodwill was impaired and recognized a loss on impairment of approximately $3.5 million. The impairment determination was primarily a result of the decision to divest assets that no longer aligned with the Company’s strategic objectives. No impairment charges were recognized for the three and six-month period ended June 30, 2019 or 2018.

2019.

Impairment of Long-Lived Assets

The Company reviews long-lived assets for impairment indicators throughout the year and performs detailed testing whenever impairment indicators are present. In addition, we perform detailed impairment testing for indefinite-lived intangible assets, at least annually, at December 31. When necessary, the Company records charges for impairments. Specifically:

For finite-lived intangible assets, such as developed technology rights, and for other long-lived assets, we compare the undiscounted amount of the projected cash flows associated with the asset, or asset group, to the carrying amount. If the carrying amount is found to be greater, we record an impairment loss for the excess of book value over fair value. In addition, in all cases of an impairment review, we re-evaluate the remaining useful lives of the assets and modify them, as appropriate; and
For indefinite-lived intangible assets, such as acquired in-process R&D assets, each year and whenever impairment indicators are present, we determine the fair value of the asset and record an impairment loss for the excess of book value over fair value, if any.

For finite-lived intangible assets, such as developed technology rights, and for other long-lived assets, we compare the undiscounted amount of the projected cash flows associated with the asset, or asset group, to the carrying amount. If the carrying amount is found to be greater, we record an impairment loss for the excess of book value over fair value. In addition, in all cases of an impairment review, we re-evaluate the remaining useful lives of the assets and modify them, as appropriate; and
For indefinite-lived intangible assets, such as acquired in-process R&D assets, each year and whenever impairment indicators are present, we determine the fair value of the asset and record an impairment loss for the excess of book value over fair value, if any.
The Company did not0t recognize any loss on impairment for the three or six-monththree-month periods ended June 30, 2019March 31, 2020 or 2018.

Revenue Recognition

Customers Concentration

The Company sells its prescription drug (Prestalia®) directly to specialty contracted retail pharmacies and indirectly through wholesalers. For the three months ended June 30, 2019, the Company’s three largest customers accounted for 46%, 31% and 23% of the Company’s total gross sales. For the six months ended June 30, 2019, the Company’s three largest customers accounted for 39%, 37%, and 24% of the Company’s total gross sales. The Company works with a third-party pharmacy network manager to attract, retain, and manage the Company’s pharmacy customers and distribution channels. The Company had no sales for the three or six-month periods ending June 30, 2018.

2019.

Revenue, Net

The Company adopted the new revenue recognition guidelines in accordance with ASC 606,Revenue from Contracts with Customers(ASC (ASC 606), effective with the quarter ended March 31, 2018.

The Company terminated all commercial operations in December 2019, therefore all revenue and cost of goods sold disclosure only apply to periods prior to the first quarter of 2020.

The Company sells its medicines primarily to wholesale distributors and specialty pharmacy providers under agreements with payment terms typically less than 90 days. These customers subsequently resell the Company’s medicines to health care patients. Revenue is recognized when performance obligations under the terms of a contract with a customer are satisfied. The majority of the Company’s contracts have a single performance obligation to transfer medicines. Accordingly, revenues from medicine sales are recognized when the customer obtains control of the Company’s medicines, which occurs at a point in time, typically upon delivery to the customer. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring medicines and is generally based upon a list or fixed price less allowances for medicine returns, rebates and discounts. Company records an estimate of unrealized revenue reductions, and the related liability, for bottles sold to pharmacies but not yet prescribed.

Medicine Sales Discounts and Allowances

The nature of the Company’s contracts gives rise to variable consideration because of allowances for medicine returns, rebates and discounts. Allowances for medicine returns, rebates and discounts are recorded at the time of sale to wholesale pharmaceutical distributors and pharmacies. The Company applies significant judgments and estimates in determining some of these allowances. If actual results differ from its estimates, the Company will be required to make adjustments to these allowances in the future. The Company’s adjustments to gross sales are discussed further below.

Patient Access Programs

The Company offers discounts to patients under which the patient receives a discount on his or her prescription. In circumstances when a patient’s prescription is rejected by a third-party payer, the Company will pay for the full cost of the prescription. The Company reimburses pharmacies for this discount directly or through third-party vendors. The Company reduces gross sales by the amount of actual co-pay and other patient assistance in the period based on the invoices received. The Company also records an accrual to reduce gross sales for estimated co-pay and other patient assistance on units sold to distributors or pharmacies that have not yet been prescribed/dispensed to a patient. The Company calculates accrued co-pay and other patient assistance fee estimates using the expected value method. The estimate is based on contract prices, estimated percentages of medicine that will be prescribed to qualified patients, average assistance paid based on reporting from the third-party vendors and estimated levels of inventory in the distribution channel. Accrued co-pay and other patient assistance fees are

9


included in “accrued expenses” on the condensed consolidated balance sheet. Patient assistance programs include both co-pay assistance and fully bought down prescriptions.

Sales Returns

Consistent with industry practice, the Company maintains a return policy that allows customers to return medicines within a specified period prior to and subsequent to the medicine expiration date. Generally, medicines may be returned for a period beginning six months prior to its expiration date and up to one year after its expiration date. The right of return expires on the earlier of one year after the medicine expiration date or the time that the medicine is dispensed to the patient. The majority of medicine returns result from medicine dating, which falls within the range set by the Company’s policy and are settled through the issuance of a credit to the customer. The Company calculates sales returns using the expected value method. The estimate of the provision for returns is based upon industry experience. This period is known to the Company based on the shelf life of medicines at the time of shipment. The Company records sales returns in “accrued expenses” and as a reduction of revenue.

Cost of Goods Sold

Distribution Service Fees

The Company includes distribution service fees paid for inventory management services as cost of goods sold. The Company calculates accrued distribution service fee estimates using the most likely amount method. The Company accrues estimated distribution fees based on contractually determined amounts. Accrued distribution service fees are included in “accrued expenses” on the condensed consolidated balance sheet.

Shipping Fees

The Company includes fees incurred by pharmacies for shipping medicines to patients as cost of goods sold. The Company calculates accrued shipping fee estimates using the expected value method. The Company records accrued shipping fees in “accrued expenses” on the condensed consolidated balance sheet.

Non-Commercial Product

The Company records the cost of non-commercial product distributed to patients as a cost of goods sold.

Royalties on Product Sales

The Company records royalty fees on the sale of commercial product as a cost of goods sold.

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02,2016-2, Leases (Topic 842) (“ASU No. 2016-02”2016-2”). Under ASU No. 2016-02,2016-2, an entity is required to recognize right-of-use assets and lease liabilities on its balance sheet and disclose key information about leasing arrangements. For leases with a term of twelve months or less, the lessee is permitted to make an accounting policy election not to recognize lease assets and lease liabilities by class of underlying assets. ASU No. 2016-022016-2 became effective for the Company beginning in the first quarter of 2019. The Company adopted this standard on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. The Company elected to not recognize lease assets and liabilities for leases with an initial term of twelve months or less.

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Net Income (Loss)Loss per Common Share

Basic net loss per share is calculated by dividing the net loss by the weighted average number of common shares outstanding during the period. Diluted net loss per share is computed by dividing the net loss by the weighted average number of common shares and common stock equivalents outstanding for the period. Common stock equivalents are only included when their effect is dilutive. Potentially dilutive securities which include outstanding warrants, stock options and preferred stock have been excluded from the computation of diluted net loss per share as their effect would be anti-dilutive. For all periods presented, basic and diluted net loss were the same.


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The following table presents the computation of net loss per share (in thousands, except share and per share data):

  Three Months ended June 30,  Six Months ended June 30, 
  2019  2018  2019  2018 
Numerator                
Net loss $(2,780) $(4,648) $(5,338) $(6,009)
Preferred stock dividends $(357) $(271) $(739) $(271)
Net Loss allocable to common stock holders $

(3,137

) $(4,919) $

(6,077

) $(6,280)
Denominator                
Weighted average common shares outstanding used to compute net loss per share, basic and diluted  10,860,049   10,821,230   10,811,138   10,672,082 
Net loss per share of common stock, basic and diluted                
Net loss per share $(0.29) $(0.45) $(0.56) $(0.59)

Three Months Ended March 31,
20202019
Numerator
Net loss$(1,838) $(2,558) 
Preferred stock dividends(383) (382) 
Net Loss allocable to common stock holders$(2,221) $(2,940) 
Denominator
Weighted average common shares outstanding used to compute net loss per share, basic and diluted10,869,530  10,781,684  
Net loss per share of common stock, basic and diluted
Net loss per share$(0.20) $(0.27) 
Potentially dilutive securities not included in the calculation of diluted net loss per common share because to do so would be anti-dilutive are as follows:

  Three and Six Months
Ended June 30,
 
  2019  2018 
       
Stock options outstanding  4,992,807   1,122,457 
Warrants  36,267,329   33,028,829 
Series C Preferred Stock  68,000   68,000 
Series D Preferred Stock  3,000   3,000 
Series E Preferred Stock  34,780,000   34,990,000 
Series F Preferred Stock  3,810,000   - 
Total  79,921,136   69,212,286 

NOTE 2 – Inventory

Inventory consists of raw material and finished goods stated at the lower of cost or net realizable value with cost determined on a first-in, first-out basis. The Company reviews the composition of inventory at each reporting period in order to identify obsolete, slow-moving, quantities in excess of expected demand, or otherwise non-saleable items.

Inventory as of the following as of June 30, 2019 and December 31, 2018 are as follows:

  June 30, 2019  December 31, 2018 
  (in thousands) 
Raw Materials $173  $147 
Finished Goods  59   95 
Inventory, Net $232  $242 
For the Three Months ended March 31,
20202019
Stock options outstanding2,941,350  4,522,807  
Warrants36,272,500  36,267,329  
Series C Preferred Stock66,667  66,667  
Series D Preferred Stock50,000  50,000  
Series E Preferred Stock40,202,132  34,880,000  
Series F Preferred Stock4,086,178  3,810,000  
Total83,618,827  79,596,803  

Note 32 - Intangible Assets

Intangible Asset Summary

Intangible assets as of June 30, 2019 are as follows:

  

Net Book Value

June 30, 2019

  

Remaining

Estimated
Useful Life
(Years)

  Annual
Amortization
Expense
 
  (in thousands)       
Intangible asset - Prestalia $292   4.50  $65 
Intangible asset - DyrctAxess  65   12.09   5 
Total $357      $70 

Assets


Amortization expense for the three months ended June 30,March 31, 2019 and June 30, 2018 was approximately $17,000 and $123,000, respectively. Amortization$18,000. NaN amortization expense was recognized for the sixthree months ended June 30, 2019 and June 30, 2018 was approximately $35,000 and $247,000 respectively.

March 31, 2020.


Note 43 Notes Payable
2019 Term Loan

On June 28,

During 2019, the Company entered into term loan subscription agreements with certain accredited investors, pursuant to which the Company issued secured promissory notes (the “Notes”) in the aggregate principal amount of approximately $1.5$5.7 million. The Company paid $236,000$707,000 in debt issuance costs which was recorded as a debt discount to be amortized as interest expense over the term of the loan using the effective interest ratestraight-line method.

The Notes shall accrue interest at a rate of 12.0% per annum. Interest will beis payable quarterly with the first interest payment to be made on the six-month anniversary of the date of the closingDecember 28, 2019, and each subsequent payment every three months thereafter.

The unpaid principal balance of the Notes, plus accrued and unpaid interest thereon, will mature on the earliest to occur of: (i) June 28, 2020 (subject to extension for up to sixty (60) days based upon the mutual agreement of the Company and the holders of a majority of the unpaid principal balance of all outstanding Notes) or (ii) at any time following an Event of Default. The Notes may not be prepaid without the prior written consent of the holders of the Notes. The Notes are secured by a first lien and security interest on all the assets of the Company and certain of its wholly owned subsidiaries.



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On December 28, 2019, the Company defaulted on the initial interest payment on the loan and the interest rate per annum increased to the default rate of 15%.
The Company recognized approximately $1,000$390,000 in interest expense related to Notes for the three and six months ended March 31, 2020 including $177,000 related to the amortization of debt issuance costs. The Company recognized 0 interest expense related to the Notes for the three months ended March 31, 2019.
As of March 31, 2020, the Company has recorded $5.7 million of debt and approximately $170,000 in unamortized issuance costs on the accompanying balance sheet.
2020 Term Loan

On February 5, 2020, the Company entered into a Securities Purchase Agreement accredited investors pursuant to purchase: (i) original issue discount unsecured Convertible Promissory Notes (the “Notes”), issued at a 10% original issue discount, for a total purchase price of $499,950, and (ii) warrants to purchase up to such number of shares of the common stock of the Company as is equal to the product obtained by multiplying 1.75 by the quotient obtained by dividing (A) the principal amount of the Notes by (B) the then applicable conversion price of the Notes.

The maturity date is the six (6) month anniversary of the original issue date, or August 5, 2020, or such earlier date as the Note is required or permitted to be repaid as provided thereunder, and to pay interest to the Holder on the aggregate unconverted and then outstanding principal amount of the Note. Interest shall accrue to the Holders on the aggregate unconverted and then outstanding principal amount of the Notes at the rate of 10% per annum, calculated on the basis of a 360-day year and shall accrue daily commencing on the original issue date until payment in full of the outstanding principal (or conversion to the extent applicable), together with all accrued and unpaid interest, liquidated damages and other amounts which may become due thereunder, has been made.

On or after May 5, 2020 until the Notes are no longer outstanding, the Notes shall be convertible, in whole or in part, at any time, and from time to time, into shares of Common Stock at the option of the noteholder. The conversion price shall be the lower of: (i) $0.50 per share of Common Stock and (ii) 70% of the volume weighted average price of the Common Stock on the trading market on which the Common Stock is then listed or quoted for trading for the prior ten (10) trading days (as adjusted for stock splits, stock combinations and similar events); provided, that if the Notes are not prepaid on or before May 5, 2020, then the conversion price shall be the lower of (x) 60% of the conversion price as calculated above or (y) $0.05 (as adjusted for stock splits, stock combinations and similar events). The conversion price of the Notes shall also be adjusted as a result of subsequent equity sales by the Company, with customary exceptions.

The exercise price of the Warrants shall be equal to the conversion price of the Notes, provided, that on the date that the Notes are no longer outstanding, the exercise price shall be fixed at the conversion price of the Notes on such date, with the exercise price of the Warrants thereafter (and the number of shares of Common Stock issuable upon the exercise thereof) being subject to adjustment as set forth in the Warrants. The warrants have a 5 year term.

The Company recorded a discount related to the warrants of approximately $322,000, including a discount of $30,000 and issuance costs of $53,000 based on the relative fair value of the instruments as determined by using the Monte-Carlo simulation model. The Company also recorded a debt discount related to the convertible debt of approximately $21,000 and debt issuance cost of $38,000 using the relative fair value method to be amortized as interest expense over the term of the loan using the straight-line method.

The Company recognized $20,000 in interest expense related to the notes for the three months ended March 31, 2020, including $12,000 related to the amortization of debt issuance costs. The Company amortized $105,000 of debt discount for the three months ended March 31, 2020.

As of March 31, 2020, the Company has recorded $551,000 of debt and approximately $238,000 and $26,000 in unamortized discount and issuance costs, respectively on the accompanying balance sheets.
Note 4 - Licensing Agreements
Les Laboratories Servier
As a result of the Asset Purchase Agreement that the Company entered into with Symplmed Pharmaceuticals LLC in June 30, 2019.

2017, Symplmed assigned to the Company an Amended and Restated License and Commercialization Agreement with Les

12


Laboratories Servier, pursuant to which the Company has the exclusive right to manufacture, have manufactured, develop, promote, market, distribute and sell Prestalia® in the U.S. (and its territories and possessions). The terms of the agreement include single-digit royalty payments based on net sales and milestone payments based upon the attainment of sales thresholds. The agreement includes a termination clause pursuant to which Servier has the right to terminate the agreement in various circumstances, including, without limitation, as a result of the failure by the Company to achieve certain sales thresholds by the dates set forth in the agreement.
For the three-month period ended March 31, 2019 the Company paid $4,500 for royalties under the license agreement with Les Laboratories-Servier. NaN royalties were paid for the three-month period ended March 31, 2020.
Biofarma
As consideration for the Prestalia Trademark license which the Company assumed in connection with the Asset Purchase Agreement with Symplmed, the Company pays low single digit royalties to Biofarma, an affiliate of Servier and the holder of the Prestalia trademark. For the three month period ended March 31, 2019, the Company paid $500 to Biofarma. NaN royalties were paid for the three month period ended March 31, 2020.
        License of DiLA2 Assets
On March 16, 2018, the Company entered into an exclusive sublicensing agreement for certain intellectual property rights to its DiLA2 delivery system. The agreement included an upfront payment of $200,000 and future additional consideration for sales and development milestones. The upfront fee was contingent upon the Company obtaining a third-party consent to the agreement within ninety days of execution. As of March 31, 2020 and December 31, 2019, the Company had not obtained consent for the sublicense and has classified the upfront payment as an accrued liability on its balance sheet.

Note 5 - Related Party Transactions

Due to Related Party

The Company and other related entities have had a commonality of ownership and/or management control, and as a result, the reported operating results and/or financial position of the Company could significantly differ from what would have been obtained if such entities were autonomous.

The Company had a Master Services Agreement (“MSA”) with Autotelic Inc., a related party that is partly owned by one of the Company’s former Board members and executive officers, namely Vuong Trieu, Ph.D., effective November 15, 2016. The MSA stated that Autotelic Inc. will provide business functions and services to the Company and allowed Autotelic Inc. to charge the Company for these expenses paid on its behalf. The MSA included personnel costs allocated based on amount of time incurred and other services such as consultant fees, clinical studies, conferences and other operating expenses incurred on behalf of the Company. The MSA required a 90-day written termination notice in the event either party requires to terminate such services. We and Autotelic Inc. agreed to terminate the MSA effective October 31, 2018. Dr. Trieu resigned as a director of our company effective October 1, 2018.

During the period commencing November 15, 2016 (the “Effective Date”) and ending on the date that the Company had completed an equity offering of either common or preferred stock in which the gross proceeds therefrom is no less than $10 million (the “Equity Financing Date”), the Company paid Autotelic the following compensation: cash in an amount equal to the actual labor cost (paid on a monthly basis), plus 100% markup in warrants for shares of the Company’s common stock with a strike price equal to the fair market value of the Company’s common stock at the time said warrants were issued. The Company also paid Autotelic for the services provided by third party contractors plus 20% mark up. The warrant price per share was calculated based on the Black-Scholes model.

After the Equity Financing Date, the Company paid Autotelic Inc. a cash amount equal to the actual labor cost plus 100% mark up of provided services and 20% mark up of provided services by third party contractors or material used in connection with the performance of the contracts, including but not limited to clinical trial, non-clinical trial, Contract Manufacturing Organizations, FDA regulatory process, Contract Research Organizations and Chemistry and Manufacturing Controls.

In accordance with the MSA, Autotelic Inc. billed the Company for personnel and service expenses Autotelic Inc. incurred on behalf of the Company. For the six months ended June 30, 2019 and 2018, Autotelic Inc. billed a total of $0 and approximately $616,000, respectively, including personnel costs of $0 and $284,000, respectively.

An unpaid balance of approximately $4,000 is included in due to related party in the accompanying balance sheets for both periods ending June 30, 2019March 31, 2020 and December 31, 2018.

In April 2018, and in connection with the closing of our private placement on that date, we entered into a Compromise and Settlement Agreement with Autotelic Inc. pursuant to which we agreed to issue to Autotelic Inc. an aggregate of 162.59 shares of Series E Preferred Stock to settle accounts payable of $813,000 and Warrants to purchase up to 1,345,040 shares of common stock to satisfy accrued and unpaid fees in the aggregate amount of approximately $740,000, and other liabilities, owed to Autotelic Inc. as of June 30, 2018 pursuant to the MSA. The warrants have a five-year term, an initial exercise price of $0.55, and have a fair value of approximately $1.5 million resulting in a loss on settlement of debt of approximately $750,000.

2019.

Transactions with BioMauris, LLC/Erik Emerson

Until February of 2019, the Company had engaged the services of BioMauris, LLC, of which Erik Emerson, our former Chief Commercial Officer and a currentformer director of Adhera, is Executive Chairman.

During the sixthree months ended June 30,March 31, 2019, and 2018, the Company recorded approximately $65,000 and $309,000, respectively,$22,000 for related party expenses incurred under the agreement. As of December 31, 2018, the Company recorded approximately, $24,000 as a related party liability on the accompanying balance sheet for amounts due BioMauris, LLC. NoNaN related party liability was recorded as of June 30,March 31, 2020 or December 31, 2019.

Beginning in the second quarter of 2019 when components of the financial transaction took place and became fully effective in July 2019, ErikMr. Emerson, a member our Board of Directors and our former Chief Commercial Officer, became the owner of an equity interest of approximately 22% in Pharma Hub Network, our third-party network manager. During the six months ended June 30,third quarter of 2019, and 2018, the Company paid approximately $17,000 and $0, respectively, toterminated the relationship with Pharma Hub Network. An unpaid balance of $27,000For the three months ended March 31, 2020 and $0March 31, 2019, the Company recorded 0 related party expense for services provided by Pharma Hub Network. NaN related party liability was included in accounts payable and accrued expenses in the accompanying balance sheetsrecorded as of June 30, 2019 andMarch 31, 2020 or December 31, 2018, respectively.

2019.

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Note 6 - Stockholders’ Equity

Series E Convertible Preferred Stock Private Placement

In April and May 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 2,812 shares of our Series E Preferred, at a purchase price of $5,000 per share of Series E Preferred. Each share of Series E Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year5 year warrant to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series E Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. TheIn July of 2018, the conversion price of the warrants was adjusted down to $0.50 upon issuance of the Series F Convertible Preferred Stock. Series E Preferred accrues 8% dividends per annum andwhich are payable in cash or stock at the Company’s discretion. The Series E Preferred has voting rights, dividend rights, liquidation preferences, conversion rights and anti-dilution rights as described in the Certificate of Designation of Preferences, Rights and Limitations of the Preferred Stock, which we filed with the Secretary of State of Delaware in April 2018. The Warrants have full-ratchet anti-dilution protection, are exercisable for a period of five years and contain customary exercise limitations.

We received net proceeds of approximately $12.2 million from the sale of the Series E Preferred, after deducting placement agent fees and estimated expenses payable by us of approximately $2.0 million associated with such closing. In connection with the private placement described above, we also issued to the placement agent for such private placement a Warrant to purchase 2,958,460 shares of our common stock.
 In October 2018, an investor converted 2 shares of Series E Preferred into 20,000 shares of our common stock.
In April 2019, the Company issued 107,846 unregistered shares of our common stock to a holder of our Series E Convertible Preferred Stock in connection with the conversion of $53,923 of “Stated Value” of our Series E Convertible Preferred Stock.

As of June 30, 2019,March 31, 2020, the Company had recorded accrued dividends of approximately $1.7$2.7 million on Series E Preferred Stock.

Series F Convertible Preferred Stock Private Placement

In July 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 308 shares of our Series F Preferred, at a purchase price of $5,000 per share of Series F Preferred. Each share of Series F Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year5 year warrant (the “Warrants”, and collectively with the Preferred Stock, the “Securities”) to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series F Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. The Series F Preferred accrues 8% dividends per annum andwhich are payable in cash or stock at the Company’s discretion. The Series F Preferred has voting rights, dividend rights, liquidation preferences, conversion rights and anti-dilution rights as described in the Certificate of Designation of Preferences, Rights and Limitations of the Preferred Stock, which we filed with the Secretary of State of Delaware in July 2018. The Warrants have full-ratchet anti-dilution protection, are exercisable for a period of five years and contain customary exercise limitations.

The Company received proceeds of approximately $1.4 million from the sale of the Securities, after deducting placement agent fees and estimated expenses payable by us of approximately $180,000 associated with such closing. We used the proceeds of the offering for funding our commercial operations to the sale and promotion of our Prestalia product, working capital needs, capital expenditures, the repayment of certain liabilities and other general corporate purposes. In connection with the private placement described above, we also issued to the placement agent for such private placement a Warrant to purchase 308,000 shares of our common stock. The Warrant has a five-yearfive-year term and an initial exercise price of $0.55 per share.

On November 9, 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 73 shares of our Series F Preferred Stock, at a purchase price of $5,000 per share of Preferred Stock. Each share of Series F Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year5 year warrant to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series F Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. We received total net proceeds of approximately $0.31$0.3 million from the issuance of the securities described above, after deducting placement agent fees and estimated expenses payable by us associated with such closing. In connection with the private placement described above, we also

14


issued to the placement agent for such private placement a Warrant to purchase 73,000 shares of our common stock. The Warrant has a five-yearfive-year term and an initial exercise price of $0.55 per share.


On October 30, 2019, the Company repurchased 20 shares of Series F Convertible Preferred Stock including accrued and unpaid dividends and warrants to purchase 150,000 shares of common stock for $100,000 from our former CEO pursuant to an amendment to the settlement agreement dated April 4, 2019.The Company also committed to purchase from such officer the remaining Series F Convertible Preferred Stock and related warrants held by such officer for $100,000 by not later than March 1, 2020. As of June 30, 2019,29, 2020, the Company had not repurchased the remaining shares.
As of March 31, 2020, the Company had recorded accrued dividends of approximately $138,000$238,000 on Series F Preferred Stock.

Warrants

As of June 30, 2019,March 31, 2020, there were 36,267,32936,272,500 warrants outstanding, with a weighted average exercise price of $0.79$0.56 per share, and annual expirations as follows:


Expiring in 2019600,000
Expiring in 20201,189,079
Expiring in 2021343,750 343,750
Expiring in 2022— 66,667
Expiring in 202333,645,847 33,729,180
Expiring thereafterin 2024335,453 338,653
TotalExpiring thereafter1,947,450 
Total36,267,32936,272,500 

The above includes 35,580,017 price adjustable warrants, totaling 34,737,030 shares.

Noincluding 1,944,250 warrants issued with the 2020 term loan which are subject to adjustment based upon the final conversion price of the note.

A total of 1,189,079 warrants expired during the sixthree months ended June 30, 2019.

Tender Offer

On May 28, 2019, the Company filed a Tender Offer Statement on Schedule TO. The Schedule TO related to the offer (the “Offer”) by the Company to all holders of the Company’s outstanding warrants that were issued to investors in connection with the Company’s private placement of its Series E Convertible Preferred Stock and Series F Convertible Preferred Stock during 2018, which warrants are exercisable for shares of the Company’s common stock at an exercise price of $0.50 per share (subject to adjustment) with respect to the warrants that were issued in connection with the Company’s private placement of its Series E Convertible Preferred Stock and $0.55 per share with respect to the warrants that were issued in connection with the Company’s private placement of its Series F Convertible Preferred Stock, to receive two (2) shares of common stock in exchange for every warrant tendered by the holders thereof.

On June 6, 2019, the Company amended the Schedule TO to change the conversion terms on the issuance of warrant.

As of June 30, 2019, no warrants have been accepted for exchange or been exchanged pursuant to the Offer. See Note 11 – Subsequent Events.

March 31, 2020.

Note 7 - Stock Incentive Plans

Stock Options

The following table summarizes stock option activity for the sixthree months ended June 30, 2019:

  Options Outstanding 
  Shares  Weighted
Average
Exercise Price
 
Outstanding, December 31, 2018  5,613,057  $0.83 
Options granted  1,635,000   0.37 
Options expired / forfeited  (2,255,250)  1.03 
Outstanding, June 30, 2019  4,992,807   0.77 
Exercisable, June 30, 2019  2,186,414  $0.81 

March 31, 2020.

Options Outstanding
SharesWeighted
Average
Exercise Price
Outstanding, December 31, 20194,071,333  $0.58  
Options granted—  —  
Options expired / forfeited(1,129,983) 0.66  
Outstanding, March 31, 20202,941,350  0.55  
Exercisable, March 31, 20201,991,350  $0.65  
The following table summarizes additional information on stock options outstanding at June 30, 2019.

  Options Outstanding  Options Exercisable 
Range of
Exercise
Prices
 Number Outstanding  Weighted-
Average
Remaining Contractual Life (Years)
  Weighted Average Exercise Price  Number Exercisable  Weighted Average Exercise Price 
$0.28 - $1.00  4,352,000   8.85  $0.57   2,024,500  $0.66 
$1.50 - $1.80  493,207   8.18  $1.79   134,314  $1.78 
$2.60 - $10.70  147,600   2.79  $3.43   27,600  $7.27 
                     
Totals  4,992,807   8.60  $0.77   2,186,414  $0.81 

March 31, 2020.

Options OutstandingOptions Exercisable
Range of
Exercise
Prices
Number OutstandingWeighted-
Average
Remaining Contractual Life (Years)
Weighted Average Exercise
Price
Number ExercisableWeighted Average Exercise
Price
$0.28 - $1.002,933,500  7.99$0.54  1,983,500  $0.64  
$1.50 - $1.804,050  1.77$1.70  4,050  $1.70  
$2.60 - $6.353,800  0.77$2.60  3,800  $2.60  
Totals2,941,350  7.97$0.55  1,991,350  $0.65  

15


Weighted-Average Exercisable Remaining Contractual Life (Years) 8.06

7.97

During the sixthree months ended June 30, 2019,March 31, 2020, the Company granted an aggregate of 1,635,0000 stock options to employees.

Total expense related to stock options was approximately $241,000$36,000 and $374,000$395,000 for the three months ended June 30,March 31, 2020 and 2019, and 2018, respectively and approximately $636,000 and $493,000 for the six months ended June 30, 2019 and 2018, respectively.

As of June 30, 2019,March 31, 2020, the Company had approximately $474,000$172,000 of total unrecognized compensation expense related to unvested stock options.

options to recognize through 2022.

As of June 30, 2019,March 31, 2020, the intrinsic value of options outstanding was zero.

Note 8 - Intellectual Property and Collaborative Agreements

License of DiLA2 Assets

On March 16, 2018, the Company entered into an exclusive sublicensing agreement for certain intellectual property rights to its DiLA2delivery system. The agreement included an upfront payment of $200,000 and future additional consideration for sales and development milestones. The upfront fee was contingent upon the Company obtaining a third-party consent to the agreement within ninety days of execution. As of June 30, 2019 and December 31, 2018, the Company had not obtained consent for the sublicense and has classified the upfront payment as an accrued liability on its balance sheet.

0.

Note 98 - Commitments and Contingencies

Litigation

Because of the nature of the Company’s business it is subject to claims and/or threatened legal actions, which arise out of the normal course of business. Other than the disclosure below, asAs of the date of this filing, the Company is not aware of any pending lawsuits against them,it, its officers or directors.

Paragraph IV Challenge

The Company’s Prestalia product was involved in a paragraph IV challenge regarding patents issued to perindopril arginine. This challenge, which was pending in

Leases
On December 9, 2019, the United States District Court for the District of Delaware (No. 1:17-cv-00276), was captionedApotex Inc. and Apotex Corp. v. Symplmed Pharmaceuticals, LLC and Les Laboratoires Servier. The challengers (Apotex Inc. and Apotex Corp. (“Apotex”)) filed an Abbreviated New Drug Application seeking FDA approval to market a generic version of Prestalia and included a Paragraph (IV) certification. In the litigation, Apotex sought a declaratory judgment that no valid claims of the two patents Symplmed listed in the FDA Orange Book as having claims covering Prestalia, U.S. Patent No. 6,696,481 and 7,846,961, will be infringed by the Apotex proposed generic version of Prestalia and that the claims of those patents are invalid. The challenge was designed to provide Apotex with an opportunity to enter the market with a generic version of Prestalia, ahead of the expiration of the patents with claims covering that product.

Apotex entered into negotiations with Symplmed Pharmaceuticals, LLC (which entity sold its assets relating to Prestalia to us in June 2017, including its License and Commercialization Agreement with Les Laboratories Servier) and Les Laboratories Servier (which entity owns or controls intellectual property rights relating to pharmaceutical products containing as an active pharmaceutical ingredient perindopril in combination with other active pharmaceutical ingredients, which rights have been licensed to Symplmed Pharmaceuticals) to resolve the challenge in the second quarter of 2017. Such parties, along with us, have reached an agreement on terms that result in a delay to the challengers’ ability to enter the market with a generic version of Prestalia, while still providing the challenger with the right to enter the market prior to the expiration of the patent covering such product. Specifically, the parties have entered into a Confidential Settlement Agreement in connection with the settlement of the matter, pursuant to which, among other things, the parties entered into a Confidential License Agreement, whereby Symplmed, Servier and our company agreed to grant to Apotex a non-transferable, non-sublicensable, perpetual, irrevocable, royalty-free, non-exclusive license to the two patents listed in the FDA Orange Book as having claims covering Prestalia to make, use and market a generic version of Prestalia, or import a generic version of Prestalia from India into the United States, on or after January 1, 2021.

As a result of the foregoing, the matter is now settled.

Leases

The Company entered into a Standard Form Office Lease with ROC III Fairlead Imperial Center,ThreeCo Partners, LLC as landlord, pursuant to which we lease ourthe Company leased its corporate headquarters located at 47214815 Emperor Boulevard, Suite 350,100, Durham, North Carolina 27703 for a term of 3719 months starting on Octobercommencing January 1, 2018. Our2020. The base monthly rent for such space is currently $6,458, which amount will increase to $7,057 forwas $3,795. On February 1, 2020 the final month ofCompany terminated the term. lease.


Other than as described above, the lease for our corporate headquarters, we doCompany does not own or lease any real property or facilities that are material to ourits current business operations. As we expand ourIf the Company continues its business operations, wethe Company may seek to lease additional facilities of our own in order to support ourits operational and administrative needs under our current operating plan.

The Company adopted ASU No. 2016-02 on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. However, the new standard required the Company to establish approximately $0.2 million of liabilities and corresponding right-of-use assets of approximately $0.2 million on its condensed consolidated balance sheet for operating leases on rented office properties that existed as of the January 1, 2019, adoption date. The total right-of-use asset was approximately $178,000 as of June 30, 2019 and is reflected in the operating lease right of use asset on the accompanying condensed consolidated balance sheet. The total related liability was approximately $185,000 as of June 30, 2019, of which approximately $78,000 is included in current portion of operating lease liability and approximately $107,000 is reflected in operating lease liability, net of current portion on the accompanying condensed consolidated balance sheet.

needs.

Note 119 - Subsequent Events

Except for the events discussed below, there were no subsequent events that required recognition or disclosure. The Company evaluated subsequent events through the date the financial statements were issued and filed with the Securities and Exchange Commission.

Default on 2020 Term Loan
On July 2, 2019,June 15, 2020, the Company announceddefaulted on certain covenants in the termination2020 term loan and the interest rate reset to the default rate of 18%.
Secured Promissory Note
On June 26, 2020, the Company issued to an existing investor in the Company a 10% original issue discount Senior Secured Convertible Promissory Note for a purchase price of $52,500. The Note matures on the date that is the six (6) month anniversary of the exchange offer contemplated byoriginal issue date. Interest shall accrue on the aggregate unconverted and then outstanding principal amount of the Note at the rate of 10% per annum, calculated on the basis of a 360-day year.

On or after September 24, 2020, the Note shall be convertible, in whole or in part, into shares of common stock of the Company at the option of the noteholder at a conversion price of $0.02 (as adjusted for stock splits, stock combinations and similar events); provided, that certain Tender Offer Statementif an event of default has occurred under the Note, then the conversion price shall be 65% of the lowest closing bid price of the Company’s common stock as reported on Schedule TO thatits principal trading market for the twenty consecutive trading day period ending on (and including) the trading day immediately preceding the date on which the conversion notice was originally filed on May 28, 2019. Asdelivered. The conversion price shall also be adjusted as a result of subsequent equity sales by the terminationCompany.

The obligations of the Offer, no Warrants were accepted for exchange or exchangedCompany under the Note are secured by a senior lien and security interest in all of the assets of the Company and certain of its wholly-owned subsidiaries pursuant to the Offer.

On July 3, 2019, July 17,terms and conditions of a Security Agreement dated June 26, 2020 by the Company in favor of the noteholder. In connection with the issuance of the Note, the holders of the secured promissory notes that the Company issued to select accredited investors between June 28, 2019 and August 5, 2019 the Company completed a second, third, and fourth closing of term loan subscription agreements with certain accredited investors, pursuant to which the Company issued secured promissory notes in the aggregate principal amount of approximately $4.2 million. The terms of such additional closings$5.7 million agreed to subordinate their lien and security interest in the assets of the loan areCompany and its subsidiaries as describedset forth in Note 4the Security Agreement dated June 28, 2019 that such holders entered into with the Company and its subsidiaries to the security interest granted to the holder of this filing.

the Note.

16



Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Forward-Looking Statements

This Quarterly Report on Form 10-Q includes a number of forward-looking statements within the meaning ofthe Private Securities Litigation Reform Act of 1995,Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), that reflect management’s current views with respect to future events and financial performance. The following discussion should be read in conjunction with the financial statements and related notes contained in our Annual Report on Form 10-K, as filed with the Securities and Exchange Commission (“SEC”) on April 16, 2019.14, 2020. Forward-looking statements are projections in respect of future events or financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or the negative of these terms or other comparable terminology.

Forward-looking statements are inherently subject to risks and uncertainties, many of which we cannot predict with accuracy and some of which we might not even anticipate. Although we believe that the expectations reflected in such forward-looking statements are based upon reasonable assumptions at the time made, we can give no assurance that such expectations will be achieved. Future events and actual results, financial and otherwise, may differ materially from the results discussed in the forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements. We undertake no obligation to publicly update or revise any forward-looking statements after the date of this Quarterly Report on Form 10-Q or to conform them to actual results, new information, future events or otherwise, except as otherwise required by securities and other applicable laws.

The following factors, among others, could cause our or our industry’s future results to differ materially from historical results or those anticipated:

our ability to obtain additional and substantial funding for our company on an immediate basis, whether pursuant to a capital raising transaction arising from the sale of our securities, a strategic transaction or otherwise;
our ability to attract and/or maintain commercialization and manufacturing partners;
the ability of our company or partners to successfully execute our commercialization activities;
the ability of our company or partners to obtain required governmental approvals, including product patent approvals;
the ability of our company and/or a partner to develop and commercialize products that can compete favorably with those of our competitors;
our ability to satisfy our disclosure obligations under the Exchange Act of 1934 and to maintain the registration of our common stock thereunder;
our ability to attract and retain qualified officers, employees and consultants as necessary; and
costs associated with any product liability claims, patent prosecution, patent infringement lawsuits and other lawsuits.


our ability to obtain additional funding for our company, whether pursuant to a capital raising transaction arising from the sale of our securities, a strategic transaction or otherwise;

to the extent that we continue to focus on the biopharmaceutical industry, our ability to attract and/or maintain research, development, commercialization and manufacturing partners;

to the extent that we continue to focus on the biopharmaceutical industry, the ability of our company and/or a partner to successfully complete product research and development, including pre-clinical and clinical studies and commercialization;

to the extent that we continue to focus on the biopharmaceutical industry, the ability of our company and/or a partner to obtain required governmental approvals, including product patent approvals;

to the extent that we continue to focus on the biopharmaceutical industry, the ability of our company and/or a partner to develop and commercialize products that can compete favorably with those of our competitors;

to the extent that we continue to focus on the biopharmaceutical industry, the timing of costs and expenses related to the research and development programs of our company and/or our partners;

our ability to satisfy our disclosure obligations under the Securities Exchange Act of 1934, as amended, and to maintain the registration of our common stock thereunder; and

our ability to attract and retain qualified officers, directors, employees and consultants as necessary.
These statements are only predictions and involve known and unknown risks, uncertainties and other factors, including the risks in the section entitled “Risk Factors” set forth in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, as filed with the SEC on April 16, 2019,14, 2020, any of which may cause our company’s or our industry’s actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. These risks may cause our or our industry’s actual

17


results, levels of activity or performance to be materially different from any future results, levels of activity or performance expressed or implied by these forward-looking statements.

Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity or performance. Moreover, neither we nor any other person assumes responsibility for the accuracy and completeness of these forward-looking statements. We are under no duty to update any forward-looking statements after the date of this report to conform these statements to actual results.

As used in this quarterly report and unless otherwise indicated, the terms “we,” “us,” “our” or the “Company” refer to Adhera Therapeutics, Inc., a Delaware corporation, and its wholly-owned subsidiaries, MDRNA Research, Inc., Cequent Pharmaceuticals, Inc., Atossa Healthcare, Inc., and IthenaPharma, Inc. Unless otherwise specified, all dollar amounts are expressed in United States dollars. Our common stock is currently listed on the OTC Market, OTCQB tier, under the symbol “ATRX.”

Corporate Overview

Nature of Business

We are an emerging


Adhera Therapeutics, Inc. and its wholly-owned subsidiaries, MDRNA Research, Inc. (“MDRNA”), Cequent Pharmaceuticals, Inc. (“Cequent”), Atossa Healthcare, Inc. (“Atossa”), and IThenaPharma, Inc. (“IThena”) (collectively “Adhera,” the “Company,” “we,” “our,” or “us”), is a specialty pharmaceuticalbiotech company that, leveragesto the extent that resources and opportunities become available, is strategically evolving focus in hopes of a return to a drug discovery and development company, and a departure from active commercialization and promotion of hypertension treatment options in the U.S. market.

During 2019, Adhera Therapeutics was a commercially focused entity that leveraged innovative distribution models and technologies to improve the quality of care for patients in the United States suffering from chronic diseases. We are focusedand acute diseases with a focus on fixed dose combination (“FDC”) therapies in hypertension, with plans to expand the portfolio of drugs we commercialize to include other therapeutic areas.

Our mission is to provide effective and patient centric treatment for hypertension and resistant hypertension while actively seeking additional assets that can be commercialized through our proprietary Total Care System (“TCS”). At the core of our TCS is DyrctAxess, our patented technology platform. DyrctAxess is designed to offer enhanced efficiency, control and access to the information necessary to empower patients, physicians and manufacturers to achieve optimal care.

We began marketinghypertension.These efforts were primarily focused on Prestalia®, a single-pill FDC of perindopril arginine (“perindopril”) and amlodipine besylate, (“amlodipine”)which we began marketing in June of 2018. By combining Prestalia, DyrctAxess and an independent pharmacy network, we have created a proprietary system for drug adherence and the effective treatment of hypertension, improving the distribution of FDC hypertensive drugs, such as our FDA-approved product Prestalia, as well as improving the distribution of devices for therapeutic drug monitoring (“TDM”) (e.g., blood pressure monitors), as well as patient counseling and prescription reminder services. We are focused on demonstrating the therapeutic and commercial value of our TCS through the commercialization of Prestalia. Prestalia was developed in coordination with Les Laboratories, Servier, a French pharmaceutical conglomerate, that sells the formulation outside the United States under the brand names Coveram® and/or Viacoram®. Prestalia was approved by the U.S. Food and Drug Administration (“FDA”) in January 2015, and iswas distributed through our patented DyrctAxess platform.


On December 17, 2019, we terminated our then-current business operations, including our commercial operations relating to the sale of Prestalia, and terminated the personnel associated with such operations, starting immediately, with such process being substantially completed on or prior to December 31, 2019. As a result, as of the date of this report, we are not engaged in any research, development or commercialization activities, and we are no longer generating any revenues from operations, including from the sale of Prestalia or any other product. Moreover, as of the date of this report, we do not have any personnel other than our SVP of Finance & Accounting, and we have terminated the lease for our company headquarters in Durham, North Carolina.

Since the end of 2019, to the extent that resources have been available, we have been working with our advisors to restructure our company and to identify potential strategic transactions to enhance the value of our company as such opportunities arise, including potential transactions and capital raising initiatives involving the assets relating to our legacy RNA interference programs, as well as business combination transactions with operating companies. There can be no assurance that we will be successful at identifying any such transactions, that we will continue to have sufficient resources to actively attempt to identify such transactions, or that such transactions will be available upon terms acceptable to us or at all. If we do not complete any significant strategic transactions, or raise substantial additional capital, in the immediate future, it is likely that we will discontinue all operations and seek bankruptcy protection.

Furthermore, we are evaluating all strategic options to out-license and/or divest our existing intellectual property including our DyrctAxess platform, which we acquired in 2017.

By combining Prestalia, DyrectAxess,is designed to offer enhanced efficiency, control and access to the information necessary to empower patients, physicians and manufacturers to achieve optimal care.


Resignation of Company Executives

On June 15, 2020, Nancy R. Phelan, the Company's Chief Executive Officer and Secretary, and a specialty pharma network,member of the company’s Board of Directors, resigned from all positions with the Company.

18


On June 21, 2020, Tim Boris, a member of the Company's Board of Directors resigned.
Need for Future Financing

On June 26, 2020, the Company issued to an existing investor in the Company a 10% original issue discount Senior Secured Convertible Promissory Note for a purchase price of $52,500. The Note matures on the date that is the six (6) month anniversary of the original issue date.Interest shall accrue on the aggregate unconverted and then outstanding principal amount of the Note at the rate of 10% per annum, calculated on the basis of a 360-day year.
We will require substantial additional funds on an immediate basis to continue our business operations. We have, in the past, raised additional capital to supplement our commercialization, clinical and pre-clinical development and operational expenses. We will need to raise additional funds through equity financing, debt financing, strategic alliances, or other sources, which may result in significant further dilution in the equity ownership of our shares, or result in further encumbrances being placed on our assets. There can be no assurance that additional financing will be available when needed or, if available, that it can be obtained on commercially reasonable terms, or that it will be sufficient for us to successfully engage in any of our planned business operations. If we have createdare not able to obtain additional financing on a proprietary platform for drug adherence andtimely basis as required, or generate significant capital from the effective treatmentout-licensing and/or divestiture of hypertension, improving the distribution of FDC hypertensive drugs, such as our FDA-approved product Prestalia, devices for therapeutic drug monitoring (e.g., blood pressure and other cardiac monitors), as well as patient counseling and prescription reminder services.

As our strategy is to be a commercial pharmaceutical company,existing assets, we will drive a primary corporate focus on revenue generation throughnot be able to meet our commercial assets, while continuingother obligations as they become due and will be forced to developscale down or even cease our technology platform and TCS. We intend to create value through the expanded commercialization of our FDA-approved product, Prestalia®, while continuing to develop and leverage our TCS to further strengthen our commercial presence.

20
operations altogether.

Results of Operations

Comparison of the Three Months Ended June 30, 2019March 31, 2020 to the Three Months Ended June 30, 2018

March 31, 2019

Net Sales

For the three month period ended March 31, 2020, we recorded no sales as a result of our termination of commercial operations related to the sale of Prestalia in December 2019. We recorded net sales of approximately $66,000,$3,000, net of related discounts for the three months ended June 30,March 31, 2019 comparedrelated to no sales for the three-month period ended June 30, 2018. The increase in sales represents revenues from the sale of Prestalia®.

Prestalia.

Cost of Sales

Cost

For the three month period ended March 31, 2020 we recorded no cost of sales were $81,000as a result of our termination of commercial operations related to the sale of Prestalia in December 2019. We recorded approximately $117,000 as the cost of sales for Prestalia for the three months ended June 30, 2019 and represents cost of sales from the sale of Prestalia®. We had no sales or cost of sales during the three months ended June 30, 2018.

March 31, 2019.

Operating Expenses

Our operating expenses for the three months ended June 30,March 31, 2020 and 2019 and 2018 are summarized as follows:

  Three Months Ended 
  June 30, 2019  June 30, 2018 
  (in thousands) 
Sales and marketing $1,148  $2,586 
General and administrative expenses  1,599   1,059 
Amortization  17   123 
Total operating expenses $

2,764

  $3,768 

Three Months Ended
March 31, 2020March 31, 2019Increase/(Decrease)
(in thousands)
Sales and marketing$784  $1,059  $(275) 
General and administrative expenses539  1,367  (828) 
Amortization—  18  (18) 
Total operating expenses$1,323  $2,444  $(1,121) 
Sales, Marketing and Commercial Operations

For the three months ended June 30, 2019,March 31, 2020, sales, marketing and commercial operations expense decreased by approximately $1.4 million, as compared to the prior period, primarily due to the 2018 commercial launch including marketing and sales activities related to Prestalia® and a reduction in costs associated with our go to market model.

General and Administrative

General and administrative (“G&A”) expense increased by approximately $0.5 million for the three months ended June 30, 2019,$275,000 as compared to the three months ended June 30, 2018,March 31, 2019, primarily due to an increasethe Company's strategic decision to terminate the commercial sale of Prestalia in share-based compensationDecember 2019. Sales and marketing expense for the three months ended March 31, 2020, included approximately $679,000 of PDUFA fees for Prestalia.

General and Administrative
General and administrative expense decreased by approximately $0.2$0.8 million and an increasefor the three months ended March 31, 2020, as compared to the three months ended March 31, 2019 primarily due to the Company's strategic decision to terminate commercial operations related to the sale of Prestalia in personnel related expenses including severance payments made to former executive management.

December 2019.


19


Amortization Expense

Amortization of intangible assets decreased by approximately $106,000$18,000 for the three-month period ended June 30,March 31, 2019 primarily due to the write-off of intangibles in 20182019 as a result of our decision to divest assets that no longer align with our strategic objectives.

No amortization expense was recognized for the three months ended March 31, 2020.

Other Expense

  Three Months Ended 
  June 30, 2019  June 30, 2018 
Interest expense $(1) $(5)
Loss on settlement  -   (875)
Total other expense, net $(1) $(880)

Total net other

Three Months Ended
March 31, 2019March 31, 2019(Increase)/Decrease
(in thousands)
Interest expense$(410) $—  $(410) 
Amortization of debt discount(105) —  (105) 
Total other expense, net$(515) $—  $(515) 
Interest expense for the three months ended June 30, 2019 decreased $0.9 millionMarch 31, 2020 increased by $410,000 compared to the three months ended June 30, 2018March 31,2019 primarily due to a loss on settlementaccrued interest and amortization of adebt issuance costs for our term loans. The amortization of debt discount was related party liability during the three months ended June 30, 2018.

Comparison of the Six Months Ended June 30, 2019 to the Six Months Ended June 30, 2018

Net Sales

We recorded net sales of approximately $69,000 for the six months ended June 30, 2019 and represents revenues from the sale of Prestalia®. We had no sales during the six months ended June 30, 2018.

Cost of Sales

Cost of sales were approximately $198,000 for the six months ended June 30, 2019 and represents cost of sales from the sale of Prestalia®. We had no sales or cost of sales during the six months ended June 30, 2018.

Operating Expenses

Our operating expenses for the six months ended June 30, 2019 are summarized as follows in comparison to our expenses for the six months ended June 30, 2018.

  Six Months Ended 
  June 30, 2019  June 30,2018 
  (in thousands) 
Sales and marketing $2,207  $2,586 
Research and development  -   173 
General and administrative expenses  2,966   1,979 
Amortization  35   247 
Total operating expenses $

5,208

  $4,985 

Sales, Marketing and Commercial Operations

For the six months ended June 30, 2019, sales, marketing and commercial operations expense decreased by approximately $379,000, as compared to the prior period, primarily due to a reduction in commercial launch activities related to the sales of Prestalia® and a reduction in costs associated with our go to market model.

Research and Development

For the six months ended June 30, 2019, research and development expense decreased by approximately $173,000, as compared to the six months ended June 30, 2018 due to the transition of our strategic focus from R&D activities to sales, marketing and commercial operations activities beginning in the second quarter of 2018.

General and Administrative

General and administrative (“G&A”) expense increased by approximately $1.0 million for the six months ended June 30, 2019, as compared to the six months ended June 30, 2018, primarily due to an increase in share based compensation of approximately $0.2 million and an increase in personnel related expenses including severance payments made to executive management.

Amortization Expense

Amortization of intangible assets decreased by approximately $212,000 for the six-month period ended June 30, 2019 primarily due to the write-off of intangibles in 2018 as a result of our decision to divest assets that no longer align with our strategic objectives.

Other Expense

  Six Months Ended 
(in thousands) June 30, 2019  June 30, 2018 
Interest expense $(1) $(149)
Loss on settlement  -   (875)
Total other expense, net $(1) $

(1,024

)

Total net other expense for the six months ended June 30, 2019 decreased approximately $1.0 million compared to the six months ended June 30, 2018 primarily due to a loss on settlement of a related party liability and interest expense on notes payable during the three months ended June 30, 2018 as compared to the same period of 2019.

2020 term loan.

Liquidity & Capital Resources

Working Capital

(in thousands) June 30, 2019  December 31, 2018 
Current assets $2,154  $4,677 
Current liabilities  (5,160)  (2,214)
Working capital (deficit) $(3,006) $2,463 

(in thousands)March 31, 2020December 31, 2019
Current assets$315  $420  
Current liabilities(12,148) (10,307) 
Working deficit$(11,833) $(9,887) 
Negative working capital as of June 30, 2019March 31, 2020 was approximately $3.0$11.8 million as compared to negative working capital of approximately $2.5$9.9 million as of December 31, 2018.2019. The decrease in working capital is primarily related to an increase in our current liabilities as of June 30, 2019March 31, 2020 including approximately $1.3$0.5 million of notes payable net of issuance costs, an increase in accrued dividends for our convertible preferred stock of approximately $0.8$0.4 million and an increase in accounts payable and accrued expenses related to our operating activities.

Cash Flows and Liquidity

Net cash used in Operating Activities

Net cash used in operating activities was approximately $3.5$0.4 million during the sixthree months ended June 30, 2019.March 31, 2020. This was primarily due to our net operating loss of approximately $5.3$1.8 million, partially offset by non-cash share-based compensation of approximately $0.6 millioninterest expense related to our term loans and other changes in operating assets and liabilities including an increase in accounts payable and accrued expenses.

expenses of approximately $0.7 million.

Comparatively, net cash used in operating activities was approximately $3.9$2.1 million during the sixthree months ended June 30, 2018.March 31, 2019. This was primarily due to the net operating loss of approximately $6.0$2.6 million offset by non-cash charges of approximately $2.5$0.4 million for share based compensation expense and other changes in working capital of approximately $0.3 million. Non-cash charges for the three-months ended June 30, 2018 included the fair value of equity issued for settlement of an outstanding liability including a loss on the settlement of approximately $0.9 million.

capital.

Net cash used in Investing Activities

There was no cash used in or provided by investing activities for the sixthree months ended June 30,March 31, 2020 or March 31, 2019. Cash used in investing activities for the period ended June 30, 2018 was approximately $10,000 for the purchase of furniture for the corporate office.

Net cash provided by Financing Activities

Net cash provided by financing activities for the sixthree months ended June 30, 2019March 31, 2020 was approximately $1.3$0.4 million from the issuance of promissory notes to certain accredited investors on June 28, 2019.investors. For the sixthree months ended June 30, 2018,March 31, 2019, no cash was provided by financing activities was $12.1 million primarily due to the issuance of preferred stock.

activities.


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We will need to raise immediate additional operating capital during the third quarter of 2019 in order to maintain our operations and to realize our business plan. Without additional sources of cash and/or the deferral, reduction, or elimination of significant planned expenditures, we will not have the cash resources to continue as a going concern thereafter.

Future Financing


On June 26, 2020, the Company issued to an existing investor in the Company a 10% original issue discount Senior Secured Convertible Promissory Note for a purchase price of $52,500. The Note matures on the date that is the six (6) month anniversary of the original issue date.Interest shall accrue on the aggregate unconverted and then outstanding principal amount of the Note at the rate of 10% per annum, calculated on the basis of a 360-day year.
We will require immediate substantial additional funds to implementcontinue our strategic initiatives and continue the commercialization of Prestalia®.business. Historically, we have raised additional capital to supplement our commercialization, clinical development and operational expenses. We will need to raise substantial additional funds required through equity financing, debt financing, strategic alliances or other sources, which may result in further dilution in the equity ownership of our shares. There can be no assurance that additional financing will be available when needed or, if available, that it can be obtained on commercially reasonable terms. Failure to raise additional capital through one or more financings, divesting development assets or reducing discretionary spending could have a material adverse effect on our ability to achieve our intended business objectives. These factors raise substantial doubt about our ability to continue as a going concern.

Off-Balance Sheet Arrangements

As of June 30, 2019,March 31, 2020, we did not have any off-balance sheet arrangements, as defined in Item 303(a)(4)(ii) of SEC Regulation S-K.

Critical Accounting Policies and Estimates

Our significant accounting policies are more fully described in the notes to our financial statements included herein for the period ended June 30, 2019March 31, 2020 and in the notes to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2018.

2019.

New and Recently Adopted Accounting Pronouncements

Any new and recently adopted accounting pronouncements are more fully described in Note 1 to our financial statements included herein for the period ended June 30, 2019.

March 31, 2020.

ITEM 3 QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

ITEM 4 CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures (as that term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) that are designed to ensure that information required to be disclosed in our reports 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 officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosures. In designing disclosure controls and procedures, our management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible disclosure controls and procedures. The design of any disclosure controls and procedures also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Any controls and procedures, no matter how well designed and operated, can provide only reasonable, not absolute, assurance of achieving the desired control objectives.

Our management, with the participation of our principal executive officer and principal financial officer, has evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation and subject to the foregoing, our principal executive officer and principal financial officer concluded that, our disclosure controls and procedures were not effective due to the material weakness(es) in internal control over financial reporting described below.


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Material Weakness in Internal Control over Financial Reporting


Management conducted an assessment ofassessed the effectiveness of our internal control over financial reporting as of June 30, 2019March 31, 2020 based on the framework established in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this assessment, management has determined that our internal control over financial reporting as of June 30, 2019March 31, 2020 was not effective.


A material weakness, as defined in the standards established by the Sarbanes-Oxley Act of 2002 (the “Sarbanes-Oxley Act”), is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.

The ineffectiveness of our internal control over financial reporting was due to the following material weaknesses, which were exacerbated following the termination of our business operations and personnel at the end of 2019 and the resignation of our CEO on June 15, 2020:

Inadequate segregation of duties consistent with control objectives;

Lack of qualified accounting personnel to prepare and report financial information in accordance with GAAP; and

Lack of documentation on policies and procedures that are indicativecritical to the accomplishment of many small companies with small number of staff:

Inadequate segregation of duties consistent with control objectives;
Lack of qualified accounting personnel to prepare and report financial information in accordance with GAAP; and
Lack of documentation on policies and procedures that are critical to the accomplishment of financial reporting objectives.

financial reporting objectives.

Management’s Plan to Remediate the Material Weakness

Management has


Throughout 2019, management had been implementing and continues to implement measures designed to ensure that control deficiencies contributing to the material weakness are remediated, such that these controls are designed, implemented, and operating effectively. The remediation actions planned include:

Identifyincluded:

Identifying gaps in our skills base and the expertise of our staff required to meet the financial reporting requirements of a public company; and
Continue to develop policies and procedures on internal control over financial reporting and monitor the effectiveness of operations on existing controls and procedures.

During the three monthsexpertise of our staff required to meet the financial reporting requirements of a public company; and

Continuing to develop policies and procedures on internal control over financial reporting and monitor the effectiveness of operations on existing controls and procedures.

Specifically, during the year ended June 30,December 31, 2019, we continued to execute upon our planned remediation actions which are allwere intended to strengthen our overall control environment. Our CompanyFor example, in November 2019 we engaged a Senior Vice President of Finance & Accounting, and allwe and our subsidiaries use a well-regarded accounting software which restricts personnel access and standardizes daily accounting procedures on journal entries. The software includes built-in controls and documentation to facilitate accounting review of the books and records. Our Audit Committee continuesWe will continue to exercise oversight responsibilities relatedreassess our plans to financial reporting andremedy our internal control deficiencies in light of our personnel structure and we have commenced a search to replace our Chief Financial Officer, who recently resigned. In the meantime, the Company’s Chief Executive Officerfinancial condition. We hope that such measures will assume the responsibilities of the Chief Financial Officer until we hire a full-time executive. We have hired an external consultant with GAAP expertise to assist in the preparation of financial reporting under management oversight as of May 2, 2019.

The aforementioned measures taken are expected to lead to an improvement in the timely preparation of financial reports and to strengthen our segregation of duties at the Company.our company. We are committed to maintainingdeveloping a strong internal control environment, and we believe that thesethe remediation efforts that we will representimplement will result in significant improvements in our control environment. Our management will continue to monitor and evaluate the relevance of our risk-based approach and the effectiveness of our internal controls and procedures over financial reporting on an ongoing basis and is committed to taking further action and implementing additional enhancements or improvements, as necessary and as funds allow.

Changes


Management’s report on internal control over financial reporting was not subject to attestation by the Company’s registered public accounting firm pursuant to rules of the SEC that permit a Smaller Reporting Company to provide only Management’s report in Internal Controlthis annual report, which may increase the risk that weaknesses or deficiencies in our internal control over Financial Reporting

financial reporting go undetected.

There have been no changes in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter ended June 30, 2019March 31, 2020 that have materially affected, or that are reasonably likely to materially affect, our internal control over financial reporting.

PART II – OTHER INFORMATION


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ITEM 1. LEGAL PROCEEDINGS

Paragraph IV Challenge

Our Prestalia product was involved in a paragraph IV challenge regarding patents issued to perindopril arginine. This challenge, which was pending in the United States District Court for the District of Delaware (No. 1:17-cv-00276), was captionedApotex Inc. and Apotex Corp. v. Symplmed Pharmaceuticals, LLC and Les Laboratoires Servier. The challengers (Apotex Inc. and Apotex Corp. (“Apotex”)) filed an Abbreviated New Drug Application seeking FDA approval to market a generic version of Prestalia and included a Paragraph (IV) certification. In the litigation, Apotex sought a declaratory judgment that no valid claims of the two patents Symplmed listed in the FDA Orange Book as having claims covering Prestalia, U.S. Patent No. 6,696,481 and 7,846,961, will be infringed by the Apotex proposed generic version of Prestalia and that the claims of those patents are invalid. The challenge was designed to provide Apotex with an opportunity to enter the market with a generic version of Prestalia, ahead of the expiration of the patents with claims covering that product.

Apotex entered into negotiations with Symplmed Pharmaceuticals, LLC (which entity sold its assets relating to Prestalia to us in June 2017, including its License and Commercialization Agreement with Les Laboratories Servier) and Les Laboratories Servier (which entity owns or controls intellectual property rights relating to pharmaceutical products containing as an active pharmaceutical ingredient perindopril in combination with other active pharmaceutical ingredients, which rights have been licensed to Symplmed Pharmaceuticals) to resolve the challenge in the second quarter of 2017. Such parties, along with us, have reached an agreement on terms that result in a delay to the challengers’ ability to enter the market with a generic version of Prestalia, while still providing the challenger with the right to enter the market prior to the expiration of the patent covering such product. Specifically, the parties have entered into a Confidential Settlement Agreement in connection with the settlement of the matter, pursuant to which, among other things, the parties entered into a Confidential License Agreement, whereby Symplmed, Servier and our company agreed to grant to Apotex a non-transferable, non-sublicensable, perpetual, irrevocable, royalty-free, non-exclusive license to the two patents listed in the FDA Orange Book as having claims covering Prestalia to make, use and market a generic version of Prestalia, or import a generic version of Prestalia from India into the United States, on or after January 1, 2021.

As a result of the foregoing, the matter is now settled.

General

Currently, there is no material litigation pending against our company other than as disclosed above.company. From time to time, we may become a party to litigation and subject to claims incident to the ordinary course of our business. Although the results of such litigation and claims in the ordinary course of business cannot be predicted with certainty, we believe that the final outcome of such matters will not have a material adverse effect on our business, results of operations or financial condition. Regardless of outcome, litigation can have an adverse impact on us because of defense costs, diversion of management resources and other factors.

ITEM 1A. RISK FACTORS

An investment in our common stock involves a number of very significant risks. You should carefully consider the risk factors included in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 20182019 (the “Annual Report”), as filed with the SEC on April 16, 2019,14, 2020, in addition to other information contained in those documents and reports that we have filed with the SEC pursuant to the Securities Act and the Exchange Act since the date of the filing of the Annual Report, including, without limitation, this Quarterly Report on Form 10-Q, and the additional risk factor noted below, in evaluating our company and its business before purchasing shares of our common stock. Our business, operating results and financial condition could be adversely affected due to any of those risks.

Risks Relating to Inventory and Product Supply

The company may experience inventory outages as a result of increased demand for Prestalia. The company’s efforts to mitigate this risk may not be successful, resulting in patient supply interruption. Any interruption in the supply of this product could have a material adverse effect on our financial condition, business performance and the results of an investment in our securities.

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

In April 2019, we issued 107,846 unregistered shares of our common stock to a holder of our Series E Convertible Preferred Stock in connection with the conversion of $53,923 of “Stated Value” of our Series E Convertible Preferred Stock. These shares were issued in reliance on the exemption from registration afforded by Section 4(a)(2) of the Securities Act and/or Rule 506(b) of Regulation D promulgated thereunder.

None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.

ITEM 4. MINE SAFETY DISCLOSURES
None.

ITEM 5. OTHER INFORMATION
None.


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Item 6. Exhibits

Exhibit No.Description
Exhibit No.Description
4.1
4.1Form of SecuredConvertible Promissory Note issued by Adhera Therapeutics, Inc. to select accredited investors on each of June 28, 2019, July 3, 2019, July 17, 2019 and AugustFebruary 5, 20192020 (filed as Exhibit 4.1 to our Current Report on Form 8-K dated June 28, 2019,February 11, 2020, and incorporated herein by reference).
10.1#4.2EmploymentForm of Common Stock Purchase Warrants issued by Adhera Therapeutics, Inc. to select accredited investors on February 5, 2020 (filed as Exhibit 4.2 to our Current Report on Form 8-K dated February 11, 2020, and incorporated herein by reference)
10.1Securities Purchase Agreement, dated April 4, 2019, by andas February 5, 2020, between Adhera Therapeutics, Inc. and Nancy R. Phelanthe purchasers identified on the signature pages thereto (filed as Exhibit 10.1 to our Current Report on Form 8-K dated April 4, 2019,February 11, 2020, and incorporated herein by reference).
10.2#Settlement Agreement, dated April 4, 2019, by and between Adhera Therapeutics, Inc. an Robert. C. Moscato, Jr. (filed as Exhibit 10.2 to our Current Report on Form 8-K dated April 4, 2019, and incorporated herein by reference).
10.3Security Agreement, dated as of June 28, 2019, among Adhera Therapeutics, Inc., IThenaPharma, Inc., Cequent Pharmaceuticals, Inc., MDRNA Research, Inc., the purchasers of secured promissory notes identified on the signature pages thereto, and Jeff S. Phillips as agent (filed as Exhibit 10.1 to our Current Report on Form 8-K dated June 28, 2019, and incorporated herein by reference).
10.4Form of Subscription Agreement used in connection with the issuance by Adhera Therapeutics, Inc. of Secured Convertible Promissory Notes on each of June 28, 2019, July 3, 2019, July 17, 2019 and August 5, 2019 (filed as Exhibit 10.2 to our Current Report on Form 8-K dated August 5, 2019, and incorporated herein by reference).
31.1Certification of our Principal Executive Officer pursuant to Rule 13a-14 and 15d-14 under the Securities Exchange Act of 1934, as amended. (1)
Certification of Principal Financial Officer pursuant to Rule 13a-14 and 15d-14 under the Securities Exchange Act of 1934, as amended. (1)
32.1Certification of our Principal Executive Officer andpursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. (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. (2)
101INSXBRL Instance Document (1)
101SCHXBRL Taxonomy Extension Schema Document (1)
101CALXBRL Taxonomy Extension Calculation Linkbase Document (1)
101DEFXBRL Taxonomy Extension Definition Linkbase Document (1)
101LABXBRL Taxonomy Extension Label Linkbase Document (1)
101PREXBRL Taxonomy Extension Presentation Linkbase Document (1)
(1)Filed herewith.
(2)Furnished herewith.
#Indicates management contract or compensatory plan or arrangement.



24


SIGNATURES

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

ADHERA THERAPEUTICS, INC.
Date: August 14, 2019July 6, 2020By:/s/ Nancy R. Phelan.Uli Hacksell
Nancy R. Phelan
Chief Executive Officer and Director
Uli Hacksell
Chairman
(Principal Executive Officer, Officer)

Date: July 6, 2020By:/s/ Rhonda L. Stanley
Rhonda L. Stanley
Senior Vice President of Finance
(
Principal Financial Officer and Principal Accounting Officer)


25