UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 

FORM 10-Q

 

(Mark One)

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

For the quarterly period ended SeptemberJune 30, 20172021

OR

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

Commission File Number 001-36075

 

EVOKE PHARMA, INC.

(Exact name of registrant as specified in its charter)

 

 

Delaware

 

20-8447886

(State or other jurisdiction

of incorporation)

 

(IRS Employer

Identification No.)

 

 

420 Stevens Avenue, Suite 370, Solana Beach, CA

 

92075

(Address of principal executive offices)

 

(Zip Code)

Registrant’s telephone number, including area code: (858) 345-1494

 

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

Title of each class

Trading symbol

Name of each exchange on which registered

Common Stock,

par value $0.0001 per share

EVOK

The Nasdaq Capital Market

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

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

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

Large accelerated filer

 

 

Accelerated filer

 

 

Non-accelerated filer

 

  (Do not check if a smaller reporting company)

 

Smaller reporting company

 

 

Emerging growth company  

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

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

As of November 3, 2017,July 31, 2021, the registrant had 15,413,61032,439,380 shares of common stock outstanding.

 

 

 

 

 


 

Evoke pharma, inc.  

Form 10-Q

TABLE OF CONTENTS

 

PART I.  FINANCIAL INFORMATION

1

Item 1.  Financial Statements

1

Condensed Balance Sheets as of SeptemberJune 30, 20172021 (Unaudited) and December 31, 20162020

1

Condensed Statements of Operations for the three and ninesix months ended September, 2017June 30, 2021 and 20162020 (Unaudited)

2

Condensed Statements of Stockholders’ Equity (Deficit) for the three and six months ended June 30, 2021 and 2020 (Unaudited)

3

Condensed Statements of Cash Flows for the ninesix months ended SeptemberJune 30, 20172021 and 20162020 (Unaudited)

34

Notes to Condensed Financial Statements (Unaudited)

45

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

1211

Item 3.  Quantitative and Qualitative Disclosures about Market Risk

2018

Item 4.  Controls and Procedures

2118

PART II.  OTHER INFORMATION

2220

Item 1.   Legal Proceedings

2220

Item 1A.   Risk Factors

2220

Item 2.   Unregistered Sales of Equity Securities and Use of Proceeds

2421

Item 3.   Defaults Upon Senior Securities

2421

Item 4.   Mine Safety Disclosures

21

Item 5.   Other Information

21

Item 6.   Exhibits

22

SIGNATURES

24

Item 5.   Other Information

24

Item 6.   Exhibits

25

SIGNATURES

26

 

 

 

i


 

PART I.  FINANCIAL INFORMATION

 

Item 1. Financial Statements

Evoke Pharma, Inc.  

Condensed Balance Sheets

 

 

September 30,

2017

 

 

December 31,

2016

 

 

June 30,

2021

 

 

December 31,

2020

 

 

(Unaudited)

 

 

 

 

 

 

(Unaudited)

 

 

 

 

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

10,412,968

 

 

$

9,007,071

 

 

$

16,720,939

 

 

$

8,068,939

 

Accounts receivable, net

 

 

198,411

 

 

 

23,311

 

Prepaid expenses

 

 

334,728

 

 

 

267,711

 

 

 

307,254

 

 

 

921,762

 

Inventory

 

 

234,041

 

 

 

236,480

 

Other current assets

 

 

 

 

7,997

 

 

 

11,703

 

 

 

30,300

 

Total current assets

 

 

10,747,696

 

 

 

9,282,779

 

 

 

17,472,348

 

 

 

9,280,792

 

Operating lease right-of-use asset

 

 

84,933

 

 

 

141,705

 

Other assets

 

 

11,551

 

 

 

11,551

 

 

 

 

 

11,551

 

Total assets

 

$

10,759,247

 

 

$

9,294,330

 

 

$

17,557,281

 

 

$

9,434,048

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities and stockholders' equity

 

 

 

 

 

 

 

 

Liabilities and stockholders' equity (deficit)

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts payable and accrued expenses

 

$

1,720,816

 

 

$

478,223

 

 

$

519,001

 

 

$

1,273,572

 

Accrued compensation

 

 

927,843

 

 

 

933,450

 

 

 

621,476

 

 

 

1,016,232

 

Operating lease liability

 

 

84,933

 

 

 

141,705

 

Paycheck protection program loan

 

 

 

 

104,168

 

Milestone payable

 

 

5,000,000

 

 

 

5,000,000

 

Other current liabilities

 

 

6,025

 

 

 

Total current liabilities

 

 

2,648,659

 

 

 

1,411,673

 

 

 

6,231,435

 

 

 

7,535,677

 

Warrant liability

 

 

6,050,901

 

 

 

4,095,019

 

Long-term liabilities

 

 

 

 

 

 

 

 

Note payable

 

 

5,000,000

 

 

 

5,000,000

 

Accrued interest payable

 

 

360,240

 

 

 

112,994

 

Total long-term liabilities

 

 

5,360,240

 

 

 

5,112,994

 

Total liabilities

 

 

8,699,560

 

 

 

5,506,692

 

 

 

11,591,675

 

 

 

12,648,671

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stockholders' equity:

 

 

 

 

 

 

 

 

Common stock, $0.0001 par value; authorized shares - 50,000,000;

issued and outstanding shares - 15,413,610 and 12,350,360

at September 30, 2017 and December 31, 2016, respectively

 

 

1,541

 

 

 

1,235

 

Stockholders' equity (deficit):

 

 

 

 

 

 

 

 

Common stock, $0.0001 par value; authorized shares - 50,000,000;

issued and outstanding shares - 32,439,380 and 26,621,954

at June 30, 2021 and December 31, 2020, respectively

 

 

3,244

 

 

 

2,662

 

Additional paid-in capital

 

 

72,788,358

 

 

 

62,595,546

 

 

 

109,743,561

 

 

 

95,667,776

 

Accumulated deficit

 

 

(70,730,212

)

 

 

(58,809,143

)

 

 

(103,781,199

)

 

 

(98,885,061

)

Total stockholders' equity

 

 

2,059,687

 

 

 

3,787,638

 

Total liabilities and stockholders' equity

 

$

10,759,247

 

 

$

9,294,330

 

Total stockholders' equity (deficit)

 

 

5,965,606

 

 

 

(3,214,623

)

Total liabilities and stockholders' equity (deficit)

 

$

17,557,281

 

 

$

9,434,048

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to these unaudited condensed financial statements.

 



Evoke Pharma, Inc.  

Condensed Statements of Operations

(Unaudited)

 

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

$

2,717,698

 

 

$

1,339,343

 

 

$

5,505,953

 

 

$

5,449,568

 

General and administrative

 

 

984,047

 

 

 

830,092

 

 

 

3,065,595

 

 

 

2,770,500

 

Total operating expenses

 

 

3,701,745

 

 

 

2,169,435

 

 

 

8,571,548

 

 

 

8,220,068

 

Loss from operations

 

 

(3,701,745

)

 

 

(2,169,435

)

 

 

(8,571,548

)

 

 

(8,220,068

)

Other income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   Interest income (expense), net

 

 

2,822

 

 

 

(123,209

)

 

 

5,452

 

 

 

(268,483

)

   Financing costs related to warrant liability

 

 

 

 

(533,692

)

 

 

 

 

(533,692

)

   Change in fair value of warrant liability

 

 

(1,544,138

)

 

 

(198,945

)

 

 

(3,354,973

)

 

 

(198,945

)

Total other expense, net

 

 

(1,541,316

)

 

 

(855,846

)

 

 

(3,349,521

)

 

 

(1,001,120

)

Net loss

 

$

(5,243,061

)

 

$

(3,025,281

)

 

$

(11,921,069

)

 

$

(9,221,188

)

 

Net loss per share of common stock, basic

 

$

(0.34

)

 

$

(0.29

)

 

$

(0.81

)

 

$

(1.11

)

 

Net loss per share of common stock, diluted

 

$

(0.34

)

 

$

(0.29

)

 

$

(0.89

)

 

$

(1.11

)

Weighted-average shares used to compute basic
net loss per share

 

 

15,351,295

 

 

 

10,614,692

 

 

 

14,740,977

 

 

 

8,341,750

 

Weighted-average shares used to compute diluted net loss per share

 

 

15,351,295

 

 

 

10,614,692

 

 

 

14,766,853

 

 

 

8,341,750

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net product sales

 

$

236,635

 

 

$

 

 

$

327,056

 

 

$

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     Cost of goods sold

 

 

68,253

 

 

 

 

 

133,004

 

 

 

     Research and development

 

 

195,229

 

 

 

5,782,094

 

 

 

473,054

 

 

 

6,245,946

 

     Selling, general and administrative

 

 

2,142,149

 

 

 

1,182,872

 

 

 

4,480,443

 

 

 

2,512,707

 

Total operating expenses

 

 

2,405,631

 

 

 

6,964,966

 

 

 

5,086,501

 

 

 

8,758,653

 

Loss from operations

 

 

(2,168,996

)

 

 

(6,964,966

)

 

 

(4,759,445

)

 

 

(8,758,653

)

Other income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     Forgiveness of paycheck protection loan and accrued interest

 

 

 

 

 

 

105,130

 

 

 

     Interest income

 

 

3,011

 

 

 

485

 

 

 

6,174

 

 

 

3,863

 

     Interest expense

 

 

(124,658

)

 

 

(2,914

)

 

 

(247,997

)

 

 

(2,914

)

Total other income (expense)

 

 

(121,647

)

 

 

(2,429

)

 

 

(136,693

)

 

 

949

 

Net loss

 

$

(2,290,643

)

 

$

(6,967,395

)

 

$

(4,896,138

)

 

$

(8,757,704

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per share of common stock, basic and diluted

 

$

(0.07

)

 

$

(0.28

)

 

$

(0.15

)

 

$

(0.35

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares used to compute basic and diluted net loss per share

 

 

32,386,004

 

 

 

24,987,975

 

 

 

31,772,035

 

 

 

24,713,928

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to these unaudited condensed financial statements.

 



Evoke Pharma, Inc.  

Condensed Statements of Stockholders’ Equity (Deficit)

(Unaudited)

 

 

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

 

Total

 

 

 

Common Stock

 

 

Paid-In

 

 

Accumulated

 

 

Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Deficit

 

 

Equity (Deficit)

 

Balance at January 1, 2021

 

 

26,621,954

 

 

$

2,662

 

 

$

95,667,776

 

 

$

(98,885,061

)

 

$

(3,214,623

)

     Stock-based compensation expense

 

 

 

 

 

 

561,348

 

 

 

 

 

561,348

 

     Issuance of common stock, net of

       costs of $1,304,846

 

 

5,750,000

 

 

575

 

 

 

13,069,579

 

 

 

 

 

13,070,154

 

     Net loss

 

 

 

 

 

 

 

 

(2,605,495

)

 

 

(2,605,495

)

Balance at March 31, 2021

 

 

32,371,954

 

 

 

3,237

 

 

 

109,298,703

 

 

 

(101,490,556

)

 

 

7,811,384

 

     Stock-based compensation expense

 

 

 

 

 

 

399,411

 

 

 

 

 

399,411

 

     Issuance of common stock from

       stock option exercises

 

 

67,426

 

 

 

7

 

 

 

45,447

 

 

 

 

 

45,454

 

     Net loss

 

 

 

 

 

 

 

 

(2,290,643

)

 

 

(2,290,643

)

Balance at June 30, 2021

 

 

32,439,380

 

 

$

3,244

 

 

$

109,743,561

 

 

$

(103,781,199

)

 

$

5,965,606

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

 

Total

 

 

 

Common Stock

 

 

Paid-In

 

 

Accumulated

 

 

Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Deficit

 

 

Equity (Deficit)

 

Balance at January 1, 2020

 

 

24,431,914

 

 

$

2,443

 

 

$

90,108,492

 

 

$

(85,730,390

)

 

$

4,380,545

 

     Stock-based compensation expense

 

 

 

 

 

 

310,162

 

 

 

 

 

310,162

 

     Issuance of common stock from

       employee stock purchase plan

 

 

25,000

 

 

3

 

 

 

21,247

 

 

 

 

 

21,250

 

     Net loss

 

 

 

 

 

 

 

 

(1,790,309

)

 

 

(1,790,309

)

Balance at March 31, 2020

 

 

24,456,914

 

 

 

2,446

 

 

 

90,439,901

 

 

 

(87,520,699

)

 

 

2,921,648

 

     Stock-based compensation expense

 

 

 

 

 

 

362,955

 

 

 

 

 

362,955

 

     Issuance of common stock from

       At-the-Market offering, net of

       costs of $68,038

 

 

1,395,855

 

 

 

140

 

 

 

3,308,976

 

 

 

 

 

3,309,116

 

     Issuance of common stock from

       warrant exercises

 

 

158,494

 

 

 

15

 

 

 

(15

)

 

 

 

 

     Net loss

 

 

 

 

 

 

 

 

(6,967,395

)

 

 

(6,967,395

)

Balance at June 30, 2020

 

 

26,011,263

 

 

$

2,601

 

 

$

94,111,817

 

 

$

(94,488,094

)

 

$

(373,676

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to these unaudited condensed financial statements.



Evoke Pharma, Inc.  

Condensed Statements of Cash Flows

(Unaudited)

 

 

Nine Months Ended

September 30,

 

 

Six Months Ended

June 30,

 

 

2017

 

 

2016

 

 

2021

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating activities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(11,921,069

)

 

$

(9,221,188

)

 

$

(4,896,138

)

 

$

(8,757,704

)

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forgiveness of paycheck protection loan and accrued interest

 

 

(105,130

)

 

 

Stock-based compensation expense

 

 

1,404,926

 

 

 

1,298,279

 

 

 

960,759

 

 

 

673,117

 

Non-cash interest

 

 

 

 

120,889

 

Financing costs allocated to warrant liability

 

 

 

 

533,692

 

Change in fair value of warrant liability

 

 

3,354,973

 

 

 

198,945

 

Change in operating assets and liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prepaid expenses and other assets

 

 

(59,020

)

 

 

408,030

 

Accounts payable and accrued expenses

 

 

1,236,986

 

 

 

(676,745

)

Accounts receivable, net

 

 

(175,100

)

 

 

Prepaid expenses, inventory and other assets

 

 

703,867

 

 

 

455,131

 

Accounts payable and other current liabilities

 

 

(805,318

)

 

 

(495,878

)

Accrued compensation

 

 

(394,756

)

 

 

17,359

 

Accrued interest expense

 

 

248,208

 

 

 

Milestone payable

 

 

 

 

5,000,000

 

Net cash used in operating activities

 

 

(5,983,204

)

 

 

(7,338,098

)

 

 

(4,463,608

)

 

 

(3,107,975

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Financing activities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payment of bank loan

 

 

 

 

(4,500,000

)

Proceeds from issuance of common stock, net

 

 

7,389,101

 

 

 

358,023

 

 

 

13,070,154

 

 

 

3,309,116

 

Proceeds from issuance of common stock and warrants, net

 

 

 

 

13,168,802

 

Proceeds from issuance of common stock from exercise of stock options

 

 

45,454

 

 

 

Proceeds from issuance of common stock from employee stock purchase plan

 

 

 

 

21,250

 

Proceeds from paycheck protection program

 

 

 

 

104,168

 

Proceeds from Eversana line of credit

 

 

 

 

2,000,000

 

Net cash provided by financing activities

 

 

7,389,101

 

 

 

9,026,825

 

 

 

13,115,608

 

 

 

5,434,534

 

Net increase in cash and cash equivalents

 

 

1,405,897

 

 

 

1,688,727

 

 

 

8,652,000

 

 

 

2,326,559

 

Cash and cash equivalents at beginning of period

 

 

9,007,071

 

 

 

8,691,155

 

 

 

8,068,939

 

 

 

5,663,833

 

Cash and cash equivalents at end of period

 

$

10,412,968

 

 

$

10,379,882

 

 

$

16,720,939

 

 

$

7,990,392

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplemental disclosure of cash flow information

 

 

 

 

 

 

 

 

Interest paid

 

 

 

$

169,813

 

Non-cash financing activities

 

 

 

 

 

 

 

 

Forgiveness of paycheck protection loan and accrued interest

 

$

105,130

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-cash financing activities

 

 

 

 

 

 

 

 

Fair value of warrants issued to placement agent

 

 

 

$

369,863

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to these unaudited condensed financial statements.

 

 


Evoke Pharma, Inc.  

Notes to Condensed Financial Statements

(Unaudited)

 

1.  Organization and Basis of Presentation

Evoke Pharma, Inc. (the “Company”) was incorporated in the state of Delaware in January 2007. The Company is a publicly-held specialty pharmaceutical company focused primarily on the development and commercialization of drugs to treat gastroenterological disorders and disease.

Since its inception, the Company has devoted substantially all of its efforts to developing its sole product, development, raising capitalGimoti™ (metoclopramide) nasal spray, the first and building infrastructure, and has not realized revenues from its planned principal operations.  The Company does not anticipate realizing revenuesonly nasally-administered product indicated for the foreseeable future.  relief of symptoms in adults with acute and recurrent diabetic gastroparesis. On June 19, 2020, the Company received approval from the U.S. Food and Drug Administration (“FDA”) for its 505(b)(2) New Drug Application (“NDA”) for Gimoti. As discussed in Note 5, the Company launched U.S. commercial sales of Gimoti in October 2020 through its commercial partner Eversana Life Science Services, LLC (“Eversana”).

The Company’s activities are subject to the significant risks and uncertainties associated with any specialty pharmaceutical company that has substantial expenditureslaunched its first commercial product, including market acceptance of the product and the potential need to obtain additional funding for research and development, including funding its operations.

Going Concern

The financial statements have been prepared assuming the Company will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. The Company has incurred recurring losses and negative cash flows from operations since inception and expects to continue to incur net losses for the foreseeable future until such time, if ever, that it can generate significant revenues from the sale of its sole product, Gimoti™.  TheGimoti. As of June 30, 2021, the Company ended the third quarter of 2017 withhad approximately $10.4$16.7 million in cash and cash equivalents, and theequivalents. The Company anticipates that it will continue to incur losses from operations due to its plans to fund additional clinical development, including the analysis of data from the comparative exposure pharmacokinetic (“PK”) clinical trial, completion of a planned new drug application (“NDA”) submission for Gimoti, pre-approval and pre-commercializationcommercialization activities, including marketing and manufacturing of Gimoti, and support itsselling, general and administrative costs to support operations. As a result, the Company believes that there is substantial doubt about its ability to continue as a going concern for one year after the date these financial statements are issued.

The determination as to whether the Company can continue as a going concern contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.  In its report on the Company’s financial statements fordo not include any adjustments that may result from the year ended December 31, 2016, the Company’s independent registered public accounting firm included an explanatory paragraph expressing substantial doubt regarding the Company’s ability to continue as a going concern, which contemplates the realizationoutcome of assets and the satisfaction of liabilities in the normal course of business.  this uncertainty.

The Company’s net losses may fluctuate significantly from quarter to quarter and year to year. The Company believes, based on its current operating plan, that its current cash and cash equivalents as of June 30, 2021, as well as cash flows from future net sales of Gimoti, will be sufficient to meet estimated working capital requirements and fund its operations through at least June 2018.into the third quarter of 2022, less than one year after the date these financial statements are issued. This period could be shortened if there are any significant increases in planned spending other than anticipated. The Company anticipates that it will needbe required to raise additional funds through debt, equity or equityother forms of financing, such as potential collaboration arrangements, to fund future operations.  operations and continue as a going concern.

There can be no assurance that additional financing will be available when needed or on acceptable terms. If the Company is not able to secure adequate additional funding, the Company may be forced to make reductions in spending, extend payment terms with suppliers, and/or suspend or curtail planned programs.commercialization activities. Any of these actions could materially harm the Company’s business, results of operations, financial condition and future prospects. There can be no assurance that the Company will be able to successfully commercialize Gimoti. Because the Company’s business is entirely dependent on the success of Gimoti, if the Company is unable to secure additional financing, successfully commercialize Gimoti or identify and execute on strategic alternatives for Gimoti or the Company, the Company will be required to curtail all of its activities and may be required to liquidate, dissolve or otherwise wind down its operations.

Impact of COVID-19

Despite the COVID-19 pandemic, the Company began its commercial sales of Gimoti with Eversana in October 2020. The Company has experienced various disruptions to its sales activities, but has continued its efforts to reach physicians and customers. For example, Eversana’s commercialization efforts have been affected by operational restrictions imposed on its sales force from quarantines, travel restrictions and bans and other governmental restrictions related to COVID-19. As a result of these restrictions, Eversana’s sales force has been restricted from conducting in-person interactions with certain physicians and customers and has been restricted to conducting Gimoti educational and promotional activities virtually in certain circumstances, which has impacted Eversana’s ability to more actively market Gimoti. Third-party research stated that as a result of COVID-19, fewer patients are visiting physician offices resulting in lower patient volumes than normal. The Company anticipates that it and Eversana will continue to be impacted by the COVID-19 pandemic.

The COVID-19 pandemic has not significantly disrupted the operations of the Company’s third-party suppliers and manufacturers or delayed the Company’s manufacturing timelines of Gimoti, but may negatively impact the Company’s ability to successfully


commercialize Gimoti and generate product sales in the future. Further, the COVID-19 pandemic and mitigation measures have also had an adverse impact on global economic conditions which could have an adverse effect on the Company’s future business and financial condition, including impairing its ability to raise capital when needed.

In March 2020, the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act was enacted in response to the COVID-19 pandemic. In April 2020, the Company applied for and was approved for a Small Business Administration (“SBA”) loan under the Paycheck Protection Program, established by the CARES Act. On May 1, 2020, the Company received the loan proceeds of approximately $104,000. In January 2021, the Company received notice that its loan and accrued interest were forgiven by the SBA.

2. Summary of Significant Accounting Policies

The accompanying condensed balance sheet as of December 31, 2016,2020, which has been derived from audited financial statements, and the unaudited interim condensed financial statements, have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and follow the requirements of the U.S. Securities and Exchange Commission (“SEC”) for interim reporting.  As permitted under those rules, certain footnotes or other financial information that are normally required by GAAP can be condensed or omitted.  In management’s opinion, the unaudited interim financial statements have been prepared on the same basis as the audited financial statements and include all adjustments, which include only normal recurring adjustments, necessary for the fair presentationstatement of the Company’s financial position and its results of operations and its cash flows for the periods presented. These statements do not include all disclosures required by GAAP and should be read in conjunction with the Company’s financial statements and accompanying notes for the year ended December 31, 2016,2020, which are contained in the Company’s Annual Report on Form 10-K filed with the SEC on March 15, 2017.11, 2021. The results for interim periods are not necessarily indicative of the results expected for the full fiscal year or any other interim period.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting period. Actual results could differ materially from those estimates.


Contract Research Organizations and Consultants

The Company also relies on contract research organizations (“CROs”) and consultants to manageassist with ongoing regulatory activities. If the analysis of data from the comparative exposure PK trialCROs and the preparation of the planned NDA.  If these CROsconsultants are unable to continue withtheir support, this analysis and the management of the NDA preparation, the delays could adversely affect the completion and the timing of the filing of the NDA with FDA.Company’s operations.

In addition, the Company relies on third-party manufacturers for the production of its drug candidate.Gimoti. If the third-party manufacturers are unable to continue manufacturing the Company’s drug candidate,Gimoti, or if the Company loses one of its sole source suppliers used in its manufacturing processes, the Company may not be able to meet any development needs or commercial supply demand for its product candidate, if approved by the FDA,Gimoti, and the development and/or commercialization of the product candidateGimoti could be materially and adversely affected.

Warrant AccountingThe Company also relies on a dedicated third-party sales team to sell Gimoti. If such third-party organization is unable to continue serving as a dedicated sales team, the commercialization of Gimoti could be materially and adversely affected.

CertainAccounts Receivable

Accounts receivable is recorded net of allowance for doubtful accounts. Estimates for allowances for doubtful accounts are determined based on existing contractual obligations and historical payment patterns. The allowance for doubtful accounts was 0 at June 30, 2021 and December 31, 2020 and 0 bad debt expense was recorded for the warrantssix months ended June 30, 2021.

Inventory

The Company does not own or operate manufacturing facilities for the production of Gimoti, nor does it plan to purchase sharesdevelop its own manufacturing operations in the foreseeable future. The Company depends on third-party contract manufacturers for all of its required raw materials, drug substance and finished product for its commercial manufacturing. The Company has agreements with Cosma S.p.A. to supply metoclopramide for the manufacture of Gimoti, and with Thermo Fisher Scientific Inc., through its subsidiary Patheon UK Limited, for the manufacturing of Gimoti. The Company currently utilizes third-party consultants, which it engages on an as-needed, hourly basis, to manage the manufacturing contractors.

Prior to FDA approval of Gimoti in June 2020, the cost of materials and expenses associated with the manufacturing of Gimoti were recorded as research and development expense. Subsequent to FDA approval, the Company began manufacturing Gimoti for commercialization and began capitalizing inventory. The Company’s inventory consisted of approximately $150,000 of raw materials at June 30, 2021 and December 31, 2020, and approximately $84,000 and $86,000 of finished goods at June 30, 2021 and December 31, 2020, respectively. Inventories are stated at the lower of cost (first-in first-out basis) or net realizable value. Inventory when written down to net realizable value establishes a new cost basis and its value is not subsequently increased based upon changes in underlying facts and circumstances. The Company’s raw materials inventory is held at its third-party suppliers and its finished goods inventory is held at its contract manufacturer and at Eversana. The Company records such inventory as consigned inventory.


Revenue Recognition

The Company’s ability to generate revenue and become profitable depends on its ability to successfully commercialize Gimoti, which was launched in the United States through prescription in October 2020 through the Company’s common stock, issued as a partcommercial partner Eversana. If the Company or Eversana fail to successfully launch Gimoti and grow and maintain sales, the Company may never generate significant revenues and its results of the at-the-market registered direct offerings in Julyoperations and August 2016, are classified as warrant liability and recorded at fair value. These warrants contain a feature that could require the transfer of cash in the event a change of control occurs without the authorization of our Board of Directors, and therefore, are classified as a liability infinancial position will be adversely affected.

In accordance with the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 480.  

The fair value of each warrant is estimated on the date of issuance, and each subsequent balance sheet date, using the Black-Scholes valuation model using the appropriate risk-free interest rate, expected term and volatility assumptions.  The expected life of the warrant was calculated using the remaining life of the warrant.  Due to the Company’s limited historical data as a public company, the estimated volatility is calculated based upon the Company’s historical volatility, supplemented, as necessary,606, Revenue from Contracts with historical volatility of comparable companies in the biotechnology industry whose share prices are publicly available for a sufficient period of time.  The risk-free rate is based upon U.S. Treasury securities with remaining terms similar to the expected term of the stock award being valued.  

This warrant liability is subject to remeasurement at each balance sheet date andCustomers, the Company recognizes any changerevenue when a customer obtains control of promised goods in an amount that reflects the consideration the Company expects to receive in exchange for the goods provided. Customer control is determined upon the customer’s physical receipt of the product. To determine revenue recognition for arrangements within the scope of ASC 606, the Company performs the following five steps: identify the contracts with the customer; identify the performance obligations in the fair valuecontract; determine the transaction price; allocate the transaction price to the performance obligations in the contract; and recognize revenue when (or as) it satisfies a performance obligation. At contract inception, the Company assesses the goods promised within each contract and determines those that are performance obligations and assesses whether each promised good is distinct. The Company then recognizes as revenue the amount of the warrant liabilitytransaction price that is allocated to the respective performance obligation when the customer obtains control of the product.

Product sales are recorded at the transaction price, which includes variable considerations for co-payment assistance to commercially insured patients meeting certain eligibility requirements, as well as to uninsured patients. Co-payment assistance is recorded as an offset to gross revenue at the time revenue from the product sale is recognized based on expected and actual program participation. Co-pay liabilities are estimated using prescribing data available from customers. Actual amounts of consideration ultimately received may materially differ from the Company’s estimates. If actual results in the statement of operations. Thefuture vary from estimates, the Company will continue to adjust the carrying value of the warrants for changesthese estimates, which would affect net product revenue and earnings in the estimated fair value untilperiod such variances become known.

Liabilities for co-pay assistance are classified as accounts payable and accrued expenses in the earlier of the modification, exercise or expiration of the warrants.  At that time, the liabilities will be reclassified to additional paid-in capital, a component of stockholders’ equity. We anticipate that the value of the warrants could fluctuate from quarter to quarter and that such fluctuation could have a material impact on our financial statements.balance sheets.

Stock-Based Compensation

Stock-based compensation expense for stock option grants and employee stock purchases under the Company’s Employee Stock Purchase Plan (the “ESPP”) is recorded at the estimated fair value of the award as of the grant date and is recognized as expense on a straight-line basis over the employee’s requisite service period.period, except awards with a performance condition. Awards with a performance condition commence vesting when the satisfaction of the performance condition is probable. The estimation of stock option and ESPP fair value requires management to make estimates and judgments about, among other things, employee exercise behavior, forfeiture rates and volatility of the Company’s common stock. The judgments directly affect the amount of compensation expense that will be recognized.

The Company grants stock options to purchase common stock to employees and members of the board of directors with exercise prices equal to the Company’s closing market price on the date the stock options are granted. The risk-free interest rate assumption was based on the yield of an applicable rate for U.S. Treasury instruments with maturities similar to those of the expected term of the award being valued. The weighted average expected term of options and employee stock purchases was calculated using the simplified method as prescribed by accounting guidance for stock-based compensation. This decision was based on the lack of relevantminimal historical data due to the Company’s limited historical experience.number of stock option exercises. In addition, due to the Company’s limited historical data, the estimated volatility was calculated based upon the Company’s historical volatility, supplemented, as necessary, with historical volatility of comparable companies in the biotechnology industry whose share prices are publicly available for a sufficient period of time. The assumed dividend yield was based on the Company never paying cash dividends and having no expectation of paying cash dividends in the foreseeable future. The Company accounts for forfeitures as the forfeitures occur.

Research and Development Expenses

Research and development costs are expensed as incurred and primarily include compensation and related benefits, stock-based compensation expense, and costs paid to third-party contractors to perform research, conduct clinical trialsfor product development activities and develop drug product materials, and delivery devices.technology acquisition milestones. The Company expenseshas expensed costs relating to the purchase and production of pre-approval inventories as research and development expense in the period incurred untilprior to FDA approval is received.  

received on June 19, 2020. The Company bases itswill expense accrualsthe clinical, regulatory and manufacturing costs related to the post-marketing commitment to conduct a single dose pharmacokinetics clinical studies on estimatestrial of the services received and efforts expended pursuantGimoti to contracts with multiple research institutions and CROscharacterize dose proportionality of a lower dose strength of Gimoti, as well
as other costs
that conduct and managemay occur for any additional clinical studies on its behalf.  The financial terms


of these agreements vary from contract to contract and may result in uneven payment flows.  Payments under some of these contracts depend on factors, such as the successful enrollment of patients, site initiation and the completion of clinical study milestones.  Service providers typically invoicetrials the Company monthly in arrears for services performed.  In accruing service fees,may pursue to expand the Company estimates the time period over which services will be performed and the levelindication of effort to be expended in each period.  If the Company does not identify costs that have begun to be incurred, or if the Company underestimates or overestimates the level of services performed or the costs of these services, actual expenses could differ materially from estimates.  To date, the Company has not experienced significant changes in estimates of accrued research and development expenses after a reporting period.  However, due to the nature of estimates, no assurance can be made that changes to the estimates will not be made in the future as the Company becomes aware of additional information about the status or conduct of clinical studies and other research activities.

Included in research and development expenses for the three and nine months ended September 30, 2017 were costs of approximately $8,000 and $19,000, respectively, for clinical trial services incurred by a related party of one of the Company’s officers.  There were no related party costs incurred during the nine months ended September 30, 2016.

The Company does not own or operate manufacturing facilities for the production of Gimoti, nor does it plan to develop its own manufacturing operations in the foreseeable future.  The Company currently depends on third-party contract manufacturers for all of its required raw materials, drug substance and finished product for its preclinical research, product development and clinical trials.  The Company has agreements with Cosma S.p.A. to supply metoclopramide for the manufacture of Gimoti, and with Thermo Fisher Scientific Inc., who recently acquired Patheon UK Limited, for product development and manufacturing of Gimoti.  The Company currently utilizes a third-party consultant, which it engages on an as-needed, hourly basis, to manage product development and manufacturing contractors.

Net Loss Per Share

Basic net loss per share is calculated by dividing the net loss by the weighted-average number of common stock outstanding for the period, without consideration for common stock equivalents and adjusted for the weighted-average number of common stock outstanding that are subject to repurchase.  The Company has excluded 45,000 shares of common stock subject to repurchase from the weighted-average number of common stock outstanding for the three and nine months ended September 30, 2017 and 2016.equivalents. Diluted net loss per share is calculated by dividing the net loss by the weighted-average number of common stockshare equivalents outstanding for the period determined using the treasury-stock method.  


Dilutive common stock equivalents are comprised of shares subjectwarrants to repurchase, warrants for the purchase of common stock, options outstandingto purchase common stock under the Company’s equity incentive plans and potential shares to be purchased under the ESPP.

For the periods presented, the following table sets forth the outstanding potentially dilutive securities that have been excluded from the calculation of diluted net loss per share because to do so would be anti-dilutive:

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

Common stock subject to repurchase

 

 

45,000

 

 

 

45,000

 

 

 

45,000

 

 

 

45,000

 

Warrants to purchase common stock

 

 

2,797,561

 

 

 

3,323,876

 

 

 

2,771,685

 

 

 

3,323,876

 

 

 

1,841,879

 

 

 

2,320,477

 

 

 

1,841,879

 

 

 

2,320,477

 

Common stock options

 

 

2,131,624

 

 

 

1,275,624

 

 

 

2,131,624

 

 

 

1,275,624

 

 

 

5,527,707

 

 

 

4,286,371

 

 

 

5,527,707

 

 

 

4,286,371

 

Employee stock purchase plan

 

 

7,064

 

 

 

10,938

 

 

 

7,064

 

 

 

10,938

 

 

 

 

 

60,079

 

 

 

 

 

84,793

 

Total excluded securities

 

 

4,981,249

 

 

 

4,655,438

 

 

 

4,955,373

 

 

 

4,655,438

 

 

 

7,369,586

 

 

 

6,666,927

 

 

 

7,369,586

 

 

 

6,691,641

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the three and nine months ended September 30, 2017, dilutive shares of 0 and 25,876, respectively, related to the outstanding warrants were included in the diluted net loss per share of common stock calculation.

Recent Accounting Pronouncements

In February 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-02, Leases.  The new standard establishes a right-of-use (“ROU”) model that requires a lessee to record a ROU asset and a lease liability on the balance sheet for all leases with terms longer than 12 months.  Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition in the income statement.  The new standard is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years.  A modified retrospective transition approach is required for capital and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, with certain practical expedients available.  The Company is currently evaluating the impact of its pending adoption of the new standard on the Company’s financial statements.


In March 2016, the FASB issued ASU No. 2016-09 Compensation-Stock Compensation (Topic 718):  Improvements to Employee Share-Based Payment Accounting.  This guidance changes the accounting for certain aspects of share-based payments to employees.  The guidance requires the recognition of the income tax effects of awards in the income statement when the awards vest or are settled, thus eliminating additional paid-in capital pools.  The guidance also allows for the employer to repurchase more of an employee’s shares for tax withholding purposes without triggering liability accounting.  In addition, the guidance allows for a policy election to account for forfeitures as they occur rather than on an estimated basis.  The adoption of this guidance on January 1, 2017 did not have a material impact on the Company’s financial statements.

3. Debt

On August 4, 2016, the Company repaid in full the entire $4.5 million of outstanding principal and interest under the Loan and Security Agreement (the “Loan Agreement”) between the Company and Square 1 Bank (“Square 1”).  In connection with such repayment, the Loan Agreement was terminated, and all security, liens or other encumbrances on assets of the Company were released.

The Company incurred $82,685 of loan origination costs related to this credit facility.  The remaining unamortized costs of approximately $38,000 were charged to interest expense upon the payment of the loan in August 2016.  

In connection with the funding of the term loan, the Company issued to Square 1 a warrant to purchase 22,881 shares of the Company’s common stock at an exercise price of $5.90 per share, the closing price of the Company’s common stock on the day of funding of the credit facility.  During July 2016, Square 1 converted its warrant by a “cashless” conversion and received 9,887 shares of the Company’s common stock. The value determined for the warrant at the time of the grant of $108,122 was recorded as a debt discount, as well as to stockholders’ equity.  The remaining unamortized debt discount associated with the warrant of approximately $59,000 was charged to interest expense upon the payment of the loan in August 2016.

4. Technology Acquisition Agreement

In June 2007, the Company acquired all worldwide rights, data, patents and other related assets associated with Gimoti from Questcor Pharmaceuticals, Inc. (“Questcor”) pursuant to an Asset Purchase Agreement. The Company paid Questcor $650,000 in the form of an upfront payment and $500,000 in May 2014 as a milestone payment based upon the initiation of the first patient dosing in the Company’s Phase 3 clinical trial for Gimoti. In August 2014, Mallinckrodt, plc (“Mallinckrodt”) acquired Questcor. As a result of that acquisition, Questcor transferred its rights included in the Asset Purchase Agreement with the Company to Mallinckrodt. In addition to the payments previously made to Questcor, the Company may also be required to make additional milestone payments totaling up to $51.5$52 million. These milestones include upIn March 2018, the Company and Mallinckrodt amended the Asset Purchase Agreement to $4.5 million indefer development and approval milestone payments, if Gimoti achieves the following development targets:

$1.5 million upon FDA’ssuch that, rather than paying two milestone payments based on FDA acceptance for review of the NDA and final product marketing approval, the Company would be required to make a new drug application for Gimoti;single $5 million payment on the one-year anniversary after the Company receives FDA approval to market Gimoti. At the time of the Gimoti NDA approval by FDA, the Company recorded the $5 million payable owed to Mallinckrodt, along with a $5 million research and

$3 development expense. The $5 million upon FDA’s approval of Gimoti.milestone payment was paid in July 2021.

The remaining $47 million in milestone payments depend on Gimoti’s commercial success and will only apply if Gimoti receives regulatory approval.  In addition, thesuccess. The Company will beis also required to pay to Mallinckrodt a low single digit royalty on net sales of Gimoti. The Company’s obligation to pay such royalties will terminate upon the expiration of the last patent right covering Gimoti, which is expected to occur in 2030.2030, subject to possible extension should any additional, later expiring, licensed patents be granted.

5. 4. Stockholders’ Equity

Sale of Common Stock and Warrants

On July 25, 2016, the Company completed a registered direct offering of 1,804,512 shares of common stock at a purchase price of $2.49375 per share (the “July 2016 Financing”).  Concurrently in a private placement, for each share of common stock purchased by an investor, such investor received from the Company an unregistered warrant to purchase three-quarters of a share of common stock, for a total of 1,353,384 shares (the “July Warrants”).  The July Warrants have an exercise price of $2.41 per share, are immediately exercisable and will expire on January 25, 2022.  The aggregate gross proceeds from the sale of the common stock and warrants were $4.5 million, and the net proceeds after deduction of commissions and fees were $4.0 million.

In connection with the July 2016 Financing, the Company issued to its placement agent, Rodman & Renshaw, a unit of H.C. Wainwright & Co. LLC (“Wainwright”), and its designees unregistered warrants to purchase an aggregate of 90,226 shares of the Company’s common stock (the “July Wainwright Warrants”).  The July Wainwright Warrants have substantially the same terms as the July Warrants, except that the July Wainwright Warrants will expire on July 21, 2021 and have an exercise price equal to $3.1172 per share of common stock.


On August 3, 2016, the Company completed a registered direct offering of 3,244,120 shares of common stock at a purchase price of $3.0825 per share (the “August 2016 Financing”) and together with the July 2016 Financing (the “2016 Financings”).  Concurrently in a private placement, for each share of common stock purchased by an investor, such investor received from the Company an unregistered warrant to purchase one half of a share of common stock, for a total of 1,622,060 shares (the “August Warrants”).  The August Warrants have an exercise price of $3.03 per share, are immediately exercisable and will expire on February 3, 2022. The aggregate gross proceeds from the sale of the common stock and warrants were $10 million, and the net proceeds after deduction of commissions and fees was approximately $9.2 million.

In connection with the August 2016 financing, the Company issued to its placement agent, Wainwright, and its designees unregistered warrants to purchase an aggregate of 162,206 shares of the Company’s common stock (the “August Wainwright Warrants”).  The August Wainwright Warrants have substantially the same terms as the August Warrants, except that the August Wainwright Warrants will expire on July 29, 2021 and have an exercise price equal to $3.853125 per share of common stock.

The warrants issued in connection with the 2016 Financings had a total initial fair value of $4,899,459 on their respective closing dates as determined using the Black Scholes pricing model and such value was recorded as the initial carrying value of the warrant liability.  The fair value of the warrants is remeasured at each financial reporting period with any change in fair value recognized as a change in fair value of the warrant liability in the Statement of Operations.

On December 15, 2016, the Company entered into amendments (the “Warrant Amendments”) with certain of the holders (the “Holders”) of the Company’s outstanding warrants to purchase common stock issued on July 25, 2016 and August 3, 2016. Pursuant to the Warrant Amendments, the Holders’ right to require the Company to purchase the outstanding warrants upon the occurrence of certain fundamental transactions will not apply if the fundamental transaction is a result of a transaction that has not been approved by the Company’s board of directors.  As a result of this amendment, warrants to purchase 252,432 shares of the Company’s common stock were no longer required to be classified as liabilities.  The value of amended warrants were adjusted to their fair value immediately prior to the amendment and approximately $207,000 was reclassified from warrant liability to Additional Paid-in Capital.

On February 16, 2017, an institutional investor from the Company’s financing which closed in July 2016 converted its warrant to purchase 526,315 shares of our common stock by a “cashless” exercise and received 211,860 shares of the Company’s common stock.  The warrant had an exercise price of $2.41 per share.  The shares were issued, and the warrants were sold, in reliance upon the registration exemption set forth in Section 4(a)(2) of the Securities Act of 1933, as amended.  The value of the exercised warrants were adjusted to their fair value immediately prior to the exercise and approximately $1.4 million was reclassified from warrant liability to Additional Paid-in Capital.  Subsequent to this transaction, warrants to purchase 2,449,129 shares of the Company’s common stock remain classified as a liability.

Sale of Common Stock in Public Offering

In February and March 2017,January 2021, the Company completed the sale of 2,775,8615,750,000 shares of its common stock in an underwritten public offering led by Laidlaw & Company (UK) Ltd.offering. The price to the public in this offering was $2.90$2.50 per share resulting in gross proceeds to the Company of approximately $8.0$14.4 million. After deducting underwriting discounts and commissions and estimated offering expenses payablepaid by the Company, the net proceeds to the Company raised from this offering waswere approximately $7.3$13.1 million.

At the Market Equity Offering Program

On April 15, 2016, the Company terminated its At Market Sales Agreement with MLV & Co. LLC and entered into a new At Market Issuance Sales Agreement with B. Riley FBR, Inc. (as successor by merger to FBR Capital Markets & Co., “FBR”) (“FBR Sales Agreement”), and filed a prospectus supplement, pursuant to which the Company may sell from time to time, at its option, up to an aggregate of 649,074 shares of the Company’s common stock through FBR as the sales agent.  The sales of shares made through this equity program are made in “at-the-market” offerings as defined in Rule 415 of the Securities Act. Through December 31, 2016, the Company sold 56,000 shares of common stock at a weighted average price per share of $5.45 and received proceeds of approximately $296,000, net of commissions and fees.  

On March 10,In November 2017, the Company filed a prospectus supplement, which replaced the prospectus supplement filed on April 15, 2016, permitting the Company to sell up to an aggregate of $20.0 million of shares of its common stock through FBR as a sales agent.  Under current SEC regulations, if at the time the Company files its Annual Report on Form 10-K, or Form 10-K, the Company’s public float is less than $75 million, and for so long as its public float remains less than $75 million, the amount the Company can raise through primary public offerings of securities in any twelve-month period using shelf registration statements is limited to an aggregate of one-third of the Company’s public float, which is referred to as the baby shelf rules. As of November 3, 2017, the Company’s public float was approximately $49.9 million, based on 12,858,418 shares of outstanding common stock held by non-affiliates and at a price of $3.88 per share, which was the last reported sale price of the Company’s common stock on The Nasdaq


Capital Market on October 11, 2017. As a result of the Company’s public float being below $75 million, the Company will be limited by the baby shelf rules until such time as the Company’s public float exceeds $75 million, which means the Company only has the capacity to sell shares up to one-third of its public float under shelf registration statements in any twelve-month period.  The Company had no sales of common stock under the baby shelf rules in the twelve-month period ended November 3, 2017. If the Company’s public float decreases, the amount of securities we may sell under our Form S-3 shelf registration statement will also decrease. The Company has not sold any shares of common stock throughwith the FBR Sales Agreement during 2017.

The Company’s currentSEC on Form S-3S-3. The shelf registration statement expires on November 25, 2017.  Concurrently with filing this Quarterly Report on Form 10-Q, the Company is filing a new shelf registration statement on Form S-3 which extends the effectiveness of the current shelf registration statement until the earlier of the date the SEC declares the new shelf registration statement effective or 6 months from the expiration date of the current shelf registration statement.  The new shelf registration statement includesincluded a prospectus for the at-the-market offering to sell up to an aggregate of $16.0 million of shares of the Company’s common stock through B. Riley FBR, Inc. (“FBR”) as a sales agent.  Theagent (the “FBR Sales Agreement”). During the six months ended June 30, 2020, the Company remains subjectsold 1,395,855 shares of common stock at a weighted-average price per share of $2.42 pursuant to the limitationsFBR Sales Agreement and received proceeds of approximately $3.3 million, net of commission and fees. Effective January 6, 2021, the Company terminated the FBR Sales Agreement. As a result, there were 0 shares sold under the FBR Sales Agreement during 2021.

In December 2020, the Company filed a new shelf registration statement with the SEC on Form S-3, or the replacement shelf registration statement. The replacement shelf registration statement replaced the registration statement on Form S-3 the Company originally filed with the SEC in November 2017, which registration statement expired in December 2020. The replacement shelf registration was declared effective by the SEC on January 6, 2021. In December 2020, the Company also entered into a new At Market Issuance Sales Agreement (the “ATM Sales Agreement”), with FBR and H.C. Wainwright & Co. (together with FBR, the “Sales Agents”), pursuant to which the Company may sell from time to time, at its option, up to an aggregate of $30 million worth of shares of the babyCompany’s common stock through the Sales Agents. The ATM Sales Agreement provides, among other things, that sales under the ATM Sales Agreement will be made pursuant to the replacement shelf rules described above.registration statement, including the base prospectus filed as part of such registration statement. During the six months ended June 30, 2021, there were 0 shares sold under the ATM Sales Agreement.


Future sales under the ATM Sales Agreement will depend on a variety of factors including, but not limited to, market conditions, the trading price of the Company’s common stock and the Company’s capital needs. There can be no assurance that FBRthe Sales Agents will be successful in consummating future sales based on prevailing market conditions or in the quantities or at the prices that the Company deems appropriate.

In addition, the Company will not be able to make future sales of common stock pursuant to the FBRATM Sales Agreement unless certain conditions are met, which include the accuracy of representations and warranties made to FBRthe Sales Agents under the FBRATM Sales Agreement. Furthermore, FBReach of the Sales Agents is permitted to terminate the FBRATM Sales Agreement with respect to itself in its sole discretion upon ten days’ notice, or at any time in certain circumstances, including the occurrence of an event that would be reasonably likely to have a material adverse effect on the Company’s assets, business, operations, earnings, properties, condition (financial or otherwise), prospects, stockholders’ equity or results of operations. The Company has no obligation to sell the remaining shares available for sale pursuant to the FBRATM Sales Agreement.

Employee Stock Purchase Plan

As a result of payroll withholdings from the Company’s employees of approximately $135,000 and $99,000, the Company sold 75,529 and 34,067 shares of common stock through its Employee Stock Purchase Plan (“ESPP”) during the nine months ended September 30, 2017 and 2016, respectively.

On May 3, 2017, the Company’s stockholders approved an amendment and restatement of the Company’s ESPP to increase the number of shares of common stock reserved under the ESPP by 100,000 shares (to an aggregate of 1,250,000 shares), to increase the annual evergreen provision from 30,000 shares to 100,000 shares, and to extend the term of the ESPP into 2027.

Stock-Based Compensation

Stock-based compensation expense includes charges relatedDuring the six months ended June 30, 2021 and 2020, the Company granted stock options to stock option grants underpurchase 1,682,000 and 1,172,000 shares of the Company’s 2016 Equity Incentive Award Plan and employeecommon stock, purchases underrespectively. Of the ESPP.  The Company measures stock-based compensation expense based onoptions granted in 2020, 437,500 did not begin vesting until June 19, 2020, the grant date fair value of any awards granted to its employees.  Such expense is recognized overthat FDA approved the period of time that employees provide service and earn rights to the awards.  

Gimoti NDA. The estimated fair value of each stock option award granted was determined on the date of grant using the Black ScholesBlack-Scholes option-pricing valuation model with the following weighted-average assumptions for option grants during the three and ninesix months ended SeptemberJune 30, 20172021 and 2016:2020:

 

Three and Nine Months Ended

September 30,

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

2017

 

 

2016

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

Common Stock Options

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Risk free interest rate

 

1.93% - 2.16%

 

 

1.25% - 1.58%

 

 

0.91%-1.08%

 

 

0.39%

 

 

0.57%-1.08%

 

 

0.39%-0.96%

 

Expected option term

 

5.5 - 6.0 years

 

 

5.3 - 6.0 years

 

 

5.5-6.0 years

 

 

5.5 years

 

 

5.5-6.0 years

 

 

5.5-6.0 years

 

Expected volatility of common stock

 

94.05% - 98.25%

 

 

74.44%  - 75.91%

 

 

105.93%-107.53%

 

 

103.99%

 

 

103.45%-107.53%

 

 

99.73%-103.99%

 

Expected dividend yield

 

 

0.0%

 

 

 

0.0%

 

 

0.0%

 

 

0.0%

 

 

0.0%

 

 

0.0%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

There were no stock options granted during the three months ended September 30, 2017 and 2016.

The estimated fair value of eachthe shares to be acquired under the ESPP award was determined on the initiation date of granteach six-month purchase period using the Black ScholesBlack-Scholes option-pricing valuation model with the following weighted-average assumptions for option grantsESPP shares to be purchased during the three and ninesix months ended SeptemberJune 30, 2017 and 2016:2020:

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

Three and Six Months Ended

June 30, 2021

 

 

Three and Six Months Ended

June 30, 2020

 

Employee Stock Purchase Plan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Risk free interest rate

 

 

1.10%

 

 

 

0.47%

 

 

0.79% - 1.10%

 

 

0.47% - 0.50%

 

 

0.13%

 

 

1.11%

 

Expected term

 

6 months

 

 

6 months

 

 

6 months

 

 

6 months

 

 

0.5 years

 

 

0.5 years

 

Expected volatility of common stock

 

 

37.60%

 

 

 

212.80%

 

 

37.60% - 99.23%

 

 

83.83% - 212.80%

 

 

111.98%

 

 

69.72%

 

Expected dividend yield

 

 

0.0%

 

 

 

0.0%

 

 

 

0.0%

 

 

 

0.0%

 

 

0.0%

 

 

0.0%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

There were no employee withholdings to purchase shares during the six-month purchase period beginning March 1, 2021.

The Company recognized non-cash stock-based compensation expense to employees and directors in its research and development and its selling, general and administrative functions during the three and six months ended June 30, 2021 and 2020 as follows:

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

Research and development

 

$

200,773

 

 

$

177,767

 

 

$

626,976

 

 

$

487,704

 

 

$

23,820

 

 

$

134,400

 

 

$

92,200

 

 

$

254,962

 

General and administrative

 

 

275,124

 

 

 

274,469

 

 

 

777,950

 

 

 

810,575

 

Selling, general and administrative

 

 

375,591

 

 

 

228,555

 

 

 

868,559

 

 

 

418,155

 

Total stock-based compensation expense

 

$

475,897

 

 

$

452,236

 

 

$

1,404,926

 

 

$

1,298,279

 

 

$

399,411

 

 

$

362,955

 

 

$

960,759

 

 

$

673,117

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of SeptemberJune 30, 2017,2021, there werewas approximately $2.1$4.0 million of unrecognized compensation costs related to outstanding employee and board of director options, which are expected to be recognized over a weighted averageweighted-average period of 1.21.47 years.


6.  Fair Value Measurements5. Commercial Services and Loan Agreements with Eversana

Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date.

As noted in Note 5, during the third quarter of 2016On January 21, 2020, the Company entered into the 2016 Financingsa commercial services agreement (the “Eversana Agreement”) with an institutional investor providingEversana for the issuancecommercialization of Gimoti. Pursuant to the Eversana Agreement, Eversana commercializes and saledistributes Gimoti in the United States. Eversana also manages the marketing of Gimoti to targeted health care providers, as well as the sales and distribution of Gimoti in the United States.

Under the terms of the Eversana Agreement, the Company maintains ownership of the Gimoti NDA, as well as legal, regulatory, and manufacturing responsibilities for Gimoti. Eversana will utilize its internal sales organization, along with other commercial functions, for market access, marketing, distribution and other related patient support services. The Company will record sales for Gimoti and retain more than 80% of net product profits once the parties’ costs are reimbursed. As of June 30, 2021, unreimbursed commercialization costs to Eversana were approximately $17.0 million. Such costs will generally be payable only as net product profits are recognized. Eversana will receive reimbursement of its commercialization costs pursuant to an agreed upon budget and a percentage of product profits in the mid-to-high teens. Net product profits are the net sales (as defined in the Eversana Agreement) of Gimoti, less (i) reimbursed commercialization costs, (ii) manufacturing and administrative costs set at a fixed percentage of net sales, and (iii) third party royalties. During the term of the Eversana Agreement, Eversana agreed to not market, promote, or sell a competing product in the United States.

The Eversana Agreement terminates on June 19, 2025, unless terminated earlier pursuant to its terms. Upon expiration or termination of the agreement, the Company will retain all profits from product sales and assume all corresponding commercialization responsibilities. Within 30 days after each of the first three annual anniversaries of commercial launch, either party may terminate the agreement if net sales of Gimoti do not meet certain annual thresholds. Either party may terminate the agreement: for the material breach of the other party, subject to a 60-day cure period; in the event an insolvency, petition of the other party is pending for more than 60 days; upon 30 days written notice to the other party if Gimoti is subject to a safety recall; if the other party is in breach of certain regulatory compliance representations under the agreement; if the Company discontinues the development or production of Gimoti; if the net profit is negative for any two consecutive calendar quarters beginning with the first full calendar quarter 24 months following commercial launch; if the cumulative net product profits fail to reach certain thresholds in the first three years following commercial launch; or if there is a change in applicable laws that makes operation of the services as contemplated under the agreement illegal or commercially impractical. Either party may also terminate the Eversana Agreement upon a change of control of the Company’s ownership, subject, in the event that the Company initiates such termination, to a one-time payment equal to between two times and one times annualized service fees paid by the Company under the Eversana Agreement, with such amount based on which year after commercial launch the change of 5,048,632 sharescontrol occurs. Such payment amount would be reduced by the amount of previously reimbursed commercialization costs and profit split paid for the related prior twelve-month period and any revenue which occurred prior to the termination yet to be collected. If Eversana terminates the agreement due to an uncured material breach by the Company, or if the Company terminates the Eversana Agreement in certain circumstances, the Company has agreed to reimburse Eversana for its unreimbursed commercialization costs for the prior twelve-month period and certain other costs. In addition, Eversana may terminate the Eversana Agreement if the Company withdraws Gimoti from the market for more than 90 days.

In connection with the Eversana Agreement, the Company and Eversana have entered into the Eversana Credit Facility, pursuant to which Eversana agreed to provide a revolving Credit Facility of up to $5 million to the Company upon FDA approval of the Gimoti NDA, as well as certain other customary conditions. The Eversana Credit Facility terminates on June 19, 2025, unless terminated earlier pursuant to its terms. The Eversana Credit Facility is secured by all of the Company’s common stock and warrants to purchase up to 2,975,444 sharespersonal property other than the Company’s intellectual property. Under the terms of the Company’s common stock for aggregate gross proceeds of $14.5 million.  In addition, as partial payment for services,Eversana Credit Facility, the Company issuedcannot grant an interest in the Company’s intellectual property to any other person. Each loan under the underwriters warrantsEversana Credit Facility will bear interest at an annual rate equal to purchase up to 252,432 shares10.0%, with such interest due at the end of the Company’s common stock.loan term. In June 2020 the Company borrowed $2 million and in December 2020 it borrowed the remaining $3 million under the Eversana Credit Facility.

The Company utilizes a valuation hierarchy for disclosuremay prepay any amounts borrowed under the Eversana Credit Facility at any time without penalty or premium. The maturity date of all amounts, including interest, borrowed under the Eversana Credit Facility will be 90 days after the expiration or earlier termination of the inputsEversana Agreement. The Eversana Credit Facility also includes events of default, the occurrence and continuation of which provide Eversana with the right to exercise remedies against the valuations usedCompany and the collateral securing the loans under the Eversana Credit Facility, including the Company’s cash. These events of default include, among other things, the Company’s failure to measure fair value.  This hierarchy prioritizespay any amounts due under the inputs into three broad levels as follows:  Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities.  Level 2 inputs are quoted prices for similar assets and liabilities in active markets or inputs that are observable for the asset or liability, either directly or indirectly through market corroboration, for substantially the full termEversana Credit Facility, an uncured material breach of the financial instrument.  Level 3 inputs are unobservable inputs based onrepresentations, warranties and other obligations under the Company’s own assumptions used to measure assetsEversana Credit Facility, the occurrence of insolvency events and liabilities at fair value.  A financial asset or liability’s classification within the hierarchy is determined based on the lowest level input that is significant to the fair value measurement.

The Company had no assets or liabilities classified as Level 1 or Level 2.  The warrant liability is classified as Level 3.


The Company has classified the warrants asoccurrence of a liability and has remeasured the liability to estimated fair value at September 30, 2017 and December 31, 2016, using the Black Scholes option pricing model with the following assumptions:

 

 

September 30,

2017

 

 

December 31,

2016

 

Risk-free interest rate

 

 

1.77%

 

 

 

1.93%

 

Expected volatility

 

 

100.41%

 

 

 

94.19%

 

Expected term

 

4.33 years

 

 

5.08 years

 

Expected dividend yield

 

 

0.0%

 

 

 

0.0%

 

 

 

 

 

 

 

 

 

 

The following fair value hierarchy table presents information about the Company’s financial assets and liabilities measured at fair value on a recurring basis as of September 30, 2017 and December 31, 2016:

 

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Total

 

Warrant liability

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at September 30, 2017

 

$

-

 

 

$

-

 

 

$

6,050,901

 

 

$

6,050,901

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2016

 

$

-

 

 

$

-

 

 

$

4,095,019

 

 

$

4,095,019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following table presents a reconciliation of the Company’s liabilities measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the nine months ended September 30, 2017:

 

 

Warrant

Liability

 

Balance at December 31, 2016

 

$

4,095,019

 

Issuance of warrants

 

 

Change in fair value upon re-measurement

 

 

3,354,973

 

Reclassification to Additional Paid-in Capital

   due to warrant exercise

 

 

(1,399,091

)

Balance at September 30, 2017

 

$

6,050,901

 

 

 

 

 

 

change in control.

 

There were no transfers between Level 1 and Level 2 in any of the periods reported.



Item

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

The following discussion and analysis should be read in conjunction with our financial statements and accompanying notes included in this Quarterly Report on Form 10-Q and the financial statements and accompanying notes thereto for the fiscal year ended December 31, 20162020 and the related Management’s Discussion and Analysis of Financial Condition and Results of Operations, both of which are contained in our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, on March 15, 2017.11, 2021. Past operating results are not necessarily indicative of results that may occur in future periods.

Forward-Looking Statements

This Quarterly Report on Form 10-Q contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, or the Securities Act, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act.  All statements other than statements of historical facts contained in this Quarterly Report on Form 10-Q, including statements regarding our future results of operations and financial position, business strategy, prospective products, product approvals,commercial activities to be conducted by Eversana Life Science Services, LLC, or Eversana, the pricing and reimbursement for Gimoti, future regulatory developments, research and development costs, the timing and likelihood of success, plans and objectives of management for future operations, and future results of current and anticipated products and the impact of the coronavirus, or COVID-19, pandemic, on us or on third parties on whom we rely, are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statement. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “contemplates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or the negative of these terms or other similar expressions. Although we believe the expectations reflected in these forward-looking statements are reasonable, such statements are inherently subject to risk and we can give no assurances that our expectations will prove to be correct. Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements, which speak only as of the date of this Quarterly Report on Form 10-Q. You should read this Quarterly Report on Form 10-Q completely. As a result of many factors, including without limitation those set forth under “Risk Factors” under Item 1A of Part II below, and elsewhere in this Quarterly Report on Form 10-Q, our actual results may differ materially from those anticipated in these forward-looking statements. Except as required by applicable law, we undertake no obligation to update these forward-looking statements to reflect events or circumstances after the date of this report or to reflect actual outcomes. For all forward-looking statements, we claim the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995.  

We use our registered trademark, EVOKE PHARMA, and our trademarked product name, Gimoti,other trademarks, including GIMOTI and EvokeAssist, in this Quarterly Report on Form 10-Q. This Quarterly Report on Form 10-Q also includes trademarks, tradenames and service marks that are the property of other organizations. Solely for convenience, trademarks and tradenames referred to in this Quarterly Report on Form 10-Q appear without the ® and ™ symbols, but those references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or that the applicable owner will not assert its rights, to these trademarks and tradenames.

Unless the context requires otherwise, references in this Quarterly Report on Form 10-Q to “Evoke,” “we,” “us” and “our” refer to Evoke Pharma, Inc.

Overview

WeWe are a specialty pharmaceutical company focused primarily on the development and commercialization of drugs to treat gastrointestinal, or GI, disorders and diseases. We areSince our inception, we have devoted our efforts to developing our sole product, Gimoti an investigational metoclopramide(metoclopramide) nasal spray, the first and only nasally-administered product indicated for the relief of symptoms associatedin adults with acute and recurrent diabetic gastroparesis. On June 19, 2020, we received approval from the U.S. Food and Drug Administration, or FDA, for our 505(b)(2) New Drug Application, or NDA, for Gimoti. We launched commercial sales of Gimoti in the United States in October 2020 through our commercial partner Eversana.

Diabetic gastroparesis is a gastrointestinalGI disorder afflictingaffecting millions of peoplepatients worldwide, and is characterized by slow or delayed gastric emptying and evidencein which food in an individual’s stomach takes too long to empty resulting in a variety of gastric retention in the absence of mechanical obstruction and can cause various serious digestive systemGI symptoms and othersystemic metabolic complications. Metoclopramide tabletsThe gastric delay caused by gastroparesis can compromise absorption of orally administered medications.

On January 21, 2020, we entered into an agreement with Eversana, or the Eversana Agreement, for the commercialization of Gimoti. Pursuant to the Eversana Agreement, Eversana commercializes and injection are the only products currently approveddistributes Gimoti in the United StatesStates. Eversana also manages the marketing of Gimoti to treattargeted health care providers, as well as the symptoms associated with acutesales and recurrent diabetic gastroparesis. Gimoti is a novel nasal spray formulation of metoclopramide and designed to provide systemic delivery of the molecule through the nasal mucosa.  

In July 2016, we announced results from a Phase 3 clinical trialdistribution of Gimoti in female subjects with symptoms associated with acute and recurrent diabetic gastroparesis.  The trial wasthe United States. Eversana also provided a multicenter, randomized, double-blind, placebo-controlled, parallel group clinical trial to evaluate$5 million revolving credit facility, or the efficacy, safety and population pharmacokinetics, or PK, of Gimoti in adult female subjects with diabetic gastroparesis.  Subjects received either Gimoti or placebo four times daily for 28 days. The primary endpoint was the change in symptoms from the baseline period to Week 4 as measured using a proprietary Patient Reported Outcome, or PRO, instrument. On a daily basis, subjects reported the frequency and severity of their gastroparesis signs and symptoms using a telephone diary. The subjects’ daily symptom scores were the basis for calculating their weekly scores using the PRO instrument. A total of 205 subjects were randomized in this trial. Preliminary resultsEversana Credit Facility, that became available upon FDA approval of the trial showed that Gimoti did not achieve its primary endpoint of symptom improvement at Week 4 in the intent to treat, or ITT, population.


Although the Phase 3 trial failed to reach its primary endpoint, Gimoti demonstrated efficacy in patients with moderate to severe symptoms at baseline, which included 105 of the 205 patients (51%) enrolled in the study. In these patients with higher symptom severity, statistically significant benefits were demonstrated for those treated with Gimoti versus those receiving placebo. These statistically significant benefits were observed at Weeks 1, 2 and 3 in the ITT population and at all four weeks in the per protocol population. There were also clinically and statistically significant improvements in nausea and upper abdominal pain, two of the more severe and debilitating symptoms of gastroparesis, at all four weeks.

In December 2016, we announced we had completed a second pre-new drug application, or NDA, meeting with FDA, in which FDA agreed that a comparative exposure PK trial was acceptable as a basis for submission of a Gimoti NDA. The comparative exposure PK trial will serve as a portion ofIn June 2020 we borrowed $2 million and in December 2020 we borrowed the 505(b)(2) NDA submission that will include prior efficacy and safety data developed by us along with FDA’s prior findings of safety and efficacy for the Listed Drug, Reglan Tablets.  In March 2017, we met with FDA to discuss the design of the comparative exposure PK trial and certain other chemistry, manufacturing and controls related items associated with the proposed NDA submission.

On October 23, 2017, we announced positive topline results from the comparative exposure PK trial. The objective of the trial was to determine the bioequivalent dose of Gimoti compared to the Reglan Tablets after nasal and oral administration to healthy volunteers under fasted conditions.  Based on these results, we expect to submit the Gimoti NDA to FDA in the first quarter of 2018.  

The comparative exposure PK trial was an open label, 4-way crossover and enrolled 108 male and female healthy volunteers who were each to receive one Reglan Tablet dose and three different doses of Gimoti in a random sequence.  Following discussions at pre-NDA meetings with FDA, we planned to select a Gimoti dose based on criteria that includes a 90% confidence interval for the ratio of arearemaining $3 million under the plasma concentration curve, or AUC, falling within the bioequivalence range of 80-125% of Reglan Tablets. Though only one dose was needed to meet the dose selection criteria, the comparative exposure PK trial was designed to test three different strengths of Gimoti. Based on results of the study, two of the three doses tested met the dose selection criteria.  The maximum observed plasma concentration, or Cmax, for Gimoti was slightly lower than the bioequivalence range, but in line with expectations that had been previously discussed with FDA as a likely outcome given the different route of administration and prior Gimoti PK trial results.  Additionally, data showed the AUC and Cmax increased in a dose related manner across all three strengths tested.  Relative to safety, all Gimoti doses were well tolerated with no clinically significant adverse events reported following any of the doses.Eversana Credit Facility.

We have no products approved for sale, and we have not generated any revenue from product sales or other arrangements.  We have primarily funded our operations through the sale of our convertible preferred stock prior to our initial public offering in September 2013, borrowings under our bank loans and the sale of shares of our common stock on the NASDAQNasdaq Capital Market. We


launched commercial sales of Gimoti in late October 2020 with Eversana and, to date, have generated modest sales given the launch occurred during the COVID-19 pandemic.

We have incurred losses in each year since our inception. Substantially all of ourThese operating losses resulted from expenses incurred in connection with advancing Gimoti through development activities and selling, general and administrative costs associated with our operations. We expect to continue to incur significant expenses and increasing operating losses for at least the next several years.until revenues from sales of Gimoti exceed our expenses, if ever. We may never become profitable, or if we do, we may not be able to sustain profitability on a recurring basis.

As of SeptemberJune 30, 20172021, we had cash and cash equivalents of approximately $10.4$16.7 million. Current cash on hand is intended to fund commercialization activities for Gimoti, including manufacturing Gimoti, conducting the post-marketing commitment single dose pharmacokinetics, or PK, clinical trial of Gimoti to characterize dose proportionality of a lower dose strength of Gimoti and any additional development activities should we seek additional indications, protecting our intellectual property portfolio and for selling, general and administrative costs to support operations. Our operations have consumed substantial amounts of cash since inception. We believe, based on our current operating plan, that our existing cash and cash equivalents as of June 30, 2021, as well as cash flows from future net sales of Gimoti, will be sufficient to fund our operations through at least June 2018.  Currentinto the third quarter of 2022. This period could be shortened if there are any significant increases in planned spending other than anticipated. We anticipate that we will be required to raise additional funds in order to continue as a going concern. Because our business is entirely dependent on handthe success of Gimoti, if we are intendedunable to fund clinicalsecure additional financing or identify and execute on other development pre-approval and pre-commercialization activitiesor strategic alternatives for Gimoti or our company, we will be required to curtail all of our activities and may be required to liquidate, dissolve or otherwise wind down our operations. Any of these events could result in a complete loss of your investment in our securities.

Impact of COVID-19

Despite the COVID-19 pandemic, we began our commercial sales of Gimoti with Eversana in October 2020. We have experienced various disruptions to our sales activities, but have continued our efforts to reach physicians and customers. For example, Eversana’s commercialization efforts have been adversely affected by operational restrictions imposed on its sales force from quarantines, travel restrictions and bans, and other governmental restrictions related to COVID-19. As a result of these restrictions, their sales force has been restricted from conducting in-person interactions with certain physicians and customers and has been restricted to conducting Gimoti educational and promotional activities virtually in certain circumstances, which has impacted Eversana’s ability to more actively market Gimoti. Research conducted by IOVIA stated that as a result of COVID-19, fewer patients are visiting physician offices resulting in lower patient volumes than normal, and the Centers for Disease Control and Prevention reported during 2020 that over 40% of patients were avoiding care due to COVID-19. We anticipate that we and Eversana will continue to be impacted by the COVID-19 pandemic.

The COVID-19 pandemic has not significantly disrupted the operations of our third-party suppliers and manufacturers or delayed our manufacturing timelines of Gimoti, but may negatively impact our ability to successfully commercialize Gimoti and generate product sales in the future. Further, the COVID-19 pandemic and mitigation measures have also had an adverse impact on global economic conditions which could have an adverse effect on our future business and financial condition, including impairing our ability to raise capital when needed.

In March 2020, the analysisCoronavirus Aid, Relief, and Economic Security, or CARES, Act was enacted in response to the COVID-19 pandemic. In April 2020, we applied for and were approved for a Small Business Administration, or SBA, loan under the Paycheck Protection Program, or PPP, established by the CARES Act. On May 1, 2020, we received the loan proceeds of data fromapproximately $104,000. In January 2021, we received notice that our loan and accrued interest were forgiven by the comparative exposure PK trial, the planned NDA submission, and for working capital and general corporate purposes.  SBA.

Technology Acquisition Agreement

In June 2007, we acquired all worldwide rights, data, patents and other related assets associated with Gimoti from Questcor Pharmaceuticals, Inc., or Questcor, pursuant to an asset purchase agreement. We paid Questcor $650,000 in the form of an upfront payment and $500,000 in May 2014 as a milestone payment based upon the initiation of the first patient dosing in our Phase 3 clinical trial for Gimoti. In August 2014, Mallinckrodt, plc, or Mallinckrodt, acquired Questcor. As a result of that acquisition, Questcor transferred its rights included in the asset purchase agreement with us to Mallinckrodt. In addition to the payments wepreviously made to Questcor, we may also be required to make additional milestone payments to Mallinckrodt totaling up to $51.5$52 million. These milestones include upIn March 2018, we amended the asset purchase agreement with Mallinckrodt to $4.5 million indefer development and approval milestone payments, if Gimoti achieves the following development targets:

$1.5 million upon the FDA’ssuch that rather than paying two milestone payments based on FDA acceptance for review of anthe NDA for Gimoti; and

$3 final product marketing approval, we would be required to make a single $5 million uponpayment on the FDA’sone-year anniversary after we receive FDA approval to market Gimoti. At the time of Gimoti.  the Gimoti NDA approval by FDA, we recorded the $5 million payable owed to Mallinckrodt, along with a $5 million research and development expense. The $5 million milestone payment was paid in July 2021.

The remaining $47 million in milestone payments depend on Gimoti’s commercial success and will only apply if Gimoti receives regulatory approval.  In addition, we will besuccess. We are also required to pay to Mallinckrodt a low single digit royalty on net sales of Gimoti. Our obligation to pay such royalties will terminate upon the expiration of the last patent right covering Gimoti, which is expected to occur in 2030.  2030, subject to possible extension should any additional, later expiring, licensed patents be granted.


Financial Operations Overview

Revenue Recognition

Our ability to generate revenue and become profitable depends on our ability to successfully commercialize Gimoti, which we launched in the United States through prescription in October 2020 through our commercial partner Eversana. If we or Eversana fail to successfully launch Gimoti and grow and maintain sales, we may never generate significant revenues and our results of operations and financial position will be adversely affected.

In accordance with Accounting Standards Codification, or ASC, 606, Revenue from Contracts with Customers, we recognize revenue when a customer obtains control of promised goods in an amount that reflects the consideration we expect to receive in exchange for the goods provided. Customer control is determined upon the customer’s physical receipt of the product. To determine revenue recognition for arrangements within the scope of ASC 606, we perform the following five steps: identify the contracts with the customer; identify the performance obligations in the contract; determine the transaction price; allocate the transaction price to the performance obligations in the contract; and recognize revenue when (or as) it satisfies a performance obligation. At contract inception, we assess the goods promised within each contract and determine those that are performance obligations and assess whether each promised good is distinct. We then recognize as revenue the amount of the transaction price that is allocated to the respective performance obligation when the customer obtains control of the product.

Product sales are recorded at the transaction price, which includes variable considerations for co-payment assistance to commercially insured patients meeting certain eligibility requirements, as well as to uninsured patients. Co-payment assistance is recorded as an offset to gross revenue at the time revenue from the product sale is recognized based on expected and actual program participation.

Co-pay liabilities are estimated using prescribing data available from customers. Actual amounts of consideration ultimately received may differ from our estimates. If actual results in the future vary from estimates, we will adjust these estimates, which would affect net product revenue and earnings in the period such variances become known.

Liabilities for co-pay assistance are classified as accounts payable and accrued expenses in the balance sheets.

Sales of Gimoti Metrics

Gimoti revenues continue to increase on several metrics. During the second quarter of 2021 compared to the first quarter of 2021, Gimoti experienced a nearly 162% growth of net product sales and 152% growth in the number of prescriptions. New prescribers of Gimoti increased from 84 during the first quarter of 2021 to 132 (57% increase) during the second quarter of 2021. Enrollments into the EvokeAssist reimbursement center have grown each month, with June 2021 having the largest number of monthly enrollments to date. Since product launch, patients that have an opportunity to refill the product (that is, patients who have completed their current supply and have additional refills on their prescription) have received a refill approximately 61% of the time. We believe some patients choose not to refill their prescriptions due to remission of symptoms.

In December 2020 and January 2021, we began accessing the Medicare and Medicaid systems, respectively, to allow for reimbursement submission of products for patients seeking treatment. For the quarter ended June 30, 2021, these government programs


made up approximately 33% of the filled prescriptions for Gimoti. Through June 30, 2021, the patients have been mostly between the ages of 31-65. The vast majority are female and were being treated by a gastroenterologist.

The feedback from the Eversana sales organization continues to be positive with regard to physician interest. Although many target physician offices are only recently allowing face to face visits by sales team members, meetings with gastroenterology teams continue to generate positive enrollments and fills. Since product launch, it has taken an average of four to five physician calls before a physician writes their first prescription, which is lower than we initially expected and we believe congruent with the straight-forward non-oral benefit for route of delivery. Furthermore, we have detected a pattern within larger gastroenterology teams that the first physician adopting the use of Gimoti has led other physicians within the same practice to begin prescribing Gimoti as well. These market experiences follow the recently conducted market research announced in June 2021, which indicated, among other positive trends and benefits, that 90% of target gastroenterologists compared to 79% in a prior market research study, intend to prescribe Gimoti.

Research and Development Expenses

We expense all research and development expenses as they are incurred. Research and development expenses primarily include:

clinical trial and regulatory-related costs;

clinical and regulatory-related costs;

expenses incurred under agreements with contract research organizations, or CRO, investigative sites and consultants that conduct our clinical trials;

expenses incurred under agreements with contract research organizations, or CROs;

manufacturing and stability testing costs and related supplies and materials; and

manufacturing and stability testing costs and related supplies and materials; and

employee-related expenses, including salaries, benefits, travel and stock-based compensation expense.  

employee-related expenses, including salaries, benefits, travel and stock-based compensation expense.

All of our research and development expenses to date have been incurred in connection with the development of Gimoti. For the remainderWith FDA approval of 2017Gimoti, we expect research and development costs related to ourdecrease and shift to commercialization and selling costs. However, we have initiated planning for an FDA post-marketing commitment single dose PK clinical development, including the analysis of data from the comparative exposure PK trial and pre-approval and pre-commercialization activities, including marketing and manufacturing of Gimoti and completionto characterize dose proportionality of a planned NDA submission, to continue. The processlower dose strength of conductingGimoti, as well as other costs that may occur for any additional clinical trials necessarywe may pursue to obtain regulatory approval is costly and time consuming.expand the indication of Gimoti. This trial will be designed to characterize dose proportionality of a lower dosage strength of Gimoti to accommodate patients that may require further dosage adjustments. We are unable to estimate with any certainty the costs we will incur inrelated to this trial, or the continued developmentregulatory review of Gimoti.such lower dosage of Gimoti, though such costs may be significant. Clinical development timelines, the probability of success and development costs can differ materially from expectations.  We may never succeed in achieving marketing approval for our product candidate.  

The costs of clinical trials may vary significantly over the life of a project owing to, but not limited to, the following:

per patient trial costs;

per subject trial costs;

the number of sites included in the trials;

the number of sites included in the trials;

the countries in which the trials are conducted;

the length of time required to enroll eligible subjects;

the length of time required to enroll eligible subjects;

the number of subjects that participate in the trials;

the number of subjects that participate in the trials;

the number of doses that subjects receive;

the number of doses that subjects receive;

the cost of comparative agents used in trials;

the cost of comparative agents used in trials;

the drop-out or discontinuation rates of subjects;

the drop-out or discontinuation rates of subjects;

potential additional safety monitoring or other studies requested by regulatory agencies; and

potential additional safety monitoring or other studies requested by regulatory agencies;

the duration of patient follow-up; and

the efficacy and safety profile of the product candidate.  

the duration of patient follow-up.

We do not yet know when Gimoti may be commercially available, if at all.  

Selling, General and Administrative Expenses

GeneralSelling, general and administrative expenses consist primarily of salaries and related benefits, including stock-based compensation. Other selling, general and administrative expenses include professional fees for accounting, tax, patent costs, legal services, insurance, facility costs and costs associated with being a publicly-traded company, including fees associated with investor relations and directors and officers liability insurance premiums. We expect that selling, general and administrative expenses will increase in the future as we expand our operating activities, prepare for the growth needs associated with commercialization and continue to incur additional costs associatedprogress with being a publicly-traded companythe commercialization of Gimoti and maintaining compliance with exchange listing and Securities and Exchange Commission requirements. These increases will likely include higher consulting costs, legal fees, accounting fees, directors’ and officers’ liability insurance premiums and fees associated with investor relations.  

Other Income (Expense)

Other income (expense) consistswe reimburse Eversana from the net profits attained from the sales of changes in the fair value of the warrant liability, which represents the change in the fair value of common stock warrants from reporting period to reporting period.  The warrant liability relates to the warrants issued in the July 2016 Financing and August 2016 Financing, or collectively the 2016 Financings, and will be revalued each reporting period until the


liability is settled.  We use the Black Scholes pricing model to value the related warrant liability.  Other expense in 2016 also included interest expense incurred on our former outstanding debt.  Gimoti.

Critical Accounting Policies and Significant Judgments and Estimates

OurOur management’s discussion and analysis of our financial condition and results of operations is based on our financial statements, which we have prepared in accordance with generally accepted accounting principles in the United States, or GAAP. The preparation of these financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, as well as the reported revenues and expenses during the reporting periods. We evaluate these estimates and judgments on an ongoing basis. We base our estimates on historical experience and


on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Our actual results may differ materially from these estimates under different assumptions or conditions.

The critical accounting policies and estimates underlying the accompanying unaudited financial statements are those set forth in Part II, Item 7 included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2016,2020, which was filed with the SEC on March 15, 2017.

Other Information

JOBS Act

On April 5, 2012, the Jumpstart Our Business Startups Act of 2012, or the JOBS Act was enacted.  Section 107 of the JOBS Act provides that an “emerging growth company” can take advantage of the extended transition period provided in Section 7(a)(2)(B) of the Securities Act for complying with new or revised accounting standards.  In other words, an “emerging growth company” can delay the adoption of certain accounting standards until those standards would otherwise apply to private companies.  We have irrevocably elected not to avail ourselves of this extended transition period and, as a result, we will adopt new or revised accounting standards on the relevant dates on which adoption of such standards is required for other public companies.  

Subject to certain conditions set forth in the JOBS Act, as an “emerging growth company,” we intend to rely on certain of these exemptions, including without limitation, (i) providing an auditor’s attestation report on our system of internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley Act and (ii) complying with any requirement that may be adopted by the Public Company Accounting Oversight Board, regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial statements, known as the auditor discussion and analysis.  We will remain an “emerging growth company” until the earliest of (a) the last day of the fiscal year in which we have total annual gross revenues of $1.07 billion or more, (b) the last day of our fiscal year following the fifth anniversary of the date of the completion of our initial public offering, or IPO, (c) the date on which we have issued more than $1 billion in nonconvertible debt during the previous three years or (d) the date on which we are deemed to be a large accelerated filer under the rules of the SEC.  11, 2021.

Results of Operations

Comparison of Three Months Ended SeptemberJune 30, 20172021 and 20162020

The following table summarizes the results of our operations for the three months ended SeptemberJune 30, 20172021 and 2016:2020:

 

 

Three Months Ended

June 30,

 

 

Increase/

(Decrease)

 

 

 

2021

 

 

2020

 

 

 

 

Net product sales

 

$

236,635

 

 

$

 

 

$

236,635

 

Research and development expenses

 

$

195,229

 

 

$

5,782,094

 

 

$

(5,586,865

)

Selling, general and administrative expenses

 

$

2,142,149

 

 

$

1,182,872

 

 

$

959,277

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Product Sales.  Net product sales for the three months ended June 30, 2021 compared to the three months ended June 30, 2020 increased by approximately $237,000. We received FDA approval of our Gimoti NDA in June 2020 and began commercial sales in October 2020, so there were no commercial sales during the three months ended June 30, 2020.

 

 

Three Months Ended

September 30,

 

 

Increase/

(Decrease)

 

 

 

2017

 

 

2016

 

 

 

 

Research and development expenses

 

$

2,717,698

 

 

$

1,339,343

 

 

$

1,378,355

 

General and administrative expenses

 

$

984,047

 

 

$

830,092

 

 

$

153,955

 

Other expenses

 

$

1,541,316

 

 

$

855,846

 

 

$

685,470

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and Development Expenses.  Research and development expenses for the three months ended SeptemberJune 30, 20172021 compared to the three months ended SeptemberJune 30, 2016 increased2020 decreased by approximately $1.4 million due primarily$5.6 million. During 2021, we incurred expenses for ongoing stability testing of batches of Gimoti manufactured prior to our comparative exposurereceipt of FDA approval of the Gimoti NDA in June 2020, as well as preparing for a post-marketing commitment to conduct a single dose PK trial being conducted during the third quarter of 2017. Our Phase 3 clinical trial was completed duringof Gimoti to characterize dose proportionality of a lower dose strength of Gimoti, including the second quartermanufacture of 2016 and the analysis of theclinical trial data occurred during the second half of 2016, so research and development costs were lower during the quarter ended September 30, 2016. material.

Costs incurred in 2017 include2021 included approximately $1.8 million of clinical trial costs, approximately $601,000$65,000 for wages, taxes and employee insurance, including approximately $201,000$24,000 of stock-based compensation expense, and approximately $337,000$122,000 related to costs associated with the preparationmanufacturing. During 2020, we expensed $5 million upon achieving a technology acquisition milestone related to FDA’s approval of an NDA.  CostsGimoti. We also incurred in 2016 include approximately $650,000expenses responding to requests for additional information from FDA related


to our NDA and preparing for future manufacturing and potential commercial launch of Gimoti. In addition to the Phase 3 clinical trial for Gimoti,milestone expense, during the three months ended June 30, 2020, we incurred other costs including approximately $489,000$378,000 for wages, taxes and employee insurance, including approximately $178,000$134,000 of stock-based compensation expense, and approximately $193,000$347,000 related to costs associated with the preparation of an NDA.manufacturing.

Selling, General and Administrative Expenses.  GeneralSelling, general and administrative expenses for the three months ended SeptemberJune 30, 20172021 compared to the three months ended SeptemberJune 30, 20162020 increased by approximately $154,000.$959,000. Costs incurred in 20172021 primarily included approximately $542,000$1.0 million for wages, taxes and employee insurance, including approximately $275,000$376,000 of stock-based compensation expense, approximately $607,000 for legal, accounting, directors and officers liability insurance and other costs associated with being a public company, approximately $354,000 for marketing, royalties and Eversana profit sharing, and approximately $40,000 for facility-related expenses. Of the approximately $2.1 million of total selling, general and administrative expenses incurred during the three months ended June 30, 2021, approximately $1.0 million related to wages, taxes, employee insurance, stock-based compensation, and other commercialization activities. Costs incurred in 2020 primarily included approximately $610,000 for wages, taxes and employee insurance, including approximately $229,000 of stock-based compensation expense, and approximately $309,000$476,000 for legal, accounting, directors and officers liability insurance and other costs associated with being a public company. CostsOf the total selling, general and administrative expenses incurred in 2016 primarily included approximately $446,000 for wages, taxes and employee insurance, including approximately $274,000 of stock-based compensation expense, and approximately $319,000 for legal, accounting, directors and officers liability insurance and other costs associated with being a public company.

Other Expenses, net.  Other expenses forduring the three months ended SeptemberJune 30, 2017 compared2020, approximately $312,000 related to the three months ended September 30, 2016 increased by approximately $685,000 due primarily to the increase of approximately $1.5 million in the fair value of the warrant liability, which resulted in a corresponding increase inwages, taxes, employee insurance, stock-based compensation, and other expense.  Other expenses for the three months ended September 30, 2016 included approximately $534,000 of costs related to the 2016 Financings, an increase of approximately $199,000 in the fair value of the warrant liability, and approximately $123,000 of interest expense incurred on our former outstanding debt with Square 1 Bank, or Square 1.pre-commercialization activities.

Comparison of NineSix Months Ended SeptemberJune 30, 20172021 and 20162020

The following table summarizes the results of our operations for the ninesix months ended SeptemberJune 30, 20172021 and 2016:2020:

 

 

Nine Months Ended

September 30,

 

 

Increase/
Decrease

 

 

 

2017

 

 

2016

 

 

 

Research and development expenses

 

$

5,505,953

 

 

$

5,449,568

 

 

$

56,385

 

General and administrative expenses

 

$

3,065,595

 

 

$

2,770,500

 

 

$

295,095

 

Other expenses

 

$

3,349,521

 

 

$

1,001,120

 

 

$

2,348,401

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended

June 30,

 

 

Increase/

(Decrease)

 

 

 

2021

 

 

2020

 

 

 

 

Net product sales

 

$

327,056

 

 

$

 

 

$

327,056

 

Research and development expenses

 

$

473,054

 

 

$

6,245,946

 

 

$

(5,772,892

)

Selling, general and administrative expenses

 

$

4,480,443

 

 

$

2,512,707

 

 

$

1,967,736

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Net Product Sales.  Net product sales for the six months ended June 30, 2021 compared to the six months ended June 30, 2020 increased by approximately $327,000. We received FDA approval of our Gimoti NDA in June 2020 and began commercial sales in October 2020, so there were no commercial sales during the six months ended June 30, 2020

Research and Development Expenses.  Research and development expenses for the ninesix months ended SeptemberJune 30, 20172021 compared to the ninesix months ended SeptemberJune 30, 20162020 decreased by approximately $5.8 million. During 2021, we incurred expenses for ongoing stability testing of batches of Gimoti manufactured prior to receipt of FDA approval of the Gimoti NDA in June 2020, as well as preparing for a post-marketing commitment to conduct a single dose PK clinical trial of Gimoti to characterize dose proportionality of a lower dose strength of Gimoti, including the manufacture of clinical trial material.

Costs incurred in 2021 included approximately $233,000 for wages, taxes and employee insurance, including approximately $92,000 of stock-based compensation expense, and approximately $199,000 related to manufacturing. During 2020, we expensed $5 million upon achieving a technology acquisition milestone related to FDA’s approval of Gimoti. We also incurred expenses responding to requests for additional information from FDA related to our NDA and preparing for future manufacturing and commercial launch of Gimoti. In addition to the milestone expense, during the six months ended June 30, 2020, we incurred other costs including approximately $749,000 for wages, taxes and employee insurance, including approximately $255,000 of stock-based compensation expense, and approximately $423,000 related to manufacturing.

Selling, General and Administrative Expenses.  Selling, general and administrative expenses for the six months ended June 30, 2021 compared to the six months ended June 30, 2020 increased by approximately $56,000. During the first nine months of 2017, we were preparing for and conducting our comparative exposure PK trial, including product development activities and manufacturing Gimoti for such trial. In addition, we also were incurring costs associated with the preparation of an NDA.$2.0 million. Costs incurred in 2017 include2021 primarily included approximately $2.1 million of clinical trial costs, approximately $1.9$2.2 million for wages, taxes and employee insurance, including approximately $627,000 of stock-based compensation expense, approximately $958,000 related to manufacturing costs and approximately $561,000 related to costs associated with the preparation of the NDA. Costs incurred in 2016 include approximately $3.1 million related to the Phase 3 clinical trial for Gimoti, approximately $1.5 million for wages, taxes and employee insurance, including approximately $488,000$869,000 of stock-based compensation expense, and approximately $740,000 related to costs associated with the preparation of an NDA.

General and Administrative Expenses.  General and administrative expenses for the nine months ended September 30, 2017 compared to the nine months ended September 30, 2016 increased by approximately $295,000.  Costs incurred in 2017 primarily included approximately $1.6 million for wages, taxes and employee insurance, including approximately $778,000 of stock-based compensation expense and approximately $1.2$1.4 million for legal, accounting, directors and officers liability insurance and other costs associated with being a public company.company, approximately $567,000 for marketing, royalties and Eversana profit sharing, and approximately $79,000 for facility-related expenses. Of the approximately $4.5 million of total selling, general and administrative expenses incurred during the six months ended June 30, 2021, approximately $1.9 million related to wages, taxes, employee insurance, stock-based compensation, and other commercialization activities. Costs incurred in 20162020 primarily included approximately $1.5$1.2 million for wages, taxes and employee insurance, including approximately $811,000$418,000 of stock-based compensation expense, and approximately $1.1 million for legal, accounting, directors and officers liability insurance and other costs associated with being a public company.

Other Expenses.  Other Of the total selling, general and administrative expenses forincurred during the ninesix months ended SeptemberJune 30, 2017 compared2020, approximately $412,000 related to the nine months ended September 30, 2016 increased by approximately $2.3 million due primarily to the increase of approximately $3.4 million in the fair value of the warrant liability, which resulted in a corresponding increase inwages, taxes, employee insurance, stock-based compensation, and other expense.  Other expenses for the nine months ended September 30, 2016 included approximately $534,000 of costs related to the 2016 Financings, an increase of approximately $199,000 in the fair value of the warrant liability and approximately $268,000 of interest expense incurred on our former outstanding debt with Square 1.pre-commercialization activities.


Liquidity and Capital Resources

In November 2014, we entered into a sales agreement with MLV & Co., LLC, or the MLV Sales Agreement, which was subsequently acquired by FBR Capital Markets & Co., or FBR, pursuant to which we were able to sell from time to time, at our option, up to an aggregate of $6.6 million worth of shares of common stock through MLV, as sales agent.  The sales of shares of our common stock made through this equity program were made in “at-the-market” offerings as defined in Rule 415 of the Securities Act.  During the year ended December 31, 2015, we sold 1,048,507 shares of common stock at a weighted average price per share of $4.78 pursuant to the MLV Sales Agreement and received proceeds of approximately $4.9 million, net of commissions and fees.  We did not sell any shares of common stock through the MLV Sales Agreement during 2016.

On April 15, 2016, we terminated the MLV Sales Agreement and entered into a new At Market Issuance Sales Agreement with FBR, or the FBR Sales Agreement, and filed a prospectus supplement, pursuant to which we may sell from time to time, at our option up to an aggregate of 649,074 shares of our common stock through FBR as the sales agent.  Through December 31, 2016, we sold 56,000 shares of common stock and received net proceeds of approximately $296,000 under the FBR Sales Agreement.  On March 10, 2017, we filed a prospectus supplement, which replaced the prospectus supplement filed on April 15, 2016, permitting us to sell up to an aggregate of $20.0 million of shares of our common stock through FBR as the sales agent.  FBR was subsequently acquired by B. Riley Financial, Inc., or B. Riley.  See Item 5 for additional details regarding FBR Sales Agreement.

Our current Form S-3 shelf registration statement expires on November 25, 2017.  Concurrently with filing this Quarterly Reportthe SEC on Form 10-Q, we are filing a newS-3. The shelf registration statement on Form S-3 which extends the effectiveness of the current shelf registration statement until the earlier of the date the SEC declares the new shelf registration statement effective or 6 months from the expiration date of the current shelf registration statement.  The new shelf registration statement includesincluded a prospectus for the at-the-market offering to sell up to an aggregate of $16.0 million of shares of our common stock through B. Riley (as successor by merger to FBR)FBR, Inc., or FBR, as a sales agent.  We remain subjectagent, or FBR Sales Agreement. During the six months ended June 30, 2020, we sold 1,395,855 shares of common stock at a weighted-average price per share of $2.42 pursuant to the limitationsFBR Sales Agreement and received proceeds of approximately $3.3 million, net of commission and fees. There were no shares sold under the FBR Sales Agreement during 2021. Effective January 6, 2021, we terminated the FBR Sales Agreement. As a result, there were no shares sold under the FBR Sales Agreement during 2021.

In December 2020, we filed a new shelf registration statement with the SEC on Form S-3, or the replacement shelf registration statement. The replacement shelf registration statement replaced the registration statement on Form S-3 we originally filed with the SEC in November 2017, which registration statement expired in December 2020. The replacement shelf registration was declared effective by the SEC on January 6, 2021. In December 2020, we also entered into the ATM Sales Agreement with FBR and H.C. Wainwright & Co., LLC pursuant to which we may sell from time to time, at our option, up to an aggregate of $30 million worth of shares of our common stock through the Sales Agents. The ATM Sales Agreement provides, among other things, that sales under the ATM Sales Agreement will be made pursuant to the replacement shelf registration statement, including the base prospectus filed as part of such registration statement. There were no shares sold under the ATM Sales Agreement during the six months ended June 30, 2021.

Under current SEC regulations, if at the time we file our Annual Report on Form 10-K our public float is less than $75 million, and for so long as our public float remains less than $75 million, the amount we can raise through primary public offerings of securities in any twelve-month period using shelf registration statements is limited to an aggregate of one-third of our public float, which is referred to as the baby shelf rules. As of March 11, 2021, the date we filed our Annual Report on Form 10-K, our public float exceeded $75 million, thereby allowing us to conduct primary offerings without being constrained by the baby shelf rules. We will remain unconstrained by the baby shelf rules described below.under our Form S-3 shelf registration statement until the date we file a new registration statement or our Form 10-K for the fiscal year ending December 31, 2021, at which time if our public float is less than $75 million, the number of securities we may sell under a Form S-3 registration statement will again be limited by the baby shelf rules.

Future sales under the ATM Sales Agreement will depend on a variety of factors including, but not limited to, market conditions, the trading price of our common stock and our capital needs. There can be no assurance that FBRthe Sales Agents will be successful in consummating future sales based on prevailing market conditions or in the quantities or at the prices that we deem appropriate.


WeIn addition, we will not be able to make future sales of our common stock pursuant to the FBRATM Sales Agreement unless certain conditions are met, which include the accuracy of representations and warranties made to FBRthe Sales Agents under the FBRATM Sales Agreement. Furthermore, FBReach of the Sales Agents is permitted to terminate the FBRATM Sales Agreement with respect to itself in its sole discretion upon ten days’ notice, or at any time in certain circumstances, including the occurrence of an event that would be reasonably likely to have a material adverse effect on our assets, business, operations, earnings, properties, condition (financial or otherwise), prospects, stockholders’ equity or results of operations. We have no obligation to sell the remaining shares available for sale pursuant to the FBRATM Sales Agreement. However, under current SEC regulations, at any time during which the aggregate market value of our common stock held by non-affiliates, or public float, is less than $75 million, the amount we can raise through primary public offerings of securities in any twelve-month period using shelf registration statements, including sales under the FBR Sales Agreement, is limited to an aggregate of one-third of our public float.  As of November 3, 2017, our public float was approximately $49.9 million, which means we may only sell shares up to one-third of our public float using shelf registration statements in any twelve-month period.  We had no sales of common stock under the baby shelf rules in the twelve-month period ended November 3, 2017. If our public float decreases, the amount of securities we may sell under our Form S-3 shelf registration statements will also decrease.

In July 2016, we completed an at-the-market offering of 1,804,512 shares of common stock at a purchase price of $2.49375 per share, or the July 2016 Financing.  Concurrently in a private placement, for each share of common stock purchased by an investor, such investor received an unregistered warrant to purchase three-quarters of a share of our common stock, for a total of 1,353,384 shares, or the July Warrants.  The July Warrants have an exercise price of $2.41 per share, are immediately exercisable and will expire on January 25, 2022.  The aggregate gross proceeds from the sale of the common stock and warrants were $4.5 million, and the net proceeds after deduction of commissions and fees were approximately $4.0 million.  

In connection with the July 2016 Financing,Eversana Agreement, we issuedentered into the Eversana Credit Facility, pursuant to which Eversana agreed to provide a revolving credit facility of up to $5 million to us upon FDA approval of the Gimoti NDA, as well as certain other customary conditions. The Eversana Credit Facility terminates on June 19, 2025, unless terminated earlier pursuant to its terms. The Eversana Credit Facility is secured by all of the Company’s personal property other than its intellectual property. Under the terms of the Eversana Credit Facility, we cannot grant an interest in our placement agent, Rodman & Renshaw, a unit of H.C. Wainwright & Co. LLC, or Wainwright, and its designees unregistered warrantsintellectual property to purchaseany other person. Each loan under the Eversana Credit Facility will bear interest at an aggregate of 90,226 share of our common stock, or the July Wainwright Warrants.  The July Wainwright Warrants have substantially the same terms as the July Warrants, except that the July Wainwright Warrants will expire on July 21, 2021 and have an exercise priceannual rate equal to $3.1172 per share10.0%, with such interest due at the end of common stock.

the loan term. In August 2016,June 2020 we completed an at-the-market offering of 3,244,120 shares of common stock at a purchase price of $3.0825 per share, the August 2016 Financing.  Concurrentlyborrowed $2 million and in a private placement, for each share of common stock purchased by an investor, such investor received from an unregistered warrant to purchase one half of a share of our common stock, for a total of 1,622,060 shares, or August Warrants.  The August Warrants have an exercise price of $3.03 per share, are immediately exercisable and will


expire on February 3, 2022. The aggregate gross proceedsDecember 2020 we borrowed $3 million from the sale of the common stock and warrants were $10.0 million, and the net proceeds after deduction of commissions and fees were approximately $9.2 million.Eversana Credit Facility.

In connection with the August 2016 Financing, we issued to our placement agent, Wainwright, and its designees unregistered warrants to purchase an aggregate of 162,206 shares of our common stock, or the August Wainwright Warrants.  The August Wainwright Warrants have substantially the same terms as the August Warrants, except that the August Wainwright Warrants will expire on July 29,January 2021, and have an exercise price equal to $3.853125 per share of common stock.

On February 16, 2017, an institutional investor from our financing which closed in July 2016 converted its warrant to purchase 526,315 shares of our common stock by a “cashless” exercise and received 211,860 shares of the our common stock.  The warrant had an exercise price of $2.41 per share.  The shares were issued, and the warrants were sold, in reliance upon the registration exemption set forth in Section 4(a)(2) of the Securities Act of 1933, as amended.  The value of the exercised warrants were adjusted to their fair value immediately prior to the exercise and approximately $1.4 million was reclassified from warrant liability to Additional Paid-in Capital.  Subsequent to this transaction, warrants to purchase 2,449,129 shares of our common stock remain classified as a liability.

In February and March 2017, we completed the sale of 2,775,8615,750,000 shares of our common stock in an underwritten public offering led by Laidlaw & Company (UK) Ltd. The price to the public in this offering was $2.90$2.50 per share resulting in gross proceeds to us of approximately $8.0$14.4 million. After deducting underwriting discounts and commissions, and estimated offering expenses payablepaid by us, the net proceeds to us raised from this offering waswere approximately $7.3$13.1 million.

On August 4, 2016, we repaid in full the entire $4.5 million of outstanding principal and interest under the Loan and Security Agreement, or the Loan Agreement, between us and Square 1.  In connection with such repayment, the Loan Agreement was terminated, and all security, liens or other encumbrances on assets of ours were released.  

We incurred $82,685 of loan origination costs relatedManagement concluded that there is substantial doubt about our ability to this credit facility.  The remaining unamortized costs of approximately $38,000 were charged to interest expense upon the payment of the loan in August 2016.  

In connection with the funding of the term loan, we issued to Square 1 a warrant to purchase 22,881 shares of our common stock at an exercise price of $5.90 per share, the closing price of our common stock on the day of funding of the credit facility.  During July 2016, Square 1 converted its warrant by a “cashless” conversion and received 9,887 shares of our common stock. The value determined for the warrant at the time of the grant of $108,122 was recordedcontinue as a debt discount, as well as to stockholders’ equity.  The remaining unamortized debt discount associated with the warrant of approximately $59,000 was charged to interest expense upon the payment of the loan in August 2016.

going concern. Our independent registered public accounting firm also included an explanatory paragraph in their report on our financial statements as of and for the year ended December 31, 20162020 with respect to our ability to continue as a going concern. This doubt about our ability to continue as a going concern opinionfor at least twelve months from the date of the financial statements could materially limit our ability to raise additional funds through the issuance of new debt or equity securities or otherwise. Future reports on our financial statements may also include an explanatory paragraph with respect to our ability to continue as a going concern. We have incurred significant losses since our inception and have never been profitable, and it is possible we will never achieve profitability. We have devotedbelieve, based on our resources to developingcurrent operating plan, that our existing cash and cash equivalents, as well as future cash flows from net sales of Gimoti, but it cannotwill be marketed until regulatory approvals have been obtained.  Based upon our currently expected level of operating expenditures, we expect to be ablesufficient to fund our operations through at least June 2018.into the third quarter of 2022. This period could be shortened if there are any significant increases in planned spending other than anticipated. We anticipate that we will be required to raise additional funds in order to continue as a going concern. Because our business is entirely dependent on the success of Gimoti, if we are unable to secure additional financing or identify and execute on other development or strategic alternatives for Gimoti or our Gimoti development program, including the analysiscompany, we will be required to curtail all of data from our completed comparative exposure PK trial, pre-approvalactivities and pre-commercializationmay be required to liquidate, dissolve or otherwise wind down our operations. Any of these events could result in a complete loss of your investment in our securities.

These estimates of cash runway could be shortened if there are any significant increases in planned spending on commercialization activities, including for marketing and manufacturing of Gimoti, completion of a planned NDA submission, including whether or not FDA grantsand our request to waive the user fees that would otherwise become due upon our filing of an NDA with FDA, and ourselling, general and administrative costs to support operations. There is no assurance that other financing will be available when needed to allow us to continue as a going concern. The perception that we may not be able to continue as a going concern may cause others to choose not to deal with us due to concerns about our ability to meet our contractual obligations.

We expect to continue to incur expenses and increase operating losses for at least the next several years.  In the near-term, we anticipate incurring costs as we:

prepare for and complete further clinical development, including a comparative exposure PK trial in healthy volunteers and the analysis of data from such trial;

continue the pre-approval and pre-commercialization activities for Gimoti, including the preparation of the NDA;

continue the preparation of the commercial manufacturing process;


continue the commercial activities for Gimoti;

 

manufacture Gimoti;

conduct the post-marketing commitment single dose PK trial of Gimoti and any additional development activities should we seek additional indications;

maintain, expand and protect our intellectual property portfolio; and

continue to fund the additional accounting, legal, insurance and other costs associated with being a public company.

continue to fund the accounting, legal, insurance and other costs associated with being a public company.

Although our current cash and cash equivalents are expected to be sufficient to fund our operations through at least June 2018, it may not be sufficient to complete any additional development requirements requested by FDA.  Accordingly, we will continue to require substantial additional capital beyond our current cash and cash equivalents to continue our clinical and regulatory development and potential commercialization activities.  The amount and timing of our future funding requirements will depend on many factors further described below, including the analysis of the full results of the comparative exposure PK trial, the costs associated with completing and submitting the Gimoti NDA and the extent of any additional clinical development required by FDA.  We anticipate that we will seek to fund our operations through public or private equity or debt financings or other sources, such as potential collaboration arrangements.  Our failure to raise capital as and when needed would have a negative impact on our financial condition and our ability to pursue our business strategies.

The following table summarizes our cash flows for the ninesix months ended SeptemberJune 30, 20172021 and 2016:2020:

 

Nine Months Ended

September 30,

 

 

Six Months Ended

June 30,

 

 

Increase/

(Decrease)

 

 

2017

 

 

2016

 

 

2021

 

 

2020

 

 

 

 

Net cash used in operating activities

 

$

(5,983,204

)

 

$

(7,338,098

)

 

$

(4,463,608

)

 

$

(3,107,975

)

 

$

1,355,633

 

Net cash provided by financing activities

 

$

7,389,101

 

 

$

9,026,825

 

 

$

13,115,608

 

 

$

5,434,534

 

 

$

7,681,074

 

Net increase in cash and cash equivalents

 

$

1,405,897

 

 

$

1,688,727

 

 

$

8,652,000

 

 

$

2,326,559

 

 

$

6,325,441

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Operating Activities.  The primary use of our cash has been to fund our clinical research, prepare our NDA, manufacture Gimoti, prepare for and begin commercial sales of Gimoti, and other general operations. The cash used in operating activities decreasedduring the six months ended June 30, 2021 was primarily related to commercialization activities for Gimoti. The cash used in 2017 as we have been preparing foroperating activities during the six months ended June 30, 2020 was primarily related to ongoing communication with FDA related to the resubmitted NDA, and conducting our comparative exposure PK clinical trialpre-approval and the manufacturing of Gimoti for such trial.pre-commercialization activities. We expect that cash used in operating activities will increase throughoutduring the remaindersecond half of 2017 as those projects, as well as2021 due to commercialization activities, including manufacturing of Gimoti, the preparationplanned post-marketing commitment to conduct a single dose PK clinical trial of Gimoti to characterize dose proportionality of a lower dose strength of Gimoti and the payment of the NDA and pre-approval and pre-commercialization activities, continue.$5 million royalty to Mallinckrodt.

Financing Activities.  During the ninesix months ended SeptemberJune 30, 2017,2021, we received net proceeds of approximately $7.3$13.1 million from the sale of 2,775,8615,750,000 shares of common stock inpursuant to an underwritten public offering.  In addition, we received proceeds ofoffering and approximately $135,000$45,000 from the saleexercise of 75,529stock options to purchase 67,426 shares of common stock through our employee stock purchase plan, or ESPP.stock. During the ninesix months ended SeptemberJune 30, 2016,2020, we received net proceeds of approximately $13.2$3.3 million through the 2016 Financings from the sale of 5,048,632 shares of common stock and 2,975,444 warrants to purchase our common stock. In addition, we received net proceeds of approximately $358,000 from the sale of 56,0001,395,855 shares of common stock pursuant to the FBR Sales Agreement, $2 million from borrowings under the Eversana Credit Facility, approximately $104,000 from the PPP loan, and $21,250 from the sale of 34,06725,000 shares of common stock throughpursuant to our ESPP.

We believe that our existing cash and cash equivalents as of September 30, 2017, together with interest thereon, will be sufficient to meet our anticipated cash requirements through at least June 2018.  However, our forecast of the period of time through which our financial resources will be adequate to support our operations is a forward-looking statement that involves risks and uncertainties, and actual results could vary materially.  Employee Stock Purchase Plan.

The amount and timing of our future funding requirements will depend on many factors, including but not limited to:

we may not have sufficient financial and other resources to complete clinical development for Gimoti;

we may not be able to provide acceptable evidence of safety and efficacy for Gimoti;

FDA may disagree with the design of our future clinical trials, if any are necessary;

variability in subjects, adjustments to clinical trial procedures and inclusion of additional clinical trial sites;

FDA may not agree with the analysis of our clinical trial results;

the results of our clinical trials may not meet the level of statistical or clinical significance or other bioequivalence parameters required by FDA for marketing approval;

we may be required to undertake additional clinical trials and other studies of Gimoti before we can submit an NDA to FDA or receive approval of the NDA;

subjects in our clinical trials may die or suffer other adverse effects for reasons that may or may not be related to Gimoti, such as dysgeusia, headache, diarrhea, nasal discomfort, tremor, myoclonus, somnolence, rhinorrhea, throat irritation, and fatigue;


the costs of commercialization activities, including costs associated with commercial manufacturing;

 

if approved,the commercial success of Gimoti, will competeincluding competition with well-established products already approved for marketingearlier by FDA, including oral and intravenous forms of metoclopramide, the same active ingredient in the nasal spray for Gimoti;

we may not be able to obtain, maintain and enforce our patents and other intellectual property rights; and

the impact of the COVID-19 pandemic on us or on third parties on whom we rely;

our ability to manufacture sufficient quantities of Gimoti to meet demand, including whether our contract manufacturers, suppliers, and/or consultants are able to meet appropriate timelines;

we may not be able to obtain and maintain commercial manufacturing arrangements with third-party manufacturers or establish commercial-scale manufacturing capabilities.

the progress and costs of the post-marketing commitment to conduct a single dose PK clinical trial of Gimoti to characterize dose proportionality of a lower dose strength of Gimoti and the costs of any additional clinical trials we may pursue to expand the indication of Gimoti;

our ability to obtain, maintain and enforce our patents and other intellectual property rights, and the costs incurred to do so;

the terms and timing of any collaborative, licensing, co-promotion or other arrangements that we may establish; and

costs associated with any other product candidates that we may develop, in-license or acquire.

Off-Balance Sheet Arrangements

Through SeptemberJune 30, 2017,2021, we have not entered into and did not have any relationships with unconsolidated entities or financial collaborations, such as entities often referred to as structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purpose.

Contractual Obligations and Commitments

In December 2016, we entered into an operating leaseThere were no material changes outside the ordinary course of our business during the six months ended June 30, 2021 to the information regarding our contractual obligations that was disclosed in Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for office space in Solana Beach, California. The lease commenced on January 1, 2017 with an expiration date ofthe year ended December 31, 2018. We also pay pass through costs and utility costs, which are expensed as incurred.2020, filed with the SEC on March 11, 2021.

Item 3.  Quantitative and Qualitative Disclosure about Market Risk

As of SeptemberJune 30, 2017,2021, there have been no material changes in our market risk from that described in “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations – Quantitative and Qualitative Disclosures about Market Risk” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2016.2020, filed with the SEC on March 11, 2021.  



ItemItem 4. Controls and Procedures

Conclusions Regarding the Effectiveness of Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our Exchange Act reports is recorded, processed, summarized and reported within the timelines specified in the Securities and Exchange Commission’sSEC’s rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Business Officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognized that any controls and procedures, no matter how well designed and operated, can only provide reasonable assurance of achieving the desired control objectives, and in reaching a reasonable level of assurance, management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures. In


addition, the design of any system of controls 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; over time, control may become inadequate because of changes in conditions, or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

As required by Securities and Exchange CommissionSEC Rule 13a-15(b), as of June 30, 2021 we carried out an evaluation, under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Business Officer, of 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 on the foregoing, our Chief Executive Officer and Chief Business Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of SeptemberJune 30, 2017.2021.

Changes in Internal Control Over Financial Reporting

There have beenwere no changes in our internal control over financial reporting identified in management’s evaluation pursuant to Rules 13a-15(d) or 15d-15(d) of the Exchange Act during our most recent fiscalthe quarter ended June 30, 2021 that have materially affected,affect, or are reasonably likely to materially affect, our internal control over financial reporting.

 


PART

PART II.  OTHER INFORMATION

We are currently not a party to any material legal proceedings.

Item 1A.  Risk Factors

There have been no material changes to the risk factors included in “Item 1A. Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2016,2020, filed with the SEC on March 11, 2021 other than those set forth below,as follows:

We may require substantial additional funding and may be unable to raise capital when needed, which should be read in conjunction with the risk factors disclosed therein.would force us to liquidate, dissolve or otherwise wind down our operations.

Our business is entirely dependentoperations have consumed substantial amounts of cash since inception. We believe, based on the successour current operating plan, that our cash and cash equivalents as of June 30, 2021 of approximately $16.7 million, as well as cash flows from net sales of Gimoti, which failedwill be sufficient to achievefund our operations into the primary endpointthird quarter of symptom improvement2022. This period could be shortened if there are any significant increases in planned spending other than anticipated. We anticipate that we will be required to raise additional funds through debt, equity or other forms of financing, such as potential collaboration arrangements, to fund future operations and continue as a Phase 3 clinical trial in female patients with symptoms associated with diabetic gastroparesis. While we are continuing to pursue regulatory approval based on the results of our completed comparative exposure PK trial, we cannotgoing concern. There can be certainno assurance that we will be able to obtain regulatory approval for,raise additional funds on acceptable terms, or successfully commercialize, Gimoti.  

To date, we have devoted all of our research, development and clinical efforts and financial resources toward the development of Gimoti, our patented nasal delivery formulation of metoclopramide for the relief of symptoms associated with acute and recurrent diabetic gastroparesis in adult women. Gimoti is our only product candidate. In July 2016, we announced topline results from our Phase 3 clinical trial that evaluated the efficacy and safety of Gimoti in women with symptoms associated with diabetic gastroparesis. In this study, Gimoti did not achieve its primary endpoint of symptom improvement in the Intent-to-Treat (ITT) group at Week 4.

In December 2016, we announced the completion of a second pre-NDA meeting with FDA, in which FDA agreed that a comparative exposure PK trial was acceptable as a basis for submission of a Gimoti NDA.  The comparative exposure PK trial will serve as a portion of the full 505(b)(2) data package to include prior efficacy and safety data developed by us and the FDA’s prior findings of safety and efficacy for the Listed Drug, Reglan Tablets.  On October 23, 2017, we announced positive topline results from the comparative exposure PK trial and plan to submit the Gimoti NDA during the first quarter of 2018.  Although we believe the PK trial establishes bioequivalence, FDA may later determine to require the conduct of additional efficacy or safety trials, and we may be unable to submit an NDA on this timeframe, or potentially at all.

Because our business is entirely dependent on the success of Gimoti, if we are unable to secure additional financing, successfully complete development ofcommercialize Gimoti or identify and receive regulatory approval of this product candidate,execute on other commercialization or strategic alternatives for Gimoti or our company, we will be required to curtail all of our activities and may be required to liquidate, dissolve or otherwise wind down our operations. Any of these events could result in thea complete loss of anyour investment in our securities.

In addition to the above factors, the future regulatory and commercial success of Gimoti is subject to a number of additional risks, including the following:  

we may not have sufficient financial and other resources to complete clinical development for Gimoti;

we may not be able to provide acceptable evidence of safety and efficacy for Gimoti;

FDA may disagree with the design of our comparative exposure PK trial or any other future clinical trials, if any are necessary;

variability in subjects, adjustments to clinical trial procedures and inclusion of additional clinical trial sites;

FDA may not agree with the analysis of our clinical trial results, including our analysis of the results of the PK trial;

the results of our clinical trials may not meet the level of statistical or clinical significance or other bioequivalence parameters required by FDA for marketing approval;

we may be required to undertake additional clinical trials and other studies of Gimoti before we can submit an NDA, to FDA or receive approval of the NDA;

subjects in our clinical trials may die or suffer other adverse effects for reasons that may or may not be related to Gimoti, such as dysgeusia, headache, diarrhea, nasal discomfort, tremor, myoclonus, somnolence, rhinorrhea, throat irritation, and fatigue;


if approved, Gimoti will compete with well-established products already approved for marketing by FDA, including oral and intravenous forms of metoclopramide, the same active ingredient in the nasal spray for Gimoti;

we may not be able to obtain, maintain and enforce our patents and other intellectual property rights; and

we may not be able to obtain and maintain commercial manufacturing arrangements with third-party manufacturers or establish commercial-scale manufacturing capabilities. Of the large number of drugs in development in this industry, only a small percentage result in the submission of an NDA to FDA and even fewer are approved for commercialization. Furthermore, even if we do receive regulatory approval to market Gimoti, any such approval may be subject to limitations on the indicated uses for which we may market the product.

We will require substantial additional funding and may be unable to raise capital when needed, which would force us to liquidate, dissolve or otherwise wind down our operations.  

Our operations have consumed substantial amounts of cash since inception. We believe, based on our current operating plan, that our existing cash and cash equivalents will be sufficient to fund our operations through at least June 2018, although there can be no assurance in that regard. We will be required to raise additional funds in order to continue as a going concern beyond that time.

Our estimates of the amount of cash necessary to fund our activities may prove to be wrong and we could spend our available financial resources much faster than we currently expect. Our future funding requirements will depend on many factors, including, but not limited to:

the need for, and the progress, costs and results of, any additional clinical trials of Gimoti we may initiate based on the analysis of data from our completed comparative exposure PK trial or discussions with FDA, including any additional trials FDA or other regulatory agencies may require evaluating the efficacy or safety of Gimoti;

the commercial success of Gimoti;

the outcome, costs and timing of seeking and obtaining regulatory approvals from FDA, and any similar regulatory agencies, including whether or not FDA grants our request to waive the user fee that would otherwise become due upon our filing of an NDA with FDA;

the repayment of unreimbursed commercialization costs to Eversana, approximately $17 million as of June 30, 2021, to be payable only as net product profits are recognized;

the costs and timing of completion of outsourced commercial manufacturing supply arrangements for Gimoti;

the costs of commercialization activities, including costs associated with commercial manufacturing;

the costs of establishing or outsourcing sales, marketing and distribution capabilities, should we elect to do so;

competition with well-established products approved earlier by FDA, including oral and intravenous forms of metoclopramide, the same active ingredient in the nasal spray for Gimoti;

the costs of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights associated with Gimoti;

the impact of the COVID-19 pandemic on us or on third parties on whom we rely;

the terms and timing of any collaborative, licensing, co-promotion or other arrangements that we may establish; and

our ability to manufacture sufficient quantities of Gimoti to meet demand, including whether our contract manufacturers, suppliers, and/or consultants are able to meet appropriate timelines;

the progress and costs of the post-marketing commitment PK trial of Gimoti to characterize dose proportionality of a lower dose strength of Gimoti and the costs of any additional clinical trials we may pursue to expand the indication of Gimoti;

costs associated with any other product candidates that we may develop, in-license or acquire.

our ability to obtain, maintain and enforce our patents and other intellectual property rights and the costs incurred in doing so;

the terms and timing of any collaborative, licensing, co-promotion or other arrangements that we may establish; and

costs associated with any other product candidates that we may develop, in-license or acquire.

Additional funding may not be available to us on acceptable terms or at all. In addition, the terms of any financing may adversely affect the holdings or the rights of our stockholders.  We are authorized to issue up to 50,000,000 shares of common stock.  As of June 30, 2021, we had 32,439,380 shares of common stock outstanding and have reserved an aggregate of 6,477,144 shares of common stock for issuance upon exercise of options and other awards granted under our stock option plan, 1,841,879 shares of common stock for issuance upon exercise of warrants, and 344,574 shares of common stock for issuance upon purchases under our employee stock purchase plan.  As a result, we have a limited number of remaining unreserved and authorized shares available for issuance, which could impact our ability to raise additional funds in the future. If adequate funds are not available to us, we may not be able to make scheduled debt payments on a timely basis, or at all, and may be required to delay, limit, reduce or cease our operations.

Furthermore, the issuance of additional shares or other securities by us, or the possibility of such issuance, may cause the market price of our shares to decline and dilute the holdings of our existing stockholders. If we raise additional funds by incurring debt, the terms of the debt may involve significant cash payment obligations, as well as covenants and specific financial ratios that may restrict our ability


to operate our business. We cannot provide any assurance that our existing capital resources will be sufficient to enable us to identify or execute a viable plan for continued clinical development of Gimoti or to otherwise survive as a going concern.

Topline data may not accurately reflectOur business and operations would suffer in the complete resultsevent of system failures, including cyberattacks.

Despite the implementation of security measures, our internal computer systems and those of our current and any future CROs and other contractors and consultants and collaborators are vulnerable to damage from computer viruses, unauthorized access, natural disasters, terrorism, war and telecommunication and electrical failures. For example, we have been the target of a particular study or trial.

We may publicly disclose topline or interim data from time to time,cyber-attack which is based on a preliminary analysisresulted in the misappropriation of then-available data such as the topline results we reported from the comparative exposure PK trial, and the results and related findings and conclusions are subject to change following a more comprehensive review of the data related to the particular study or trial. We also make assumptions, estimations, calculations and conclusions as part ofan immaterial amount our analyses of data,funds and we may be subject to further cyber-attacks seeking to misappropriate our funds or otherwise disrupt our business.  Although we have implemented certain additional procedures to reduce the risk of another successful cyber-attack, we cannot be sure that similar cyber-attacks or failures will not have received or hadoccur in the opportunity to fullyfuture. Attacks upon information technology systems are increasing in their frequency, levels of persistence, sophistication and carefully evaluate all data.intensity, and are being conducted by sophisticated and organized groups and individuals with a wide range of motives and expertise. As a result the topline results that we report may differ from future results of the same studies,COVID-19 pandemic, we may also face increased cybersecurity risks due to our reliance on internet technology and the number of our employees who are working remotely, which may create additional opportunities for cybercriminals to exploit vulnerabilities. Furthermore, because the techniques used to obtain unauthorized access to, or different conclusionsto sabotage, systems change frequently and often are not recognized until launched against a target, we may be unable to anticipate these techniques or considerationsimplement adequate preventative measures. We may qualify such results, once additional data have been received and fully evaluated.  Topline data also remain subject to audit and verification proceduresexperience security breaches that may remain undetected for an extended period. If another cyber-attack were to occur and cause interruptions in our operations, it could result in a material disruption of our development program for Gimoti and our business operations. For example, the finalloss of clinical trial data being materially


different from completed or future clinical trials could result in delays in our regulatory approval efforts and significantly increase our costs to recover or reproduce the preliminarydata. Likewise, we rely on third parties to manufacture Gimoti and conduct clinical trials, and similar events relating to their computer systems could also have a material adverse effect on our business. To the extent that any disruption or security breach were to result in a loss of, or damage to, our data or applications, or inappropriate disclosure of confidential or proprietary information, we previously published. As a result, topline data should be viewed with caution untilcould incur liability and the final data are available.

Further, others, including regulatory agencies, may not accept or agree with our assumptions, estimations, calculations, conclusions or analyses or may interpret or weigh the importance of data differently, which could impact the value of the particular program, the approvability orfurther development and commercialization of the particularour product candidate or product and our company in general. For example, while we believe that the AUC measurement is the most clinically relevant PK parameter for this comparative exposure PK trial based on discussions with FDA at previous pre-NDA meetings, the FDA may change their view regarding Cmax falling below the bioequivalence range of Reglan Tablets as it relates to selecting our dose and more generally in the FDA’s review of our planned NDA submission.  In addition, the information we may publicly disclose regarding a particular study or clinical trial is based on what is typically extensive information, and you or others may not agree with what we determine is the materialcould be delayed, or otherwise appropriate information to include in our disclosure, and any information we determine not to disclose may ultimately be deemed significant with respect to future decisions, conclusions, views, activities or otherwise regarding a particular drug, drug candidate or our business. If the topline data that we report differ from actual results, or if others, including regulatory authorities, disagree with the conclusions reached, our ability to obtain approval for, and commercialize, our product candidates may be harmed, which could harm our business, operating results, prospects or financial condition. Further, although we have reported positive topline data for the PK trial, the FDA may still require the conduct of additional efficacy or safety trials prior to our planned NDA submission.adversely affected.

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds

Unregistered Sales of Equity Securities

None.

Item 3.  Defaults Upon Senior Securities

None.

Item 4.  Mine Safety DisclosureDisclosures

Not applicable.

Item 5.  Other Information

On November 14, 2017, substantially concurrently with this Current Report on Form 10-Q, we will file a shelf registration statement on Form S-3, or the replacement shelf registration statement, with the SEC, which has not yet been declared effective. The replacement registration statement is replacing the registration statement on Form S-3 we originally filed with the SEC on November 13, 2014, which registration statement is set to expire on November 25, 2017.  On November 14, 2017, we entered into an amendment, or the Amendment, to the FBR Sales Agreement, pursuant to which sales agreement we may sell from time to time, at our option, shares of common stock through FBR, as sales agent. The Amendment provides, among other things, that sales under the FBR Sales Agreement will be made pursuant to the replacement registration statement, including the base prospectus filed as part of such registration statement, as of and effective upon the SEC declaring such replacement registration statement effective. Sales under the FBR Sales Agreement will continue to be made, if any, pursuant to the original registration statement until the earlier of the effectiveness of the replacement registration statement or 180 days following the expiration of the original registration statement.  The Amendment will be effective concurrently with the effectiveness of the replacement shelf registration statement. The foregoing description of the Amendment is not complete and is qualified in its entirety by reference to the Amendment, a copy of which will be filed as Exhibit 1.2 to the replacement shelf registration statement and is incorporated herein by reference.  Please refer to the description of the FBR Sales Agreement in the Liquidity and Capital Resources section contained in Item 2 above. Additional information with respect to the FBR Sales Agreement is available in the current report on Form 8-K filed by us with the SEC on April 15, 2016, and is hereby incorporated by reference. The foregoing description of the Sales Agreement is not complete and is qualified in its entirety by reference to the FBR Sales Agreement, a copy of which is filed as Exhibit 1.1 to the current report on Form 8-K filed with the SEC on April 15, 2016.None.



Item

Item 6.  Exhibits

A list of exhibits is set forth below and is incorporated herein by reference.

Index to Exhibits

Exhibit

Number

 

Description of Exhibit

 

 

 

    3.1 (1)

 

Amended and Restated Certificate of Incorporation of the Company

 

 

 

    3.2 (1)

 

Amended and Restated Bylaws of the Company

 

 

 

    4.1 (2)

 

Form of the Company’s Common Stock Certificate

 

 

 

    4.2 (3)

 

Investor Rights AgreementWarrant dated as of June 1, 20072012 issued by the Company to Silicon Valley Bank

 

 

 

    4.3 (3)

Warrant dated June 1, 2012 issued by the Company to Silicon Valley Bank

    4.4 (2)

Form of Warrant Agreement dated September 30, 2013 issued by the Company to the representative of the underwriters and certain of its affiliates in connection with the closing of the Company’s initial public offering

    4.5 (4)

 

Form of Warrant issued by the Company to certain investors under the Securities Purchase Agreement between the Company and such investors dated July 20,25, 2016

 

 

 

    4.64.4 (5)

 

Form of Warrant issued by the Company to certain investors under the Securities Purchase Agreement between the Company and such investors dated August 3, 2016

    4.5 (6)

Form of Amendment to Common Stock Purchase Warrant, amending certain of the warrants dated July 29,25, 2016 and August 3, 2016

    4.6 (7)

Form of Amendment to Common Stock Purchase Warrant, amending certain of the warrants dated July 25, 2016 and August 3, 2016

    4.7 (8)

Form of Amendment to Common Stock Purchase Warrant, amending certain of the warrants dated July 25, 2016 and August 3, 2016

    4.8 (9)

Description of the Registrant’s Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934

 

 

 

  31.1*

 

Certification of Chief Executive Officer pursuant to Rules 13a-14 and 15d-14 promulgated under the Securities Exchange Act of 1934

 

 

 

  31.2*

 

Certification of Chief Financial Officer pursuant to Rules 13a-14 and 15d-14 promulgated under the Securities Exchange Act of 1934

 

 

 

  32.1*

 

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

 

 

 

  32.2*

 

Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

 

 

101.INS

 

Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because its XBRL tags are embedeed within the inline XBRL document

 

 

 

101.SCH

 

Inline XBRL Taxonomy Extension Schema Document

 

 

 

101.CAL

 

Inline XBRL Taxonomy Extension Calculation Linkbase Document

 

 

 

101.DEF

 

Inline XBRL Taxonomy Extension Definition Linkbase Document

 

 

 

101.LAB

 

Inline XBRL Taxonomy Extension Label Linkbase Document

 

 

 

101.PRE

 

Inline XBRL Taxonomy Extension Presentation Linkbase Document

104

Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)

 

(1)

Incorporated by reference to the Company’s Current Report on Form 8-K filed with the SEC on September 30, 2013.

(2)

Incorporated by reference to the Company’s Amendment No. 3 to Registration Statement on Form S-1 filed with the SEC on August 16, 2013.

(3)

Incorporated by reference to the Company’s Registration Statement on Form S-1 filed with the SEC on May 24, 2013.

(4)

Incorporated by reference to the Company’s Current Report on Form 8-K filed with the SEC on July 20, 2016.  

(5)

Incorporated by reference to the Company’s Current Report on Form 8-K filed with the SEC on August 1, 2016.

(6)

Incorporated by reference to the Company’s Current Report on Form 8-K filed with the SEC on December 16, 2016.

(7)

Incorporated by reference to the Company’s Current Report on Form 8-K filed with the SEC on March 23, 2018.

(8)

Incorporated by reference to the Company’s Current Report on Form 8-K filed with the SEC on April 4, 2018.

(9)

Incorporated by reference to the Company’s Annual Report on Form 10-K filed with the SEC on March 12, 2020.


*

These certifications are being furnished solely to accompany this quarterly report pursuant to 18 U.S.C. Section 1350, and are not being filed for purposes of Section 18 of the Securities Exchange Act of 1934 and are not to be incorporated by reference into any filing of Company, whether made before or after the date hereof, regardless of any general incorporation language in such filing.



SIGNATURESSIGNATURES

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.

 

 

 

Evoke Pharma, Inc.

 

 

 

 

 

Date:  November 14, 2017August 12, 2021

 

By:

 

/s/ David A. Gonyer

 

 

 

 

David A. Gonyer

President and Chief Executive Officer

(Principal Executive Officer)

 

 

 

 

 

Date:  November 14, 2017August 12, 2021

 

By:

 

/s/ Matthew J. D’Onofrio

 

 

 

 

Matthew J. D’Onofrio

Executive Vice President, Chief Business Officer, Treasurer and Secretary

(Principal Financial and Accounting Officer)

 

 

24

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