Evoke Pharma (EVOK) 10-Q 7 Nov 24 2024 Q3 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2024	Nov. 06, 2024
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2024
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q3
Trading Symbol	EVOK
Entity Registrant Name	EVOKE PHARMA, INC.
Entity Central Index Key	0001403708
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Title of 12(b) Security	Common Stock, par value $0.0001 per share
Security Exchange Name	NASDAQ
Entity File Number	001-36075
Entity Tax Identification Number	20-8447886
Entity Address, Address Line One	420 Stevens Avenue
Entity Address, Address Line Two	Suite 230
Entity Address, City or Town	Solana Beach
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92075
City Area Code	858
Local Phone Number	345-1494
Entity Incorporation, State or Country Code	DE
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		1,486,009
Document Quarterly Report	true
Document Transition Report	false

Condensed Balance Sheets (Unaud

Condensed Balance Sheets (Unaudited) - USD ($)	Sep. 30, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents	$ 11,339,032	$ 4,739,426
Accounts receivable, net of allowance for credit losses of $0	2,022,518	673,071
Prepaid expenses	146,704	885,040
Inventories	493,408	481,840
Other current assets	36,421	47,532
Total current assets	14,038,083	6,826,909
Deferred offering costs	115,488	241,637
Total assets	14,153,571	7,068,546
Current liabilities:
Accounts payable and accrued expenses	2,188,164	1,711,778
Accrued compensation	590,634	1,324,010
Note payable	5,000,000	5,000,000
Accrued interest payable	1,987,637	1,612,295
Total current liabilities	9,766,435	9,648,083
Total liabilities	9,766,435	9,648,083
Commitments and contingencies
Stockholders' equity (deficit):
Preferred stock, $0.0001 par value; authorized shares - 5,000,000 as of September 30, 2024 and December 31, 2023; issued and outstanding shares - zero as of September 30, 2024 and December 31, 2023	0	0
Common stock, $0.0001 par value; authorized shares - 100,000,000 and 50,000,000 as of September 30, 2024 and December 31, 2023, respectively; issued and outstanding shares - 894,843 and 278,558 as of September 30, 2024 and December 31, 2023, respectively	89	28
Additional paid-in capital	131,985,913	120,859,873
Accumulated deficit	(127,598,866)	(123,439,438)
Total stockholders' equity (deficit)	4,387,136	(2,579,537)
Total liabilities and stockholders' equity (deficit)	$ 14,153,571	$ 7,068,546

Condensed Balance Sheets (Paren

Condensed Balance Sheets (Parenthetical) (Unaudited) - USD ($)	Sep. 30, 2024	Dec. 31, 2023
Statement Of Financial Position [Abstract]
Allowance for credit losses	$ 0	$ 0
Preferred stock, par value	$ 0.0001	$ 0.0001
Preferred stock, shares authorized	5,000,000	5,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.0001	$ 0.0001
Common stock, shares authorized	100,000,000	50,000,000
Common stock, shares issued	894,843	278,558
Common stock, shares outstanding	894,843	278,558

Condensed Statements of Operati

Condensed Statements of Operations (Unaudited) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Income Statement [Abstract]
Net product sales	$ 2,654,186	$ 1,562,860	$ 6,941,042	$ 3,504,636
Operating expenses:
Cost of goods sold	$ 104,024	$ 34,908	$ 238,031	$ 142,855
Cost, Product and Service [Extensible List]	us-gaap:ProductMember	us-gaap:ProductMember	us-gaap:ProductMember	us-gaap:ProductMember
Research and development	$ 11,677		$ 16,322	$ 159,347
Selling, general and administrative	3,824,142	$ 3,131,389	10,697,128	8,745,407
Total operating expenses	3,939,843	3,166,297	10,951,481	9,047,609
Loss from operations	(1,285,657)	(1,603,437)	(4,010,439)	(5,542,973)
Other income (expense):
Interest income	99,294	35,558	226,353	112,052
Interest expense	(126,027)	(126,028)	(375,342)	(373,973)
Total other expense	(26,733)	(90,470)	(148,989)	(261,921)
Net loss	$ (1,312,390)	$ (1,693,907)	$ (4,159,428)	$ (5,804,894)
Net loss per share of common stock, basic	$ (0.94)	$ (6.08)	$ (3.01)	$ (20.84)
Net loss per share of common stock, diluted	$ (0.94)	$ (6.08)	$ (3.01)	$ (20.84)
Weighted-average shares used to compute basic net loss per share	1,399,882	278,558	1,381,703	278,558
Weighted-average shares used to compute diluted net loss per share	1,399,882	278,558	1,381,703	278,558

Condensed Statements of Stockho

Condensed Statements of Stockholders' Equity (Deficit) (Unaudited) - USD ($)	Total	Common Stock [Member]	Additional Paid-In Capital [Member]	Accumulated Deficit [Member]
Beginning Balance at Dec. 31, 2022	$ 4,084,649	$ 28	$ 119,731,764	$ (115,647,143)
Beginning Balance, Shares at Dec. 31, 2022		278,558
Stock-based compensation expense	284,572		284,572
Net loss	(2,243,070)			(2,243,070)
Ending Balance at Mar. 31, 2023	2,126,151	$ 28	120,016,336	(117,890,213)
Ending Balance, Shares at Mar. 31, 2023		278,558
Beginning Balance at Dec. 31, 2022	4,084,649	$ 28	119,731,764	(115,647,143)
Beginning Balance, Shares at Dec. 31, 2022		278,558
Net loss	(5,804,894)
Ending Balance at Sep. 30, 2023	(873,775)	$ 28	120,578,234	(121,452,037)
Ending Balance, Shares at Sep. 30, 2023		278,558
Beginning Balance at Mar. 31, 2023	2,126,151	$ 28	120,016,336	(117,890,213)
Beginning Balance, Shares at Mar. 31, 2023		278,558
Stock-based compensation expense	280,140		280,140
Net loss	(1,867,917)			(1,867,917)
Ending Balance at Jun. 30, 2023	538,374	$ 28	120,296,476	(119,758,130)
Ending Balance, Shares at Jun. 30, 2023		278,558
Stock-based compensation expense	281,758		281,758
Net loss	(1,693,907)			(1,693,907)
Ending Balance at Sep. 30, 2023	(873,775)	$ 28	120,578,234	(121,452,037)
Ending Balance, Shares at Sep. 30, 2023		278,558
Beginning Balance at Dec. 31, 2023	$ (2,579,537)	$ 28	120,859,873	(123,439,438)
Beginning Balance, Shares at Dec. 31, 2023	278,558	278,558
Stock-based compensation expense	$ 254,029		254,029
Issuance of common stock, Pre-Funded Warrants, Series A Warrants, Series B Warrants, and Series C Warrants net of issuance costs	6,172,623	$ 43	6,172,580
Issuance of common stock, Pre-Funded Warrants, Series A Warrants, Series B Warrants, and Series C Warrants net of issuance costs, shares		427,886
Amendment and issuance of common stock from Amendment of Series B Warrants and Series C Warrants, net of issuance costs	1,229,874	$ 1	1,229,873
Amendment and issuance of common stock from Amendment of Series B Warrants and Series C Warrants, net of issuance costs, shares		9,967
Net loss	(1,579,820)			(1,579,820)
Ending Balance at Mar. 31, 2024	3,497,169	$ 72	128,516,355	(125,019,258)
Ending Balance, Shares at Mar. 31, 2024		716,411
Beginning Balance at Dec. 31, 2023	$ (2,579,537)	$ 28	120,859,873	(123,439,438)
Beginning Balance, Shares at Dec. 31, 2023	278,558	278,558
Net loss	$ (4,159,428)
Ending Balance at Sep. 30, 2024	$ 4,387,136	$ 89	131,985,913	(127,598,866)
Ending Balance, Shares at Sep. 30, 2024	894,843	894,843
Beginning Balance at Mar. 31, 2024	$ 3,497,169	$ 72	128,516,355	(125,019,258)
Beginning Balance, Shares at Mar. 31, 2024		716,411
Stock-based compensation expense	126,578		126,578
Amendment and issuance of common stock from Amendment of Series B Warrants and Series C Warrants, net of issuance costs	308,429		308,429
Issuance of common stock from cashless exercise of pre-funded warrants		$ 1	(1)
Issuance of common stock from cashless exercise of pre-funded warrants, Shares		18,425
Net loss	(1,267,218)			(1,267,218)
Ending Balance at Jun. 30, 2024	2,664,958	$ 73	128,951,361	(126,286,476)
Ending Balance, Shares at Jun. 30, 2024		734,836
Stock-based compensation expense	131,587		131,587
Amendment and issuance of common stock from Amendment of Series B Warrants and Series C Warrants, net of issuance costs	2,532,449	$ 3	2,532,446
Amendment and issuance of common stock from Amendment of Series B Warrants and Series C Warrants, net of issuance costs, shares		24,509
Amendment and issuance of common stock from Exercise Price Warrant Amendment of Series A Warrants and Series Warrants, net of issuance costs	370,622	$ 5	370,617
Amendment and issuance of common stock from Exercise Price Warrant Amendment of Series A Warrants and Series Warrants, net of issuance costs, shares		51,062
Issuance of common stock from cashless exercise of pre-funded warrants	101	$ 8	93
Issuance of common stock from cashless exercise of pre-funded warrants, Shares		84,436
Redemption of fractional shares due to reverse stock split	(191)		(191)
Net loss	(1,312,390)			(1,312,390)
Ending Balance at Sep. 30, 2024	$ 4,387,136	$ 89	$ 131,985,913	$ (127,598,866)
Ending Balance, Shares at Sep. 30, 2024	894,843	894,843

Condensed Statements of Cash Fl

Condensed Statements of Cash Flows (Unaudited) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Operating activities
Net loss	$ (1,312,390)	$ (1,693,907)	$ (4,159,428)	$ (5,804,894)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense	131,587	281,758	512,194	846,470
Non-cash interest expense	126,027	126,028	375,342	373,973
Non-cash lease expense				115,704
Change in operating assets and liabilities:
Accounts receivable			(1,349,447)	(609,072)
Prepaid expenses and other current assets			749,447	828,556
Inventories			(11,568)	(215,547)
Accounts payable and accrued expenses			398,136	463,130
Accrued compensation			(733,376)	238,511
Operating lease liabilities				(115,704)
Net cash used in operating activities			(4,218,700)	(3,878,873)
Financing activities
Proceeds from exercise of Pre-Funded Warrants			101
Redemption of fractional shares due to reverse stock split			(191)
Net cash provided by financing activities			10,818,306
Net increase (decrease) in cash and cash equivalents			6,599,606	(3,878,873)
Cash and cash equivalents at beginning of period			4,739,426	9,843,699
Cash and cash equivalents at end of period	$ 11,339,032	$ 5,964,826	11,339,032	$ 5,964,826
February 2024 Offering [Member]
Financing activities
Proceeds from Offering, net of issuance costs			6,718,211
Payment of Offering costs			(426,293)
August 2024 Shelf Registration Statement [Member]
Financing activities
Payment of Offering costs			(15,500)
Supplemental disclosure of non-cash financial activities
August 2024 Shelf Registration Statement costs included in accounts payable and accrued expenses			99,988
March 2024 Warrant [Member]
Financing activities
Proceeds from Warrant Amendment, net of issuance costs			1,229,874
June 2024 Warrant [Member]
Financing activities
Proceeds from Warrant Amendment, net of issuance costs			308,429
September 2024 Exercise Price Warrant [Member]
Financing activities
Proceeds from Warrant Amendment, net of issuance costs			2,587,010
Supplemental disclosure of non-cash financial activities
Warrant Amendment costs included in accounts payable and accrued expenses			54,561
September 2024 Warrant [Member]
Financing activities
Proceeds from Warrant Amendment, net of issuance costs			416,665
Supplemental disclosure of non-cash financial activities
Warrant Amendment costs included in accounts payable and accrued expenses			$ 46,043

Pay vs Performance Disclosure

Pay vs Performance Disclosure - USD ($)	3 Months Ended						9 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2024	Sep. 30, 2023
Pay vs Performance Disclosure
Net Income (Loss)	$ (1,312,390)	$ (1,267,218)	$ (1,579,820)	$ (1,693,907)	$ (1,867,917)	$ (2,243,070)	$ (4,159,428)	$ (5,804,894)

Insider Trading Arrangements

Insider Trading Arrangements	3 Months Ended
	Sep. 30, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false
Rule 10b5-1 Arrangement Modified	false
Non-Rule 10b5-1 Arrangement Modified	false

Organization and Basis of Prese

Organization and Basis of Presentation	9 Months Ended
	Sep. 30, 2024
Organization And Basis Of Presentation [Abstract]
Organization and Basis of Presentation	1. Organization and Basis of Presentation Evoke Pharma, Inc. (the “Company”) was incorporated under the laws of the state of Delaware in January 2007 . The Company is a 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 its efforts to developing its sole product, Gimoti® (metoclopramide) nasal spray, the first and only nasally-administered product indicated for the relief of symptoms in adults with acute and recurrent diabetic gastroparesis. 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 launched its first commercial product, including market acceptance of the product and the potential need to obtain additional funding for 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 Gimoti. As of September 30, 2024, the Company had approximately $ 11.3 million in cash and cash equivalents. The Company anticipates that it will continue to incur losses from operations due to commercialization activities, including manufacturing Gimoti, conducting the post-marketing commitment single-dose pharmacokinetics (“PK”) clinical trial of Gimoti to characterize dose proportionality of a lower dose strength of Gimoti, and for other general and administrative costs to support the Company’s operations. Both the Company and Eversana may terminate the commercial services agreement pursuant to the Net Profit Quarterly Termination Right (“NPQTR”) (as defined in Note 4); however, the Company has no intent to terminate the Eversana Agreement. Although Eversana has not exercised its right pursuant to the NPQTR, there can be no assurance it won’t. Should Eversana exercise its right under the NPQTR, the Commercial Services and Loan Agreements, as described in Note 4 – Commercial Services and Loan Agreement with Eversana, would also be terminated and the Company would be responsible to repay the principal and interest on the loan, which amounted to $ 7.0 million as of September 30, 2024 , within 90 days. As a result, there is substantial doubt about the Company’s ability to continue as a going concern for one year after the date these financial statements are issued. The financial statements do not include any adjustments that may result from the outcome of this uncertainty. The Company’s net losses may fluctuate significantly from quarter-to-quarter and year-to-year. The Company anticipates that it 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 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 commercialization activities. Any of these actions could materially harm the Company’s business, results of operations, financial condition and future prospects. Because the Company’s business is entirely dependent on the success of Gimoti, if the Company is unable to secure additional financing, or identify and execute on strategic alternatives for Gimoti or the Company, the Company will be required to curtail all activities and may be required to liquidate, dissolve or otherwise wind down its operations. Notices of Delisting and Reverse Stock Split On May 24, 2023, the Company received a written notice from the Listing Qualifications Department of The Nasdaq Stock Market LLC (“Nasdaq”) indicating that, based on the Company's stockholders’ equity of $ 2.1 million as of March 31, 2023, as reported in the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2023, the Company was not in compliance with the minimum stockholders’ equity requirement for continued listing on The Nasdaq Capital Market under Nasdaq Listing Rule 5550(b)(1) (the “Minimum Stockholders’ Equity Requirement”). As required by Nasdaq, the Company submitted its plan to regain compliance with the Minimum Stockholders’ Equity Requirement and Nasdaq granted the Company an extension until November 20, 2023 to regain compliance. Following notice on November 21, 2023 from Nasdaq that the Company had not met the Minimum Stockholders’ Equity Requirement, the Company requested a hearing before the Nasdaq Hearings Panel (the “Panel”) and on December 9, 2023, Nasdaq notified the Company that the hearing was scheduled for February 15, 2024. On February 15, 2024, the Company had the hearing before the Panel. On March 18, 2024, the Company announced that the Panel granted the Company’s request to continue its listing on the Nasdaq Capital Market, subject to the Company filing a Form 10-Q on or before May 15, 2024, demonstrating that, as of March 31, 2024, the Company is in compliance with the Minimum Stockholders’ Equity Requirement. The Panel noted the Company’s steps to maintain compliance with the Minimum Stockholders’ Equity Requirement on a long-term basis, including the equity financing completed in February 2024, which provided the Company net proceeds of $ 6.2 million, and the potential for additional capital from the exercise of the warrants issued in the February 2024 financing. The Panel also noted that it is a requirement during the exception period that the Company provide prompt notification to the Panel of any significant events that occur during this time that may affect the Company’s compliance with Nasdaq’s requirements. This includes, but is not limited to, any event that may call into question the Company’s ability to meet the terms of the exception granted. The Panel reserved the right to reconsider the terms of the granted exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of the Company’s securities on the Nasdaq Capital Market inadvisable or unwarranted. On May 14, 2024, the Company filed its Form 10-Q reporting approximately $ 3.5 million in stockholders’ equity. On June 4, 2024, the Company was formally notified that the Panel determined that the Company has regained compliance with the Minimum Stockholders’ Equity Requirement. Pursuant to Nasdaq Listing Rule 5815(d)(4)(A), the Company will be subject to a discretionary panel monitor through June 4, 2025. If, within that one-year monitoring period, the Company fails to maintain compliance with any Nasdaq continued listing requirement, the Listing Qualifications Staff (the “Staff”) of Nasdaq will issue a Delist Determination Letter, and the Company will have an opportunity to request a new hearing with the initial Panel or a newly convened Hearings Panel if the initial Panel is unavailable. Notwithstanding Nasdaq Listing Rule 5810(c)(2), the Company will not be permitted to provide the Staff with a plan of compliance with respect to any deficiency that arises during the one-year monitoring period, and the Staff will not be permitted to grant additional time for the Company to regain compliance with respect to any deficiency. As of September 30, 2024, the Company remained in compliance with the Minimum Stockholder's Equity Requirement. On February 21, 2024, the Company received a letter from Nasdaq indicating that, for the last thirty consecutive business days, the bid price for the Company's common stock had closed below the minimum $ 1.00 per share requirement for continued listing on the Nasdaq Capital Market under Nasdaq Listing Rule 5550(a)(2) (the “Minimum Bid Price Requirement”). In accordance with Nasdaq Listing Rule 5810(c)(3)(A), the Company was provided an initial period of 180 calendar days, or until August 19, 2024, to regain compliance. The letter states that Nasdaq will provide written notification that the Company has achieved compliance with its rules if at any time before August 19, 2024, the bid price of the Company's common stock closes at $ 1.00 per share or more for a minimum of ten consecutive business days. The Nasdaq letter had no immediate effect on the listing or trading of the Company's common stock and the common stock continued to trade on The Nasdaq Capital Market. On May 22, 2024, the Company's stockholders granted the board of directors the authority to effect a reverse stock split of the Company's outstanding common stock. In order to regain compliance with the Minimum Bid Price Requirement by August 19, 2024, on July 31, 2024, the Company filed an amendment (the “Amendment”) to its amended and restated certificate of incorporation to effectuate a reverse stock split of the Company’s common stock. Pursuant to the Amendment, at the effective time of 12:01 a.m. Eastern Time on August 1, 2024, each twelve (12) shares of the Company’s common stock issued and outstanding was combined into one (1) validly issued, fully paid and non-assessable share of common stock (the “Reverse Stock Split”). The par value and the authorized shares of the Company's common stock were not adjusted as a result of the Reverse Stock Split. All of the Company’s issued and outstanding common stock, warrants to purchase common stock, options to purchase common stock, per-share data and related information have been retroactively adjusted to reflect the Reverse Stock Split for all periods presented. On August 15, 2024, the Company received a letter from Nasdaq stating the Company has regained compliance with the Minimum Bid Price Requirement and the minimum bid price matter is now closed.

Summary of Significant Accounti

Summary of Significant Accounting Policies	9 Months Ended
	Sep. 30, 2024
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies The accompanying unaudited condensed financial statements have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and with the instructions of the Securities and Exchange Commission (“SEC”) on Form 10-Q and Rule 8-03 of Regulation S-X. Accordingly, they do not include all of the information and disclosures required by GAAP for complete financial statements. In the opinion of management, the condensed financial statements include all adjustments necessary, which are of a normal and recurring nature, for the fair presentation of the Company’s financial position and of the results of operations and cash flows for the periods presented. These financial statements should be read in conjunction with the audited financial statements and notes thereto for the year ended December 31, 2023 included in the Company’s Annual Report on Form 10-K/A filed with the SEC on May 14, 2024. The results of operations for the interim period shown in this report are not necessarily indicative of the results that may be expected for any other interim period or for the full year. The balance sheet at December 31, 2023, has been derived from the audited financial statements at that date. Risks and Uncertainties Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. On an ongoing basis, we evaluate our estimates, including those related to the valuation of share-based awards, the fair value of warrants and the assessment of our ability to fund our operations for at least the next 12 months from the date of issuance of these condensed financial statements. We base our estimates on historical experience and other market-specific or other relevant assumptions that we believe to be reasonable under the circumstances. Estimates are assessed each reporting period and updated to reflect current information. As future events and their effects cannot be determined with precision, actual results may materially differ from those estimates or assumptions. Cash and Cash Equivalents The Company deposits its cash with reputable financial institutions that are insured by the Federal Deposit Insurance Corporation (“FDIC”). This cash is held in checking, cash sweep, and money market accounts. At times, deposits held may exceed the amount of insurance provided by the FDIC. The Company maintains an insured cash sweep account in which cash from its main operating checking account is invested overnight in highly liquid, short-term investments. The Company considers all highly liquid investments with a maturity date of 90 days or less at the date of purchase to be cash equivalents. The Company has not experienced any losses in its cash and cash equivalents and management believes the Company is not exposed to significant credit risk with respect to such accounts. The Company's cash and cash equivalents are classified as Level 1 inputs within the fair value hierarchy. Fair Value of Financial Instruments The carrying amounts of all financial instruments, including accounts receivable and accounts payable and accrued expenses, are considered to be representative of their respective fair values because of the short-term nature of those instruments. The carrying value of the note payable approximates fair value based upon interest rates the Company believes it can currently obtain for similar debt, which is a Level 2 input within the fair value hierarchy. Accounts Receivable Accounts receivable are recorded net of allowance for credit losses, if any. The Company evaluates its estimate of expected credit losses based on a combination of factors, including historical experience, assessment of specific customer-related risks, review of outstanding invoices, forecasts about the future, and various other assumptions and estimates. The allowance for credit losses was zero as of both September 30, 2024 and December 31, 2023 and no bad debt expense was recorded for the three and nine months ended September 30, 2024 and 2023 . Inventories 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 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. The Company's inventories consisted of the following as of September 30, 2024 and December 31, 2023: September 30, 2024 December 31, 2023 Raw materials $ 257,467 $ 361,219 Finished goods 235,941 120,621 Total inventories $ 493,408 $ 481,840 Inventories are stated at the lower of cost (first-in first-out basis) or net realizable value. The Company’s raw materials inventories are held at its third-party suppliers and its finished goods inventories are held by Eversana. The Company records such inventories as consigned inventories. Deferred Offering Costs Deferred offering costs represent legal, accounting, and other direct costs related to future equity financings and are recognized as a non-current asset on the condensed balance sheets. After consummation of the equity financing, the offering costs are recognized as a reduction of proceeds and reclassified to additional paid-in capital on the condensed balance sheet. Should a planned equity financing be abandoned, terminated, or significantly delayed, the deferred offering costs are immediately written off as an administrative expense. As of September 30, 2024, the Company had deferred offering costs of $ 115,000 related to the filing of a shelf registration statement in August 2024. As of December 31, 2023, the Company had deferred offering costs of $ 242,000 related to the public offering that was completed in February 2024, which was reclassified to additional paid-in capital in February 2024 upon completion of such offering. Warrants The Company accounts for warrants as equity-classified instruments based on an assessment of the warrant’s specific terms and applicable authoritative guidance in Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity (“ASC 480”) and ASC 815, Derivatives and Hedging (“ASC 815”). The assessment considers whether the warrants are freestanding financial instruments pursuant to ASC 480, meet the definition of a liability pursuant to ASC 480, and whether the warrants meet all of the requirements for equity classification under ASC 815, including whether the warrants are indexed to the Company’s own common stock and whether the warrant holders could potentially require “net cash settlement” in a circumstance outside of the Company’s control, among other conditions for equity classification. This assessment, which requires the use of professional judgment, is conducted at the time of warrant issuance and as of each subsequent quarterly period end date while the warrants are outstanding. For warrants that meet all criteria for equity classification, the warrants are required to be recorded as additional paid-in capital in the condensed balance sheets at the time of issuance. Equity-classified warrants are measured at their estimated fair value on the issuance date using either the Black-Scholes option pricing model or a Monte-Carlo simulation model based on the applicable assumptions, which include the exercise price of the warrants, the Company's stock price and volatility, the expected warrant term, the risk-free interest rate, the expected dividends, and if applicable, the vesting behavior. Revenue Recognition In accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”), the Company recognizes revenue 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 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, 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 transaction price that is allocated to the respective performance obligation when the customer obtains control of the product. Product revenues are recorded net of sales-related adjustments, or transaction price, wherever applicable, including patient support programs, rebates, and other sales related discounts. The Company uses judgment to estimate variable consideration. The Company is subject to rebates under Medicaid and Medicare programs. The rebates for these programs are determined based on statutory provisions. The Company estimates Medicaid and Medicare rebates based on the expected number of claims and related cost associated with the customer transaction. Medicaid and Medicare rebates of $ 130,000 and $ 46,000 were recorded as accounts payable and accrued expenses in the condensed balance sheets as of September 30, 2024 and December 31, 2023, respectively. 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. The Company's analysis also contemplates application of the constraint in accordance with the guidance, under which it determines a significant reversal of revenue would not occur in a future period. If actual results in the future vary from estimates, the Company will adjust these estimates, which could affect net product revenue and earnings in the period such variances become known. Liabilities for co-pay assistance of approximately $ 160,000 and $ 66,000 as of September 30, 2024 and December 31, 2023 , respectively, are classified as accounts payable and accrued expenses in the condensed balance sheets. 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. Pre-Funded Warrants issued and sold by the Company to purchase shares of its common stock are included in the calculation of basic net loss per common share if the exercise price of the pre-funded warrants represents de minimis consideration and is non-substantive in relation to the price paid for the warrant, and if the warrants are immediately exercisable with no further vesting conditions or contingencies associated with them. The 1,204,413 shares of the Company's common stock underlying the Pre-Funded Warrants, Modified Series A Warrants and Modified Series C Warrants described in Note 3 – Stockholders’ Equity, are included in the weighted average outstanding common stock in the calculation of basic and diluted net loss per share due to their nominal exercise price. The Company considers Series A Warrants, Series B Warrants, Series C Warrants, and Representatives’ Warrants to be participating securities, because holders of such instruments participate in th e event a dividend is paid on common stock. The holders of the Series A Warrants, Series B Warrants, Series C Warrants, and Representatives’ Warrants do not have a contractual obligation to share in the Company’s losses. As such, losses are attributed entirely to common stockholders and for periods in which the Company has reported a net loss, diluted loss per common share is the same as basic loss per common share. Diluted net loss per share is calculated by dividing the net loss by the weighted-average number of common stock and common stock equivalents outstanding for the period determined using the treasury-stock method. The following table sets forth the outstanding potentially dilutive securities that have been excluded from the calculation of diluted net loss per share for the three and nine months ended September 30, 2024 because to do so would be anti-dilutive: September 30, 2024 2023 Warrants to purchase common stock 1,901,687 — Common stock options 154,799 53,263 Total excluded securities 2,056,486 53,263 Recent Accounting Pronouncements – Not Yet Adopted In November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2023-07, Segment Reporting (Topic 280) Improvements to Reportable Segment Disclosures (“Topic 280”), which modifies the disclosure and presentation requirements of reportable segments (“ASU 2023-07”). The amendments in the update require the disclosure of significant segment expenses that are regularly provided to the chief operating decision maker (the “CODM”) and included within each reported measure of segment profit and loss. The amendments also require disclosure of all other segment items by reportable segment and a description of its composition. Additionally, the amendments require disclosure of the title and position of the CODM and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and deciding how to allocate resources. Lastly, the amendment requires that a public entity that has a single reportable segment provide all the disclosures required by ASU 2023-07 and all existing segment disclosures in Topic 280. This update is effective for annual periods beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the impact that this guidance will have on the presentation of its financial statements and accompanying notes. In December 2023, the FASB issued ASU No. 2023-09 (“ASU 2023-09”), Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 requires disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. ASU 2023-09 is effective for public entities with annual periods beginning after December 15, 2024 and for private businesses for annual periods beginning after December 15, 2025, with early adoption permitted. The Company is currently evaluating the impact of this guidance on its financial statement disclosures.

Stockholders' Equity

Stockholders' Equity	9 Months Ended
	Sep. 30, 2024
Equity [Abstract]
Stockholders' Equity	3. Stockholders’ Equity Equity Transactions February 2024 Offering In February 2024, the Company entered into an underwriting agreement (the “Underwriting Agreement”) with Craig-Hallum Capital Group LLC and Laidlaw & Company (UK) Ltd. (collectively, the “Underwriters”), relating to the issuance and sale of 427,886 common stock units (the “Common Stock Units”) at a public offering price of $ 8.16 per Common Stock Unit and, to certain investors, 491,221 pre-funded warrant units (the “PFW Units”) at a public offering price of $ 8.1588 per PFW Unit (the “February 2024 Offering”). Each Common Stock Unit consisted of (i) one share of common stock, (ii) a Series A Warrant to purchase one share of common stock (the “Series A Warrant”), (iii) a Series B Warrant to purchase one share of common stock (the “Series B Warrant”), and (iv) a Series C Warrant to purchase one share of common stock (the “Series C Warrant”). Each PFW Unit consisted of (i) a pre-funded warrant to purchase one share of common stock (the “Pre-Funded Warrants”), (ii) a Series A Warrant, (iii) a Series B Warrant, and (iv) a Series C Warrant. The Company also issued warrants to the Underwriters to purchase up to 45,955 shares of common stock, equal to 5 % of the securities sold in the February 2024 Offering (the “Representatives’ Warrants”). The Series A Warrants are fully exercisable and recognized as a freestanding instrument. In accordance with the terms and provisions of the Series C Warrants, the Series C Warrants are not exercisable, in part or in whole, at any time unless the Series B Warrants have been exercised. If Series B Warrants are not exercised before November 13, 2024, the corresponding Series C Warrants are no longer deemed outstanding and cannot be exercised. Furthermore, the Series B Warrants and Series C Warrants cannot be transferred by the holder without the consent of the Company, and, therefore the Series B Warrants and Series C Warrants are accounted for as a single unit of account. Net cash proceeds from the February 2024 Offering was $ 6.2 million after deducting underwriter and offering expenses. The Pre-Funded Warrants, Series A Warrants, Series B Warrants, and Series C Warrants are equity classified and were recognized as additional paid-in capital in the condensed balance sheets. The Representatives’ Warrants were accounted for under ASC 718, Compensation — Stock Compensation , and were recognized as an equity issuance cost at their grant date fair value within additional paid-in capital in the condensed balance sheets. August 2024 Shelf Registration Statement On August 29, 2024, the Company filed a universal shelf registration statement on Form S-3 (the “Shelf Registration Statement”), covering the offering of up to $ 50.0 million of common stock, preferred stock, debt securities, warrants, and/or units, subject to the “Baby Shelf Limitation” which limits the amount that the Company can offer to up to one-third of its public float during any 12-month period so long as our public float remains below $ 75 million . The Shelf Registration Statement was declared effective by the SEC on September 6, 2024. As of September 30, 2024, there have been no shares of common stock nor preferred stock, debt securities, warrants, and/or units issued under the August 2024 Shelf Registration Statement. At The Market Equity Offering The Company had previously entered into a Sales Agreement (the “Sales Agreement”) with H.C. Wainwright & Co., LLC (“Wainwright”), under which the Company may, from time to time, sell shares of its common stock having an aggregate offering price of up to approximately $ 1.9 million through Wainwright (the “ATM Offering”). The Shelf Registration Statement included a prospectus covering the offering, issuance and sale of up to approximately $ 1.9 million of the Company’s common stock from time to time through the ATM Offering. The shares to be sold under the Sales Agreement may be issued and sold pursuant to the Shelf Registration Statement. The Company did no t issue any shares of common stock in the ATM Offering during the three month period ended September 30, 2024. Warrant Amendments In each of March, June and September 2024, the Company entered into substantially similar amendments with certain holders of its Series B Warrants and Series C Warrants (individually, the “March 2024 Warrant Amendment,” “June 2024 Warrant Amendment,” and the “September 2024 Warrant Amendment,” respectively and collectively, the “Warrant Amendments”). Pursuant to the Warrant Amendments, to the extent a holder exercised its Series B Warrants prior to their respective exercise deadlines, as defined in the amendment documents (the “Amendment Exercise Deadline”), the holder’s corresponding Series C Warrants vested and were exercisable for the lesser of (i) three times the number of Series B Warrants exercised by the Holder and (ii) the total number of Series C Warrants outstanding to the holder. Following each Amendment Exercise Deadline, if the holder exercised any remaining Series B Warrants, the remaining Series C Warrants, if any, vested and became exercisable on a one-for-one basis as to the same number of Series B Warrants exercised. The Warrant Amendments allowed a holder to elect to receive Pre-Funded Warrants upon exercise of Series B Warrants and Series C Warrants in lieu of shares of the Company’s common stock, at a purchase price of $ 8.1588 per warrant exercised and an exercise price of $ 0.0012 per Pre-Funded Warrant. Net cash proceeds from the March, June and September 2024 Warrant Amendment were $ 1.2 million, $ 0.3 million and $ 0.4 million, respectively, after deducting underwriter commissions and offering expenses. The Warrant Amendments were entered into to encourage the exercise of Series B Warrants in order to obtain capital to meet the Minimum Stockholders’ Equity Requirement. The Warrant Amendments neither changed the number of shares of common stock underlying each series of warrants nor its equity classification. The incremental change in fair value from the Warrant Amendments was accounted for as equity issuance costs and recognized within additional paid-in capital in the condensed balance sheets. September 2024 Exercise Price Warrant Amendment In September 2024, the Company also entered into an amendment with certain holders of its Series A Warrants, Series B Warrants and Series C Warrants (the “September 2024 Exercise Price Warrant Amendment”). Pursuant to the September 2024 Exercise Price Warrant Amendment, such holders agreed to pay a non-refundable up-front payment of $ 3.99 per Series A Warrant or Series C Warrant to reduce the exercise price of the Series A Warrants and Series C Warrants from $ 8.16 to $ 0.01 (such Series A Warrants and Series C Warrants modified to have a reduced exercise price referred to as the “Modified Series A Warrants” and “Modified Series C Warrants”). Pursuant to the September 2024 Exercise Price Warrant Amendment, to the extent such holder executed the September 2024 Exercise Price Warrant Amendment and paid consideration for the number of Series A Warrants and/or Series C Warrants to be modified before 5:00 p.m. Pacific time on September 30, 2024 (the “September 2024 Exercise Price Warrant Amendment Exercise Deadline”), the exercise price of Modified Series A Warrants and Modified Series C Warrants would be $ 0.01 . To the extent such holder did not elect to modify all outstanding Series A Warrants and Series C Warrants, the remaining Series A Warrants and Series C Warrants held by each holder retained an exercise price of $ 8.16 per Series A Warrant or Series C Warrant. Net cash proceeds from the September 2024 Exercise Price Warrant Amendment were $ 2.5 million after deducting underwriter and offering expenses. The September 2024 Exercise Price Warrant Amendment was entered to encourage the modification of Series A Warrants and Series C Warrants in order to obtain capital to meet the Minimum Stockholders’ Equity Requirement. The September 2024 Exercise Price Warrant Amendment neither changed the number of shares of Common Stock underlying each series of warrants nor its equity classification. The incremental change in fair value from the September 2024 Exercise Price Warrant Amendment was an equity issuance cost and was recognized within additional paid-in capital. In connection with the September 2024 Exercise Price Warrant Amendment, the Company entered into a letter agreement, dated September 27, 2024 (the “Letter Agreement”), with certain affiliates of Nantahala Capital Management, LLC (collectively, “Nantahala”), pursuant to which, subject to certain limitations, the Company will provide Nantahala the right to appoint (or cause to be nominated) (i) one member of the Company’s board of directors (the “Board”) and one member of each Board committee so long as Nantahala, together with its affiliates, beneficially owns at least 5.0 % of the Company’s outstanding shares of common stock and (ii) two members of the Board so long as Nantahala, together with its affiliates, beneficially owns at least 15.0 % of the Company’s outstanding shares of common stock, subject to certain exceptions. Warrants The following table is a summary of the Company’s warrants outstanding as o f September 30, 2024: Shares of Number of Number of Common Stock Warrants Outstanding Warrants Exercisable Underlying Warrants Exercise Price Initial Exercise Date Expiration Date Pre-Funded Warrants 580,610 580,610 580,610 $ 0.0012 February 13, 2024 Until Exercised in Full Series A Warrants 545,933 545,933 545,933 $ 8.16 February 13, 2024 February 13, 2029 Modified Series A Warrants (1) 373,176 373,176 373,176 $ 0.01 February 13, 2024 February 13, 2029 Series B Warrants 665,826 665,826 665,826 $ 8.16 February 13, 2024 November 13, 2024 Series C Warrants (2) 643,973 643,973 643,973 $ 8.16 February 13, 2024 November 13, 2024 or February 13, 2029 Modified Series C Warrants (1) 250,627 250,627 250,627 $ 0.01 February 13, 2024 February 13, 2029 Representativesʼ Warrants 45,955 45,955 45,955 $ 13.47 August 13, 2024 February 13, 2029 Total warrants 3,106,100 3,106,100 3,106,100 (1) The Modified Series A Warrants and Modified Series C Warrants represent Series A Warrants and Series C Warrants, respectively, modified under the September 2024 Exercise Price Warrant Amendment. (2) The Series C Warrants are subject to a vesting schedule and may only be exercised to the extent and in proportion to a holder of the Series C Warrants exercising its corresponding Series B Warrants, subject to accelerated vesting pursuant to the Warrant Amendment described above. The Series C Warrants expire on November 13, 2024, provided that to the extent and in proportion to a holder of the Series C Warrants have vested based on the exercise of the corresponding Series B Warrants, such Series C Warrants will expire on February 13, 2029. There were no warrants outstanding as of December 31, 2023. Stock-Based Compensation Stock Options Stock-based compensation expense includes charges related to stock option grants. The Company measures stock-based compensation expense based on the grant date fair value of any awards granted to its employees. Such expense is recognized over the period of time that employees provide service and earn rights to the awards. During the nine months ended September 30, 2024 and 2023, the Company granted stock options to purchase 120,182 and 153,750 shares of the Company’s common stock, respectively. The estimated fair value of each stock option award granted was determined on the date of grant using the Black-Scholes option-pricing valuation model with the following assumptions: Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Risk free interest rate 3.8 % – 3.9 % — 3.8 % – 4.5 % 1.3 % – 3.4 % Expected option term (in years) 5.8 – 6.0 — 5.5 – 6.0 5.5 – 6.0 Expected volatility of common stock 105.8 % – 106.6 % — 105.8 % – 107.1 % 99.3 % – 103.6 % Expected dividend yield 0.0 % — 0.0 % 0.0 % Employee Stock Purchase Plan Stock-based compensation expense also includes charges related to common stock issued under the Amended and Restated 2013 Employee Stock Purchase Plan (the “ESPP”). The Company allows eligible employees to purchase shares of the Company’s common stock through payroll deductions at a price equal to 85 % of the lesser of the fair market value of the Company’s common stock on the first trading day of the offering period or on the applicable purchase date. The offering period is determined by the compensation committee and may be up to 27 months long. Pursuant to the approval of the ESPP, current offering periods commence on each of September 1 and March 1 during the term. Purchase dates will be set for the last trading day in each six-month and will occur on each of August 31 and February 28 (unless such days are not trading days). In January 2024, the number of shares of common stock available for issuance under the ESPP was increased by 2,785 shares as a result of the automatic increase provision in the ESPP. During the third quarter of 2024, an offering period was initiated. There have been no shares of common stock issued under the ESPP during the nine months ended September 30, 2024. As of September 30, 2024, 14,900 shares under the ESPP remain available for purchase. The estimated fair value of each ESPP award granted was determined on the date of purchase date using the Black-Scholes option-pricing valuation model with the following assumptions: Three and Nine Months Ended September 30, 2024 2023 Risk free interest rate 4.9 % — Expected option term (in years) 0.5 — Expected volatility of common stock 91.5 % — Expected dividend yield 0.0 % — The Company recognized stock-based compensation expense as follows: Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Research and development $ 3,016 $ — $ 4,231 $ 2,841 Selling, general and administrative 128,571 281,758 507,963 843,629 Total stock-based compensation expense $ 131,587 $ 281,758 $ 512,194 $ 846,470 Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Stock options $ 130,054 $ 281,758 $ 510,661 $ 846,470 ESPP 1,533 — 1,533 — Total stock-based compensation expense $ 131,587 $ 281,758 $ 512,194 $ 846,470 As of September 30, 2024, there was approximately $ 0.7 million of unrecognized compensation costs related to outstanding employee and board of director options, which are expected to be recognized over a weighted-average period of 1.2 years. As of September 30, 2024 , there was approximately $ 8,000 of unrecognized compensation costs related to the ESPP, which are expected to be recognized over a weighted-average period of 0.4 years.

Commercial Services and Loan Ag

Commercial Services and Loan Agreements with Eversana	9 Months Ended
	Sep. 30, 2024
Commercial Services And Loan Agreements [Abstract]
Commercial Services and Loan Agreements with Eversana	4. Commercial Services and Loan Agreements with Eversana On January 21, 2020, the Company entered into a commercial services agreement (as amended, the “Eversana Agreement”) with Eversana for the commercialization of Gimoti. Pursuant to the Eversana Agreement, Eversana commercializes and distributes 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 utilizes its internal sales organization, along with other commercial functions, for market access, marketing, distribution and other related patient support services. The Company records sales for Gimoti and will retain more than 80 % of net product profits once both parties’ costs are reimbursed. For the three months ended September 30, 2024 and 2023, approximately $ 2.2 million and $ 1.3 million of Eversana profit sharing costs were included as selling, general and administrative costs, respectively. For the nine months ended September 30, 2024 and 2023, approximately $ 5.9 million and $ 3.0 million of Eversana profit sharing costs were included as selling, general and administrative costs, respectively. As of September 30, 2024, unreimbursed commercialization costs to Eversana were approximately $ 72.8 million. Such costs will generally be payable only as net product profits are recognized or upon certain termination events. 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. On February 1, 2022, the Eversana Agreement was amended to extend the term from June 19, 2025 (five years from the date the Food & Drug Administration approved the Gimoti new drug application) to December 31, 2026 , unless terminated earlier pursuant to its terms. This amendment also increased the percentage of net product profit retained by the Company and increased the proportion of costs that are reimbursed to Eversana to the extent Eversana has accumulated unreimbursed costs . 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; 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 (the “Net Profit Quarterly Termination Right”) beginning with the measurement date of June 30, 2023; if the cumulative net product profits fail to reach certain thresholds in the first three years following 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. The Company's net profits were negative for the two preceding calendar quarters as of September 30, 2024, and therefore, Eversana or the Company can exercise the Net Profit Quarterly Termination Right during the 60-day period after quarter-end. Since the note payable and accrued interest payable can be accelerated by Eversana by terminating the Eversana Agreement as of September 30, 2024, those payments were recorded as current liabilities as of September 30, 2024. Each party will continue to have the option to exercise the Net Profit Quarterly Termination Right for the 60-day period following the end of future quarters so long as the net profit under the Eversana Agreement remains negative for consecutive quarters. In the event that the Company initiates such termination, the Company shall pay to Eversana a one-time payment equal to all of Eversana’s unreimbursed cost plus a portion of Eversana’s commercialization costs incurred in the 12 months prior to termination. 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, i ncluding pursuant to the Net Profit Quarterly Termination Right, 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. If Eversana terminates the Eversana Agreement for convenience, the Company is under no obligation to reimburse Eversana for unreimbursed commercialization costs. In connection with the Eversana Agreement, the Company and Eversana have entered into the Eversana Credit Facility, pursuant to which Eversana has agreed to provide a revolving Credit Facility of up to $ 5 million to the Company upon FDA approval of the Gimoti NDA under certain customary conditions. The Eversana Credit Facility terminates on December 31, 2026, unless terminated earlier pursuant to its terms. The Eversana Credit Facility is secured by all of the Company’s personal property other than the Company’s intellectual property. Under the terms of the Eversana Credit Facility, the Company cannot grant an interest in the Company’s intellectual property to any other person. Each loan under the Eversana Credit Facility will bear interest at an annual rate equal to 10.0 %, with such interest due at the end of the loan term. In 2020, the Company borrowed $ 5 million under the Eversana Credit Facility. The Company may 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 Eversana 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 Company 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 pay any amounts due under the Eversana Credit Facility, an uncured material breach of the representations, warranties and other obligations under the Eversana Credit Facility, the occurrence of insolvency events and the occurrence of a change in control.

Subsequent Events

Subsequent Events	9 Months Ended
	Sep. 30, 2024
Subsequent Events [Abstract]
Subsequent Events	5. Subsequent Events Lease Amendment On October 16, 2024, the Company entered into the seventh amendment of its existing lease agreement (the “Seventh Amendment”) with SB Corporate Centre III-IV, LLC (the “Landlord”), to amend the office lease agreement, dated as of December 19, 2016, by and between the Landlord and the Company (as amended, the “Lease”), relating to office space, which serves as the Company’s headquarters. The Seventh Amendment extends the term of the Lease from October 31, 2024 to March 31, 2027 . The Seventh Amendment provides that the base monthly rent for the leased space will be $ 6,456.95 from November 1, 2024 to October 31, 2025, $ 6,650.66 from November 1, 2025 to October 31, 2026 and $ 6,850.18 from November 1, 2026 to March 31, 2027, and that the Company will be obligated to pay a specified percentage of certain expenses paid by the Landlord. The Company will also be granted a one-month rent abatement for November 2024, provided there is no material default under the Lease. The Lease will be accounted for as an operating lease. Warrant Exercises On October 28, 2024, the Company received net proceeds of $ 3.6 million after deducting underwriter expenses from the exercise of Pre-Funded Warrants, Series A Warrants, Series B Warrants, and Series C Warrants and issued 591,166 shares of common stock.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	9 Months Ended
	Sep. 30, 2024
Accounting Policies [Abstract]
Risks and Uncertainties	Risks and Uncertainties
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. On an ongoing basis, we evaluate our estimates, including those related to the valuation of share-based awards, the fair value of warrants and the assessment of our ability to fund our operations for at least the next 12 months from the date of issuance of these condensed financial statements. We base our estimates on historical experience and other market-specific or other relevant assumptions that we believe to be reasonable under the circumstances. Estimates are assessed each reporting period and updated to reflect current information. As future events and their effects cannot be determined with precision, actual results may materially differ from those estimates or assumptions.
Cash and Cash Equivalents	Cash and Cash Equivalents The Company deposits its cash with reputable financial institutions that are insured by the Federal Deposit Insurance Corporation (“FDIC”). This cash is held in checking, cash sweep, and money market accounts. At times, deposits held may exceed the amount of insurance provided by the FDIC. The Company maintains an insured cash sweep account in which cash from its main operating checking account is invested overnight in highly liquid, short-term investments. The Company considers all highly liquid investments with a maturity date of 90 days or less at the date of purchase to be cash equivalents. The Company has not experienced any losses in its cash and cash equivalents and management believes the Company is not exposed to significant credit risk with respect to such accounts. The Company's cash and cash equivalents are classified as Level 1 inputs within the fair value hierarchy.
Fair Value of Financial Instruments	Fair Value of Financial Instruments The carrying amounts of all financial instruments, including accounts receivable and accounts payable and accrued expenses, are considered to be representative of their respective fair values because of the short-term nature of those instruments. The carrying value of the note payable approximates fair value based upon interest rates the Company believes it can currently obtain for similar debt, which is a Level 2 input within the fair value hierarchy.
Accounts Receivable	Accounts Receivable Accounts receivable are recorded net of allowance for credit losses, if any. The Company evaluates its estimate of expected credit losses based on a combination of factors, including historical experience, assessment of specific customer-related risks, review of outstanding invoices, forecasts about the future, and various other assumptions and estimates. The allowance for credit losses was zero as of both September 30, 2024 and December 31, 2023 and no bad debt expense was recorded for the three and nine months ended September 30, 2024 and 2023 .
Inventories	Inventories 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 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. The Company's inventories consisted of the following as of September 30, 2024 and December 31, 2023: September 30, 2024 December 31, 2023 Raw materials $ 257,467 $ 361,219 Finished goods 235,941 120,621 Total inventories $ 493,408 $ 481,840 Inventories are stated at the lower of cost (first-in first-out basis) or net realizable value. The Company’s raw materials inventories are held at its third-party suppliers and its finished goods inventories are held by Eversana. The Company records such inventories as consigned inventories.
Deferred Offering Costs	Deferred Offering Costs Deferred offering costs represent legal, accounting, and other direct costs related to future equity financings and are recognized as a non-current asset on the condensed balance sheets. After consummation of the equity financing, the offering costs are recognized as a reduction of proceeds and reclassified to additional paid-in capital on the condensed balance sheet. Should a planned equity financing be abandoned, terminated, or significantly delayed, the deferred offering costs are immediately written off as an administrative expense. As of September 30, 2024, the Company had deferred offering costs of $ 115,000 related to the filing of a shelf registration statement in August 2024. As of December 31, 2023, the Company had deferred offering costs of $ 242,000 related to the public offering that was completed in February 2024, which was reclassified to additional paid-in capital in February 2024 upon completion of such offering.
Warrants	Warrants The Company accounts for warrants as equity-classified instruments based on an assessment of the warrant’s specific terms and applicable authoritative guidance in Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity (“ASC 480”) and ASC 815, Derivatives and Hedging (“ASC 815”). The assessment considers whether the warrants are freestanding financial instruments pursuant to ASC 480, meet the definition of a liability pursuant to ASC 480, and whether the warrants meet all of the requirements for equity classification under ASC 815, including whether the warrants are indexed to the Company’s own common stock and whether the warrant holders could potentially require “net cash settlement” in a circumstance outside of the Company’s control, among other conditions for equity classification. This assessment, which requires the use of professional judgment, is conducted at the time of warrant issuance and as of each subsequent quarterly period end date while the warrants are outstanding. For warrants that meet all criteria for equity classification, the warrants are required to be recorded as additional paid-in capital in the condensed balance sheets at the time of issuance. Equity-classified warrants are measured at their estimated fair value on the issuance date using either the Black-Scholes option pricing model or a Monte-Carlo simulation model based on the applicable assumptions, which include the exercise price of the warrants, the Company's stock price and volatility, the expected warrant term, the risk-free interest rate, the expected dividends, and if applicable, the vesting behavior.
Revenue Recognition	Revenue Recognition In accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”), the Company recognizes revenue 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 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, 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 transaction price that is allocated to the respective performance obligation when the customer obtains control of the product. Product revenues are recorded net of sales-related adjustments, or transaction price, wherever applicable, including patient support programs, rebates, and other sales related discounts. The Company uses judgment to estimate variable consideration. The Company is subject to rebates under Medicaid and Medicare programs. The rebates for these programs are determined based on statutory provisions. The Company estimates Medicaid and Medicare rebates based on the expected number of claims and related cost associated with the customer transaction. Medicaid and Medicare rebates of $ 130,000 and $ 46,000 were recorded as accounts payable and accrued expenses in the condensed balance sheets as of September 30, 2024 and December 31, 2023, respectively. 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. The Company's analysis also contemplates application of the constraint in accordance with the guidance, under which it determines a significant reversal of revenue would not occur in a future period. If actual results in the future vary from estimates, the Company will adjust these estimates, which could affect net product revenue and earnings in the period such variances become known. Liabilities for co-pay assistance of approximately $ 160,000 and $ 66,000 as of September 30, 2024 and December 31, 2023 , respectively, are classified as accounts payable and accrued expenses in the condensed balance sheets.
Net Loss Per Share	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. Pre-Funded Warrants issued and sold by the Company to purchase shares of its common stock are included in the calculation of basic net loss per common share if the exercise price of the pre-funded warrants represents de minimis consideration and is non-substantive in relation to the price paid for the warrant, and if the warrants are immediately exercisable with no further vesting conditions or contingencies associated with them. The 1,204,413 shares of the Company's common stock underlying the Pre-Funded Warrants, Modified Series A Warrants and Modified Series C Warrants described in Note 3 – Stockholders’ Equity, are included in the weighted average outstanding common stock in the calculation of basic and diluted net loss per share due to their nominal exercise price. The Company considers Series A Warrants, Series B Warrants, Series C Warrants, and Representatives’ Warrants to be participating securities, because holders of such instruments participate in th e event a dividend is paid on common stock. The holders of the Series A Warrants, Series B Warrants, Series C Warrants, and Representatives’ Warrants do not have a contractual obligation to share in the Company’s losses. As such, losses are attributed entirely to common stockholders and for periods in which the Company has reported a net loss, diluted loss per common share is the same as basic loss per common share. Diluted net loss per share is calculated by dividing the net loss by the weighted-average number of common stock and common stock equivalents outstanding for the period determined using the treasury-stock method. The following table sets forth the outstanding potentially dilutive securities that have been excluded from the calculation of diluted net loss per share for the three and nine months ended September 30, 2024 because to do so would be anti-dilutive: September 30, 2024 2023 Warrants to purchase common stock 1,901,687 — Common stock options 154,799 53,263 Total excluded securities 2,056,486 53,263
Recent Accounting Pronouncements	Recent Accounting Pronouncements – Not Yet Adopted In November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2023-07, Segment Reporting (Topic 280) Improvements to Reportable Segment Disclosures (“Topic 280”), which modifies the disclosure and presentation requirements of reportable segments (“ASU 2023-07”). The amendments in the update require the disclosure of significant segment expenses that are regularly provided to the chief operating decision maker (the “CODM”) and included within each reported measure of segment profit and loss. The amendments also require disclosure of all other segment items by reportable segment and a description of its composition. Additionally, the amendments require disclosure of the title and position of the CODM and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and deciding how to allocate resources. Lastly, the amendment requires that a public entity that has a single reportable segment provide all the disclosures required by ASU 2023-07 and all existing segment disclosures in Topic 280. This update is effective for annual periods beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the impact that this guidance will have on the presentation of its financial statements and accompanying notes. In December 2023, the FASB issued ASU No. 2023-09 (“ASU 2023-09”), Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 requires disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. ASU 2023-09 is effective for public entities with annual periods beginning after December 15, 2024 and for private businesses for annual periods beginning after December 15, 2025, with early adoption permitted. The Company is currently evaluating the impact of this guidance on its financial statement disclosures.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	9 Months Ended
	Sep. 30, 2024
Accounting Policies [Abstract]
Schedule of Inventories	The Company's inventories consisted of the following as of September 30, 2024 and December 31, 2023: September 30, 2024 December 31, 2023 Raw materials $ 257,467 $ 361,219 Finished goods 235,941 120,621 Total inventories $ 493,408 $ 481,840
Summary of Outstanding Potentially Dilutive Securities Excluded from Calculation of Diluted Net Loss Per Share	The following table sets forth the outstanding potentially dilutive securities that have been excluded from the calculation of diluted net loss per share for the three and nine months ended September 30, 2024 because to do so would be anti-dilutive: September 30, 2024 2023 Warrants to purchase common stock 1,901,687 — Common stock options 154,799 53,263 Total excluded securities 2,056,486 53,263

Stockholders' Equity (Tables)

Stockholders' Equity (Tables)	9 Months Ended
	Sep. 30, 2024
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Summary of the Company's Warrants Outstanding	The following table is a summary of the Company’s warrants outstanding as o f September 30, 2024: Shares of Number of Number of Common Stock Warrants Outstanding Warrants Exercisable Underlying Warrants Exercise Price Initial Exercise Date Expiration Date Pre-Funded Warrants 580,610 580,610 580,610 $ 0.0012 February 13, 2024 Until Exercised in Full Series A Warrants 545,933 545,933 545,933 $ 8.16 February 13, 2024 February 13, 2029 Modified Series A Warrants (1) 373,176 373,176 373,176 $ 0.01 February 13, 2024 February 13, 2029 Series B Warrants 665,826 665,826 665,826 $ 8.16 February 13, 2024 November 13, 2024 Series C Warrants (2) 643,973 643,973 643,973 $ 8.16 February 13, 2024 November 13, 2024 or February 13, 2029 Modified Series C Warrants (1) 250,627 250,627 250,627 $ 0.01 February 13, 2024 February 13, 2029 Representativesʼ Warrants 45,955 45,955 45,955 $ 13.47 August 13, 2024 February 13, 2029 Total warrants 3,106,100 3,106,100 3,106,100 (1) The Modified Series A Warrants and Modified Series C Warrants represent Series A Warrants and Series C Warrants, respectively, modified under the September 2024 Exercise Price Warrant Amendment. (2) The Series C Warrants are subject to a vesting schedule and may only be exercised to the extent and in proportion to a holder of the Series C Warrants exercising its corresponding Series B Warrants, subject to accelerated vesting pursuant to the Warrant Amendment described above. The Series C Warrants expire on November 13, 2024, provided that to the extent and in proportion to a holder of the Series C Warrants have vested based on the exercise of the corresponding Series B Warrants, such Series C Warrants will expire on February 13, 2029.
Summary of Estimated Fair Value of Stock Option Award	The estimated fair value of each stock option award granted was determined on the date of grant using the Black-Scholes option-pricing valuation model with the following assumptions: Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Risk free interest rate 3.8 % – 3.9 % — 3.8 % – 4.5 % 1.3 % – 3.4 % Expected option term (in years) 5.8 – 6.0 — 5.5 – 6.0 5.5 – 6.0 Expected volatility of common stock 105.8 % – 106.6 % — 105.8 % – 107.1 % 99.3 % – 103.6 % Expected dividend yield 0.0 % — 0.0 % 0.0 %
Summary of Recognized Stock-Based Compensation Expense	The Company recognized stock-based compensation expense as follows: Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Research and development $ 3,016 $ — $ 4,231 $ 2,841 Selling, general and administrative 128,571 281,758 507,963 843,629 Total stock-based compensation expense $ 131,587 $ 281,758 $ 512,194 $ 846,470 Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Stock options $ 130,054 $ 281,758 $ 510,661 $ 846,470 ESPP 1,533 — 1,533 — Total stock-based compensation expense $ 131,587 $ 281,758 $ 512,194 $ 846,470
ESPP [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Summary of Estimated Fair Value of Stock Option Award	The estimated fair value of each ESPP award granted was determined on the date of purchase date using the Black-Scholes option-pricing valuation model with the following assumptions: Three and Nine Months Ended September 30, 2024 2023 Risk free interest rate 4.9 % — Expected option term (in years) 0.5 — Expected volatility of common stock 91.5 % — Expected dividend yield 0.0 % —

Organization and Basis of Pre_2

Organization and Basis of Presentation - Additional Information (Detail) - USD ($)

1 Months Ended

9 Months Ended

Feb. 29, 2024

Sep. 30, 2024

Jun. 30, 2024

May 14, 2024

Mar. 31, 2024

Feb. 21, 2024

Dec. 31, 2023

Sep. 30, 2023

Jun. 30, 2023

Mar. 31, 2023

Dec. 31, 2022

Jun. 26, 2022

Organization And Basis Of Presentation [Line Items]

Month and year of incorporation

2007-01

Cash and cash equivalents

$ 11,339,032

$ 4,739,426

Stockholders' equity

$ 4,387,136

$ 2,664,958

$ 3,500,000

$ 3,497,169

$ (2,579,537)

$ (873,775)

$ 538,374

$ 2,126,151

$ 4,084,649

Proceeds from issuance of common stock net of underwriting discounts and commissions and offering expenses

$ 6,200,000

Common stock, par value

$ 0.0001

$ 0.0001

$ 1

Reverse stock split description

On May 22, 2024, the Company's stockholders granted the board of directors the authority to effect a reverse stock split of the Company's outstanding common stock. In order to regain compliance with the Minimum Bid Price Requirement by August 19, 2024, on July 31, 2024, the Company filed an amendment (the “Amendment”) to its amended and restated certificate of incorporation to effectuate a reverse stock split of the Company’s common stock. Pursuant to the Amendment, at the effective time of 12:01 a.m. Eastern Time on August 1, 2024, each twelve (12) shares of the Company’s common stock issued and outstanding was combined into one (1) validly issued, fully paid and non-assessable share of common stock (the “Reverse Stock Split”). The par value and the authorized shares of the Company's common stock were not adjusted as a result of the Reverse Stock Split. All of the Company’s issued and outstanding common stock, warrants to purchase common stock, options to purchase common stock, per-share data and related information have been retroactively adjusted to reflect the Reverse Stock Split for all periods presented.

Eversana Agreement [Member]

Organization And Basis Of Presentation [Line Items]

Principal and interest on the loan

$ 7,000,000

Principal and interest on loan due period

90 days

Minimum [Member]

Organization And Basis Of Presentation [Line Items]

Common stock, par value

$ 1

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Additional Information (Detail) - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Significant Accounting Policies [Line Items]
Allowance for doubtful accounts receivable	$ 0		$ 0		$ 0
Bad debt expense	0	$ 0	0	$ 0
Deferred offering costs	$ 115,488		$ 115,488		241,637
Shares of common stock underlying pre-funded warrants	3,106,100		3,106,100
Shelf Registration Statement [Member]
Significant Accounting Policies [Line Items]
Deferred offering costs	$ 115,000		$ 115,000
Public Offering [Member]
Significant Accounting Policies [Line Items]
Deferred offering costs					242,000
Accounts Payable and Accrued Expenses [Member]
Significant Accounting Policies [Line Items]
Liabilities for co-pay assistance	$ 160,000		160,000		66,000
Accounts Receivable [Member]
Significant Accounting Policies [Line Items]
Medicaid and Medicare rebates			$ 130,000		$ 46,000
Pre-Funded Warrants [Member]
Significant Accounting Policies [Line Items]
Shares of common stock underlying pre-funded warrants	580,610		580,610
Pre-Funded Warrants, Modified Series A Warrants and Modified Series C Warrants [Member]
Significant Accounting Policies [Line Items]
Shares of common stock underlying pre-funded warrants	1,204,413		1,204,413

Summary of Significant Accoun_5

Summary of Significant Accounting Policies - Schedule of Inventories (Details) - USD ($)	Sep. 30, 2024	Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Raw materials	$ 257,467	$ 361,219
Finished goods	235,941	120,621
Total inventories	$ 493,408	$ 481,840

Summary of Significant Accoun_6

Summary of Significant Accounting Policies - Summary of Outstanding Potentially Dilutive Securities Excluded from Calculation of Diluted Net Loss Per Share (Detail) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from the calculation of diluted net loss per share	2,056,486	53,263	2,056,486	53,263
Warrants to purchase common stock [Member]
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from the calculation of diluted net loss per share	1,901,687		1,901,687
Common stock options [Member]
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from the calculation of diluted net loss per share	154,799	53,263	154,799	53,263

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Detail)	9 Months Ended
	Sep. 30, 2024
Operating Leased Assets [Line Items]
Lessee, Operating Lease, Existence of Option to Extend [true false]	true

Stockholders' Equity - February

Stockholders' Equity - February 2024 Offering - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Millions	Feb. 29, 2024	Sep. 30, 2024	Dec. 31, 2023
Sale Of Common Stock [Line Items]
Warrants outstanding to purchase common stock		3,106,100	0
Warrants to the underwriters purchase		3,106,100
Common stock, shares issued		894,843	278,558
Pre-Funded Warrants [Member]
Sale Of Common Stock [Line Items]
Warrants outstanding to purchase common stock		580,610
Warrants to the underwriters purchase		580,610
Series A Warrants [Member]
Sale Of Common Stock [Line Items]
Warrants outstanding to purchase common stock		545,933
Warrants to the underwriters purchase		545,933
Series B Warrants [Member]
Sale Of Common Stock [Line Items]
Warrants outstanding to purchase common stock		665,826
Warrants to the underwriters purchase		665,826
Series C Warrants [Member]
Sale Of Common Stock [Line Items]
Warrants outstanding to purchase common stock		643,973
Warrants to the underwriters purchase		643,973
February 2024 Offering [Member]
Sale Of Common Stock [Line Items]
Shares issued, price per share	$ 8.16
Warrants to the underwriters purchase	45,955
Common stock, shares issued	427,886
Number of shares issuable per warrant	1
Percentage Of Securities Sold	5%
Proceeds from issuance of common stock net of underwriter and offering expenses	$ 6.2
February 2024 Offering [Member] | Pre-Funded Warrants [Member]
Sale Of Common Stock [Line Items]
Shares issued, price per share	$ 8.1588
Warrants outstanding to purchase common stock	491,221
February 2024 Offering [Member] | Series A Warrants [Member]
Sale Of Common Stock [Line Items]
Number of shares issuable per warrant	1
February 2024 Offering [Member] | Series B Warrants [Member]
Sale Of Common Stock [Line Items]
Number of shares issuable per warrant	1
February 2024 Offering [Member] | Series C Warrants [Member]
Sale Of Common Stock [Line Items]
Number of shares issuable per warrant	1

Stockholders' Equity - August 2

Stockholders' Equity - August 2024 Shelf Registration Statement (Additional Information) (Details) - USD ($)		9 Months Ended
	Aug. 29, 2024	Sep. 30, 2024	Dec. 31, 2023
Sale Of Common Stock [Line Items]
Common stock, shares issued		894,843	278,558
August 2024 Shelf Registration Statement [Member]
Sale Of Common Stock [Line Items]
Shares offering description		Company can offer to up to one-third of its public float during any 12-month period so long as our public float remains below $75 million
Common stock, preferred stock, debt securities, warrants, issued		0
August 2024 Shelf Registration Statement [Member] | Maximum [Member]
Sale Of Common Stock [Line Items]
Proceeds from offering of equity	$ 50,000,000
Remaining public float amount	$ 75,000,000
ATM Sales Agreement [Member]
Sale Of Common Stock [Line Items]
Common stock, shares issued		0
ATM Sales Agreement [Member] | H.C. Wainwright & Co., LLC [Member] | Maximum [Member]
Sale Of Common Stock [Line Items]
Proceeds from Issuance of Common Stock		$ 1,900,000

Stockholders' Equity - Warrant

Stockholders' Equity - Warrant Amendments - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Millions	1 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2023
Class of Warrant or Right [Line Items]
Number of warrants outstanding	3,106,100			0
Warrant Amendments [Member]
Class of Warrant or Right [Line Items]
Proceeds from issuance of warrant amendments net of underwriter commissions and offering expenses	$ 0.4	$ 0.3	$ 1.2
Pre-Funded Warrants [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	$ 0.0012
Number of warrants outstanding	580,610
Pre-Funded Warrants [Member] | Warrant Amendments [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	$ 0.0012
Purchase price	$ 8.1588

Stockholders' Equity - Septembe

Stockholders' Equity - September 2024 Exercise Price Warrant Amendment - Additional Information (Details)	1 Months Ended	9 Months Ended
	Sep. 30, 2024 USD ($) $ / shares	Sep. 30, 2024 USD ($) $ / shares
September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Proceeds from issuance of warrant amendments net of underwriter and offering expenses | $		$ 2,500,000
September 2024 Exercise Price Warrant Amendment [Member] | Member One [Member]
Class of Warrant or Right [Line Items]
Percentage of outstanding shares of common stock	5%	5%
September 2024 Exercise Price Warrant Amendment [Member] | Member Two [Member]
Class of Warrant or Right [Line Items]
Percentage of outstanding shares of common stock	15%	15%
Series A Warrants [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	$ 8.16	$ 8.16
Series A Warrants [Member] | September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Non-refundable up-front payment | $	$ 3.99
Excercise price of modified warrants	$ 0.01	0.01
Series A Warrants [Member] | Maximum [Member] | September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	0.01	0.01
Series A Warrants [Member] | Minimum [Member] | September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	8.16	8.16
Exercise price of non-modified warrants	8.16	8.16
Series C Warrants [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	$ 8.16	8.16
Series C Warrants [Member] | September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Non-refundable up-front payment | $	$ 3.99
Excercise price of modified warrants	$ 0.01	0.01
Series C Warrants [Member] | Maximum [Member] | September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	0.01	0.01
Series C Warrants [Member] | Minimum [Member] | September 2024 Exercise Price Warrant Amendment [Member]
Class of Warrant or Right [Line Items]
Exercise price per warrant	8.16	8.16
Exercise price of non-modified warrants	$ 8.16	$ 8.16

Stockholders' Equity - Summary

Stockholders' Equity - Summary of the Company's Warrants Outstanding (Details) - $ / shares	9 Months Ended
	Sep. 30, 2024	Dec. 31, 2023
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	3,106,100	0
Number of Warrants Exercisable	3,106,100
Shares of Common Stock Underlying Warrants	3,106,100
Pre-Funded Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	580,610
Number of Warrants Exercisable	580,610
Shares of Common Stock Underlying Warrants	580,610
Exercise Price	$ 0.0012
Initial Exercise Date	Feb. 13, 2024
Series A Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	545,933
Number of Warrants Exercisable	545,933
Shares of Common Stock Underlying Warrants	545,933
Exercise Price	$ 8.16
Initial Exercise Date	Feb. 13, 2024
Expiration Date	Feb. 13, 2029
Modified Series A Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	373,176
Number of Warrants Exercisable	373,176
Shares of Common Stock Underlying Warrants	373,176
Exercise Price	$ 0.01
Initial Exercise Date	Feb. 13, 2024
Expiration Date	Feb. 13, 2029
Series B Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	665,826
Number of Warrants Exercisable	665,826
Shares of Common Stock Underlying Warrants	665,826
Exercise Price	$ 8.16
Initial Exercise Date	Feb. 13, 2024
Expiration Date	Nov. 13, 2024
Series C Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	643,973
Number of Warrants Exercisable	643,973
Shares of Common Stock Underlying Warrants	643,973
Exercise Price	$ 8.16
Initial Exercise Date	Feb. 13, 2024
Expiration Date	November 13, 2024 or February 13, 2029
Modified Series C Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	250,627
Number of Warrants Exercisable	250,627
Shares of Common Stock Underlying Warrants	250,627
Exercise Price	$ 0.01
Initial Exercise Date	Feb. 13, 2024
Expiration Date	Feb. 13, 2029
Representative Warrants [Member]
Class of Warrant or Right [Line Items]
Number of Warrants Outstanding	45,955
Number of Warrants Exercisable	45,955
Shares of Common Stock Underlying Warrants	45,955
Exercise Price	$ 13.47
Initial Exercise Date	Aug. 13, 2024
Expiration Date	Feb. 13, 2029

Stockholders' Equity - Stock-Ba

Stockholders' Equity - Stock-Based Compensation - Additional Information (Detail) - USD ($) $ in Millions	1 Months Ended	9 Months Ended
	Jan. 31, 2024	Sep. 30, 2024	Sep. 30, 2023
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Weighted average period		1 year 2 months 12 days
Unrecognized compensation costs		$ 0.7
Employee Stock Option
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of stock options granted		120,182	153,750
Amended and Restated ESPP [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Weighted average period		4 months 24 days
Unrecognized compensation costs		$ 8,000
Purchase price of common stock as percentage of fair market value		85%
Increase in number of shares of common stock available for issuance	2,785
Issuance of common stock under employee stock purchase plan		0
Shares under the ESPP remain available for purchase		14,900

Stockholders' Equity - Summar_2

Stockholders' Equity - Summary of Estimated Fair Value of Stock Option Award (Detail)	3 Months Ended	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2024	Sep. 30, 2023
Common stock options [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Expected dividend yield	0%	0%	0%
Common stock options [Member] | Minimum [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Risk free interest rate	3.80%	3.80%	1.30%
Expected option term	5 years 9 months 18 days	5 years 6 months	5 years 6 months
Expected volatility of common stock	105.80%	105.80%	99.30%
Common stock options [Member] | Maximum [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Risk free interest rate	3.90%	4.50%	3.40%
Expected option term	6 years	6 years	6 years
Expected volatility of common stock	106.60%	107.10%	103.60%
ESPP [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Risk free interest rate	4.90%
Expected option term	6 months
Expected volatility of common stock	91.50%
Expected dividend yield	0%

Stockholders' Equity - Summar_3

Stockholders' Equity - Summary of Recognized Stock-Based Compensation Expense (Detail) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation expense	$ 131,587	$ 281,758	$ 512,194	$ 846,470
Stock Options [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation expense	130,054	281,758	510,661	846,470
ESPP [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation expense	1,533		1,533
Research and development [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation expense	3,016		4,231	2,841
Selling, general and administrative [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation expense	$ 128,571	$ 281,758	$ 507,963	$ 843,629

Commercial Services and Loan _2

Commercial Services and Loan Agreements with Eversana - Additional Information (Detail) - USD ($)			3 Months Ended		9 Months Ended
	Feb. 01, 2022	Jan. 21, 2020	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Jan. 31, 2020
Commercial Services And Loan Agreements [Line Items]
Selling, general and administrative			$ 3,824,142	$ 3,131,389	$ 10,697,128	$ 8,745,407
Eversana Agreement [Member]
Commercial Services And Loan Agreements [Line Items]
Unreimbursed commercialization cost			72,800,000		$ 72,800,000
Agreement expiration date	Dec. 31, 2026
Agreement term					On February 1, 2022, the Eversana Agreement was amended to extend the term from June 19, 2025 (five years from the date the Food & Drug Administration approved the Gimoti new drug application) to December 31, 2026, unless terminated earlier pursuant to its terms.
Selling, general and administrative			$ 2,200,000	$ 1,300,000	$ 5,900,000	$ 3,000,000
Eversana Agreement [Member] | Revolving Credit Facility [Member]
Commercial Services And Loan Agreements [Line Items]
Line of credit		$ 5,000,000
Line of credit facility, Interest rate		10%
Borrowings							$ 5,000,000
Eversana Agreement [Member] | Gimoti [Member] | Minimum [Member]
Commercial Services And Loan Agreements [Line Items]
Percentage of Product Profits		80%

Subsequent Events - Additional

Subsequent Events - Additional Information (Details) - USD ($)				9 Months Ended
	Oct. 28, 2024	Oct. 16, 2024	Oct. 15, 2024	Sep. 30, 2024	Dec. 31, 2023
Subsequent Event [Line Items]
Operating lease description				On October 16, 2024, the Company entered into the seventh amendment of its existing lease agreement (the “Seventh Amendment”) with SB Corporate Centre III-IV, LLC (the “Landlord”), to amend the office lease agreement, dated as of December 19, 2016, by and between the Landlord and the Company (as amended, the “Lease”), relating to office space, which serves as the Company’s headquarters. The Seventh Amendment extends the term of the Lease from October 31, 2024 to March 31, 2027. The Seventh Amendment provides that the base monthly rent for the leased space will be $6,456.95 from November 1, 2024 to October 31, 2025, $6,650.66 from November 1, 2025 to October 31, 2026 and $6,850.18 from November 1, 2026 to March 31, 2027, and that the Company will be obligated to pay a specified percentage of certain expenses paid by the Landlord. The Company will also be granted a one-month rent abatement for November 2024, provided there is no material default under the Lease. The Lease will be accounted for as an operating lease.
Operating lease existence of option to extend				true
Net proceeds after deducting underwriter expenses from the exercise of Pre-Funded Warrants, Series A Warrants, Series B Warrants, and Series C Warrants				$ 101
Common stock, shares issued				894,843	278,558
Subsequent Event [Member]
Subsequent Event [Line Items]
Term of lease		Mar. 31, 2027	Oct. 31, 2024
Operating lease rent abatement period		1 month
Net proceeds after deducting underwriter expenses from the exercise of Pre-Funded Warrants, Series A Warrants, Series B Warrants, and Series C Warrants	$ 3,600,000
Common stock, shares issued	591,166
Subsequent Event [Member] | November 1, 2024 to October 31, 2025 [Member]
Subsequent Event [Line Items]
Operating lease base monthly rent		$ 6,456.95
Subsequent Event [Member] | November 1, 2025 to October 31, 2026 [Member]
Subsequent Event [Line Items]
Operating lease base monthly rent		6,650.66
Subsequent Event [Member] | November 1, 2026 to March 31, 2027 [Member]
Subsequent Event [Line Items]
Operating lease base monthly rent		$ 6,850.18