Filed pursuant to Rule 424(b)(5)
Registration StatementNo. 333-232569
Prospectus Supplement
(To Prospectus dated July 16, 2019)
3,372,686 Ordinary Shares
We are offering 3,372,686 of our ordinary shares to certain institutional investors pursuant to this prospectus supplement and the accompanying prospectus. In a concurrent private placement, we are selling to such investors warrants to purchase 50% of the number of ordinary shares purchased by such investors in this offering, or the Warrants. The Warrants and the ordinary shares issuable upon the exercise of the Warrants are not being registered under the Securities Act of 1933, as amended, or the Securities Act, are not being offered pursuant to this prospectus supplement and the accompanying prospectus, and are being offered pursuant to the exemption provided in Section 4(a)(2) under the Securities Act and Rule 506(b) promulgated thereunder.
Our ordinary shares are listed for trading on the Nasdaq Global Market under the symbol “ITRM.” On June 29, 2020, the last reported sale price of our ordinary shares on the Nasdaq Global Market was $1.42 per share. There is no established trading market for the Warrants being sold in the concurrent private placement, and we do not expect a market to develop. We do not intend to apply for a listing for any of the Warrants on any securities exchange or other nationally recognized trading system.
As of June 30, 2020, the aggregate market value of our outstanding ordinary shares held bynon-affiliates was $51,537,655.44, which was calculated based on 11,766,588 outstanding ordinary shares held bynon-affiliates and a price per share of $4.38, which was the closing price of our ordinary shares on May 19, 2020. Pursuant to General Instruction I.B.6 ofForm S-3, in no event will we sell, pursuant to the registration statement of which this prospectus supplement forms a part, securities in a public primary offering with a value exceedingone-third of the aggregate market value of our common stock held bynon-affiliates in any12-month period, so long as the aggregate market value of our outstanding common stock held bynon-affiliates remains below $75 million. During the 12 calendar months prior to and including the date of this prospectus supplement, we have offered and sold $5,000,003.03 of securities pursuant to General Instruction I.B.6 ofForm S-3.
We are an emerging growth company as that term is used in the Jumpstart Our Business Startups Act of 2012 and a smaller reporting company as defined in Rule12b-2 promulgated under the Securities Exchange Act of 1934, as amended. As such, we have elected to rely on certain reduced public company disclosure requirements. See “Prospectus Supplement Summary—Implications of Being an Emerging Growth Company and a Smaller Reporting Company.”
Investing in our securities involves significant risks. See “Risk Factors” beginning onpage S-5 of this prospectus supplement and in our filings with the Securities and Exchange Commission that are incorporated by reference in this prospectus supplement to read about factors you should consider before buying our securities.
We have engaged H.C. Wainwright & Co., LLC, or the placement agent, as our exclusive placement agent in connection with this offering. The placement agent has agreed to use its reasonable best efforts to arrange for the sale of the securities offered by this prospectus supplement and the accompanying prospectus. The placement agent has no obligation to buy any securities from us or to arrange for the purchase or sale of any specific number or dollar amount of our securities. We have agreed to pay the placement agent the placement agent fees set forth in the table below. There is no arrangement for funds to be received in escrow, trust or similar arrangement with respect to the ordinary shares offered hereby. There is no minimum offering requirement. The placement agent may engage one or moresub-placement agents or selected dealers in connection with the offering. See “Plan of Distribution” beginning on pageS-24 of this prospectus supplement for more information regarding this arrangement.
| | | | | | | | |
| | Per Share | | | Total | |
Offering price | | $ | 1.4825 | | | $ | 5,000,007.00 | |
Placement agent fees(1) | | $ | 0.1038 | | | $ | 350,000.49 | |
Proceeds, before expenses, to us(2) | | $ | 1.3787 | | | $ | 4,650,006.51 | |
(1) | Represents cash fee. In addition, we have agreed to issue warrants to purchase ordinary shares to the placement agent and to reimburse the placement agent for certain offering-related expenses. See “Plan of Distribution” for additional information. |
(2) | The amount of the offering proceeds to us presented in this table does not give effect to any exercise of the Warrants being issued in the concurrent private placement. |
Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or passed upon the accuracy or adequacy of this prospectus supplement or the accompanying prospectus. Any representation to the contrary is a criminal offense.
Delivery of the ordinary shares offered hereby is expected to occur on or about July 2, 2020, subject to the satisfaction of certain closing conditions.
Pursuant to the terms of the investor rights agreement, or the 2020 Investor Right Agreement, that we entered into in connection with our January 2020 private placement of 6.500% exchangeable senior subordinated notes due 2025, or the Exchangeable Notes, and limited recourse royalty-linked subordinated notes, or the Royalty-Linked Subordinated Notes, or the Private Placement, we are required to provide Sarissa Capital Offshore Master Fund LP and certain of its affiliates, collectively Sarissa, the opportunity to purchase an aggregate of up to 865,796 ordinary shares and up to 432,898 Warrants on the terms provided for in the offering being made hereby and in the concurrent private placement and at a price per ordinary share equal to the public offering price and a price per Warrant equal to the price per Warrant in the concurrent private placement. In addition, pursuant to the 2020 Investor Rights Agreement, Sarissa has the right to purchase 829,688 ordinary shares and up to 414,844 warrants on the terms and at the prices provided for in our public offering of ordinary shares and concurrent private placement of warrants that we completed on June 5, 2020, or the June offering. We refer to such rights of Sarissa to purchase our ordinary shares and warrants, collectively, as the Sarissa Right to Purchase. To the extent Sarissa elects to exercise the Sarissa Right to Purchase, any sale to Sarissa will be carried out in a separate transaction.
H.C. Wainwright & Co.
The date of this prospectus supplement is June 30, 2020