PROSPECTUS |
Filed Pursuant to Rule 424(b)(3)
Registration No. 333-280752 |
Hepion
Pharmaceuticals, Inc.
Up
to 1,470,590 shares of Common Stock
Pursuant
to this prospectus, the selling stockholder identified herein (the “Selling Stockholder”) is offering on a resale basis an
aggregate of up to 1,470,590 shares of common stock of Hepion Pharmaceuticals, Inc. (the “Company,” “we,” “us”
or our”), par value $0.0001 per share (the “Common Stock”), consisting of (a) up to an aggregate of 735,295 shares
of Common Stock that are issuable upon exercise of warrants exercisable for one share of our common
stock at an exercise price of $1.91 per share for a term of five years from the date of issuance (the “Series B-1 Warrants”),
and (b) up to an aggregate of 735,295 shares of Common Stock that are issuable upon exercise of warrants exercisable
for one share of our common stock at an exercise price of $1.91 per share for a term of eighteen months from the date of issuance
(the “Series B-2 Warrants” and together with the Series B-1 Warrants, the “Warrants”), in each cases of (a) and
(b) purchased pursuant to a warrant inducement agreement by and between us and the Selling Stockholder, dated, February 15, 2024 (the
“Inducement Agreement”).
We
will not receive any of the proceeds from the sale by the Selling Stockholder of the Common Stock. Upon any exercise of the Warrants
by payment of cash, however, we will receive the exercise price of the Warrants, which, if exercised in cash with respect to the 1,470,590
shares of Common Stock offered hereby, would result in gross proceeds to us of approximately $2.8 million. However, we cannot predict
when and in what amounts or if the Warrants will be exercised by payments of cash and it is possible that the Warrants may expire and
never be exercised, in which case we would not receive any cash proceeds.
The
Selling Stockholder may sell or otherwise dispose of the Common Stock covered by this prospectus in a number of different ways and at
varying prices. We provide more information about how the Selling Stockholder may sell or otherwise dispose of the Common Stock covered
by this prospectus in the section entitled “Plan of Distribution” on page 29. Discounts, concessions, commissions and
similar selling expenses attributable to the sale of Common Stock covered by this prospectus will be borne by the Selling Stockholder.
We will pay all expenses (other than discounts, concessions, commissions and similar selling expenses) relating to the registration of
the Common Stock with the Securities and Exchange Commission (the “SEC”).
Our
common stock is listed on The Nasdaq Capital Market under the symbol “HEPA”. On July 9, 2024, the closing price as
reported on The Nasdaq Capital Market was $1.04 per share.
Investing
in our common stock involves a high degree of risk. See “Risk Factors” beginning on page 6 of this prospectus.
Neither
the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or determined
if this prospectus is truthful or complete. Any representation to the contrary is a criminal offense.
The
date of this prospectus is July 15, 2024
TABLE
OF CONTENTS
ABOUT
THIS PROSPECTUS
This
prospectus relates to the resale by the Selling Stockholder identified in this prospectus under the caption “Selling Stockholder,”
from time to time, of up to an aggregate of 1,470,590 shares of Common Stock. We are not selling any shares of Common Stock under this
prospectus, and we will not receive any proceeds from the sale of shares of Common Stock offered hereby by the Selling Stockholder, although
we may receive cash from the exercise of the Warrants.
You
should rely only on the information provided in this prospectus, including any information incorporated by reference. We have not authorized
anyone to provide you with any other information and we take no responsibility for, and can provide no assurances as to the reliability
of, any other information that others may give you. The information contained in this prospectus speaks only as of the date set forth
on the cover page and may not reflect subsequent changes in our business, financial condition, results of operations and prospects.
We
are not, and the Selling Stockholder is not, making offers to sell these securities in any jurisdiction in which an offer or solicitation
is not authorized or permitted or in which the person making such offer or solicitation is not qualified to do so or to any person to
whom it is unlawful to make such an offer or solicitation. You should read this prospectus, including any information incorporated by
reference, in its entirety before making an investment decision. You should also read and consider the information in the documents to
which we have referred you in the section entitled “Where You Can Find More Information.”
CAUTIONARY
STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This
prospectus contains forward-looking statements, which reflect the views of our management with respect to future events and financial
performance. These forward-looking statements are subject to a number of uncertainties and other factors that could cause actual results
to differ materially from such statements. Forward-looking statements are identified by words such as “anticipates,” “believes,”
“estimates,” “expects,” “intends,” “plans,” “projects,” “targets,”
and similar expressions. Such forward-looking statements may be contained in the sections “Risk Factors,” and “Business,”
among other places in this prospectus. Readers are cautioned not to place undue reliance on these forward-looking statements, which are
based on the information available to management at this time and which speak only as of this date. We undertake no obligation to update
or revise any forward-looking statements, whether as a result of new information, future events or otherwise. For a discussion of some
of the factors that may cause actual results to differ materially from those suggested by the forward-looking statements, please read
carefully the information under “Risk Factors.”
The
identification in this document of factors that may affect future performance and the accuracy of forward-looking statements is meant
to be illustrative and by no means exhaustive. All forward-looking statements should be evaluated with the understanding of their inherent
uncertainty. You may rely only on the information contained in this prospectus.
We
have not authorized anyone to provide information different from that contained in this prospectus. Neither the delivery of this prospectus
nor the sale of our common stock means that information contained in this prospectus is correct after the date of this prospectus. This
prospectus is not an offer to sell or solicitation of an offer to buy these securities in any circumstances under which the offer or
solicitation is unlawful.
PROSPECTUS
SUMMARY
The
following summary highlights certain of the information contained elsewhere in or incorporated by reference into this prospectus. Because
this is only a summary, however, it does not contain all the information you should consider before investing in our securities and it
is qualified in its entirety by, and should be read in conjunction with, the more detailed information included elsewhere in or incorporated
by reference into this prospectus. Before you make an investment decision, you should read this entire prospectus carefully, including
the risks of investing in our securities discussed under the section of this prospectus entitled “Risk Factors” and similar
headings in the other documents that are incorporated by reference into this prospectus. You should also carefully read the information
incorporated by reference into this prospectus, including our financial statements, and the exhibits to the registration statement of
which this prospectus is a part.
Unless
the context otherwise requires, references to “we,” “our,” “us,” “Hepion” or the “Company”
in this prospectus mean Hepion Pharmaceuticals, Inc.
Business
Overview
We
are a biopharmaceutical company headquartered in Edison, New Jersey, focused on the development of drug therapy for treatment of chronic
liver diseases. This therapeutic approach targets fibrosis, inflammation, and shows potential for the treatment of hepatocellular carcinoma
(“HCC”) associated with non-alcoholic steatohepatitis (“NASH”), viral hepatitis, and other liver diseases. Our
cyclophilin inhibitor, rencofilstat (formerly CRV431), was being developed to offer benefits to address multiple complex pathologies
related to the progression of liver disease.
We
have completed a number of Phase 1 and Phase 2 clinical trials. In May 2023, we announced that our Phase 2a study (“ALTITUDE-NASH”)
met its primary endpoint by demonstrating improved liver function and was well tolerated after four months of treatment with once daily
oral rencofilstat administered to NASH subjects with stage 3 or greater fibrosis. All additional secondary efficacy and safety endpoints
were also met. These observations provide further evidence that builds on previous findings from a shorter 28-day Phase 2a (“AMBITION”)
trial.
In
June 2023, we announced that the Data and Safety Monitoring Board (“DSMB”) met to review the current data for the ASCEND-NASH
2b study and has issued a “study may proceed without modification” clearance. This, the first planned DSMB meeting, occurred
on schedule, and all labs, electrocardiogram’s, adverse events, and protocol deviations were reviewed, focusing on any potential
safety signals from the placebo-controlled trial.
In
December 2023, the board of directors approved a strategic restructuring plan to preserve capital by reducing operating costs. We incurred
a one-time restructuring charge of approximately $0.7 million in the fourth quarter of 2023. Additionally, we have initiated a process
to explore a range of strategic and financing alternatives focused on maximizing stockholder value within the current financial environment
and NASH drug development landscape. On April 19, 2024, we announced that we have begun wind-down activities in our ASCEND- NASH clinical
trial.
Rencofilstat
Rencofilstat
is a therapeutic drug candidate that binds and inhibits the function of a specific class of isomerase enzymes called cyclophilins that
mainly regulate protein folding. Many closely related isoforms of cyclophilins exist in humans. Cyclophilins A, B, and D are the best
characterized cyclophilin isoforms. Inhibition of cyclophilins has been shown in the scientific literature to have therapeutic effects
in a variety of experimental models, including liver disease models. In preclinical in vitro and/or in vivo experiments
conducted to date rencofilstat decreased liver fibrosis, liver inflammation, liver tumor burden, and titers of HBV, HCV, HDV, and HIV-1.
Importantly, reduction in liver fibrosis by rencofilstat was observed in vivo in several experimental models and studies of NASH
and liver fibrosis. Findings to date suggest that rencofilstat might treat certain inciting agents of liver disease such as hepatitis
viruses and also the ensuing disease processes resulting from those agents such as fibrosis.
Cyclophilins
are pleiotropic enzymes that play a role in injury and steatosis through mechanisms including cell death occurring through mitochondrial
transition pore permeability (cyclophilin D). Inhibition of cyclophilin D, therefore, may play an important role in protection from cell
injury and death. Cyclophilin A binding to CD147 is known to play a role in inflammation, cyclophilin B plays a role in fibrosis through
collagen production, and cyclophilins also play a role in cirrhosis and cancer (e.g., cell proliferation and metastasis). Cyclophilin
inhibition with rencofilstat, therefore, may play an important role in reducing liver disease.
To
date, we have completed a number of separate preclinical animal efficacy studies of rencofilstat to assess antifibrotic activity. These
studies were conducted by independent laboratory collaborations at, for example, The Scripps Research Institute (San Diego, CA), SMC
Corporation (Tokyo, Japan), and Physiogenex S.A.S. (France), Each of these studies demonstrated consistent and significant reductions
in fibrosis in mice and rats. Rencofilstat was also tested in ex vivo Precision Cut Liver Slices and in Precision Cut Lung Slices
obtained from human donors. Again, rencofilstat demonstrated an antifibrotic effect in human tissue that was consistent with the animal
study findings. These studies provide support of advancing rencofilstat into clinical trials for NASH, and potentially additional indications
where fibrosis plays a role.
On
June 10, 2016, we entered into an agreement with Ciclofilin Pharmaceuticals, Inc. (Ciclofilin) to acquire 100% of the issued and outstanding
shares of common stock of Ciclofilin. The transaction was accounted for as a business combination (in accordance with Accounting Standards
Codification (“ASC”) 805, Business Combinations) and, as such, the Ciclofilin assets acquired, and liabilities assumed
were recorded at their respective fair values as of the effective date of the executed agreement. The transaction had been accounted
for using the acquisition method of accounting, which required that assets acquired, and liabilities assumed be recognized at their fair
values as of the acquisition date. The acquisition consisted of cash consideration and certain milestone payments (contingent consideration).
The
Merger Agreement was amended on January 14, 2022 primarily for the following: (i) upon receipt of Phase II positive data from the first
Phase II clinical trial of rencofilstat in NASH patients which has been achieved: (1) such number of validly issued, fully paid and non-assessable
shares of our common stock equal to 7.5% of the issued and outstanding of our common stock on the Closing Date as defined in the original
agreement, which 4,317 were issued in March 2022, and (2) a payment of $2.0 million to Ciclofilin shareholders, including a payment to
our CEO of $0.8 million and other Hepion employees of $0.2 million, which such payment being made in January 2022, (ii) a payment of
$1.0 million upon the positive read out of the first planned interim futility analysis of a Phase IIb clinical trial of rencofilstat
in NASH patients, supporting the continuation of the Phase IIb trial, (iii) a payment of $5.0 million upon initiation of the first Phase
III trial of rencofilstat in patients, where initiation occurs with first patient in the study dosed with study medication, (iv) a payment
of $5.0 million upon the filing and acceptance by the U.S. Food and Drug Administration of the first new drug application for CPI-431-32;
and (v) a payment of $8.0 million upon the regulatory approval by the U.S. Food and Drug Administration of the first new drug application
for rencofilstat.
On
June 17, 2019, we submitted an IND to the FDA to support initiation of a rencofilstat clinical development program for NASH in the United
States and received approval in July 2019. We completed dosing of rencofilstat in our multiple ascending dose (“MAD”) clinical
trial in September 2020.
On
November 19, 2021, we submitted an IND to the FDA to support initiation of a rencofilstat clinical development program in the United
States for the treatment of HCC and received approval on December 17, 2021.
On
November 30, 2021, the FDA granted Fast Track designation for our lead drug candidate, rencofilstat, for the treatment of NASH. The FDA
Fast Track designation allows sponsors to gain access to expedited drug approval reviews for medical conditions that are serious and
potentially life-threatening, and where there is an unmet medical need. The program is also designed to facilitate drug development by
making provisions for more frequent meetings with the FDA to discuss drug development plans, and Fast Track designation can lead to Accelerated
Approval and/or Priority Review eligibility if certain criteria are met.
On
June 20, 2022, the FDA granted Orphan Drug Designation to rencofilstat, a liver-targeting, orally administered, novel cyclophilin inhibitor,
for the treatment of HCC. The FDA Orphan Drug Designation program provides orphan status to drugs or biologics intended for the prevention,
diagnosis, or treatment of diseases that affect fewer than 200,000 people in the United States. Sponsors of medicines that are granted
Orphan Drug Designation are entitled to certain incentives, including tax credits for qualified clinical trials, prescription drug user-fee
exemptions, and potential seven-year marketing exclusivity upon FDA approval.
Recent
Developments
February
2024 Warrant Inducement Transaction
As
reported in the Current Report on Form 8-K filed on October 3, 2023 by Hepion Pharmaceuticals, Inc. (the “Company”)
on September 28, 2023, we completed a registered direct offering (the “Offering”) of (i)
400,000 shares (the “Shares”) of our common stock, par value $0.0001 per share (the “Common Stock”) at
a purchase price of $5.10 per Share, and (ii) pre-funded warrants (the “Pre-Funded Warrants”) to purchase up to 580,393
shares of the Company’s Common Stock at an exercise price of $0.0001 per share at an offering price of $5.09 per share. The Shares
and Pre-Funded Warrants (and the shares of common stock underlying the Pre-Funded Warrants) were offered by us pursuant to our shelf
registration statement on Form S-3 (File No. 333-254996), which was filed with the Securities and Exchange Commission (the “SEC”)
on April 2, 2021 and declared effective by the SEC on November 24, 2021. Concurrently with the sale of the Shares and Pre-Funded Warrants,
pursuant to the purchase agreement, in a concurrent private placement, for each Share or Pre-Funded Warrant purchased by the investor,
such investor received from (i) an unregistered warrant (the “Series A Warrant”) to purchase one share of Common Stock,
and (ii) an unregistered warrant (the “Series B Warrant”) to purchase one share of Common Stock. Each Series A Warrant
is exercisable for one share of our Common Stock at an exercise price of $4.85 per share, was exercisable immediately upon issuance,
and has a term of five years from the date of issuance. Each Series B Warrant is exercisable for one share of our Common Stock at an
exercise price of $4.85 per share, was exercisable immediately upon issuance, and has a term of 18 months from the date of issuance.
On
February 15, 2024, we entered into a warrant inducement agreement (the “Warrant Inducement Agreement”) with the holders
of an aggregate of 980,393 of the Series B Warrants (the “Holders”), pursuant to which the Holders have agreed to
exercise in cash 980,393 of the Series B Warrants at a reduced exercise price of $2.10 per Share (reduced from $4.85 per Share), for
gross proceeds to the Company of approximately $2.06 million. As an inducement to such exercise, we agreed to reduce the exercise price
of the Holder’s Series A Warrants to purchase up to an aggregate of 980,393 Shares from $4.85 to $1.91 per share and extend the
expiration date to February 21, 2029 (the “Amended Series A Warrants”) in an amendment to the Series A Warrant (“Amendment
No. 1 to Series A Common Stock Purchase Warrant”). In addition, we agreed to issue to the Holders (i) unregistered warrants (the
“Series B-1 Warrants”) to purchase up to 735,295 Shares of our Common Stock at an exercise price of $1.91 for a term
of five years, and (ii) unregistered warrants (the “Series B-2 Warrants” and together with the Series B-1 Warrants,
the “New Warrants”) to purchase up to 735,295 Shares of our Common Stock at an exercise price of $1.91 for a term
of eighteen months.
The
shares of common stock issuable upon exercise of the Amended Series A Warrants are registered pursuant to our Registration Statement
on Form S-1 (File No. 333-275231), which was filed with the Securities and Exchange Commission (the “SEC”) on October
31, 2023 and declared effective by the SEC on November 8, 2023, and prospectus supplement related thereto.
Notwithstanding
the foregoing, in the event that a warrant exercise would cause the Holder to exceed the beneficial ownership limitation set forth in
the New Warrants, we will only issue such number of shares that would not cause the Holder to exceed the maximum amount permitted thereunder,
with the balance to be held in abeyance until notice from the Holder that the balance (or portion thereof) may be issued in compliance
with such limitations. In the event that the shares underlying the New Warrants are not subject to an effective registration statement
at the time of exercise, the New Warrants may be exercised on a cashless basis at any time after six (6) months from the issuance date.
In
connection with the transactions contemplated in the Warrant Inducement Agreement (the “Inducement Transaction”),
we entered into a financial advisory agreement (the “Financial Advisory Agreement”) with A.G.P./Alliance Global Partners
(“A.G.P.). Pursuant to the terms of the Financial Advisory Agreement, A.G.P. will receive a cash fee equal to 7% of the gross proceeds
raised in the transactions contemplated by the Warrant Inducement Agreement. Additionally, we agreed to reimburse A.G.P. for its documented
accountable legal expenses.
The
Inducement Transaction closed on February 21, 2024. We intend to use these net proceeds received from the Inducement Transaction for
general working capital and general corporate purposes.
The
Warrant Inducement Agreement also contains customary representations and agreements, including a provision for liquidated damages owed
by the Company in the event that the shares underlying the New Warrants are not timely delivered upon future exercises of the New Warrants.
The
New Warrants contain (i) customary stock-based anti-dilution protection, (ii) a cashless exercise provision in the event the shares underlying
the New Warrants are not registered for resale at the time of exercise, (iii) beneficial ownership limitations that may be waived at
the option of the Holder upon 61 days’ notice to us, (iv) a put right granting the Holder the right to require us or our successor
to redeem the New Warrants in cash for their Black-Scholes value in the event of a Fundamental Transaction (as defined in the New Warrants)
and (v) other customary provisions for warrants of this type.
Corporate
History and Information
We
were incorporated under the laws of the State of Delaware in May 2013. Our principal executive offices are located at 399 Thornall Street,
First Floor, Edison, New Jersey. Our telephone number is (732) 902-4000. We also maintain a research laboratory in Edmonton, Canada.
RISK
FACTOR SUMMARY
Our
business is subject to significant risks and uncertainties that make an investment in us speculative and risky. Below we summarize what
we believe are the principal risk factors but these risks are not the only ones we face, and you should carefully review and consider
the full discussion of our risk factors in the section titled “Risk Factors”, together with the other information in this
prospectus. If any of the following risks actually occurs (or if any of those listed elsewhere in this prospectus occur), our business,
reputation, financial condition, results of operations, revenue, and future prospects could be seriously harmed. Additional risks and
uncertainties that we are unaware of, or that we currently believe are not material, may also become important factors that adversely
affect our business.
Risks
Related to This Offering
● |
You
may experience future dilution as a result of future equity offerings. |
|
|
● |
The
exercise of our outstanding options and warrants will dilute stockholders and could decrease our stock price. |
Risks
Related to Our Business
● |
Our
strategic alternatives strategy may not be successful, may not yield the desired results and we may be unsuccessful in identifying
and implementing any strategic transaction. |
|
|
● |
Even
if we successfully consummate a transaction from our strategic assessment, we may fail to realize all of the anticipated benefits
of the transaction, those benefits may take longer to realize than expected, or we may encounter integration difficulties. |
|
|
● |
We
have incurred losses since inception, anticipate that we will incur continued losses for the foreseeable future indicating the possibility
that we may not be able to operate in the future |
Risks
Related to Our Intellectual Property
● |
If
we are unable to adequately protect or expand our intellectual property related to our current or future product candidates, our
business prospects could be harmed. |
|
|
● |
If
a third party claims we are infringing on its intellectual property rights, we could incur significant expenses, or be prevented
from further developing or commercializing our product candidates |
Risks
Related to Our Common Stock
● |
If
we fail to comply with the rules under the Sarbanes-Oxley Act of 2002 related to accounting controls and procedures in the future,
or, if we discover additional material weaknesses and other deficiencies in our internal control and accounting procedures, our stock
price could decline significantly and raising capital could be more difficult. Our management determined that our disclosure controls
and procedures and internal controls were ineffective as of December 31, 2023 and if they continue to be ineffective could result
in material misstatements in our financial statements. |
|
|
● |
Certain
provisions in our certificate of incorporation and by-laws, and of Delaware law, may prevent or delay an acquisition of our company,
which could decrease the trading price of our common stock. |
|
|
● |
We
may be at risk of securities class action litigation. |
THE
OFFERING
Common
Stock to be offered by the Selling Stockholders |
|
Up
to 1,470,590 shares
of Common Stock |
|
|
|
Common
Stock outstanding prior to this offering |
|
5,799,126
shares of Common Stock |
|
|
|
Common
Stock to be outstanding after this offering |
|
7,269,716
shares of Common Stock, assuming the exercise of all of the Warrants |
|
|
|
Use
of Proceeds |
|
We
will not receive any proceeds from the sale of the shares of Common Stock by the Selling Stockholder, except for the Warrant exercise
price paid for the Common Stock offered hereby and issuable upon the exercise of the Warrants. See “Use of Proceeds”
on page 15 of this prospectus. |
|
|
|
Risk
factors |
|
See
“Risk Factors” beginning on page 6 of this prospectus, as well as other information included in this prospectus, for
a discussion of factors you should read and consider carefully before investing in our securities |
|
|
|
Nasdaq
Capital Market symbol |
|
Our
common stock is listed on The Nasdaq Capital Markets under the symbol “HEPA”. There is no established trading market
for the Warrants and we do not expect a trading market to develop. We do not intend to list the on any securities exchange or other
trading market. Without a trading market, the liquidity of the Warrants will be extremely limited. |
The
number of shares of our common stock to be outstanding after this offering as shown above is based on 5,799,126 shares outstanding as
of June 30, 2024 and excludes as of that date:
● |
555,558
shares of our common stock issuable upon exercise of outstanding options at a weighted average price of $11.33 per share; |
|
|
● |
50,000
restricted stock units; |
|
|
● |
2,540,733
shares of our common stock issuable upon exercise of outstanding warrants with a weighted-average exercise price of $1.91 per share; |
|
|
● |
159
shares of our common stock issuable upon conversion of outstanding shares of Series A Convertible Preferred Stock; |
|
|
● |
788
shares of our common stock issuable upon conversion of outstanding shares of Series C Convertible Preferred Stock; and |
|
|
● |
110,000
shares of our common stock that are reserved for equity awards that may be granted under our equity incentive plans. |
RISK
FACTORS
An
investment in our securities involves a high degree of risk. This prospectus contains a discussion of the risks applicable to an investment
in our securities. Prior to deciding about investing in our securities, you should carefully consider the specific factors discussed
within this prospectus. The risks and uncertainties we have described are not the only ones we face. Additional risks and uncertainties
not presently known to us or that we currently deem immaterial may also affect our operations. The occurrence of any of these known or
unknown risks might cause you to lose all or part of your investment in the offered securities.
Risks
Related to This Offering
You
may experience future dilution as a result of future equity offerings.
In
order to raise additional capital, we may in the future offer additional shares of our common stock or other securities convertible into
or exchangeable for our common stock at prices that may not be the same as the price per share in this offering. We may sell shares or
other securities in any other offering at a price per share that is less than the price per share paid by any investors in this offering,
and investors purchasing shares or other securities in the future could have rights superior to existing stockholders. The price per
share at which we sell additional shares of our common stock, or securities convertible or exchangeable into common stock, in future
transactions may be higher or lower than the price per share paid by any investors in this offering.
Sales
of a substantial number of our shares of common stock in the public markets, or the perception that such sales could occur, could cause
our stock price to fall.
We
may issue and sell additional shares of commons stock in the public markets, including during this offering. As a result, a substantial
number of our shares of common stock may be sold in the public market. Sales of a substantial number of our shares of common stock in
the public markets, including during this offering, or the perception that such sales could occur, could depress the market price of
our common stock and impair our ability to raise capital through the sale of additional equity securities.
Because
we do not currently intend to declare cash dividends on our shares of common stock in the foreseeable future, stockholders must rely
on appreciation of the value of our common stock for any return on their investment.
We
have never paid cash dividends on our common stock and do not plan to pay any cash dividends in the near future. We currently intend
to retain all of our future earnings, if any, to finance the operation, development and growth of our business. Furthermore, any future
debt agreements may also preclude us from paying or place restrictions on our ability to pay dividends. As a result, capital appreciation,
if any, of our common stock will be your sole source of gain with respect to your investment for the foreseeable future.
The
exercise of our outstanding options and warrants will dilute stockholders and could decrease our stock price.
The
exercise of our outstanding options and warrants may adversely affect our stock price due to sales of a large number of shares or the
perception that such sales could occur. These factors also could make it more difficult to raise funds through future offerings of our
securities, and could adversely impact the terms under which we could obtain additional equity capital. Exercise of outstanding options
and warrants or any future issuance of additional shares of common stock or other securities, including, but not limited to preferred
stock, options, warrants, restricted stock units or other derivative securities convertible into our common stock, may result in significant
dilution to our stockholders and may decrease our stock price.
Risks
Related to Our Business
Our
strategic alternatives strategy may not be successful, may not yield the desired results and we may be unsuccessful in identifying and
implementing any strategic transaction.
On
April 19, 2024, we announced the wind down of our ASCEND-NASH Trial. We continue to explore strategic alternatives, including, but not
limited to, an acquisition, merger, reverse merger, sale of assets, strategic partnerships, capital raises or other transactions. There
is no assurance that any of these potential opportunities will come to fruition.
We
expect to devote substantial time and resources to exploring strategic alternatives that our Board of Directors believes will maximize
stockholder value. Despite devoting significant efforts to identify and evaluate potential strategic alternatives, there can be no assurance
that this strategic review process will result in us pursuing any transaction or that any transaction, if pursued, will be completed
on attractive terms or at all. We have not set a timetable for completion of this strategic review process, and our Board of Directors
has not approved a definitive course of action. Additionally, there can be no assurances that any particular course of action, business
arrangement or transaction, or series of transactions, will be pursued, successfully consummated or lead to increased stockholder value
or that we will make any additional cash distributions to our stockholders.
The
process of continuing to evaluate these strategic options may be very costly, time-consuming and complex and we have incurred, and may
in the future incur, significant costs related to this continued evaluation, such as legal and accounting fees and expenses and other
related charges. We may also incur additional unanticipated expenses in connection with this process. A considerable portion of these
costs will be incurred regardless of whether any such course of action is implemented or transaction is completed. Any such expenses
will decrease the remaining cash available for use in our business.
In
addition, potential counterparties in a strategic transaction involving the Company may place minimal or no value on our assets or our
public listing. Further, should we resume the development of our product candidates, the development and any potential commercialization
of our product candidates will require substantial additional cash to fund the costs associated with conducting the necessary preclinical
and clinical testing and obtaining regulatory approval. Consequently, any potential counterparty in a strategic transaction involving
the Company may choose not to spend additional resources and continue development of our product candidates and may attribute little
or no value, in such a transaction, to those product candidates.
In
addition, any strategic business combination or other transactions that we may consummate in the future could have a variety of negative
consequences and we may implement a course of action or consummate a transaction that yields unexpected results that adversely affect
our business and decreases the remaining cash available for use in our business or the execution of our strategic plan. Any potential
transaction would be dependent on a number of factors that may be beyond our control, including, among other things, market conditions,
industry trends, the interest of third parties in a potential transaction with us, obtaining stockholder approval and the availability
of financing to third parties in a potential transaction with us on reasonable terms. Any failure of such potential transaction to achieve
the anticipated results could significantly impair our ability to enter into any future strategic transactions and may significantly
diminish or delay any future distributions to our stockholders.
If
we are not successful in setting forth a new strategic path for the Company, or if our plans are not executed in a timely fashion, this
may cause reputational harm with our stockholders and the value of our securities may be adversely impacted. In addition, speculation
regarding any developments related to the review of strategic alternatives and perceived uncertainties related to the future of the Company
could cause our stock price to fluctuate significantly.
Even
if we successfully consummate a transaction from our strategic assessment, we may fail to realize all of the anticipated benefits of
the transaction, those benefits may take longer to realize than expected, or we may encounter integration difficulties.
Our
ability to realize the anticipated benefits of any potential business combination or any other result from our strategic assessment is
highly uncertain. Any anticipated benefits will depend on a number of factors, including our ability to integrate with any future business
partner, the success of any future business we may engage in following the transaction and our ability to obtain value for our product
candidates or technologies, if divested. The process may be disruptive to our business and the expected benefits may not be achieved
within the anticipated timeframe, or at all. The failure to meet the challenges involved and to realize the anticipated benefits of any
potential transaction could adversely affect our business and financial condition. Furthermore, our stockholders may experience substantial
dilution as a result of the transaction without receiving the expected commensurate benefit, or only receiving part of the commensurate
benefit to the extent we are able to realize only part of the expected strategic and financial benefits currently anticipated from a
transaction.
If
we are successful in completing a strategic transaction, we may be exposed to other operational and financial risks.
Although
there can be no assurance that a strategic transaction will result from the process we have undertaken to identify and evaluate strategic
alternatives, the negotiation and consummation of any such transaction will require significant time on the part of our management, and
the diversion of management’s attention may disrupt our business.
The
negotiation and consummation of any such transaction may also require more time or greater cash resources than we anticipate and expose
us to other operational and financial risks, including:
● |
increased
near-term and long-term expenditures; |
● |
unknown
liabilities; |
● |
higher
than expected acquisition or integration costs; |
● |
incurrence
of substantial debt or dilutive issuances of equity securities to fund future operations; |
● |
write-downs
of assets or incurrence of non-recurring, impairment or other charges; |
● |
increased
amortization expenses; |
● |
difficulty
and cost in combining the operations and personnel of any counterparty business with our operations and personnel; |
● |
impairment
of relationships with key suppliers or customers of any acquired business due to changes in management and ownership; |
● |
inability
to retain key employees of our company or any acquired business; and |
● |
possibility
of future litigation. |
Any
of the foregoing risks could have a material adverse effect on our business, financial condition, results of operations, cash flows and
prospects.
If
a strategic transaction is not consummated, our Board of Directors may decide to pursue a dissolution and liquidation. In such an event,
the amount of cash available for distribution to our stockholders will depend heavily on the timing of such liquidation as well as the
amount of cash that will need to be reserved for commitments and contingent liabilities.
There
can be no assurance that a strategic transaction will be completed. If a strategic transaction is not completed, our Board of Directors
may decide to pursue a dissolution and liquidation. In such an event, the amount of cash available for distribution to our stockholders
will depend heavily on the timing of such decision and, with the passage of time the amount of cash available for distribution will be
reduced as we continue to fund our operations and exploration of strategic alternatives. In addition, if our Board of Directors were
to approve and recommend, and our stockholders were to approve, a dissolution and liquidation, we would be required under Delaware corporate
law to pay our outstanding obligations, as well as to make reasonable provision for contingent and unknown obligations, prior to making
any distributions in liquidation to our stockholders. As a result of this requirement, a portion of our assets may need to be reserved
pending the resolution of such obligations and the timing of any such resolution is uncertain. In addition, we may be subject to litigation
or other claims related to a dissolution and liquidation. If a dissolution and liquidation were pursued, our Board of Directors, in consultation
with our advisors, would need to evaluate these matters and make a determination about a reasonable amount to reserve. Accordingly, holders
of our common stock could lose all or a significant portion of their investment in the event of a liquidation, dissolution or winding
up.
Our
ability to consummate a strategic transaction depends on our ability to retain our remaining employees and consultants.
Our
ability to consummate a strategic transaction depends upon our ability to retain our remaining employees and consultants, the loss of
whose services may adversely impact our ability to consummate such transaction. In connection with the evaluation of strategic alternatives
and in order to extend our resources, on December 7, 2023, we implemented a strategic restructuring plan that included reducing our workforce.
The reduction in force has impacted approximately 91% of our workforce to date, including key members of our management team. Our cash
conservation activities may yield unintended consequences, such as attrition beyond our planned reduction in workforce and reduced employee
morale, which may cause remaining employees and consultants to seek alternative opportunities. If we are unable to successfully retain
our remaining personnel, we are at risk of a disruption to our exploration and consummation of a strategic alternative as well as business
operations.
We
may become involved in litigation, including securities class action litigation, that could divert management’s attention and harm
the Company’s business, and insurance coverage may not be sufficient to cover all costs and damages.
In
the past, litigation, including securities class action litigation, has often followed certain significant business transactions, such
as the sale of a company or announcement of any other strategic transaction, or the announcement of negative events, such as negative
results from clinical trials. These events may also result in investigations by the SEC or other governmental agencies. We may be exposed
to such litigation even if no wrongdoing occurred. Litigation is usually expensive and diverts management’s attention and resources,
which could adversely affect our business and cash resources and our ability to consummate a potential strategic transaction or the ultimate
value our stockholders receive in any such transaction.
We
have incurred losses since inception, anticipate that we will incur continued losses for the foreseeable future indicating the possibility
that we may not be able to operate in the future.
For
the years ended December 31, 2023 and 2022 and the three months ended March 31, 2024, we had an accumulated deficit of $224.6 million,
$175.7 million and $227.5 million, respectively. We expect to incur significant and increasing operating losses as we continue searching
for strategic alternatives. In November 2020 and February 2021, we raised net proceeds of approximately $31.6 million and $82.1 million,
respectively, to fund our future operations.
The
consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2023, have been prepared
under the assumption that we will continue as a going concern. Due to our recurring and expected continuing losses from operations, we
have concluded there is substantial doubt in our ability to continue as a going concern within one year of the issuance of these consolidated
financial statements without additional capital becoming available. In October 2023 and February 2024, we raised $5.0 million and $2.0
million, respectively through the sale of common stock and warrants.
Our
ability to raise additional funds is contingent upon, among other factors, the sale of the shares of our common stock or obtaining alternate
financing. We cannot provide any assurance that we will be able to raise additional capital. If we are unable to secure additional capital,
we may be required to take measures to reduce costs in order to conserve our cash in amounts sufficient to sustain operations and meet
our obligations. These measures could have a material adverse effect on our operations. The accompanying consolidated financial statements
do not include any adjustments that may be necessary should we be unable to continue as a going concern. It is not possible for us to
predict at this time the potential success of our business. The revenue and income potential of our business and operations are currently
unknown. If we cannot continue as a viable entity, you may lose some or all of your investment in our company.
Our
operations could be disrupted if our information systems fail, if we are unsuccessful in implementing necessary upgrades or if we are
subject to cyber-attacks.
Our
business depends on the efficient and uninterrupted operation of our computer and communications systems and networks, hardware and software
systems and our other information technology. We collect and maintain information, which includes confidential and proprietary information
as well as personal information regarding our collaborators and employees, in digital form. Data maintained in digital form is subject
to risk of malware, computer viruses, computer hacking, acts of data theft, phishing, other cyber-attacks and employee error or malfeasance,
which are increasing in frequency and sophistication. In July 2019, one of our employees was victim to a phishing incident, to which
we have taken certain actions in response to and to which we do not anticipate significant disruption to our business or future prospects.
Despite our efforts to monitor and safeguard our systems to prevent data compromise, the possibility of data compromise cannot be eliminated
entirely, and risks associated with intrusion, tampering, and theft remain. In addition, we may not have sufficient insurance coverage
with respect to system failures or cyber-attacks. A failure of our systems, or an inability to successfully expand the capacity of these
systems, or an inability to successfully integrate new technologies into our existing systems could have a material adverse effect on
our business, results of operations, financial condition, and cash flows.
Business
disruptions could seriously harm future revenue and financial condition and increase our costs and expenses.
Our
operations, and those of our third-party manufacturers, CROs and other contractors and consultants, could be subject to pandemics, earthquakes,
power shortages, telecommunications failures, water shortages, floods, hurricanes, typhoons, fires, extreme weather conditions, medical
epidemics and other natural or man-made disasters or business interruptions, for which we are predominantly self-insured. The occurrence
of any of these business disruptions could seriously harm our operations and financial condition and increase our costs and expenses.
If
a natural disaster, power outage or other event occurred that prevented us from using all or a significant portion of our headquarters,
that damaged critical infrastructure, such as the manufacturing facilities of our third-party contract manufacturers, or that otherwise
disrupted operations, it may be difficult or, in certain cases, impossible for us to continue our business for a substantial period of
time. Any disaster recovery and business continuity plans we have in place may prove inadequate in the event of a serious disaster or
similar event. We may incur substantial expenses as a result of the limited nature of our disaster recovery and business continuity plans,
which, could have a material adverse effect on our business.
The
occurrence of regional epidemics or a global pandemic, have had and may continue to have an adverse effect on how we and our CROs, CMOs,
and other contractors, consultants and third parties are operating our businesses and our operating results. Our operations have also
been and may in the future be negatively affected by a range of external factors related to the pandemic that are not within our control,
including the emergence and spread of more transmissible variants. The extent to which global pandemics, such as the COVID-19 pandemic,
impact our financial condition or results of operations will depend on factors such as the duration and scope of the pandemic, as well
as whether there is a material impact on the businesses of our CROs, CMOs, and other contractors, consultants and third parties. To the
extent that the pandemic harms our business and results of operations, many of the other risks described in this prospectus may be heightened.
Risks
Related to Our Intellectual Property
If
we are unable to adequately protect or expand our intellectual property related to our current or future product candidates, our business
prospects could be harmed.
Our
success, competitive position and future revenues will depend in part on our ability to obtain and maintain patent protection for our
product candidates, methods, processes and other technologies, to preserve our trade secrets, to prevent third parties from infringing
on our proprietary rights and to operate without infringing the proprietary rights of third parties.
We
will be able to protect our proprietary intellectual property rights from unauthorized use by third parties only to the extent that our
proprietary rights are covered by valid and enforceable patents or are effectively maintained as trade secrets. The patent position of
pharmaceutical and biopharmaceutical companies involves complex legal and factual questions, and, therefore, we cannot predict with certainty
whether we will be able to ultimately enforce our patents or proprietary rights. Therefore, any issued patents that we own or otherwise
have intellectual property rights to may be challenged, invalidated or circumvented, and may not provide us with the protection against
competitors that we anticipate. The degree of future protection for our proprietary intellectual property rights is uncertain because
issued patents and other legal means afford only limited protection and may not adequately protect our rights or permit us to gain or
keep our competitive advantage. Our future patent position will be influenced by the following factors:
|
● |
we
or our licensors may not have been the first to discover the inventions covered by each of our or our licensors’ pending patent
applications and issued patents, and we may have to engage in expensive and protracted interference proceedings to determine priority
of invention; |
|
● |
our
or our licensors’ pending patent applications may not result in issued patents; |
|
● |
our
or our licensors’ issued patents may not provide a basis for commercially viable products, may not provide us with any competitive
advantages, or may be challenged by third parties; and |
|
● |
third
parties may develop intellectual property around our or our licensors’ patent claims to design competitive intellectual property
and ultimately product candidates that fall outside the scope of our or our licensors’ patents. |
Because
of the extensive time required for the development, testing and regulatory review and approval of a product candidate, it is possible
that before our product candidate can be approved for sale and commercialized, our relevant patent rights may expire, or such patent
rights may remain in force for only a short period following approval and commercialization. Patent expiration could adversely affect
our ability to protect future product development and, consequently, our operating results and financial position. Also, patent rights
may not provide us with adequate proprietary protection or competitive advantages against competitors with similar technologies. The
laws of certain foreign countries do not protect our intellectual property rights to the same extent as do the laws of the U.S. and those
countries may lack adequate rules and procedures for defending our intellectual property rights. For example, we may not be able to prevent
a third party from infringing our patents in a country that does not recognize or enforce patent rights, or that imposes compulsory licenses
on or restricts the prices of life-saving drugs. Changes in either patent laws or in interpretations of patent laws in the U.S. and other
countries may diminish the value of our intellectual property.
We
may not develop or obtain rights to products or processes that are patentable. Even if we or our licensors do obtain patents, such patents
may not adequately protect the products or technologies we own or have licensed, or otherwise be limited in scope. In addition, we may
not have total control over the patent prosecution of subject matter that we license from others. Accordingly, we may be unable to exercise
the same degree of control over this intellectual property as we would over our own. Others may challenge, seek to invalidate, infringe
or circumvent any pending or issued patents we own or license, and rights we receive under those issued patents may not provide competitive
advantages to us. We cannot assure you as to the degree of protection that will be afforded by any of our issued or pending patents,
or those licensed by us.
If
a third party claims we are infringing on its intellectual property rights, we could incur significant expenses, or be prevented from
further developing or commercializing our product candidate.
Our
success will also depend on our ability to operate without infringing the patents and other proprietary intellectual property rights
of third parties. This is generally referred to as having the “freedom to operate”. The biotechnology and pharmaceutical
industries are characterized by extensive litigation regarding patents and other intellectual property rights. The defense and prosecution
of intellectual property claims, United States Patent and Trademark Office, or USPTO, interference proceedings and related legal and
administrative proceedings, both in the U.S. and internationally, involve complex legal and factual questions. As a result, such proceedings
are lengthy, costly and time-consuming and their outcome is highly uncertain. We may become involved in protracted and expensive litigation
in order to determine the enforceability, scope and validity of the proprietary rights of others, or to determine whether we have the
freedom to operate with respect to the intellectual property rights of others.
Patent
applications in the U.S. are, in most cases, maintained in secrecy until approximately 18 months after the patent application is filed.
The publication of discoveries in the scientific or patent literature frequently occurs substantially later than the date on which the
underlying discoveries were made. Therefore, patent applications relating to products similar to our product candidate may have already
been filed by others without our knowledge. In the event that a third party has also filed a patent application covering our product
candidate or other claims, we may have to participate in an adversarial proceeding, known as an interference proceeding in the USPT office,
or similar proceedings in other countries to determine the priority of invention. In the event an infringement claim is brought against
us, we may be required to pay substantial legal fees and other expenses to defend such a claim and, if we are unsuccessful in defending
the claim, we may be prevented from pursuing the development and commercialization of a product candidate and may be subject to injunctions
and/or damage awards.
In
the future, the USPTO or a foreign patent office may grant patent rights to our product candidate or other claims to third parties. Subject
to the issuance of these future patents, the claims of which will be unknown until issued, we may need to obtain a license or sublicense
to these rights in order to have the appropriate freedom to further develop or commercialize them. Any required licenses may not be available
to us on acceptable terms, if at all. If we need to obtain such licenses or sublicenses, but are unable to do so, we could encounter
delays in the development of our product candidate, or be prevented from developing, manufacturing and commercializing our product candidate
at all. If it is determined that we have infringed an issued patent and do not have the freedom to operate, we could be subject to injunctions,
and/or compelled to pay significant damages, including punitive damages. In cases where we have in-licensed intellectual property, our
failure to comply with the terms and conditions of such agreements could harm our business.
It
is becoming common for third parties to challenge patent claims on any successful product candidate or approved drug. If we or our collaborators
become involved in any patent litigation, interference or other legal proceedings, we could incur substantial expense, and the efforts
of our technical and management personnel will be significantly diverted. A negative outcome of such litigation or proceedings may expose
us to the loss of our proprietary position or to significant liabilities or require us to seek licenses that may not be available from
third parties on commercially acceptable terms, if at all. We may be restricted or prevented from developing, manufacturing and selling
our product candidate in the event of an adverse determination in a judicial or administrative proceeding, or if we fail to obtain necessary
licenses.
We
cannot be sure that any patents will be issued or that patents licensed to us will be issued from any of our patent applications or,
should any patents issue, that we will be provided with adequate protection against potentially competitive products. Furthermore, we
cannot be sure that patents issued or licensed to us will be of any commercial value, or that private parties or competitors will not
successfully challenge these patents or circumvent our patent position in the U.S. or abroad. In the absence of adequate patent protection,
our business may be adversely affected by competitors who develop comparable technology or products.
Confidentiality
agreements with employees and others may not adequately prevent disclosure of trade secrets and other proprietary information and may
not adequately protect our intellectual property.
We
rely on trade secrets to protect our technology, especially where we do not believe patent protection is obtainable, or prior to us filing
patent applications on inventions we may make from time to time. However, trade secrets are difficult to protect. In order to protect
our proprietary technology and processes, we also rely in part on confidentiality and intellectual property assignment agreements with
our corporate partners, employees, consultants, outside scientific collaborators and sponsored researchers and other advisors. These
agreements may not effectively prevent disclosure of confidential information nor result in the effective assignment to us of intellectual
property, and may not provide an adequate remedy in the event of unauthorized disclosure of confidential information or other breaches
of the agreements. In addition, others may independently discover our trade secrets and proprietary information, and in such case, we
could not assert any trade secret rights against such party. Enforcing a claim that a third-party illegally obtained and is using our
trade secrets is difficult, expensive and time consuming, and the outcome is unpredictable. In addition, courts outside the U.S. may
be less willing to protect trade secrets. Costly and time-consuming litigation could be necessary to seek to enforce and determine the
scope of our proprietary rights, and failure to obtain or maintain trade secret protection could adversely affect our competitive business
position.
Risks
Related to Our Common Stock
Our
common stock may be delisted if we fail to comply with continued listing standards.
If
we fail to meet any of the continued listing standards of The Nasdaq Capital Market, our common stock could be delisted from The Nasdaq
Capital Market. These continued listing standards include specifically enumerated criteria, such as:
|
● |
a
$1.00 minimum closing bid price; |
|
● |
stockholders’
equity of $2.5 million; |
|
● |
500,000
shares of publicly-held common stock with a market value of at least $1 million; |
|
● |
300
round-lot stockholders; and |
|
● |
compliance
with Nasdaq’s corporate governance requirements, as well as additional or more stringent criteria that may be applied in the
exercise of Nasdaq’s discretionary authority. |
If
we fail to comply with Nasdaq’s continued listing standards, we may be delisted and our common stock will trade, if at all, only
on the over-the-counter market, such as the OTC Bulletin Board, or OTCQX market, and then only if one or more registered broker-dealer
market makers comply with quotation requirements. In addition, delisting of our common stock could depress our stock price, substantially
limit liquidity of our common stock and materially adversely affect our ability to raise capital on terms acceptable to us, or at all.
Finally, delisting of our common stock could result in our common stock becoming a “penny stock” under the Exchange Act.
If
we fail to comply with the rules under the Sarbanes-Oxley Act of 2002 related to accounting controls and procedures in the future, or,
if we discover additional material weaknesses and other deficiencies in our internal control and accounting procedures, our stock price
could decline significantly and raising capital could be more difficult.
If
we fail to comply with the rules under the Sarbanes-Oxley Act of 2002 related to disclosure controls and procedures in the future, or,
if we discover material weaknesses and other deficiencies in our internal control and accounting procedures, our stock price could decline
significantly and raising capital could be more difficult. Section 404 of the Sarbanes-Oxley Act requires annual management assessment
of the effectiveness of our internal control over financial reporting. As of December 31, 2023, our management has determined that we
had material weaknesses in our control environment and in the period end financial close and reporting process. If additional material
weaknesses or significant deficiencies are discovered or if we otherwise fail to achieve and maintain the adequacy of our internal control,
we may not be able to ensure that we can conclude on an ongoing basis that we have effective internal controls over financial reporting
in accordance with Section 404 of the Sarbanes-Oxley Act. Moreover, effective internal controls are necessary for us to produce reliable
financial reports and are important to helping prevent financial fraud. If we cannot provide reliable financial reports or prevent fraud,
our business and operating results could be harmed, investors could lose confidence in our reported financial information, and the trading
price of our Common Stock could drop significantly.
The
market price of our common stock may be volatile and adversely affected by several factors.
The
market price of our common stock could fluctuate significantly in response to various factors and events, including:
|
● |
our
ability to integrate operations, technology, products and services; |
|
● |
our
ability to execute our business plan; |
|
● |
operating
results below expectations; |
|
● |
our
issuance of additional securities, including debt or equity or a combination thereof, which will be necessary to fund our operating
expenses; |
|
● |
announcements
of technological innovations or new products by us or our competitors; |
|
● |
loss
of any strategic relationship; |
|
● |
industry
developments, including, without limitation, changes in healthcare policies or practices or third-party reimbursement policies; |
|
● |
economic
and other external factors; |
|
● |
period-to-period
fluctuations in our financial results; |
|
● |
catastrophic
weather and/or global disease outbreaks, such as the recent COVID-19 pandemic; and |
|
● |
whether
an active trading market in our common stock is maintained. |
In
addition, the securities markets have from time-to-time experienced significant price and volume fluctuations that are unrelated to the
operating performance of particular companies. These market fluctuations may also materially and adversely affect the market price of
our common stock.
The
stock market in general has recently experienced relatively large price and volume fluctuations, particularly in response to the COVID-19
outbreak. In particular, the market prices of securities of smaller biotechnology and medical device companies have experienced dramatic
fluctuations that often have been unrelated or disproportionate to the operating results of these companies. Continued market fluctuations
could result in extreme volatility in the price of our common stock, which could cause a decline in the value of our common stock. In
addition, price volatility may increase if the trading volume of our common stock remains limited or declines.
U.S.
federal income tax reform could adversely affect us.
On
December 22, 2017, the “Tax Cuts and Jobs Act” (TCJA) was signed into law that significantly reforms the Internal Revenue
Code of 1986, as amended. The TCJA, among other things, includes changes to U.S. federal tax rates, imposes significant additional limitations
on the deductibility of interest, allows for the expensing of capital expenditures, and puts into effect the migration from a “worldwide”
system of taxation to a territorial system. The tax reform has not caused a material impact to our projection of minimal cash taxes or
to our net operating losses as of December 31, 2023, the date of these consolidated financial statements. The impact of this tax reform
on holders of our common stock is uncertain and could be adverse. This prospectus does not discuss any such tax legislation or the manner
in which it might affect purchasers of our common stock. We urge our stockholders to consult with their legal and tax advisors with respect
to such legislation and the potential tax consequences of investing in our common stock.
Certain
provisions in our certificate of incorporation and by-laws, and of Delaware law, may prevent or delay an acquisition of our company,
which could decrease the trading price of our common stock.
Our
certificate of incorporation, by-laws and Delaware law contain provisions that are intended to deter coercive takeover practices and
inadequate takeover bids by making such practices or bids unacceptably expensive to the raider and to encourage prospective acquirers
to negotiate with our board of directors rather than to attempt a hostile takeover. These provisions include, among others:
|
● |
the
inability of our stockholders to call a special meeting; |
|
● |
rules
regarding how stockholders may present proposals or nominate directors for election at stockholder meetings; |
|
● |
the
right of our board to issue preferred stock without stockholder approval; |
|
● |
the
ability of our directors, and not stockholders, to fill vacancies on our board of directors. |
Delaware
law also imposes some restrictions on mergers and other business combinations between us and any holder of 15% or more of our outstanding
common stock.
We
believe these provisions will protect our stockholders from coercive or otherwise unfair takeover tactics by requiring potential acquirers
to negotiate with our board of directors and by providing our board of directors with more time to assess any acquisition proposal. These
provisions are not intended to make our company immune from takeovers. However, these provisions will apply even if the offer may be
considered beneficial by some stockholders and could delay or prevent an acquisition that our board of directors determines is not in
the best interests of our company and our stockholders. These provisions may also prevent or discourage attempts to remove and replace
incumbent directors.
Future
sales and issuances of our common stock or rights to purchase common stock pursuant to our equity incentive plan could result in additional
dilution of the percentage ownership of our stockholders and could cause our share price to fall.
We
expect that significant additional capital will be needed in the future to continue our planned operations. To the extent we raise additional
capital by issuing equity securities, our stockholders may experience substantial dilution. We may sell common stock, convertible securities
or other equity securities in one or more transactions at prices and in a manner we determine from time to time. If we sell common stock,
convertible securities or other equity securities in more than one transaction, investors may be materially diluted by subsequent sales.
Such sales may also result in material dilution to our existing stockholders, and new investors could gain rights superior to our existing
stockholders.
We
may be at risk of securities class action litigation.
We
may be at risk of securities class action litigation. This risk is especially relevant for us due to our dependence on positive clinical
trial outcomes and regulatory approvals of rencofilstat. In the past, biotechnology and pharmaceutical companies have experienced significant
stock price volatility, particularly when associated with binary events such as clinical trials and product approvals. If we face such
litigation, it could result in substantial costs and a diversion of management’s attention and resources, which could harm our
business and results in a decline in the market price of our common stock.
If
securities or industry analysts do not publish research or reports about our business, or if they change their recommendations regarding
our stock adversely, our stock price and trading volume could decline.
The
trading market for our common stock will be influenced by the research and reports that industry or securities analysts publish about
us or our business. We do not currently have and may never obtain research coverage by industry or financial analysts. If no or few analysts
commence coverage of us, the trading price of our stock would likely decrease. Even if we do obtain analyst coverage, if one or more
of the analysts who cover us downgrade our stock, our stock price would likely decline. If one or more of these analysts cease coverage
of our company or fail to regularly publish reports on us, we could lose visibility in the financial markets, which in turn could cause
our stock price or trading volume to decline.
USE
OF PROCEEDS
We
will not receive any of the proceeds from the sale by the Selling Stockholder of the Common Stock. Upon any exercise of the Warrants
by payment of cash, however, we will receive the exercise price of the Warrants, which, if exercised in cash with respect to the 1,470,590
shares of Common Stock offered hereby, would result in gross proceeds to us of approximately $2.8 million. However, we cannot predict
when and in what amounts or if the Warrants will be exercised by payments of cash and it is possible that the Warrants may expire and
never be exercised, in which case we would not receive any cash proceeds.
DIVIDEND
POLICY
We
have never paid cash dividends on our Common Stock and we do not anticipate paying cash dividends in the foreseeable future, but intend
to retain our capital resources for reinvestment in our business. Any future determination to pay cash dividends on our Common Stock
will be at the discretion of our board of directors and will be dependent upon our financial condition, results of operations, capital
requirements and other factors as the board of directors deems relevant.
BUSINESS
Overview
We
are a biopharmaceutical company headquartered in Edison, New Jersey, focused on the development of drug therapy for treatment of chronic
liver diseases. This therapeutic approach targets fibrosis, inflammation, and shows potential for the treatment of hepatocellular carcinoma
(“HCC”) associated with non-alcoholic steatohepatitis (“NASH”), viral hepatitis, and other liver diseases. Our
cyclophilin inhibitor, rencofilstat (formerly CRV431), was being developed to offer benefits to address multiple complex pathologies
related to the progression of liver disease.
We
have completed a number of Phase 1 and Phase 2 clinical trials. In May 2023, we announced that our Phase 2a study (“ALTITUDE-NASH”)
met its primary endpoint by demonstrating improved liver function and was well tolerated after four months of treatment with once daily
oral rencofilstat administered to NASH subjects with stage 3 or greater fibrosis. All additional secondary efficacy and safety endpoints
were also met. These observations provide further evidence that builds on previous findings from a shorter 28-day Phase 2a (“AMBITION”)
trial.
In
June 2023, we announced that the Data and Safety Monitoring Board (“DSMB”) met to review the current data for the ASCEND-NASH
2b study and has issued a “study may proceed without modification” clearance. This, the first planned DSMB meeting, occurred
on schedule, and all labs, electrocardiogram’s, adverse events, and protocol deviations were reviewed, focusing on any potential
safety signals from the placebo-controlled trial.
In
December 2023, the board of directors approved a strategic restructuring plan to preserve capital by reducing operating costs. We incurred
a one-time restructuring charge of approximately $0.7 million in the fourth quarter of 2023. Additionally, we have initiated a process
to explore a range of strategic and financing alternatives focused on maximizing stockholder value within the current financial environment
and NASH drug development landscape. On April 19, 2024, we announced that we have begun wind-down activities in our ASCEND- NASH clinical
trial.
Rencofilstat
Rencofilstat
is a therapeutic drug candidate that binds and inhibits the function of a specific class of isomerase enzymes called cyclophilins that
mainly regulate protein folding. Many closely related isoforms of cyclophilins exist in humans. Cyclophilins A, B, and D are the best
characterized cyclophilin isoforms. Inhibition of cyclophilins has been shown in the scientific literature to have therapeutic effects
in a variety of experimental models, including liver disease models. In preclinical in vitro and/or in vivo experiments
conducted to date rencofilstat decreased liver fibrosis, liver inflammation, liver tumor burden, and titers of HBV, HCV, HDV, and HIV-1.
Importantly, reduction in liver fibrosis by rencofilstat was observed in vivo in several experimental models and studies of NASH
and liver fibrosis. Findings to date suggest that rencofilstat might treat certain inciting agents of liver disease such as hepatitis
viruses and also the ensuing disease processes resulting from those agents such as fibrosis.
Cyclophilins
are pleiotropic enzymes that play a role in injury and steatosis through mechanisms including cell death occurring through mitochondrial
transition pore permeability (cyclophilin D). Inhibition of cyclophilin D, therefore, may play an important role in protection from cell
injury and death. Cyclophilin A binding to CD147 is known to play a role in inflammation, cyclophilin B plays a role in fibrosis through
collagen production, and cyclophilins also play a role in cirrhosis and cancer (e.g., cell proliferation and metastasis). Cyclophilin
inhibition with rencofilstat, therefore, may play an important role in reducing liver disease.
To
date, we have completed a number of separate preclinical animal efficacy studies of rencofilstat to assess antifibrotic activity. These
studies were conducted by independent laboratory collaborations at, for example, The Scripps Research Institute (San Diego, CA), SMC
Corporation (Tokyo, Japan), and Physiogenex S.A.S. (France), Each of these studies demonstrated consistent and significant reductions
in fibrosis in mice and rats. Rencofilstat was also tested in ex vivo Precision Cut Liver Slices and in Precision Cut Lung Slices
obtained from human donors. Again, rencofilstat demonstrated an antifibrotic effect in human tissue that was consistent with the animal
study findings. These studies provide support of advancing rencofilstat into clinical trials for NASH, and potentially additional indications
where fibrosis plays a role.
On
June 10, 2016, we entered into an agreement with Ciclofilin Pharmaceuticals, Inc. (Ciclofilin) to acquire 100% of the issued and outstanding
shares of common stock of Ciclofilin. The transaction was accounted for as a business combination (in accordance with Accounting Standards
Codification (“ASC”) 805, Business Combinations) and, as such, the Ciclofilin assets acquired, and liabilities assumed
were recorded at their respective fair values as of the effective date of the executed agreement. The transaction had been accounted
for using the acquisition method of accounting, which required that assets acquired, and liabilities assumed be recognized at their fair
values as of the acquisition date. The acquisition consisted of cash consideration and certain milestone payments (contingent consideration).
The
Merger Agreement was amended on January 14, 2022 primarily for the following: (i) upon receipt of Phase II positive data from the first
Phase II clinical trial of rencofilstat in NASH patients which has been achieved: (1) such number of validly issued, fully paid and non-assessable
shares of our common stock equal to 7.5% of the issued and outstanding of our common stock on the Closing Date as defined in the original
agreement, which 4,317 were issued in March 2022, and (2) a payment of $2.0 million to Ciclofilin shareholders, including a payment to
our CEO of $0.8 million and other Hepion employees of $0.2 million, which such payment being made in January 2022, (ii) a payment of
$1.0 million upon the positive read out of the first planned interim futility analysis of a Phase IIb clinical trial of rencofilstat
in NASH patients, supporting the continuation of the Phase IIb trial, (iii) a payment of $5.0 million upon initiation of the first Phase
III trial of rencofilstat in patients, where initiation occurs with first patient in the study dosed with study medication, (iv) a payment
of $5.0 million upon the filing and acceptance by the U.S. Food and Drug Administration of the first new drug application for CPI-431-32;
and (v) a payment of $8.0 million upon the regulatory approval by the U.S. Food and Drug Administration of the first new drug application
for rencofilstat.
On
June 17, 2019, we submitted an IND to the FDA to support initiation of a rencofilstat clinical development program for NASH in the United
States and received approval in July 2019. We completed dosing of rencofilstat in our multiple ascending dose (“MAD”) clinical
trial in September 2020.
On
November 19, 2021, we submitted an IND to the FDA to support initiation of a rencofilstat clinical development program in the United
States for the treatment of HCC and received approval on December 17, 2021.
On
November 30, 2021, the FDA granted Fast Track designation for our lead drug candidate, rencofilstat, for the treatment of NASH. The FDA
Fast Track designation allows sponsors to gain access to expedited drug approval reviews for medical conditions that are serious and
potentially life-threatening, and where there is an unmet medical need. The program is also designed to facilitate drug development by
making provisions for more frequent meetings with the FDA to discuss drug development plans, and Fast Track designation can lead to Accelerated
Approval and/or Priority Review eligibility if certain criteria are met.
On
June 20, 2022, the FDA granted Orphan Drug Designation to rencofilstat, a liver-targeting, orally administered, novel cyclophilin inhibitor,
for the treatment of HCC. The FDA Orphan Drug Designation program provides orphan status to drugs or biologics intended for the prevention,
diagnosis, or treatment of diseases that affect fewer than 200,000 people in the United States. Sponsors of medicines that are granted
Orphan Drug Designation are entitled to certain incentives, including tax credits for qualified clinical trials, prescription drug user-fee
exemptions, and potential seven-year marketing exclusivity upon FDA approval.
Intellectual
Property
Patents
and other proprietary intellectual rights are crucial in our business and establishing and maintaining these rights are essential to
justify the development of our product candidate. We have sought, and intend to continue to seek, patent protection for our inventions
and rely upon patents, trade secrets, know-how, continuing technological innovations and licensing opportunities to develop and maintain
a competitive advantage for our product candidate. In order to protect these rights, know-how and trade secrets, we typically require
employees, consultants, collaborators and advisors to enter into confidentiality agreements with us, generally stating that they will
not disclose any confidential information about us to third parties for a certain period of time and will otherwise not use confidential
information for anyone’s benefit but ours.
As
patent applications in the U.S. are maintained in secrecy until patents are published or issued, unless earlier publication is required
under applicable law or in connection with patents filed under the Patent Cooperation Treaty (“PCT”) or as publication of
discoveries in the scientific or patent literature often lags behind the actual discoveries, we cannot be certain that we or our licensors
were the first to make the inventions described in our pending patent applications or that we or our licensors were the first to file
patent applications for such inventions. Furthermore, the patent positions of biotechnology and pharmaceutical companies are highly uncertain
and involve complex legal and factual questions, and therefore, the breadth of claims allowed in biotechnology and pharmaceutical patents,
or their enforceability cannot be predicted.
Pursuant
to the terms of the Uruguay Round Agreements Act, patents filed on or after June 8, 1995 have a term of 20 years from the date of filing,
somewhat irrespective of the period of time it may take for the patent to ultimately issue. This may shorten the period of patent protection
afforded to our products as patent applications in the biopharmaceutical sector often take considerable time to issue. Under the Drug
Price Competition and Patent Term Restoration Act of 1984, a sponsor may obtain marketing data exclusivity for a period of time following
FDA approval of certain drug applications, regardless of patent status, if the drug is a new chemical entity or if new clinical studies
were used to support the marketing application for the drug. The Drug Price Competition and Patent Term Restoration Act of 1984 also
allows a patent owner to obtain an extension of applicable patent terms for a period equal to one-half the period of time elapsed between
the filing of an IND and the filing of the corresponding New Drug Application (“NDA”) plus the period of time between the
filing of the NDA and FDA approval, with a five-year maximum patent extension. We cannot be sure that we will be able to take advantage
of either the patent term extension or marketing data exclusivity provisions of this law.
On
June 13, 2016, we completed our merger with Ciclofilin Pharmaceuticals, Inc. (“CPI”) acquiring all its outstanding equity
interests. We acquired Ciclofilin’s lead asset, CPI-431-32, which we renamed rencofilstat, strengthens our liver disease portfolio
and is currently in preclinical development for the treatment of liver fibrosis. On February 14, 2014, CPI, through its wholly owned
subsidiary, had entered into a Purchase and Sale Agreement to acquire Aurinia Pharmaceuticals Inc. (“Aurinia”) entire interest
in rencofilstat. There was no upfront consideration. There are future milestone payments of up to CAD $2.9 million, which are to be paid
within 30 days of achieving such milestone. In addition to the milestone payments, future payment obligations (in Canadian Dollars “CAD”)
include a royalty of 2.5% of net sales. The amount payable under the foregoing royalty obligation is uncapped.
Patents
extend for varying periods according to the date of patent filing or grant and the legal term of patents in the various countries where
patent protection is obtained. The actual protection afforded by a patent, which can vary from country to country, depends on the type
of patent, the scope of its coverage and the availability of legal remedies in the country.
While
trade secret protection is an essential element of our business and we have taken security measures to protect our proprietary information
and trade secrets, we cannot give assurance that our unpatented proprietary technology will afford us significant commercial protection.
We seek to protect our trade secrets by entering into confidentiality agreements with third parties, employees, and consultants. Our
employees and consultants also sign agreements requiring that they assign to us their interests in intellectual property arising from
their work for us. All employees sign an agreement not to engage in any conflicting employment or activity during their employment with
us and not to disclose or misuse our confidential information. However, it is possible that these agreements may be breached or invalidated,
and if so, there may not be an adequate corrective remedy available. Accordingly, we cannot ensure that employees, consultants or third
parties will not breach the confidentiality provisions in our contracts, infringe or misappropriate our trade secrets and other proprietary
rights or that measures we are taking to protect our proprietary rights will be adequate.
In
the future, third parties may file claims asserting that our technologies or products infringe on their intellectual property. We cannot
predict whether third parties will assert such claims against us or against the licensors of technology licensed to us, or whether those
claims will harm our business. If we are forced to defend ourselves against such claims, whether they are with or without merit and whether
they are resolved in favor of, or against, our licensors or us, we may face costly litigation and the diversion of management’s
attention and resources. As a result of such disputes, we may have to develop costly non-infringing technology or enter into licensing
agreements. These agreements, if necessary, may be unavailable in terms acceptable to us, or at all.
Sales
and Marketing
We
currently do not have any commercialization or sales and marketing capabilities, and currently have no plans to invest in or build such
capabilities internally.
Manufacturing
We
do not own or operate any facilities in which we can formulate and manufacture our product candidates.
Pharmaceutical
Pricing and Reimbursement
In
the U.S. and most foreign markets, any revenue associated with the sale of our product candidate, if approved for sale, will depend largely
upon the availability of reimbursement from third-party payers. Third-party payers include various government health authorities such
as The Centers for Medicare and Medicaid Services (“CMS”), which administers Medicare and Medicaid in the U.S., managed-care
providers, private health insurers and other organizations. Third-party payers are increasingly challenging the price and examining the
cost-effectiveness of medical products and services, including pharmaceuticals. In addition, significant uncertainty exists as to the
reimbursement status of newly approved pharmaceutical products. Our products may ultimately not be considered cost-effective, and adequate
third-party reimbursement may not be available to enable us to maintain price levels sufficient to support a profitable operation or
generate an appropriate return on our investment in product development.
The
U.S. and foreign governments periodically propose and pass legislation designed to reduce the cost of healthcare and pharmaceutical products.
Accordingly, legislation and regulations affecting the pricing of pharmaceuticals may change before our product candidate is ever approved
for sale. In addition, the adoption of new legislation could further limit reimbursement for pharmaceuticals. Further, an increasing
emphasis on managed care in the U.S. has and will continue to increase the pressure on pharmaceutical pricing. The marketability of our
products may suffer if the government and other third-party payers fail to provide adequate coverage and reimbursement rates for our
product candidate.
Regulatory
Matters
Overview
The
preclinical and clinical testing, manufacture, labeling, storage, distribution, promotion, sale, export, reporting and record-keeping
of drug products and product candidates are subject to extensive regulation by numerous governmental authorities in the U.S., principally
the FDA and corresponding state agencies, and regulatory agencies in foreign countries.
Non-compliance
with applicable regulatory requirements can result in, among other things, total or partial suspension of the clinical development of
a product candidate, manufacturing and marketing, failure of the FDA or similar regulatory agency in other countries to grant marketing
approval, withdrawal of marketing approvals, fines, injunctions, seizure of products and criminal prosecution.
U.S.
Regulatory Approval
Pursuant
to FDA regulations, we are required to successfully undertake a long and rigorous development process before our product candidate can
be marketed or sold in the U.S. This regulatory process typically includes the following steps:
|
● |
the completion of satisfactory preclinical studies under
the FDA’s Good Laboratory Practices, or GLP, regulation; |
|
|
|
|
● |
the submission and acceptance of an IND that must be reviewed by the FDA or Clinical Trial Application that must be reviewed by similar regulatory agencies in other countries and become effective before human clinical trials may begin; |
|
|
|
|
● |
obtaining the approval of an Institutional Review Board, or IRB, or Ethics Committee, or EC, at each site where we plan to conduct a clinical trial to protect the welfare and rights of human subjects in clinical trials; |
|
|
|
|
● |
the successful completion of a series of adequate and well- controlled human clinical trials to establish the safety, potency, efficacy and purity of any product candidate for its intended use, which conform to the FDA’s good clinical practice, or GCP, regulations; |
|
|
|
|
● |
the development and demonstration of manufacturing processes that conform to FDA-mandated current Good Manufacturing Practices, or cGMPs; and |
|
|
|
|
● |
the submission to, and review and approval by, the FDA of a New Drug Application, or NDA, or a Biologic License Application, or BLA, prior to any commercial sale or shipment of a product. |
Successfully
completing this development process requires a substantial amount of time and financial resources. We cannot assure you that this process
will result in the granting of an approval for our product candidate on a timely basis, if at all, or that we will have sufficient financial
resources to see the process for our product candidate through to completion.
Preclinical
Studies
Preclinical
studies generally include laboratory, or in vitro, evaluation of a product candidate, its chemistry, formulation, stability, and toxicity,
as well as certain in vivo animal studies to assess a product’s potential safety and biologic activity. We must submit the results
of these preclinical studies, together with other information, including manufacturing records, analytical data and proposed clinical
trial protocols, to the FDA as part of an IND, which must be reviewed and become effective before we may begin any human clinical trials.
An IND generally becomes effective approximately 30 days after receipt by the FDA, unless the FDA, within this 30-day time period, raises
material concerns or questions about the intended conduct of the trials and imposes what is referred to as a clinical hold. If our product
candidate is placed on clinical hold, we may be required to resolve any outstanding issues to the satisfaction of the FDA before we could
begin, or continue, clinical trials of such product candidate. Preclinical studies supportive of an IND generally take a year or more
to complete, and there is no guarantee that an IND based on those studies will become effective, allowing human clinical testing to begin.
Certain
preclinical studies must be conducted in compliance with the FDA’s GLP regulations and the U.S. Department of Agriculture’s
Animal Welfare Act. Violations of these regulations can, in some cases, lead to invalidation of the studies, requiring such studies to
be conducted again.
Clinical
Trials
This
clinical trial phase of drug development follows a successful IND submission and involves the activities necessary to demonstrate the
safety, tolerability, biologic activity, efficacy and dosage of an investigational new drug product in humans, as well as the ability
to produce the drug substance and drug product in accordance with the FDA’s cGMP requirements. Clinical trials are conducted under
protocols detailing, among other things, the objectives of the study and the parameters to be used in assessing the safety and the activity
or efficacy of the product candidate. Each clinical trial protocol must be submitted to the FDA as part of the IND prior to beginning
the trial. Each trial and the clinical protocol must be reviewed, approved and conducted under the auspices of an IRB and, with limited
exceptions, requires the patient’s informed consent to participate in the trial. Sponsors, investigators, and IRBs also must satisfy
extensive GCPs, including regulations and guidelines for obtaining informed consent from the study subjects, complying with the protocol
and investigational plan, adequately monitoring the clinical trial, and reporting any serious adverse events on a timely basis. The FDA,
the IRB or the sponsor may suspend a clinical trial at any time on various grounds, including a finding that the subjects or patients
are being exposed to an unacceptable health or safety risk.
Clinical
trials to support an NDA for marketing approval are typically conducted in three sequential phases: Phase 1, 2 and 3, with Phase 4 clinical
trials often conducted after marketing approval has been granted. The FDA may require sponsors to conduct Phase 4 clinical trials to
study certain safety issues or other patient populations. Data from these activities are compiled in an NDA or a BLA for submission to
the FDA requesting approval to market the drug. These phases may be compressed, may overlap, or may be omitted in some circumstances.
|
● |
Phase
1: After an IND becomes effective, Phase 1 human clinical trials can begin. A product candidate is typically introduced either
into healthy human subjects or in some cases, patients with the medical condition for which the product candidate is intended to
be used. Generally, the purpose of a Phase 1 trial is to assess a product candidate’s safety and the ability of the human body
to tolerate it at different dose levels. Absorption, metabolism, distribution and pharmacokinetic trials are also generally performed
at this stage. Phase 1 trials typically evaluate these aspects of the investigational drug in both single doses, as well as multiple
doses. |
|
|
|
|
● |
Phase
2: During Phase 2 clinical trials, a product candidate is generally studied in an exploratory trial or trials in a limited number
of patients with the disease or medical condition for which it is intended to be used in order to (i) further identify any possible
adverse side effects and safety risks, (ii) assess the preliminary or potential efficacy or biologic activity of the product candidate
for specific targeted diseases or medical conditions, and (iii) assess dose tolerance and determine the optimal dose for a subsequent
Phase 2 or Phase 3 trial. Phase 2 trials generally involve patients who are divided into one or more groups that will get one of
several dose levels of the product candidate, and a control group that is not treated with the product candidate but either receives
a placebo or a drug already on the market for the same indication. Typically, two or more Phase 2 studies will be conducted for a
product candidate prior to advancing to Phase 3. |
|
|
|
|
● |
Phase
3: If and when one or more Phase 2 trials demonstrate that a specific dose or range of doses of a product candidate is potentially
effective and has an acceptable safety profile, one or more Phase 3 trials may be undertaken to further demonstrate or confirm the
clinical efficacy and safety of the investigational drug in an expanded patient population, with the goal of evaluating its overall
risk-benefit relationship. Phase 3 trials are generally designed to reach a specific goal or endpoint, the achievement of which is
intended to demonstrate the product candidate’s clinical efficacy. The successful demonstration of clinical efficacy and safety
in one or more Phase 3 trials is typically a prerequisite to the filing of an NDA or BLA for a product candidate. |
In
the case of product candidates being developed for serious or life- threatening diseases, Phase 1 trials may be conducted in patients
with the respective disease rather than in healthy volunteers. These studies may provide initial evidence of activity or efficacy traditionally
obtained in Phase 2 clinical trials, and therefore these trials may be referred to as Phase 1/2 or Phase 1b clinical trials.
A
company may request an “end-of-Phase 2 Meeting” with the FDA to assess the safety of the dose regimen to be studied in the
Phase 3 clinical trial, to evaluate the planned design of a Phase 3 trial, and to identify any additional information that will be needed
to support an NDA. If a Phase 3 clinical trial has been the subject of discussion at an “end- of-Phase 2 Meeting,” the trial
sponsor may be eligible for a Special Protocol Assessment (“SPA”), by the FDA, a process by which the FDA, at the request
of the sponsor, will evaluate the trial protocol and issues relating to the protocol within 45 days to assess whether it is deemed to
be adequate to meet the scientific and regulatory requirements identified by the sponsor. If the FDA and the sponsor reach agreement
on the design and size of a Phase 3 clinical trial intended to form the primary basis of an efficacy claim in an NDA or BLA, the FDA
may reduce the understanding to writing. The SPA, however, is not a guarantee of product approval by the FDA, or approval of any permissible
claims about the product.
Throughout
the various phases of clinical development, samples of the product candidate made in different batches are tested for stability to establish
any shelf-life constraints. In addition, large-scale production protocols and written standard operating procedures for each aspect of
commercial manufacture and testing must be developed. Phase 1, 2, and 3 testing may not be completed successfully within any specified
time period, if at all. The FDA closely monitors the progress of each of the three phases of clinical development that are conducted
under an IND and may, at its discretion, reevaluate, alter, suspend, or terminate further evaluation or trials based upon the data accumulated
to that point and the FDA’s assessment of the risk/benefit ratio to the subject or patient. The FDA, the sponsor, or an IRB may
suspend or terminate a clinical trial at any time for various reasons, including a finding that the subjects or patients are being exposed
to an unacceptable health or safety risk. The FDA can also request additional clinical trials be conducted as a condition to product
approval or advancement to the next stage of development. Additionally, new government requirements may be established that could delay
or prevent regulatory approval of products under development. Furthermore, IRBs, which are independent entities constituted to protect
human subjects in the institutions in which clinical trials are being conducted, have the authority to suspend clinical trials in their
respective institutions at any time for a variety of reasons, including safety issues. A Data Safety Monitoring Board may suspend or
terminate a clinical trial at any time on various grounds, including a finding that the subjects or patients are being exposed to an
unacceptable health or safety risk.
Clinical
trials performed outside the U.S. under an IND must meet the same requirements that apply to studies conducted in the U.S. The FDA may
accept a foreign clinical study not conducted under an IND only if the study is well- designed, well-conducted, performed by qualified
investigators, and conforms to the ethical principles contained in the Declaration of Helsinki, or with the laws and regulations of the
country in which the research was conducted, whichever provides greater protection of the human subjects.
Certain
information about clinical trials, including a description of the study, participation criteria, location of study sites, and contact
information, is required to be sent to the National Institutes of Health, (“NIH”) for inclusion in a publicly accessible
database that is available at www.clinicaltrials.gov. Sponsors also are subject to certain state laws imposing requirements to make publicly
available certain information on clinical trial results. In addition, the Food and Drug Administration Amendments Act of 2007 directed
the FDA to issue regulations that will require sponsors to submit to the NIH the results of all controlled clinical studies, other than
Phase 1 studies.
New
Drug and Biologics License Applications
If
and when we believe that all the requisite clinical trials for a product candidate have been completed with satisfactory and supporting
clinical data, we must submit an NDA or BLA to the FDA in order to obtain approval for the marketing and sale of a product candidate
in the U.S. Among many other items, an NDA or BLA typically includes the results of all preclinical and toxicology studies and human
clinical trials and a description of the manufacturing process and quality control methods. The FDA must approve the NDA or BLA prior
to the marketing and sale of the related product. The FDA may deny an NDA or BLA if it believes all applicable regulatory criteria are
not satisfied, or it may require additional data, including clinical, toxicology, safety, or manufacturing data prior to approval. The
FDA has 60 days from its receipt of an NDA or BLA to review the application to ensure that it is sufficiently complete for a substantive
review before accepting it for filing. The FDA may request additional information rather than accept an NDA or BLA for filing. In this
event, the NDA or BLA must be amended with the additional information. The FDA may also refer applications for novel drug products or
drug products which present difficult questions of safety or efficacy to an advisory committee, typically a panel that includes clinicians
and other experts, for review, evaluation, and a recommendation as to whether the application should be approved. The FDA is not bound
by the recommendation of an advisory committee.
An
NDA or BLA can receive either standard or priority review. A product candidate representing a potentially significant improvement in
the treatment, prevention or diagnosis of a life threatening or serious disease may receive a priority review. In addition, product candidates
studied for their safety and effectiveness in treating serious or life-threatening illnesses that provide meaningful therapeutic benefit
over existing treatments may also receive accelerated approval on the basis of adequate and well-controlled clinical trials establishing
that the drug product has an effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, or on the basis of
an effect on a clinical endpoint other than survival or irreversible morbidity. As a condition of approval, the FDA may require that
a sponsor of a drug receiving accelerated approval perform adequate and well-controlled post-marketing Phase 4 clinical trials. Priority
review and accelerated approval do not change the standards for approval but may expedite the approval process.
If
the results of the FDA’s evaluation of the NDA or BLA, and inspection of manufacturing facilities and clinical sites are favorable,
the FDA will issue an approval letter. An approval letter authorizes commercial marketing of the drug with specific prescribing information
for a specific indication. As a condition of NDA or BLA approval, the FDA may require post-approval testing, including Phase 4 trials,
and surveillance to monitor the drug’s safety or efficacy and may impose other conditions, including labeling or distribution restrictions
which can materially impact the potential market and profitability of the drug. Once granted, product approvals may be withdrawn if compliance
with regulatory standards is not maintained, or problems are identified following initial marketing.
If
the FDA determines that it cannot approve the application in its present form, it generally issues what is referred to as a complete
response letter. A complete response letter will describe all the specific deficiencies that the agency has identified in an application
that must be met in order to secure final approval of the NDA or BLA. If and when those conditions are met to the FDA’s satisfaction,
the FDA will typically re-review the application and possibly issue an approval letter. However, even after submitting this additional
information, the FDA ultimately may decide that the application does not satisfy the regulatory criteria for approval. It can take several
years for the FDA to approve an NDA or BLA once it is submitted, and the actual time required for any product candidate to be approved
may vary substantially, depending upon the nature, complexity, and novelty of the product candidate.
We
cannot assure you that the FDA, or any other similar regulatory agency in another country, will grant approval for our product candidate
on a timely basis, if at all. Success in preclinical or early-stage clinical trials does not assure success in later stage clinical trials.
Data obtained from preclinical and clinical activities is not always conclusive and may be susceptible to varying interpretations that
could delay, limit or prevent regulatory approval.
Post-Approval
Regulations
If
and when a product candidate receives regulatory approval to be marketed and sold, the approval is typically limited to a specific clinical
indication or use. Further, even after regulatory approval is obtained, subsequent discovery of previously unknown safety problems with
a product may result in restrictions on its use, or even complete withdrawal of the product from the market. Any FDA-approved products
manufactured or distributed by us are subject to continuing regulation by the FDA, including record-keeping requirements and reporting
of adverse events or experiences. Further, drug manufacturers and their subcontractors are required to register their establishments
with the FDA and state agencies and are subject to periodic inspections by the FDA and state agencies for compliance with cGMP regulations,
which impose rigorous procedural and documentation requirements upon us and our contract manufacturers. We cannot be certain that we,
or our present or future contract manufacturers or suppliers, will be able to comply with cGMP regulations and other FDA regulatory requirements.
Failure
to comply with these requirements may result in, among other things, total or partial suspension of production activities for our current
and future product candidates, failure of the FDA to grant approval for marketing of such product candidate, and withdrawal, suspension,
or revocation of marketing approvals.
If
the FDA approves our product candidate, we, or our collaborators if applicable, and our contract manufacturers must provide the FDA with
certain updated safety, efficacy, and manufacturing information. Product changes, as well as certain changes in the manufacturing process
or facilities where the manufacturing occurs, or other post-approval changes may necessitate additional FDA review and approval. We rely,
and expect to continue to rely, on third parties for the formulation and manufacture of clinical and commercial quantities of our products.
Future FDA and state inspections may identify compliance issues at the facilities of our contract manufacturers that may disrupt production
or distribution or require substantial resources to correct.
The
labeling, advertising, promotion, marketing and distribution of an approved drug or biologic product must also comply with FDA and Federal
Trade Commission (“FTC”) requirements which include, among others, standards and regulations for direct-to-consumer advertising,
off-label promotion, industry sponsored scientific and educational activities, and promotional activities involving the Internet. The
FDA and FTC have very broad enforcement authority, and failure to abide by these regulations can result in penalties, including the issuance
of a Warning Letter directing us to correct deviations from regulatory standards and enforcement actions that can include seizures, fines,
injunctions, and criminal prosecution.
The
FDA’s policies may change in the future and additional government regulations may be enacted that could prevent or delay regulatory
approval of our product candidate. Moreover, increased attention to the containment of health care costs in the U.S. and in foreign markets
could result in new government regulations that could have a material adverse effect on our business. We cannot predict the likelihood,
nature or extent of adverse governmental regulation that might arise from future legislative or administrative action, either in the
U.S. or abroad, or the impact such changes could have on our business.
Once
an approval is granted, the FDA may withdraw the approval if compliance with regulatory standards is not maintained or if problems occur
after the product reaches the market. After approval, some types of changes to the approved product, such as adding new indications,
manufacturing changes and additional labeling claims, are subject to further FDA review and approval. In addition, the FDA may require
testing and surveillance programs to monitor the effect of approved products that have been commercialized, and in some circumstances
the FDA has the power to prevent or limit further marketing of a product based on the results of these post-marketing programs.
From
time to time, legislation is drafted, introduced, and passed in Congress that could significantly change the statutory provisions governing
the approval, manufacturing and marketing of products regulated by the FDA. In addition, FDA regulations and guidance are often revised
or reinterpreted by the agency in ways that may significantly affect our business and our products. It is impossible to predict whether
legislative changes will be enacted, or whether FDA regulations, guidance or interpretations will change or what the impact of such changes,
if any, may be.
Foreign
Regulatory Approval
In
addition to regulations in the U.S., we will be subject to a variety of regulations in other jurisdictions governing, among other things,
clinical trials and any commercial sales and distribution of our products.
Whether
or not we obtain FDA approval for a product, we must obtain the requisite approvals from regulatory authorities in foreign countries
prior to the commencement of clinical trials or marketing of the product in those countries. Certain countries outside of the U.S. have
a similar process that requires the submission of a clinical trial application much like the IND prior to the commencement of human clinical
trials. In Europe, for example, a clinical trial application, or CTA, must be submitted to each country’s national health authority
and an independent ethics committee, much like the FDA and IRB, respectively. Once the CTA is approved in accordance with a country’s
requirements, clinical trial development may proceed.
The
requirements and process governing the conduct of clinical trials, product licensing, pricing and reimbursement vary from country to
country. In all cases, the clinical trials are conducted in accordance with GCP and the applicable regulatory requirements and the ethical
principles that have their origin in the Declaration of Helsinki.
To
obtain regulatory approval of an investigational drug under European Union regulatory systems, we must submit a marketing authorization
application. The application used to file the NDA in the U.S. is similar to that required in Europe, with the exception of, among other
things, country-specific document requirements. For other countries outside of the European Union, such as countries in Eastern Europe,
Latin America or Asia, the requirements governing the conduct of clinical trials, product licensing, pricing and reimbursement vary from
country to country. In all cases, again, the clinical trials are conducted in accordance with GCP and the applicable regulatory requirements
and the ethical principles that have their origin in the Declaration of Helsinki.
If
we fail to comply with applicable foreign regulatory requirements, we may be subject to, among other things, fines, suspension or withdrawal
of regulatory approvals, product recalls, seizure of products, operating restrictions, and criminal prosecution.
Medicines
can be authorized in the European Union by using either the centralized authorization procedure or national authorization procedures.
● |
Centralized
procedure. The EMA implemented the centralized procedure for the approval of human medicines to facilitate marketing authorizations
that are valid throughout the European Union. This procedure results in a single marketing authorization issued by the EMA that is
valid across the European Union, as well as Iceland, Liechtenstein, and Norway. The centralized procedure is compulsory for human
medicines that are: derived from biotechnology processes, such as genetic engineering, contain a new active substance indicated for
the treatment of certain diseases, such as HIV/AIDS, cancer, diabetes, neurodegenerative disorders or autoimmune diseases and other
immune dysfunctions, and officially designated orphan medicines. |
|
|
● |
For
medicines that do not fall within these categories, an applicant has the option of submitting an application for a centralized marketing
authorization to the EMA, as long as the medicine concerned is a significant therapeutic, scientific or technical innovation, or
if its authorization would be in the interest of public health. |
|
|
● |
National
authorization procedures. There are also two other possible routes to authorize medicinal products in several countries, which
are available for investigational drug products that fall outside the scope of the centralized procedure. |
|
|
● |
Decentralized
procedure. Using the decentralized procedure, an applicant may apply for simultaneous authorization in more than one European
Union country of medicinal products that have not yet been authorized in any European Union country and that do not fall within the
mandatory scope of the centralized procedure. |
|
|
● |
Mutual
recognition procedure. In the mutual recognition procedure, a medicine is first authorized in one European Union Member State,
in accordance with the national procedures of that country. Following this, further marketing authorizations can be sought from other
European Union countries in a procedure whereby the countries concerned agree to recognize the validity of the original, national
marketing authorization. |
Human
Capital
In
December 2023, the board of directors approved a strategic restructuring plan to preserve capital by reducing operating costs, which
included a reduction in personnel in the first quarter of 2024.
As
of June 30, 2024 we had four employees. Our relations with our employees are satisfactory.
Corporate
Information
We
were incorporated under the laws of the State of Delaware in May 2013. Our principal executive offices are located at 399 Thornall Street,
First Floor, Edison, New Jersey. Our telephone number is (732) 902-4000.
Available
Information
Our
annual report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and other filings with the United States Securities
and Exchange Commission, or the SEC, and all amendments to these filings, are available, free of charge, on our website at www.hepionpharma.com
as soon as reasonably practicable following our filing of any of these reports with the SEC. You can also obtain copies free of charge
by contacting our Investor Relations department at our office address listed above. The public may read and copy any materials we file
with the SEC at the SEC’s Public Reference Room at 100 F Street NE, Room 1580, Washington, DC 20549. The public may obtain information
on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC maintains an Internet site that contains
reports, proxy, and information statements, and other information regarding issuers that file electronically with the SEC at www.sec.gov.
The information posted on or accessible through these websites are not incorporated into this filing.
MANAGEMENT
Set
forth below is certain information with respect to the individuals who are our directors and executive officers as of June 30, 2024:
Name | |
Age | | |
Position(s) |
John Cavan | |
| 65 | | |
Interim Chief Executive Officer and Chief Financial Officer |
John P. Brancaccio | |
| 76 | | |
Executive Chairman |
Timothy Block, Ph.D. | |
| 68 | | |
Director |
Kaouthar Lbiati, M.D. | |
| 45 | | |
Director |
Michael Purcell | |
| 67 | | |
Director |
John
Cavan has been our interim Chief Executive Officer since December 2023 and Chief Financial Officer since March 2016. Previously,
Mr. Cavan was a consultant with The Pine Hill Group where he was instrumental in completing several financial transactions, including
initial public offerings, business combinations and strategic transactions. Prior to his role with the Pine Hill Group, he served as
Chief Accounting Officer at Stemline Therapeutics, Inc. Preceding his role at Stemline, Mr. Cavan was Vice President and Chief Accounting
Officer at Aegerion Pharmaceuticals, Inc. He has also held financial positions within the healthcare industry at AlgoRx Pharmaceuticals,
Inc. and Alpharma. Mr. Cavan served in a variety of financial and operational positions early in his career during tenures with large
multinational public companies, including Sony, American Express, International Specialty Products (an Ashland Company) and Nestlé
U.S.A. Mr. Cavan currently serves on the Board of Directors of Vantage Health Systems. He holds a B.B.A in Accountancy from Iona College
and an M.B.A. in Finance from Seton Hall University.
John
P. Brancaccio, a retired CPA, has served as Executive Chairman since March 2024 and a director
of our Company since May 15, 2013. Mr. Brancaccio was the Chief Financial Officer of Accelerated Technologies, Inc., an incubator for
medical device companies from April 2004 until May 2017. Mr. Brancaccio served as a director for Callisto Pharmaceuticals, Inc.
from April 2004 until its merger with Synergy Pharmaceuticals, Inc. in January 2013 and was formerly a director of Tamir Biotechnology,
Inc. (formerly Alfacell Corporation) since April 2004 until May 2020. He is also a director of Rasna Therapeutics, Inc. since September
2016, OKYO Pharma Limited since June 2020 and Tiziana Life Sciences plc since July 2020. Mr. Brancaccio’s
chief financial officer experience provides him with valuable financial and accounting expertise which the Board believes qualifies him
to serve as a director of our Company.
Dr.
Timothy Block has served as a director of our Company since November 26, 2013. Dr. Block
is Professor of Microbiology and Immunology, Drexel University College of Medicine and Director of its Drexel Institute for Biotechnology
and Virology Research, and is also the Co-founder and President of the Hepatitis B Foundation (HBF) and its Baruch S. Blumberg Institute
(formerly called the Institute for Hepatitis and Virus Research). Dr. Block is also President and CEO of the Pennsylvania Biotechnology
Center. Dr. Block has been a member of medical school faculties as a professional researcher for more than 28 years, publishing more
than 180 papers, 12 U.S. patents, and since 2006, has led or “co-led” more than $50 million in research funding. Honors include
an honorary Medical Doctorate (Bulgarian Academy of Medicine); the Lifetime Achievement Award from the Centrals Bucks Chamber of Commerce;
named one of the regions 100 Most Outstanding People of the Century by the Daily Intelligencer; Distinguished Service Recognition from
the National Cancer Institute’s Early Detection Research Network; and a Special Citation from the U.S. House of Representatives
in recognition of “outstanding achievements.” Dr. Block has given frequent testimony to the U.S. Congress and State legislatures;
has served on U.S. FDA and numerous NIH panels as well as commercial boards including the Bristol Myers Squibb Entecavir Advisory Board.
In 2009, Dr. Block was named an elected Fellow of the American Association for the Advancement of Science (AAAS). Dr. Block’s experience
and expertise in the medical field with respect to Hepatitis B qualifies him to serve as a director of our Company.
Kaouthar
Lbiati, M.D. has served as a director of our Company since June 2022. Dr. Lbiati is an experienced business leader focusing on
value creation, value-inflection milestones and portfolio growth. Since November 2017, Dr Lbiati has been helping early and late stage
immune-oncology biotech companies such as, Cytovia Therapeutics, Steba Biotech and Immune Pharmaceuticals, better define their corporate
strategy, optimize technology platforms, prioritize their pipeline and portfolio, effectively pitching their value proposition to investors
and partners in order to secure funding and deals. Within Cytovia Therapeutics ; a biopharmaceutical company specializing in NK cell
therapies, Dr Lbiati held non-executive and executive roles. She started as Advisor to the CEO in May 2020 for (3) months then, Vice
President Product Strategy until July 2021 and Vice President, Strategy & Corporate Development until November 2022. Previously,
Dr. Lbiati served, for over a decade, in global and regional leadership roles at Amgen, Glaxo Smith Kline, and Sanofi, where she supported
the registration, launch and/or indication extension and reimbursement of several innovative cancer drugs such as – Blincyto®,
Jevtana® and Votrient® – in the U.S., EU and MENA regions, with a focus on medical affairs; strategic planning, health
economics and outcomes research; and market access across multiple countries. Dr. Lbiati received a Doctor of Medicine degree from Rabat,
Morocco’s Mohammed V University, a fellowship in oncology from the Gustave Roussy Institute in Paris, a Specialized Executive Master’s
degree in Strategy & Management from ESSEC Business School in Paris, and a Master of Science in International Policy and Health Economics
from the London School of Economics. In 2022, she was certified from Columbia Business School in Corporate Governance and from Harvard
Business School in finance. Dr. Lbiati’s experience at biopharmaceutical and biotechnology companies and background qualifies her
to be a director of our Company.
Michael
Purcell has served as a director of our company since March 2024. Mr. Purcell is a certified
public accountant and became an independent business consultant following retirement in 2015. Mr. Purcell spent more than 36 years with
Deloitte & Touche LLP (“Deloitte”), where he was an audit partner and the Philadelphia office leader of Deloitte’s
middle-market and growth enterprise services. Mr. Purcell has served on the boards of directors of numerous companies and organizations,
and currently serves as lead independent director of International Money Express, Inc. Mr. Purcell also serves as a director and a member
of the audit committee for each of CFG Bank and Hyperion Bank and as a director of several other for-profit and non-profit entities.
Mr. Purcell formerly served as chairman of the board, director and chair of the audit committee of publicly traded Tabula Rasa HealthCare,
Inc. from 2018 until 2023. He is a member of the American Institute of Certified Public Accountants and a former President of the Philadelphia
Chapter of the Pennsylvania Institute of Certified Public Accountants. Mr. Purcell holds a bachelor’s degree from Lehigh University
and a master’s degree in business administration from Drexel University. We believe that Mr. Purcell’s extensive public accounting
experience coupled with his experience serving on boards of directors make him well qualified to serve as a director.
DETERMINATION
OF THE OFFERING PRICE
The
prices at which the shares of Common Stock covered by this prospectus may actually be sold will be determined by the prevailing public
market price for shares of our Common Stock or by negotiations between the Selling Stockholder and buyers of our Common Stock in private
transactions or as otherwise described in “Plan of Distribution.”
SELLING
STOCKHOLDER
The
Common Stock being offered by the Selling Stockholder are those issuable to the Selling Stockholder, upon exercise of the Warrants. For
additional information regarding the issuances of those shares of Common Stock and Warrants, see “Prospectus Summary—Recent
Developments—February 2024 Warrant Inducement Transaction” above. We are registering the shares of Common Stock in order
to permit the Selling Stockholder to offer the shares for resale from time to time. Except for the ownership of the Warrants and as noted
below, the Selling Stockholder has not had any material relationship with us within the past three years.
The
table below lists the Selling Stockholder and other information regarding the beneficial ownership of the shares of Common Stock by the
Selling Stockholder. The second column lists the number of shares of Common Stock beneficially owned by the Selling Stockholder, based
on its ownership of the shares of Common Stock and Warrants, as of June 30, 2024, assuming exercise of the Warrants held by the Selling
Stockholder on that date, without regard to any limitations on exercises.
The
third column lists the shares of Common Stock being offered by this prospectus by the Selling Stockholder.
This
prospectus generally covers the resale of the maximum number of shares of Common Stock issuable upon exercise of the Warrants, determined
as if the outstanding Warrants were exercised in full as of the trading day immediately preceding the date this registration statement
was initially filed with the SEC, each as of the trading day immediately preceding the applicable date of determination and all subject
to adjustment as provided in the registration rights agreement, without regard to any limitations on the exercise of the Warrants. The
fourth column assumes the sale of all of the shares offered by the Selling Stockholders pursuant to this prospectus.
Under
the terms of the Warrants, the Selling Stockholder may not exercise the Warrants to the extent such exercise would cause such Selling
Stockholder, together with its affiliates and attribution parties, to beneficially own a number of shares of Common Stock which would
exceed 4.99% or 9.99%, as applicable, of our then outstanding Common Stock following such exercise, excluding for purposes of such determination
shares of Common Stock issuable upon exercise of such Warrants which have not been exercised. The number of shares in the second and
fourth columns do not reflect this limitation. The Selling Stockholder may sell all, some or none of their shares in this offering. See
“Plan of Distribution.”
Name of Selling Stockholder | |
Number of Shares of Common Stock Beneficially Owned Prior to Offering(1) | | |
Maximum Number of Shares of Common Stock to be Sold in this Offering | | |
Number of Shares of Common Stock Beneficially Owned After Offering | | |
Percentage of Shares Beneficially Owned after Offering | |
Armistice Capital, LLC(2) | |
| 2,450,983 | | |
| 1,470,590 | | |
| 980,393 | | |
| 4.99 | % |
| |
| | | |
| | | |
| | | |
| | |
(1) |
The
ability to exercise the Warrants held by the Selling Stockholder is subject to a beneficial ownership limitation that, at the time
of initial issuance of the Warrants was capped at 4.99% beneficial ownership of the Company’s issued and outstanding Common
Stock (post-exercise). This beneficial ownership limitation may be adjusted up or down, subject to providing advanced notice to the
Company. Beneficial ownership as reflected in the selling stockholder table reflects the total number of shares potentially issuable
underlying the Warrants and does not give effect
to this beneficial ownership limitation. Accordingly, actual beneficial ownership, as calculated in accordance with Section 13(d)
and Rule 13d-3 thereunder may be lower than as reflected in the table. |
(2) |
The
securities are directly held by Armistice Capital Master Fund Ltd., a Cayman Islands exempted company (the “Master Fund”),
and may be deemed to be beneficially owned by: (i) Armistice Capital, LLC (“Armistice Capital”), as the investment manager
of the Master Fund; and (ii) Steven Boyd, as the Managing Member of Armistice Capital. The warrants are subject to a beneficial ownership
limitation of 4.99%, which such limitation restricts the Selling Stockholder from exercising that portion of the warrants that would
result in the Selling Stockholder and its affiliates owning, after exercise, a number of shares of Common Stock in excess of the
beneficial ownership limitation. The address of Armistice Capital Master Fund Ltd. is c/o Armistice Capital, LLC, 510 Madison Avenue,
7th Floor, New York, NY 10022. |
Plan
of Distribution
Each
Selling Stockholder of the securities and any of their pledgees, assignees and successors-in-interest may, from time to time, sell any
or all of their securities covered hereby on the principal Trading Market or any other stock exchange, market or trading facility on
which the securities are traded or in private transactions. These sales may be at fixed or negotiated prices. A Selling Stockholder may
use any one or more of the following methods when selling securities:
|
● |
ordinary
brokerage transactions and transactions in which the broker-dealer solicits purchasers; |
|
|
|
|
● |
block
trades in which the broker-dealer will attempt to sell the securities as agent but may position and resell a portion of the block
as principal to facilitate the transaction; |
|
|
|
|
● |
purchases
by a broker-dealer as principal and resale by the broker-dealer for its account; |
|
|
|
|
● |
an
exchange distribution in accordance with the rules of the applicable exchange; |
|
|
|
|
● |
privately
negotiated transactions; |
|
|
|
|
● |
settlement
of short sales; |
|
|
|
|
● |
in
transactions through broker-dealers that agree with the Selling Stockholders to sell a specified number of such securities at a stipulated
price per security; |
|
|
|
|
● |
through
the writing or settlement of options or other hedging transactions, whether through an options exchange or otherwise; |
|
|
|
|
● |
a
combination of any such methods of sale; or |
|
|
|
|
● |
any
other method permitted pursuant to applicable law. |
The
Selling Stockholder may also sell securities under Rule 144 or any other exemption from registration under the Securities Act of 1933,
as amended (the “Securities Act”), if available, rather than under this prospectus. Broker-dealers engaged by the Selling
Stockholders may arrange for other brokers-dealers to participate in sales. Broker-dealers may receive commissions or discounts from
the Selling Stockholder (or, if any broker-dealer acts as agent for the purchaser of securities, from the purchaser) in amounts to be
negotiated, but, except as set forth in a supplement to this prospectus, in the case of an agency transaction not in excess of a customary
brokerage commission in compliance with FINRA Rule 2121; and in the case of a principal transaction a markup or markdown in compliance
with FINRA Rule 2121.
In
connection with the sale of the securities or interests therein, the Selling Stockholder may enter into hedging transactions with broker-dealers
or other financial institutions, which may in turn engage in short sales of the securities in the course of hedging the positions they
assume. The Selling Stockholder may also sell securities short and deliver these securities to close out their short positions, or loan
or pledge the securities to broker-dealers that in turn may sell these securities. The Selling Stockholder may also enter into option
or other transactions with broker-dealers or other financial institutions or create one or more derivative securities which require the
delivery to such broker-dealer or other financial institution of securities offered by this prospectus, which securities such broker-dealer
or other financial institution may resell pursuant to this prospectus (as supplemented or amended to reflect such transaction).
The
Selling Stockholder and any broker-dealers or agents that are involved in selling the securities may be deemed to be “underwriters”
within the meaning of the Securities Act in connection with such sales. In such event, any commissions received by such broker-dealers
or agents and any profit on the resale of the securities purchased by them may be deemed to be underwriting commissions or discounts
under the Securities Act. The Selling Stockholder has informed us that it does not have any written or oral agreement or understanding,
directly or indirectly, with any person to distribute the securities.
We
are required to pay certain fees and expenses incurred by us incident to the registration of the securities. We have agreed to indemnify
the Selling Stockholder against certain losses, claims, damages and liabilities, including liabilities under the Securities Act.
We
agreed to keep this prospectus effective until the earlier of (i) the date on which the securities may be resold by the Selling Stockholder
without registration and without regard to any volume or manner-of-sale limitations by reason of Rule 144, without the requirement for
us to be in compliance with the current public information under Rule 144 under the Securities Act or any other rule of similar effect
or (ii) all of the securities have been sold pursuant to this prospectus or Rule 144 under the Securities Act or any other rule of similar
effect. The resale securities will be sold only through registered or licensed brokers or dealers if required under applicable state
securities laws. In addition, in certain states, the resale securities covered hereby may not be sold unless they have been registered
or qualified for sale in the applicable state or an exemption from the registration or qualification requirement is available and is
complied with.
Under
applicable rules and regulations under the Exchange Act, any person engaged in the distribution of the resale securities may not simultaneously
engage in market making activities with respect to the Common Stock for the applicable restricted period, as defined in Regulation M,
prior to the commencement of the distribution. In addition, the Selling Stockholder will be subject to applicable provisions of the Exchange
Act and the rules and regulations thereunder, including Regulation M, which may limit the timing of purchases and sales of the Common
Stock by the Selling Stockholder or any other person. We will make copies of this prospectus available to the Selling Stockholder and
have informed them of the need to deliver a copy of this prospectus to each purchaser at or prior to the time of the sale (including
by compliance with Rule 172 under the Securities Act).
DESCRIPTION
OF CAPITAL STOCK
Authorized
Capitalization
Our
authorized capital stock consists of 120,000,000 shares of Common Stock and 20,000,000 shares of preferred stock, $0.0001 par value per
share (“Preferred Stock”) in one or more series. As of June 30, 2024, we had outstanding 5,799,126 shares of our Common Stock,
85,851 shares of our Series A Convertible Preferred Stock and 1,688 shares of our Series C Convertible Preferred Stock.
Common
Stock
Holders
of our common stock are entitled to one vote per share. Our Certificate of Incorporation does not provide for cumulative voting. Holders
of our common stock are entitled to receive ratably such dividends, if any, as may be declared by our Board out of legally available
funds. However, the current policy of our Board is to retain earnings, if any, for the operation and expansion of our company. Upon liquidation,
dissolution or winding-up, the holders of our common stock are entitled to share ratably in all of our assets which are legally available
for distribution, after payment of or provision for all liabilities. The holders of our common stock have no preemptive, subscription,
redemption or conversion rights.
Listing
Our
shares of common stock are listed on The Nasdaq Capital Market under the symbol “HEPA.”
LEGAL
MATTERS
Sheppard,
Mullin, Richter & Hampton LLP, New York, New York, will pass upon the validity of the shares of our Common Stock offered hereby.
EXPERTS
The
consolidated financial statements of Hepion Pharmaceuticals, Inc. (the “Company”) as of and for the year ended December
31, 2023 incorporated by reference in this prospectus and in the Registration Statement have been so incorporated in reliance
on the report of Grassi & Co., CPAs, P.C., an independent registered public accounting firm, given on the authority of said
firm as experts in auditing and accounting. The report on the consolidated financial statements contains an explanatory paragraph regarding
the Company’s ability to continue as a going concern.
The
consolidated financial statements of Hepion Pharmaceuticals, Inc. (the Company) as of and for the year ended December 31,
2022 incorporated by reference in this prospectus and in the Registration Statement have been so incorporated in reliance
on the report of BDO USA, P.C., an independent registered public accounting firm, given on the authority of said firm as experts in auditing
and accounting. The report on the consolidated financial statements contains an explanatory paragraph regarding the Company’s ability
to continue as a going concern.
WHERE
YOU CAN FIND MORE INFORMATION
We
have filed with the SEC a registration statement on Form S-1 under the Securities Act with respect to the securities offered by this
prospectus. This prospectus, which constitutes a part of the registration statement, does not contain all of the information set forth
in the registration statement, some of which is contained in exhibits to the registration statement as permitted by the rules and regulations
of the SEC. For further information with respect to us and our securities, we refer you to the registration statement, including the
exhibits filed as a part of the registration statement. Statements contained in this prospectus concerning the contents of any contract
or any other document is not necessarily complete. If a contract or document has been filed as an exhibit to the registration statement,
please see the copy of the contract or document that has been filed. Each statement is this prospectus relating to a contract or document
filed as an exhibit is qualified in all respects by the filed exhibit. We are subject to the informational requirements of the Exchange
Act and in accordance therewith file annual, quarterly and current reports, proxy statements and other information with the SEC. The
SEC maintains an Internet website that contains reports, proxy statements and other information about issuers, like us, that file electronically
with the SEC. The address of that website is www.sec.gov. The registration statement and the documents referred to below
under “Incorporation of Documents By Reference” are also available on our website, www.hepionpharma.com. We have not incorporated
by reference into this prospectus the information on our website, and you should not consider it to be a part of this prospectus.
INCORPORATION
OF DOCUMENTS BY REFERENCE
This
prospectus is part of the registration statement but the registration statement includes and incorporates by reference additional information
and exhibits. The SEC permits us to “incorporate by reference” the information contained in documents we file with the SEC,
which means that we can disclose important information to you by referring you to those documents rather than by including them in this
prospectus. Information that is incorporated by reference is considered to be part of this prospectus and you should read it with the
same care that you read this prospectus. Information that we file later with the SEC will automatically update and supersede the information
that is either contained, or incorporated by reference, in this prospectus, and will be considered to be a part of this prospectus from
the date those documents are filed.
We
incorporate by reference the documents listed below, all filings filed by us pursuant to the Exchange Act after the date of the registration
statement of which this prospectus forms a part, and any future filings we make with the SEC under Sections 13(a), 13(c), 14 or 15(d)
of the Exchange Act prior to the time that all securities covered by this prospectus have been sold; provided, however, that we are not
incorporating any information furnished under either Item 2.02 or Item 7.01 of any current report on Form 8-K:
1.
The Company’s Annual Report on Form 10-K for the year ended December 31, 2023, filed with the SEC on April 16, 2024 and the Amended
Annual Report on Form 10-K/A for the year ended December 31, 2023 filed with the SEC on June 25, 2024;
2.
The Company Quarterly Report on Form 10-Q for the quarter ended March 31, 2024, filed with the SEC on May 21, 2024;
3.
The Company’s Current Reports on Form 8-K filed with the SEC on January 3, 2024, February 7, 2024, February 16, 2024, February 20, 2024 and March 6, 2024; and
4.
The description of the Company’s common stock contained in the registration statement on Form 8-A filed with the SEC on February
24, 2015 pursuant to Section 12 of the Exchange Act, including any amendment or report filed for the purpose of updating that description.
In
addition, all documents subsequently filed by us pursuant to Sections 13(a), 13(c), 14 or 15(d) of the Securities Exchange Act of 1934,
as amended, prior to the termination of the offering (excluding any information furnished rather than filed) shall be deemed to be incorporated
by reference into this prospectus.
Notwithstanding
the statements in the preceding paragraphs, no document, report or exhibit (or portion of any of the foregoing) or any other information
that we have “furnished” to the SEC pursuant to the Securities Exchange Act of 1934, as amended shall be incorporated by
reference into this prospectus.
We
will provide to each person, including any beneficial holder, to whom a prospectus is delivered, at no cost, upon written or oral request,
a copy of any or all of the information that has been incorporated by reference in the prospectus. Requests for documents should be by
writing to or telephoning us at the following address: Hepion Pharmaceuticals, Inc., 399 Thornall Street, First Floor, Edison, New Jersey,
08837, (732) 902-4000. Exhibits to these filings will not be sent unless those exhibits have been specifically incorporated by reference
in such filings.
You
also may access these filings on our website at http://www.hepionpharma.com. We do not incorporate the information on our website into
this prospectus or any supplement to this prospectus and you should not consider any information on, or that can be accessed through,
our website as part of this prospectus or any supplement to this prospectus (other than those filings with the SEC that we specifically
incorporate by reference into this prospectus or any supplement to this prospectus).
Any
statement contained in a document incorporated or deemed to be incorporated by reference in this prospectus will be deemed modified,
superseded or replaced for purposes of this prospectus to the extent that a statement contained in this prospectus modifies, supersedes
or replaces such statement. Any statement contained herein or in any document incorporated or deemed to be incorporated by reference
shall be deemed to be modified or superseded for purposes of the registration statement of which this prospectus forms a part to the
extent that a statement contained in any other subsequently filed document which also is or is deemed to be incorporated by reference
modifies or supersedes such statement. Any such statement so modified or superseded shall not be deemed to constitute a part of the registration
statement of which this prospectus forms a part, except as so modified or superseded.
Up
to 1,470,590 Shares of Common Stock
PROSPECTUS
July 15,
2024
Hepion Pharmaceuticals (PK) (USOTC:CTRVP)
Historical Stock Chart
From Nov 2024 to Dec 2024
Hepion Pharmaceuticals (PK) (USOTC:CTRVP)
Historical Stock Chart
From Dec 2023 to Dec 2024