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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 
FORM 10-Q
 
(Mark One) 
☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 For the quarterly period ended September 30, 2021
OR 
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the transition period from ________________ to ________________
 
Commission file number 001-37797
 
9 METERS BIOPHARMA, INC.
(Exact name of registrant as specified in its charter) 
Delaware   27-3948465
(State or other jurisdiction of   (I.R.S. Employer
incorporation or organization)   Identification No.)
 8480 Honeycutt Road, Suite 120
Raleigh, North Carolina 27615
(Address of principal executive offices, including zip code)
 
(919) 275-1933
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock $0.0001 Par Value NMTR The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes   ☒     No   ☐
 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes   ☒      No   ☐
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐   Accelerated filer ☐
Non-accelerated filer   ☒   Smaller reporting company ☒
    Emerging growth company ☒



If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   ☒
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes   ☐      No  ☒

As of November 9, 2021, the registrant had 255,667,567 shares of common stock, par value $0.0001 per share, issued and outstanding.



TABLE OF CONTENTS
 
     
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42

2

PART I – FINANCIAL INFORMATION
 
Item 1. Financial Statements
 
9 METERS BIOPHARMA, INC.
 
Condensed Consolidated Balance Sheets 

September 30, 2021 December 31, 2020
Assets (Unaudited)  
Current assets:    
Cash and cash equivalents $ 53,608,585  $ 37,851,388 
Restricted deposit —  75,000 
Prepaid insurance 859,187  691,929 
Other prepaid expenses and other current assets 2,010,838  308,658 
Total current assets 56,478,610  38,926,975 
Property and equipment, net 16,382  11,191 
Right-of-use asset 179,205  214,767 
Other assets 5,580  5,580 
Total assets $ 56,679,777  $ 39,158,513 
Liabilities and Stockholders’ Equity  
Current liabilities:  
Accounts payable $ 1,316,381  $ 1,487,948 
Accrued expenses 5,911,454  5,290,181 
Convertible note payable, net —  14,216 
Derivative liability —  7,000 
Accrued interest —  488 
Lease liability, current portion 53,185  48,629 
Total current liabilities 7,281,020  6,848,462 
Lease liability, net of current portion 127,460  167,938 
Total liabilities 7,408,480  7,016,400 
Commitments and contingencies (Note 9)
Stockholders’ equity:
Preferred stock $0.0001 par value per share, 10,000,000 shares authorized; 0 shares issued and outstanding as of September 30, 2021 (unaudited) and December 31, 2020
—  — 
Common stock $0.0001 par value per share, 550,000,000 and 350,000,000 shares authorized as of September 30, 2021 (unaudited) and December 31, 2020, respectively; 255,531,751 and 204,629,064 shares issued and outstanding as of September 30, 2021 (unaudited) and December 31, 2020, respectively
25,553  20,463 
Additional paid-in capital 208,531,431  164,182,917 
Accumulated deficit (159,285,687) (132,061,267)
Total stockholders’ equity 49,271,297  32,142,113 
Total liabilities and stockholders’ equity $ 56,679,777  $ 39,158,513 
See accompanying notes to these condensed consolidated financial statements.
3

9 METERS BIOPHARMA, INC.
 
Condensed Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)
 
Three Months Ended
September 30, 		Nine Months Ended
September 30,
  2021 2020 2021 2020
Operating expenses:    
Research and development $ 6,049,444  $ 4,413,707  $ 14,947,036  $ 7,457,509 
Acquired in-process research and development 5,103,753  —  5,103,753  32,266,893 
General and administrative 2,386,461  1,890,492  7,146,432  9,220,020 
Warrant inducement expense —  —  —  7,157,887 
Total operating expenses 13,539,658  6,304,199  27,197,221  56,102,309 
Loss from operations (13,539,658) (6,304,199) (27,197,221) (56,102,309)
Other income (expense):
Interest income 1,397  3,295  12,989  24,660 
Interest expense (1,970) (2,118,433) (47,188) (3,710,725)
Change in fair value of derivative liabilities —  86,000  7,000  617,000 
Change in fair value of warrant liabilities —  —  —  2,637,500 
Total other income (expense), net (573) (2,029,138) (27,199) (431,565)
Loss before income taxes (13,540,231) (8,333,337) (27,224,420) (56,533,874)
Income tax benefit —  —  —  — 
Net loss $ (13,540,231) $ (8,333,337) $ (27,224,420) $ (56,533,874)
Net loss per common share, basic and diluted $ (0.05) $ (0.06) $ (0.11) $ (0.65)
Weighted-average common shares, basic and diluted 254,284,692  141,625,796  238,530,148  87,323,241 
 

 
See accompanying notes to these condensed consolidated financial statements.
4

9 METERS BIOPHARMA, INC.
Condensed Consolidated Statements of Stockholders’ Equity (Deficit)
(Unaudited)

 
Three and Nine Months Ended September 30, 2021
  Series A Preferred Shares Series A Preferred Amount Common Stock Shares Common Stock Amount Additional Paid-in Capital Accumulated Deficit Total
Balance as of December 31, 2020 —  $ —  204,629,064  $ 20,463  $ 164,182,917  $ (132,061,267) $ 32,142,113 
Share-based compensation —  —  —  —  422,000  —  422,000 
Exercise of warrants —  —  11,634,151  1,163  6,855,865  —  6,857,028 
Exercise of stock options —  —  61,681  6  75,897  —  75,903 
Net loss —  —  —  —  —  (5,431,079) (5,431,079)
Balance as of March 31, 2021 —  —  216,324,896  21,632  171,536,679  (137,492,346) 34,065,965 
Issuance of common stock —  —  34,500,000  3,450  34,496,550  —  34,500,000 
Stock issuance costs —  —  —  —  (2,901,123) —  (2,901,123)
Share-based compensation —  —  —  —  937,000  —  937,000 
Exercise of warrants —  —  1,134,100  114  668,325  —  668,439 
Exercise of stock options —  —  276,944  28  120,711  —  120,739 
Net loss —  —  —  —  —  (8,253,110) (8,253,110)
Balance as of June 30, 2021 —  —  252,235,940  25,224  204,858,142  (145,745,456) 59,137,910 
Issuance of common stock —  —  2,517,211  251  2,718,336  —  2,718,587 
Exercise of warrants —  —  678,600  68  399,899  —  399,967 
Exercise of stock options —  —  100,000  10  30,054  —  30,064 
Share-based compensation —  —  —  —  525,000  —  525,000 
Net loss —  —  —  —  —  (13,540,231) (13,540,231)
Balance as of September 30, 2021 —  $ —  255,531,751  $ 25,553  $ 208,531,431  $ (159,285,687) $ 49,271,297 



 See accompanying notes to these condensed consolidated financial statements.
5

Three and Nine Months Ended September 30, 2020
  Series A Preferred Shares Series A Preferred Amount Common Stock Shares Common Stock Amount Additional Paid-in Capital Accumulated Deficit Total
Balance as of December 31, 2019 —  $ —  39,477,667  $ 3,948  $ 60,946,816  $ (70,564,778) $ (9,614,014)
Warrant exchange —  —  1,847,309  185  690,654  —  690,839 
Share-based compensation —  —  —  —  276,000  —  276,000 
Stock issuance costs - Warrant exchange (FN-1) —  —  —  —  (300,000) —  (300,000)
Net loss —  —  —  —  —  (3,603,001) (3,603,001)
Balance as of March 31, 2020 —  —  41,324,976  4,133  61,613,470  (74,167,779) (12,550,176)
Issuance of common stock (RDD & Naia mergers) —  —  42,695,948  4,270  28,749,756  —  28,754,026 
Issuance of preferred stock and warrants (FN-1) 382,779  38  —  —  22,560,956  —  22,560,994 
Stock issuance costs —  —  —  —  (3,589,703) —  (3,589,703)
Share-based compensation —  —  —  —  4,021,000  —  4,021,000 
Exercise of warrants —  —  12,230,418  1,223  1,217,778  —  1,219,001 
Inducement expense —  —  —  —  6,467,048  —  6,467,048 
Conversion of convertible debt and accrued interest —  —  1,287,696  129  574,871  —  575,000 
Beneficial conversion feature —  —  —  —  207,632  —  207,632 
Conversion of preferred stock to common stock (382,779) (38) 38,277,900  3,828  (3,790) —  — 
Issuance of RSUs —  —  415,948  42  (42) —  — 
Net loss —  —  —  —  —  (44,597,536) (44,597,536)
Balance as of June 30, 2020 —  —  136,232,886  13,625  121,818,976  (118,765,315) 3,067,286 
Issuance of common stock —  —  3,285,543  329  2,459,254  —  2,459,583 
Stock issuance costs —  —  —  —  (73,149) —  (73,149)
Exercise of warrants —  —  1,403,100  140  826,847  —  826,987 
Conversion of convertible debt and accrued interest —  —  8,653,928  865  3,567,112  —  3,567,977 
Beneficial conversion feature —  —  —  —  1,903,228  —  1,903,228 
Share-based compensation —  —  —  —  202,000  —  202,000 
Net loss —  —  —  —  —  (8,333,337) (8,333,337)
Balance as of September 30, 2020 —  $ —  149,575,457  $ 14,959  $ 130,704,268  $ (127,098,652) $ 3,620,575 


 
See accompanying notes to these condensed consolidated financial statements.
6

9 METERS BIOPHARMA, INC.
Unaudited Condensed Consolidated Statements of Cash Flows
Nine Months Ended
September 30,
  2021 2020
Cash flows from operating activities
Net loss $ (27,224,420) $ (56,533,874)
Adjustments to reconcile net loss to net cash used in operating activities:
Share-based compensation 1,884,000  4,499,000 
Accrued interest on convertible notes —  298,048 
Amortization of debt discount 43,983  1,288,098 
Beneficial conversion feature —  2,110,860 
Depreciation 4,657  16,883 
Loss on disposal and write-offs of property and equipment —  7,031 
Change in fair value of derivative liabilities (7,000) (617,000)
Change in fair value of warrant liabilities —  (2,637,500)
Warrant inducement expense —  7,157,887 
Acquired in-process research and development 2,610,588  28,754,026 
Changes in operating assets and liabilities, net of acquisitions:
Prepaid expenses and other assets (1,869,438) (498,873)
Accounts payable (63,567) (1,388,457)
Accrued expenses and other liabilities 3,114,077  4,549,153 
Accrued interest (488) 3,427 
Net cash used in operating activities (21,507,608) (12,991,291)
Cash flows from investing activities
Purchase of property and equipment (9,848) (2,543)
Maturity of restricted deposit 75,000  — 
Purchase of in-process research and development, net of assets acquired (2,493,165) (3,184,454)
Net cash used in investing activities (2,428,013) (3,186,997)
Cash flows from financing activities
Borrowings from convertible notes —  2,500,000 
Payments of convertible notes (58,199) (1,469,804)
Payments of debt issuance costs —  (23,000)
Proceeds from the exercise of stock options 226,706  — 
Proceeds from issuance of common stock and warrants 34,500,000  2,370,012 
Proceeds from issuance of preferred stock and warrants —  22,560,994 
Payment of offering costs (2,901,123) (3,962,852)
Proceeds from exercise of warrants 7,925,434  2,045,988 
Net cash provided by financing activities 39,692,818  24,021,338 
Net increase in cash and cash equivalents 15,757,197  7,843,050 
Cash and cash equivalents as of beginning of period 37,851,388  4,592,932 
Cash and cash equivalents as of end of period $ 53,608,585  $ 12,435,982 
Supplemental disclosure of cash flow information  
Cash paid during the period for interest $ 569  $ 54,578 
Supplemental disclosure of non-cash financing activities  
Conversion of convertible notes and accrued interest to common stock $ —  $ 4,142,977 
Non-cash issuance of common stock with asset acquisition and merger $ 2,610,588  $ 28,754,026 
Issuance of common stock for settlement of accounts payable $ 108,000  $ — 
Non-cash addition of derivative liability $ —  $ 370,000 

See accompanying notes to these condensed consolidated financial statements.
7
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS



 

NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
 
Business Description
 
9 Meters Biopharma, Inc. (the “Company”) is a clinical-stage biopharmaceutical company focused on rare or debilitating digestive diseases or unique gastroenterology biology. The Company’s pipeline includes drug candidates vurolenatide, a proprietary long-acting GLP-1 agonist for short bowel syndrome (SBS), an orphan designated disease, larazotide, a Phase 3 tight junction regulator being evaluated for celiac disease and three early-stage candidates for undisclosed rare and/or orphan diseases.

On April 30, 2020, the Company completed its merger with privately-held RDD Pharma, Ltd., an Israel corporation (“RDD”) (the “RDD Merger”) and changed its name from Innovate Biopharmaceuticals, Inc. to 9 Meters Biopharma, Inc.

Basis of Presentation
 
The unaudited condensed consolidated interim financial statements have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial reporting. These financial statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary for a fair statement of the balance sheets, operating results, and cash flows for the periods presented in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). Operating results for the three and nine months ended September 30, 2021 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2021 or any other future period. Certain information and footnote disclosure normally included in the annual financial statements prepared in accordance with U.S. GAAP have been omitted in accordance with the SEC’s rules and regulations for interim reporting. The Company’s financial position, results of operations and cash flows are presented in U.S. Dollars. These financial statements and related notes should be read in conjunction with the audited financial statements and related notes thereto for the year ended December 31, 2020, included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020, filed with the SEC on March 22, 2021.
 
Except as noted below under the section entitled “Recently Issued Accounting Standards—Accounting Pronouncements Adopted,” there have been no material changes to the Company’s significant accounting policies during the three and nine months ended September 30, 2021, as compared to the significant accounting policies disclosed in Note 1 of the Company’s financial statements for the years ended December 31, 2020 and 2019 included in the Company’s Annual Report on Form 10-K. However, the following accounting policies are the most critical in fully understanding the Company’s financial condition and results of operations.

Basis of Consolidation

The accompanying consolidated financial statements reflect the operations of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.

Reclassifications

Certain prior period amounts have been reclassified to conform to current period presentation. These changes had no effect on previously reported net loss, financial position or cash flows.

Shelf Registration Filing

On October 2, 2020, the Company filed a shelf registration statement that was declared effective on October 9, 2020 (the “Current Registration Statement”) and the previous shelf registration statement (the “Prior Registration Statement”) was terminated effective October 16, 2020. Pursuant to the Current Registration Statement, the Company may from time to time offer, issue and sell in one or more offerings of various types of securities up to an aggregate dollar amount of $200 million.

On July 22, 2020, the Company filed a prospectus supplement and associated sales agreement related to an “at-the-market” offering (“ATM”) pursuant to which the Company may sell, from time to time, common stock with an aggregate
8
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


offering price of up to $40 million through Truist Securities, Inc. (previously SunTrust Robinson Humphrey), or Truist, as sales agent, for general corporate purposes (the “Sales Agreement”). In October 2020, the Company entered into an amendment to the Sales Agreement to reflect the termination of the Prior Registration Statement and effectiveness of the Current Registration Statement. During the three and nine months ended September 30, 2021, the Company did not sell any shares under the Sales Agreement.

Warrant Exchange

Pursuant to a securities purchase agreement entered into with certain institutional and accredited investors on April 29, 2019, the Company issued warrants with an initial exercise price of $2.13 per share and a term of five-and-a-half years (the “April Warrants”). In addition, the Company issued placement agent warrants on April 29, 2019 with an initial exercise price of $2.53 per share and a term of five years (the “Placement Agent Warrants”). On December 19, 2019, the Company and each of the purchasers of the April Warrants and the Placement Agent Warrants (collectively, the “Exchange Warrants”) entered into separate exchange agreements, pursuant to which the Company agreed to issue to the purchasers an aggregate of 5,441,023 shares of the Company’s common stock (the “Exchange Shares”), at a ratio of 1.2 Exchange Shares for each purchaser warrant in exchange for the cancellation and termination of all of the outstanding Exchange Warrants. During the nine months ended September 30, 2020, Exchange Warrants to purchase an aggregate of 1,539,424 shares were exchanged for 1,847,309 shares of the Company’s common stock. All of the April Warrants and Placement Agent Warrants were exchanged as of September 30, 2020.

Offer to Amend and Exercise

On February 12, 2020, the Company offered to amend certain outstanding warrants in the Offer to Amend and Exercise. The warrants amended included the short-term warrants issued in 2019 that were classified as warrant liabilities (the “Short-Term Warrants”), warrants classified as equity issued in 2018 and the outstanding long-term warrants issued in 2019 that were classified as warrant liabilities (collectively, the “Long-Term Warrants”). On April 29, 2020, Short-Term Warrants and Long-Term Warrants to purchase an aggregate of 12,230,418 shares were tendered, amended and exercised for $0.10 per share for aggregate gross proceeds of approximately $1.2 million. All of the warrants classified as warrant liabilities were fully exercised at an exercise price of $0.10 per share and as such, there were no warrant liabilities outstanding as of September 30, 2021 or December 31, 2020.

RDD Merger Financing

On April 29, 2020, the Company entered into a securities purchase agreement with various accredited investors pursuant to which the Company agreed to issue and sell to the investors units (“Units”) consisting of (i) one share of Series A Convertible Preferred Stock (the "Series A Preferred Stock") and (ii) one five-year warrant (the "Preferred Warrants") to purchase one share of Series A Preferred Stock (the "RDD Merger Financing"). On May 4, 2020, the Company closed the RDD Merger Financing and the Company sold an aggregate of (i) 382,779 shares of Series A Preferred Stock, par value $0.0001 per share, which converted into 38,277,900 shares of common stock on June 30, 2020, upon receipt of approval by the Company’s stockholders (the “Automatic Conversion”), and (ii) Preferred Warrants to purchase up to 382,779 shares of Series A Preferred Stock, which following the Automatic Conversion became exercisable for 38,277,900 shares of common stock. The exercise price of the Preferred Warrants was $58.94 per share of Series A Preferred Stock, and following the Automatic Conversion, became $0.5894 per share of common stock, subject to adjustments as provided under the terms of the Preferred Warrants. In addition, broker warrants covering 8,112 Units and broker warrants covering 10,899 shares of Series A Preferred Stock, which following the Automatic Conversion became exercisable for 2,712,300 shares of common stock, were issued in connection with the RDD Merger Financing. Gross proceeds from the RDD Merger Financing were approximately $22.6 million with net proceeds of approximately $19.2 million after deducting commissions and estimated offering costs. See Note 3—Merger & Acquisition for additional details.

9
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


December 2020 Offering

On December 11, 2020, the Company entered into an underwriting agreement (the “Underwriting Agreement”) with William Blair & Company, L.L.C. and Truist, as representatives of the several underwriters named therein (the “Underwriters”), in connection with the public offering of 46,153,847 shares of the Company’s common stock at a price of $0.65 per share, less underwriting discounts and commissions (the “December 2020 Offering”). Pursuant to the terms of the Underwriting Agreement, the Company granted the Underwriters a 30-day option to purchase up to an additional 6,923,077 shares of common stock at the same price, which the Underwriters exercised in full on December 14, 2020. On December 15, 2020, upon closing of the December 2020 Offering, the Company received net proceeds of approximately $32.0 million after deducting underwriting discounts and commissions and offering expenses. The shares issued in the December 2020 Offering were registered and sold under the Current Registration Statement.

Of the shares of commons stock issued in the December 2020 Offering, the Company’s Chief Executive Officer, Chief Financial Officer and Chairman of the Board of Directors purchased an aggregate of 446,153 shares at the public offering price and on the same terms as the other purchasers in the offering. The underwriters received the same underwriting discount on the shares purchased by the Company’s Chief Executive Officer, Chief Financial Officer and Chairman of the Board of Directors.

April 2021 Offering

On March 30, 2021, the Company entered into an underwriting agreement (the “Underwriting Agreement”) with Citigroup Global Markets, Inc., William Blair & Company, L.L.C. and Truist, as representatives of the several underwriters named therein (the “Underwriters”), in connection with the public offering of 30,000,000 shares of the Company’s common stock at a price of $1.00 per share, less underwriting discounts and commissions (the “April 2021 Offering”). Pursuant to the terms of the Underwriting Agreement, the Company granted the Underwriters a 30-day option to purchase up to an additional 4,500,000 shares of common stock at the same price, which the Underwriters exercised in full on March 31, 2021. On April 5, 2021, upon closing of the April 2021 Offering, the Company received net proceeds of approximately $31.5 million after deducting underwriting discounts and commissions and offering expenses. The shares issued in the April 2021 Offering were registered and sold under the Current Registration Statement.

Of the shares of common stock issued in the April 2021 Offering, the Company’s Chief Executive Officer, Chief Financial Officer and Chairman of the Board of Directors purchased an aggregate of 450,000 shares at the public offering price and on the same terms as the other purchasers in the offering. The underwriters received the same underwriting discount on the shares purchased by the Company’s Chief Executive Officer, Chief Financial Officer and Chairman of the Board of Directors.

Business Risks

The Company faces risks, including those associated with biopharmaceutical companies whose products are in various stages of development. These risks include, among others, risks related to the potential effects of the ongoing coronavirus outbreak and related mitigation efforts on the Company's clinical, financial and operational activities, the Company’s need for additional financing to achieve key development milestones, the need to defend intellectual property rights, and the dependence on key members of management.
10
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS



The outbreak of COVID-19 began in December 2019 and on March 11, 2020, the World Health Organization declared the outbreak a pandemic. The COVID-19 pandemic and its resurgences is affecting the United States and global economies and may continue to affect the Company’s operations and those of third parties on which the Company relies, including by causing disruptions in the supply of the Company’s product candidates and the conduct of current and future clinical trials. In addition, the COVID-19 pandemic may affect the operations of the Food and Drug Administration (the “FDA”) and other health authorities, which could result in delays of reviews and approvals, including with respect to the Company’s product candidates. The COVID-19 pandemic has led to slower enrollment in the Company’s Phase 3 registration trial for larazotide and could continue to impact enrollment directly or indirectly for the next several months and possibly longer. Patients may avoid or may not be able to travel to healthcare facilities and physicians’ offices unless due to a health emergency. Such facilities and offices may also be required to focus limited resources on non-clinical trial matters, including treatment of COVID-19 patients, and may not be available, in whole or in part, for clinical trial services related to larazotide or the Company’s other product candidates. New and potentially more contagious variants, such as the Delta variant, could further affect the impact that the COVID-19 pandemic has on the Company’s operations. The impact of the COVID-19 pandemic on the global financial markets may reduce the Company’s ability to access capital in the future, which could negatively impact the Company’s long-term liquidity. The Company’s assessment of the impact of the COVID-19 pandemic is highly uncertain and subject to change. The Company does not yet know the full extent of potential delays or impacts on its business, financing or clinical trial activities or on healthcare systems or the global economy as a whole. However, these effects could have a material impact on the Company’s liquidity, capital resources, operations and business and those of the third parties on which the Company relies.
 
Use of Estimates
 
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial statements and disclosures made in the accompanying notes to the financial statements. Areas of the financial statements where estimates may have the most significant effect include accrued expenses, share-based compensation, valuation of the derivative liability and warrant liabilities, valuation allowance for income tax assets, and management’s assessment of the Company’s ability to continue as a going concern. The Company considered the impact of the COVID-19 pandemic on its estimates and assumptions, and concluded there was not a material impact to its condensed consolidated financial statements as of and for the three and nine months ended September 30, 2021. Changes in the facts or circumstances underlying these estimates could result in material changes and actual results could differ from these estimates.
 
Accrued Expenses
 
The Company incurs periodic expenses such as research and development, licensing fees, salaries and benefits, and professional fees. The Company is required to estimate its expenses resulting from obligations under contracts with clinical research organizations, vendors and consulting agreements that have been incurred by the Company prior to being invoiced. This process involves reviewing quotations and contracts, identifying services that have been performed on the Company’s behalf and estimating the level of service performed and the associated cost incurred for the service when the Company has not yet been invoiced or otherwise notified of the actual cost. The majority of the Company’s service providers invoice monthly in arrears for services performed or when contractual milestones are met. The Company estimates accrued expenses as of each balance sheet date based on facts and circumstances known at that time.
 
Accrued expenses consisted of the following: 
September 30,
2021
(Unaudited) 		December 31,
2020
Accrued compensation and benefits $ 1,203,218  $ 1,111,028 
Accrued clinical expenses 4,571,106  4,042,277 
Other accrued expenses 137,130  136,876 
Total $ 5,911,454  $ 5,290,181 
 
11
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


Derivative Liability

The Company accounts for derivative instruments in accordance with ASC 815, Derivative and Hedging, which establishes accounting and reporting standards for derivative instruments, including certain derivative instruments embedded in other financial instruments or contracts and requires recognition of all derivatives on the condensed consolidated balance sheet at fair value. The Company’s derivative financial instruments consisted of embedded options in the Company’s convertible notes. The embedded derivatives included provisions that provided the noteholder with certain conversion and put rights at various conversion or redemption values as well as certain call options for the Company. See Note 5—Debt for further details.

Classification of Warrants
The Company accounts for warrants in accordance with ASC 480, Distinguishing Liabilities from Equity and ASC 815, Derivatives and Hedging, to determine whether the warrants should be classified as equity or liability. Warrants that are freestanding financial instruments that contain net settlement options and may require the Company to settle these warrants in cash under certain circumstances are classified as liabilities. Warrant liabilities are initially recorded at fair value on the date of issuance and are subsequently re-measured to fair value at each balance sheet date until the warrant liabilities are exercised or settled. Changes in the fair value of warrant liabilities are recognized as a non-cash component of other income and expense in the accompanying condensed consolidated statements of operations and comprehensive loss. The Company had no warrant liabilities as of September 30, 2021 or December 31, 2020.
On May 4, 2020, the Company issued the Preferred Warrants, which are freestanding financial instruments that give the warrant holder the right but not the obligation to purchase the equity security at the warrant exercise price. The Company is not required to settle these warrants in cash and as such, the Company has classified these warrants as equity on the accompanying condensed consolidated balance sheets.
Research and Development
 
Research and development expenses consist of costs incurred to further the Company’s research and development activities and include salaries and related employee benefits, manufacturing of pharmaceutical active ingredients and drug products, costs associated with clinical trials, nonclinical activities, regulatory activities, research-related overhead expenses and fees paid to expert consultants, external service providers and contract research organizations which conduct certain research and development activities on behalf of the Company. Costs incurred in the research and development of products are charged to research and development expense as incurred.
 
Costs for preclinical studies and clinical trial activities are recognized based on an evaluation of the vendors’ progress towards completion of specific tasks, using data such as patient enrollment, clinical site activations or information provided by vendors regarding their actual costs incurred. Payments for these activities are based on the terms of individual contracts and payment timing may differ significantly from the period in which the services were performed. The Company determines accrual estimates through reports from and discussions with applicable personnel and outside service providers as to the progress or state of completion of trials, or the services completed. The estimates of accrued expenses as of each balance sheet date are based on the facts and circumstances known at the time. Although the Company does not expect its estimates to be materially different from amounts incurred, the Company’s estimates and assumptions for clinical trial costs could differ significantly from actual costs incurred, which could result in increases or decreases in research and development expenses in future periods when actual results are known.
 
Nonrefundable advance payments for goods and services that will be used in future research and development activities are expensed when the goods have been received or when the activity is performed, rather than when payment is made.

Acquired In-process Research and Development

The Company has acquired, and may in the future acquire, rights to develop and commercialize new drug candidates and/or other in-process research and development assets. The up-front acquisition payments, as well as future milestone payments that are deemed probable to achieve and do not meet the definition of a derivative, are expensed as acquired in-process research and development provided that the drug has not achieved regulatory approval for marketing, and, absent obtaining such approval, have no alternative future use.
 
12
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


Share-Based Compensation
 
The Company recognizes share-based compensation expense for grants of stock options based on the grant-date fair value of those awards using the Black-Scholes option-pricing model. Share-based compensation expense is generally recognized on a straight-line basis over the requisite service period for awards with service conditions and graded vesting features. For awards with performance conditions, compensation cost is recognized from the time achievement of the performance criteria is probable over the expected term.

Share-based compensation expense includes an estimate, which is made at the time of grant, of the number of awards that are expected to be forfeited. This estimate is revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates. Under the Black-Scholes option-pricing model, fair value is calculated based on assumptions with respect to:
 
•Expected dividend yield.  The expected dividend yield is assumed to be zero as the Company has never paid dividends and has no current plans to pay any dividends on the Company’s common stock.
•Expected stock-price volatility.  Due to limited trading history as a public company, the expected volatility is derived from the average historical volatilities of publicly traded companies within the Company’s industry that the Company considers to be comparable to the Company’s business over a period approximately equal to the expected term. In evaluating comparable companies, the Company considers factors such as industry, stage of life cycle, financial leverage, size and risk profile.
•Risk-free interest rate. The risk-free interest rate is based on the U.S. Treasury yield in effect at the time of grant for zero coupon U.S. Treasury notes with maturities approximately equal to the expected term.
•Expected term. The expected term represents the period that the stock-based awards are expected to be outstanding. Due to limited history of stock option exercises, the Company estimates the expected term of employee stock options with service conditions based on the simplified method, which calculates the expected term as the average of the time-to-vesting and the contractual life of the options. Pursuant to Accounting Standards Update (“ASU”) 2018-07, the Company has elected to use the contractual life of the option as the expected term for non-employee options. The expected term for performance options is the longer of the explicit or implicit service period.

Periodically, the Board may approve the grant of restricted stock units (“RSUs”) pursuant to the Company’s 2012 Omnibus Incentive Plan, as amended, which represent the right to receive shares of the Company’s common stock based on terms of the agreement. The fair value of RSUs is recognized as share-based compensation expense generally on a straight-line basis over the service period, net of estimated forfeitures. The grant date fair value of an RSU represents the closing price of the Company’s common stock on the date of grant.

Fair Value of Financial Instruments

Fair value is defined as the price that would be received for sale of an asset or paid for transfer of a liability, in an orderly transaction between market participants at the measurement date. U.S. GAAP establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). Financial instruments recorded in the accompanying condensed consolidated balance sheets are categorized based on the inputs to valuation techniques as follows:
    
•Level 1 - defined as observable inputs based on unadjusted quoted prices for identical instruments in active markets;

•Level 2 - defined as inputs other than Level 1 that are either directly or indirectly observable in the marketplace for identical or similar instruments in markets that are not active; and

•Level 3 - defined as unobservable inputs in which little or no market data exists where valuations are derived from techniques in which one or more significant inputs are unobservable.

The fair value of the embedded derivative issued in connection with the Unsecured Convertible Note and the Additional Note, further described in Note 5—Debt, was determined by using a Monte Carlo simulation technique (“MCS”) to value the embedded derivative associated with each note. As part of the MCS valuation, a discounted cash flow (“DCF”) model was
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used to value the debt on a stand-alone basis and determine the discount rate to utilize in both the DCF and MCS models. The significant estimates used in the DCF model include the time to maturity of the convertible debt and calculated discount rate, which includes an estimate of the Company’s specific risk premium. The MCS methodology calculates the theoretical value of an option based on certain parameters, including: (i) the threshold of exercising the option, (ii) the price of the underlying security, (iii) the time to expiration, or expected term, (iv) the expected volatility of the underlying security, (v) the risk-free rate and (vi) the number of paths.

These valuation techniques involve management’s estimates and judgment based on unobservable inputs and are classified in Level 3. The table below summarizes the valuation inputs into the MCS model for the derivative liability associated with the Unsecured Convertible Note and the Additional Note on their respective dates of issuance as of March 8, 2019 and January 10, 2020, respectively.

Derivative Liability
January 10, March 8,
2020 2019
Discount rate 21.6% 29.3%
Expected stock price volatility 103.9% 101.1%
Risk-free interest rate 1.6% 2.5%
Expected term 2 years 2 years
Price of the underlying common stock $0.65 $1.99

The following table summarizes the fair value hierarchy of financial liabilities measured at fair value as of December 31, 2020.
December 31, 2020
Quoted Prices in Active Markets for Identical Assets
(Level 1) 		Significant Other Observable Inputs
(Level 2) 		Significant Unobservable Inputs
(Level 3) 		Total
Derivative liability $ —  $ —  $ 7,000  $ 7,000 
Warrant liabilities —  —  —  — 
Total liabilities at fair value $ —  $ —  $ 7,000  $ 7,000 


The following table summarizes the changes in fair value of the derivative liability classified in Level 3 during the nine months ended September 30, 2021. Gains and losses reported in this table include changes in fair value that are attributable to unobservable inputs.

Nine Months Ended
September 30, 2021
Beginning balance as of December 31, 2020 $ 7,000 
Change in fair value of derivative liability (7,000)
Ending balance as of September 30, 2021 $ — 
The amount of total gain for the period included in earnings attributable to the change in unrealized gains relating to the fair value liabilities still held at the end of the period $ — 

The unrealized gain relating to the change in fair value of the derivative liability of $7,000 for the nine months ended September 30, 2021 is included in other income (expense) in the accompanying condensed consolidated statements of operations and comprehensive loss.
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During the nine months ended September 30, 2020, the Company recognized a gain in fair value of warrant liabilities of approximately $2.6 million, in the accompanying condensed consolidated statements of operations and comprehensive loss. There was no gain or loss in fair value of warrant liabilities during the three and nine months ended September 30, 2021 or the three months ended September 30, 2020. During the nine months ended September 30, 2020, the Company recognized warrant inducement expense of approximately $7.2 million. There was no warrant inducement expense recognized during the three and nine months ended September 30, 2021 or the three months ended September 30, 2020. The warrant inducement expense represents the accounting fair value of consideration issued to induce conversion of the Exchange Warrants.

The table below summarizes the range of valuation inputs into the Black-Scholes model for the Exchange Warrants on their date of issuance and immediately prior to the exchange.

Exchange Warrants
May 1, 2019 January 6, 2020
Conversion price
$2.13 - $2.53
$2.13
Expected stock price volatility 84.1% 87.3%
Risk-free interest rate 2.2% 1.7%
Expected term
5 - 5.5 years
4.9 years
Price of the underlying common stock $1.54 $0.58


The table below summarizes the range of valuation inputs into the Black-Scholes model for the warrant liabilities as of February 11, 2020, immediately prior to the reduction in exercise price pursuant to the Offer to Amend and Exercise.
Short-Term Warrants Long-Term Warrants
February 11, 2020
Conversion price $ 4.00 
$2.13 - $2.56
Expected stock price volatility 97.1  %
87.9% - 89.2%
Risk-free interest rate 1.6  % 1.7  %
Expected term 7 months 4 years 2 months
Price of the underlying common stock $ 0.79  $ 0.79 



ASC 820, Fair Value Measurement and Disclosures requires all entities to disclose the fair value of financial instruments, both assets and liabilities, for which it is practicable to estimate fair value. As of September 30, 2021 and December 31, 2020, the recorded values of cash and cash equivalents, restricted deposit, accounts payable, accrued expenses and convertible promissory notes approximated their fair values due to the short-term nature of the instruments.

Deferred Offering Costs

Deferred offering costs consist principally of legal, accounting and underwriters’ fees related to offerings or the Company’s shelf registration statement. Offering costs incurred prior to an offering are initially capitalized and then subsequently reclassified to additional paid-in capital upon completion of the offering. If the equity offering is not completed, any costs deferred will be expensed immediately upon termination of the offering.

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Patent Costs
 
Costs associated with the submission of patent applications are expensed as incurred given the uncertainty of the future economic benefits of the patents. Patent and patent related legal and administrative costs included in general and administrative expenses were approximately $98,000 and $329,000 for the three and nine months ended September 30, 2021, respectively, and $108,000 and $300,000 for the three and nine months ended September 30, 2020, respectively.
 
Net Loss Per Share
 
The Company calculates net loss per share as a measurement of the Company’s performance while giving effect to all potentially dilutive shares that were outstanding during the reporting period. Because the Company had a net loss for all periods presented, the inclusion of common stock options or other similar instruments would be anti-dilutive. Therefore, the weighted average shares outstanding used to calculate both basic and diluted net loss per share are the same. For the three and nine months ended September 30, 2021 and 2020, 46.3 million and 57.1 million shares, respectively, underlying potentially dilutive warrants and stock options issued and outstanding have been excluded from the computation of diluted weighted average shares outstanding because the effect would be anti-dilutive. The potentially dilutive securities consisted of the following:
 
September 30,
  2021 2020
Options outstanding under the Private Innovate Plan 5,700,518  6,028,781 
Options outstanding under the Omnibus Plan 14,475,442  10,524,626 
Options outstanding under the Option Grant Agreements granted to RDD Employees 985,807  1,014,173 
Warrants issued at a weighted-average exercise price of $55.31 (expired July 2021)
—  154,403 
Warrants issued at an exercise price of $2.54
2,233  2,233 
Warrants issued at an exercise price of $3.18
113,980  113,980 
Warrants issued at an exercise price of $0.5894
25,027,849  39,275,900 
  Total 46,305,829  57,114,096 
 
Segments
 
Operating segments are defined as components of an enterprise engaging in business activities for which discrete financial information is available and regularly reviewed by the chief operating decision maker in deciding how to allocate resources and in assessing performance. The Company operates and manages its business as one operating segment and the Company’s primary operations are in North America. 

Recently Issued Accounting Standards

Accounting Pronouncements Adopted

In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes. ASU 2019-12 amends the accounting for income taxes by removing certain exceptions to the general principles in Topic 740 and improves consistent application of other areas of Topic 740 by clarifying and amending existing guidance. ASU 2019-12 is effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2020. The Company adopted this guidance effective January 1, 2021 and the adoption of ASU 2019-12 did not have a material impact on the Company’s condensed consolidated financial statements.

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Accounting Pronouncements being Evaluated

In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity, which simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Among other changes, ASU 2020-06 removes from U.S. GAAP the liability and equity separation model for convertible instruments with a cash conversion feature, and as a result, after adoption, entities will no longer separately present in equity an embedded conversion feature for such debt. ASU 2020-06 also enhances transparency and improves disclosures for convertible instruments and earnings per share guidance. ASU 2020-06 is effective for fiscal years beginning after December 15, 2021, with early adoption permitted for fiscal years beginning after December 15, 2020. The Company is currently evaluating the impact this standard will have on the Company’s condensed consolidated financial statements.

NOTE 2: LIQUIDITY AND GOING CONCERN
 
As of September 30, 2021, the Company had cash and cash equivalents of approximately $53.6 million. Based on current projections, the Company believes it has available resources to provide sufficient cash to satisfy its operational needs for at least one year from the date these financial statements are issued.

The Company expects to incur substantial losses in the future as it conducts planned operating activities. Based on the Company’s limited operating history, recurring negative cash flows from operations, current plans and available resources, the Company will need substantial additional funding to support future operating activities. There can be no assurance that the Company will be able to obtain additional capital on terms acceptable to the Company, on a timely basis or at all. The failure to obtain sufficient additional funding or enter into strategic partnerships could adversely affect the Company’s ability to achieve its business objectives and product development timelines and could have a material adverse effect on the Company’s results of operations. If the Company raises additional funds through the issuance of equity securities, substantial dilution to the Company’s existing shareholders would likely result.
 
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NOTE 3: MERGER AND ACQUISITIONS

Lobesity Acquisition

On July 19, 2021, the Company closed an Asset Purchase Agreement with Lobesity LLC (“Lobesity”) pursuant to which the Company acquired global development rights to a proprietary and highly specific humanized monoclonal antibody that targets glucose-dependent insulinotropic polypeptide, as well as related intellectual property (the “Lobesity Acquisition”). The consideration for the Lobesity Acquisition at closing consisted of $2.3 million in cash and 2,417,211 shares of unregistered common stock plus the right to contingent payments including certain potential worldwide regulatory and clinical milestone payments totaling $45.5 million for a single indication (with the total amount payable, if multiple indicates are developed, not to exceed $58.0 million), global sales-related milestone payments totaling up to $50.0 million, and, subject to certain adjustments, a mid-single digit royalty on worldwide net sales.

To satisfy the Company’s post-closing rights to indemnification under the Asset Purchase Agreement, 604,303 of the shares issued to Lobesity are subject to holdback restrictions for 18 months following closing of the transaction. The Company’s right to indemnification will be satisfied through the recovery of these shares or paid in cash by Lobesity.

RDD Merger

On April 30, 2020, the Company completed its merger with RDD. Upon closing of the RDD Merger, the Company issued the RDD shareholders upfront consideration consisting of 37,860,510 shares of the Company’s common stock. In addition, the Company assumed 1,014,173 options that had been previously issued to RDD employees. See Note 8—Share-based Compensation for additional details regarding the options assumed.

Naia Acquisition

On May 6, 2020, the Company consummated its merger with Naia Rare Diseases, Inc. in accordance with the terms of an Agreement and Plan of Merger (the “Naia Acquisition”). The consideration for the Naia Acquisition at closing consisted of $2.1 million in cash and 4,835,438 shares of common stock, plus the pre-payment of certain operating costs on behalf of Naia totaling $0.1 million. Consideration for the Naia Acquisition also included future development and sales milestone payments worth up to $80.4 million and royalties on net sales of certain products to which Naia has exclusive rights by license.

Accounting Treatment

The Lobesity Acquisition, RDD Merger and the Naia Acquisition were each accounted for as asset acquisitions under ASU 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business. The net tangible and intangible assets acquired, and liabilities assumed in connection with the transactions were recorded at their estimated fair values on the respective dates of acquisition. The excess of purchase price over fair value of identified assets acquired and liabilities assumed was expensed as in-process research and development.

During the three and nine months ended September 30, 2021, the Company acquired the Lobesity asset for $2.3 million cash and shares of the Company’s common stock valued at approximately $2.6 million. In addition, the Company paid approximately $0.2 million in transaction costs associated with the Lobesity Acquisition. There was no contingent consideration recorded at the time of the Lobesity Acquisition because the related development, regulatory and sales milestones were not deemed probable.

During the nine months ended September 30, 2020, the Company acquired the RDD net assets for shares of the Company’s common stock valued at $26.6 million and assumed liabilities of $1.3 million. The net assets received were less than $0.1 million. During the nine months ended September 30, 2020, the Company acquired the Naia technology for $2.1 million in cash, common stock valued at $2.2 million, excluding contingent consideration, and the pre-payment of certain operating costs on behalf of Naia totaling $0.1 million. No contingent consideration associated with the Naia Acquisition was recorded at the time of acquisition because the related development and sales milestones were not deemed probable.

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NOTE 4: RELATED PARTY TRANSACTIONS

Michael Rice, a member of our Board since March 2021, is a Founding Partner of LifeSci Advisors, LLC and LifeSci Communications, LLC. Prior to his becoming a director, on April 1, 2020 the Company entered into a master services agreement with both LifeSci Advisors, LLC and LifeSci Communications, LLC, to provide investor relations and public relations services, respectively. The Company incurred expenses with LifeSci Advisors, LLC of approximately $63,000 and $239,000 during the three and nine months ended September 30, 2021, respectively. The Company incurred expenses with LifeSci Communications, LLC of approximately $67,000 and $257,000 during the three and nine months ended September 30, 2021, respectively. The Company incurred expenses of approximately $38,000 and $56,000 with LifeSci Advisors, LLC for the three and nine months ended September 30, 2020, respectively, and approximately $43,000 and $60,000 with LifeSci Communications, LLC for the three and nine months ended September 30, 2020, respectively.

NOTE 5: DEBT
 
Unsecured Convertible Promissory Note

On March 8, 2019, the Company entered into a securities purchase agreement (the “Note Purchase Agreement”) with a purchaser (the “Convertible Noteholder”). Pursuant to the Note Purchase Agreement, the Company issued the Convertible Noteholder an unsecured convertible promissory note (the “Unsecured Convertible Note”) in the principal amount of $5.5 million. The Convertible Noteholder had the right to elect to convert all or a portion of the Unsecured Convertible Note at any time and from time to time into the Company’s common stock at a conversion price of $3.25 per share, subject to adjustment for stock splits, dividends, combinations and similar events. The purchase price of the Unsecured Convertible Note was $5.0 million, and the Unsecured Convertible Note carried an original issuance discount (“OID”) of $0.5 million, which was included in the principal amount of the Unsecured Convertible Note.

As a result of the redemption features of the Unsecured Convertible Note, the Company amortized the debt issuance costs and accreted the OID to interest expense over the estimated redemption period of 15 months, using the effective interest method. The various conversion and redemption features contained in the Unsecured Convertible Note were embedded derivative instruments, which were recorded as a debt discount and derivative liability at the issuance date at their estimated fair value of $1.3 million. Amortization of the debt discount and accretion of the OID for the Unsecured Convertible Note recorded as interest expense was approximately $0.8 million for the nine months ended September 30, 2020. The Unsecured Convertible Note was paid in full as of September 30, 2020 and there was no interest expense associated with the Unsecured Convertible Note during the three months ended September 30, 2020.

The Unsecured Convertible Note bore interest at the rate of 10% per annum, compounding on a daily basis. During the three and nine months ended September 30, 2020, the Company made principal payments in cash of $4.1 million on the Unsecured Convertible Note, consisting of $1.5 million in cash payments and $2.6 million in stock conversions.

Standstill Agreement

On April 3, 2020, the Company entered into a standstill agreement with the Convertible Noteholder (the “Standstill Agreement”). Pursuant to the Standstill Agreement, the Convertible Noteholder would not seek to redeem any portion of the Unsecured Convertible Note between April 1, 2020 and May 31, 2020. The outstanding balance of the Unsecured Convertible Note was increased by $150,000 on April 3, 2020 as consideration for the Standstill Agreement and was recorded as interest expense during the year ended December 31, 2020. All other terms of the Unsecured Convertible Note remained in full force and effect.

Additional Note

On January 10, 2020, the Company entered into an additional securities purchase agreement and unsecured convertible promissory note with the Convertible Noteholder in the principal amount of $2,750,000 (the “Additional Note”). The Convertible Noteholder could elect to convert all or a portion of the Additional Note, at any time from time to time into the Company’s common stock at a conversion price of $3.25 per share, subject to adjustment for stock splits, dividends, combinations and similar events. The purchase price of the Additional Note was $2,500,000 and carried an original issuance discount of $250,000, which was included in the principal amount of the Additional Note.

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The various conversion and redemption features contained in the Additional Note were embedded derivative instruments, which were recorded as a debt discount and derivative liability at the issuance date at their estimated fair value of $0.4 million. Amortization of debt discount and accretion of the OID for the Additional Note recorded as interest expense was approximately $44,000 for the nine months ended September 30, 2021, and $133,000 and $367,000 for the three and nine months ended September 30, 2020, respectively. The Additional Note was paid in full as of September 30, 2021 and there was no interest expense incurred during the three months ended September 30, 2021.

The Additional Note bore interest at the rate of 10% per annum, compounding on a daily basis. During the nine months ended September 30, 2021, the Company paid the remaining balance of principal and interest on the Additional Note of approximately $59,000 in cash. During the nine months ended September 30, 2020, the Company made principal payments on the Additional Note of approximately $1.2 million and interest of $0.2 million through conversions into 3,358,481 shares of the Company’s common stock at a weighted-average conversion price of $0.42, which reflected a discount of approximately 36%. The conversion discount represented a beneficial conversion feature of approximately $0.8 million which was recorded as a charge to interest expense and a credit to additional paid-in capital in the accompanying condensed consolidated financial statements.

The convertible notes payable as of December 31, 2020 consisted of the following:

December 31, 2020
Convertible Notes $ 8,400,000 
   Less: principal payments of debt (8,341,801)
   Less: unamortized debt discount and OID accretion (43,983)
Total $ 14,216 


NOTE 6: LICENSE AGREEMENTS
 
During 2016, the Company entered into a license agreement (the “Alba License”) with Alba Therapeutics Corporation (“Alba”) to obtain the rights to certain intellectual property relating to larazotide acetate and related compounds.
 
Upon execution of the Alba License, the Company paid Alba a non-refundable license fee of $0.5 million. In addition, the Company is required to make milestone payments to Alba upon the achievement of certain clinical and regulatory milestones totaling up to $1.5 million and payments upon regulatory approval and commercial sales of a licensed product totaling up to $150 million, which is based on sales ranging from $100 million to $1.5 billion.
 
During 2013, the Company entered into an exclusive license agreement with Seachaid Pharmaceuticals, Inc. (the “Seachaid Agreement”) to further develop and commercialize the licensed product, the compound known as APAZA. The Company was required to make an initial, non-refundable payment under the Seachaid Agreement in the amount of $0.2 million. The agreement also calls for milestone payments totaling up to $6.0 million to be paid when certain clinical and regulatory milestones are met. There are also commercialization milestone payments ranging from $1.0 million to $2.5 million depending on net sales of the products in a single calendar year, followed by royalty payments in the single digits based on net product sales.
 
During 2014, the Company entered into an Asset Purchase Agreement with Repligen Corporation (“Repligen”) to acquire Repligen’s RG-1068 program for the development of Secretin for the Pancreatic Imaging Market and Magnetic Resonance Cholangiopancreatography. As consideration for the Asset Purchase Agreement, the Company agreed to make a non-refundable cash payment on the date of the agreement and future royalty payments consisting of a percentage between five and fifteen of annual net sales, with the royalty payment percentage increasing as annual net sales increase.

In connection with the Naia Acquisition, the Company entered into two amended and restated license agreements with Amunix Pharmaceuticals, Inc. (“Amunix”), pursuant to which the Company received an exclusive, worldwide, royalty-bearing license, with rights of sublicense, to lead molecules GLP-1 and GLP-2 along with a related XTEN sequence and other intellectual property referenced therein (the “Amunix Licenses”). Also in connection with the Naia Acquisition, the
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Company entered into an amended and restated license agreement with Cedars-Sinai Medical Center (“Cedars”), pursuant to which the Company licensed the rights to GLP-1 Agonist for the treatment of SBS (the “Cedars License”).

As consideration under the Amunix License for GLP-1, the Company agreed to pay Amunix certain royalty payments and (i) $70.4 million in milestone payments upon achievement of future development and sales milestones in the U.S. and major EU countries, (ii) $20.5 million in milestone payments upon achievement of future development and sales milestones in China and certain related territories, and (iii) $20.5 million in milestone payments upon achievement of future development and sales milestones in South Korean and certain other east Asian countries. As consideration under the Amunix License for GLP-2, the Company agreed to pay Amunix certain royalty payments and $60.1 million in milestone payments upon achievement of future development and sales milestones in the U.S. and major EU countries.

As consideration under the Cedars License, the Company agreed to pay Cedars certain royalty payments and approximately $9.4 million in milestone payments upon achievement of future development and sales milestones.

One of the assets acquired in the Lobesity Acquisition was an amended and restated technology license agreement with MHS Care-Innovation LLC (“MHS”), pursuant to which the Company received an exclusive, worldwide license, with rights to sublicense, to certain patent and other intellectual property rights concerning a proprietary and highly specific humanized monoclonal antibody that targets glucose-dependent insulinotropic polypeptide (the “MHS License”). The MHS License does not require the payment of any future milestone payments or royalties to MHS, since it was originally entered into with Lobesity in exchange for the issuance of certain equity securities and a grant of certain related rights to Lobesity, all of which occurred prior to the closing of the Lobesity Acquisition. As consideration for the assets purchased in the Lobesity Acquisition (including but not limited to the MHS License), the Company is obligated to pay Lobesity (i) potential worldwide regulatory and clinical milestone payments totaling $45.5 million for a single indication (with the total amount payable, if multiple indications are developed, not to exceed $58.0 million), (ii) up to $50.0 million in global sales-related milestone payments, and (iii) subject to certain adjustments, a mid-single digit royalty on worldwide net sales.

On August 6, 2021, the Company announced a collaboration with the European Biomedical Research Institute of Salerno, Italy (EBRIS) to study larazotide for the treatment of multisystem inflammatory syndrome in children (MIS-C). In connection with this collaboration, the Company paid a milestone fee of $0.5 million upon IND approval for MIS-C. Final terms of the collaboration are still being determined.

During the three and nine months ended September 30, 2021, the Company incurred total milestone fees expense of $0.5 million. During the three and nine months ended September 30, 2020, the Company incurred total milestone fees expense of $2.2 million.

NOTE 7: STOCKHOLDERS’ EQUITY (DEFICIT)
 
The Company’s authorized capital stock as amended in June 2021 consists of 560 million shares of capital stock, par value $0.0001 per share, of which 550 million shares are designated as common stock and 10 million shares are designated as preferred stock.

Preferred Stock

The Company’s amended and restated certificate of incorporation authorizes the Board to issue preferred stock in one or more classes or one or more series within any class from time to time. Voting powers, designations, preferences, qualifications, limitations, restrictions or other rights will be determined by the Board at that time. On April 29, 2020, the Board designated 600,000 shares of preferred stock as Series A Preferred Stock, par value of $0.0001 per share.

On May 4, 2020, the Company closed the RDD Merger Financing, further described in Note 1—Summary of Significant Accounting Policies, pursuant to which the Company sold an aggregate of 382,779 shares of Series A Preferred Stock, par value $0.0001, which were convertible into 38,277,900 shares of common stock and Preferred Warrants to purchase up to 382,779 shares of Series A Preferred Stock, which became exercisable for 38,277,900 shares of common stock. The Series A Preferred Stock was classified as equity in accordance with ASC 480—Distinguishing Liabilities from Equity. Shares of the Series A Preferred Stock and the Preferred Warrants were valued using the relative fair value method. The Preferred Warrants were valued using a Black Scholes option pricing model. The Company determined the transaction created a beneficial conversion feature of approximately $3.1 million. The table below summarizes the inputs for the Black Scholes option pricing model on the date of issuance.
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May 4, 2020
Conversion price $ 0.5894 
Expected stock price volatility 73.7  %
Risk-free interest rate 0.4  %
Expected term 5 years
Price of the underlying common stock $ 0.50 


As of May 4, 2020, the stated value of the issued and outstanding Series A Preferred Stock and the Preferred Warrants was approximately $12.5 million and $7.0 million, respectively. On June 30, 2020, the Company’s outstanding Series A Preferred Stock automatically converted into 38,277,900 shares of common stock upon receipt of stockholder approval. Each share of outstanding Series A Preferred Stock converted into 100 shares of Common Stock and each share of Series A Preferred Stock underlying the Preferred Warrants became exercisable for 100 shares of Common Stock. Upon conversion of the Series A Preferred Stock, the Company reclassified the carrying value of the Series A Preferred Stock to common stock and additional paid-in capital.

There were no shares of preferred stock issued and outstanding as of September 30, 2021 or December 31, 2020.

Common Stock
 
The holders of the Company’s common stock (i) have equal ratable rights to dividends from funds legally available therefore, when, as and if declared by the Board; (ii) are entitled to share in all the Company’s assets available for distribution to holders of common stock upon liquidation, dissolution or winding up of the Company’s affairs; (iii) do not have preemptive, subscription or conversion rights (and there are no redemption or sinking fund provisions or rights); and (iv) are entitled to one non-cumulative vote per share on all matters on which stockholders may vote. 

There were 255,531,751 and 204,629,064 shares of common stock outstanding as of September 30, 2021 and December 31, 2020, respectively. The Company had reserved shares of common stock for future issuance as follows:

September 30, December 31,
2021
(Unaudited) 		2020
Outstanding stock options 21,161,767  17,641,380 
Warrants to purchase common stock 25,144,062  38,727,616 
Restricted stock units subject to vesting 203,667  203,667 
Shares issuable upon conversion of convertible debt —  18,057 
For possible future issuance under the Omnibus Plan 5,611,787  9,576,451 
    Total common shares reserved for future issuance 52,121,283  66,167,171 

On December 19, 2019, the Company and each of the purchasers of the April Warrants and Placement Agent Warrants entered into the Exchange Agreements, pursuant to which the Company agreed to issue the purchasers an aggregate of 5,441,023 shares of common stock at a ratio of 1.2 Exchange Shares for each purchaser warrant in exchange for the cancellation and termination of all of the outstanding April Warrants and Placement Agent Warrants. During the nine months ended September 30, 2020, the Company issued 1,847,309 shares of common stock in exchange for cancellation and termination of the remaining outstanding Exchange Warrants. As of September 30, 2020, all of the April Warrants and Placement Agent Warrants had been exchanged for common stock and there were no April Warrants or Placement Agent Warrants outstanding.

22
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


On April 29, 2020, pursuant to the Offer to Amend and Exercise further described in Note 1—Summary of Significant Accounting Policies, warrants to purchase an aggregate of 12,230,418 shares of common stock were tendered, amended and exercised for aggregate gross proceeds of approximately $1.2 million.

The Company entered into a sales agreement dated July 22, 2020, as amended on October 2, 2020, with Truist relating to an ATM pursuant to which the Company may sell, from time to time, common stock with an aggregate offering price of up to $40 million through Truist, as sales agent, for general corporate purposes (the “2020 ATM”). During the three and nine months ended September 30, 2021, there were no shares sold under the 2020 ATM. During the three and nine months ended September 30, 2020, the Company sold 3,246,745 shares under the 2020 ATM for total net proceeds of approximately $2.4 million. Pursuant to the sales agreement, the Company will pay Truist a commission rate of 3.0% of the gross proceeds from the sale of any shares of common stock under the 2020 ATM.

NOTE 8: SHARE-BASED COMPENSATION
 
The Company has two stock option plans in existence: the 2012 Omnibus Incentive Plan, as amended (the “Omnibus Plan”) and the Innovate 2015 Stock Incentive Plan (the “Private Innovate Plan”). In addition, the Company assumed 1,014,173 options in accordance with the terms of the RDD Merger Agreement. The Company’s stock options typically vest over a period of three or four years and typically have a maximum term of ten years.

The shares reserved for issuance under the Omnibus Plan automatically increase on the first day of each calendar year beginning in 2019 and ending in 2022 by an amount equal to the lesser of (i) five percent of the number of shares of common stock outstanding as of December 31st of the immediately preceding calendar year or (ii) such lesser number of shares of common stock as determined by the Board (the “Evergreen Provision”). On January 1, 2020, the number of shares of common stock available under the Omnibus Plan automatically increased by 1,973,883, pursuant to the Evergreen Provision. Additionally, on June 30, 2020, stockholders approved an amendment to the Omnibus Plan to increase the aggregate number of shares of common stock available under the Omnibus Plan by 15,000,000 shares. The board of directors elected to forgo the increase from the Evergreen Provision that would have increased the option pool by 5% of the shares of common stock outstanding on January 1, 2021.

Private Innovate Plan

As of September 30, 2021, there were 5,700,518 stock options outstanding under the Private Innovate Plan. Since 2018, the Company has not issued, and does not intend to issue, any additional awards from the Private Innovate Plan.
 
The following table summarizes stock option activity under the Private Innovate Plan:
  Number of
Shares 		Weighted-Average
Exercise Price 		Aggregate
Intrinsic
Value 		Weighted-Average
Remaining
Contractual Life
(in years)
Outstanding at December 31, 2020 6,028,781  $ 1.53  $ 1,080,474  3.2
Options granted —  — 
Options forfeited (5,652) 2.08 
Options exercised (322,611) 0.43 
Outstanding at September 30, 2021 5,700,518  1.59  1,634,033  2.8
Exercisable at September 30, 2021 5,700,518  1.59  1,634,033  2.8
Vested and expected to vest at September 30, 2021 5,700,518  $ 1.59  $ 1,634,033  2.8
 
There were no options granted under the Private Innovate Plan during the nine months ended September 30, 2021 and 2020.

The total fair value of stock option awards vested during the nine months ended September 30, 2021 under the Private Innovate Plan was approximately $49,000. As of September 30, 2021, there was no unrecognized compensation cost related
23
9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


to unvested stock-based compensation arrangements under the Private Innovate Plan as all of the outstanding options are fully vested as of September 30, 2021.

The Private Innovate Plan provides for accelerated vesting under certain change-of-control transactions, if approved by the Company’s board of directors. On April 23, 2021, the Company’s Board approved the extension of the exercise periods of certain option holders’ vested options for an additional twelve months. Pursuant to the Board’s approval, options to purchase 1,708,270 shares of the Company’s common stock were extended and the Company recognized an additional $0.3 million in non-cash stock compensation expense related to the modification during the nine months ended September 30, 2021. All other terms of the options remain unchanged.

Omnibus Plan

As of September 30, 2021, there were options to purchase 14,475,442 shares of the Company’s common stock outstanding under the Omnibus Plan and 5,611,787 shares available for future grants under the Omnibus Plan.  

The range of assumptions used in estimating the fair value of the options granted under the Omnibus Plan using the Black-Scholes option pricing model for the periods presented were as follows:
  Three Months Ended
September 30, 		Nine Months Ended
September 30,
  2021 2020 2021 2020
Expected dividend yield 0% 0% 0% 0%
Expected stock-price volatility
 77%
72% - 85%
68% - 85%
72% - 85%
Risk-free interest rate
0.8% - 0.9%
0.2% - 0.7%
0.1% - 1.1%
0.2% - 0.7%
Expected term of options (in years)
6.1 years
5 - 10 years
2.3 - 6.1 years
5 - 10 years
 
The following table summarizes stock option activity under the Amended Omnibus Plan:
  Number of
Shares 		Weighted-Average
Exercise Price 		Aggregate
Intrinsic
Value 		Weighted-Average
Remaining
Contractual Life
(in years)
Outstanding at December 31, 2020 10,598,426  $ 1.01  $ 1,490,488  9.2
Options granted 4,205,747  1.64 
Options forfeited (241,083) 1.24 
Options exercised (87,648) 0.78 
Outstanding at September 30, 2021 14,475,442  1.19  5,124,522  8.7
Exercisable at September 30, 2021 5,768,326  1.21  2,467,535  8.2
Vested and expected to vest at September 30, 2021 13,855,934  $ 1.18  $ 4,944,989  8.7
 
The weighted-average grant date fair value of options granted under the Omnibus Plan was $0.79 and $0.91 during the three and nine months ended September 30, 2021, respectively. The weighted-average grant date fair value of options granted under the Omnibus Plan was $0.34 and $0.37 during the three and nine months ended September 30, 2020, respectively. The total intrinsic value of options exercised was approximately $39,000 during the nine months ended September 30, 2021. There were no options exercised during the three and nine months ended September 30, 2020.

The total fair value of stock option awards vested under the Omnibus Plan was approximately $644,000 during the nine months ended September 30, 2021. As of September 30, 2021, there was approximately $5.6 million of total unrecognized compensation cost related to unvested stock-based compensation arrangements under the Omnibus Plan. This cost is expected to be recognized over a weighted average period of 3.2 years.
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9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS



The Omnibus Plan provides for accelerated vesting, if approved by the Company’s Board. Upon expiration of the term of one of the Company’s now former board members, the Board approved the acceleration and extension of unvested options held by the board member. The Company recognized an additional $0.1 million in non-cash stock compensation expense related to the modification during the nine months ended September 30, 2021. Upon consummation of the RDD Merger on April 30, 2020, the Company’s Board approved the acceleration of certain options for employees, board members and key consultants. The Company recognized an additional $2.7 million in non-cash stock compensation expense related to the modification during the nine months ended September 30, 2020.

There were no RSUs granted during the nine months ended September 30, 2021. During the three and nine months ended September 30, 2020, the Board approved grants of 415,948 RSUs, which vested immediately on the date of grant. There were 203,667 RSUs unvested as of September 30, 2021 and December 31, 2020 with a weighted-average grant date fair value of $1.07 per share. The Company recognized share-based compensation expense for RSUs of approximately $56,000 during the three months ended September 30, 2021, and $160,000 and $255,000 during the nine months ended September 30, 2021 and 2020, respectively. There was no share-based compensation expense for RSUs during the three months ended September 30, 2020.

RDD Option Grants

Pursuant to the RDD Merger Agreement, the Company assumed 1,014,173 option grant agreements awarded to RDD employees upon consummation of the RDD Merger (the “RDD Options”) on April 30, 2020. There were 985,807 RDD Options outstanding as of September 30, 2021 at a weighted-average exercise price of $0.63 per share. All of the RDD Options are fully vested and there were no RDD Options vested during the three and nine months ended September 30, 2021 or the three months ended September 30, 2020. The total fair value of RDD Options vested during the nine months ended September 30, 2020 was approximately $471,000. The range of assumptions used in estimating the fair value of the RDD Options using the Black-Scholes option pricing model for the periods presented were as follows:

  Three and Nine Months Ended
September 30, 2020
Expected dividend yield —  %
Expected stock-price volatility
72% - 74%
Risk-free interest rate
0.4% - 0.6%
Expected term of options (in years)
5.0 - 10.0

The following table summarizes stock option activity for the RDD Options:
  Number of
Shares 		Weighted-Average
Exercise Price 		Aggregate
Intrinsic
Value 		Weighted-Average
Remaining
Contractual Life
(in years)
Outstanding at December 31, 2020 1,014,173  $ 0.63  $ 228,860  4.3
Options granted —  — 
Options forfeited —  — 
Options exercised (28,366) 0.74 
Outstanding at September 30, 2021 985,807  0.63  660,226  3.6
Exercisable at September 30, 2021 985,807  0.63  660,226  3.6
Vested and expected to vest at September 30, 2021 985,807  $ 0.63  $ 660,226  3.6

The total intrinsic value of RDD Options exercised was approximately $27,000 during the nine months ended September 30, 2021.

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9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


Share-based Compensation Expense

Total share-based compensation expense recognized in the accompanying condensed consolidated statements of operations and comprehensive loss was as follows:
  Three Months Ended
September 30, 		Nine Months Ended
September 30,
  2021 2020 2021 2020
Research and development $ 163,000  $ 109,000  $ 605,000  $ 1,697,550 
General and administrative 362,000  93,000  1,279,000  2,801,450 
Total share-based compensation $ 525,000  $ 202,000  $ 1,884,000  $ 4,499,000 
    
NOTE 9: COMMITMENTS AND CONTINGENCIES
 
Employment Agreements
 
The Company has entered into executive employment agreements with the executives (the “Executive Employment Agreements”). The Executive Employment Agreements provide an annual base salary and the opportunity to participate in the Company’s equity compensation, employee benefit and bonus plans once they are established and approved by the Board. The Executive Employment Agreements contain severance provisions if such executive is terminated under certain conditions that would provide the executive with up to 12 months of their base salary and up to 12 months of continuation of health insurance benefits.

Periodically, the Company enters into separation and general release agreements with former executives of the Company that include separation benefits consistent with the former executives’ employment agreements. There was no severance expense recognized during the three and nine months ended September 30, 2021 or the three months ended September 30, 2020. The Company recognized severance expense totaling $0.8 million during the nine months ended September 30, 2020, which was paid in equal installments over 12 months from the date of separation. The accrued severance obligation was fully paid as of September 30, 2021.

Office Lease
 
In July 2020, the Company entered into a 4-year lease for office space that expires on September 30, 2024. Base annual rent is $72,000, or $6,000 per month. Monthly payments of $6,000 are due and payable over the 4-year term. The lease contains a 3-year renewal option. The Company recorded a right of use asset of $233,206 and an operating lease liability of $233,206 at the inception of the lease in July 2020.

The Company estimated the present value of the lease payments over the remaining term of the leases using a discount rate of 12%, which represented the Company’s estimated incremental borrowing rate. The renewal options were excluded from the lease payments as the Company concluded the exercise of the option was not considered reasonably certain.
Operating lease cost under ASC 842 was approximately $18,000 and $54,000 for the three and nine months ended September 30, 2021, respectively, and $17,880 and $47,880 for the three and nine months ended September 30, 2020, respectively. Operating lease cost is included in general and administrative expenses on the accompanying condensed consolidated statement of operations and comprehensive loss. The total cash paid for amounts included in the measurement of the operating lease liability and reported within operating activities was less than $0.1 million during the nine months ended September 30, 2021.
Future minimum payments under the Company’s lease liability were as follows:
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9 METERS BIOPHARMA, INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


Year ending December 31, Operating Leases
2021 $ 18,000 
2022 72,000 
2023 72,000 
2024 54,000 
Total lease payment 216,000 
    Less: imputed interest (35,355)
Total $ 180,645 
Legal
 
From time to time, the Company could become involved in disputes and various litigation matters that arise in the normal course of business. These may include disputes and lawsuits related to intellectual property, licensing, contract law and employee relations matters. Periodically, the Company reviews the status of significant matters, if any exist, and assesses its potential financial exposure. If the potential loss from any claim or legal claim is considered probable and the amount can be estimated, the Company accrues a liability for the estimated loss. Legal proceedings are subject to uncertainties, and the outcomes are difficult to predict; therefore, accruals are based on the best information available at the time. As additional information becomes available, the Company reassesses the potential liability related to pending claims and litigation.
 
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FORWARD-LOOKING STATEMENTS
 
This Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). When used in this report, the words “believe,” “may,” “could,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “plan,” “indicate,” “seek,” “should,” “would” and similar expressions are intended to identify forward-looking statements, though not all forward-looking statements contain these identifying words. All statements other than statements of historical fact are statements that could be deemed forward-looking statements.
 
These forward-looking statements are based on our current expectations and beliefs and necessarily involve significant risks and uncertainties that may cause our actual results, performance, prospects and opportunities in the future to differ materially from those expressed or implied by such forward-looking statements. These risks and uncertainties include, among other things, uncertainties associated with the clinical development and regulatory approval of product candidates; uncertainties in obtaining successful clinical results for product candidates and unexpected costs that may result therefrom; risks associated with acquiring and developing additional compounds; risks related to the failure to realize any value from the product candidates and preclinical programs being developed and anticipated to be developed in light of inherent risks and difficulties involved in successfully bringing product candidates to market; the impact of the COVID-19 pandemic on our operations, enrollment in and timing of clinical trials; risks related to the inability of the Company to obtain sufficient additional capital to continue to advance these product candidates and its preclinical programs; results of earlier studies and trials not being predictive of future trial results; our need to attract and retain senior management and key scientific personnel; the Company’s continued listing on Nasdaq; our ability to manage our growth; our ability to maintain effective intellectual property protection; and other risks described in greater detail in "Item 1A. Risk Factors" of the Annual Report on Form 10-K for the year ended December 31, 2020, filed with the SEC on March 22, 2021. These forward-looking statements are made as of the date of this Quarterly Report on Form 10-Q, and we assume no obligation to update or revise them to reflect new events or circumstances except as required by law.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
Except as otherwise noted or where the context otherwise requires, as used in this report, the words “we,” “us,” “our,” the “Company” and “9 Meters” refer to 9 Meters Biopharma, Inc. The following analysis includes historical results and periods that ended prior to the completion of the RDD Merger on April 30, 2020, and therefore only include the historical results of the Company prior to that date.

The following discussion of our financial condition and results of operations should be read in conjunction with our unaudited condensed consolidated financial statements and the related notes thereto included elsewhere in this Quarterly Report on Form 10-Q and our audited financial statements and related notes thereto for the year ended December 31, 2020, included in our Annual Report on Form 10-K, filed with the SEC on March 22, 2021.

Overview
 
9 Meters is a clinical-stage biopharmaceutical company focused on rare or debilitating digestive diseases or unique biology. Our pipeline includes drug candidates for short bowel syndrome (SBS), celiac disease, and four early-stage candidates for undisclosed rare and/or unmet needs. Our current product development pipeline is described in the table below:

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NMTR-20210930_G1.JPG

Vurolenatide for the Treatment of Short Bowel Syndrome

Vurolenatide is a long-acting injectable glucagon-like-peptide-1 (“GLP-1”) analogue being developed for SBS, a debilitating orphan disease with an underserved market. It affects up to 20,000 adults in the U.S., with similar prevalence in Europe. Patients with SBS cannot absorb enough water, vitamins, protein, fat, calories and other nutrients from food. It is a severe disease with life changing consequences, such as impaired intestinal absorption, diarrhea and metabolic complications. A portion of patients have life-long dependency on Parenteral Support (PS) to survive with risk of life-threatening infections and extra-organ impairment. Vurolenatide links exenatide, a GLP-1 analogue, to a long-acting linker technology and is designed specifically to address the gastric effects in SBS patients by slowing digestive transit time. The asset uses proprietary XTEN® technology to extend the half-life of exenatide, allowing for once-to twice-per-month dosing, thus potentially increasing convenience for patients and caregivers. Vurolenatide is patent-protected and has received orphan drug designation by the U.S. Food and Drug Administration (“FDA”).

We announced top-line results from our ongoing Phase 1b/2a clinical trial for vurolenatide in SBS in the fourth quarter of 2020. The study met its primary objective as vurolenatide demonstrated excellent safety and tolerability. In addition, vurolenatide demonstrated a clinically relevant improvement in total stool output (TSO) volume within 48 hours of first dose. The Phase 1b/2a clinical trial was an open-label, two-dose study evaluating the safety and tolerability of three escalating fixed doses of vurolenatide (50 mg, 100 mg, 150 mg) in 9 adults with SBS for 56 days. The trial was conducted at Cedars-Sinai Medical Center. Patients in each of the three cohorts received two subcutaneous doses two weeks apart with six weeks of subsequent follow-up. The study assessed the safety and tolerability of repeated doses on Days 1 and 15 at each dose level. Because reduced TSO volume and bowel movement frequency are correlated with improved intestinal absorption and potentially less need for intravenous supplementation for nutrition and hydration, these were key secondary objectives in the trial. The primary purpose of this open-label Phase 1b/2a trial was to assess the compound’s safety and potential efficacy in order to inform future development.

Vurolenatide was generally safe and well tolerated: 17 treatment-emergent adverse events (TEAEs) were observed in 9 patients, 15 of which were mild, transient and self-limited without further intervention. The majority of TEAEs were GI-related (nausea and vomiting).

Importantly, 8 of the 9 patients experienced meaningful declines in TSO following each dose, relative to a baseline output. The rapid onset of clinical improvements in stool volumes, as observed in all 9 patients having substantial reductions in stool output within 48 hours of the first dose, shows the potential for vurolenatide to address the primary problem of chronic malabsorptive diarrhea in SBS patients. Additionally, four of seven patients showed reductions in bowel movement frequency after one dose and five of six evaluable patients showed reductions in bowel movement frequency after the second
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dose. Furthermore, of the five patients on PS in the trial, two patients showed reduction in PS after each dose. Results of the short-form health survey quality of life instrument demonstrated directional improvement in multiple elements of health status over the course of the trial. The short-form health survey, or SF-36, is a set of generic, coherent and easily administered quality-of-life measures. These measures rely upon patient self-reporting and are now widely utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients.

We launched a Phase 2 trial of vurolenatide for the treatment of SBS in the second quarter of 2021 in approximately 22 patients using TSO as the primary efficacy outcome measure. This trial is a multi-center, double-blind, double-dummy, randomized placebo-controlled trial. The FDA has provided global anchor questions and specific guidance for performance of exit interviews to support clinical meaningfulness of observed efficacy. We anticipate topline results from the Phase 2 trial in the first quarter of 2022. Shortly after our end-of-phase 2 meeting with the FDA, we plan to initiate the Phase 3 trial.

Vurolenatide has received Orphan Drug Designation from the FDA. The FDA Office of Orphan Products Development grants orphan designation to advance the evaluation of safe and effective drugs and biologics to treat, prevent or diagnose rare diseases affecting fewer than 200,000 people in the U.S. Under the Orphan Drug Act, orphan designation qualifies drug sponsors for development incentives conferred by the FDA, including tax credits for qualified clinical testing.

NM-001 (Larazotide) for Celiac Disease

In 2019, we initiated a Phase 3 clinical trial for our co-lead drug candidate, larazotide acetate or larazotide, for the treatment of celiac disease (“CeDLara”). Larazotide has the potential to be a first-to-market therapeutic for celiac disease, an unmet medical need affecting an estimated 1% of the U.S. population, or more than 3 million individuals. Patients with celiac disease have no treatment alternative other than a strict lifelong adherence to a gluten-free diet, which is difficult to maintain and can be deficient in key nutrients. In celiac disease, larazotide is the only drug which has successfully met its primary clinical efficacy endpoint with statistical significance in a Phase 2b efficacy trial, which was comprised of 342 patients. We completed the End of Phase 2 meeting with the FDA for the treatment of celiac disease with larazotide and received Fast Track designation. Larazotide has been shown to be safe and effective after being tested in several clinical trials involving nearly 600 patients, most recently in the Phase 2b trial for celiac disease.

We have approximately 110 active clinical trial sites in our Phase 3 trial with three treatment groups, 0.25 mg of larazotide, 0.5 mg of larazotide and a placebo arm. In addition, after consultation with the FDA, the analytical approach to the primary endpoint was modified to perform a continuous variable analysis instead of a responder analysis of the primary efficacy outcome. The new methodology enables a more capital-efficient study, with reduction in participants from 630 to 525. Site activation and patient enrollment have been impacted by the COVID-19 pandemic. We continue to monitor the evolving situation with COVID-19, which is likely to impact the pace of enrollment directly or indirectly over the next several months. Given challenges in enrollment related to the COVID-19 pandemic, interim results (statistical assumption modeling) are expected in the second quarter of 2022 with the topline data readout anticipated in the fourth quarter of 2022. Recently, we engaged Beyond Celiac and the Celiac Disease Foundation, both leading non-profit patient advocacy groups, to identify potential and appropriate patients for enrollment in the Phase 3 trial. We also launched a celiac disease trial awareness campaign utilizing a dedicated YouTube channel. Additionally, we initiated a social media geo-targeting CeDLara awareness campaign. In October 2021, we held a live/virtual investigators’ meeting directed toward enhancing enrollment efforts. We continue to evaluate and respond to trial execution challenges related to the ongoing COVID-19 pandemic and will implement additional measures as needed.

NM-003 Long-Acting GLP-2

NM-003 is a proprietary long-acting glucagon-like-peptide (“GLP-2”) receptor agonist with improved serum half-life compared with short-acting versions. On December 9, 2020, we announced that the FDA has granted orphan drug designation to NM-003 for prevention of acute graft versus host disease. NM-003, also called teduglutide, utilizes proprietary XTEN® technology to extend circulating half-life. NM-003 is currently undergoing a pre-clinical proof-of-concept study. Based on the results of this study, we intend to progress NM-003 through a clinical and regulatory pathway in an undisclosed orphan and rare GI indication.

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NM-102 Tight Junction Microbiome Modulator

NM-102, a small molecule peptide, is being developed as a potential microbiome modulator and undergoing an indication selection process. NM-102 is a long-acting, degradation-resistant peptide, believed to be gut-restricted, and presumed to prevent gut microbial metabolites and antigens from trafficking into systemic circulation. We initiated an IND-enabling pathway for NM-102 during the second quarter of 2021. We recently announced a collaboration with Gustav Roussy, a leading cancer center in Villejuif, France, using NM-102. This collaboration adds to an initial 14-month preclinical research project initiated in March 2019, which focused on the relationship between intestinal microbiome composition and systemic responses to cancer treatments such as chemotherapy and immune checkpoint inhibitors.

NM-136 Humanized Monoclonal Antibody

On July 19, 2021, we entered into and closed an Asset Purchase Agreement with Lobesity LLC (“Lobesity”), pursuant to which we acquired global development rights to a proprietary and highly specific humanized monoclonal antibody, now known as NM-136, that targets glucose-dependent insulinotropic polypeptide, as well as the related intellectual property (the "Lobesity Acquisition"). We have initiated antibody profiling to support a pre-clinical development program in 2022. We plan to continue IND-enabling studies and intend to initiate human clinical trials in 2023.

NM-004 Immunomodulator

NM-004 is a double-cleaved mesalamine with an immunomodulator. NM-004 is currently undergoing a probability of technical, regulatory and intellectual property analysis in an undisclosed GI indication. Based on the results of that analysis, we intend to determine the viability of a path forward.

Corporate Development

Lobesity Acquisition

On July 19, 2021, we completed an Asset Purchase Agreement with Lobesity, pursuant to which we acquired global development rights to a proprietary and highly specific humanized monoclonal antibody, now known as NM-136, that targets glucose-dependent insulinotropic polypeptide, as well as related intellectual property. We paid a combination of cash and equity consideration in the form of a $5 million upfront payment, as 40% cash and 60% equity (consisting of 2,417,211 shares of unregistered common stock priced at our 30-day volume weighted-price immediately prior to the closing), plus the right to contingent payments including certain potential worldwide regulatory and clinical milestone payments totaling $45.5 million for a single indication (with the total amount payable, if multiple indications are developed, not to exceed $58.0 million), global sales-related milestone payments totaling up to $50.0 million, and, subject to certain adjustments, a mid-single digit royalty on worldwide net sales.

Financial Overview

Since our inception, we have focused our efforts and resources on identifying and developing our research and development programs. We have not had any products approved for commercial sale and have incurred operating losses in each year since inception. Substantially all of our operating losses resulted from expenses incurred in connection with our research and development programs and from general and administrative costs associated with our operations. To date, we have financed our operations primarily through public offerings of equity securities and private placements of convertible debt and equity securities. In April 2021, we received net proceeds of approximately $31.5 million in the April 2021 Offering described above.

As of September 30, 2021, we had an accumulated deficit of $159.3 million. We incurred net losses of $13.5 million and $8.3 million during the three months ended September 30, 2021 and 2020, respectively, and $27.2 million and $56.5 million during the nine months ended September 30, 2021 and 2020, respectively. We expect to continue to incur significant expenses and increase our operating losses for the foreseeable future, which may fluctuate significantly between periods. We anticipate that our expenses will increase substantially as and to the extent we:
 
•continue research and development, including preclinical and clinical development of our existing and future product candidates, including larazotide and vurolenatide;
•experience delays in our clinical trials due to the COVID-19 pandemic;
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•successfully develop acquired clinical assets;
•seek regulatory approval for our product candidates;
•commercialize any product candidates for which we obtain regulatory approval;
•maintain and protect our intellectual property rights;
•add operational, financial and management information systems and personnel;
•pursue additional in- or out-licenses or similar strategic transactions; and
•continue to incur additional legal, accounting, regulatory, tax-related and other expenses required to operate as a public company.

    As such, we will need substantial additional funding to support our operating activities. Adequate funding may not be available to us on acceptable terms, or at all. We currently anticipate that we will seek to fund our operations through equity or debt financings, strategic alliances or licensing arrangements, or other sources of financing. Our failure to obtain sufficient funds on acceptable terms could have a material adverse effect on our business, results of operations and financial condition.

COVID-19

The effect of the COVID-19 pandemic and its associated restrictions, including the recent Delta variant, has increased and may continue to increase the expected development timelines and the anticipated aggregate costs for our product candidates by, among other things, causing disruptions in the supply chain for clinical supplies, delays in the timing and pace of subject enrollment in clinical trials and lower than anticipated subject enrollment and completion rates, delays in the review and approval of our regulatory submissions by the FDA and other agencies with respect to our product candidates, and other unforeseen disruptions. Site activation and patient enrollment have been impacted by the COVID-19 pandemic and could continue to be impacted by the pandemic over the next several months. We are working closely with our clinical trial sites and product candidate manufacturers to ensure that patient safety and clinical supply of our product candidates are not adversely impacted by the pandemic. In response to the COVID-19 pandemic, we put in place several safety measures for our employees, patients, healthcare providers and suppliers. These measures included, but were not limited to, substantially restricting travel, limiting access to our corporate office, including allowing employees to work remotely, providing personal protective equipment to employees, investigator sites and third-party vendors, implementing social distancing protocols, and coordinating safety protocols with our investigator sites.

The ultimate impact resulting from the COVID-19 pandemic will depend, among other factors, on the extent of the pandemic in the regions with clinical trial sites, the timing and availability of the COVID-19 vaccines and length and severity of travel restrictions and other limitations ordered by governmental agencies. New and potentially more contagious variants, such as the Delta variant, could further affect the impact of the COVID-19 pandemic on our operations.

The economic impact of the COVID-19 pandemic and its effect on capital markets and investor sentiment may adversely impact our ability to raise capital when needed or on acceptable terms to fund our development programs and operations. However, we recently closed public offerings and received net proceeds of approximately $31.5 million in April 2021 and $32.0 million in December 2020, which we plan to use to complete the Phase 2 trial in SBS and continue progression of our Phase 3 trial in celiac disease. In addition, we have several early-stage product candidates that are expected to be IND-enabling in 2021 and recently acquired a humanized monoclonal antibody that we intend to advance to human clinical trials in 2023.

We do not yet know the full extent of potential delays or impacts on our business, clinical trial activities, ability to access capital or on healthcare systems or the global economy as a whole due to the COVID-19 pandemic. However, these effects could have a material adverse impact on our business and financial condition.

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Research and Development Updates

In December 2020, we announced positive top-line results in our Phase 1b/2a clinical trial for the treatment of SBS. Vurolenatide was generally safe and well tolerated and 8 of the 9 patients experienced meaningful declines in TSO following each dose, relative to a baseline output. The rapid onset of clinical improvements in stool volumes, as observed in all 9 patients having substantial reductions in stool output within 48 hours of the first dose, shows the potential for vurolenatide to address the primary problem of chronic malabsorptive diarrhea in SBS patients. Following communication from the FDA in the first quarter of 2021, we initiated a Phase 2 trial of vurolenatide for the treatment of SBS in the second quarter of 2021 in approximately 22 patients using TSO as the primary efficacy outcome measure. The trial is a multi-center, double-blind, double-dummy, randomized placebo-controlled trial. The FDA has provided global anchor questions and specific guidance for performance of exit interviews to support clinical meaningfulness of observed efficacy. We entered into a collaboration with the Duke Clinical Research Institute to support our Phase 2 trial in SBS. We anticipate topline results from the Phase 2 trial in the first quarter of 2022.

We continue to enroll patients in our Phase 3 clinical trial of larazotide in adult patients with celiac disease. We have approximately 110 active clinical trial sites with three parallel treatment groups, 0.25 mg of larazotide tid, 0.5 mg of larazotide tid and a placebo arm. In May 2020, we received a thorough QT (TQT) study waiver from the FDA for the Phase 3 trial of larazotide in celiac disease. The waiver supports larazotide’s strong precedent of safety and could potentially streamline the program’s timeline and cost effectiveness. In addition, after consultation with the FDA, the definition of the primary endpoint was modified to utilize a continuous variable instead of a responder analysis. The new methodology enables a more capital-efficient study, with reduction in participants from 630 to 525. Recently, we entered into collaborations with Beyond Celiac and the Celiac Disease Foundation to support enrollment in the trial. We also launched a celiac disease trial awareness campaign utilizing a dedicated YouTube channel. Additionally, we initiated a social media geo-targeting CeDLara awareness campaign. In October 2021, we held a live/virtual investigators’ meeting directed toward enhancing enrollment efforts. Interim results are expected in the second quarter of 2022 with the topline data readout anticipated in the fourth quarter of 2022.

NM-003, NM-102, and NM-136, further described above in the section titled “Overview,” are undergoing IND-enabling activities and we expect to file for various IND approvals over the next 24 months.

Critical Accounting Policies and Use of Estimates
 
Use of Estimates

Our management’s discussion and analysis of financial condition and results of operations is based on our condensed consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of our condensed consolidated financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements, as well as the reported expenses incurred during the reporting periods. Our estimates are based on our historical experience and on various other assumptions that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Changes in estimates are reflected in reported results for the period in which they become known. Actual results may differ materially from these estimates under different assumptions or conditions.

Critical Accounting Policies

Areas of the financial statements where estimates may have the most significant effect include acquired in-process research and development, fair value measurements, accrued expenses, share-based compensation, income taxes and management’s assessment of our ability to continue as a going concern. Changes in the facts or circumstances underlying these estimates could result in material changes and actual results could differ from these estimates. There have been no material changes to our critical accounting policies described in "Critical Accounting Policies and Use of Estimates" of the Annual Report on Form 10-K for the year ended December 31, 2020, filed with the SEC on March 22, 2021.

Recently Issued Accounting Pronouncements
 
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For details of recent Accounting Standards Updates and our evaluation of their adoption on our condensed consolidated financial statements, see “Note 1—Summary of Significant Accounting Policies—Recent Accounting Pronouncements” to our condensed consolidated financial statements in "Part I. Financial Information - Item I. Financial Statements" included elsewhere in this Quarterly Report on Form 10-Q.
 
Results of Operations
 
Comparison of the Three Months Ended September 30, 2021 and 2020
 
The following table sets forth the key components of our results of operations for the three months ended September 30, 2021 and 2020: 
  Three Months Ended
September 30, 		   
  2021 2020 $ Change % Change
Operating expenses:        
Research and development $ 6,049,444  $ 4,413,707  $ 1,635,737  37  %
Acquired in-process research and development 5,103,753  —  5,103,753  100  %
General and administrative 2,386,461  1,890,492  495,969  26  %
Total operating expenses 13,539,658  6,304,199  7,235,459  115  %
Loss from operations (13,539,658) (6,304,199) (7,235,459) 115  %
Total other income (expense), net (573) (2,029,138) 2,028,565  (100) %
Net loss $ (13,540,231) $ (8,333,337) $ (5,206,894) 62  %
 
Research and Development Expense
 
Research and development expense for the three months ended September 30, 2021, increased approximately $1.6 million, or 37%, as compared to the three months ended September 30, 2020. The increase was driven primarily by an increase in clinical development costs of approximately $3.0 million due to progress in our Phase 3 clinical trial for celiac disease and starting our Phase 2 clinical trial in SBS. Personnel costs and benefits associated with our research and development personnel increased approximately $0.2 million due to hiring additional personnel since September 30, 2020. In addition, non-cash stock compensation expense associated with our research and development personnel increased by approximately $0.1 million primarily due to the increase in fair value of the underlying stock. These increases were offset by a decrease in license milestone fees of approximately $1.7 million.
  Three Months Ended
September 30,
  2021 2020
Research and development expenses:    
NM-001 Celiac Disease $ 1,790,305  $ 1,332,001 
NM-002 Short Bowel Syndrome 2,024,290  384,369 
NM-102 Orphan Indication 576,533  — 
Milestone & license fees 500,000  2,201,985 
Other research and development expenses 1,158,316  495,352 
Total research and development expenses $ 6,049,444  $ 4,413,707 

Acquired In-process Research and Development Expense

Acquired in-process research and development expense was approximately $5.1 million during the three months ended September 30, 2021 and represents expenses associated with the Lobesity Acquisition that closed in July 2021. Approximately $2.6 million represents non-cash acquired in-process research and development expense paid in equity ownership. There was no acquired in-process research and development expense during the three months ended September 30, 2020.
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General and Administrative Expense
 
General and administrative expense for the three months ended September 30, 2021, increased by approximately $0.5 million, or 26%, as compared to the three months ended September 30, 2020. The increase is primarily due to an increase in non-cash stock compensation expense of approximately $0.3 million due to an increase in the fair value of the underlying stock since 2020. In addition, general corporate fees and market research increased by approximately $0.3 million. These increases were offset by a decrease in professional and legal fees of approximately $0.1 million primarily due to additional legal and audit-related fees associated with the RDD Merger during 2020.

Other Income (Expense), Net
 
Other income (expense), net for the three months ended September 30, 2021, changed by approximately $2.0 million, or 100%, as compared to the three months ended September 30, 2020. The increase in other income (expense) is primarily due to the decrease in interest expense of approximately $2.1 million, including $1.9 million for the non-cash beneficial conversion feature associated with our convertible note. This change was offset by the decrease in non-cash gain on fair value of the derivative liabilities of approximately $0.1 million.

Comparison of the Nine Months Ended September 30, 2021 and 2020

The following table sets forth the key components of our results of operations for the nine months ended September 30, 2021 and 2020:

  Nine Months Ended
September 30, 		   
  2021 2020 $ Change % Change
Operating expenses:        
Research and development $ 14,947,036  $ 7,457,509  $ 7,489,527  100  %
Acquired in-process research and development 5,103,753  32,266,893  (27,163,140) (84) %
General and administrative 7,146,432  9,220,020  (2,073,588) (22) %
Warrant inducement expense —  7,157,887  (7,157,887) (100) %
Total operating expenses 27,197,221  56,102,309  (28,905,088) (52) %
Loss from operations (27,197,221) (56,102,309) 28,905,088  (52) %
Total other income (expense), net (27,199) (431,565) 404,366  (94) %
Net loss $ (27,224,420) $ (56,533,874) $ 29,309,454  (52) %


Research and Development Expense

Research and development expense for the nine months ended September 30, 2021 increased approximately $7.5 million, or 100%, as compared to the nine months ended September 30, 2020. The increase was primarily due to an increase in clinical development costs of approximately $9.2 million due to progress in our Phase 3 clinical trial for celiac disease and starting our Phase 2 clinical trial in SBS. Personnel costs and benefits associated with our research and development personnel increased approximately $1.1 million due to hiring additional personnel since September of 2020. These increases were offset by a decrease in non-cash stock compensation expense associated with our research and development personnel of approximately $1.1 million due to the 2020 period including accelerated vesting of certain outstanding options upon closing of the RDD Merger and additional options awarded as a non-cash merger bonus, some of which were fully vested upon grant. Additionally, license fees associated with our intellectual property decreased by approximately $1.7 million during the nine months ended September 30, 2021.

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  Nine Months Ended
September 30,
  2021 2020
Research and development expenses:    
NM-001 Celiac Disease $ 5,294,781  $ 2,183,211 
NM-002 Short Bowel Syndrome 4,614,277  442,044 
NM-102 Orphan Indication 1,424,775  — 
Milestone & license fees 500,000  2,201,985 
Other research and development expenses 3,113,203  2,630,269 
Total research and development expenses $ 14,947,036  $ 7,457,509 

Acquired In-process Research and Development Expense

Acquired in-process research and development expense for the nine months ended September 30, 2021 decreased by approximately $27.2 million, or 84%, as compared to the nine months ended September 30, 2020. Acquired in-process research and development expense during the nine months ended September 30, 2021 represents expenses associated with the Lobesity Acquisition that closed in July 2021. Approximately $2.6 million represents non-cash acquired in-process research and development expense paid in equity ownership. Acquired in-process research and development expense during the nine months ended September 30, 2020 represents expenses associated with the RDD Merger and Naia Acquisition that closed during the second quarter of 2020. Approximately $28.8 million represents non-cash acquired in-process research and development expense paid in equity ownership.

General and Administrative Expense

General and administrative expense for the nine months ended September 30, 2021, decreased by approximately $2.1 million, or 22%, as compared to the nine months ended September 30, 2020. The decrease is primarily due to approximately $1.5 million in accelerated vesting of certain outstanding options upon closing of the RDD Merger in prior period and additional options awarded as a non-cash merger bonus, some of which were fully vested upon grant. In addition, personnel costs associated with our general and administrative personnel decreased by approximately $0.6 million due to severance expense and merger bonuses incurred during prior period as a result of the RDD Merger. Costs associated with operating as a public company also decreased by approximately $0.4 million primarily due to severance awarded to former board members that terminated upon closing of the RDD Merger and the additional proxy costs incurred to obtain approval for the RDD Merger. Additionally, professional fees decreased by approximately $0.3 million. These decreases were offset by an increase in other general corporate fees and market research of approximately $0.7 million.

Warrant Inducement Expense

During the nine months ended September 30, 2020, we recognized warrant inducement expense of approximately $7.2 million. There was no warrant inducement expense incurred during the nine months ended September 30, 2021. The warrant inducement expense represents the accounting fair value of consideration issued to induce exercise of certain warrants in the Offer to Amend and Exercise by reducing the exercise price to $0.10 per share, further described in “Note 1—Summary of Significant Accounting Policies” to the accompanying condensed consolidated financial statements included in this Quarterly Report on Form 10-Q.

Other Income (Expense), Net
 
Other income (expense), net for the nine months ended September 30, 2021, changed by approximately $0.4 million, or 94%, as compared to the nine months ended September 30, 2020. The increase in other income (expense) is primarily due to the decrease in interest expense of approximately $3.6 million due to paying the Unsecured Convertible Note and Additional Note in full in September 2020 and January 2021, respectively. The decrease in interest expense includes a non-cash beneficial conversion feature of approximately $2.1 million. This decrease in other expense was offset by a decrease in other income due to a non-cash gain on fair value of the warrant liabilities of $2.6 million and a non-cash gain on fair value of the derivative liabilities of approximately $0.6 million.

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Liquidity and Capital Resources
 
Sources of Liquidity
 
As of September 30, 2021, we had cash and cash equivalents of approximately $53.6 million, compared to approximately $37.9 million as of December 31, 2020. The increase in cash and cash equivalents was primarily due to the net proceeds of approximately $31.5 million received from the April 2021 Offering. In addition, we received proceeds of approximately $7.9 million from the exercise of warrants. These increases in cash were offset by expenditures for business operations, research and development and clinical trial costs, including launching our Phase 2 trial in SBS and the Lobesity Acquisition.

Based on current projections, we believe we have sufficient cash resources to satisfy our operational needs for at least one year from the date these financial statements were issued. To date, we have not generated revenue from product sales. We do not know when, or if, we will generate any revenue from product sales. We expect to incur substantial expenditures in the foreseeable future for the continued development and clinical trials of our product candidates. We will continue to require additional financing to develop and eventually commercialize our product candidates. Our future liquidity and capital requirements will depend on a number of factors, including the outcome of our clinical trials, which could be delayed due to the ongoing COVID-19 pandemic and our ability to complete the development and commercialization of our products. There are a number of variables beyond our control including the timing, success and overall expense associated with our clinical trials. Consequently, there can be no assurance that we will be able to achieve our objectives and we may need to seek additional equity or debt financings. If we are unable to raise additional funds when needed, our ability to develop our product candidates will be impaired. We may also be required to delay, reduce or terminate some or all of our development programs and clinical trials. If we raise additional funds through the issuance of equity securities, substantial dilution to our existing shareholders would likely occur.

Cash Flows
 
The following table sets forth the primary sources and uses of cash for the nine months ended September 30, 2021 and 2020:
  Nine Months Ended September 30,
  2021 2020
Net cash (used in) provided by:    
Operating activities $ (21,507,608) $ (12,991,291)
Investing activities (2,428,013) (3,186,997)
Financing activities 39,692,818  24,021,338 
Net increase in cash and cash equivalents $ 15,757,197  $ 7,843,050 
 
Operating Activities
 
For the nine months ended September 30, 2021, our net cash used in operating activities of approximately $21.5 million primarily consisted of a net loss of $27.2 million offset by the adjustment for non-cash share-based compensation of approximately $1.9 million, non-cash acquired in-process research and development of approximately $2.6 million and the net change in operating assets and liabilities of approximately $1.2 million.
 
For the nine months ended September 30, 2020, our net cash used in operating activities of approximately $13.0 million primarily consisted of a net loss of $56.5 million, a non-cash gain of $2.6 million for the change in the fair value of the warrant liabilities and a non-cash gain of $0.6 million for the change in fair value of the convertible note derivative liabilities. These decreases were offset by adjustments for non-cash warrant inducement expense of $7.2 million, non-cash share-based compensation of approximately $4.5 million, non-cash interest expense of approximately $1.3 million, a non-cash beneficial conversion feature of approximately $2.1 million associated with the conversion of convertible note principal and interest, non-cash acquired in-process research and development expense of approximately $28.8 million. In addition, the net change in operating assets and liabilities increased by $2.7 million.
 
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Investing Activities
 
Net cash used in investing activities for the nine months ended September 30, 2021 represents the purchase of acquired in-process research and development of approximately $2.5 million and the purchase of property and equipment of approximately $10,000. These cash outflows were offset by the maturity of our restricted investment of $75,000. Net cash used in investing activities for the nine months ended September 30, 2020 represents the purchase of property and equipment of approximately $2,500 and the purchase of acquired in-process research and development, net of assets received, of approximately $3.2 million.
 
Financing Activities
 
For the nine months ended September 30, 2021, net cash provided by financing activities of approximately $39.7 million primarily consisted of (i) gross proceeds of approximately $34.5 million from the April 2021 Offering, (ii) proceeds of approximately $7.9 million from the exercise of warrants, and (iii) proceeds of approximately $0.2 million from the exercise of stock options. These increases were offset by a decrease of approximately $2.9 million in stock issuance costs and less than $0.1 million in repayments of debt.

For the nine months ended September 30, 2020, net cash provided by financing activities of approximately $24.0 million primarily consisted of (i) proceeds of $22.6 million from the issuance of preferred stock and warrants in the RDD Merger Financing, (ii) proceeds of $2.5 million from the issuance of the Additional Note, (iii) proceeds of approximately $2.4 million from the sale of our common stock pursuant to the Sales Agreement with Truist, and (iv) proceeds of approximately $2.0 million from the exercise of warrants. These increases were offset by approximately $1.5 million in cash debt repayments and $4.0 million in stock issuance costs associated with the Warrant Exchange, Offer to Amend and Exercise and RDD Merger and RDD Merger Financing.

Contractual Obligations and Commitments
 
In October 2017, we entered into a three-year lease agreement for office space that expired on September 30, 2020. Base annual rent for the three-year lease period was $60,000. Monthly rent payments of $5,000 were due in advance of the first day of each month for the 24-month term. A security deposit of approximately $5,000 was paid in October 2017. In July 2020, we signed a four-year lease agreement for the same office space with additional square footage that will expire on September 30, 2024 (the “Second Term”). Base annual rent for the Second Term is $72,000 with monthly rent payments of $6,000.

We estimated the present value of the lease payments over the remaining term of the lease using a discount rate of 12%, which represented our estimated incremental borrowing rate. The two-year renewal option was excluded from the lease payments as we concluded the exercise of this option was not considered reasonably certain.

We are obligated to make future payments to third parties under in-license agreements, including sublicense fees, royalties, and payments that become due and payable on the achievement of certain development and commercialization milestones. In general, the amount and timing of sub-license fees and the achievement and timing of development and commercialization milestones are not probable and estimable, and as such, these commitments have not been included on the accompanying condensed consolidated balance sheets.

We also enter into agreements in the normal course of business with contract research organizations and other third parties with respect to services for clinical trials, clinical supply manufacturing and other operating purposes that are generally terminable by us with thirty to ninety days advance notice.
 
Off-Balance Sheet Arrangements
 
As of September 30, 2021, we had no off-balance sheet arrangements as defined in Item 303(a)(4) of Regulation S-K as promulgated by the SEC.
 
Item 3. Quantitative and Qualitative Disclosures About Market Risk
 
Not applicable.
 
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Item 4. Controls and Procedures
 
Evaluation of Disclosure Controls and Procedures
 
Our management, with the participation of our principal executive officer and principal financial officer, evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2021. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate, to allow timely decisions regarding required disclosure. Based on such evaluation, our principal executive officer and principal financial officer concluded that, as of September 30, 2021, our disclosure controls and procedures were effective in providing reasonable assurance that the information required to be disclosed by us in this report was accumulated and communicated in the manner provided above.
 
Changes in Internal Control Over Financial Reporting
 
During the three months ended September 30, 2021, there were no material changes in our internal control over financial reporting that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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PART II -OTHER INFORMATION
 
Item 1. Legal Proceedings
 
We are not currently a party to any legal or governmental regulatory proceedings, nor is our management aware of any pending or threatened legal or government regulatory proceedings proposed to be initiated against us that would have a material adverse effect on our business, financial condition or operating results.
 
Item 1A. Risk Factors.
 
There have been no material changes to the risk factors disclosed in "Item 1A. Risk Factors" of our Annual Report on Form 10-K for the year ended December 31, 2020, filed with the SEC on March 22, 2021.


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

None.

Item 3. Defaults Upon Senior Securities
 
Not applicable.
 
Item 4. Mine Safety Disclosures
 
Not applicable.
 
Item 5. Other Information
    
Not applicable.
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Item 6. Exhibits.

      FILED INCORPORATED BY REFERENCE
EXHIBIT NO.   DESCRIPTION HEREWITH FORM EXHIBIT FILING DATE
2.1* X
31.1   X      
31.2   X      
32.1     X
32.2     X
101.INS   XBRL Instance Document   X
101.SCH   XBRL Taxonomy Extension Schema Document   X
101.CAL   XBRL Taxonomy Extension Calculation Linkbase Document   X
101.DEF   XBRL Taxonomy Extension Definition Document   X
101.LAB   XBRL Taxonomy Extension Label Linkbase Document   X
101.PRE   XBRL Taxonomy Extension Presentation Linkbase Document   X
104.0 Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101) X

* Certain confidential portions and/or the schedules and attachments to this exhibit have been omitted from this filing pursuant to 601(b)(2) and 601(a)(5) of Regulation S-K. The Company will furnish copies of the unredacted exhibit to the SEC upon request.

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SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
  9 METERS BIOPHARMA, INC.
  a Delaware corporation
     
Date: November 15, 2021 By:    /s/ Edward J. Sitar
    Edward J. Sitar
    Chief Financial Officer
(Principal Financial and Principal Accounting Officer)

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