Form 10-Q - Quarterly report [Sections 13 or 15(d)]

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

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

For the quarterly period ended September 30, 2023

☐	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: 001-38418

COCRYSTAL PHARMA, INC.

(Exact name of registrant as specified in its charter)

Delaware		35-2528215
(State or Other Jurisdiction of		(I.R.S. Employer
Incorporation or Organization)		Identification No.)

19805 North Creek Parkway Bothell, WA		98011
(Address of Principal Executive Office)		(Zip Code)

Registrant’s telephone number, including area code: 877-262-7123

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 (Sec.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, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

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 Act). Yes ☐ No ☒

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

COCP

The Nasdaq Stock Market LLC

(The Nasdaq Capital Market)

As of November 13, 2023, the number of outstanding shares of the registrant’s common stock, par value $0.001 per share, was approximately 10,173,790.

COCRYSTAL PHARMA, INC.

FORM 10-Q FOR THE QUARTER ENDED SEPTEMBER 30, 2023

INDEX

Part I - FINANCIAL INFORMATION
Item 1.
Condensed Consolidated Balance Sheets	F-1
Condensed Consolidated Statements of Operations	F-2
Condensed Consolidated Statements of Stockholders’ Equity	F-3
Condensed Consolidated Statements of Cash Flows	F-4
Notes to the Condensed Consolidated Financial Statements	F-5
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations	3
Item 3. Quantitative and Qualitative Disclosures About Market Risk	7
Item 4. Controls and Procedures	7
Part II - OTHER INFORMATION
Item 1. Legal Proceedings	8
Item 1. A. Risk Factors	8
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds	8
Item 3. Defaults Upon Senior Securities	8
Item 4. Mine Safety Disclosures	8
Item 5. Other Information	8
Item 6. Exhibits	9
SIGNATURES	10

Part I – FINANCIAL INFORMATION

COCRYSTAL PHARMA, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except per share data)

	September 30, 2023			December 31, 2022
	(unaudited)
Assets
Current assets:
Cash	$	29,738		$	37,144
Restricted cash		75			75
Tax credit receivable		550			716
Prepaid expenses and other current assets		1,842			2,243
Total current assets		32,205			40,178
Property and equipment, net		252			342
Deposits		46			46
Operating lease right-of-use assets, net (including $57 and $99 respectively, to related party)		111			274
Total assets	$	32,614		$	40,840

Liabilities and stockholders’ equity
Current liabilities:
Accounts payable and accrued expenses	$	1,806		$	976
Current maturities of finance lease liabilities		-			7
Current maturities of operating lease liabilities (including $57 and $59 respectively, to related party)		118			233
Total current liabilities		1,924			1,216
Long-term liabilities:

Operating lease liabilities (including $0 and $42 respectively, to related party)		-			57

Total liabilities		1,924			1,273

Commitments and contingencies (Note 9)		-			-

Stockholders’ equity:
Common stock, $0.001 par value 150,000 shares authorized as of September 30, 2023, and December 31, 2022; 10,174 and 8,143 shares issued and outstanding as of September 30, 2023 and December 31, 2022		10			8
Additional paid-in capital		342,130			337,489
Accumulated deficit		(311,450	)		(297,930	)
Total stockholders’ equity		30,690			39,567
Total liabilities and stockholders’ equity	$	32,614		$	40,840

See accompanying notes to condensed consolidated financial statements.

F-1

COCRYSTAL PHARMA, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

(in thousands, except per share data)

	2023			2022			2023			2022
	Three months ended September 30,						Nine months ended September 30,
	2023			2022			2023			2022
Operating expenses:
Research and development		4,194			3,872			10,902			9,105
General and administrative		1,849			1,822			4,591			4,530
Legal settlement		(1,600	)		-			(1,600	)		1,600
Impairments		-			-			-			19,092
Total operating expenses		4,443			5,694			13,893			34,327

Loss from operations		(4,443	)		(5,694	)		(13,893	)		(34,327	)
Other income (expense):
Interest income (expense), net		320			(1	)		460			(2	)
Foreign exchange loss		(42	)		(5	)		(87	)		(19	)
Change in fair value of derivative liabilities		-			-			-			12
Total other expense, net		278			(6	)		373			(9	)
Net loss	$	(4,165	)	$	(5,700	)		(13,520	)		(34,336	)
Net loss per common share, basic and diluted	$	(.41	)	$	(0.70	)		(1.43	)		(4.23	)
Weighted average number of common shares, basic and diluted		10,153			8,143			9,461			8,143

See accompanying notes to condensed consolidated financial statements.

F-2

COCRYSTAL PHARMA, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(unaudited)

(in thousands)

	Shares		Amount		Capital		Deficit			Equity
	Common Stock				Additional Paid-in		Accumulated			Total Stockholders’
	Shares		Amount		Capital		Deficit			Equity
Balance as of December 31, 2022		8,143	$	8	$	337,489	$	(297,930	)	$	39,567
Stock-based compensation		-		-		291		-			291
Net loss		-		-		-		(5,189	)		(5,189	)
Balance as of March 31, 2023		8,143	$	8	$	337,780	$	(303,119	)	$	34,669
Stock-based compensation		-		-		179		-			179
Sale of common stock to related entities, net of transaction costs		2,031		2		3,998		-			4,000
Net loss		-		-		-		(4,166	)		(4,166	)
Balance as of June 30, 2023		10,174	$	10	$	341,957	$	(307,285	)	$	34,682
Stock-based compensation		-		-		173		-			173
Net loss		-		-		-		(4,165	)		(4,165	)
Balance as of September 30, 2023		10,174	$	10	$	342,130	$	(311,450	)	$	30,690

	Common Stock				Additional Paid-in		Accumulated			Total Stockholders’
	Shares		Amount		Capital		Deficit			Equity
Balance as of December 31, 2021		8,143	$	8	$	336,544	$	(259,093	)	$	77,549
Stock-based compensation		-		-		239		-			239
Net loss		-		-		-		(4,208	)		(4,208	)
Balance as of March 31, 2022		8,143	$	8	$	336,783	$	(263,301	)	$	73,580
Stock-based compensation		-		-		241		-			241
Net loss		-		-		-		(24,428	)		(24,428	)
Balance as of June 30, 2022		8,143	$	8	$	337,114	$	(287,729	)	$	49,393
Stock-based compensation		-		-		216		-			216
Net loss		-		-		-		(5,700	)		(5,700	)
Balance as of September 30, 2022		8,143	$	8	$	337,330	$	(293,429	)	$	49,909

See accompanying notes to condensed consolidated financial statements.

F-3

COCRYSTAL PHARMA, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(in thousands)

	2023			2022
	Nine months ended September 30,
	2023			2022
Operating activities:
Net loss	$	(13,520	)	$	(34,336	)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization expense		149			137
Amortization of right of use assets		163			151
Loss on impairment of goodwill		-			19,092
Stock-based compensation		643			696
Payments on operating lease liabilities		(172	)		(154	)
Change in fair value of derivative liabilities		-			(12	)
Changes in operating assets and liabilities:
Prepaid expenses and other current assets		401			(2,197	)
Tax credit receivable		166			-
Accounts payable and accrued expenses		830			81

Net cash used in operating activities		(11,340	)		(16,542	)

Investing activities:
Purchases of property and equipment		(59	)		(62	)
Net cash used in investing activities		(59	)		(62	)

Financing activities:
Payments on finance lease liabilities		(7	)		(20	)
Proceeds from sale of common stock to related entities, net of transaction costs		4,000			-
Net cash provided by (used in) financing activities		3,993			(20	)

Net decrease in cash and restricted cash		(7,406	)		(16,624	)
Cash and restricted cash at beginning of period		37,219			58,705
Cash and restricted cash at end of period	$	29,813		$	42,131

See accompanying notes to condensed consolidated financial statements.

F-4

COCRYSTAL PHARMA, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

1. Organization and Business

Cocrystal Pharma, Inc. (“we”, the “Company” or “Cocrystal”), a clinical stage biopharmaceutical company incorporated in Delaware, has been developing novel technologies and approaches to create first-in-class or best-in-class antiviral drug candidates. Our focus is to pursue the development and commercialization of broad-spectrum antiviral drug candidates that will transform the treatment and prophylaxis of viral diseases in humans. By concentrating our research and development efforts on viral replication inhibitors, we plan to leverage our infrastructure and expertise in these areas.

The Company’s activities since inception have principally consisted of acquiring product and technology rights, raising capital, and performing research and development. Successful completion of the Company’s development programs, obtaining regulatory approvals of its products and, ultimately, the attainment of profitable operations is dependent on future events, including, among other things, its ability to access potential markets, secure financing, develop a customer base, attract, retain and motivate qualified personnel, and develop strategic alliances. Through September 30, 2023, the Company has primarily funded its operations through equity offerings.

In September 2021, the Company opened a wholly owned foreign subsidiary in Australia named Cocrystal Pharma Australia, Ltd (“Cocrystal Australia”) with the objective of operating clinical trials in Australia.

On September 27, 2022, the Company filed a Certificate of Amendment to the Certificate of Incorporation (the “Amendment”) with the Delaware Secretary of State to effect a reverse stock split of all outstanding shares of the Company’s common stock at a ratio of one-for-12. At the Company’s 2022 Annual Meeting of Stockholders, holders of a majority of the outstanding voting power approved an amendment to the Certificate of Incorporation of the Company to effect a reverse stock split of all outstanding shares of our common stock at a ratio to be determined by the Board of Directors within a range of one-for-four through one-for-12. Following such approval, the Board of Directors determined to effect the reverse stock split at the ratio of one-for-12. The Amendment became effective October 11, 2022 and the effect of the reverse stock split was reflected on the Nasdaq Stock Market.

All share and per share amounts have been retroactively restated to reflect the one-for-12 stock split as if it occurred at the beginning of the earliest period presented.

2. Basis of Presentation and Significant Accounting Policies

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in accordance with United States generally accepted accounting principles (“U.S. GAAP”) for interim financial information, the instructions to Form 10-Q and Article 10 of Regulation S-X set forth by the Securities and Exchange Commission (“SEC”). They do not include all of the information and notes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. The results of operations for the interim periods presented are not necessarily indicative of the results of operations for the entire fiscal year. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company’s annual report on Form 10-K for the year ended December 31, 2022 filed on March 29, 2023 (“Annual Report”).

Principles of Consolidation

The consolidated financial statements include the accounts of Cocrystal Pharma, Inc. and its wholly owned subsidiaries: Cocrystal Discovery, Inc., Cocrystal Pharma Australia Pty Ltd., RFS Pharma, LLC and Cocrystal Merger Sub, Inc. Intercompany transactions and balances have been eliminated.

F-5

Segments

The Company operates in only one segment. Management uses cash flows as the primary measure to manage its business and does not segment its business for internal reporting or decision-making.

Use of Estimates

Preparation of the Company’s consolidated financial statements in conformance with U.S. GAAP requires the Company’s management to make estimates and assumptions that impact the reported amounts of assets, liabilities, revenues and expenses, and the disclosure of contingent assets and liabilities in the Company’s consolidated financial statements and accompanying notes. The significant estimates in the Company’s consolidated financial statements relate to the valuation of equity awards and warrant liabilities, recoverability of deferred tax assets, estimated tax credit receivable and estimated useful lives of fixed assets. The Company bases estimates and assumptions on historical experience, when available, and on various factors that it believes to be reasonable under the circumstances. The Company evaluates its estimates and assumptions on an ongoing basis, and its actual results may differ from estimates made under different assumptions or conditions.

Concentrations of Credit Risk

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash deposited in accounts held at three U.S. financial institutions, which may, at times, exceed federally insured limits of $250,000 for each institution where accounts are held. At September 30, 2023 and December 31, 2022, our two operating accounts held approximately $29,738,000 and $37,144,000, respectively, and our collateral account balance was $75,000 and $75,000 at a different institution. The Company has not experienced any losses in such accounts and believes it is not exposed to significant risks thereof.

Foreign Currency Transactions

The Company and its subsidiaries use the U.S. dollar as functional currency. Foreign currency transactions are initially measured and recorded in the functional currency using the exchange rate on the date of the transaction. Foreign exchange gains and losses arising from settlement of foreign currency transactions are recognized in profit and loss.

Cocrystal Australia maintains its records in Australian dollars. The monetary assets and liabilities of Cocrystal Australia are remeasured into the functional currency using the closing rate at the end of every reporting period. All nonmonetary assets and liabilities and related profit and loss accounts are remeasured into the functional currency using the historical exchange rates. Profit and loss accounts, other than those that are remeasured using the historical exchange rates, are remeasured into the functional currency using the average exchange rate for the period. Foreign exchange gains and losses arising from the remeasurement into the functional currency is recognized in profit and loss.

Fair Value Measurements

FASB Accounting Standards Codification (“ASC”) 820 defines fair value, establishes a framework for measuring fair value under U.S. GAAP and enhances disclosures about fair value measurements. Fair value is defined under ASC 820 as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value under ASC 820 must maximize the use of observable inputs and minimize the use of unobservable inputs. The standard describes a fair value hierarchy based on three levels of inputs, of which the first two are considered observable and the last unobservable, that may be used to measure fair value which are the following:

	Level 1 — quoted prices in active markets for identical assets or liabilities.

	Level 2 — other significant observable inputs for the assets or liabilities through corroboration with market data at the measurement date.

	Level 3 — significant unobservable inputs that reflect management’s best estimate of what market participants would use to price the assets or liabilities at the measurement date.

F-6

The Company categorizes its cash and restricted cash as Level 1 fair value measurements. The Company categorizes its warrants potentially settleable in cash as Level 2 fair value measurements. The warrants potentially settleable in cash are measured at fair value on a recurring basis and are being marked to fair value at each reporting date until they are completely settled or meet the requirements to be accounted for as component of stockholders’ equity. The warrants are valued using the Black-Scholes option pricing model as discussed in Note 7 – Warrants.

At September 30, 2023 and December 31, 2022, the carrying amounts of financial assets and liabilities, such as cash, accounts receivable, other assets, and accounts payable and accrued expenses approximate their fair values due to their short-term nature. The carrying values of leases payable approximate their fair values due to the fact that the interest rates on these obligations are based on prevailing market interest rates.

The Company’s derivative liabilities are considered Level 3 measurements.

Long-Lived Assets

The Company regularly reviews the carrying value and estimated lives of its long-lived assets, including property and equipment, to determine whether indicators of impairment may exist which warrant adjustments to carrying values or estimated useful lives. The determinants used for this evaluation include management’s estimate of the asset’s ability to generate positive income from operations and positive cash flow in future periods as well as the strategic significance of the assets to the Company’s business objective. Should an impairment exist, the impairment loss would be measured based on the excess of the carrying amount over the asset’s fair value.

Research and Development Expenses

Research and development costs consist primarily of fees paid to consultants and outside service providers, and other expenses relating to the acquisition, design, development and testing of the Company’s clinical products. All research and development costs are expensed as incurred. Research and development costs are presented net of tax credits.

The Company’s Australian subsidiary is entitled to receive government assistance in the form of refundable and non-refundable research and development tax credits from the federal and provincial taxation authorities, based on qualifying expenditures incurred during the fiscal year. The refundable credits are from the provincial taxation authorities and are not dependent on its ongoing tax status or tax position and accordingly are not considered part of income taxes. The Company records refundable tax credits as a reduction of research and development expenses when the Company can reasonably estimate the amounts and it is more likely than not, they will be received. During the year ended December 31, 2022, the Company recorded tax credits of $805,000 as a reduction of research and development expense, of which approximately $716,000 was recorded as tax credit receivable as of the year then ended. The Company recorded an accrued tax credit receivable of $550,000 for the nine months ended September 30, 2023; and collected approximately $716,000 of tax credit receivable previously recorded, resulting in a tax credit receivable of $550,000 at September 30, 2023.

Income Taxes

The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are determined based on differences between financial reporting and tax bases of assets and liabilities and are measured using enacted tax rates and laws that are expected to be in effect when the differences are expected to be recovered or settled. Realization of deferred tax assets is dependent upon future taxable income. A valuation allowance is recognized if it is more likely than not that some portion or all of a deferred tax asset will not be realized based on the weight of available evidence, including expected future earnings. The Company recognizes an uncertain tax position in its financial statements when it concludes that a tax position is more likely than not to be sustained upon examination based solely on its technical merits. Only after a tax position passes the first step of recognition will measurement be required. Under the measurement step, the tax benefit is measured as the largest amount of benefit that is more likely than not to be realized upon effective settlement. This is determined on a cumulative probability basis. The full impact of any change in recognition or measurement is reflected in the period in which such change occurs. The Company elects to accrue any interest or penalties related to income taxes as part of its income tax expense.

F-7

As of September 30, 2023, the Company assessed its income tax expense based on its projected future taxable income for the year ending December 31, 2023 and therefore recorded no amount for income tax expense for the nine months ended September 30, 2023. In addition, the Company has significant deferred tax assets available to offset income tax expense due to net operating loss carry forwards which are currently subject to a full valuation allowance based on the Company’s assessment of future taxable income. Refer to our Annual Report on Form 10-K for the year ended December 31, 2022 for more information.

Stock-Based Compensation

The Company recognizes compensation expense using a fair value-based method for costs related to stock-based payments, including stock options. The fair value of options awarded to employees is measured on the date of grant using the Black-Scholes option pricing model and is recognized as expense over the requisite service period on a straight-line basis.

Use of the Black-Scholes option pricing model requires the input of subjective assumptions including expected volatility, expected term, and a risk-free interest rate. The Company estimates volatility using a blend of its own historical stock price volatility as well as that of market comparable entities since the Company’s common stock has limited trading history and limited observable volatility of its own. The expected term of the options is estimated by using the SEC Staff Bulletin No. 107’s Simplified Method for Estimate Expected Term. The risk-free interest rate is estimated using comparable published federal funds rates.

Common Stock Purchase Warrants and Other Derivative Financial Instruments

We classify as equity any contracts that require physical settlement or net-share settlement or provide us a choice of net-cash settlement or settlement in our own shares (physical settlement or net-share settlement) provided that such contracts are indexed to our own stock as defined in ASC 815-40, Contracts in Entity’s Own Equity. We classify as assets or liabilities any contracts that require net-cash settlement (including a requirement to net cash settle the contract if an event occurs and if that event is outside our control) or give the counterparty a choice of net-cash settlement or settlement in shares (physical settlement or net-share settlement). We assess classification of our common stock purchase warrants and other freestanding derivatives at each reporting date to determine whether a change in classification between assets and liabilities is required.

Net Income (Loss) per Share

The Company accounts for and discloses net income (loss) per common share in accordance with FASB ASC Topic 260, Earnings Per Share. Basic income (loss) per common share is computed by dividing income (loss) attributable to common stockholders by the weighted average number of common shares outstanding. Diluted net income (loss) per common share is computed by dividing net income (loss) attributable to common stockholders by the weighted average number of common shares that would have been outstanding during the period assuming the issuance of common stock for all potential dilutive common shares outstanding. Potential common shares consist of shares issuable upon the exercise of stock options and warrants and the conversion of convertible notes payable.

The following table sets forth the number of potential common shares excluded from the calculations of net loss per diluted share because their inclusion would be anti-dilutive (in thousands):

	2023		2022
	September 30,
	2023		2022
Outstanding options to purchase common stock		559		350
Warrants to purchase common stock		13		20
Total		572		370

F-8

Recent Accounting Pronouncements

Authoritative guidance issued by the FASB (including technical corrections to the ASC), the American Institute of Certified Public Accountants, and the SEC did not, or are not expected to, have a material impact on the Company’s consolidated financial statements and related disclosures.

3. Property and Equipment

Property and equipment are recorded at cost and depreciated over the estimated useful lives of the underlying assets (three to five years) using the straight-line method. As of September 30, 2023, and December 31, 2022, property and equipment consists of (table in thousands):

	September 30, 2023			December 31, 2022
Lab equipment	$	1,708		$	1,631
Finance lease right-of-use lab equipment		162			194
Computer and office equipment		145			131
Total property and equipment		2,015			1,956
Less: accumulated depreciation and amortization		(1,763	)		(1,614	)
Property and equipment, net	$	252		$	342

Total depreciation and amortization expense were approximately $149,000 and $137,000 for the nine months ended September 30, 2023 and 2022, which includes amortization expense of $7,164 and $20,000 for the nine months ended September 30, 2023 and 2022, respectively, related to assets under finance lease. For additional finance leases information, refer to Note 9 – Commitments and Contingencies.

4. Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses consisted of the following (in thousands) as of:

	September 30, 2023		December 31, 2022
Accounts payable	$	568	$	614
Accrued compensation		173		130
Accrued other expenses		1,065		232
Total accounts payable and accrued expenses	$	1,806	$	976

Accounts payable and accrued other expenses contain unpaid general and administrative expenses and costs related to research and development that have been billed and estimated unbilled, respectively, as of period-end.

5. Common Stock

The Company has 150,000,000 shares of common stock, $0.001 par value per share, authorized as of September 30, 2023, and December 31, 2022. The Company had 10,174,000 and 8,143,000 shares issued and outstanding as of September 30, 2023, and December 31, 2022. The holders of common stock are entitled to one vote for each share of common stock held.

On April 4, 2023, the Company entered into a Securities Purchase Agreement with two accredited investors that are related entities (the “Purchasers”) pursuant to which the Purchasers purchased a total of 2,030,458 shares of common stock at a price of $1.97 per share for a total purchase price of $4,000,000 in two equal $2,000,000 investments in an unregistered offering exempt from registration pursuant to Section 4(a)(2) of the Securities Act of 1933 and Rule 506(b) promulgated thereunder (see Note 10).

F-9

6. Stock Based Awards

Equity Incentive Plans

The Company adopted an equity incentive plan in 2015 (the “2015 Plan”) under which 833,333 shares of common stock have been reserved for issuance to employees, and non-employee directors and consultants of the Company. Recipients of incentive stock options granted under the 2015 Plan shall be eligible to purchase shares of the Company’s common stock at an exercise price equal to no less than the estimated fair market value of such stock on the date of grant. The maximum term of options granted under the 2015 Plan is ten years. On June 16, 2021, the Company’s stockholders voted to approve an amendment to the 2015 Plan to increase the number of shares of common stock authorized for issuance under the 2015 Plan from 416,667 to 833,333 shares. As of September 30, 2023, 274,599 shares remain available for future grants under the 2015 Plan.

In July 2022, the Compensation Committee of the Company’s Board of Directors granted a total of 158,012 stock options with a fair value of $633,000 effective as of July 26, 2022. The Company granted the stock options to directors, executives, employees, and consultants. The options are ten-year incentive stock options exercisable at $0.42 per share and vesting as follows: one-half vested on the one-year anniversary of the grant date and the remainder vest in eight equal quarterly instalments on the last day of March, June, September and December, with the first such quarterly instalment having vested on September 30, 2023.

In July 2023, the Compensation Committee of the Company’s Board of Directors granted a total of 209,216 stock options with a fair value of $470,000 effective as of July 18, 2023. The Company granted stock options to directors, executives, employees, and consultants. The options are ten-year incentive stock options exercisable at $2.67 per share and vesting as follows: one-half vest on the one-year anniversary of the grant date and the remainder vest in eight equal quarterly instalments on the last day of March, June, September and December, with the first such quarterly installment vesting on September 30, 2024.

The following table summarizes stock option transactions for the 2015 Plan, collectively, for the nine months ended September 30, 2023 (in thousands, except per share amounts):

	Number of Shares Available for Grant			Total Options Outstanding		Weighted Average Exercise Price		Aggregate Intrinsic Value
Balance at December 31, 2022		484			350	$	14.98	$	0.00
Increase in authorized options		-			-		-		-
Exercised		-			-		-		-
Granted		(209	)		209		2.67		-
Expired		-			-		-		-
Cancelled		-			-		-		-
Balance at September 30, 2023		275			559	$	10.37	$	-

The Company accounts for share-based awards to employees and nonemployee directors and consultants in accordance with the provisions of ASC 718, Compensation—Stock Compensation., and under the recently issued guidance following FASB’s pronouncement, ASU 2018-07, Compensation—Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting. Under ASC 718, and applicable updates adopted, share-based awards are valued at fair value on the date of grant and that fair value is recognized over the requisite service, or vesting, period. The Company values its equity awards using the Black-Scholes option pricing model, and accounts for forfeitures when they occur. For the three and nine months ended September 30, 2023 and 2022, equity-based compensation expense recorded was $173,000 and $643,000 and $216,000 and $696,000 respectively.

F-10

The fair value of share option award is estimated using the Black-Scholes option pricing method based on the following weighted-average assumptions:

	2023			2022
	Nine Months Ended September 30,
	2023			2022

Risk-Free interest rate		2.33	%		1.64	%
Expected dividend yield		0.00	%		0.00	%
Expected volatility		95.08	%		87.81	%
Expected term (in years)		5.10			4.8

As of September 30, 2023, there was approximately $879,000 of total unrecognized compensation expense related to non-vested stock options that is expected to be recognized over a weighted average period of 1.1 years. For options granted and outstanding, there were 559,000 options outstanding which were fully vested or expected to vest, with an aggregate intrinsic value of $0.00, a weighted average exercise price of $10.37 and weighted average remaining contractual term of 8.47 years at September 30, 2023. For vested and exercisable options, outstanding shares totaled 264,000, with an aggregate intrinsic value of $0.00. These options had a weighted average exercise price of $17.68 per share and a weighted-average remaining contractual term of 7.37 years at September 30, 2023.

The aggregate intrinsic value of outstanding and exercisable options at September 30, 2023 was calculated based on the closing price of the Company’s common stock as reported on The Nasdaq Capital Market on September 30, 2023 of $1.87 per share less the exercise price of the options. The aggregate intrinsic value is calculated based on the positive difference between the closing fair market value of the Company’s common stock and the exercise price of the underlying options.

Common Stock Reserved for Future Issuance

The following table presents information concerning common stock available for future issuance (in thousands) as of:

	September 30, 2023		September 30, 2022
Stock options issued and outstanding		558		350
Shares authorized for future option grants		275		484
Warrants outstanding		13		20
Total		846		854

7. Warrants

The following is a summary of activity in the number of warrants outstanding to purchase the Company’s common stock for the nine months ended September 30, 2023 (in thousands):

	Warrants Accounted for as: Equity		Warrants Accounted for as: Liabilities
	May 2018 Warrants		October 2013 Warrants		January 2014 Warrants		Total
Outstanding, December 31, 2022		-		2		11		13
Exercised		-		-		-		-
Granted		-		-		-		-
Expired		-		-		-		-
Outstanding, September 30, 2023		-		2		11		13
Expiration date:		-		10/24/2023		01/16/2024		-

Warrants Classified as Liabilities

Liability-classified warrants consist of warrants issued by Biozone Pharmaceuticals, Inc. (“Biozone”), the Company’s predecessor, in connection with an equity financing in October 2013 which were assumed by the Company in connection with its merger with Biozone in January 2014 and warrants issued by the Company in January 2014. Warrants accounted for as liabilities have the potential to be settled in cash or are not indexed to the Company’s own stock.

F-11

The estimated fair value of outstanding warrants accounted for as liabilities is determined at each balance sheet date. Any decrease or increase in the estimated fair value of the warrant liability since the most recent balance sheet date is recorded in the condensed consolidated statement of operations as changes in fair value of derivative liabilities.

The fair value of the warrants classified as liabilities is estimated using the Black-Scholes option-pricing model with the following inputs as of September 30, 2023:

	October 2013 Warrants			January 2014 Warrants

Strike price	$	180.00		$	180.00
Expected dividend yield		0.00	%		0.00	%
Contractual term (years)		0.1			0.3
Cumulative volatility		133.64	%		134.93	%
Risk-free rate		4.93	%		4.89	%
Value per warrants	$	0.00		$	0.00
Fair value (in thousands)	$	0.00		$	0.00

The fair value of the warrants classified as liabilities is estimated using the Black-Scholes option-pricing model with the following inputs as of December 31, 2022:

	October 2013 Warrants			January 2014 Warrants

Strike price	$	180.00		$	180.00
Expected dividend yield		0.00	%		0.00	%
Expected term (years)		0.8			1.0
Cumulative volatility		143.06	%		145.00	%
Risk-free rate		4.42	%		4.40	%
Fair value (in thousands)	$	0.00		$	0.00

The Company estimates volatility using its own historical stock price volatility. The expected life assumption is based on the remaining contractual terms of the warrants. The risk-free rate is based on the zero-coupon rates in effect at the balance sheet date. The dividend yield used in the pricing model is zero, because the Company has no present intention to pay cash dividends.

8. Licenses and Collaborations

Merck Sharp & Dohme Corp.

On January 2, 2019, the Company entered into an Exclusive License and Research Collaboration Agreement (the “Collaboration Agreement”) with Merck to discover and develop certain proprietary influenza A/B antiviral agents. Under the terms of the Collaboration Agreement, Merck funds research and development for the program, including clinical development, and will be responsible for worldwide commercialization of any products derived from the collaboration. Cocrystal is eligible to receive payments related to designated development, regulatory and sales milestones with the potential to earn up to $156,000,000, as well as royalties on product sales. Merck can terminate the Collaboration Agreement at any time prior to the first commercial sale of the first product developed under the Collaboration Agreement, in its sole discretion, without cause.

F-12

Kansas State University Research Foundation

Cocrystal entered into a License Agreement with Kansas State University Research Foundation (the “Foundation”) on February 18, 2020 to further develop certain proprietary broad-spectrum antiviral compounds for the treatment of norovirus and coronavirus infections.

Pursuant to the terms of the License Agreement, the Foundation granted the Company an exclusive royalty bearing license to practice under certain patent rights, under patent applications covering antivirals against coronaviruses, caliciviruses, and picornaviruses, and related know-how, including to make and sell therapeutic, diagnostic and prophylactic products. The Company agreed to pay the Foundation a one-time non-refundable license initiation fee of $80,000 under the License Agreement, and annual license maintenance fees. The Company also agreed to make certain future milestone payments, dependent upon the progress of clinical trials, regulatory approvals, and initiation of commercial sales in the United States and certain countries outside the United States.

9. Commitments and Contingencies

Commitments

In the ordinary course of business, the Company enters into non-cancellable leases to purchase equipment and for its facilities, including related party leases (see Note 10 – Transactions with Related Parties). Leases are accounted for as operating leases or finance leases, in accordance with ASC 842, Leases.

Operating Leases

The Company leases office space in Miami, Florida and research and development laboratory space in Bothell, Washington under operating leases that expire on August 31, 2024 and January 31, 2024, respectively. For operating leases, the weighted average discount rate is 6.8% and the weighted average remaining lease term is 0.6 years.

The following table summarizes the Company’s maturities of operating lease liabilities, by year and in aggregate, as of September 30, 2023 (table in thousands):


2023 (excluding the nine months ended September 30, 2023)	$	62
2024		58
2025		-
Thereafter		-
Total operating lease payments		120
Less: present value discount		(2	)
Total operating lease liabilities	$	118

As of September 30, 2023, the total operating lease liability of $117 is classified as a current operating lease liability.

The operating lease liabilities summarized above do not include variable common area maintenance (the “CAM”) charges, which are contractual liabilities under the Company’s Bothell, Washington lease. CAM charges for the Bothell, Washington facility are calculated annually based on actual common expenses for the building incurred by the lessor and proportionately billed to tenants based on leased square footage. For the nine months ended September 30, 2023 and 2022, approximately $76,000 and $ 69,000 of CAM was included in general and administrative operating expenses on the condensed consolidated statements of operations, respectively.

The minimum lease payments above include the amounts that would be paid if the Company maintains its Bothell lease for the five-year term, starting February 2019.

On September 1, 2021, the Company entered into a three-year lease extension with a limited liability company controlled by Dr. Phillip Frost, a director and a principal stockholder of the Company. On an annualized basis, straight-line rent expense is approximately $62,000, including fixed and estimable fees and taxes.

For the nine months ended September 30, 2023 and 2022, operating lease expense, excluding short-term leases, finance leases and CAM charges, totaled approximately $175,000 and $ 175,000, respectively, of which $47,000 for each period was to a related party.

F-13

Finance Leases

In April 2020, the Company entered into lease agreements to acquire lab equipment with 36 monthly payments of $2,000 payable through March 31, 2023. The final payment under the lease agreement was made in March 2023. The Company is in contact with the lessor to transfer title of the equipment to the Company.

The leased lab equipment is depreciable over five years and is presented net of accumulated depreciation on the condensed consolidated balance sheets under property and equipment. As of September 30, 2023, total right-of-use lab equipment net of depreciation recognized under finance leases is $0.00 and depreciation expense for the nine months ended September 30, 2023 was $4,000. As of December 31, 2022, total right-of-use assets lab equipment exchanged for finance lease liabilities was $194,000 and accumulated depreciation for lab equipment under finance leases was $158,000. The remaining lab equipment under the finance lease terminated on March 31, 2023, and due to the leased equipment’s remaining 25 months of useful life, it was transferred to fixed assets at book value of $32,000, and continues to depreciate.

Phase 2a Clinical Trial

On August 3, 2022 the Company engaged hVIVO, a subsidiary of London-based Open Orphan plc (AIM: ORPH), a rapidly growing specialist contract research organization (“CRO”), to conduct a Phase 2a clinical trial with the Company’s novel, broad-spectrum, orally administered antiviral influenza candidate. The Company prepaid a reservation fee of $1.7 million upon execution of the agreement and during 2023 the Company expensed $442,000 leaving a balance of $1,277,000 in prepaid and other expenses at September 30, 2023. In addition, the Company incurred additional costs of $942,000 on this agreement during the period for total expenses of approximately $1,384,000 during the nine months ended September 30, 2023.

The total estimated cost of the agreement (including the reservation fee) is approximately $7.2 million.

Contingencies

From time to time, the Company is a party to, or otherwise involved in, legal proceedings arising in the normal course of business. As of the date of this report, except as described below, the Company is not aware of any proceedings, threatened or pending, against it which, if determined adversely, would have a material effect on its business, results of operations, cash flows or financial position.

Liberty Insurance Underwriters Inc. (“Liberty”) filed suit against us in federal court in Delaware seeking a declaratory judgment that there was no insurance coverage for any settlement, judgment, or defense costs in the class and derivative litigation, that the monies totaling approximately $1 million it paid to the Company in connection with the SEC investigation were not covered by insurance, and for recoupment of the monies already paid. We retained counsel to defend us which has filed an answer to the complaint denying its material allegations, as well as a counterclaim against Liberty for breach of contract, declaratory judgment, bad faith and violation of the Washington State Consumer Protection Act, alleging among other things that Liberty wrongfully denied the Company’s claims for coverage of the class and derivative litigations, and seeking money damages. On June 7, 2022, the court filed a Stipulation and Order for Entry of Judgment in the amount of $1,359,064 in favor of Liberty (the “Judgment”) following summary judgment granted by the court to Liberty on all but one of the matters at issue in the case. The Company filed an appeal in July 2022 and paid $1.6 million into the registry of the court (the “Deposit”) which stayed execution of the Judgment and the $1.6 million was expensed by the Company in 2022. On March 29, 2023, the Third Circuit ruled in favor of the Company on the appeal, thereby vacating the trial court’s prior grant of summary judgment in favor of Liberty. As a result of this ruling, the case has been remanded to the District Court for trial on the merits of the Company’s coverage claims for defense and settlement costs. On July 18, 2023 the District Court issued an order establishing deadlines for certain pre-trial matters and setting a trial date of December 4, 2023 for the new trial. The Court had ordered the return of the $1.6 million. On August 8, 2023, the Company received $1.6 million as refunded by the registry of the court and reflected the recovery of the funds in its statement of operations for the three and nine months ended September 30, 2023.

10. Transactions with Related Parties

On April 4, 2023, the Company entered into a Securities Purchase Agreement with two accredited investors (the “Purchasers”) whereby the Purchasers agreed to purchase a total of 2,030,458 shares of unregistered common stock at a price of $1.97 per share for a total purchase price of $4,000,000 in two equal $2,000,000 investments. The Purchasers were an entity controlled by a director and another investor who subsequently joined the Company’s Board of Directors.

F-14

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Overview

Cocrystal Pharma, Inc. (the “Company” or “Cocrystal”) is a clinical-stage biotechnology company seeking to discover and develop novel antiviral therapeutics as treatments for serious and/or chronic viral diseases. We employ unique structure-based technologies and Nobel Prize winning expertise to create first- and best-in-class antiviral drugs. These technologies are designed to efficiently deliver small molecule therapeutics that are safe, effective and convenient to administer. We have identified promising preclinical and clinical-stage antiviral compounds for unmet medical needs including influenza virus, coronavirus, norovirus and hepatitis C virus (“HCV”).

Impact of Inflation

The Company does not believe that inflation has had a material effect on its operations to date, other than the impact of inflation on the general economy. However, there is a risk that the Company’s operating costs could become subject to inflationary pressures in the future, which could have a material effect on increasing the Company’s operating costs, and which would put additional stress on the Company’s working capital resources.

Research and Development Update

During the nine months ended September 30, 2023 the Company continued to focus its research and development efforts primarily in three areas.

Influenza infections

We have several candidates under development for the treatment of influenza infection. CC-42344, a novel oral PB2 and inhaled inhibitor, was selected as a preclinical lead for the treatment of pandemic and seasonal influenza A. The oral CC-42344 has recently received regulatory authorization to initiate a Phase 2a human challenge trial. In addition, we have also initiated inhalation formulation and preclinical studies of CC-42344. This candidate binds to a highly conserved PB2 site of influenza polymerase complex (PB1: PB2: PA) and exhibits a novel mechanism of action. CC-42344 showed excellent in vitro antiviral activity against influenza A strains, including avian pandemic strains and Tamiflu® and Xofluza® resistant strains, and has favorable pharmacokinetic and drug resistance profiles.

In March 2022 enrollment was initiated in a randomized, double-blind, placebo-controlled Phase 1 clinical trial of CC-42344, which was conducted in Australia. In April 2022 we announced preliminary results from the first two cohorts of the single-ascending dose portion of the clinical trial in which CC-42344 demonstrated a favorable safety and pharmacokinetic profile. In December 2022 we reported favorable safety and tolerability results from a Phase 1 clinical trial of CC-42344 for the treatment of both pandemic and seasonal influenza A.

Recently in October 2023, we announced receipt of authorization from the United Kingdom Medicines and Healthcare Products Regulatory Agency (MHRA) to initiate a Phase 2a human challenge trial and expects to begin treating influenza-infected subjects in this trial during the fourth quarter of 2023.

Preclinical development is underway with an inhaled formulation of CC-42344 as a potential treatment and prophylaxis for influenza A.

In addition, novel inhibitors effective against both influenza strains A and B have been identified and are in the preclinical stage. Several of these have in vitro potency approaching single-digit nanomolar.

Merck Collaboration

On January 2, 2019, the Company entered into an Exclusive License and Research Collaboration Agreement (the “Collaboration Agreement”) with Merck Sharp & Dohme Corp. (“Merck”) to discover and develop certain proprietary influenza A/B antiviral agents. See “Note 8. Licenses and Collaborations-Merck Sharp & Dohme Corp.” in the footnotes accompanying the financial statements contained in this report for more information.

In January 2021 we announced that we completed all research obligations under the Merck exclusive worldwide license and collaboration agreement, and that Merck would be solely responsible for further development of the influenza A/B antiviral compounds that were discovered using Cocrystal’s unique structure-based technologies and Nobel Prize-winning expertise. In early 2023 Merck reported that it was continuing development of the influenza A/B antiviral compounds under the terms of our Collaboration Agreement and was legally protecting the intellectual property for both companies of the compounds covered under the collaboration. In January 2023 Merck notified Cocrystal of its intent to continue development of the proprietary compounds discovered under this agreement and of their filing on behalf of both companies of multiple U.S. and international patent applications associated with these compounds. Merck continues to be responsible for managing the patents.

Coronavirus infections

In October 2022, we announced the selection of a novel, broad-spectrum antiviral drug candidate CDI-988 for clinical development as an oral treatment for SARS-CoV-2, the virus that causes COVID-19. CDI-988 targets a highly conserved region in the active site of SARS-CoV-2 main (3CL) protease required for viral replication and was specifically designed and developed as an oral antiviral candidate for COVID-19 using Cocrystal’s proprietary structure-based drug discovery platform technology. CDI-988 exhibited superior in vitro potency against SARS-CoV-2 with activity maintained against variants of concern, and demonstrated a safety profile and pharmacokinetic properties that are supportive of once-daily dosing. We have initiated a randomized, double-blind, placebo-controlled Phase 1 clinical trial of CDI-988. In September 2023 we announced dosing of first subjects in the Phase 1 trials.

In May 2023 we announced approval from the Australian Human Research Ethics Committee (HREC) to conduct a randomized, double-blind, placebo-controlled Phase 1 trial to evaluate the safety, tolerability and pharmacokinetics of oral CDI-988 in single ascending doses (SAD) including food effect cohort, and multiple ascending doses (MAD) compared to placebo in healthy volunteers.

Norovirus Infections

We have further developed CDI-988 as a dual broad-spectrum antiviral inhibitor that targets a highly conserved region in the active site of coronavirus, norovirus, and other 3CL viral proteases. Preclinical studies have shown CDI-988’s pan-viral activity against different RNA viruses including potential benefit against norovirus infection. In August 2023 we announced the selection of CDI-988 as our lead norovirus infection oral candidate. Our ongoing randomized, double-blind, placebo-controlled Phase 1 clinical trial of CDI-988 in healthy subjects for coronavirus is also intended to serve our requirements of a norovirus Phase 1 clinical trial.

Results of Operations for the Nine Months Ended September 30, 2023 compared to the Nine Months Ended September 30, 2022

Research and Development Expense

Research and development expense consists primarily of compensation-related costs for our employees dedicated to research and development activities and clinical trials, as well as lab supplies, lab services, and facilities and equipment costs related to our research and development programs.

Total research and development expenses for the three months ended September 30, 2023, and 2022 were $4,194,000 and $3,872,000, respectively. The increase of $322,000 was primarily due to our Influenza CC-42344 product candidate moving into a Phase 2a clinical trial and the ongoing Phase 1 clinical trial of CDI-988.

Total research and development expenses for the nine months ended September 30, 2023 and 2022 were $10,902,000 and $9,105,000, respectively. The increase of $1,797,000 was primarily due to approximately $1,384,000 to our contract research organization (“CRO”) (see Note 9 under heading Phase 2a Clinical Trial) in preparations for the CC-42344 Phase 2a clinical trial for pandemic and seasonal influenza A, and our oral CDI-988 Covid-19 and norovirus ongoing clinical trial and reduced by tax credits of $523,000 for research and development expenses.

General and Administrative Expense

General and administrative expenses include compensation-related costs for our employees dedicated to general and administrative activities, legal fees, audit and tax fees, consultants and professional services, and general corporate expenses.

General and administrative expenses for the three months ended September 30, 2023, and 2022 were $1,849,000 and $1,822,000, respectively, remaining relatively stable between periods.

General and administrative expenses for the nine months ended September 30, 2023 and 2022 were $4,591,000 and $4,530,000, respectively. The increase of $61,000 was primarily due to professional fees and general corporate cost increases.

There was no impairment for nine months ended September 30, 2023. During the nine months ended September 30, 2022 the Company recorded a $19,092,000 non-cash impairment expense of goodwill.

During the nine months ended September 30, 2022 the Company paid $1.6 million into the registry of the court that was expensed as legal settlement. Following a favorable appeal ruling, the Company received a refund of the $1.6 million from the registry of the court during the period ended September 30, 2023 (See “Note 9 - Commitments and Contingencies”) in the footnotes accompanying the financial statements contained in this report for more information on this litigation.

Interest Income (Expense), Net

Interest income (expense) for the three months ended September 30, 2023 and 2022 was $320,000 and ($1,000), respectively, and for the nine months ended September 30, 2023 and 2022 was $460,000 and ($2,000), respectively. The interest income was primarily earned on cash held in interest bearing bank accounts.

Other Income (Expense)

In accordance with U.S. GAAP, we record other income or expense based upon the computed change in fair value of our outstanding warrants that are accounted for as liabilities. The fair value of our outstanding warrants is inversely related to the fair value of the underlying common stock; as such, an increase in the price of our common stock during a given period generally results in other expense. Conversely, a decrease in the price of our common stock generally results in other income. The change in the fair value of derivative liabilities for the nine months ended September 30, 2023 and 2022 was $0 and $12,000, respectively.

In 2022, the Company established a wholly owned subsidiary in Australia, making it subject to foreign exchange rate fluctuations. Foreign exchange loss during the nine months ended September 30, 2023 and 2022 was $87,000 and $19,000, respectively.

Income Taxes

No income tax benefit or expense was recognized for the three and nine months ended September 30, 2023 and 2022. The Company’s effective income tax rate was 0.00% for the three and nine months ended September 30, 2023 and 2022. As a result of the Company’s cumulative losses, management has concluded that a full valuation allowance against the Company’s net deferred tax assets is appropriate.

Net Loss

As a result of the above factors, net loss for the three and nine months ended September 30, 2023 was $4,165,000 and $13,520,000, respectively, compared with a net loss for the three and nine months ended September 30, 2022 was $5,700,000 and $34,336,000, respectively, as a result of developments related to our expenses described above.

Liquidity and Capital Resources

Net cash used in operating activities was $11,340,000 for the nine months ended September 30, 2023 compared with net cash used in operating activities of $16,542,000 for the same period in 2022. This decrease was primarily due to 2022 increases in prepaid expenses and other current assets for a reservation fee of $1.7 million (see Note 9) in preparation for our Influenza A Phase 2a clinical trial and a $1.6 million legal settlement (see Note 9).

We used $59,000 net cash for investing activities during the nine months ended September 30, 2023 compared with $62,000 net cash used for the same period in 2022. For the nine months ended September 30, 2023 the level of investments decreased compared with September 30, 2022 due to reduced capital expenditures in 2023 period.

Net cash provided by financing activities totaled $3,993,000 for the nine months ended September 30, 2023 compared with net cash used in financing activities of $20,000 for the same period in 2022. On April 4, 2023, the Company raised $4,000,000 in a private placement sale of 2,030,458 shares of our common stock.

The Company has not yet established an ongoing source of revenue sufficient to cover its operating costs. The Company had $29,738,000 unrestricted cash on September 30, 2023. The Company believes it has sufficient cash to maintain planned operations for more than the next 12 months.

We have focused our efforts on research and development activities, including through collaborations with suitable partners. We have been profitable on a quarterly basis but have never been profitable on an annual basis. We have no products approved for sale and have incurred operating losses and negative operating cash flows on an annual basis since inception.

The Company’s interim consolidated financial statements are prepared using generally accepted accounting principles in the United States of America applicable to a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. Historically, public and private equity offerings have been our principal source of liquidity.

The Company is party to the At-The-Market Offering Agreement, dated July 1, 2020 (“ATM Agreement”) with H.C. Wainwright & Co., LLC (“Wainwright”), pursuant to which the Company may issue and sell over time and from time to time, to or through Wainwright, up to $10,000,000 of shares of the Company’s common stock. During January 2021, the Company sold 1,030,000 shares of its common stock pursuant to the ATM Agreement for net proceeds of approximately $2,072,000. There were no sales under the ATM Agreement during the nine months ended September 30, 2023.

On April 4, 2023, the Company entered into a Securities Purchase Agreement with two accredited investors (the “Purchasers”) pursuant to which the Purchasers purchased a total of 2,030,458 shares of common stock at a price of $1.97 per share for a total purchase price of $4,000,000 in two equal $2,000,000 investments in an unregistered offering exempt from registration pursuant to Section 4(a)(2) of the Securities Act of 1933 and Rule 506(b) promulgated thereunder.

As the Company continues to incur losses, achieving profitability is dependent upon the successful development, approval and commercialization of its product candidates, and achieving a level of revenues adequate to support the Company’s cost structure. The Company may never achieve profitability, and unless and until it does, the Company will continue to need to raise additional capital. Management intends to fund future operations through additional private or public equity offerings and through arrangements with strategic partners or from other sources. There can be no assurances, however, that additional funding will be available on terms acceptable to the Company, or at all, and any equity financing may be very dilutive to existing stockholders.

Cautionary Note Regarding Forward-Looking Statements

This report includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements regarding the future effectiveness of our product candidates, our plans for the future development of preclinical and clinical drug candidates, the expected time of achieving certain value driving milestones in our programs, including reporting the results of the Phase 1 clinical trial and commencing the Phase 2a clinical clinical trial for our Influenza A program, and progressing our COVID-19 and norovirus programs in the clinical development process, our expectations regarding future operating results and liquidity. The words “believe,” “may,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “could,” “target,” “potential,” “is likely,” “will,” “expect” and similar expressions, as they relate to us, are intended to identify forward-looking statements. We have based these forward-looking statements largely on our current expectations and projections about future events and financial trends that we believe may affect our financial condition, results of operations, business strategy and financial needs.

The results anticipated by any or all of these forward-looking statements might not occur. Important factors that could cause actual results to differ from those in the forward-looking statements include the risks and uncertainties arising from the risks arising from inflation, interest rate increases, the recent banking crisis, the possibility of a recession and the economic impact of the wars in Israel and Ukraine on our Company, our collaboration partners, and on the U.S., U.K., Australia and global economies, including downturns in economic activity and capital markets, manufacturing and research delays arising from raw materials and labor shortages, supply chain disruptions and other business interruptions including any adverse impacts on our ability to obtain raw materials and test animals as well as similar problems with our vendors and our current and any future CROs and contract manufacturing organizations (CMOs), the ability of our CROs to recruit volunteers for, and to proceed with, clinical studies, our reliance on Merck for further development in the influenza A/B program under the license and collaboration agreement, our and our collaboration partners’ technology and software performing as expected, financial difficulties experienced by certain partners, the results of any current and future preclinical and clinical trials, general risks arising from clinical trials, receipt of regulatory approvals, regulatory changes, development of effective treatments and/or vaccines by competitors, including as part of the programs financed by governmental authorities, potential mutations in a virus we are targeting which may result in variants that are resistant to a product candidate we develop, and the outcome of the ongoing litigation with Liberty. Further information on our risk factors is contained in our filings with the SEC, including our Annual Report on Form 10-K for the year ended December 31, 2022. We undertake no obligation to publicly update or revise any forward-looking statements, whether as the result of new information, future events or otherwise.

Critical Accounting Policies and Estimates

In our Annual Report on Form 10-K for the year ended December 31, 2022, we disclosed our critical accounting policies and estimates upon which our financial statements are derived.

Accounting estimates. The preparation of financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ significantly from these estimates.

Readers are encouraged to review these disclosures in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 in conjunction with the review of this report.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

We carried out an evaluation, under the supervision and with the participation of our management, including our Co-Chief Executive Officers and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934 (the “Exchange Act”) as of the end of the period covered by this report. Based on that evaluation, our Co-Chief Executive Officers and Chief Financial Officer have concluded that our disclosure controls and procedures as of September 30, 2023 were effective to ensure that information required to be disclosed by us in reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms.

Changes in Internal Control over Financial Reporting

There were no material changes in our internal controls over financial reporting or in other factors that could materially affect, or are reasonably likely to affect, our internal controls over financial reporting during the quarter ended September 30, 2023. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

PART II — OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

From time to time, the Company is a party to, or otherwise involved in, legal proceedings arising in the normal course of business. During the reporting period, except as set forth below, there have been no material changes to the description of legal proceedings set forth in our Annual Report on Form 10-K for the year ended December 31, 2022 and our Quarterly Report on Form 10-Q for the quarter ended June 30, 2023.

ITEM 1.A RISK FACTORS

None.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

All recent sales of unregistered securities have been previously reported.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

None.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable.

ITEM 5. OTHER INFORMATION

None.

ITEM 6. EXHIBITS

The exhibits listed in the accompanying “Exhibit Index” are filed or incorporated by reference as part of this Form 10-Q.

EXHIBIT INDEX

Exhibit		Incorporated by Reference			Filed or Furnished
No.	Exhibit Description	Form	Date	Number	Herewith
3.1	Certificate of Incorporation, as amended	10-Q	8/16/21	3.1
3.1(a)	Certificate of Amendment to Certificate of Incorporation	8-K	10/3/22	3.1
3.2	Amended and Restated Bylaws	8-K	2/19/21	3.1
31.1	Certification of Principal Executive Officer (302)				Filed
31.2	Certification of Principal Executive Officer (302)				Filed
31.3	Certification of Principal Financial Officer (302)				Filed
32.1	Certification of Principal Executive and Principal Financial Officer (906)				Furnished*
101.INS	Inline XBRL Instance Document				Filed
101.SCH	Inline XBRL Taxonomy Extension Schema Document				Filed
101.CAL	Inline XBRL Taxonomy Extension Calculation Linkbase Document				Filed
101.DEF	Inline XBRL Taxonomy Extension Definition Linkbase Document				Filed
101.LAB	Inline XBRL Taxonomy Extension Label Linkbase Document				Filed
101.PRE	Inline XBRL Taxonomy Extension Presentation Linkbase Document				Filed
104	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)				Filed

* This exhibit is being furnished rather than filed and shall not be deemed incorporated by reference into any filing, in accordance with Item 601 of Regulation S-K.

** Certain schedules and other attachments have been omitted. The Company undertakes to furnish the omitted schedules and attachments to the Securities and Exchange Commission upon request.

Copies of this report (including the financial statements) and any of the exhibits referred to above will be furnished at no cost to our stockholders who make a written request to our Corporate Secretary at Cocrystal Pharma, Inc., 4400 Biscayne Blvd, Suite 101, Miami, FL 33137.

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, thereunto duly authorized.

	Cocrystal Pharma, Inc.

Dated: November 13, 2023	By:	/s/ Sam Lee
		Sam Lee
		President and Co-Chief Executive Officer
		(Principal Executive Officer)

Dated: November 13, 2023	By:	/s/ James Martin
		James Martin
		Chief Financial Officer and Co-Chief Executive Officer
		(Principal Executive Officer and Principal Financial Officer)

Exhibit 31.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER

I, Sam Lee, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Cocrystal Pharma, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 13, 2023

/s/ Sam Lee
Sam Lee
President and Co-Chief Executive Officer
(Principal Executive Officer)

Exhibit 31.2

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER

I, James Martin, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Cocrystal Pharma, Inc.;

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 13, 2023

/s/ James Martin
James Martin
Co-Chief Executive Officer
(Principal Executive Officer)

Exhibit 31.3

CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER

I, James Martin, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Cocrystal Pharma, Inc.;

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 13, 2023

/s/ James Martin
James Martin
Chief Financial Officer
(Principal Financial Officer)

Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the quarterly report of Cocrystal Pharma, Inc. (the “Company”) on Form 10-Q for the quarter ended September 30, 2023, as filed with the Securities and Exchange Commission on the date hereof, I, Sam Lee, certify, pursuant to 18 U.S.C. Sec.1350, as adopted pursuant to Sec.906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

1. The quarterly report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 and

2. The information contained in the quarterly report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ Sam Lee
Sam Lee
President and Co-Chief Executive Officer
(Principal Executive Officer)

Dated: November 13, 2023

In connection with the quarterly report of Cocrystal Pharma, Inc. (the “Company”) on Form 10-Q for the quarter ended September 30, 2023, as filed with the Securities and Exchange Commission on the date hereof, I, James Martin, certify, pursuant to 18 U.S.C. Sec.1350, as adopted pursuant to Sec.906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

1. The quarterly report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 and

2. The information contained in the quarterly report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ James Martin
James Martin
Chief Financial Officer and Co-Chief Executive Officer
(Principal Executive Officer and Principal Financial Officer)

Dated: November 13, 2023

Cover - shares	9 Months Ended
Cover - shares	Sep. 30, 2023	Nov. 13, 2023
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Sep. 30, 2023
Document Fiscal Period Focus	Q3
Document Fiscal Year Focus	2023
Current Fiscal Year End Date	--12-31
Entity File Number	001-38418
Entity Registrant Name	COCRYSTAL PHARMA, INC.
Entity Central Index Key	0001412486
Entity Tax Identification Number	35-2528215
Entity Incorporation, State or Country Code	DE
Entity Address, Address Line One	19805 North Creek Parkway
Entity Address, City or Town	Bothell
Entity Address, State or Province	WA
Entity Address, Postal Zip Code	98011
City Area Code	877
Local Phone Number	262-7123
Title of 12(b) Security	Common Stock
Trading Symbol	COCP
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		10,173,790

Condensed Consolidated Balance Sheets - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Current assets:
Cash	$ 29,738,000	$ 37,144,000
Restricted cash	75,000	75,000
Tax credit receivable	550,000	716,000
Prepaid expenses and other current assets	1,842,000	2,243,000
Total current assets	32,205,000	40,178,000
Property and equipment, net	252,000	342,000
Deposits	46,000	46,000
Operating lease right-of-use assets, net (including $57 and $99 respectively, to related party)	111,000	274,000
Total assets	32,614,000	40,840,000
Current liabilities:
Accounts payable and accrued expenses	1,806,000	976,000
Current maturities of finance lease liabilities		7,000
Current maturities of operating lease liabilities (including $57 and $59 respectively, to related party)	118,000	233,000
Total current liabilities	1,924,000	1,216,000
Long-term liabilities:
Operating lease liabilities (including $0 and $42 respectively, to related party)		57,000
Total liabilities	1,924,000	1,273,000
Commitments and contingencies (Note 9)
Stockholders’ equity:
Common stock, $0.001 par value 150,000 shares authorized as of September 30, 2023, and December 31, 2022; 10,174 and 8,143 shares issued and outstanding as of September 30, 2023 and December 31, 2022	10,000	8,000
Additional paid-in capital	342,130,000	337,489,000
Accumulated deficit	(311,450,000)	(297,930,000)
Total stockholders’ equity	30,690,000	39,567,000
Total liabilities and stockholders’ equity	$ 32,614,000	$ 40,840,000

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Statement of Financial Position [Abstract]
Operating lease right of use assets related party	$ 57	$ 99
Operating lease liabilities related party current	57	59
Operating lease liabilities related party non-current	$ 0	$ 42
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	150,000,000	150,000,000
Common stock, shares issued	10,174,000	8,143,000
Common stock, shares outstanding	10,174,000	8,143,000

Condensed Consolidated Statements of Operations (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Operating expenses:
Research and development	$ 4,194	$ 3,872	$ 10,902	$ 9,105
General and administrative	1,849	1,822	4,591	4,530
Legal settlement	(1,600)		(1,600)	1,600
Impairments				19,092
Total operating expenses	4,443	5,694	13,893	34,327
Loss from operations	(4,443)	(5,694)	(13,893)	(34,327)
Other income (expense):
Interest income (expense), net	320	(1)	460	(2)
Foreign exchange loss	(42)	(5)	(87)	(19)
Change in fair value of derivative liabilities				12
Total other expense, net	278	(6)	373	(9)
Net loss	$ (4,165)	$ (5,700)	$ (13,520)	$ (34,336)
Net loss per common share, basic	$ (0.41)	$ (0.70)	$ (1.43)	$ (4.23)
Net loss per common share, diluted	$ (0.41)	$ (0.70)	$ (1.43)	$ (4.23)
Weighted average number of common shares, basic	10,153	8,143	9,461	8,143
Weighted average number of common shares, diluted	10,153	8,143	9,461	8,143

Condensed Consolidated Statements Of Stockholders Equity (Unaudited) - USD ($) shares in Thousands	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	Total
Beginning balance, value at Dec. 31, 2021	$ 8,000	$ 336,544,000	$ (259,093,000)	$ 77,549,000
Beginning balance, shares at Dec. 31, 2021	8,143
Stock-based compensation		239,000		239,000
Net loss			(4,208,000)	(4,208,000)
Ending balance, value at Mar. 31, 2022	$ 8,000	336,783,000	(263,301,000)	73,580,000
Ending balance, shares at Mar. 31, 2022	8,143
Beginning balance, value at Dec. 31, 2021	$ 8,000	336,544,000	(259,093,000)	77,549,000
Beginning balance, shares at Dec. 31, 2021	8,143
Net loss				(34,336,000)
Ending balance, value at Sep. 30, 2022	$ 8,000	337,330,000	(293,429,000)	49,909,000
Ending balance, shares at Sep. 30, 2022	8,143
Beginning balance, value at Mar. 31, 2022	$ 8,000	336,783,000	(263,301,000)	73,580,000
Beginning balance, shares at Mar. 31, 2022	8,143
Stock-based compensation		241,000		241,000
Net loss			(24,428,000)	(24,428,000)
Ending balance, value at Jun. 30, 2022	$ 8,000	337,114,000	(287,729,000)	49,393,000
Ending balance, shares at Jun. 30, 2022	8,143
Stock-based compensation		216,000		216,000
Net loss			(5,700,000)	(5,700,000)
Ending balance, value at Sep. 30, 2022	$ 8,000	337,330,000	(293,429,000)	49,909,000
Ending balance, shares at Sep. 30, 2022	8,143
Beginning balance, value at Dec. 31, 2022	$ 8,000	337,489,000	(297,930,000)	39,567,000
Beginning balance, shares at Dec. 31, 2022	8,143
Stock-based compensation		291,000		291,000
Net loss			(5,189,000)	(5,189,000)
Ending balance, value at Mar. 31, 2023	$ 8,000	337,780,000	(303,119,000)	34,669,000
Ending balance, shares at Mar. 31, 2023	8,143
Beginning balance, value at Dec. 31, 2022	$ 8,000	337,489,000	(297,930,000)	39,567,000
Beginning balance, shares at Dec. 31, 2022	8,143
Net loss				(13,520,000)
Ending balance, value at Sep. 30, 2023	$ 10,000	342,130,000	(311,450,000)	30,690,000
Ending balance, shares at Sep. 30, 2023	10,174
Beginning balance, value at Mar. 31, 2023	$ 8,000	337,780,000	(303,119,000)	34,669,000
Beginning balance, shares at Mar. 31, 2023	8,143
Stock-based compensation		179,000		179,000
Net loss			(4,166,000)	(4,166,000)
Sale of common stock to related entities, net of transaction costs	$ 2,000	3,998,000		4,000,000
Sale of common stock to related entities, net of transaction costs, shares	2,031
Ending balance, value at Jun. 30, 2023	$ 10	341,957	(307,285)	34,682
Ending balance, shares at Jun. 30, 2023	10,174
Stock-based compensation		173,000		173,000
Net loss			(4,165,000)	(4,165,000)
Ending balance, value at Sep. 30, 2023	$ 10,000	$ 342,130,000	$ (311,450,000)	$ 30,690,000
Ending balance, shares at Sep. 30, 2023	10,174

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Operating activities:
Net loss	$ (4,165,000)	$ (5,700,000)	$ (13,520,000)	$ (34,336,000)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization expense			149,000	137,000
Amortization of right of use assets			163,000	151,000
Loss on impairment of goodwill				19,092,000
Stock-based compensation			643,000	696,000
Payments on operating lease liabilities			(172,000)	(154,000)
Change in fair value of derivative liabilities				(12,000)
Changes in operating assets and liabilities:
Prepaid expenses and other current assets			401,000	(2,197,000)
Tax credit receivable			166,000
Accounts payable and accrued expenses			830,000	81,000
Net cash used in operating activities			(11,340,000)	(16,542,000)
Investing activities:
Purchases of property and equipment			(59,000)	(62,000)
Net cash used in investing activities			(59,000)	(62,000)
Financing activities:
Payments on finance lease liabilities			(7,000)	(20,000)
Proceeds from sale of common stock to related entities, net of transaction costs			4,000,000
Net cash provided by (used in) financing activities			3,993,000	(20,000)
Net decrease in cash and restricted cash			(7,406,000)	(16,624,000)
Cash and restricted cash at beginning of period			37,219,000	58,705,000
Cash and restricted cash at end of period	$ 29,813,000	$ 42,131,000	$ 29,813,000	$ 42,131,000

Organization and Business

9 Months Ended

Sep. 30, 2023

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Organization and Business

1. Organization and Business

All share and per share amounts have been retroactively restated to reflect the one-for-12 stock split as if it occurred at the beginning of the earliest period presented.

Basis of Presentation and Significant Accounting Policies

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Basis of Presentation and Significant Accounting Policies

2. Basis of Presentation and Significant Accounting Policies

Basis of Presentation

Principles of Consolidation

Segments

The Company operates in only one segment. Management uses cash flows as the primary measure to manage its business and does not segment its business for internal reporting or decision-making.

Use of Estimates

Concentrations of Credit Risk

Foreign Currency Transactions

Fair Value Measurements

	Level 1 — quoted prices in active markets for identical assets or liabilities.

	Level 2 — other significant observable inputs for the assets or liabilities through corroboration with market data at the measurement date.

	Level 3 — significant unobservable inputs that reflect management’s best estimate of what market participants would use to price the assets or liabilities at the measurement date.

The Company’s derivative liabilities are considered Level 3 measurements.

Long-Lived Assets

Research and Development Expenses

Income Taxes

Stock-Based Compensation

Common Stock Purchase Warrants and Other Derivative Financial Instruments

Net Income (Loss) per Share

The following table sets forth the number of potential common shares excluded from the calculations of net loss per diluted share because their inclusion would be anti-dilutive (in thousands):

	2023		2022
	September 30,
	2023		2022
Outstanding options to purchase common stock		559		350
Warrants to purchase common stock		13		20
Total		572		370

Recent Accounting Pronouncements

Property and Equipment

9 Months Ended

Sep. 30, 2023

Property, Plant and Equipment [Abstract]

Property and Equipment

3. Property and Equipment

	September 30, 2023			December 31, 2022
Lab equipment	$	1,708		$	1,631
Finance lease right-of-use lab equipment		162			194
Computer and office equipment		145			131
Total property and equipment		2,015			1,956
Less: accumulated depreciation and amortization		(1,763	)		(1,614	)
Property and equipment, net	$	252		$	342

Accounts Payable and Accrued Expenses

9 Months Ended

Sep. 30, 2023

Payables and Accruals [Abstract]

Accounts Payable and Accrued Expenses

4. Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses consisted of the following (in thousands) as of:

	September 30, 2023		December 31, 2022
Accounts payable	$	568	$	614
Accrued compensation		173		130
Accrued other expenses		1,065		232
Total accounts payable and accrued expenses	$	1,806	$	976

Common Stock

9 Months Ended

Sep. 30, 2023

Equity [Abstract]

Common Stock

5. Common Stock

Stock Based Awards

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Stock Based Awards

6. Stock Based Awards

Equity Incentive Plans

The following table summarizes stock option transactions for the 2015 Plan, collectively, for the nine months ended September 30, 2023 (in thousands, except per share amounts):

	Number of Shares Available for Grant			Total Options Outstanding		Weighted Average Exercise Price		Aggregate Intrinsic Value
Balance at December 31, 2022		484			350	$	14.98	$	0.00
Increase in authorized options		-			-		-		-
Exercised		-			-		-		-
Granted		(209	)		209		2.67		-
Expired		-			-		-		-
Cancelled		-			-		-		-
Balance at September 30, 2023		275			559	$	10.37	$	-

The fair value of share option award is estimated using the Black-Scholes option pricing method based on the following weighted-average assumptions:

	2023			2022
	Nine Months Ended September 30,
	2023			2022

Risk-Free interest rate		2.33	%		1.64	%
Expected dividend yield		0.00	%		0.00	%
Expected volatility		95.08	%		87.81	%
Expected term (in years)		5.10			4.8

Common Stock Reserved for Future Issuance

The following table presents information concerning common stock available for future issuance (in thousands) as of:

	September 30, 2023		September 30, 2022
Stock options issued and outstanding		558		350
Shares authorized for future option grants		275		484
Warrants outstanding		13		20
Total		846		854

Warrants

9 Months Ended

Sep. 30, 2023

Warrants

Warrants

7. Warrants

The following is a summary of activity in the number of warrants outstanding to purchase the Company’s common stock for the nine months ended September 30, 2023 (in thousands):

	Warrants Accounted for as: Equity		Warrants Accounted for as: Liabilities
	May 2018 Warrants		October 2013 Warrants		January 2014 Warrants		Total
Outstanding, December 31, 2022		-		2		11		13
Exercised		-		-		-		-
Granted		-		-		-		-
Expired		-		-		-		-
Outstanding, September 30, 2023		-		2		11		13
Expiration date:		-		10/24/2023		01/16/2024		-

Warrants Classified as Liabilities

The fair value of the warrants classified as liabilities is estimated using the Black-Scholes option-pricing model with the following inputs as of September 30, 2023:

	October 2013 Warrants			January 2014 Warrants

Strike price	$	180.00		$	180.00
Expected dividend yield		0.00	%		0.00	%
Contractual term (years)		0.1			0.3
Cumulative volatility		133.64	%		134.93	%
Risk-free rate		4.93	%		4.89	%
Value per warrants	$	0.00		$	0.00
Fair value (in thousands)	$	0.00		$	0.00

The fair value of the warrants classified as liabilities is estimated using the Black-Scholes option-pricing model with the following inputs as of December 31, 2022:

	October 2013 Warrants			January 2014 Warrants

Strike price	$	180.00		$	180.00
Expected dividend yield		0.00	%		0.00	%
Expected term (years)		0.8			1.0
Cumulative volatility		143.06	%		145.00	%
Risk-free rate		4.42	%		4.40	%
Fair value (in thousands)	$	0.00		$	0.00

Licenses and Collaborations

9 Months Ended

Sep. 30, 2023

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Licenses and Collaborations

8. Licenses and Collaborations

Merck Sharp & Dohme Corp.

Kansas State University Research Foundation

Commitments and Contingencies

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

9. Commitments and Contingencies

Commitments

Operating Leases

The following table summarizes the Company’s maturities of operating lease liabilities, by year and in aggregate, as of September 30, 2023 (table in thousands):


2023 (excluding the nine months ended September 30, 2023)	$	62
2024		58
2025		-
Thereafter		-
Total operating lease payments		120
Less: present value discount		(2	)
Total operating lease liabilities	$	118

As of September 30, 2023, the total operating lease liability of $117 is classified as a current operating lease liability.

The minimum lease payments above include the amounts that would be paid if the Company maintains its Bothell lease for the five-year term, starting February 2019.

Finance Leases

Phase 2a Clinical Trial

The total estimated cost of the agreement (including the reservation fee) is approximately $7.2 million.

Contingencies

Transactions with Related Parties

9 Months Ended

Sep. 30, 2023

Transactions with Related Parties

10. Transactions with Related Parties

Basis of Presentation and Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Basis of Presentation

Basis of Presentation

Principles of Consolidation

Principles of Consolidation

Segments

Segments

The Company operates in only one segment. Management uses cash flows as the primary measure to manage its business and does not segment its business for internal reporting or decision-making.

Use of Estimates

Use of Estimates

Concentrations of Credit Risk

Concentrations of Credit Risk

Foreign Currency Transactions

Foreign Currency Transactions

Fair Value Measurements

Fair Value Measurements

	Level 1 — quoted prices in active markets for identical assets or liabilities.

	Level 2 — other significant observable inputs for the assets or liabilities through corroboration with market data at the measurement date.

	Level 3 — significant unobservable inputs that reflect management’s best estimate of what market participants would use to price the assets or liabilities at the measurement date.

The Company’s derivative liabilities are considered Level 3 measurements.

Long-Lived Assets

Long-Lived Assets

Research and Development Expenses

Research and Development Expenses

Income Taxes

Income Taxes

Stock-Based Compensation

Stock-Based Compensation

Common Stock Purchase Warrants and Other Derivative Financial Instruments

Common Stock Purchase Warrants and Other Derivative Financial Instruments

Net Income (Loss) per Share

Net Income (Loss) per Share

The following table sets forth the number of potential common shares excluded from the calculations of net loss per diluted share because their inclusion would be anti-dilutive (in thousands):

	2023		2022
	September 30,
	2023		2022
Outstanding options to purchase common stock		559		350
Warrants to purchase common stock		13		20
Total		572		370

Recent Accounting Pronouncements

Recent Accounting Pronouncements

Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Schedule of Antidilutive Securities Excluded from Calculations of Net Loss Per Share

The following table sets forth the number of potential common shares excluded from the calculations of net loss per diluted share because their inclusion would be anti-dilutive (in thousands):

	2023		2022
	September 30,
	2023		2022
Outstanding options to purchase common stock		559		350
Warrants to purchase common stock		13		20
Total		572		370

Property and Equipment (Tables)

9 Months Ended

Sep. 30, 2023

Property, Plant and Equipment [Abstract]

Schedule of Property and Equipment

	September 30, 2023			December 31, 2022
Lab equipment	$	1,708		$	1,631
Finance lease right-of-use lab equipment		162			194
Computer and office equipment		145			131
Total property and equipment		2,015			1,956
Less: accumulated depreciation and amortization		(1,763	)		(1,614	)
Property and equipment, net	$	252		$	342

Accounts Payable and Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2023

Payables and Accruals [Abstract]

Schedule of Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses consisted of the following (in thousands) as of:

	September 30, 2023		December 31, 2022
Accounts payable	$	568	$	614
Accrued compensation		173		130
Accrued other expenses		1,065		232
Total accounts payable and accrued expenses	$	1,806	$	976

Stock Based Awards (Tables)

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Schedule of Share-based Compensation, Stock Options, Activity

The following table summarizes stock option transactions for the 2015 Plan, collectively, for the nine months ended September 30, 2023 (in thousands, except per share amounts):

	Number of Shares Available for Grant			Total Options Outstanding		Weighted Average Exercise Price		Aggregate Intrinsic Value
Balance at December 31, 2022		484			350	$	14.98	$	0.00
Increase in authorized options		-			-		-		-
Exercised		-			-		-		-
Granted		(209	)		209		2.67		-
Expired		-			-		-		-
Cancelled		-			-		-		-
Balance at September 30, 2023		275			559	$	10.37	$	-

Schedule of Share-based Compensation, Stock Options, Assumption

The fair value of share option award is estimated using the Black-Scholes option pricing method based on the following weighted-average assumptions:

	2023			2022
	Nine Months Ended September 30,
	2023			2022

Risk-Free interest rate		2.33	%		1.64	%
Expected dividend yield		0.00	%		0.00	%
Expected volatility		95.08	%		87.81	%
Expected term (in years)		5.10			4.8

Schedule of Common Stock Reserved for Future Issuance

The following table presents information concerning common stock available for future issuance (in thousands) as of:

	September 30, 2023		September 30, 2022
Stock options issued and outstanding		558		350
Shares authorized for future option grants		275		484
Warrants outstanding		13		20
Total		846		854

Warrants (Tables)

9 Months Ended

Sep. 30, 2023

Warrants

Summary of Warrant Activity

The following is a summary of activity in the number of warrants outstanding to purchase the Company’s common stock for the nine months ended September 30, 2023 (in thousands):

	Warrants Accounted for as: Equity		Warrants Accounted for as: Liabilities
	May 2018 Warrants		October 2013 Warrants		January 2014 Warrants		Total
Outstanding, December 31, 2022		-		2		11		13
Exercised		-		-		-		-
Granted		-		-		-		-
Expired		-		-		-		-
Outstanding, September 30, 2023		-		2		11		13
Expiration date:		-		10/24/2023		01/16/2024		-

Schedule of Fair Value of Warrants Classified as Liabilities

The fair value of the warrants classified as liabilities is estimated using the Black-Scholes option-pricing model with the following inputs as of September 30, 2023:

	October 2013 Warrants			January 2014 Warrants

Strike price	$	180.00		$	180.00
Expected dividend yield		0.00	%		0.00	%
Contractual term (years)		0.1			0.3
Cumulative volatility		133.64	%		134.93	%
Risk-free rate		4.93	%		4.89	%
Value per warrants	$	0.00		$	0.00
Fair value (in thousands)	$	0.00		$	0.00

The fair value of the warrants classified as liabilities is estimated using the Black-Scholes option-pricing model with the following inputs as of December 31, 2022:

	October 2013 Warrants			January 2014 Warrants

Strike price	$	180.00		$	180.00
Expected dividend yield		0.00	%		0.00	%
Expected term (years)		0.8			1.0
Cumulative volatility		143.06	%		145.00	%
Risk-free rate		4.42	%		4.40	%
Fair value (in thousands)	$	0.00		$	0.00

Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies Disclosure [Abstract]

Schedule of Maturities of Operating Lease Liabilities

The following table summarizes the Company’s maturities of operating lease liabilities, by year and in aggregate, as of September 30, 2023 (table in thousands):


2023 (excluding the nine months ended September 30, 2023)	$	62
2024		58
2025		-
Thereafter		-
Total operating lease payments		120
Less: present value discount		(2	)
Total operating lease liabilities	$	118

Schedule of Antidilutive Securities Excluded from Calculations of Net Loss Per Share (Details) - shares shares in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	572	370
Outstanding Options to Purchase Common Stock [Membe
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	559	350
Warrants to Purchase Common Stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	13	20

Basis of Presentation and Significant Accounting Policies (Details Narrative) - USD ($)	12 Months Ended
	Dec. 31, 2022	Sep. 30, 2023
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Line Items]
Cash	$ 37,144,000	$ 29,738,000
Restricted cash	75,000	75,000
Tax credits reduction of research and development expense	805,000
Research and development expense recorded as tax credits receivable	$ 716,000
Tax credits receivable, accrued		550,000
Tax credit receivable		716,000
United States Financial Institutions Three [Member]
Debt Securities, Held-to-Maturity, Allowance for Credit Loss [Line Items]
Cash FDIC insured amount		$ 250,000

Schedule of Property and Equipment (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Total property and equipment	$ 2,015	$ 1,956
Less: accumulated depreciation and amortization	(1,763)	(1,614)
Property and equipment, net	252	342
Lab Equipment [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment	1,708	1,631
Finance Lease Right-of-use Lab Equipment [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment	162	194
Computer and Office Equipment [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment	$ 145	$ 131

Property and Equipment (Details Narrative) - USD ($)	9 Months Ended
Property and Equipment (Details Narrative) - USD ($)	Sep. 30, 2023	Sep. 30, 2022
Property, Plant and Equipment [Line Items]
Depreciation and amortization expense	$ 149,000	$ 137,000
Finance Lease Right-of-use Lab Equipment [Member]
Property, Plant and Equipment [Line Items]
Amortization expense	$ 7,164	$ 20,000

Schedule of Accounts Payable and Accrued Expenses (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Payables and Accruals [Abstract]
Accounts payable	$ 568	$ 614
Accrued compensation	173	130
Accrued other expenses	1,065	232
Total accounts payable and accrued expenses	$ 1,806	$ 976

Common Stock (Details Narrative) - USD ($)	Sep. 30, 2023	Apr. 04, 2023	Dec. 31, 2022
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Common stock, shares authorized	150,000,000	2,030,458	150,000,000
Common stock, par value	$ 0.001		$ 0.001
Common stock shares issued to investors	10,174,000		8,143,000
Common stock, shares, outstanding	10,174,000		8,143,000
Share price		$ 1.97
Purchase price value, investments one	$ 10,000		$ 8,000
Securities Purchase Agreement [Member] \| Two Accredited Investors [Member]
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Common stock shares issued to investors		2,030,458
Share price		$ 1.97
Purchase price value, investments one		$ 4,000,000
Securities Purchase Agreement [Member] \| Two Accredited Investors [Member] \| Share-Based Payment Arrangement, Tranche One [Member]
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Purchase price value, investments one		2,000,000
Securities Purchase Agreement [Member] \| Two Accredited Investors [Member] \| Share-Based Payment Arrangement, Tranche Two [Member]
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Purchase price value, investments one		$ 2,000,000

Schedule of Share-based Compensation, Stock Options, Activity (Details) - Share-Based Payment Arrangement, Option [Member] $ / shares in Units, shares in Thousands, $ in Thousands	9 Months Ended
	Sep. 30, 2023 USD ($) $ / shares shares
Option Indexed to Issuer's Equity [Line Items]
Number of Shares Available for Grant, Beginning	484
Total Options Outstanding, Beginning	350
Weighted Average Exercise Price Outstanding, Beginning \| $ / shares	$ 14.98
Aggregate Intrinsic Value, Beginning \| $	$ 0
Number of Shares Available for Grant, Increase in authorized options
Total Options Outstanding, Increase in authorized options
Weighted Average Exercise Price, Increase in authorized options \| $ / shares
Aggregate Intrinsic Value, Increase in authorized options \| $
Number of Shares Available for Grant, Exercised
Total Options Outstanding, Exercised
Weighted Average Exercise Price, Exercised \| $ / shares
Aggregate Intrinsic Value, Exercised \| $ / shares
Number of Shares Available for Grant, Granted	(209)
Total Options Outstanding, Granted	209
Weighted Average Exercise Price, Granted \| $ / shares	$ 2.67
Aggregate Intrinsic Value, Granted \| $
Number of Shares Available for Grant, Expired
Total Options Outstanding, Expired
Weighted Average Exercise Price, Expired \| $ / shares
Aggregate Intrinsic Value, Expired \| $
Number of Shares Available for Grant, Cancelled
Total Options Outstanding, Cancelled
Weighted Average Exercise Price, Cancelled \| $ / shares
Aggregate Intrinsic Value, Cancelled \| $
Number of Shares Available for Grant, Ending	275
Total Options Outstanding, Ending	559
Weighted Average Exercise Price, Ending \| $ / shares	$ 10.37
Aggregate Intrinsic Value, Ending \| $

Schedule of Share-based Compensation, Stock Options, Assumption (Details)	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Share-Based Payment Arrangement [Abstract]
Risk-Free interest rate	2.33%	1.64%
Expected dividend yield	0.00%	0.00%
Expected volatility	95.08%	87.81%
Expected term (in years)	5 years 1 month 6 days	4 years 9 months 18 days

Schedule of Common Stock Reserved for Future Issuance (Details) - shares shares in Thousands	Sep. 30, 2023	Sep. 30, 2022
Share-Based Payment Arrangement [Abstract]
Stock options issued and outstanding	558	350
Shares authorized for future option grants	275	484
Warrants outstanding	13	20
Total	846	854

Stock Based Awards (Details Narrative) - USD ($)	1 Months Ended		3 Months Ended		9 Months Ended
Stock Based Awards (Details Narrative) - USD ($)	Jul. 31, 2023	Jul. 31, 2022	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Jun. 16, 2021
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares reserved for issuance			846,000	854,000	846,000	854,000
Weighted-average exercise price, vested or expected to vested exercisable			$ 17.68		$ 17.68
Share-based payment arrangement, expense			$ 173,000	$ 643,000	$ 216,000	$ 696,000
Unrecognized compensation expense			$ 879,000		$ 879,000
Stock-based compensation weighted average period					1 year 1 month 6 days
Number of options outstanding fully vested or expected to vested			559,000		559,000
Aggregate intrinsic value, vested or expected to vested option			$ 0.00		$ 0.00
Weighted average exercise price, vested or expected to vested option			$ 10.37		$ 10.37
Weighted-average remaining contractual term, vested or expected to vested option					8 years 5 months 19 days
Number of vested and exercisable options, outstanding shares			264,000		264,000
Aggregate intrinsic value, vested or expected to vested exercisable			$ 0.00		$ 0.00
Weighted-average remaining contractual term, vested or expected to vested exercisable					7 years 4 months 13 days
Shares issued price per share			$ 1.87		$ 1.87
2015 Equity Incentive Plan [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares reserved for issuance			833,333		833,333
Shares available for grant			274,599		274,599
Stock options granted	209,216	158,012
Fair value of stock options granted	$ 470,000	$ 633,000
Stock option description	The options are ten-year incentive stock options exercisable at $2.67 per share and vesting as follows: one-half vest on the one-year anniversary of the grant date and the remainder vest in eight equal quarterly instalments on the last day of March, June, September and December, with the first such quarterly installment vesting on September 30, 2024	The options are ten-year incentive stock options exercisable at $0.42 per share and vesting as follows: one-half vested on the one-year anniversary of the grant date and the remainder vest in eight equal quarterly instalments on the last day of March, June, September and December, with the first such quarterly instalment having vested on September 30, 2023
Weighted-average exercise price, vested or expected to vested exercisable	$ 2.67	$ 0.42
2015 Equity Incentive Plan [Member] \| Minimum [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common stock authorized for issuance							416,667
2015 Equity Incentive Plan [Member] \| Maximum [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common stock authorized for issuance							833,333

Summary of Warrant Activity (Details) shares in Thousands	9 Months Ended
Summary of Warrant Activity (Details) shares in Thousands	Sep. 30, 2023 shares
Warrant [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Number of warrants outstanding, beginning	13
Number of warrants exercised
Number of warrants granted
Number of warrants expired
Number of warrants outstanding, ending	13
May 2018 Warrants [Member] \| Equity [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Number of warrants outstanding, beginning
Number of warrants exercised
Number of warrants granted
Number of warrants expired
Number of warrants outstanding, ending
Warrant expiration date
October 2013 Warrants [Member] \| Warrant Liabilities [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Number of warrants outstanding, beginning	2
Number of warrants exercised
Number of warrants granted
Number of warrants expired
Number of warrants outstanding, ending	2
Warrant expiration date	Oct. 24, 2023
January 2014 Warrants [Member] \| Warrant Liabilities [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Number of warrants outstanding, beginning	11
Number of warrants exercised
Number of warrants granted
Number of warrants expired
Number of warrants outstanding, ending	11
Warrant expiration date	Jan. 16, 2024

Schedule of Fair Value of Warrants Classified as Liabilities (Details) $ / shares in Units, $ in Thousands	Sep. 30, 2023 USD ($) $ / shares	Apr. 04, 2023 $ / shares	Dec. 31, 2022 USD ($) $ / shares
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Strike price		$ 1.97
October 2013 Warrants [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Strike price	$ 180.00		$ 180.00
Value per warrants	$ 0.00
Aggregate value \| $	$ 0		$ 0
October 2013 Warrants [Member] \| Measurement Input, Expected Dividend Rate [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value assumptions, percentage	0.00		0.00
October 2013 Warrants [Member] \| Measurement Input, Expected Term [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Warrant Expected term (years)	1 month 6 days		9 months 18 days
October 2013 Warrants [Member] \| Measurement Input, Price Volatility [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value assumptions, percentage	133.64		143.06
October 2013 Warrants [Member] \| Measurement Input, Risk Free Interest Rate [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value assumptions, percentage	4.93		4.42
January 2014 Warrants [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Strike price	$ 180.00		$ 180.00
Value per warrants	$ 0.00
Aggregate value \| $	$ 0		$ 0
January 2014 Warrants [Member] \| Measurement Input, Expected Dividend Rate [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value assumptions, percentage	0.00		0.00
January 2014 Warrants [Member] \| Measurement Input, Expected Term [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Warrant Expected term (years)	3 months 18 days		1 year
January 2014 Warrants [Member] \| Measurement Input, Price Volatility [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value assumptions, percentage	134.93		145.00
January 2014 Warrants [Member] \| Measurement Input, Risk Free Interest Rate [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value assumptions, percentage	4.89		4.40

Licenses and Collaborations (Details Narrative) - USD ($)	Feb. 18, 2020	Jan. 02, 2019
Collaboration Agreement [Member] \| Maximum [Member]
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Royalty received on sales		$ 156,000,000
License Agreement [Member]
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Non refundable license initiation fee	$ 80,000

Schedule of Maturities of Operating Lease Liabilities (Details) $ in Thousands	Sep. 30, 2023 USD ($)
Commitments and Contingencies Disclosure [Abstract]
2023 (excluding the nine months ended September 30, 2023)	$ 62
2024	58
2025
Thereafter
Total operating lease payments	120
Less: present value discount	(2)
Total operating lease liabilities	$ 118

Commitments and Contingencies (Details Narrative) - USD ($)			3 Months Ended	9 Months Ended
	Jun. 07, 2022	Sep. 01, 2021	Sep. 30, 2023	Sep. 30, 2023	Sep. 30, 2022	Jul. 18, 2023	Mar. 31, 2023	Dec. 31, 2022	Jul. 31, 2022	Apr. 30, 2020
Product Liability Contingency [Line Items]
Operating lease expense				$ 175,000	$ 175,000
Finance lease right-of-use asset			$ 0.00	0.00				$ 194,000
Depreciation expeses				4,000
Finance lease right-of-use assets, accumulated amortization								$ 158,000
Usefu life							25 months
Fixed assets at book value							$ 32,000
Reservation fee				1,700,000
Prepaid and other expenses			442,000	442,000
Prepaid and other expenses net			1,277,000	1,277,000
Additional costs				942,000
Total expenses				1,384,000
Restructuring and Related Cost, Expected Cost			7,200,000	7,200,000
Loss contingency damages awarded value	$ 135,906,400
Security deposit amount									$ 1,600,000
Return of security deposit amount						$ 1,600,000
Amount refunded by the court			$ 1,600,000	1,600,000
Liberty Insurance Underwriters Inc. [Member]
Product Liability Contingency [Line Items]
Loss contingency loss in period				$ 1,000,000
Lease Agreement [Member]
Product Liability Contingency [Line Items]
Lease term										36 months
Finance lease payment							$ 2,000
Dr. Phillip Frost [Member]
Product Liability Contingency [Line Items]
Rent expense		$ 62,000
February 2019 [Member]
Product Liability Contingency [Line Items]
Lease termination, description				The minimum lease payments above include the amounts that would be paid if the Company maintains its Bothell lease for the five-year term, starting February 2019
Operating Leases [Member]
Product Liability Contingency [Line Items]
Operating leases weighted average discount rate			6.80%	6.80%
Weighted average remaining operating lease term			7 months 6 days	7 months 6 days
Common Area Maintenance [Member]
Product Liability Contingency [Line Items]
Operating variable lease expense				$ 76,000	$ 69,000
Related parties current			$ 47,000	$ 47,000
Miami, Florida [Member]
Product Liability Contingency [Line Items]
Lease expiration date				Aug. 31, 2024
Bothell, Washington [Member]
Product Liability Contingency [Line Items]
Lease expiration date				Jan. 31, 2024

Transactions with Related Parties (Details Narrative) - USD ($)	Apr. 04, 2023	Sep. 01, 2021	Sep. 30, 2023	Dec. 31, 2022
Deferred Compensation Arrangement with Individual, Excluding Share-Based Payments and Postretirement Benefits [Line Items]
Unregistered common stock, shares	2,030,458		150,000,000	150,000,000
Share price	$ 1.97
Minimum [Member]
Deferred Compensation Arrangement with Individual, Excluding Share-Based Payments and Postretirement Benefits [Line Items]
Dividends, common stock value	$ 4,000,000
Maximum [Member]
Deferred Compensation Arrangement with Individual, Excluding Share-Based Payments and Postretirement Benefits [Line Items]
Dividends, common stock value	$ 2,000,000
Dr. Phillip Frost [Member]
Deferred Compensation Arrangement with Individual, Excluding Share-Based Payments and Postretirement Benefits [Line Items]
Rent expenses		$ 62,000