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: 001-35182

AMPIO PHARMACEUTICALS, INC.

(Exact name of registrant as specified in its charter)


Delaware	26-0179592
(State or other jurisdiction of incorporation or organization)	(IRS Employer Identification No.)

9800 Mount Pyramid Court, Suite 400

Englewood, Colorado 80112

(Address of principal executive offices, including zip code)

(Registrant’s telephone number, including area code): (720) 437-6500

Securities registered pursuant to Section 12(b) of the Act:


Title of each class	Trading Symbol	Name of each exchange on which registered:
Common stock, par value $0.0001 per share	AMPE	NYSE American

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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.


Large Accelerated Filer	☐	Accelerated Filer	☐

Non-Accelerated Filer	☒	Smaller reporting company	☒

		Emerging growth company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

As of November 10, 2023, there were 832,021 outstanding shares of common stock, par value $0.0001 per share, of the registrant.

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AMPIO PHARMACEUTICALS, INC.

FOR THE QUARTER ENDED SEPTEMBER 30, 2023

INDEX


		Page
	PART I-FINANCIAL INFORMATION

Item 1.	Financial Statements (unaudited)	4

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	20

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	26

Item 4.	Controls and Procedures	26

	PART II-OTHER INFORMATION

Item 1.	Legal Proceedings	27

Item 1A.	Risk Factors	30

Item 2.	Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities	31

Item 3.	Defaults Upon Senior Securities	31

Item 4.	Mine Safety Disclosures	31

Item 5.	Other Information	31

Item 6.	Exhibits	32

SIGNATURES		33

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CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains statements reflecting assumptions, expectations, projections, intentions or beliefs about future events that are intended as forward-looking statements. All statements other than statements of historical facts contained in this Quarterly Report, including statements regarding our anticipated future clinical developments, future financial position, and plans and objectives of management for future operations, are forward-looking statements. Words such as “may”, “will”, “should”, “forecast”, “could”, “expect”, “suggest”, “believe”, “estimate”, “continue”, “anticipate”, “intend”, “ongoing”, “opportunity”, “potential”, “predicts”, “seek”, “plan,” or similar words, or the negatives of such terms or other variations on such terms or comparable terminology, typically identify forward-looking statements. Such forward-looking statements include, but are not limited to, statements relating to the following:

●

projected operating or financial results, including anticipated cash flows used in operations or the effect of any actions we may take to reduce expenses and preserve cash and cash equivalents and overall liquidity of the Company;

●

potential outcomes of preclinical and clinical (assuming FDA approval of the IND) trials for OA-201, any future capital expenditures, research and development expenses and other payments relating to OA-201, and any capital raising activities to fund OA-201 research and development related expenses and to support the ongoing corporate support for the Company;

●

our strategic alternatives process, including any potential interested counterparty, transaction structure, timing and transaction expense associated with any strategic alternative and the potential success of any strategic alternative(s);

●

the amount and timing of our future capital needs to fund future research and development expenses relating to OA-201 and our baseline business operations, to regain compliance with NYSE American’s requirement to maintain $6.0 million in minimum stockholders’ equity, or to fund expenses relating to any legal proceeding to the extent that such expenses are not covered or are in excess of our policy limits;

●

the expense, time and/or outcome of any legal proceeding; and

●

our ability to identify strategic partners for OA-201 or any other potential product and the execution of beneficial license, co-development, collaboration or similar arrangements.

We undertake no obligation to update or revise publicly any forward-looking statements to reflect events or circumstances after the date of such statements for any reason, except as otherwise required by law.

Forward-looking statements are based on certain assumptions and expectations of future events and trends that are subject to risks and uncertainties. Actual future results and trends may differ materially from historical results or those reflected in any such forward-looking statements depending on a variety of factors.

Factors that could cause our actual results to differ from the results expressed or implied in forward-looking statements include, but are not limited to, those described in the section entitled “Risk Factors” in Part I, Item 1A of the Form 10-K for the year ended December 31, 2022 and other similar sections of our subsequent reports, including Part II, Item 1A of this Quarterly Report on Form 10-Q. Additionally, other sections of this Quarterly Report include additional factors that could adversely impact the business and financial performance expressed or implied in any forward-looking statements, including, but not limited to, “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

This Quarterly Report on Form 10-Q includes trademarks for Ampion^®, which are protected under applicable intellectual property laws and are our property. Solely for convenience, our trademarks and trade names referred to in this Quarterly Report on Form 10-Q may appear without the ^® or ^TM symbols, but such references are not intended to indicate in any way that we will not assert, to the fullest extent under applicable law, our rights to these trademarks and trade names.

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PART I – FINANCIAL INFORMATION

Item 1. Financial Statements

AMPIO PHARMACEUTICALS, INC.

Condensed Balance Sheets

(unaudited)


		September 30,			December 31,
		2023			2022

Assets
Current assets
Cash and cash equivalents		$	6,398,000		$	12,653,000
Insurance recovery receivable			530,000			—
Prepaid expenses and other			718,000			676,000
Total current assets			7,646,000			13,329,000

Fixed assets, net			—			184,000
Right-of-use asset, net			—			75,000
Total assets		$	7,646,000		$	13,588,000

Liabilities and Stockholders’ Equity
Current liabilities
Accounts payable and accrued expenses		$	1,909,000		$	852,000
Lease liability-current portion			362,000			340,000
Total current liabilities			2,271,000			1,192,000

Lease liability-long-term			—			274,000
Warrant derivative liability			—			44,000
Asset retirement obligation			—			289,000
Total liabilities			2,271,000			1,799,000

Commitments and contingencies (Note 5)

Stockholders’ equity
Common Stock, par value $0.0001; 300,000,000 shares authorized; shares issued and outstanding - 804,604 as of September 30, 2023 and 804,674 as of December 31, 2022	[1]		—			—
Preferred Stock, par value $0.0001; 10,000,000 shares authorized; shares issued and outstanding - none as of September 30, 2023 and December 31, 2022			—			—
Additional paid-in capital			245,848,000	[1]		245,728,000
Accumulated deficit			(240,473,000)			(233,939,000)
Total stockholders’ equity			5,375,000			11,789,000

Total liabilities and stockholders’ equity		$	7,646,000		$	13,588,000

[1] September 30, 2023 balances have been adjusted and December 31, 2022 balances have been retroactively adjusted to reflect the 20-to-1 reverse stock split effected September 12, 2023.

The accompanying notes are an integral part of these financial statements.

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AMPIO PHARMACEUTICALS, INC.

Condensed Statements of Operations

(unaudited)


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Operating expenses
Research and development	$	329,000	$	2,747,000	$	1,197,000	$	8,177,000
General and administrative		1,071,000		2,975,000		6,106,000		9,504,000
Long-lived assets impairment		—		1,614,000		—		1,614,000
Right of use asset impairment		—		322,000		—		322,000
Loss on sale of fixed assets		—		—		56,000		—
Total operating expenses		1,400,000		7,658,000		7,359,000		19,617,000

Other income
Interest income		79,000		80,000		280,000		116,000
Rental income		92,000		—		213,000		—
Gain from elimination of ARO obligation, net		—		—		288,000		—
Derivative gain		—		1,167,000		—		5,384,000
Total other income		171,000		1,247,000		781,000		5,500,000

Net loss	$	(1,229,000)	$	(6,411,000)	$	(6,578,000)	$	(14,117,000)

Net loss per common share: [1]
Basic	$	(1.53)	$	(8.51)	$	(8.18)	$	(18.73)
Diluted	$	(1.53)	$	(10.06)	$	(8.18)	$	(25.88)

Weighted average number of common shares outstanding: [1]
Basic		804,158		753,620		804,158		753,616
Diluted		804,158		753,620		804,158		753,616

[1] Net loss per common share and weighted average number of common shares outstanding for the current period have been adjusted and the prior periods have been retroactively adjusted to reflect the 20-to-1 reverse stock split effected September 12, 2023.

The accompanying notes are an integral part of these financial statements.

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AMPIO PHARMACEUTICALS, INC.

Condensed Statements of Mezzanine Equity and Stockholders’ Equity

(unaudited)


	Mezzanine Equity						Additional				Total
	Series D Preferred			Common Stock			Paid-in		Accumulated		Stockholders'
	Shares	Amount		Shares	Amount		Capital		Deficit		Equity
Balance at December 31, 2021	—	$	—	808,136	$	—	$	244,886,000	$	(217,602,000)	$	27,284,000

Share-based compensation, net of forfeitures	—		—	—		—		716,000		—		716,000
Shares held back in settlement of tax obligation for shares issued in connection with restricted stock awards	—		—	(462)		—		(79,000)		—		(79,000)
Offering costs related to the issuance of common stock in connection with the "at-the-market" equity offering program	—		—	—		—		(32,000)		—		(32,000)
Net loss	—		—	—		—		—		(5,636,000)		(5,636,000)

Balance at March 31, 2022	—		—	807,674		—		245,491,000		(223,238,000)		22,253,000

Share-based compensation, net of forfeitures	—		—	—		—		423,000		—		423,000
Restricted stock award forfeitures	—		—	(3,000)		—		(509,000)		—		(509,000)
Net loss	—		—	—		—		—		(2,070,000)		(2,070,000)

Balance at June 30, 2022	—		—	804,674		—		245,405,000		(225,308,000)	$	20,097,000

Share-based compensation, net of forfeitures	—		—	—		—		163,000		—		163,000
Net loss	—		—	—		—		—		(6,411,000)		(6,411,000)

Balance at September 30, 2022	—	$	—	804,674	$	—	$	245,568,000	$	(231,719,000)	$	13,849,000

Balance at December 31, 2022	—	$	—	804,674	$	—	$	245,728,000	$	(233,939,000)	$	11,789,000

Reclassification of warrant derivative upon adoption of ASU 2020-06	—		—	—		—		—		44,000		44,000
Share-based compensation, net of forfeitures	—		—	—		—		23,000		—		23,000
Net loss	—		—	—		—		—		(3,978,000)		(3,978,000)

Balance at March 31, 2023	—		—	804,674		—		245,751,000		(237,873,000)		7,878,000

Share-based compensation, net of forfeitures	—		—	—		—		53,000		—		53,000
Issuance of Series D preferred stock dividend	15,103		—	—		—		—		—		—
Net loss	—		—	—		—		—		(1,371,000)		(1,371,000)

Balance at June 30, 2023	15,103		—	804,674		—		245,804,000		(239,244,000)		6,560,000

Share-based compensation, net of forfeitures	—		—	—		—		44,000		—		44,000
Preferred stock redemption	(15,103)		—	—		—		—		—		—
Shares held back in settlement of tax obligation for shares issued in connection with restricted stock awards	—		—	(70)		—		—		—		—
Net loss	—		—	—		—		—		(1,229,000)		(1,229,000)
										—
Balance at September 30, 2023	—	$	—	804,604	$	—	$	245,848,000	$	(240,473,000)	$	5,375,000

Note that the share numbers and balances for the current period have been adjusted and prior periods have been retroactively adjusted to reflect the 20-to-1 reverse stock split effected September 12, 2023.

The accompanying notes are an integral part of these financial statements.

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AMPIO PHARMACEUTICALS, INC.

Condensed Statements of Cash Flows

(unaudited)


	Nine Months Ended September 30,
	2023		2022

Cash flows used in operating activities
Net loss	$	(6,578,000)	$	(14,117,000)
Adjustments to reconcile net loss to net cash used in operating activities:
Share-based compensation, net of forfeitures		120,000		793,000
Depreciation and amortization		122,000		865,000
Long-lived assets impairment		—		1,614,000
Right-of-use asset impairment		—		322,000
Loss on sale of fixed assets		56,000		—
Net gain from elimination of ARO obligation		(288,000)
Accretion of asset retirement obligation		5,000		—
Derivative gain		—		(5,384,000)
Changes in operating assets and liabilities:
Increase in insurance recovery receivable		(530,000)		—
(Increase) decrease in prepaid expenses and other		(43,000)		366,000
Increase (decrease) in accounts payable and accrued expenses		1,058,000		(1,219,000)
Decrease in lease liability		(177,000)		(74,000)
Net cash used in operating activities		(6,255,000)		(16,834,000)

Net cash used in investing activities		—		—

Cash flows used in financing activities
Costs related to the sale of common stock and warrants in connection with the registered direct offering		—		(32,000)
Funding of tax obligation relative to shares withheld in connection with restricted stock awards		—		(79,000)
Net cash used in financing activities		—		(111,000)

Net change in cash and cash equivalents		(6,255,000)		(16,945,000)

Cash and cash equivalents at beginning of period		12,653,000		33,892,000
Cash and cash equivalents at end of period	$	6,398,000	$	16,947,000

Non-cash transactions:
Commercial insurance premium financing agreement	$	703,000	$	1,159,000
Recognition of asset retirement obligation	$	—	$	282,000

The accompanying notes are an integral part of these financial statements.

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AMPIO PHARMACEUTICALS, INC.

Notes to Condensed Financial Statements

(unaudited)

Note 1 – The Company and Summary of Significant Accounting Policies

Ampio Pharmaceuticals, Inc. (“Ampio” or the “Company”) is a pre-revenue stage biopharmaceutical company focused on the development of a potential treatment for osteoarthritis as part of its OA-201 program. The OA-201 development program is seeking to advance Ampio’s unique and proprietary small molecule formulation to take forward through pain and chondroprotection pre-clinical studies and the next phases of drug development. Ampio’s primary strategy is to address the large and attractive opportunity for treatment of osteoarthritis of the knee (“OAK”) and other joints.

Basis of Presentation

The accompanying unaudited financial statements have been prepared in accordance with generally accepted accounting principles (“GAAP”) in the United States for interim financial information and with the instructions of the Securities and Exchange Commission (“SEC”) on Quarterly Reports on Form 10-Q and Article 8 of Regulation S-X. Accordingly, such financial statements do not include all of the information and disclosures required by GAAP for complete financial statements. In the opinion of management, the financial statements include all adjustments necessary, which are of a normal and recurring nature, for the fair presentation of the financial position and of the results of operations and cash flows of the Company for the periods presented.

On November 9, 2022, the Company effected a 15-to-1 reverse stock split. On September 12, 2023, the Company effected a 20-to-1 reverse stock split. The Company has applied and retroactively applied, the reverse stock splits to share and per share amounts in the condensed financial statements for the three and nine months ended September 30, 2023 and September 30, 2022. Additionally, pursuant to their terms, a proportionate adjustment was made to the per share exercise price and number of shares issuable under all the Company’s outstanding options under the 2010 / 2019 Stock and Incentive Plans and warrants, with any fractional shares rounded up to the next whole share. The number of shares authorized for issuance pursuant to the Company’s 2023 Stock and Incentive Plan (the “2023 Plan”) was not impacted by the 20-to-1 reverse stock split (see Note 9 for additional information). The Company also applied and retroactively applied such adjustments in the notes to the condensed financial statements for the three and nine months ended September 30, 2023 and September 30, 2022. The reverse stock split did not reduce the number of authorized shares of common stock and preferred stock and did not alter the par value.

These financial statements should be read in conjunction with the audited financial statements and accompanying notes thereto for the year ended December 31, 2022 included in the Company’s Annual Report on Form 10-K (the “2022 Annual Report”). The results of operations for the interim period shown in this report are not necessarily indicative of the results that may be expected for any other interim period or for the full year. The information as of and for the three and nine months ended September 30, 2023 and September 30, 2022 is unaudited. The balance sheet at December 31, 2022 was derived from the audited financial statements at that date but does not include all of the information and footnotes required by GAAP for complete financial statements.

Concentrations of Credit Risk

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents. The Company has no off-balance-sheet concentrations of credit risk, such as foreign exchange contracts, option contracts or foreign currency hedging arrangements. The Company consistently maintains its cash and cash equivalent balances in the form of bank demand deposits, United States federal government backed treasury securities and fully liquid money market fund accounts with financial institutions that management believes are creditworthy. The Company periodically monitors its cash positions with, and the credit quality of, the financial institutions with which it invests. As of and subsequent to March 31, 2023, the Company no longer maintains balances in excess of federally insured limits.

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Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities and expenses, and related disclosures in the financial statements and accompanying notes. The Company bases its estimates on historical experience and on assumptions believed to be reasonable under the circumstances. Actual results could differ materially from those estimates.

Significant items subject to such estimates and assumptions primarily include the Company’s projected current and long-term liquidity needs and availability and the amount and collectability of the insurance recovery receivable representing amounts advanced by the Company in excess of the previously paid $2.5 million self-insured retention for defense costs relating to currently pending lawsuits and the SEC investigation that is expected to be covered and paid by its directors’ and officers’ insurance. The Company develops these estimates using its judgment based upon the facts and circumstances known to it at the time.

Liquidity / Going Concern

The Company is a pre-revenue stage biopharmaceutical company that has incurred an accumulated deficit of $240.5 million as of September 30, 2023. The Company expects to generate continued operating losses for the foreseeable future as it pursues the continued development and advancement of the OA-201 program, with the plan that it will source the requisite liquidity primarily through capital raising efforts.

As of September 30, 2023, the Company had $6.4 million of cash and cash equivalents and an insurance recovery receivable of $0.5 million. Based on the current cash / liquidity position, current projection of operating expenses and assumption regarding the collectability in full of the insurance recovery receivable, the Company believes it will have sufficient liquidity to fund business operations into the first quarter of 2024. Cash resources and capital needs are based upon management’s estimates as to future operating expenses and the timing of collection of the insurance recovery receivable, which involve significant judgment. If the Company is able to successfully optimize a small molecule formulation to advance into development, it intends to fund the future development of the OA-201 program through one or more offerings of its equity securities. The Company also may seek to raise equity capital, which could lead to a possibility of a cure of non-compliance with the $6.0 million minimum stockholders’ equity requirement of the NYSE American exchange. Accordingly, the Company may require a greater amount of capital than presently anticipated or may require capital more quickly than presently anticipated, or both.

Additionally, as the Company’s board of directors continues to evaluate strategic alternatives, the forecasts regarding the sufficiency of liquidity are based upon maintaining current operations.

Additional financing may not be available in the amount or at the time the Company needs it or may not be available on acceptable terms or at all. If the Company raises additional equity financing, our stockholders may experience significant dilution of their ownership interests and the value of shares of our common stock could decline. The Company’s efforts to raise additional funds from the sale of equity may be hampered by the currently depressed trading price of the common stock and the restrictions on ATM agreement sales or other offering types based on the current market capitalization of the Company. If the Company raises additional equity financing, new investors may demand rights, preferences, or privileges senior to those of existing holders of common stock.

Based on the above, these existing and ongoing factors raise substantial doubt about the Company’s ability to continue as a going concern. The accompanying unaudited interim financial statements were prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

These financial statements do not include any separate adjustments relating to the recovery of recorded assets or the classification of liabilities, which adjustments may be necessary in the future should the Company be unable to continue as a going concern.

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Adoption of Recent Accounting Pronouncements

In August 2020, the Financial Accounting Standards Board (“FASB”) issued ASU 2020-06, “Debt (Subtopic 470-20); Debt with Conversion and Other Options and Derivatives and Hedging (Subtopic 815-40) Contracts in Entity’s Own Equity”. The updated guidance is part of the FASB’s simplification initiative, which aims to reduce unnecessary complexity in U.S. GAAP. Consequently, more convertible debt instruments will be reported as single liability instruments with no separate accounting for embedded conversion features. The ASU 2020-06 also removes certain settlement conditions that are required for equity contracts to qualify for the derivative scope exception, which will permit more equity contracts to qualify for the exception. In addition, ASU 2020-06 also simplifies the diluted net income per share calculation in certain areas. The updated guidance is effective for fiscal years beginning after December 15, 2023, and interim periods within those fiscal years, with early adoption permitted for periods beginning after December 15, 2020. The Company adopted ASU 2020-06 effective January 1, 2023. The adoption of ASU 2020-06 did not have a material impact on the Company’s financial statements.

Recent Accounting Pronouncements

This Quarterly Report on Form 10-Q does not discuss recent pronouncements that are not anticipated to have a current and/or future impact on or are unrelated to the Company’s financial condition, results of operations, cash flows or disclosures.

Note 2 – Current Assets, Excluding Cash and Cash Equivalents

The Company recorded an insurance recovery receivable of $530,000 on its balance sheet as of September 30, 2023, which is owed from the insurance carrier with respect to amounts advanced by the Company in excess of the previously paid $2.5 million self-insured retention for defense costs relating to currently pending lawsuits and the SEC investigation that is expected to be covered and paid by our directors’ and officers’ insurance.

Prepaid expenses and other balances as of September 30, 2023 and December 31, 2022 are as follows:



	September 30, 2023		December 31, 2022

Unamortized commercial insurance premiums	$	517,000	$	610,000
Deferred issuance costs		136,000		—
Deposits		34,000		34,000
Other		31,000		32,000
Total prepaid expenses and other	$	718,000	$	676,000

Note 3 – Fixed Assets

Fixed assets are recorded based on acquisition cost and once placed in service, are depreciated utilizing the straight-line method over their estimated economic useful lives. Leasehold improvements are accreted over the shorter of the estimated economic life or related lease term. Effective March 1, 2023, the Company entered into a sublease of its

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existing facility and in connection with that sublease, entered into a bill of sale with the subtenant for all the Company’s existing fixed assets (see Note 5).

Fixed assets, net of accumulated depreciation, consist of the following:


	Estimated
	Useful Lives
	(in Years)	September 30, 2023		December 31, 2022

Leasehold improvements	10	$	—	$	4,965,000
Manufacturing facility/clean room	3 - 8		—		2,803,000
Lab equipment and office furniture	5 - 8		—		1,661,000
Fixed assets, gross			—		9,429,000
Accumulated depreciation			—		(9,245,000)
Fixed assets, net		$	—	$	184,000

Depreciation and amortization expense for the respective periods is as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Depreciation and amortization expense	$	—	$	347,000	$	122,000	$	865,000

Note 4 – Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses as of September 30, 2023 and December 31, 2022 are as follows:



	September 30, 2023		December 31, 2022

Accounts payable	$	459,000	$	97,000
Professional fees		737,000		157,000
Commercial insurance premium financing		354,000		189,000
Preclinical and clinical trials		185,000		89,000
Property taxes		60,000		74,000
Franchise taxes		17,000		78,000
Accrued severance		—		143,000
Other		97,000		25,000
Accounts payable and accrued expenses	$	1,909,000	$	852,000

Commercial Insurance Premium Financing Agreement

In June 2023, the Company entered into an insurance premium financing agreement for $703,000, with a term of nine months, annual interest rate of 8.00% and made a down payment of $171,000. Under the terms and provisions of the agreement, the Company is required to make principal and interest payments totaling $59,000 per month over the remaining term of the agreement.

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Note 5 - Commitments and Contingencies

Employment Agreements

As of September 30, 2023, the Company is a party to an employment agreement with Michael A. Martino, Chief Executive Officer, dated November 22, 2021 and amended August 30, 2022 with an initial base salary of $550,000. The amendment on August 30, 2022 extended the term to November 22, 2023. On October 1, 2023, the Company and Michael A. Martino entered into a second amendment to the employment agreement, which changed the term ending on November 22, 2023 to an indefinite term. All other terms and conditions of Mr. Martino’s employment agreement remain unchanged.

As of September 30, 2023, the Company is a party to an employment agreement dated October 11, 2021 with Daniel Stokely to serve in the capacity as the Company’s Chief Financial Officer with an initial base salary of $335,000 and an initial term ending in October 2024.

Under these employment agreements, each executive is entitled to a severance payment in the event the Company terminates employee’s employment without cause, or employee terminates his employment with good reason.

Related Party Research Agreements

On February 4, 2022, the Company entered into a sponsored research services agreement with Trauma Research, LLC, an entity owned by one of the Company’s former directors. The agreement totaled $400,000 for research activities to be performed over the next two years. In addition, the Company also entered into a personal services agreement dated February 4, 2022 with that individual to provide research services. The agreement payments totaled $250,000, which were to be paid in four equal installments payable quarterly over the one-year term. On August 5, 2022, the Company delivered notice of termination of the personal services agreement, effective September 5, 2022, and paid the remaining obligation of $21,000. On August 5, 2022, the Company delivered notice of termination of the research services agreement, effective November 4, 2022, and paid the remaining obligation of $63,000. There are no related party agreements in effect as of September 30, 2023.

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Facility Lease

The Company is a party to a Lease Agreement (the “Lease”) with Beta Investors Group, LLC (successor by assignment to NCWP – Inverness Business Park, LLC) (the “Landlord”) dated December 13, 2013 pursuant to which the Company has leased office and manufacturing space in Suite 200 and Suite 204 in the building located at 373 Inverness Parkway, Englewood, Colorado (the “Premises”). The lease was a 125-month non-cancellable operating lease for office space and a manufacturing facility, set to expire September 2024 with the right to renew for an additional 60 months. The effective date of the Lease was May 1, 2014. The initial base rent of the Lease was $23,000 per month. The total base rent over the term of the Lease is approximately $3.3 million, which includes rent abatements and leasehold incentives.

Effective March 1, 2023, the Company entered into a sublease agreement whereby the Company subleased the Premises for a term commencing on March 1, 2023 and continuing until the expiration for the Lease on September 30, 2024. The subtenant will pay to the Company rent and other amounts assessed by the Landlord against the Company under the Lease. The subtenant is also responsible for utilities and insurance under the sublease agreement. Under the terms and conditions of the sublease agreement, the Company was fully released of its obligation under the Lease to dismantle and remove certain components of leasehold improvements at the end of the lease term. Accordingly, the Company derecognized its asset retirement obligation (“ARO”) in the amount of $294,000 which resulted in the recognition of a non-cash gain totaling $288,000 gain, net of $6,000 loss on the derecognition of the ARO asset.

The following table provides a reconciliation of the Company’s remaining undiscounted payments for its facility lease and the carrying amount of the lease liability disclosed on the balance sheet as of September 30, 2023:


	Facility Lease Payments		2023		2024		2025		2026		2027		Thereafter

Remaining Facility Lease Payments	$	372,000	$	92,000	$	280,000	$	—	$	—	$	—	$	—
Less: Discount Adjustment		(10,000)
Total lease liability	$	362,000

Lease liability-current portion	$	362,000

Long-term lease liability	$	—

The Company recorded lease expense in the respective periods as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Lease expense	$	7,000	$	70,000	$	108,000	$	221,000

Note 6 – Warrants

The Company adopted ASU 2020-06 effective January 1, 2023 using the modified retrospective method, and accordingly reclassified its “investor” liability classified warrants to accumulated deficit. The Company’s “placement agent” warrants were previously classified as equity. The Company had approximately 53,000 equity-classified warrants as of September 30, 2023.


		Weighted		Weighted Average
	Number of	Average		Remaining
	Warrants	Exercise Price		Contractual Life

Outstanding as of December 31, 2022	53,263		$ 318.80	3.80

Outstanding as of September 30, 2023	52,751		$ 320.62	3.08

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The following table summarizes the Company’s outstanding warrants between placement agent and investor warrant classifications:

Weighted

Weighted Average

Number of

Average

Remaining

Date

Exercise Price

Type

Warrants

Exercise Price

Contractual Life

December 2021 registered direct offering

$ 330.00

Investor

50,001

3.04

June 2019 public offering

$ 150.00

Placement agent

2,750

0.04

Outstanding as of September 30, 2023

52,751

$ 320.62

3.08

Investor warrants totaling 512 shares expired on August 12, 2023. There was no warrant derivative liability as of September 30, 2023. The total value for the warrant derivative liability as of December 31, 2022 was approximately $44,000 (see Note 7).

Note 7 - Fair Value Considerations

Authoritative guidance defines fair value as the price that would be received upon the sale of an asset or paid to transfer a liability (an exit price) in an orderly transaction between market participants at the measurement date. The guidance establishes a hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs reflect inputs that market participants would use in pricing the asset or liability based on market data obtained from sources not affiliated with the Company. Unobservable inputs are inputs that reflect the Company’s assumptions of what market participants would use in pricing the asset or liability based on the best information available in the circumstances. The hierarchy is broken down into three levels based on reliability of the inputs as follows:


	Level 1:	Inputs that reflect unadjusted quoted prices in active markets that are accessible to the Company for identical assets or liabilities;

	Level 2:	Inputs that include quoted prices for similar assets and liabilities in active or inactive markets or that are observable for the asset or liability either directly or indirectly; and

	Level 3:	Unobservable inputs that are supported by little or no market activity.

The Company’s financial instruments include cash and cash equivalents, accounts payable and accrued expenses, and warrant derivative liability. Warrants are recorded at estimated fair value utilizing the Black-Scholes warrant pricing model.

The Company’s assets and liabilities which are measured at fair value are classified in their entirety based on the lowest level of input that is significant to their fair value measurement. The Company’s policy is to recognize transfers in and/or out of the fair value hierarchy as of the date in which the event or change in circumstances caused the transfer. The Company has consistently applied the valuation techniques in all periods presented.

As noted previously, the Company early adopted ASU 2020-06 resulting in the reclassification of the warrant derivative liability to stockholder’s equity, effective January 1, 2023.

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The following table presents the Company’s financial assets and liabilities that were accounted for at fair value on a recurring basis as of December 31, 2022, by level within the fair value hierarchy:


	Fair Value Measurements Using
	Level 1		Level 2		Level 3		Total
December 31, 2022
Liabilities:
Warrant derivative liability	$	—	$	—	$	44,000	$	44,000

The warrant derivative liability for the December 31, 2022 period presented was valued using the Black-Scholes valuation methodology as the Company believes that model embodies all the relevant assumptions (including trading volatility, estimated terms and risk-free interest rates) that address the features underlying these instruments.

Due to the implementation of ASU 2020-06, effective January 1, 2023 the fair value of financial liabilities classified as Level 3 in the fair value hierarchy was reduced by $44,000. There were no financial liabilities classified as Level 1, 2 or 3 as of September 30, 2023.

Note 8 - Common Stock

Authorized Shares

The Company had 300.0 million authorized shares of common stock as of September 30, 2023 and December 31, 2022.

The following table summarizes the Company’s remaining authorized shares available for future issuance:


	September 30, 2023

Authorized shares		300,000,000

Common stock outstanding		804,604
Options outstanding		12,719
Warrants outstanding		52,751
Reserved for issuance under 2019 Stock and Incentive Plan		—
Reserved for issuance under 2023 Stock and Incentive Plan		1,200,000
Available shares for future issuance		297,929,926

ATM Equity Offering Program

On September 18, 2023, the Company entered into an At The Market Offering Agreement (the “Offering Agreement”) with H.C. Wainwright & Co., LLC as Manager (in such capacity, the “Manager”), establishing an at-the-market equity distribution program, pursuant to which the Company, through the Manager, may offer and sell from time to time shares of the Company’s common stock, par value $0.0001 (the “Common Stock”), having an aggregate gross sales price of up to $1,250,000. The Registration Statement on Form S-3 (File No. 333-274558) (the “Registration Statement”) which included a base prospectus and an at-the-market offering prospectus was filed by the Company on September 18, 2023 and became effective on September 27, 2023.

Subject to the terms and conditions of the Offering Agreement, the Manager may sell Common Stock by any method permitted by law deemed to be an “at the market offering” as defined in Rule 415 promulgated under the Securities Act of 1933, as amended. The Manager will use commercially reasonable efforts consistent with its normal trading and sales practices to sell the Common Stock from time to time, based upon instructions from the Company (including any price, time or size limits or other customary parameters or conditions the Company may impose). The Company will pay the Manager a commission of three percent (3.0%) of the gross sales proceeds of each sale of shares pursuant to the Offering Agreement. The Company will also reimburse the Manager for the documented fees and costs of its legal counsel

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reasonably incurred in connection with entering into the transactions contemplated by the Offering Agreement in an amount not to exceed $50,000 in the aggregate, as well as an additional reimbursement of up to $2,500 per due diligence update session for the Manager’s fees. The Company has provided customary representations, warranties and covenants, and the parties have agreed to customary indemnification rights. The Company has the right to terminate the provisions of the Offering Agreement in its sole discretion at any time upon seven business days’ prior written notice. The Manager has the right to terminate the Offering Agreement in its sole discretion at any time. In the case of a termination by either party, specified provisions of the Offering Agreement will survive, including the indemnification provisions.

Under the terms of the Offering Agreement, in no event will the Company issue or sell through the Manager such number or dollar amount of shares of Common Stock that would (i) exceed the number or dollar amount of shares of Common Stock registered and available on the Registration Statement, (ii) exceed the number of authorized but unissued shares of Common Stock, or (iii) exceed the number or dollar amount of Common Stock for which the Company has filed a prospectus supplement to the Registration Statement. There were no sales of Common Stock under the Offering Agreement for the three months ended September 30, 2023; however, the Company did incur deferred issuance costs of $136,000.

Note 9 – Mezzanine Equity and Stockholders’ Equity

Preferred Stock

On May 24, 2023, the Board declared a dividend of one one-thousandth of a share (1/1000^th) of Series D Preferred Stock, par value $0.0001 per share (“Series D Preferred Stock”), for each outstanding share of common stock of the Company, par value $0.0001 per shares (the “Common Stock”) to stockholders of record at 5:00 p.m. Eastern Time on June 8, 2023 (the “Record Date”). The Certificate of Designation of Series D Preferred Stock (the “Certificate of Designation”) was filed with the Delaware Secretary of State and became effective on May 25, 2023.

The dividend was based on the number of shares of common stock on June 8, 2023 and resulted in 15,103 Series D Preferred shares being issued. Each whole share of Series D Preferred Stock entitles the holder thereof to 1,000,000 votes per share, and each fraction of a share of Series D Preferred Stock has a ratable number of votes. Thus, each one-thousandth of a share of Series D Preferred Stock is entitled to 1,000 votes. The outstanding shares of Series D Preferred Stock are entitled to vote together with the outstanding shares of common stock as a single class exclusively with respect to (i) any proposal to adopt an amendment to the Company’s Amended and Restated Certificate of Incorporation, as amended (the “Certificate of Incorporation”), to effect a reverse stock split of the outstanding shares of Common Stock at a ratio determined in accordance with the terms of such amendment (the “Reverse Stock Split”), and (ii) any proposal to adjourn any meeting of stockholders called for the purpose of voting on the Reverse Stock Split (the “Adjournment Proposal”). The Reverse Stock Split and Adjournment Proposal were presented at the 2023 Annual Meeting of Stockholders held on Thursday, July 27, 2023.

All shares of Series D Preferred Stock that were not present in person or by proxy at the Annual Meeting of Stockholders as of immediately prior to the opening of the polls at such meeting (the “Initial Redemption Time”) were automatically redeemed in whole, but not in part, by the Company at the Initial Redemption Time without further action on the part of the Company or the holder of shares of Series D Preferred Stock (the “Initial Redemption”). The outstanding shares of Series D Preferred Stock that were not redeemed pursuant to an Initial Redemption were redeemed in whole, but not in part, automatically upon the approval by the Corporation’s stockholders of the Reverse Stock Split at the 2023 Annual Meeting of Stockholders held on Thursday, July 27, 2023. Accordingly, as of July 27, 2023, all outstanding shares of Series D Preferred Stock were redeemed.

Each share of Series D Preferred Stock was redeemed in consideration for the right to receive an amount equal to $0.01 in cash for each ten whole shares of Series D Preferred Stock that are “beneficially owned” by the “beneficial owner”, as such terms are defined in the Certificate of Designation thereof as of immediately prior to the applicable redemption time, payable upon receipt by the Company of a written request submitted by the applicable holder to the corporate secretary of the Company (each a “Redemption Payment Request”) following the applicable Redemption Time. From July 27, 2023 to the date hereof, there have been no Redemption Payment Requests.

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The Series D Preferred Stock was not convertible into, or exchangeable for, shares of any other class or series of stock or other securities of the Company. The Series D Preferred Stock had no stated maturity and it was not subject to any sinking fund. The Series D Preferred Stock was not subject to any restriction on the redemption or repurchase of shares by the Company while there is any arrearage in the payment of dividends or sinking fund installments.

The Company was not solely in control of the redemption of the shares of Series D Preferred Stock since the holders had the option of deciding whether to vote in respect of the Reverse Stock Split, which determines whether a given holder’s shares of Series D Preferred Stock are redeemed in the Initial Redemption or the Subsequent Redemption. Since the redemption of the Series D preferred Stock was not solely in the control of the Company, the shares of Series D Preferred Stock were classified within the mezzanine equity in the Company’s condensed consolidated balance sheet as of June 30, 2023. The shares of Series D Preferred Stock were measured at redemption value which was considered immaterial to the Company’s financial statements at the time of issuance. As of September 30, 2023 all shares of Series D Preferred Stock have been cancelled and returned to the Preferred Stock reserve.

Options

In July 2023, the Company’s Board of Directors and stockholders approved the adoption of the 2023 Plan, under which shares were reserved for future issuance of equity related awards as further defined under the 2023 Plan. The 2023 Plan permits grants of equity awards to employees, directors and consultants. The stockholders approved a total of 1.2 million shares to be reserved for issuances under the 2023 Plan and the full amount of the reserve remains available for future issuances as of September 30, 2023. Pursuant to the terms of the 2023 Plan, the number of shares authorized for issuance pursuant to the 2023 Plan were not impacted by the 20-to-1 reverse stock split. The Company’s 2019 Stock and Incentive Plan was cancelled concurrently with the adoption of the 2023 Plan.

The following table summarizes the Company’s restricted stock awards activity during the three months ended September 30, 2023:


		Weighted
		Average Grant-Date			Aggregate
	Awards	Fair Value			Intrinsic Value
Nonvested as of December 31, 2022	670	$	492.00
Vested	(223)	$	492.00	$	—
Nonvested as of March 31, 2023	447	$	492.00
Nonvested as of June 30, 2023	447	$	492.00
Nonvested as of September 30, 2023	447	$	492.00

The following table summarizes the Company’s stock option activity:


		Weighted		Weighted Average
	Number of	Average		Remaining		Aggregate
	Options	Exercise Price		Contractual Life		Intrinsic Value
Outstanding as of December 31, 2022	14,873	$	299.40	6.41	$	—
Forfeited, expired and/or cancelled	(687)	$	136.60
Outstanding as of March 31, 2023	14,186	$	307.20	6.58	$	—
Forfeited, expired and/or cancelled	(1,467)	$	192.20
Outstanding as of June 30, 2023	12,719	$	317.40	7.08	$	—
Forfeited, expired and/or cancelled	—
Outstanding as of September 30, 2023	12,719	$	317.44	6.83	$	—
Exercisable as of September 30, 2023	11,814	$	317.63	6.72	$	—

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The following table summarizes the outstanding options that were issued in accordance with the 2010 Plan and the 2019 Plan:


Outstanding Options by Plan	September 30, 2023
2010 Plan		4,937
2019 Plan		7,782
Outstanding as of September 30, 2023		12,719

Stock options outstanding as of September 30, 2023 are summarized in the table below:


	Number of	Weighted		Weighted Average
	Options	Average		Remaining
Range of Exercise Prices	Outstanding	Exercise Price		Contractual Lives
Up to $150.00	2,039	$	132.40	7.05
$150.01 - $300.00	6,173	$	207.17	6.30
$300.01 - $450.00	2,620	$	346.95	8.11
$450.01 and above	1,887	$	837.19	6.52
Total	12,719	$	317.44	6.83

The Company computes the fair value for all options granted or modified using the Black-Scholes option pricing model. To calculate the fair value of the options, certain assumptions are made regarding components of the model, including the fair value of the underlying common stock, risk-free interest rate, volatility, expected dividend yield and expected option life. Changes to the assumptions could cause significant adjustments to the valuation. The Company calculates its volatility assumption using the actual changes in the market value of its stock. Forfeitures are recognized as they occur. The Company’s historical option exercises do not provide a reasonable basis to estimate an expected term due to the lack of sufficient data. Therefore, the Company estimates the expected term by using the simplified method. The simplified method calculates the expected term as the average of the vesting term plus the contractual life of the options. The risk-free interest rate is based on the U.S. Treasury yield in effect at the time of the grant for treasury securities of similar maturity. The Company did not grant or modify options during the quarter ended September 30, 2023, as such, there are no assumptions to compute the fair value of options. The Company computed the fair value of options granted/modified during the period ended September 30, 2022, using the following assumptions.


	Nine Months Ended September 30,
	2022

Expected volatility	116.83% - 119.43	%
Risk free interest rate	1.26% - 1.94	%
Expected term (years)	5.45 - 6.51

Share-based compensation expense related to the fair value of stock options is included in the statements of operations as research and development expenses or general and administrative expenses as set forth in the table below. The following

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table summarizes share-based compensation expense (stock options, restricted stock awards and common stock issued for services) for the three and nine months ended September 30, 2023 and 2022:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Research and development expenses
Share-based compensation, net of forfeitures	$	3,000	$	(23,000)	$	(27,000)	$	118,000

General and administrative expenses
Share-based compensation, net of forfeitures		43,000		186,000		147,000		675,000

Total share-based compensation, net of forfeitures	$	46,000	$	163,000	$	120,000	$	793,000

Unrecognized share-based compensation expense related to stock options as of September 30, 2023	$	47,000

Weighted average remaining years to vest for stock options		1.24

Unrecognized share-based compensation expense related to restricted stock awards as of September 30, 2023	$	54,000

Weighted average remaining years to vest for restricted stock awards		1.26

Note 10 - Earnings Per Share

Basic earnings per share is computed by dividing net loss by the weighted-average number of shares of common stock outstanding during each period. Diluted earnings per share is based on the treasury stock method and computed by dividing net loss available to common stockholders by the diluted weighted-average shares of common stock outstanding during each period. The Company’s potentially dilutive shares include stock options, warrants for the shares of common stock and restricted stock awards. The potentially dilutive shares are considered to be common stock equivalents and are only included in the calculation of diluted net loss per share when the effect is dilutive. The investor warrants are treated as equity in the calculation of diluted earnings per share in both the computation of the numerator and denominator, if dilutive. The following table sets forth the calculations of basic and diluted earnings per share for the three and nine months ended September 30, 2023 and 2022:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net loss	$	(1,229,000)	$	(6,411,000)	$	(6,578,000)	$	(14,117,000)
Less: decrease in fair value of investor warrants		—		(1,167,000)		—		(5,384,000)
Net loss available to common stockholders	$	(1,229,000)	$	(7,578,000)	$	(6,578,000)	$	(19,501,000)

Basic weighted-average common shares outstanding		804,158		753,620		804,158		753,616
Add: dilutive effect of equity instruments		—		—		—		—
Diluted weighted-average shares outstanding		804,158		753,620		804,158		753,616
Earnings per share – basic	$	(1.53)	$	(8.51)	$	(8.18)	$	(18.73)
Earnings per share – diluted	$	(1.53)	$	(10.06)	$	(8.18)	$	(25.88)

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The potentially dilutive shares of common stock that have been excluded from the calculation of net loss per share because of their anti-dilutive effect are as follows:


	Three Months Ended September 30,		Nine Months Ended September 30,
	2023	2022	2023	2022
Warrants to purchase shares of common stock	52,751	53,257	52,751	53,257
Outstanding stock options	12,719	18,206	12,719	18,206
Restricted stock awards	447	670	447	670
Total potentially dilutive shares of common stock	65,917	72,133	65,917	72,133

Note 11 – Subsequent Events

Through October 31, 2023, the Company received gross proceeds of $0.1 million from the sale of 27,417 shares of common stock from the Offering Agreement, which was offset by offering related costs of $94,000.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

This discussion should be read in conjunction with our historical financial statements. The following discussion and analysis contains forward-looking statements that involve risks and uncertainties. Actual results could differ materially from those projected in the forward-looking statements. For additional information regarding these risks and uncertainties, please see “Cautionary Note Regarding Forward-Looking Statements” above, Part II, Item 1A of this Quarterly Report on Form 10-Q, the risk factors included in the 2022 Annual Report and the risk factors included in Part II, Item 1A of this Quarterly Report on Form 10-Q.

ACCOUNTING POLICIES

Significant Accounting Policies and Estimates

Our financial statements were prepared in accordance with GAAP. The preparation of the financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of expenses incurred during the reporting period. On an on-going basis, management evaluates its estimates and judgments. Management bases its estimates and judgments on historical experience and on various other factors that are believed to be reasonable and appropriate under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions. The methods, estimates, and judgments used by us in applying these critical accounting policies have a significant impact on the results we report in our financial statements.

Our significant accounting policies and estimates have not changed substantially from those previously disclosed in the 2022 Annual Report.

Newly Issued Accounting Pronouncements

Information regarding the recently issued accounting standards (adopted and not adopted as of September 30, 2023) is contained in Note 1 to the Financial Statements.

RESULTS OF OPERATIONS

Results of Operations – September 30, 2023 Compared to September 30, 2022

We recognized a net loss for the three months ended September 30, 2023 (“2023 quarter”) of $1.2 million compared to a net loss of $6.4 million for the three months ended September 30, 2022 (“2022 quarter”). The net loss during the 2023 quarter was attributable to operating expenses of $1.4 million, partially offset by interest and rental income of $0.2

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million. The net loss during the 2022 quarter was primarily attributable to operating expenses of $7.7 million, partially offset by a non-cash derivative gain of $1.2 million and interest income of $0.1 million. Operating expenses decreased $6.3 million, or 82%, from the 2022 quarter to the 2023 quarter primarily due to a $2.4 million, or 88% decrease in research and development costs; and a $1.9 million, or 64%, decrease in general and administrative costs, both of which are further explained below.

We recognized a net loss for the nine months ended September 30, 2023 (“2023 period”) of $6.6 million compared to a net loss of $14.1 million for the nine months ended September 30, 2022 (“2022 period”). The net loss during the 2023 period was primarily attributable to operating expenses of approximately $7.4 million, partially offset by interest and rental income of $0.5 million, in addition to the recognition of a $0.3 million non-cash gain on elimination of ARO obligation in conjunction with the sublease of our facilities in March 2023. The net loss during the 2022 period was primarily attributable to operating expenses of approximately $19.6 million, partially offset by the non-cash derivative gain of $5.4 million and interest income of $0.1 million. Operating expenses decreased $12.3 million, or 63%, from the 2022 period to the 2023 period primarily due to a $7.0 million, or 85%, decrease in research and development costs; and a $3.3 million, or 36%, decrease in general and administrative costs, both of which are further explained below.

Operating Expenses

Research and Development

Research and development costs are summarized as follows and exclude an allocation of general and administrative expenses:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Professional fees	$	166,000	$	155,000	$	406,000	$	663,000
Laboratory		73,000		243,000		389,000		749,000
Salaries and benefits		73,000		1,028,000		258,000		2,380,000
Depreciation		—		339,000		123,000		845,000
Operations/manufacturing		29,000		25,000		24,000		306,000
Clinical trial and sponsored research expenses		(25,000)		977,000		7,000		3,064,000
Share-based compensation		1,000		(23,000)		(27,000)		118,000
Other		12,000		3,000		17,000		52,000
Total research and development	$	329,000	$	2,747,000	$	1,197,000	$	8,177,000

2023 Quarter Compared to 2022 Quarter

Research and development costs decreased by approximately $2.4 million, or 88%, for the 2023 quarter compared to the 2022 quarter. Research and development costs with variances above $75,000 and 10% compared with the previous quarter are further explained below.

Laboratory

Laboratory expenses decreased $0.2 million, or 70%, for the 2023 quarter compared with the 2022 quarter as a result of the shift to pre-clinical contract lab related services related to OA-201 in the 2023 quarter, which was at a lower cost than the work related to AR-300 in the 2022 quarter.

Salaries and benefits

Salaries and benefit expense decreased $1.0 million, or 93%, for the 2023 quarter compared with the 2022 quarter as a result of the reduction in force plan (“RIF”), which was implemented in third quarter 2022 and finalized in first quarter 2023, resulting in a total reduction of seventeen full-time equivalents, or 78%, of our workforce. As of September 30, 2023, we had 5 full-time employees. As part of our OA-201 development strategy, we outsource and contract with independent organizations, advisors and consultants to provide specific services, such as assistance with designing and implementing preclinical, clinical and regulatory development plans. This human capital resources strategy has resulted

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not only in a decrease in salaries and benefits, but an increase in professional fees relating to third party service providers.

Depreciation

Depreciation expense decreased to $0 in the 2023 quarter as a result of (i) the initial impairment of the Company’s long-lived assets in third quarter 2022 with a final adjustment in March 2023 and (ii) the sublease of the Company’s premises and sale of all existing personal property to the subtenant in conjunction with the provisions of the sublease agreement.

Operations/manufacturing

At the end of the 2023 quarter, we entered into an agreement with a contract development and manufacturing organization (“CDMO”), totaling $1.6 million. We expect to start incurring expenses during the fourth quarter of 2023 and into the first half of fiscal 2024, and as a result, we believe operations/manufacturing expenses will increase.

Clinical trial and sponsored research expenses

The clinical trial and sponsored research expense decreased $1.0 million, or 103% for the 2023 quarter compared to the 2022 quarter, due to the continued effort towards discontinuation / finalization of Ampion related clinical trials (i.e., AP-013, AP-017 and AP-019) in the 2022 quarter. At the end of the 2023 quarter, we entered into an agreement with a laboratory to conduct pre-IND enabling studies totaling $0.9 million. We expect to start incurring expenses during the fourth quarter of 2023 and into the first half of fiscal 2024, and as a result, we believe pre-clinical costs will increase.

2023 Period Compared to 2022 Period

Research and development costs decreased by $7.0 million, or 85%, for the 2023 period compared to the 2022 period. The reasons for the increase and an explanation of the research and development costs with variances greater than $175,000 and 10% compared with the previous period are further explained below.

Professional fees

Professional fees expense decreased $0.3 million, or 39%, as we utilized a higher level of contracted Chief Medical Officer services required during the 2022 period, as a result from the closeout of the Ampion clinical trials. This was partially offset from costs incurred during the 2023 period related to contractor fees for drug development and related advisory services for the OA-201 development program as part of our human capital resources strategy.

Laboratory and operations/manufacturing

Laboratory operations / manufacturing expenses decreased $0.4 million, or 48%, as a result of the shift to outsourced pre-clinical lab work related to the continued development of OA-201, which commenced during the first quarter of 2023. During the 2022 period the Company conducted laboratory operations to support the AP-017 and AP-019 clinical trials, combined with outsourced services to support the development of AR-300.

Salaries and benefits

Salaries and benefits expenses decreased $2.1 million, or 89%, for the 2023 period compared to the 2022 period as a result of the RIF which was implemented in third quarter 2022 and completed in early first quarter 2023, which resulted in a 78% reduction of our workforce.

Depreciation

Depreciation expense decreased by $0.7 million, or 85%, as a result of (i) the initial impairment of the Company’s long-lived assets in third quarter 2022, with a final adjustment in March 2023, as a result of the sublease of the Company’s premises and (ii) a sale of all existing personal property to the subtenant in conjunction with the provisions of the sublease agreement.

Operations / manufacturing

Operations / manufacturing expenses decreased $0.3 million, or 92%, for the 2023 period as a result of the shut-down and discontinued use / support of the cleanroom and overall manufacturing facility which completed in second half

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2022. As noted above, we believe operations/manufacturing expenses will increase during the fourth quarter of 2023 and into the first half of fiscal 2024, as a result of the agreement entered into with a CDMO.

Clinical trial and sponsored research expenses

The clinical trial and sponsored research expenses decreased by approximately $3.1 million, or 100%, primarily due to the ongoing close-out efforts relating to the AP-017 and AP-019 studies reflecting costs totaling $2.6 million during the 2022 period. In addition, we incurred $0.5 million during the 2022 period related to the AP-013 clinical trial. The Company was not engaged in any clinical trials during the 2023 period. As noted above, we believe pre-clinical costs will increase during the fourth quarter of 2023 and into the first half of fiscal 2024 as a result of the agreement entered into with a laboratory to conduct pre-IND enabling studies.

General and Administrative

General and administrative expenses are summarized as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Professional fees	$	460,000	$	1,970,000	$	3,837,000	$	5,954,000
Salaries and benefits		262,000		267,000		797,000		1,192,000
Insurance		178,000		312,000		785,000		812,000
Facilities		12,000		123,000		195,000		408,000
Director fees		52,000		54,000		177,000		259,000
Share-based compensation		43,000		186,000		147,000		675,000
Other		64,000		63,000		168,000		204,000
Total general and administrative	$	1,071,000	$	2,975,000	$	6,106,000	$	9,504,000

2023 Quarter Compared to 2022 Quarter

General and administrative costs decreased $1.9 million, or 64%, for the 2023 quarter compared to the 2022 quarter. General and administrative costs with variances greater than $75,000 and 10% are further explained below.

Professional fees

Professional fees decreased $1.5 million, or 77%, for the 2023 quarter compared to the 2022 quarter primarily due to legal and other defense costs associated with an SEC investigation and class action / derivative lawsuits, which were initiated in second half of 2022. The retention limit of $2.5 million under the insurance policy was reached during the second quarter of 2023; as such, the legal costs for the 2023 quarter were offset by an insurance recovery totaling $0.8 million. Professional fees in the 2022 quarter also included legal costs incurred related to investigations conducted by the independent special committee of our Board of Directors. In addition, consulting expenses decreased approximately $0.3 million, as we re-evaluated costs associated with analyzing potential strategic alternatives.

Facilities

Facilities expense decreased $0.1 million, or 90%, for the 2023 quarter compared with the 2022 quarter as a result of the execution of the sublease agreement in March 2023, which resulted in the transfer of all utilities and operating costs of the premises to the subtenant and the full write-off of the ROU asset and future amortization (rent expense).

Share-based compensation

Share-based compensation expense decreased $0.1 million, or 77%, for the 2023 quarter compared with the 2022 quarter as a result of forfeitures and cancellations of vested and unvested stock options and restricted stock awards resulting from employee terminations and board resignations in 2022.

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2023 Period Compared to 2022 Period

General and administrative costs decreased $3.4 million, or 36%, for the 2023 period compared to the 2022 period. General and administrative costs with variances above $175,000 and 10% are further explained below.

Professional fees

Professional fees decreased $2.1 million, or 36%, for the 2023 period compared to the 2022 period due primarily to the SEC investigation and class action and derivative lawsuits that were initiated in second half of 2022 and continue through the 2023 period. The retention limit of $2.5 million under the insurance policy was reached during the second quarter of 2023; as such the legal costs for the 2023 period were offset by an insurance recovery totaling $2.2 million. Professional fees in the 2022 period primarily related to investigations conducted by the independent special committee of our Board of Directors. In addition, consulting expenses decreased approximately $0.9 million, as we re-evaluated costs associated with analyzing potential strategic alternatives.

Salaries and benefits

Salaries and benefit expense decreased $0.4 million, or 33%, for the 2023 period compared with the 2022 period as a result of lower weighted average incremental headcount during the 2023 period resulting from the termination of a former officer and the RIF which was initiated in third quarter 2022.

Facilities

Facilities expense decreased $0.2 million, or 52%, for the 2023 period compared with the 2022 period as a result of the execution of the sublease agreement in March 2023, which resulted in the transfer of all utilities and operating costs of the premises to the subtenant and the full write-off of the ROU asset and future amortization (rent expense).

Share-based compensation

Share-based compensation expense decreased $0.5 million, or 78%, as a result of forfeitures and cancellations of unvested stock options from employee terminations and board resignations in 2022.

Other Income

Other income is summarized as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Interest income	$	79,000	$	80,000	$	280,000	$	116,000
Rental income		92,000		—		213,000		—
Gain from elimination of ARO obligation, net		—		—		288,000		—
Derivative gain		—		1,167,000		—		5,384,000
Total other income	$	171,000	$	1,247,000	$	781,000	$	5,500,000

Other income

We recognized interest income of $0.3 million during the 2023 period, which increased $0.2 million from the 2022 period. The increase is attributable to an increase in interest rates since the third quarter of 2022. We also recognized a non-cash gain of $0.3 million related to the elimination of its asset retirement obligation (“ARO”) and derecognition of the ARO asset in conjunction with the sublease agreement entered into on March 1, 2023. In addition, we also recognized $0.2 million of rental income associated with the sublease agreement during the 2023 period. There was no derivative gain on the fair value of warrant liability during the 2023 quarter due to the adoption of ASU 2020-06 which converted the warrant liability to stockholder’s equity effective January 1, 2023.

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Cash Flows

Cash flows for the respective periods are as follows:


	Nine Months Ended September 30,
	2023		2022
Net cash used in operating activities	$	(6,255,000)	$	(16,834,000)
Net cash provided by investing activities		—		—
Net cash used in financing activities		—		(111,000)
Net change in cash and cash equivalents	$	(6,255,000)	$	(16,945,000)

Net Cash Used in Operating Activities

During the nine months ended September 30, 2023 our operating activities used approximately $6.3 million in cash and cash equivalents, which is less than our reported net loss of $6.6 million. The difference is primarily a result of an increase in working capital, excluding cash and cash equivalents, totaling $0.4 million.

During the nine months ended September 30, 2022 our operating activities used approximately $16.8 million in cash and cash equivalents, which was greater than our reported net loss of $14.1 million. The difference of $2.7 million is attributable to a non-cash adjustment of $5.4 million related to the warrant derivative gain and an increase in working capital of $0.9 million, partially offset by non-cash charges related to depreciation and amortization and stock-based compensation totaling $1.7 million. In addition, the Company recorded impairment on its long-lived fixed and ROU assets of $1.9 million during the third quarter of 2022.

Net Cash Provided by Investing Activities

During the nine months ended September 30, 2023 and September 30, 2022, there was no change in cash related to investing activities.

Net Cash Used in Financing Activities

During the nine months ended September 30, 2023, there was no change in cash related to financing activities.

During the nine months ended September 30, 2022, we settled a tax liability of $79,000 related to the vesting of restricted stock awards. As a result of the settlement, the Company withheld 462 common shares for taxes which represented the fair value of the tax settlement. In addition, the Company paid $32,000 in offering costs related to the registered direct offering which was finalized in December 2021.

Liquidity and Capital Resources

Since inception, we have not generated revenue, profits or operating cash flow. Over this period, we have continued to be focused on research and pre-clinical / clinical development, all of which has required raising a substantial amount of capital. We expect to generate continued operating losses for the foreseeable future as we are pursuing the continued development and advancement of the OA-201 program.

As of September 30, 2023, we had $6.4 million of cash and cash equivalents and an insurance recovery receivable of $0.5 million. Based on our current cash / liquidity position and current projection of operating expenses and assumptions regarding the collectability in full of the insurance recovery receivable, we believe we will have sufficient liquidity to fund business operations into the first quarter of 2024. Cash resources and capital needs are based upon management’s estimates as to future operating expenses and the timing of collection of the insurance recovery receivable, which involve significant judgment. If we are able to successfully optimize a small molecule formulation to advance into development, we intend to fund that future development of the OA-201 program through one or more offerings of our equity securities. We also may seek to raise equity capital, which could lead to a possibility of a cure of non-compliance

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with the $6.0 million minimum stockholders’ equity requirement of the NYSE American exchange. Accordingly, we may require a greater amount of capital than presently anticipated or may require capital more quickly than presently anticipated, or both.

Additionally, our board of directors continues to evaluate strategic alternatives, the forecasts regarding the sufficiency of our liquidity is based upon maintaining our current operations.

Additional financing may not be available in the amount or at the time we need it or may not be available on acceptable terms or at all. If we raise additional equity financing, our stockholders may experience significant dilution of their ownership interests and the value of shares of our common stock could decline. Our efforts to raise additional funds from the sale of equity may be hampered by the currently depressed trading price of our common stock and the restrictions on ATM agreement sales or other offering types based on our current market capitalization. If we raise additional equity financing, new investors may demand rights, preferences, or privileges senior to those of existing holders of common stock.

Our lack of operating revenue or cash inflows and our cash resources at September 30, 2023 raise substantial doubt as to our ability to continue as a going concern. Management’s plans to address the doubt regarding the Company’s ability to continue as a going concern include the continued aggressive monitoring of our operating expenses and use of our outsourcing philosophy to minimize expenses and increase operating efficiencies associated with the OA-201 program. Management expects to manage future expenses associated with the OA-201 program to align with the timing and amount of expenses with future capital raising activities. As a result, development of the OA-201 program may experience delays or reductions in planned activities due to timing or shortfalls in funding. If our available cash resources are insufficient to fund our expenses (including those expenses relating to legal proceedings) and the development of the OA-201 program and/or completion of a strategic transaction, we may implement further cost reduction and other cash-focused measures to manage liquidity and we may pursue a plan of liquidation or dissolution of Ampio or seek bankruptcy protection. If we decided to cease operations and dissolve and liquidate our assets, it is unclear to what extent we would be able to pay our obligations. In such a circumstance and in light of the Company’s current liquidity position and pending legal matters, it is unlikely that cash would be available for distributions to stockholders.

Off Balance Sheet Arrangements

We do not have off-balance sheet arrangements, financings or other relationships with unconsolidated entities or other persons, also known as “variable interest entities”.

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

We are a smaller reporting company, as defined by Rule 12b-2 of the Exchange Act, and are not required to provide the information required under this item.

Item 4. Controls and Procedures.

Disclosure Controls and Procedures

We maintain “disclosure controls and procedures,” as such terms are defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, or the Exchange Act, that are designed to ensure that information required to be disclosed by us in reports that we file or submit under the Exchange Act are recorded, processed, summarized and reported within the time periods specified in SEC rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), as appropriate, to allow timely decisions regarding required disclosure.

As of the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of the CEO and the CFO, of the effectiveness of the design and operation of our disclosure controls and

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procedures pursuant to Exchange Act Rules 13a-15(b) and 15d-15(b). Based upon this evaluation, the CEO and CFO concluded that our disclosure controls and procedures as of the end of the period covered by this report were effective.

Changes in Internal Control over Financial Reporting

There were no changes in our internal controls over financial reporting that occurred during the period covered by this report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II – OTHER INFORMATION

Item 1. Legal Proceedings.

From time to time, the Company may be a party to litigation arising in the ordinary course of business. The following is a summary of the material pending legal proceedings as of November 13, 2023.

Kain v. Ampio Pharmaceuticals, Inc., et al., 22-cv-2105

On August 17, 2022, a putative Ampio shareholder filed a securities fraud class action against the Company, its current CEO Michael A. Martino and two former executives, Michael Macaluso and Holli Cherevka, in the United States District Court for the District of Colorado, captioned Kain v. Ampio Pharmaceuticals, Inc., et al., 22-cv-2105. The Complaint alleges that Ampio and the individual defendants made various false and misleading statements regarding the efficacy, clinical trials and FDA communications relating to Ampio’s lead product, Ampion, and its treatment of severe osteoarthritis of the knee in violation of Section 10(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and Rule 10b-5 promulgated thereunder. The Complaint also asserts control person liability against the individual defendants under Section 20 of the Exchange Act.

The Complaint relies largely on Ampio’s announcement on May 16, 2022, that it had formed a special Board committee to investigate the statistical analysis of Ampio’s AP-013 clinical trial and the unauthorized provision of Ampion to various individuals who were not participating in clinical trials, and Ampio’s further announcement on August 3, 2022, that the investigation had revealed that various employees were aware that the AP-013 trial did not demonstrate efficacy for Ampion’s primary endpoints and did not fully and timely report the results of the trial and the timing of unblinding data from the trial. Based on the Company’s reports, the Complaint asserts that various statements made by the Company during the Class Period were false and misleading because they: (i) inflated Ampio’s ability to successfully obtain FDA approval for Ampion; (ii) inflated the results of the AP-013 clinical trial and failed to disclose the timing of unblinding the data from the study; and (iii) overstated the Company’s business, operations and prospects.

The Complaint seeks an unspecified amount of compensatory damages as well as attorneys’ fees and costs. On October 17, 2022, six putative shareholders filed motions seeking to be named lead plaintiff. On November 7, 2022, two of the movants filed oppositions to each other’s motions; the remaining movants either withdrew their motions or filed non-oppositions to another putative shareholder’s motion.

On August 9, 2023, the Court ruled on the competing motions for appointment of lead plaintiff, and appointed Tao Wang and SynWorld Technologies Corporation as lead plaintiffs and approved the firm of Faruqi & Faruqi, LLP as lead counsel. The August 9, 2023, order also lifted the stay that had been in place and ordered the parties to jointly contact the magistrate judge to schedule a status conference or such other proceeding as the magistrate judge deemed appropriate to move the litigation forward.

Pursuant to the Court’s order, on August 10, 2023, lead plaintiffs and defendants advised the magistrate judge that lead plaintiffs intended to file an amended complaint in the action and that the parties intended to submit a joint proposed scheduling order by August 18, 2023. On August 14, 2023, the Court entered a minute order setting a scheduling conference for August 30, 2023. On August 15, 2023, the parties filed a joint motion with a schedule for lead plaintiffs to file the amended complaint and a deadline for defendants to answer or file a motion to dismiss, along with a briefing schedule for any potential motion to dismiss. On August 16, 2023, the Court entered an order granting in part and

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denying in part the parties’ joint motion. The order vacated the August 30, 2023 scheduling conference and any related deadlines and set lead plaintiffs’ deadline to file an amended complaint as October 16, 2023. It provided that defendants shall file an answer or motion within sixty days of service of the amended complaint. It set a briefing schedule for any potential motion to dismiss, providing that lead plaintiffs’ response would be filed within 45 days and allowed defendants to file any reply briefs 30 days thereafter. The order further provided that if defendants answer the amended complaint or any motion to dismiss does not fully resolve the case, the parties are required to contact the magistrate judge within 5 business days thereafter to schedule a scheduling conference.

On September 19, 2023, defendant Michael Macaluso’s counsel filed a motion to withdraw due to Mr. Macaluso’s death and the lack of a personal representative to represent Mr. Macaluso’s interest. On September 20, 2023, the Court denied the motion without prejudice to refiling and ordered Mr. Macaluso’s counsel to file a Statement Noting the Death pursuant to Rule 25 of the Federal Rules of Civil Procedure and further noting that, if the claims are not extinguished against Mr. Macaluso by his death, any party may file a motion to substitute within 90 days of the filing of the Statement Noting the Death or Mr. Macaluso will be dismissed from the case. On September 20, 2023, Mr. Macaluso’s counsel filed a Suggestion of Death as directed by the Court and renewed his motion to withdraw adding additional information about his efforts to communicate with Mr. Macaluso’s family and the status of any probate proceedings. On September 27, 2023, the Court granted counsel’s renewed motion to withdraw.

On October 16, 2023, lead plaintiffs filed an Amended Complaint, asserting the same claims against the Company and adding several additional defendants (namely the Company’s current CFO, Dan Stokely, and former directors David Bar-Or, Philip Coelho and Richard Giles), in addition to the previously named individual defendants Michael Martino, Michael Macaluso and Holli Cherevka. Pursuant to the Court’s order, Defendants have until December 15, 2023 to file answers or motions to dismiss in response to the Amended Complaint.

Ampio intends to defend itself vigorously against this action.

Maresca v. Martino, et al., 22-cv-2646-KLM

On October 7, 2022, putative Ampio shareholder Robert Maresca filed a Verified Shareholder Derivative Complaint in the United States District Court for the District of Colorado, captioned Maresca v. Martino, et al., 22-cv-2646-KLM. The derivative complaint, brought on behalf of the Company, asserts claims against a number of current and former executives and directors of the Company, namely Michael A. Martino, Michael Macaluso, Holli Cherevka, David Bar-Or, David Stevens, J. Kevin Buchi, Philip H. Coelho and Richard B. Giles.

Based largely on the same allegations as the Kain securities fraud class action complaint (including Ampio’s reports in May and August, 2022, regarding its internal investigation and findings), the Complaint asserts that the individual defendants caused the Company to make false or misleading statements in its SEC filings by “hyp[ing Ampio’s] ability to successfully file a BLA for Ampion;” “exaggerate[ing] results of the AP-013 study;” “misstat[ing] the true timing of unblinding of data from the AP-013 study;” and “fail[ing] to maintain internal controls.” The Complaint also asserts that the defendants failed to exercise due care and comply with the Company’s policies and procedures designed to ensure Board and Audit Committee oversight of the business operations and that ethical business practices were maintained. It also contends that two of the defendants (Cherevka and Coelho) sold Company stock while in possession of material non-public information at artificially inflated prices in violation of the Company’s insider trading restrictions. The Complaint asserts that the individuals should not have received compensation while violating their duties to the Company. The Complaint also alleges that the defendants caused the Company to repurchase its own stock at artificially inflated prices, causing damage to the Company itself.

The Complaint asserts six causes of action on behalf of the Company and against the individual defendants: (1) violations of Section 14(a) of the Exchange Act based on purportedly false and misleading statements in the Company’s proxy statements; (2) violations of Section 10(b) of the Exchange Act and Rule 10b-5 promulgated thereunder; (3) control person liability under Section 20(a) of the Exchange Act; (4) breach of fiduciary duty; (5) unjust enrichment; and (6) waste of corporate assets. The Complaint seeks an unspecified amount of compensatory and restitution damages to be paid to Ampio, together with pre- and post-judgment interest, as well as injunctive relief imposing certain corporate governance reforms and attorneys’ fees and costs.

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On November 2, 2022, the Company and plaintiff (together with plaintiff in a second derivative action -- the Marquis action, discussed below) filed a joint motion to consolidate the two derivative actions and appoint the lawyers representing the two plaintiffs as co-lead counsel. That same day, the Company and plaintiff filed a stipulation providing the Company additional time to answer, move or otherwise respond to the Complaint.

On January 10, 2023, after the Company received additional extensions of time to respond, the Court granted consolidation of the Maresca and Marquis actions but denied appointment of co-lead counsel for plaintiffs without prejudice. On January 11, 2023, Plaintiffs renewed their motion for appointment of co-lead counsel. On January 12, 2023, the Court granted the renewed motion and appointed co-lead counsel for plaintiffs.

On January 17, 2023, the parties filed a joint stipulated motion seeking a temporary stay of the consolidated derivative actions, subject to various conditions, until the earlier of: (1) the dismissal of the Kain action; (2) a defendant filing an answer in the Kain action; or (3) another derivative action being filed that is not stayed for the same duration. On January 25, 2023, the Court granted the motion for temporary stay. Accordingly, all deadlines are deferred until the stay is terminated.

Ampio intends to defend itself vigorously against this action.

Marquis v. Martino, et al., 22-cv-2803-KLM

On October 25, 2022, putative shareholder Samantha Marquis filed a derivative complaint in the United States District Court for the District of Colorado, captioned Marquis v. Martino, et al., 22-cv-2803-KLM. The Complaint, filed on behalf of Ampio, asserts that various current and former officers and directors of Ampio – namely, Michael Martino, Michael Macaluso, Holli Cherevka, David Bar-Or, David Stevens, Kevin Buchi, Philip Coelho, and Richard Giles, breached their fiduciary duties as directors and/or officers and violated Section 14(a) of the Exchange Act by causing the Company to file false and misleading proxy statements. The Complaint focuses on the Company’s alleged failure to timely report that the results of the AP-013 trial for Ampion were unfavorable, failing to show efficacy on the co-primary endpoints of pain and function, and the Company’s alleged failure to disclose the results of and timing of unblinding the study data. The Complaint asserts that the individual defendants breached their fiduciary duties by making or causing the Company to make materially false and misleading statements regarding Ampio’s business, operations and prospects and by failing to maintain adequate internal controls. Based on these allegations, the Complaint asserts two causes of action on behalf of the Company: (1) violations of Section 14(a) of the Exchange Act against all defendants other than Cherevka; and (2) breach of fiduciary duty against all defendants. Based on these claims, the Complaint seeks judgment in favor of the Company and against the individual defendants in an unspecified amount of compensatory and restitution damages, together with pre- and post-judgment interest and costs of the action including reasonable attorneys’ and experts’ fees as well as a mandatory injunction requiring Ampio and the defendants to reform and improve the corporate governance and internal controls of the Company.

On November 2, 2022, the Company and plaintiff (together with plaintiff in the previously filed Maresca action, discussed above) filed a joint motion to consolidate the two derivative actions and appoint the lawyers representing the two plaintiffs as co-lead counsel.

On January 10, 2023, the Court granted consolidation of the Maresca and Marquis actions but denied appointment of co-lead counsel for plaintiffs without prejudice. On January 11, 2023, Plaintiffs renewed their motion for appointment of co-lead counsel. On January 12, 2023, the Court granted the renewed motion and appointed co-lead counsel for plaintiffs.

Ampio intends to defend itself vigorously against this action.

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McCann v. Martino, et al., 2023cv30287

On January 27, 2023, putative shareholder John McCann filed a derivative complaint in the District Court, City & County of Denver, State of Colorado, captioned McCann v. Martino, et al., 2023cv30287. The Complaint, filed on behalf of Ampio, asserts that various current and former officers and directors of Ampio – namely, Michael Martino, J. Kevin Buchi, David Stevens, Elizabeth Jobes, Holli Cherevka, David Bar-Or, Philip H. Coelho, and Richard B. Giles, breached their fiduciary duties as directors and/or officers by allowing the Company to issue false and misleading statements, The Complaint focuses on the Company’s alleged failure to timely report that the results of the AP-013 trial for Ampion were unfavorable, failing to show efficacy on the co-primary endpoints of pain and function, and the Company’s alleged failure to disclose the results of and timing of unblinding the study data. The Complaint asserts that the individual defendants breached their fiduciary duties by allowing the Company to make materially false and misleading statements regarding Ampio’s business, operations and prospects and by failing to maintain adequate internal controls. Based on these allegations, the Complaint asserts five causes of action on behalf of the Company: (1) breach of fiduciary duty against the current directors; (2) gross mismanagement against the current directors; (3) waste of corporate assets against the current directors; (4) unjust enrichment against all defendants; and (5) breach of fiduciary duty by insider trading against defendants Cherevka and Coelho. Based on these claims, the Complaint seeks judgment in favor of the Company and against the individual defendants in an unspecified amount of compensatory damages, costs of the action including reasonable attorneys’ and experts’ fees as well as a mandatory injunction requiring Ampio to reform and improve the corporate governance and internal procedures of the Company.

Defendant Cherevka was served and by order dated February 9, 2023, obtained an extension of time to respond to the Complaint through March 31, 2023. On March 2, 2023, the parties filed a joint stipulated motion seeking a temporary stay of the action, subject to various conditions, until the earlier of: (1) the dismissal of the Kain action; (2) a defendant filing an answer in the Kain action; or (3) another derivative action being filed that is not stayed for the same duration. On March 3, 2023, the Court granted the motion for temporary stay. Accordingly, all deadlines are deferred until the stay is terminated.

Ampio intends to defend itself vigorously against this action.

SEC Investigation

On October 12, 2022, the Securities and Exchange Commission, or SEC, entered an order directing private investigation and designating officers to take testimony to determine whether we or any other entities or persons have engaged in, or are about to engage in, any violations of the securities laws. The SEC has since issued subpoenas to the Company and numerous current and former officers, directors, employees and consultants of the Company. We intend to cooperate fully with the SEC.

Item 1A. Risk Factors.

In addition to the other information set forth in this Quarterly Report on Form 10-Q, you should carefully consider the factors in Part I, “Item 1A. Risk Factors” in the 2022 Annual Report and other reports that we have filed with the SEC, which could materially affect our business, financial condition or future results. Except as set forth below, during the period covered by this Quarterly Report on Form 10-Q, there have been no material changes in our risk factors as previously disclosed.

Disruptions at the FDA and other government agencies caused by funding shortages, global health concerns or U.S. government shutdowns could cause delays in our product development or capital raising plans, or otherwise prevent new products from being developed, approved or commercialized in a timely manner or at all, which could negatively impact our business, financial condition and operating results.

The ability of the FDA to review and approve new products can be affected by a variety of factors, including government budget and funding levels, ability to hire and retain key personnel and accept submission, applications, and the payment of user fees, and statutory, regulatory, and policy changes.

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Disruptions at the FDA, including as a result of pandemics like COVID-19 and legislative actions, may also slow the time necessary for new drugs to be reviewed and/or approved by necessary government agencies, which would adversely affect our business. For example, over the last several years, including for 35 days beginning on December 22, 2018, the U.S. government has shut down several times and certain regulatory agencies, such as the FDA, had to furlough critical FDA employees and stop critical activities. Another U.S. government shut down will begin on November 17, 2023 if Congress does not enact an appropriations bill by that time.

Similarly, our capital raising efforts may be hampered or delayed by disruptions at the SEC, including as a result of any U.S. government shut down. Any delays caused by the inability of the SEC to timely review and clear any registration statement we may file in the future also will likely result in delays in the development of our OA-201 program, which will be funded by future capital raising activities.

The development of the OA-201 program may experience delays or reductions in planned activities due to delayed timing of approvals caused by disruptions at the FDA or the SEC. We may also experience increased expense as compared to our current estimate due to delays in necessary approvals by the FDA or SEC. If a prolonged disruption in the activities of the FDA, SEC or other government agencies occurs, if the FDA or SEC is required to furlough review staff or other necessary employees, or if agency operations are otherwise impacted, it could significantly affect the ability of the FDA or SEC to timely review and process our submissions, which could have a material adverse effect on our business, financial condition and operating results.

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

Not applicable.

Item 3. Defaults Upon Senior Securities.

None.

Item 4. Mine Safety Disclosures.

Not Applicable.

Item 5. Other Information.

During the quarter ended September 30, 2023, none of our directors or officers informed us of the adoption, modification or termination of a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as those terms are defined in Regulation S-K, Item 408(a).

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Item 6. Exhibits.

The exhibits listed on the “Exhibit Index” set forth below are filed or furnished with this Quarterly Report on Form 10-Q or incorporated by reference as set forth therein.


Exhibit Number		Description
3.1		Certificate of Incorporation of the Registrant (incorporated by reference to Registrant’s Form 8-K filed March 30, 2010).
3.2		Certificate of Amendment to Certificate of Incorporation of the Registrant (incorporated by reference to the Registrant’s Form 8-K filed March 30, 2010).
3.3		Certificate of Amendment to the Certificate of Incorporation of the Registrant (incorporated by reference to the Registrant’s Form 8-K filed December 18, 2019).
3.4		Certificate of Amendment to Certificate of Incorporation of the Registrant. (Incorporated by reference to Exhibit 3.1 to the Registrant’s Form 8-K filed November 9, 2022).
3.5		Certificate of Designation of the Series D Preferred Stock of Ampio Pharmaceuticals, Inc. filed May 25, 2023 (incorporated by reference to Exhibit 3.2 to the Registrant’s Current Report on Form 8-K filed on May 26, 2023).
3.6		Certificate of Amendment to Certificate of Incorporation of Ampio Pharmaceuticals, Inc. filed August 30, 2023 (incorporated by reference to the Registrant’s Current Report on Form 8-K filed on August 31, 2023).
3.7		Amended and Restated Bylaws of the Registrant (incorporated by reference to the Registrant’s Form 10-Q filed November 14, 2018).
3.8		Amendment to the Amended and Restated Bylaws of Ampio Pharmaceuticals, Inc. adopted May 24, 2023 (incorporated by reference to Exhibit 3.1 to the Registrant’s Current Report on Form 8-K filed on May 26, 2023).
10.1		At The Market Offering Agreement, dated September 18, 2023, by and between Ampio Pharmaceuticals, Inc. and H.C. Wainwright & Co., LLC (incorporated by reference to Exhibit 1.2 of the Registration Statement on Form S-3 filed with the SEC on September 18, 2023 (File No. 333-274558).
10.2+		Amendment No. 2 to Employment Agreement dated October 1, 2023 by and between Ampio Pharmaceuticals, Inc. and Michael A. Martino (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report on Form 8-K filed on October 4, 2023).
10.3+		Ampio Pharmaceuticals, Inc. Compensation Recoupment Policy Adopted October 24, 2023 (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report on Form 8-K filed on October 27, 2023).
31.1*		Certificate of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*		Certificate of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1#		Certificate of Chief Executive Officer and Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101		XBRL (eXtensible Business Reporting Language). The following financial statements from Ampio Pharmaceuticals, Inc.’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023, formatted in Inline XBRL: (i) the Condensed Balance Sheets, (ii) the Condensed Statements of Operations, (iii) the Condensed Statements of Stockholders’ Equity (Deficit), (iv) the Condensed Statements of Cash Flows, and (v) the Notes to Financial Statements.
104		Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

+ Indicates a management contract or compensatory plan or arrangement.

* Filed herewith.

#Furnished herewith.

Table of Contents

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.


	AMPIO PHARMACEUTICALS, INC.

	By:	/s/ Michael A. Martino
		Michael A. Martino
		Chief Executive Officer
		(principal executive officer)
		Date: November 14, 2023

	By:	/s/ Daniel G. Stokely
		Daniel G. Stokely
		Chief Financial Officer
		(principal financial and accounting officer)
		Date: November 14, 2023

Exhibit 31.1

AMPIO PHARMACEUTICALS, INC.

Certification by Chief Executive Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Michael A. Martino, certify that:

1.	I have reviewed this quarterly report on Form 10-Q for the quarter ended September 30, 2023 of Ampio Pharmaceuticals, 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;

The registrant’s other certifying officer 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:

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;

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

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 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 14, 2023		/s/ Michael A. Martino
	By:	Michael A. Martino
	Title:	Chief Executive Officer
		(principal executive officer)

Exhibit 31.2

AMPIO PHARMACEUTICALS, INC.

Certification by Chief Financial Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Daniel G. Stokely, certify that:

1.	I have reviewed this quarterly report on Form 10-Q for the quarter ended September 30, 2023 of Ampio Pharmaceuticals, 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;

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

5.	The registrant’s other certifying officer 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.

Ay
Date: November 14, 2023		/s/ Daniel G. Stokely
	By:	Daniel G. Stokely
	Title:	Chief Financial Officer
		(principal financial and accounting officer)

Exhibit 32.1

AMPIO PHARMACEUTICALS, INC.

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 filing of the quarterly report on Form 10-Q for the quarter ended September 30, 2023 (the “Report”) by Ampio Pharmaceuticals, Inc. (the “Company”), each of the undersigned hereby certifies:

1.	The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, and

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

Ay 10
Dated: November 14, 2023	/s/ Michael A. Martino
	Michael A. Martino
	Chief Executive Officer
	(principal executive officer)

Dated: November 14, 2023	/s/ Daniel G. Stokely
	Daniel G. Stokely
	Chief Financial Officer
	(principal financial and accounting officer)

Document And Entity Information - shares	9 Months Ended
Document And Entity Information - shares	Sep. 30, 2023	Nov. 10, 2023
Document And Entity Information [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	001-35182
Entity Registrant Name	AMPIO PHARMACEUTICALS, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	26-0179592
Entity Address, Address Line One	9800 Mount Pyramid Court, Suite 400
Entity Address, City or Town	Englewood
Entity Address, State or Province	CO
Entity Address, Postal Zip Code	80112
City Area Code	720
Local Phone Number	437-6500
Title of 12(b) Security	Common stock, par value $0.0001 per share
Trading Symbol	AMPE
Security Exchange Name	NYSEAMER
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		832,021
Entity Central Index Key	0001411906
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Amendment Flag	false

Condensed Balance Sheets - USD ($)

Sep. 30, 2023

Dec. 31, 2022

Current assets

Cash and cash equivalents

$ 6,398,000

$ 12,653,000

Insurance recovery receivable

530,000

Prepaid expenses and other

718,000

676,000

Total current assets

7,646,000

13,329,000

Fixed assets, net

184,000

Right-of-use asset, net

75,000

Total assets

7,646,000

13,588,000

Current liabilities

Accounts payable and accrued expenses

1,909,000

852,000

Lease liability-current portion

362,000

340,000

Total current liabilities

2,271,000

1,192,000

Lease liability-long-term

274,000

Warrant derivative liability

44,000

Asset retirement obligation

289,000

Total liabilities

2,271,000

1,799,000

Commitments and contingencies (Note 5)

Stockholders' equity

Common Stock, par value $0.0001; 300,000,000 shares authorized; shares issued and outstanding - 804,604 as of September 30, 2023 and 804,674 as of December 31, 2022

^[1]

Preferred Stock, par value $0.0001; 10,000,000 shares authorized; shares issued and outstanding - none as of September 30, 2023 and December 31, 2022

Additional paid-in capital

245,848,000

245,728,000

^[1]

Accumulated deficit

(240,473,000)

(233,939,000)

Total stockholders' equity

5,375,000

11,789,000

Total liabilities and stockholders' equity

$ 7,646,000

$ 13,588,000

[1]	September 30, 2023 balances have been adjusted and December 31, 2022 balances have been retroactively adjusted to reflect the 20-to-1 reverse stock split effected September 12, 2023.

Condensed Balance Sheets (Parenthetical)	Sep. 30, 2023 $ / shares shares	Dec. 31, 2022 $ / shares shares
Condensed Balance Sheets
Preferred stock, par value \| $ / shares	$ 0.0001	$ 0.0001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued	0	0
Preferred Stock, shares outstanding	0	0
Common Stock, par value \| $ / shares	$ 0.0001	$ 0.0001
Common Stock, shares authorized	300,000,000	300,000,000
Common Stock, shares issued	804,604	804,674
Common Stock, shares outstanding	804,604	804,674

Condensed Statements of Operations - USD ($)

3 Months Ended

9 Months Ended

Sep. 30, 2023

Sep. 30, 2022

Sep. 30, 2023

Sep. 30, 2022

Operating expenses

Research and development

$ 329,000

$ 2,747,000

$ 1,197,000

$ 8,177,000

General and administrative

1,071,000

2,975,000

6,106,000

9,504,000

Long-lived assets impairment

1,614,000

Right of use asset impairment

322,000

Loss on sale of fixed assets

56,000

Total operating expenses

1,400,000

7,658,000

7,359,000

19,617,000

Other income

Interest income

79,000

80,000

280,000

116,000

Rental income

92,000

213,000

Gain from elimination of ARO obligation, net

288,000

Derivative gain

1,167,000

5,384,000

Total other income

171,000

1,247,000

781,000

5,500,000

Net loss

$ (1,229,000)

$ (6,411,000)

$ (6,578,000)

$ (14,117,000)

Net loss per common share:

Basic (in dollars per share)

^[1]

$ (1.53)

$ (8.51)

$ (8.18)

$ (18.73)

Diluted (in dollars per share)

^[1]

$ (1.53)

$ (10.06)

$ (8.18)

$ (25.88)

Weighted average number of common shares outstanding:

Basic (in shares)

^[1]

804,158

753,620

804,158

753,616

Diluted (in shares)

^[1]

804,158

753,620

804,158

753,616

[1]	[1] Net loss per common share and weighted average number of common shares outstanding for the current period have been adjusted and the prior periods have been retroactively adjusted to reflect the 20-to-1 reverse stock split effected September 12, 2023.

Statements of Operations (Parenthetical)	Sep. 12, 2023	Nov. 09, 2022
Condensed Statements of Operations
Stock split ratio	20	15

Condensed Statements of Mezzanine Equity and Stockholders' Equity - USD ($)	Preferred Stock Series D Preferred	Common Stock Cumulative Effect, Period of Adoption, Adjustment	Common Stock	Additional Paid-in Capital Cumulative Effect, Period of Adoption, Adjustment	Additional Paid-in Capital	Accumulated Deficit Cumulative Effect, Period of Adoption, Adjustment	Accumulated Deficit	Cumulative Effect, Period of Adoption, Adjustment	Total
Beginning Balance at Dec. 31, 2021			$ 0		$ 244,886,000		$ (217,602,000)		$ 27,284,000
Beginning Balance, Shares at Dec. 31, 2021			808,136
Share-based compensation, net of forfeitures	$ 0		$ 0		716,000		0		716,000
Share-based compensation, net of forfeitures (in shares)	0		0
Shares held back in settlement of tax obligation for shares issued in connection with restricted stock awards			$ 0		(79,000)		0		(79,000)
Shares held back in settlement of tax obligation for shares issued in connection with restricted stock awards (Shares)			(462)
Offering costs related to the issuance of common stock in connection with the "at-the-market" equity offering program	$ 0		$ 0		(32,000)		0		(32,000)
Net loss			0		0		(5,636,000)		(5,636,000)
Ending Balance at Mar. 31, 2022			$ 0		245,491,000		(223,238,000)		22,253,000
Ending Balance, Shares at Mar. 31, 2022			807,674
Beginning Balance at Dec. 31, 2021			$ 0		244,886,000		(217,602,000)		27,284,000
Beginning Balance, Shares at Dec. 31, 2021			808,136
Net loss									(14,117,000)
Ending Balance at Sep. 30, 2022			$ 0		245,568,000		(231,719,000)		13,849,000
Ending Balance, Shares at Sep. 30, 2022			804,674
Beginning Balance at Mar. 31, 2022			$ 0		245,491,000		(223,238,000)		22,253,000
Beginning Balance, Shares at Mar. 31, 2022			807,674
Share-based compensation, net of forfeitures			$ 0		423,000		0		423,000
Restricted stock award forfeitures			$ 0		(509,000)		0		(509,000)
Restricted stock award forfeitures (Shares)			(3,000)
Net loss			$ 0		0		(2,070,000)		(2,070,000)
Ending Balance at Jun. 30, 2022			$ 0		245,405,000		(225,308,000)		20,097,000
Ending Balance, Shares at Jun. 30, 2022			804,674
Share-based compensation, net of forfeitures			$ 0		163,000		0		163,000
Net loss			0		0		(6,411,000)		(6,411,000)
Ending Balance at Sep. 30, 2022			$ 0		245,568,000		(231,719,000)		13,849,000
Ending Balance, Shares at Sep. 30, 2022			804,674
Beginning Balance at Dec. 31, 2022			$ 0		245,728,000		(233,939,000)		11,789,000
Beginning Balance, Shares at Dec. 31, 2022			804,674
Share-based compensation, net of forfeitures			$ 0		23,000		0		23,000
Net loss			0		0		(3,978,000)		(3,978,000)
Ending Balance at Mar. 31, 2023		$ 0	$ 0	$ 0	245,751,000	$ 44,000	(237,873,000)	$ 44,000	7,878,000
Ending Balance, Shares at Mar. 31, 2023			804,674
Beginning Balance at Dec. 31, 2022			$ 0		245,728,000		(233,939,000)		$ 11,789,000
Beginning Balance, Shares at Dec. 31, 2022			804,674
Issuance of common stock in connection with the "at-the-market" equity offering program (Shares)									0
Net loss									$ (6,578,000)
Ending Balance at Sep. 30, 2023			$ 0		245,848,000		(240,473,000)		5,375,000
Ending Balance, Shares at Sep. 30, 2023			804,604
Beginning Balance at Mar. 31, 2023		$ 0	$ 0	$ 0	245,751,000	$ 44,000	(237,873,000)	$ 44,000	7,878,000
Beginning Balance, Shares at Mar. 31, 2023			804,674
Share-based compensation, net of forfeitures			$ 0		53,000		0		53,000
Net loss			0		0		(1,371,000)		(1,371,000)
Ending Balance at Jun. 30, 2023			$ 0		$ 245,804,000		$ (239,244,000)		$ 6,560,000
Ending Balance, Shares at Jun. 30, 2023			804,674
Changes in Mezzanine Equity
Issuance of Series D preferred stock dividend	15,103		0		0		0		0
Ending balance (in shares) at Jun. 30, 2023	15,103
Share-based compensation, net of forfeitures			$ 0		$ 44,000		$ 0		$ 44,000
Shares held back in settlement of tax obligation for shares issued in connection with restricted stock awards			$ 0		0		0		0
Shares held back in settlement of tax obligation for shares issued in connection with restricted stock awards (Shares)			(70)
Net loss			$ 0		0		(1,229,000)		(1,229,000)
Ending Balance at Sep. 30, 2023			$ 0		$ 245,848,000		$ (240,473,000)		$ 5,375,000
Ending Balance, Shares at Sep. 30, 2023			804,604
Changes in Mezzanine Equity
Preferred stock redemption (in shares)	(15,103)		0		0		0		0

Condensed Statements of Mezzanine Equity and Stockholders' Equity (Parenthetical)	Sep. 12, 2023	Nov. 09, 2022
Condensed Statements of Mezzanine Equity and Stockholders' Equity
Stock split ratio	20	15

Condensed Statements of Cash Flows - USD ($)	3 Months Ended		9 Months Ended
Condensed Statements of Cash Flows - USD ($)	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Cash flows used in operating activities
Net loss			$ (6,578,000)	$ (14,117,000)
Adjustments to reconcile net loss to net cash used in operating activities:
Share-based compensation, net of forfeitures			120,000	793,000
Depreciation and amortization		$ 347,000	122,000	865,000
Long-lived assets impairment	$ 0	1,614,000	0	1,614,000
Right-of-use asset impairment	0	322,000	0	322,000
Loss on sale of fixed assets	0	0	56,000	0
Net gain from elimination of ARO obligation	0	0	(288,000)	0
Accretion of asset retirement obligation			5,000	0
Derivative gain	0	(1,167,000)	0	(5,384,000)
Changes in operating assets and liabilities:
Increase in insurance recovery receivable			(530,000)	0
(Increase) decrease in prepaid expenses and other			(43,000)	366,000
Increase (decrease) in accounts payable and accrued expenses			1,058,000	(1,219,000)
Decrease in lease liability			(177,000)	(74,000)
Net cash used in operating activities			(6,255,000)	(16,834,000)
Cash flows used in investing activities
Net cash used in investing activities			0	0
Cash flows used in financing activities
Costs related to the sale of common stock and warrants in connection with the registered direct offering			0	(32,000)
Funding of tax obligation relative to shares withheld in connection with restricted stock awards			0	(79,000)
Net cash used in financing activities			0	(111,000)
Net change in cash and cash equivalents			(6,255,000)	(16,945,000)
Cash and cash equivalents at beginning of period			12,653,000	33,892,000
Cash and cash equivalents at end of period	$ 6,398,000	$ 16,947,000	6,398,000	16,947,000
Non-cash transactions:
Commercial insurance premium financing agreement			703,000	1,159,000
Recognition of asset retirement obligation			$ 0	$ 282,000

The Company and Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2023

The Company and Summary of Significant Accounting Policies

The Company and Summary of Significant Accounting Policies

Note 1 – The Company and Summary of Significant Accounting Policies

Basis of Presentation

Concentrations of Credit Risk

Use of Estimates

Liquidity / Going Concern

Additionally, as the Company’s board of directors continues to evaluate strategic alternatives, the forecasts regarding the sufficiency of liquidity are based upon maintaining current operations.

Adoption of Recent Accounting Pronouncements

Recent Accounting Pronouncements

Current Assets, Excluding Cash and Cash Equivalents

9 Months Ended

Sep. 30, 2023

Current Assets, Excluding Cash and Cash Equivalents

Current Assets, Excluding Cash and Cash Equivalents

Note 2 – Current Assets, Excluding Cash and Cash Equivalents

Prepaid expenses and other balances as of September 30, 2023 and December 31, 2022 are as follows:



	September 30, 2023		December 31, 2022

Unamortized commercial insurance premiums	$	517,000	$	610,000
Deferred issuance costs		136,000		—
Deposits		34,000		34,000
Other		31,000		32,000
Total prepaid expenses and other	$	718,000	$	676,000

Fixed Assets

9 Months Ended

Sep. 30, 2023

Fixed Assets

Fixed Assets

Note 3 – Fixed Assets

existing facility and in connection with that sublease, entered into a bill of sale with the subtenant for all the Company’s existing fixed assets (see Note 5).

Fixed assets, net of accumulated depreciation, consist of the following:


	Estimated
	Useful Lives
	(in Years)	September 30, 2023		December 31, 2022

Leasehold improvements	10	$	—	$	4,965,000
Manufacturing facility/clean room	3 - 8		—		2,803,000
Lab equipment and office furniture	5 - 8		—		1,661,000
Fixed assets, gross			—		9,429,000
Accumulated depreciation			—		(9,245,000)
Fixed assets, net		$	—	$	184,000

Depreciation and amortization expense for the respective periods is as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Depreciation and amortization expense	$	—	$	347,000	$	122,000	$	865,000

Accounts Payable and Accrued Expenses

9 Months Ended

Sep. 30, 2023

Accounts Payable and Accrued Expenses

Accounts Payable and Accrued Expenses

Note 4 – Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses as of September 30, 2023 and December 31, 2022 are as follows:



	September 30, 2023		December 31, 2022

Accounts payable	$	459,000	$	97,000
Professional fees		737,000		157,000
Commercial insurance premium financing		354,000		189,000
Preclinical and clinical trials		185,000		89,000
Property taxes		60,000		74,000
Franchise taxes		17,000		78,000
Accrued severance		—		143,000
Other		97,000		25,000
Accounts payable and accrued expenses	$	1,909,000	$	852,000

Commercial Insurance Premium Financing Agreement

Commitments and Contingencies

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies

Commitments and Contingencies

Note 5 - Commitments and Contingencies

Employment Agreements

Related Party Research Agreements

Facility Lease


	Facility Lease Payments		2023		2024		2025		2026		2027		Thereafter

Remaining Facility Lease Payments	$	372,000	$	92,000	$	280,000	$	—	$	—	$	—	$	—
Less: Discount Adjustment		(10,000)
Total lease liability	$	362,000

Lease liability-current portion	$	362,000

Long-term lease liability	$	—

The Company recorded lease expense in the respective periods as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Lease expense	$	7,000	$	70,000	$	108,000	$	221,000

Warrants

9 Months Ended

Sep. 30, 2023

Warrants.

Warrants

Note 6 – Warrants


		Weighted		Weighted Average
	Number of	Average		Remaining
	Warrants	Exercise Price		Contractual Life

Outstanding as of December 31, 2022	53,263		$ 318.80	3.80

Outstanding as of September 30, 2023	52,751		$ 320.62	3.08

The following table summarizes the Company’s outstanding warrants between placement agent and investor warrant classifications:

Weighted

Weighted Average

Number of

Average

Remaining

Date

Exercise Price

Type

Warrants

Exercise Price

Contractual Life

December 2021 registered direct offering

$ 330.00

Investor

50,001

3.04

June 2019 public offering

$ 150.00

Placement agent

2,750

0.04

Outstanding as of September 30, 2023

52,751

$ 320.62

3.08

Fair Value Considerations

9 Months Ended

Sep. 30, 2023

Fair Value Considerations

Fair Value Considerations

Note 7 - Fair Value Considerations


	Level 1:	Inputs that reflect unadjusted quoted prices in active markets that are accessible to the Company for identical assets or liabilities;

	Level 2:	Inputs that include quoted prices for similar assets and liabilities in active or inactive markets or that are observable for the asset or liability either directly or indirectly; and

	Level 3:	Unobservable inputs that are supported by little or no market activity.

As noted previously, the Company early adopted ASU 2020-06 resulting in the reclassification of the warrant derivative liability to stockholder’s equity, effective January 1, 2023.


	Fair Value Measurements Using
	Level 1		Level 2		Level 3		Total
December 31, 2022
Liabilities:
Warrant derivative liability	$	—	$	—	$	44,000	$	44,000

Common Stock

9 Months Ended

Sep. 30, 2023

Common Stock.

Common stock

Note 8 - Common Stock

Authorized Shares

The Company had 300.0 million authorized shares of common stock as of September 30, 2023 and December 31, 2022.

The following table summarizes the Company’s remaining authorized shares available for future issuance:


	September 30, 2023

Authorized shares		300,000,000

Common stock outstanding		804,604
Options outstanding		12,719
Warrants outstanding		52,751
Reserved for issuance under 2019 Stock and Incentive Plan		—
Reserved for issuance under 2023 Stock and Incentive Plan		1,200,000
Available shares for future issuance		297,929,926

ATM Equity Offering Program

Mezzanine Equity and Stockholders' Equity

9 Months Ended

Sep. 30, 2023

Mezzanine Equity and Stockholders' Equity

Mezzanine Equity and Stockholders' Equity

Note 9 – Mezzanine Equity and Stockholders’ Equity

Preferred Stock

Options

The following table summarizes the Company’s restricted stock awards activity during the three months ended September 30, 2023:


		Weighted
		Average Grant-Date			Aggregate
	Awards	Fair Value			Intrinsic Value
Nonvested as of December 31, 2022	670	$	492.00
Vested	(223)	$	492.00	$	—
Nonvested as of March 31, 2023	447	$	492.00
Nonvested as of June 30, 2023	447	$	492.00
Nonvested as of September 30, 2023	447	$	492.00

The following table summarizes the Company’s stock option activity:


		Weighted		Weighted Average
	Number of	Average		Remaining		Aggregate
	Options	Exercise Price		Contractual Life		Intrinsic Value
Outstanding as of December 31, 2022	14,873	$	299.40	6.41	$	—
Forfeited, expired and/or cancelled	(687)	$	136.60
Outstanding as of March 31, 2023	14,186	$	307.20	6.58	$	—
Forfeited, expired and/or cancelled	(1,467)	$	192.20
Outstanding as of June 30, 2023	12,719	$	317.40	7.08	$	—
Forfeited, expired and/or cancelled	—
Outstanding as of September 30, 2023	12,719	$	317.44	6.83	$	—
Exercisable as of September 30, 2023	11,814	$	317.63	6.72	$	—

The following table summarizes the outstanding options that were issued in accordance with the 2010 Plan and the 2019 Plan:


Outstanding Options by Plan	September 30, 2023
2010 Plan		4,937
2019 Plan		7,782
Outstanding as of September 30, 2023		12,719

Stock options outstanding as of September 30, 2023 are summarized in the table below:


	Number of	Weighted		Weighted Average
	Options	Average		Remaining
Range of Exercise Prices	Outstanding	Exercise Price		Contractual Lives
Up to $150.00	2,039	$	132.40	7.05
$150.01 - $300.00	6,173	$	207.17	6.30
$300.01 - $450.00	2,620	$	346.95	8.11
$450.01 and above	1,887	$	837.19	6.52
Total	12,719	$	317.44	6.83


	Nine Months Ended September 30,
	2022

Expected volatility	116.83% - 119.43	%
Risk free interest rate	1.26% - 1.94	%
Expected term (years)	5.45 - 6.51

table summarizes share-based compensation expense (stock options, restricted stock awards and common stock issued for services) for the three and nine months ended September 30, 2023 and 2022:


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Research and development expenses
Share-based compensation, net of forfeitures	$	3,000	$	(23,000)	$	(27,000)	$	118,000

General and administrative expenses
Share-based compensation, net of forfeitures		43,000		186,000		147,000		675,000

Total share-based compensation, net of forfeitures	$	46,000	$	163,000	$	120,000	$	793,000

Unrecognized share-based compensation expense related to stock options as of September 30, 2023	$	47,000

Weighted average remaining years to vest for stock options		1.24

Unrecognized share-based compensation expense related to restricted stock awards as of September 30, 2023	$	54,000

Weighted average remaining years to vest for restricted stock awards		1.26

Earnings Per Share

9 Months Ended

Sep. 30, 2023

Earnings Per Share

Earnings Per Share

Note 10 - Earnings Per Share


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net loss	$	(1,229,000)	$	(6,411,000)	$	(6,578,000)	$	(14,117,000)
Less: decrease in fair value of investor warrants		—		(1,167,000)		—		(5,384,000)
Net loss available to common stockholders	$	(1,229,000)	$	(7,578,000)	$	(6,578,000)	$	(19,501,000)

Basic weighted-average common shares outstanding		804,158		753,620		804,158		753,616
Add: dilutive effect of equity instruments		—		—		—		—
Diluted weighted-average shares outstanding		804,158		753,620		804,158		753,616
Earnings per share – basic	$	(1.53)	$	(8.51)	$	(8.18)	$	(18.73)
Earnings per share – diluted	$	(1.53)	$	(10.06)	$	(8.18)	$	(25.88)

The potentially dilutive shares of common stock that have been excluded from the calculation of net loss per share because of their anti-dilutive effect are as follows:


	Three Months Ended September 30,		Nine Months Ended September 30,
	2023	2022	2023	2022
Warrants to purchase shares of common stock	52,751	53,257	52,751	53,257
Outstanding stock options	12,719	18,206	12,719	18,206
Restricted stock awards	447	670	447	670
Total potentially dilutive shares of common stock	65,917	72,133	65,917	72,133

Subsequent Events

9 Months Ended

Sep. 30, 2023

Subsequent Events

Subsequent Events

Note 11 – Subsequent Events

The Company and Summary of Significant Accounting Policies (Policies)	9 Months Ended
	Sep. 30, 2023
The Company and Summary of Significant Accounting Policies
Basis of Presentation	Basis of Presentation The accompanying unaudited financial statements have been prepared in accordance with generally accepted accounting principles (“GAAP”) in the United States for interim financial information and with the instructions of the Securities and Exchange Commission (“SEC”) on Quarterly Reports on Form 10-Q and Article 8 of Regulation S-X. Accordingly, such financial statements do not include all of the information and disclosures required by GAAP for complete financial statements. In the opinion of management, the financial statements include all adjustments necessary, which are of a normal and recurring nature, for the fair presentation of the financial position and of the results of operations and cash flows of the Company for the periods presented. On November 9, 2022, the Company effected a 15-to-1 reverse stock split. On September 12, 2023, the Company effected a 20-to-1 reverse stock split. The Company has applied and retroactively applied, the reverse stock splits to share and per share amounts in the condensed financial statements for the three and nine months ended September 30, 2023 and September 30, 2022. Additionally, pursuant to their terms, a proportionate adjustment was made to the per share exercise price and number of shares issuable under all the Company’s outstanding options under the 2010 / 2019 Stock and Incentive Plans and warrants, with any fractional shares rounded up to the next whole share. The number of shares authorized for issuance pursuant to the Company’s 2023 Stock and Incentive Plan (the “2023 Plan”) was not impacted by the 20-to-1 reverse stock split (see Note 9 for additional information). The Company also applied and retroactively applied such adjustments in the notes to the condensed financial statements for the three and nine months ended September 30, 2023 and September 30, 2022. The reverse stock split did not reduce the number of authorized shares of common stock and preferred stock and did not alter the par value. These financial statements should be read in conjunction with the audited financial statements and accompanying notes thereto for the year ended December 31, 2022 included in the Company’s Annual Report on Form 10-K (the “2022 Annual Report”). The results of operations for the interim period shown in this report are not necessarily indicative of the results that may be expected for any other interim period or for the full year. The information as of and for the three and nine months ended September 30, 2023 and September 30, 2022 is unaudited. The balance sheet at December 31, 2022 was derived from the audited financial statements at that date but does not include all of the information and footnotes required by GAAP for complete financial statements.
Concentrations of Credit Risk	Concentrations of Credit Risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents. The Company has no off-balance-sheet concentrations of credit risk, such as foreign exchange contracts, option contracts or foreign currency hedging arrangements. The Company consistently maintains its cash and cash equivalent balances in the form of bank demand deposits, United States federal government backed treasury securities and fully liquid money market fund accounts with financial institutions that management believes are creditworthy. The Company periodically monitors its cash positions with, and the credit quality of, the financial institutions with which it invests. As of and subsequent to March 31, 2023, the Company no longer maintains balances in excess of federally insured limits.
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities and expenses, and related disclosures in the financial statements and accompanying notes. The Company bases its estimates on historical experience and on assumptions believed to be reasonable under the circumstances. Actual results could differ materially from those estimates. Significant items subject to such estimates and assumptions primarily include the Company’s projected current and long-term liquidity needs and availability and the amount and collectability of the insurance recovery receivable representing amounts advanced by the Company in excess of the previously paid $2.5 million self-insured retention for defense costs relating to currently pending lawsuits and the SEC investigation that is expected to be covered and paid by its directors’ and officers’ insurance. The Company develops these estimates using its judgment based upon the facts and circumstances known to it at the time.
Liquidity / Going Concern	Liquidity / Going Concern The Company is a pre-revenue stage biopharmaceutical company that has incurred an accumulated deficit of $240.5 million as of September 30, 2023. The Company expects to generate continued operating losses for the foreseeable future as it pursues the continued development and advancement of the OA-201 program, with the plan that it will source the requisite liquidity primarily through capital raising efforts. As of September 30, 2023, the Company had $6.4 million of cash and cash equivalents and an insurance recovery receivable of $0.5 million. Based on the current cash / liquidity position, current projection of operating expenses and assumption regarding the collectability in full of the insurance recovery receivable, the Company believes it will have sufficient liquidity to fund business operations into the first quarter of 2024. Cash resources and capital needs are based upon management’s estimates as to future operating expenses and the timing of collection of the insurance recovery receivable, which involve significant judgment. If the Company is able to successfully optimize a small molecule formulation to advance into development, it intends to fund the future development of the OA-201 program through one or more offerings of its equity securities. The Company also may seek to raise equity capital, which could lead to a possibility of a cure of non-compliance with the $6.0 million minimum stockholders’ equity requirement of the NYSE American exchange. Accordingly, the Company may require a greater amount of capital than presently anticipated or may require capital more quickly than presently anticipated, or both. Additionally, as the Company’s board of directors continues to evaluate strategic alternatives, the forecasts regarding the sufficiency of liquidity are based upon maintaining current operations. Additional financing may not be available in the amount or at the time the Company needs it or may not be available on acceptable terms or at all. If the Company raises additional equity financing, our stockholders may experience significant dilution of their ownership interests and the value of shares of our common stock could decline. The Company’s efforts to raise additional funds from the sale of equity may be hampered by the currently depressed trading price of the common stock and the restrictions on ATM agreement sales or other offering types based on the current market capitalization of the Company. If the Company raises additional equity financing, new investors may demand rights, preferences, or privileges senior to those of existing holders of common stock. Based on the above, these existing and ongoing factors raise substantial doubt about the Company’s ability to continue as a going concern. The accompanying unaudited interim financial statements were prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. These financial statements do not include any separate adjustments relating to the recovery of recorded assets or the classification of liabilities, which adjustments may be necessary in the future should the Company be unable to continue as a going concern.
Adoption of Recent Accounting Pronouncements	Adoption of Recent Accounting Pronouncements In August 2020, the Financial Accounting Standards Board (“FASB”) issued ASU 2020-06, “Debt (Subtopic 470-20); Debt with Conversion and Other Options and Derivatives and Hedging (Subtopic 815-40) Contracts in Entity’s Own Equity”. The updated guidance is part of the FASB’s simplification initiative, which aims to reduce unnecessary complexity in U.S. GAAP. Consequently, more convertible debt instruments will be reported as single liability instruments with no separate accounting for embedded conversion features. The ASU 2020-06 also removes certain settlement conditions that are required for equity contracts to qualify for the derivative scope exception, which will permit more equity contracts to qualify for the exception. In addition, ASU 2020-06 also simplifies the diluted net income per share calculation in certain areas. The updated guidance is effective for fiscal years beginning after December 15, 2023, and interim periods within those fiscal years, with early adoption permitted for periods beginning after December 15, 2020. The Company adopted ASU 2020-06 effective January 1, 2023. The adoption of ASU 2020-06 did not have a material impact on the Company’s financial statements. Recent Accounting Pronouncements This Quarterly Report on Form 10-Q does not discuss recent pronouncements that are not anticipated to have a current and/or future impact on or are unrelated to the Company’s financial condition, results of operations, cash flows or disclosures.

Current Assets, Excluding Cash and Cash Equivalents (Tables)

9 Months Ended

Sep. 30, 2023

Current Assets, Excluding Cash and Cash Equivalents

Schedule Of Prepaid Expenses and other balances



	September 30, 2023		December 31, 2022

Unamortized commercial insurance premiums	$	517,000	$	610,000
Deferred issuance costs		136,000		—
Deposits		34,000		34,000
Other		31,000		32,000
Total prepaid expenses and other	$	718,000	$	676,000

Fixed Assets (Tables)

9 Months Ended

Sep. 30, 2023

Fixed Assets

Schedule of Fixed Assets


	Estimated
	Useful Lives
	(in Years)	September 30, 2023		December 31, 2022

Leasehold improvements	10	$	—	$	4,965,000
Manufacturing facility/clean room	3 - 8		—		2,803,000
Lab equipment and office furniture	5 - 8		—		1,661,000
Fixed assets, gross			—		9,429,000
Accumulated depreciation			—		(9,245,000)
Fixed assets, net		$	—	$	184,000

Schedule Of Depreciation expense


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Depreciation and amortization expense	$	—	$	347,000	$	122,000	$	865,000

Accounts Payable and Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2023

Accounts Payable and Accrued Expenses

Schedule of accounts payable and accrued expenses



	September 30, 2023		December 31, 2022

Accounts payable	$	459,000	$	97,000
Professional fees		737,000		157,000
Commercial insurance premium financing		354,000		189,000
Preclinical and clinical trials		185,000		89,000
Property taxes		60,000		74,000
Franchise taxes		17,000		78,000
Accrued severance		—		143,000
Other		97,000		25,000
Accounts payable and accrued expenses	$	1,909,000	$	852,000

Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies

Summary of reconciliation of the Company's undiscounted payments for its facility lease and the carrying amount of the lease liability


	Facility Lease Payments		2023		2024		2025		2026		2027		Thereafter

Remaining Facility Lease Payments	$	372,000	$	92,000	$	280,000	$	—	$	—	$	—	$	—
Less: Discount Adjustment		(10,000)
Total lease liability	$	362,000

Lease liability-current portion	$	362,000

Long-term lease liability	$	—

Schedule of lease expense


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022

Lease expense	$	7,000	$	70,000	$	108,000	$	221,000

Warrants (Tables)

9 Months Ended

Sep. 30, 2023

Warrants.

Summary of Company's warrant activity


		Weighted		Weighted Average
	Number of	Average		Remaining
	Warrants	Exercise Price		Contractual Life

Outstanding as of December 31, 2022	53,263		$ 318.80	3.80

Outstanding as of September 30, 2023	52,751		$ 320.62	3.08

Schedule of stockholders equity note warrants or rights classified as equity and liability

Weighted

Weighted Average

Number of

Average

Remaining

Date

Exercise Price

Type

Warrants

Exercise Price

Contractual Life

December 2021 registered direct offering

$ 330.00

Investor

50,001

3.04

June 2019 public offering

$ 150.00

Placement agent

2,750

0.04

Outstanding as of September 30, 2023

52,751

$ 320.62

3.08

Fair Value Considerations (Tables)

9 Months Ended

Sep. 30, 2023

Fair Value Considerations

Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis


	Fair Value Measurements Using
	Level 1		Level 2		Level 3		Total
December 31, 2022
Liabilities:
Warrant derivative liability	$	—	$	—	$	44,000	$	44,000

Common Stock (Tables)

9 Months Ended

Sep. 30, 2023

Common Stock.

Schedule of remaining authorized Shares


	September 30, 2023

Authorized shares		300,000,000

Common stock outstanding		804,604
Options outstanding		12,719
Warrants outstanding		52,751
Reserved for issuance under 2019 Stock and Incentive Plan		—
Reserved for issuance under 2023 Stock and Incentive Plan		1,200,000
Available shares for future issuance		297,929,926

Mezzanine Equity and Stockholders' Equity (Tables)

9 Months Ended

Sep. 30, 2023

Schedule of restricted stock awards activity


		Weighted
		Average Grant-Date			Aggregate
	Awards	Fair Value			Intrinsic Value
Nonvested as of December 31, 2022	670	$	492.00
Vested	(223)	$	492.00	$	—
Nonvested as of March 31, 2023	447	$	492.00
Nonvested as of June 30, 2023	447	$	492.00
Nonvested as of September 30, 2023	447	$	492.00

Schedule of Stock Options Outstanding and Exercisable


	Number of	Weighted		Weighted Average
	Options	Average		Remaining
Range of Exercise Prices	Outstanding	Exercise Price		Contractual Lives
Up to $150.00	2,039	$	132.40	7.05
$150.01 - $300.00	6,173	$	207.17	6.30
$300.01 - $450.00	2,620	$	346.95	8.11
$450.01 and above	1,887	$	837.19	6.52
Total	12,719	$	317.44	6.83

Schedule of Assumptions Used in Computing Fair Value of All Options Granted


	Nine Months Ended September 30,
	2022

Expected volatility	116.83% - 119.43	%
Risk free interest rate	1.26% - 1.94	%
Expected term (years)	5.45 - 6.51

Schedule of Stock-Based Compensation Expense


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Research and development expenses
Share-based compensation, net of forfeitures	$	3,000	$	(23,000)	$	(27,000)	$	118,000

General and administrative expenses
Share-based compensation, net of forfeitures		43,000		186,000		147,000		675,000

Total share-based compensation, net of forfeitures	$	46,000	$	163,000	$	120,000	$	793,000

Unrecognized share-based compensation expense related to stock options as of September 30, 2023	$	47,000

Weighted average remaining years to vest for stock options		1.24

Unrecognized share-based compensation expense related to restricted stock awards as of September 30, 2023	$	54,000

Weighted average remaining years to vest for restricted stock awards		1.26

Employee Stock Option

Schedule of stock option activity


		Weighted		Weighted Average
	Number of	Average		Remaining		Aggregate
	Options	Exercise Price		Contractual Life		Intrinsic Value
Outstanding as of December 31, 2022	14,873	$	299.40	6.41	$	—
Forfeited, expired and/or cancelled	(687)	$	136.60
Outstanding as of March 31, 2023	14,186	$	307.20	6.58	$	—
Forfeited, expired and/or cancelled	(1,467)	$	192.20
Outstanding as of June 30, 2023	12,719	$	317.40	7.08	$	—
Forfeited, expired and/or cancelled	—
Outstanding as of September 30, 2023	12,719	$	317.44	6.83	$	—
Exercisable as of September 30, 2023	11,814	$	317.63	6.72	$	—


Outstanding Options by Plan	September 30, 2023
2010 Plan		4,937
2019 Plan		7,782
Outstanding as of September 30, 2023		12,719

Earnings Per Share (Tables)

9 Months Ended

Sep. 30, 2023

Earnings Per Share

Schedule for the calculations of basic and diluted earnings per share


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net loss	$	(1,229,000)	$	(6,411,000)	$	(6,578,000)	$	(14,117,000)
Less: decrease in fair value of investor warrants		—		(1,167,000)		—		(5,384,000)
Net loss available to common stockholders	$	(1,229,000)	$	(7,578,000)	$	(6,578,000)	$	(19,501,000)

Basic weighted-average common shares outstanding		804,158		753,620		804,158		753,616
Add: dilutive effect of equity instruments		—		—		—		—
Diluted weighted-average shares outstanding		804,158		753,620		804,158		753,616
Earnings per share – basic	$	(1.53)	$	(8.51)	$	(8.18)	$	(18.73)
Earnings per share – diluted	$	(1.53)	$	(10.06)	$	(8.18)	$	(25.88)

Schedule of potentially dilutive securities, excluded


	Three Months Ended September 30,		Nine Months Ended September 30,
	2023	2022	2023	2022
Warrants to purchase shares of common stock	52,751	53,257	52,751	53,257
Outstanding stock options	12,719	18,206	12,719	18,206
Restricted stock awards	447	670	447	670
Total potentially dilutive shares of common stock	65,917	72,133	65,917	72,133

The Company and Summary of Significant Accounting Policies (Details)			9 Months Ended
	Sep. 12, 2023	Nov. 09, 2022	Sep. 30, 2023 USD ($)	Dec. 31, 2022 USD ($)
Stock split ratio	20	15
Cash and cash equivalents			$ 6,398,000	$ 12,653,000
Accumulated deficit			240,473,000	233,939,000
Retention amount			2,500,000
Insurance recovery receivable			530,000	$ 0
OA-201 program
Common stock issued, net of offering costs			$ 6,000,000.0

Current Assets, Excluding Cash and Cash Equivalents - Narrative (Details) - USD ($)	9 Months Ended
	Sep. 30, 2023	Dec. 31, 2022
Current Assets, Excluding Cash and Cash Equivalents
Insurance recovery receivable	$ 530,000	$ 0
Self-insured retention for pending lawsuits paid	$ 2,500,000

Current Assets, Excluding Cash and Cash Equivalents - Prepaid expenses and other balances (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Current Assets, Excluding Cash and Cash Equivalents
Unamortized commercial insurance premiums	$ 517,000	$ 610,000
Deferred issuance costs	136,000
Deposits	34,000	34,000
Other	31,000	32,000
Total prepaid expenses and other	$ 718,000	$ 676,000

Fixed Assets (Details) - USD ($) $ in Thousands	9 Months Ended
Fixed Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Fixed assets, gross		$ 9,429
Accumulated depreciation		(9,245)
Fixed assets, net	$ 0	184
Leasehold improvements
Property, Plant and Equipment [Line Items]
Estimated Useful Lives in Years	10 years
Fixed assets, gross		4,965
Manufacturing facility/clean room
Property, Plant and Equipment [Line Items]
Fixed assets, gross		2,803
Manufacturing facility/clean room \| Minimum
Property, Plant and Equipment [Line Items]
Estimated Useful Lives in Years	3 years
Manufacturing facility/clean room \| Maximum
Property, Plant and Equipment [Line Items]
Estimated Useful Lives in Years	8 years
Lab equipment and office furniture
Property, Plant and Equipment [Line Items]
Fixed assets, gross		$ 1,661
Lab equipment and office furniture \| Minimum
Property, Plant and Equipment [Line Items]
Estimated Useful Lives in Years	5 years
Lab equipment and office furniture \| Maximum
Property, Plant and Equipment [Line Items]
Estimated Useful Lives in Years	8 years

Fixed Assets - Depreciation Expenses (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Fixed Assets
Depreciation and amortization expense	$ 347	$ 122	$ 865

Accounts Payable and Accrued Expenses (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Accounts Payable and Accrued Expenses
Accounts payable	$ 459	$ 97
Professional fees	737	157
Commercial insurance premium financing	354	189
Preclinical and clinical trials	185	89
Property taxes	60	74
Franchise taxes	17	78
Accrued severance		143
Other	97	25
Accounts payable and accrued expenses	$ 1,909	$ 852

Accounts Payable and Accrued Expenses - Commercial Insurance Premium Financing Agreement (Details) - Commercial Insurance Premium Financing Agreement	1 Months Ended
	Jun. 30, 2023 USD ($)
Debt Instrument [Line Items]
Financing agreement amount	$ 703,000
Term of agreement (in years)	9 months
Interest rate (as a percentage)	8.00%
Insurance down payment	$ 171,000
Principal and interest payments per month	$ 59,000

Commitments and Contingencies - Additional Information (Details)			1 Months Ended
	Mar. 01, 2023 USD ($)	Feb. 04, 2022 USD ($) installment	Dec. 31, 2013 USD ($)	Sep. 30, 2023	Nov. 04, 2022 USD ($)	Sep. 05, 2022 USD ($)
Commitments and Contingencies [Line Items]
Number of Related party agreements				0
Gain on elimination of ARO obligation	$ 294,000
Non Cash gain on derecognition of ARO	288,000
Loss on derecognition of ARO asset	$ 6,000
Personal Service Agreement with Trauma Research LLC
Commitments and Contingencies [Line Items]
Contract amount		$ 250,000
Term of agreement		1 year
Number of equal quarterly installments \| installment		4
Contractual obligation						$ 21,000
Sponsored Research Agreement with Trauma Research, LLC
Commitments and Contingencies [Line Items]
Contract amount		$ 400,000
Term of agreement		2 years
Contractual obligation					$ 63,000
Newly Leased Office Space and Manufacturing Facility
Commitments and Contingencies [Line Items]
Non-cancellable operating lease period			125 months
Lease renewal term			60 months
Lease initial base rent per month			$ 23,000
Rent expense			$ 3,300,000

Commitments and Contingencies - Employment Agreements (Details)	9 Months Ended
	Sep. 30, 2023 USD ($)
Mr. Daniel Stokely
Related Party Transaction [Line Items]
Annual Salary	$ 335,000
Mr. Michael A. Martino
Related Party Transaction [Line Items]
Annual Salary	$ 550,000

Commitments and Contingencies - Summary of Reconciliation of Company's Undiscounted Payments for Facility Lease and Carrying Amount of Lease Liability (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Lessee, Operating Lease, Liability, Payment, Due [Abstract]
2023	$ 92
2024	280
Remaining Facility Lease Payments	372
Less: Discount Adjustment	(10)
Total lease liability	362
Lease liability - current portion	362	$ 340
Long-term lease liability	$ 0	$ 274

Commitments and Contingencies - Lease Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Commitments and Contingencies
Lease expense	$ 7	$ 70	$ 108	$ 221

Warrants - Warrants Activity (Details) - $ / shares	9 Months Ended	12 Months Ended
Warrants - Warrants Activity (Details) - $ / shares	Sep. 30, 2023	Dec. 31, 2022
Number of Warrants Outstanding
Warrants outstanding	52,751	53,263
Number of Warrants Outstanding, Beginning Balance	53,263
Number of Warrants Outstanding, Ending Balance	52,751	53,263
Warrants, Weighted Average Exercise Price
Weighted Average Exercise Price, Outstanding Beginning Balance	$ 318.80
Weighted Average Exercise Price, Outstanding Ending Balance	$ 320.62	$ 318.80
Weighted Average Remaining Contractual Life
Weighted Average Remaining Contractual Life, Warrants Outstanding	3 years 29 days	3 years 9 months 18 days
Equity based-warrants
Number of Warrants Outstanding
Warrants outstanding	53,000
Number of Warrants Outstanding, Ending Balance	53,000

Warrants - Warrants Activity Classified as Equity and Liability (Details) - USD ($)	9 Months Ended	12 Months Ended
	Sep. 30, 2023	Dec. 31, 2022	Aug. 12, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of Warrants Outstanding, Ending Balance	52,751	53,263
Exercise price	$ 320.62	$ 318.80
Weighted Average Remaining Contractual Life, Warrants Outstanding	3 years 29 days	3 years 9 months 18 days
Warrant derivative liability	$ 0	$ 44,000
Investor Warrants, December 2021 Registered Direct Offering
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of Warrants Outstanding, Ending Balance	50,001
Exercise price	$ 330.00
Weighted Average Remaining Contractual Life, Warrants Outstanding	3 years 14 days
Placement Agent, June 2019 Public offering
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of Warrants Outstanding, Ending Balance	2,750
Exercise price	$ 150.00
Weighted Average Remaining Contractual Life, Warrants Outstanding	14 days
Investor Warrants
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Investor Warrants			512

Fair Value Considerations - Financial Assets and Liabilities (Details) - USD ($)	Sep. 30, 2023	Jan. 01, 2023	Dec. 31, 2022
LIABILITIES
Warrant derivative liability	$ 0		$ 44,000
Recurring
LIABILITIES
Warrant derivative liability			44,000
Fair Value, Inputs, Level 3 \| ASU 2020-06 \| Cumulative Effect, Period of Adoption, Adjustment
LIABILITIES
Warrant derivative liability		$ (44,000)
Fair Value, Inputs, Level 3 \| Recurring
LIABILITIES
Warrant derivative liability			$ 44,000

Common Stock - Summarizes the Company's remaining authorized shares available (Details) - shares	Sep. 30, 2023	Dec. 31, 2022
Components Of Common Stock [Line Items]
Authorized shares	300,000,000	300,000,000
Common stock outstanding	804,604	804,674
Options outstanding	12,719
Warrants outstanding	52,751	53,263
Available shares for future issuance	297,929,926
2019 Stock plan
Components Of Common Stock [Line Items]
Options outstanding	7,782
2023 Stock plan
Components Of Common Stock [Line Items]
Reserved for issuance Stock and Incentive Plan	1,200,000

Common Stock - Sales Agreement (Details)	9 Months Ended
Common Stock - Sales Agreement (Details)	Sep. 30, 2023 shares
Common Stock.
Number of common stock shares issued	0

Common Stock - ATM Equity Offering Program (Details) - USD ($)	Sep. 18, 2023	Sep. 30, 2023	May 24, 2023	Dec. 31, 2022
Common Stock
Common Stock, par value		$ 0.0001	$ 0.0001	$ 0.0001
Deferred issuance costs		$ 136,000
Manager
Common Stock
Additional reimbursement of expenses paid	$ 2,500
The Offering Agreement
Common Stock
Common Stock, par value	$ 0.0001
Aggregate sales price	$ 1,250,000
The Offering Agreement \| Manager
Common Stock
Percentage of commission	3.00%
Maximum reimbursement of out of pocket expenses paid to third parties	$ 50,000
Number of days within which prior notice is given on termination of agreement	7 days

Mezzanine Equity and Stockholders' Equity - Preferred Stock (Details)			3 Months Ended	9 Months Ended
	Jun. 08, 2023 Vote shares	May 24, 2023 $ / shares	Jun. 30, 2023 shares	Sep. 30, 2023 $ / shares shares	Dec. 31, 2022 $ / shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Stock, par value		$ 0.0001		$ 0.0001	$ 0.0001
Issuance of Series D preferred stock dividend \| shares			0
Series D Preferred
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Dividends declared per share		0.001
Preferred Stock, Par value		$ 0.0001
Issuance of Series D preferred stock dividend \| shares	15,103
Number of votes entitled per share \| Vote	1,000,000
Number of votes entitled for one-thousandth of a share \| Vote	1,000
Redemption price per ten shares				$ 0.01
Number of shares considered for calculating redemption price \| shares				10

Mezzanine Equity and Stockholders' Equity - Activity of Plan (Details) shares in Millions	Sep. 12, 2023	Nov. 09, 2022	Jul. 31, 2023 shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock split ratio	20	15
2019 Stock plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total shares reserved for equity awards			1.2

Mezzanine Equity and Stockholders' Equity - Restricted Stock Awards (Details) - Restricted Stock [Member - $ / shares	3 Months Ended
	Sep. 30, 2023	Mar. 31, 2023
Awards
Nonvested as of beginning	447	670
Vested (Shares)		(223)
Nonvested as of ending	447	447
Average Grant-Date Fair Value
Nonvested at beginning (Dollars per share)	$ 492.00	$ 492.00
Vested (Dollars per share)		492.00
Nonvested at ending (Dollars per share)	$ 492.00	$ 492.00

Mezzanine Equity and Stockholders' Equity - Stock Option Activity (Details) - $ / shares	3 Months Ended			9 Months Ended	12 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2023	Dec. 31, 2022
Number of Options
Number of Options, Ending Balance	12,719			12,719
Employee Stock Option
Number of Options
Number of Options, Beginning Balance	12,719	14,186	14,873	14,873
Number of Options, Forfeited, expired and/or cancelled		(1,467)	(687)
Number of Options, Ending Balance	12,719	12,719	14,186	12,719	14,873
Number of Options, Exercisable	11,814			11,814
Weighted Average Exercise Price
Weighted Average Exercise Price, Beginning Balance	$ 317.40	$ 307.20	$ 299.40	$ 299.40
Weighted Average Exercise Price, Forfeited, expired and/or cancelled		192.20	136.60
Weighted Average Exercise Price, Ending Balance	317.44	$ 317.40	$ 307.20	317.44	$ 299.40
Weighted Average Exercise Price, Exercisable	$ 317.63			$ 317.63
Weighted Average Remaining Contractual Life, Outstanding	6 years 9 months 29 days	7 years 29 days	6 years 6 months 29 days		6 years 4 months 28 days
Weighted Average Remaining Contractual Life, Exercisable				6 years 8 months 19 days
2010 Stock Plan
Number of Options
Number of Options, Ending Balance	4,937			4,937
2019 Stock plan
Number of Options
Number of Options, Ending Balance	7,782			7,782

Mezzanine Equity and Stockholders' Equity - Summary of Stock Options Outstanding and Exercisable (Details) - Employee Stock Option	9 Months Ended
	Sep. 30, 2023 $ / shares shares
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Number of Options Outstanding \| shares	12,719
Weighted Average Exercise Price	$ 317.44
Weighted Average Remaining Contractual Lives	6 years 9 months 29 days
Up to $150.00
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Number of Options Outstanding \| shares	2,039
Weighted Average Exercise Price	$ 132.40
Weighted Average Remaining Contractual Lives	7 years 18 days
Range of Exercise Prices Upper	$ 150.00
$150.01 - $300.00
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Number of Options Outstanding \| shares	6,173
Weighted Average Exercise Price	$ 207.17
Weighted Average Remaining Contractual Lives	6 years 3 months 18 days
Range of Exercise Prices Lower	$ 150.01
Range of Exercise Prices Upper	$ 300.00
$300.01 - $450.00
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Number of Options Outstanding \| shares	2,620
Weighted Average Exercise Price	$ 346.95
Weighted Average Remaining Contractual Lives	8 years 1 month 9 days
Range of Exercise Prices Lower	$ 300.01
Range of Exercise Prices Upper	$ 450.00
$450.01 and above
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Number of Options Outstanding \| shares	1,887
Weighted Average Exercise Price	$ 837.19
Weighted Average Remaining Contractual Lives	6 years 6 months 7 days
Range of Exercise Prices Lower	$ 450.01

Mezzanine Equity and Stockholders' Equity - Assumptions Used in Computing Fair Value of All Options Granted (Details)	9 Months Ended
	Sep. 30, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected volatility, Minimum	116.83%
Expected volatility, Maximum	119.43%
Risk free interest rate, Minimum	1.26%
Risk free interest rate, Maximum	1.94%
Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (years)	5 years 5 months 12 days
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (years)	6 years 6 months 3 days

Mezzanine Equity and Stockholders' Equity - Summary of Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation, net of forfeitures	$ 46	$ 163	$ 120	$ 793
Unrecognized share-based compensation expense related to stock options as of September 30, 2023	$ 47
Weighted average remaining years to vest for stock options	1 year 2 months 26 days
Unrecognized share-based compensation expense related to restricted stock awards as of September 30, 2023	$ 54		54
Weighted average remaining years to vest for restricted stock awards	1 year 3 months 3 days
Research and development expenses \| Share-based compensation
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation, net of forfeitures	$ 3	(23)	(27)	118
General and administrative expenses \| Share-based compensation
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation, net of forfeitures	$ 43	$ 186	$ 147	$ 675

Earnings Per Share (Details) - USD ($)
$ / shares in Units, $ in Thousands

3 Months Ended

9 Months Ended

Sep. 30, 2023

Jun. 30, 2023

Mar. 31, 2023

Sep. 30, 2022

Jun. 30, 2022

Mar. 31, 2022

Sep. 30, 2023

Sep. 30, 2022

Earnings Per Share

Net loss

$ (1,229)

$ (1,371)

$ (3,978)

$ (6,411)

$ (2,070)

$ (5,636)

$ (6,578)

$ (14,117)

Less: decrease in fair value of investor warrants

(1,167)

(5,384)

Net loss available to common stockholders

$ (1,229)

$ (7,578)

$ (6,578)

$ (19,501)

Basic weighted-average common shares outstanding

^[1]

804,158

753,620

804,158

753,616

Diluted weighted-average shares outstanding

^[1]

804,158

753,620

804,158

753,616

Earnings per share - basic

^[1]

$ (1.53)

$ (8.51)

$ (8.18)

$ (18.73)

Earnings per share - diluted

^[1]

$ (1.53)

$ (10.06)

$ (8.18)

$ (25.88)

[1]	[1] Net loss per common share and weighted average number of common shares outstanding for the current period have been adjusted and the prior periods have been retroactively adjusted to reflect the 20-to-1 reverse stock split effected September 12, 2023.

Earnings Per Share - Anti-dilutive (Details) - shares	3 Months Ended		9 Months Ended
Earnings Per Share - Anti-dilutive (Details) - shares	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total potentially dilutive shares of common stock	65,917	72,133	65,917	72,133
Warrant
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total potentially dilutive shares of common stock	52,751	53,257	52,751	53,257
Employee Stock Option
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total potentially dilutive shares of common stock	12,719	18,206	12,719	18,206
Restricted Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total potentially dilutive shares of common stock	447	670	447	670

Subsequent Events (Details) - USD ($)	1 Months Ended	9 Months Ended
Subsequent Events (Details) - USD ($)	Oct. 31, 2023	Sep. 30, 2023
Subsequent Events
Number of common stock shares issued		0
Deferred issuance costs		$ 136,000
Subsequent Event \| The Offering Agreement
Subsequent Events
Common stock issued, net of offering costs	$ 100,000
Number of common stock shares issued	27,417
Deferred issuance costs	$ 94,000