Filed pursuant to Rule 424(b)(3)
Registration
Statement No. 333-274094
Prospectus Supplement No. 1
(To Prospectus dated August 5, 2024)
AEON BIOPHARMA, INC.
This prospectus supplement updates, amends and
supplements the prospectus dated August 5, 2024 (the “Prospectus”), which forms a part of our Registration Statement
on Form S-1 (Registration No. 333-274094). Capitalized terms used in this prospectus supplement and not otherwise defined herein
have the meanings specified in the Prospectus.
This prospectus supplement is being filed to update,
amend and supplement the information included in the Prospectus with the information contained in our Quarterly Report on Form 10-Q
filed with the SEC on August 12, 2024, which is set forth below.
This prospectus supplement is not complete without
the Prospectus. This prospectus supplement should be read in conjunction with the Prospectus, which is to be delivered with this prospectus
supplement, and is qualified by reference thereto, except to the extent that the information in this prospectus supplement updates or
supersedes the information contained in the Prospectus. Please keep this prospectus supplement with your Prospectus for future reference.
AEON Biopharma, Inc.’s Class A
common stock is listed on the NYSE American under the symbol “AEON.” On August 9, 2024, the closing price of our common
stock was $1.04.
We are an “emerging growth company”
under federal securities laws and are subject to reduced public company reporting requirements. Investing in our securities involves certain
risks. See “Risk Factors” beginning on page 10 of the Prospectus.
Neither the Securities and Exchange Commission
nor any state securities commission has approved or disapproved of these securities or determined if the Prospectus or this prospectus
supplement is truthful or complete. Any representation to the contrary is a criminal offense.
The date of this prospectus supplement is August 12,
2024.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2024
or
☐TRANSITION REPORT PURSUANT TO SECTION 13
OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from
to
Commission File Number: 001-40021
AEON Biopharma, Inc.
(Exact name of registrant as specified in its
charter)
Delaware |
85-3940478 |
(State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification Number) |
|
|
5 Park Plaza
Suite 1750
Irvine, CA 92614
(Address of Principal Executive Offices)
(949) 354-6499
(Registrant’s telephone number)
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 ☒
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class |
Trading symbol |
Name of Exchange on which registered |
Class A common stock, $0.0001 par value per share |
AEON |
NYSE American |
|
|
|
As of August 7, 2024, there were 39,522,238 of the registrant’s
shares of Class A common stock, $0.0001 par value per share, outstanding.
Table of Contents
CAUTIONARY
NOTE REGARDING FORWARD-LOOKING STATEMENTS
This Quarterly Report
on Form 10-Q (this “Report”) contains certain statements that are "forward-looking statements" within
the meaning of the Private Securities Litigation Reform Act of 1995 (the "Reform Act"). All statements other than statements
of historical facts contained in this Report, including statements concerning possible or assumed future actions, business strategies,
events or results of operations, and any statements that refer to projections, forecasts or other characterizations of future events or
circumstances, including any underlying assumptions, are forward-looking statements. These statements involve known and unknown risks,
uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from
any future results, performance or achievements expressed or implied by the forward-looking statements.
In some cases, you can
identify forward-looking statements by terms such as “may,” “should,” “expect,” “plan,”
“anticipate,” “could,” “intend,” “target,” “project,” “contemplate,”
“believe,” “estimate,” “predict,” “potential” or “continue” or the negative
of these terms or other similar expressions. The forward-looking statements in this Report are only predictions. We have based these forward-looking
statements largely on our current expectations and projections about future events and financial trends that we believe may affect our
business, financial condition and results of operations. These forward-looking statements speak only as of the date of this Report and
are subject to a number of important factors that could cause actual results to differ materially from those in the forward-looking statements,
including the risks, uncertainties and assumptions. These forward-looking statements are subject to numerous risks, including, without
limitation, the following:
|
● |
the projected financial information, anticipated growth rate and market opportunities of AEON Biopharma, Inc. (“AEON”); |
|
● |
the ability to maintain the listing of Class A common stock on NYSE American; |
|
● |
AEON’s public securities’ potential liquidity and trading; |
|
● |
AEON’s ability to raise financing in the future; |
|
● |
AEON’s success in retaining or recruiting, or changes required in, officers, key employees or directors; |
|
● |
factors relating to the business, operations and financial performance of AEON; |
|
● |
the initiation, cost, timing, progress and results of research and development activities, preclinical studies or clinical trials with respect to AEON’s current and potential future product candidates; |
|
● |
AEON’s ability to identify, develop and commercialize its main product candidate, botulinum toxin complex, ABP-450 (prabotulinumtoxinA) injection (“ABP-450”); |
|
● |
AEON’s ability to obtain a Biologics License Application for therapeutic uses of ABP-450; |
|
● |
AEON’s ability to advance its current and potential future product candidates into, and successfully complete, preclinical studies and clinical trials; |
|
● |
AEON’s ability to obtain and maintain regulatory approval of its current and potential future product candidates, and any related restrictions, limitations and/or warnings in the label of an approved product candidate; |
|
● |
AEON’s ability to obtain funding for its operations; |
|
● |
AEON’s ability to obtain and maintain intellectual property protection for its technologies and any of its product candidates; |
|
● |
AEON’s ability to successfully commercialize its current and any potential future product candidates; |
|
● |
the rate and degree of market acceptance of AEON’s current and any potential future product candidates; |
|
● |
regulatory developments in the United States and international jurisdictions; |
|
● |
potential liability, lawsuits and penalties related to AEON’s technologies, product candidates and current and future relationships with third parties; |
|
● |
AEON’s ability to attract and retain key scientific and management personnel; |
|
● |
AEON’s ability to effectively manage the growth of its operations; |
Table of Contents
|
● |
AEON’s ability to contract with third-party suppliers and manufacturers and their ability to perform adequately under those arrangements, particularly its license and supply agreement with Daewoong Pharmaceutical Co., LTD. (the “Daewoong Agreement”); |
|
● |
AEON’s ability to compete effectively with existing competitors and new market entrants; |
|
● |
potential effects of extensive government regulation; |
|
● |
AEON’s future financial performance and capital requirements; |
|
● |
AEON’s ability to implement and maintain effective internal controls; |
|
● |
the impact of supply chain disruptions; and |
|
● |
the impact of macroeconomic developments beyond our control, such as health epidemics or pandemics, macro-economic uncertainties, social unrest, hostilities, natural disasters or other catastrophic events, on AEON’s business, including its preclinical studies, clinical studies and potential future clinical trials. |
The preceding list is
not intended to be an exhaustive list of all of our forward-looking statements. We have based these forward-looking statements on our
current expectations, assumptions, estimates and projections. While we believe these expectations, assumptions, estimates and projections
are reasonable, such forward-looking statements are only predictions and involve known and unknown risks and uncertainties, many of which
are beyond our control. These and other important factors, including those discussed in this Report, may cause our actual results, performance
or achievements to differ materially from any future results, performance or achievements expressed or implied by these forward-looking
statements. Given these risks and uncertainties, you are cautioned not to place undue reliance on such forward-looking statements. The
forward-looking statements included elsewhere in this Report are not guarantees of future performance and our actual results of operations,
financial condition and liquidity, and the development of the industry in which we operate, may differ materially from the forward-looking
statements included elsewhere in this Report. In addition, even if our results of operations, financial condition and liquidity, and events
in the industry in which we operate, are consistent with the forward-looking statements included elsewhere in this Report, they may not
be predictive of results or developments in future periods.
Any forward-looking statement
that we make in this Report speaks only as of the date of such statement. Except as required by law, we do not undertake any obligation
to update or revise, or to publicly announce any update or revision to, any of the forward-looking statements, whether as a result of
new information, future events or otherwise, after the date of this Report. For all of our forward-looking statements, we claim the protection
of the safe harbor for forward-looking statements contained in the Reform Act.
As used in this Report, unless otherwise stated
or the context otherwise requires: “we,” “us,” “our,” “AEON,” the “Company,”
and similar references refer to AEON Biopharma, Inc. and its subsidiaries, and “common stock” refers to our Class A common
stock.
Table of Contents
TABLE OF CONTENTS
|
|
|
|
Page |
|
|
|
|
|
Part I |
|
Financial Information |
|
|
|
|
|
|
|
Item 1. |
|
Financial Statements |
|
1 |
|
|
|
|
|
|
|
Condensed Consolidated Balance Sheets as of June 30, 2024 (Successor) and December 31, 2023 (Successor) |
|
1 |
|
|
|
|
|
|
|
Condensed Consolidated Statements of Operations and Comprehensive Income (loss) for the three and six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor) |
|
2 |
|
|
|
|
|
|
|
Condensed Consolidated Statements of Convertible Preferred Stock and Stockholders’ Deficit for the three and six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor) |
|
3 |
|
|
|
|
|
|
|
Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor) |
|
5 |
|
|
|
|
|
|
|
Notes to Condensed Consolidated Financial Statements |
|
6 |
|
|
|
|
|
Item 2. |
|
Management’s Discussion and Analysis of Financial Condition and Results of Operations |
|
28 |
|
|
|
|
|
Item 3. |
|
Quantitative and Qualitative Disclosures about Market Risk |
|
39 |
|
|
|
|
|
Item 4. |
|
Controls and Procedures |
|
39 |
|
|
|
|
|
Part II |
|
Other Information |
|
|
|
|
|
|
|
Item 1. |
|
Legal Proceedings |
|
41 |
|
|
|
|
|
Item 1A. |
|
Risk Factors |
|
41 |
|
|
|
|
|
Item 2. |
|
Unregistered Sales of Equity Securities and Use of Proceeds |
|
89 |
|
|
|
|
|
Item 3. |
|
Defaults Upon Senior Securities |
|
89 |
|
|
|
|
|
Item 4. |
|
Mine Safety Disclosures |
|
89 |
|
|
|
|
|
Item 5. |
|
Other Information |
|
89 |
|
|
|
|
|
Item 6. |
|
Exhibits |
|
89 |
|
|
|
|
|
Exhibit Index |
|
|
|
|
|
Signatures |
|
|
Table of Contents
PART I —FINANCIAL INFORMATION
Item 1. Financial Statements
AEON BIOPHARMA, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share data and par value
amounts)
|
|
|
|
|
|
|
|
|
|
Successor |
|
Successor |
|
|
|
June 30, |
|
December 31, |
|
|
|
2024 |
|
2023 |
|
|
|
(Unaudited) |
|
|
|
ASSETS |
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
3,442 |
|
$ |
5,158 |
|
Prepaid expenses and other current assets |
|
|
577 |
|
|
1,064 |
|
Total current assets |
|
|
4,019 |
|
|
6,222 |
|
Property and equipment, net |
|
|
282 |
|
|
332 |
|
Operating lease right-of-use asset |
|
|
1,404 |
|
|
262 |
|
Other assets |
|
|
29 |
|
|
29 |
|
Total assets |
|
$ |
5,734 |
|
$ |
6,845 |
|
LIABILITIES AND STOCKHOLDERS' DEFICIT |
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
Accounts payable |
|
$ |
3,030 |
|
$ |
3,388 |
|
Accrued clinical trials expenses |
|
|
2,333 |
|
|
5,128 |
|
Accrued compensation |
|
|
1,248 |
|
|
943 |
|
Other accrued expenses |
|
|
3,818 |
|
|
3,590 |
|
Total current liabilities |
|
|
10,429 |
|
|
13,049 |
|
Convertible notes at fair value, including related party amount of $13,292 and $0, at June 30, 2024 and December 31, 2023, respectively |
|
|
13,292 |
|
|
— |
|
Operating lease liability |
|
|
1,262 |
|
|
— |
|
Warrant liability |
|
|
1,467 |
|
|
1,447 |
|
Contingent consideration liability |
|
|
6,886 |
|
|
104,350 |
|
Embedded forward purchase agreements and derivative liabilities |
|
|
345 |
|
|
41,043 |
|
Total liabilities |
|
|
33,681 |
|
|
159,889 |
|
Commitments and contingencies |
|
|
|
|
|
|
|
Stockholders’ Deficit: |
|
|
|
|
|
|
|
Class A common stock, $0.0001 par value; 500,000,000 shares authorized at June 30, 2024 and December 31, 2023, and 39,122,238 and 37,159,600 shares issued and outstanding at June 30, 2024 and December 31, 2023, respectively |
|
|
4 |
|
|
4 |
|
Additional paid-in capital |
|
|
399,557 |
|
|
381,264 |
|
Subscription receivables |
|
|
— |
|
|
(60,710) |
|
Accumulated deficit |
|
|
(427,508) |
|
|
(473,602) |
|
Total stockholders' deficit |
|
|
(27,947) |
|
|
(153,044) |
|
Total liabilities and stockholders' deficit |
|
$ |
5,734 |
|
$ |
6,845 |
|
See accompanying notes to the consolidated financial
statements
1
Table of Contents
AEON BIOPHARMA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
AND COMPREHENSIVE INCOME (LOSS)
(in thousands, except share and per share data)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Six Months Ended |
|
|
June 30, |
|
June 30, |
|
|
2024 |
|
|
2023 |
|
2024 |
|
|
2023 |
|
|
|
Successor |
|
|
|
Predecessor |
|
|
Successor |
|
|
|
Predecessor |
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling, general and administrative |
|
$ |
3,321 |
|
|
$ |
4,946 |
|
$ |
7,970 |
|
|
$ |
8,787 |
Research and development |
|
|
4,439 |
|
|
|
9,025 |
|
|
10,172 |
|
|
|
18,230 |
Change in fair value of contingent consideration |
|
|
(161,233) |
|
|
|
— |
|
|
(97,464) |
|
|
|
— |
Total operating costs and expenses |
|
|
(153,473) |
|
|
|
13,971 |
|
|
(79,322) |
|
|
|
27,017 |
Income (loss) from operations |
|
|
153,473 |
|
|
|
(13,971) |
|
|
79,322 |
|
|
|
(27,017) |
Other income (loss): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in fair value of convertible notes |
|
|
1,795 |
|
|
|
(1,453) |
|
|
1,708 |
|
|
|
(6,110) |
Change in fair value of warrants |
|
|
5,905 |
|
|
|
— |
|
|
(14,999) |
|
|
|
— |
Loss on embedded forward purchase agreements and derivative liabilities, net |
|
|
2,905 |
|
|
|
— |
|
|
(20,012) |
|
|
|
— |
Other income, net |
|
|
34 |
|
|
|
45 |
|
|
75 |
|
|
|
109 |
Total other income (loss), net |
|
|
10,639 |
|
|
|
(1,408) |
|
|
(33,228) |
|
|
|
(6,001) |
Income (loss) before taxes |
|
|
164,112 |
|
|
|
(15,379) |
|
|
46,094 |
|
|
|
(33,018) |
Income taxes |
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
— |
Net income (loss) and comprehensive income (loss) |
|
$ |
164,112 |
|
|
$ |
(15,379) |
|
$ |
46,094 |
|
|
$ |
(33,018) |
Basic and diluted net income (loss) per share |
|
$ |
4.22 |
|
|
$ |
(0.11) |
|
$ |
1.21 |
|
|
$ |
(0.24) |
Weighted average shares of common stock outstanding used to compute basic and diluted net income (loss) per share |
|
|
38,843,627 |
|
|
|
138,825,356 |
|
|
38,055,850 |
|
|
|
138,825,356 |
See accompanying notes to the consolidated financial
statements
2
Table of Contents
AEON BIOPHARMA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CONVERTIBLE
PREFERRED STOCK AND STOCKHOLDERS’ DEFICIT
(in thousands, except share data) (Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Convertible |
|
|
|
|
|
|
|
Additional |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Non- |
|
Total |
|
|
Preferred Stock |
|
|
Common Stock |
|
Paid-in |
|
Subscription |
|
|
Accumulated |
|
|
Treasury Stock |
|
controlling |
|
Stockholders' |
|
|
Shares |
|
Amount |
|
|
Shares |
|
Amount |
|
Capital |
|
Receivables |
|
Deficit |
|
Shares |
|
Amount |
|
Interest |
|
Deficit |
Balance as of April 1, 2024 (Successor) |
|
— |
|
$ |
— |
|
|
38,120,288 |
|
$ |
4 |
|
$ |
393,235 |
|
$ |
— |
|
$ |
(591,620) |
|
|
— |
|
$ |
— |
|
$ |
— |
|
$ |
(198,381) |
Net income |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
164,112 |
|
|
— |
|
|
— |
|
|
— |
|
|
164,112 |
Issuance of shares related to cashless warrant exercises |
|
— |
|
|
— |
|
|
1,001,950 |
|
|
— |
|
|
4,629 |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
4,629 |
Stock-based compensation expense |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
1,693 |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
1,693 |
Balance as of June 30, 2024 (Successor) |
|
— |
|
$ |
— |
|
|
39,122,238 |
|
$ |
4 |
|
$ |
399,557 |
|
$ |
— |
|
$ |
(427,508) |
|
|
— |
|
$ |
— |
|
$ |
— |
|
$ |
(27,947) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of April 1, 2023 (Predecessor) |
|
21,257,708 |
|
$ |
137,949 |
|
|
138,848,177 |
|
$ |
14 |
|
$ |
187,348 |
|
$ |
— |
|
$ |
(492,478) |
|
$ |
(22,821) |
|
$ |
(23) |
|
$ |
18,447 |
|
$ |
(286,692) |
Net loss |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(15,379) |
|
|
— |
|
|
— |
|
|
— |
|
|
(15,379) |
Stock-based compensation expense |
|
— |
|
$ |
— |
|
|
— |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
1,145 |
|
$ |
1,145 |
Debt extinguishment due to warrant modification |
|
— |
|
$ |
— |
|
|
— |
|
$ |
— |
|
$ |
17,036 |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
— |
|
$ |
17,036 |
Balance as of June 30, 2023 (Predecessor) |
|
21,257,708 |
|
$ |
137,949 |
|
|
138,848,177 |
|
$ |
14 |
|
$ |
204,384 |
|
$ |
— |
|
$ |
(507,857) |
|
|
(22,821) |
|
$ |
(23) |
|
$ |
19,592 |
|
$ |
(283,890) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Convertible |
|
|
|
|
|
|
|
Additional |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Non- |
|
Total |
|
|
Preferred Stock |
|
|
Common Stock |
|
Paid-in |
|
Subscription |
|
Accumulated |
|
|
Treasury Stock |
|
controlling |
|
Stockholders' |
|
|
Shares |
|
Amount |
|
|
Shares |
|
Amount |
|
Capital |
|
Receivables |
|
Deficit |
|
Shares |
|
Amount |
|
Interest |
|
Deficit |
3
Table of Contents
Balance as of January 1, 2024 (Successor) |
|
— |
|
$ |
— |
|
|
37,159,600 |
|
$ |
4 |
|
$ |
381,264 |
|
$ |
(60,710) |
|
$ |
(473,602) |
|
|
— |
|
$ |
— |
|
$ |
— |
|
$ |
(153,044) |
Net income |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
46,094 |
|
|
— |
|
|
— |
|
|
— |
|
|
46,094 |
Termination of Forward Purchase Agreements |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
60,710 |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
60,710 |
Issuance of shares related to cashless warrant exercises |
|
— |
|
|
— |
|
|
1,962,638 |
|
|
— |
|
|
14,979 |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
14,979 |
Stock-based compensation expense |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
3,314 |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
3,314 |
Balance as of June 30, 2024 (Successor) |
|
— |
|
$ |
— |
|
|
39,122,238 |
|
$ |
4 |
|
$ |
399,557 |
|
$ |
— |
|
$ |
(427,508) |
|
|
— |
|
$ |
— |
|
$ |
— |
|
$ |
(27,947) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of January 1, 2023 (Predecessor) |
|
21,257,708 |
|
$ |
137,949 |
|
|
138,848,177 |
|
$ |
14 |
|
$ |
187,348 |
|
$ |
— |
|
$ |
(474,839) |
|
|
(22,821) |
|
$ |
(23) |
|
$ |
17,087 |
|
$ |
(270,413) |
Net loss |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(33,018) |
|
|
— |
|
|
— |
|
|
— |
|
|
(33,018) |
Stock-based compensation expense |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
2,505 |
|
|
2,505 |
Debt extinguishment due to warrant modification |
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
17,036 |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
17,036 |
Balance as of June 30, 2023 (Predecessor) |
|
21,257,708 |
|
$ |
137,949 |
|
|
138,848,177 |
|
$ |
14 |
|
$ |
204,384 |
|
$ |
— |
|
$ |
(507,857) |
|
|
(22,821) |
|
$ |
(23) |
|
$ |
19,592 |
|
$ |
(283,890) |
See accompanying notes to the consolidated financial
statements
4
Table of Contents
AEON BIOPHARMA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands, except per share data) (Unaudited)
|
|
|
|
|
|
|
|
|
|
Six Months Ended |
|
|
June 30, |
|
|
2024 |
|
|
2023 |
|
|
|
Successor |
|
|
|
Predecessor |
Cash flows from operating activities: |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
46,094 |
|
|
$ |
(33,018) |
Adjustments to reconcile net income (loss) to net cash used in operating activities: |
|
|
|
|
|
|
|
Depreciation |
|
|
49 |
|
|
|
48 |
Stock-based compensation expense |
|
|
3,314 |
|
|
|
2,505 |
Change in fair value of convertible notes |
|
|
(1,708) |
|
|
|
6,110 |
Change in fair value of warrants |
|
|
14,999 |
|
|
|
— |
Loss on embedded forward purchase agreements and derivative liabilities |
|
|
20,012 |
|
|
|
— |
Change in fair value of contingent consideration |
|
|
(97,464) |
|
|
|
— |
Changes in operating assets and liabilities: |
|
|
|
|
|
|
|
Prepaid expenses and other current assets |
|
|
487 |
|
|
|
33 |
Accounts payable |
|
|
(358) |
|
|
|
(1,460) |
Accrued expenses and other liabilities |
|
|
(2,263) |
|
|
|
4,656 |
Other assets and liabilities |
|
|
122 |
|
|
|
(17) |
Net cash used in operating activities |
|
|
(16,716) |
|
|
|
(21,143) |
Cash flows from investing activities: |
|
|
|
|
|
|
|
Net cash used in investing activities |
|
|
— |
|
|
|
— |
Cash flows from financing activities: |
|
|
|
|
|
|
|
Proceeds from issuance of convertible notes |
|
|
15,000 |
|
|
|
14,000 |
Net cash provided by financing activities |
|
|
15,000 |
|
|
|
14,000 |
Net decrease in cash and cash equivalents |
|
|
(1,716) |
|
|
|
(7,143) |
Cash and cash equivalents at beginning of period |
|
|
5,158 |
|
|
|
9,746 |
Cash and cash equivalents at end of period |
|
$ |
3,442 |
|
|
$ |
2,603 |
See accompanying notes to the consolidated financial
statements
5
Table of Contents
AEON BIOPHARMA, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Note 1. Organization
Description of Business
AEON Biopharma, Inc. (formerly known as Priveterra
Acquisition Corp.; “AEON” or the “Company”) is a biopharmaceutical company focused on developing its proprietary
botulinum toxin complex, ABP-450 (prabotulinumtoxinA) injection (“ABP-450”), for debilitating medical conditions. The Company
is headquartered in Irvine, California.
On July 21, 2023 (the “Closing Date”),
the Company completed the acquisition of AEON Biopharma Sub, Inc. (formerly known as AEON Biopharma, Inc.) (“Old AEON”) pursuant
to the definitive agreement dated December 12, 2022 (the “Business Combination Agreement”), as amended April 27, 2023, by
and among Priveterra Acquisition Corp. (“Priveterra”), Priveterra’s wholly-owned subsidiary, Priveterra Merger Sub,
Inc., and Old AEON. Old AEON was incorporated in Delaware in February 2012 under the name Alphaeon Corporation as a wholly-owned subsidiary
of Strathspey Crown Holdings Group, LLC (“SCH”). On December 18, 2019, the Company changed its name to “AEON Biopharma,
Inc.” On the Closing Date, Old AEON merged with Priveterra Merger Sub, Inc., with Old AEON surviving the merger as a wholly-owned
subsidiary of the Company. Also on the Closing Date, the Company changed its name from “Priveterra Acquisition Corp.” to “AEON
Biopharma, Inc.” and is referred to herein as “AEON,” or the “Company.” Unless the context otherwise requires,
references to “Priveterra” herein refer to the Company prior to the Closing Date.
Under the Business Combination Agreement, the Company
agreed to acquire all outstanding equity interests of Old AEON for approximately 16,500,000 shares of Class A common stock, par value
$0.0001 per share (“common stock”), which Old AEON’s stockholders received in the form of shares of common stock of
the Company (the consummation of the Merger and the other transactions contemplated by the Business Combination Agreement, collectively,
the “Merger”). In addition, following the closing of the Merger (the “Closing”), certain AEON stockholders will
be issued up to 16,000,000 additional shares of common stock to the extent certain milestones are achieved.
Prior to the Closing, Priveterra shares were listed
on Nasdaq as “PMGM.” The post-Merger Company common stock and warrants commenced trading on the NYSE American under the symbols
“AEON” and “AEON WS,” respectively, on July 24, 2023. See Note 3 Forward Merger
for additional details.
Liquidity and Going Concern
The accompanying condensed consolidated financial
statements have been prepared on a basis that assumes the Company will continue as a going concern. The Company has experienced recurring
losses from operations and has a net capital deficiency and negative cash flows from operations since its inception. As of June 30, 2024,
the Company reported cash and cash equivalents of $3.4 million and an accumulated deficit of $427.5 million. The Company expects to incur
losses and use cash in its operations for the foreseeable future.
On May 3, 2024, the Company announced preliminary
top-line results from its planned interim analysis of the Phase 2 trial with ABP-450 in the preventative treatment of chronic migraine,
which did not meet the primary or secondary endpoints. The Company originally intended to pursue submission of an Original BLA seeking
one or more potential therapeutic indications for ABP-450. However, in May 2024, the Company announced the discontinuation of its Phase
2 clinical trials for episodic and chronic migraine in order to implement certain cash preservation measures. As a result, on July 9,
2024, the Company announced a strategic reprioritization to pursue a Section 351(k) biosimilar regulatory pathway for ABP-450, using AbbVie
Inc.’s product Botox as a proposed reference product. The Company also announced its proposed plans to initiate, subject to raising
additional capital, a single pivotal clinical study evaluating ABP-450 in patients with cervical dystonia, with the goal of using the
biosimilar pathway, which the Company plans to discuss during a meeting with the FDA that is currently scheduled for the third quarter
of 2024. The Company believes a successful Phase 3 comparative study in cervical dystonia could provide the necessary clinical data to
support submission of a Section 351(k) BLA, and ultimately a determination that ABP-450 is biosimilar to the proposed reference product
with respect to certain therapeutic indications. However, the commencement of such study and any further development of ABP-450 would
require additional funding in the form of equity financings or debt. There can be no assurance that such efforts will be successful or
that, in the event that they are successful, the terms and conditions of such financing will be commercially acceptable. Furthermore,
the use of
6
Table of Contents
equity as a source of financing would dilute existing shareholders.
The Company is actively attempting to secure additional capital to fund its operations. However, there can be no assurance that the Company
will be able to raise additional capital on commercially reasonable terms or at all. As a result of these conditions, management has concluded
that there is substantial doubt about the Company’s ability to continue as a going concern and to meet its obligations as they become
due within one year after the date that these condensed consolidated financial statements are issued.
The preparation of these condensed consolidated
financial statements does not include any adjustments that may result from the outcome of this uncertainty. This basis of accounting
contemplates the recovery of the Company’s assets and the satisfaction
of the Company’s liabilities and
commitments in the normal course of business and does not include
any adjustments to reflect the possible future effects of the recoverability and classification of recorded asset amounts or amounts and classification
of liabilities that might be necessary should the Company be unable to continue as a going concern. If the Company is unable to obtain
adequate capital, it could be forced to cease operations.
The Company’s future operations are highly
dependent on a combination of factors, including (1) the success of its research and development programs; (2) the timely and
successful completion of any additional financing; (3) the development of competitive therapies by other biotechnology and pharmaceutical
companies; (4) the Company’s ability to manage growth of the organization; (5) the Company’s ability to protect
its technology and products; and, ultimately (6) regulatory approval and successful commercialization and market acceptance of its
product candidates.
Note 2. Summary of Significant Accounting
Policies
Basis of Presentation
The accompanying condensed consolidated financial
statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S.
GAAP”). The condensed consolidated financial statements include the accounts of the Company and its controlled subsidiaries.
On July 21, 2023, AEON completed the Merger with
Old AEON, with Old AEON surviving the merger as a wholly-owned subsidiary of the Company, the accounting acquirer. The transaction was
accounted for as a forward merger asset acquisition.
Unless the context otherwise requires, the “Company,”
for periods prior to the Closing, refers to Old AEON, AEON Biopharma Sub, Inc. (“Predecessor”), and for the periods after
the Closing, refers to AEON Biopharma, Inc., including AEON Biopharma Sub, Inc. (“Successor”). As a result of the Merger,
the results of operations, financial position and cash flows of the Predecessor and Successor are not directly comparable. AEON Biopharma
Sub, Inc. was deemed to be the predecessor entity. Accordingly, the historical financial statements of AEON Biopharma Sub, Inc. became
the historical financial statements of the combined Company, upon the consummation of the Merger. As a result, the financial statements
included in this report reflect (i) the historical operating results of AEON Biopharma Sub, Inc. prior to the Merger and (ii) the combined
results of the Company, including AEON Biopharma Sub, Inc., following the Closing. The accompanying financial statements include Predecessor
periods for the three and six months ended June 30, 2023, and Successor periods for the three and six months ended June 30, 2024. A black
line between the Successor and Predecessor periods has been placed in the condensed consolidated financial statements and in the tables
to the notes to the condensed consolidated financial statements to highlight the lack of comparability between these two periods.
Unaudited Interim Financial Information
The accompanying interim condensed consolidated
balance sheets as of June 30, 2024 (Successor), the condensed consolidated statements of operations and comprehensive income (loss) and
convertible preferred stock and stockholders’ deficit for the three and six months ended June 30, 2024 (Successor) and June 30,
2023 (Predecessor), and the condensed consolidated statements of cash flows for the six months ended June 30, 2024 (Successor) and June
30, 2023 (Predecessor) and the related note disclosures are unaudited. The balance sheet information as of December 31, 2023 (Successor)
is derived from the Successor’s audited financial statements. These unaudited interim financial statements have been prepared in
accordance with U.S. GAAP and, in management’s opinion, on a basis consistent with the audited financial statements and reflect
all adjustments which only include normal recurring adjustments necessary for the fair presentation of the Company’s financial position
as of June 30, 2024 (Successor) and its results of operations and comprehensive income (loss) and cash flows for the three and six months
ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor). The results for the three and six months ended June 30, 2024 (Successor)
are not necessarily indicative of the results to be expected for the year ending December 31, 2024 or any other interim period.
7
Table of Contents
Use of Estimates
The preparation of financial statements in conformity
with U.S. GAAP requires management to make estimates, judgments and assumptions that affect the amounts reported in the financial statements
and disclosures made in the accompanying notes. The Company’s most significant estimates relate to the research and development
accruals, valuation of common stock and related stock-based compensation, and the fair values of the contingent consideration, forward
purchase agreements, in-process research and development, warrant liabilities and convertible notes. Although the Company bases estimates
on historical experience, knowledge of current events and actions it may undertake in the future, and on various other assumptions that
are believed to be reasonable, the results of which form the basis for making judgments over the carrying values of assets and liabilities,
this process may result in actual results differing materially from those estimated amounts used in the preparation of the financial statements.
Segment Reporting
Operating segments are identified as components
of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker
in making decisions regarding resource allocation and assessing performance. The Company provides segment financial information and results
for its segments based on the segregation of revenues and expenses that its chief operating decision makers review for purposes of allocating
resources and evaluating its financial performance.
As of June 30, 2024 and December 31, 2023, the Company
operates and manages its business as one operating and reportable segment.
Risk and Uncertainties
The Company is subject to risks common to early-stage
companies in the pharmaceutical industry including, but not limited to, dependency on the clinical and commercial success of its current
and any future product candidates, ability to obtain regulatory approval of its current and any future product candidates, the need for
substantial additional financing to achieve its goals, uncertainty of broad adoption of its approved products, if any, by physicians and
patients and significant competition.
The Company relies on Daewoong Pharmaceutical Co.,
LTD. (“Daewoong”), a South Korean pharmaceutical manufacturer, as an exclusive and sole supplier to manufacture the Company’s
source material for product candidates. Any termination or loss of significant rights, including exclusivity, under the Company’s
license and supply agreement with Daewoong (the “Daewoong Agreement”) would materially and adversely affect the Company’s
commercialization of its products. See Note 7 Commitments and Contingencies for a discussion
of the Daewoong Agreement.
Property and Equipment
Property and equipment are carried at cost less
accumulated depreciation and amortization. The cost of property and equipment is depreciated over the estimated useful lives of the respective
assets. The Company’s furniture and fixtures are depreciated on a straight-line basis over a period of seven years. Equipment
is depreciated over a useful life of five years. Leasehold improvements are amortized over the lesser of the estimated useful life of
the asset or the related lease term. Property and equipment, net, as of June 30, 2024 and December 31, 2023 (unaudited) are as follows
(in thousands):
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
2024 |
|
|
2023 |
|
|
|
|
Successor |
|
|
|
Successor |
|
Furniture and fixtures |
|
$ |
199 |
|
|
$ |
199 |
|
Equipment |
|
|
237 |
|
|
|
237 |
|
Leasehold improvements |
|
|
66 |
|
|
|
66 |
|
Property and equipment |
|
|
502 |
|
|
|
502 |
|
Accumulated depreciation |
|
|
(220) |
|
|
|
(170) |
|
Property and equipment, net |
|
$ |
282 |
|
|
$ |
332 |
|
8
Table of Contents
Other Accrued Expenses
Other accrued expenses were as follows (in thousands):
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
|
December 31, |
|
|
|
2024 |
|
|
|
2023 |
|
|
|
Successor |
|
|
|
Predecessor |
Legal expenses |
|
$ |
1,961 |
|
|
$ |
1,867 |
Excise tax liability |
|
|
569 |
|
|
|
569 |
Operating lease liability - short term portion |
|
|
134 |
|
|
|
278 |
Daewoong vial usage |
|
|
444 |
|
|
|
33 |
Remaining other accrued expenses |
|
|
710 |
|
|
|
843 |
Total other accrued expenses |
|
$ |
3,818 |
|
|
$ |
3,590 |
Convertible Notes
The Company elected to account for its convertible
promissory notes at fair value at inception and at each subsequent reporting date. Subsequent changes in fair value are recorded as a
component of non-operating income (loss) in the condensed consolidated statements of operations and comprehensive income (loss) or as
a component of other comprehensive income (loss) for changes related to instrument-specific credit risk. As a result of electing the fair
value option, direct costs and fees related to the convertible promissory notes are expensed as incurred. The Predecessor convertible
promissory notes were converted into shares of the Company’s common stock at the Closing.
Contingent Consideration (Successor)
The Company accounts for its contingent consideration
as either equity-classified or liability-classified instruments based on an assessment of the Contingent Consideration Shares specific
terms (as further defined in Note 6 Fair Value Measurements) and applicable authoritative guidance
in the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 480, Distinguishing
Liabilities from Equity (“ASC 480”) and Derivatives and Hedging (“ASC 815”). The Contingent Consideration Shares
are classified as a liability on the Successor’s condensed consolidated balance sheets and remeasured at each reporting period with
changes to fair value recorded to the Successor’s condensed consolidated statements of operations and comprehensive income (loss).
Forward Purchase Agreements (Successor)
Based on the applicable guidance in ASC 480, ASC
815, Equity (“ASC 505”) and Staff Accounting Bulletin Topic 4.E, Receivables from Sale of Stock (“SAB 4E”), the
Company had determined that each of its forward purchase agreements entered in connection with the Merger was a freestanding hybrid financial
instrument comprising a subscription receivable and embedded features, which have been bifurcated and accounted for separately as derivative
instruments. The Company has recorded the derivatives as liabilities and measured them at fair value each reporting period. For more information,
see Note 3 Forward Merger. Subsequent changes in the bifurcated derivatives are recorded in the
Successor’s condensed consolidated statements of operations and comprehensive income (loss). The forward purchase agreements were
terminated in March 2024, and the loss related to the termination was recorded to the condensed consolidated statement of operations and
comprehensive income (loss).
Warrants (Successor)
The Company
accounts for warrants as either equity-classified or liability-classified instruments based on an assessment of the warrant’s specific
terms and applicable authoritative guidance in ASC 480 and ASC 815. The assessment considers whether the warrants are freestanding financial
instruments and meet all of the requirements for equity classification, including whether the warrants are indexed to the Company’s
own shares of common stock, among other conditions for equity classification. This assessment is conducted at the time of warrant issuance
and as of each subsequent quarterly period end date while the warrants are outstanding. For issued or modified warrants that meet all
of the criteria for equity classification, the warrants are required to be
9
Table of Contents
recorded as a component of
additional paid-in capital at the time of issuance. For issued or modified warrants that do not meet all the criteria for equity classification,
the warrants are required to be recorded at their fair value on the date of issuance, and each balance sheet date thereafter until settlement.
Changes in the estimated fair value of the warrants are recognized in the Successor’s condensed consolidated statements of operations
and comprehensive income (loss).
Convertible Preferred Stock (Predecessor)
The Company recorded its Predecessor convertible
preferred stock at their respective issuance price, less issuance costs on the dates of issuance. The convertible preferred stock was
classified outside of permanent equity as temporary equity in the accompanying Predecessor’s condensed consolidated balance sheets.
Although the convertible preferred stock was not redeemable at the holder’s option, upon certain change in control events that are
outside of the Company’s control, including liquidation, sale or transfer of control of the Company, holders of the convertible
preferred stock may have had the right to receive their liquidation preference to any distribution of the proceeds under the terms of
the Company’s amended and restated certificate of incorporation. The Company did not adjust the carrying values of the convertible
preferred stock to the liquidation preferences of such shares since it is uncertain whether or when a redemption event will occur. Subsequent
adjustments to increase the carrying values to the redemption values will be made only when it becomes probable that such redemption will
occur. As part of the Merger, each share of Old AEON common stock issued with respect to the Old AEON convertible preferred stock was
converted into approximately 2.328 shares of common stock and the right to receive a pro-rata portion of the contingent consideration.
Fair Value of Financial Instruments
Fair value is defined as the exchange price that
would be received for an asset or an exit price paid to transfer a liability in the principal or most advantageous market for the asset
or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair
value must maximize the use of observable inputs and minimize the use of unobservable inputs.
Fair value measurements are based on a three-tiered
valuation hierarchy, which is classified and disclosed by the Company in one of the three categories as follows:
|
· |
Level 1 — Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities; |
|
· |
Level 2 — Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities in active markets; quoted prices in markets that are not active; or other inputs that are observable, either directly or indirectly, or can be corroborated by observable market data for substantially the full term of the asset or liability; and |
|
· |
Level 3 — Prices or valuation techniques that require unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. |
The categorization of a financial instrument within
the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.
Leases
The Company determines whether a contract is, or
contains, a lease at inception. Right-of-use (“ROU”) assets represent the Company’s right to use an underlying asset
during the lease term, and lease liabilities represent the Company’s obligation to make lease payments arising from the lease. ROU
assets and lease liabilities are recognized at lease commencement based upon the estimated present value of unpaid lease payments over
the lease term using the Company’s incremental borrowing rate applicable to the underlying asset unless the implicit rate is readily
determinable. The Company determines the lease term as the noncancellable period of the lease, and may include options to extend or terminate
the lease when it is reasonably certain that the Company will exercise that option. Leases with a term of 12 months or less are not recognized
on the balance sheets.
10
Table of Contents
Research and Development Expenses
Research and development costs are expensed as incurred.
Research and development expenses consist primarily of costs associated with clinical studies including clinical trial design, clinical
site reimbursement, data management, travel expenses and the cost of products used for clinical trials and internal and external costs
associated with the Company’s regulatory compliance and quality assurance functions, including the costs of outside consultants
and contractors that assist in the process of submitting and maintaining regulatory filings, and overhead costs. Additionally, research
and development expenses include employee compensation, including stock-based compensation, supplies, consulting, prototyping, testing,
materials, travel expenses and an allocation of facility overhead expenses. Costs incurred in obtaining technology licenses are charged
to acquired in-process research and development (“IPR&D”) if the technology licensed has not reached technological
feasibility and has no alternative future use. The acquired IPR&D at the Closing was written off to the Successor’s consolidated
income statement for the period ended December 31, 2023.
The Company accrues the expenses for its clinical
trial activities performed by third parties, including clinical research organizations and other service providers, based upon estimates
of the work completed over the life of the individual study in accordance with associated agreements. The Company determines these estimates
through discussion with internal personnel and outside service providers as to progress or stage of completion of trials or services pursuant
to contracts with clinical research organizations and other service providers and the agreed-upon fee to be paid for such services. Payments
made to outside service providers in advance of the performance of the related services are recorded as prepaid expenses and other current
assets until the services are rendered. There have been no material adjustments to the Company’s estimates for clinical trial expenses
through December 31, 2023 (Successor) and June 30, 2024 (Successor).
Stock-Based Compensation
The Company recognizes compensation expense for
all share-based awards. The Company accounts for stock-based compensation as measured at grant date, based on the fair value of the award.
The Company measures the fair value of awards granted using the Black-Scholes option pricing model, which requires the input of subjective
assumptions, including the estimated fair value of common stock, the expected volatility of the Company’s common stock, expected
risk-free interest rate, and the option’s expected life. The Company also evaluates the impact of modifications made to the original
terms of equity awards when they occur.
The fair value of equity awards that are expected
to vest is amortized on a straight-line basis over the requisite service period. Stock-based compensation expense is recognized net of
actual forfeitures when they occur, as an increase to additional paid-in capital or noncontrolling interest in the condensed consolidated
balance sheets and in selling, general and administrative or research and development expenses in the condensed consolidated statements
of operations and comprehensive income (loss). All stock-based compensation costs are recorded in the condensed consolidated statements
of operations and comprehensive income (loss) based upon the underlying employee’s role within the Company.
Income Taxes
The Company accounts for income taxes under the
asset and liability method, which requires, among other things, that deferred income taxes be provided for temporary differences between
the tax basis of the Company’s assets and liabilities and their financial statement reported amounts. In addition, deferred tax
assets are recorded for the future benefit of utilizing net operating losses and research and development credit carryforwards and are
measured using the enacted tax rates and laws that will be in effect when such items are expected to reverse. A valuation allowance is
provided against deferred tax assets unless it is more likely than not that they will be realized.
The Company records uncertain tax positions on the
basis of a two-step process whereby (i) it determines whether it is more likely than not that the tax positions will be sustained on the
basis of the technical merits of the position and (ii) for those tax positions that meet the more-likely-than-not recognition threshold,
it recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related
tax authority.
The Company recognizes interest and penalties related
to unrecognized tax benefits within the income tax expense line in the accompanying condensed consolidated statements of operations and
comprehensive income (loss). Any accrued interest and penalties related to uncertain tax positions will be reflected as a liability in
the condensed consolidated balance sheets.
11
Table of Contents
Net income (loss) Per Share
Prior to the Merger, the Predecessor calculated
basic and diluted net income (loss) per share to common stockholders in conformity with the two-class method required for companies with
participating securities. The Company considered all series of convertible preferred stock to be participating securities as they participate
in any dividends declared by the Company. Under the two-class method, undistributed earnings allocated to these participating stockholders
were subtracted from net income in determining net income (loss) attributable to common stockholders. Net income (loss) was not allocated
to convertible preferred stock as the holders of convertible preferred stock did not have a contractual obligation to share in losses.
Subsequent to the Merger, the Company only has one class of shares.
Basic net income (loss) per share is computed by
dividing the net income (loss) by the weighted average number of shares of common stock outstanding during the period, without consideration
for potentially dilutive shares of common stock in Predecessor periods. For Predecessor periods, diluted net income (loss) per share was
computed by dividing the net income (loss) by the weighted average number of shares of common stock and potentially dilutive securities
outstanding for the period using the “treasury stock,” “if converted” or “two-class” method unless
their inclusion would have been anti-dilutive. For purposes of the diluted net income (loss) per share calculation, convertible preferred
stock, warrants, convertible notes and common stock options were considered as potentially dilutive securities.
Since the Company was in a loss position for the
three and six months ended June 30, 2023 (Predecessor), basic net income (loss) per share is the same as diluted net income (loss) per
share as the inclusion of all potentially dilutive common shares was anti-dilutive. For the three and six months ended June 30, 2024 (Successor),
the impact of the options and non-vested RSU’s were anti-dilutive, and as such, there was no difference between the weighted-average
number of shares used to calculate basic and diluted earnings per share for the periods presented.
Basic and diluted net loss per share for the three
and six months ended June 30, 2023 (Predecessor) were calculated as follows (in thousands, except share and per share amounts) (unaudited):
|
|
|
|
Three months ended June 30, 2023 (Predecessor) |
|
|
|
Net loss |
|
$ |
(15,379) |
Weighted average common shares outstanding, basic and diluted |
|
|
138,825,356 |
Net loss per share, basic and diluted |
|
$ |
(0.11) |
|
|
|
|
Six months ended June 30, 2023 (Predecessor) |
|
|
|
Net loss |
|
$ |
(33,018) |
Weighted average common shares outstanding, basic and diluted |
|
|
138,825,356 |
Net loss per share, basic and diluted |
|
$ |
(0.24) |
Basic and diluted net income per share for the three
and six months ended June 30, 2024 (Successor) were calculated as follows (in thousands, except share and per share amounts) (unaudited):
|
|
|
|
Three months ended June 30, 2024 (Successor) |
|
|
|
Net income |
|
$ |
164,112 |
Weighted average common shares outstanding, basic and diluted |
|
|
38,843,627 |
Net income per share, basic and diluted |
|
$ |
4.22 |
|
|
|
|
Six months ended June 30, 2024 (Successor) |
|
|
|
Net income |
|
$ |
46,094 |
Weighted average common shares outstanding, basic and diluted |
|
|
38,055,850 |
Net income per share, basic and diluted |
|
$ |
1.21 |
12
Table of Contents
The following potentially dilutive securities outstanding
have been excluded from the computation of diluted weighted average shares outstanding because such securities have an anti-dilutive impact
(unaudited):
|
|
|
|
|
|
|
|
June 30, |
|
|
June 30, |
|
|
2024 |
|
|
2023 |
|
|
Successor |
|
|
Predecessor |
Warrants |
|
3,988,952 |
|
|
— |
Contingent consideration |
|
16,000,000 |
|
|
— |
Contingent founder shares |
|
3,450,000 |
|
|
— |
Convertible preferred stock outstanding |
|
— |
|
|
21,257,708 |
Common stock options and restricted stock units |
|
5,213,608 |
|
|
10,864,256 |
|
|
28,652,560 |
|
|
32,121,964 |
Contingencies
The Company may be, from time to time, a party to
various disputes and claims arising from normal business activities. The Company continually assesses litigation to determine if an unfavorable
outcome would lead to a probable loss or reasonably possible loss which could be estimated. The Company accrues for all contingencies
at the earliest date at which the Company deems it probable that a liability has been incurred and the amount of such liability can be
reasonably estimated. If the estimate of a probable loss is a range and no amount within the range is more likely than another, the Company
accrues the minimum of the range. In the cases where the Company believes that a reasonably possible loss exists, the Company discloses
the facts and circumstances of the litigation, including an estimable range, if possible.
Recent Accounting Standards
In December 2023, the FASB issued ASU 2023-09, Income
Taxes (Topic 740), Improvements to Income Tax Disclosures. This update requires disaggregated information about a reporting entity’s
effective tax rate reconciliation as well as information on income taxes paid. ASU 2023-09 is effective for public entities with annual
periods beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of this guidance
on its consolidated financial statements.
In November 2023, the FASB issued ASU 2023-07, Segment
Reporting (Topic 280), Improvements to Reportable Segment Disclosures. This update requires public entities to disclose information
about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with
a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures
and reconciliation requirements in ASC 280, on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after
December 31, 2023, and for interim periods beginning after December 15, 2024, with early adoption permitted. The Company is currently
evaluating the impact of this guidance on its consolidated financial statements.
Other recent accounting pronouncements issued by
the FASB, the American Institute of Certified Public Accountants, and the Securities and Exchange Commission (the “SEC”) did
not, or are not believed by management to, have a material impact on the Company’s financial position, results of operations or
cash flows.
Note 3. Forward Merger
On December 12, 2022, Old AEON and Priveterra entered
into a Business Combination Agreement. On July 3, 2023, Priveterra held the special meeting of stockholders, at which the Priveterra stockholders
considered and adopted, among other matters, a proposal to approve the transactions contemplated by the Business Combination Agreement,
including the Merger. On July 21, 2023, the parties consummated the Merger. In connection with the Closing, Priveterra changed its name
from Priveterra Acquisition Corp. to AEON Biopharma, Inc.
At the effective time of the Merger (the “Effective
Time”), each outstanding share of Old AEON common stock (on an as-converted basis after taking into effect the conversion of the
outstanding warrants of Old AEON exercisable for shares of Old AEON preferred stock, the conversion of the shares of Old AEON preferred
stock into Old AEON common stock in accordance with the governing documents of Old AEON as of the Effective Time, the conversion of the
outstanding convertible notes of Old AEON into
13
Table of Contents
Old AEON common stock in accordance with the terms of such convertible
notes and after giving effect to the issuance of Old AEON common stock in connection with the merger of ABP Sub, Inc. with and into Old
AEON) issued and outstanding immediately prior to the Effective Time converted into the right to receive approximately 2.328 shares of
the Company’s common stock and the right to receive a pro-rata portion of the contingent consideration. In addition, each share
of Priveterra Class B common stock (“Founder Shares”), par value $0.0001 per share, issued and outstanding immediately prior
to the Effective Time converted into one share of common stock totaling 6,900,000 common shares (of which 3,450,000 Founder Shares are
subject to certain vesting and forfeiture conditions).
In connection with the Merger, on January 6, 2023,
Priveterra and Old AEON entered into separate subscription agreements for convertible notes with each of Alphaeon 1 LLC (“A1”)
and Daewoong (collectively, the “Original Committed Financing Agreements”), pursuant to which A1 and Daewoong agreed to purchase,
and Priveterra and Old AEON agreed to sell to each of them, up to $15 million and $5 million, respectively, aggregate of principal of
interim convertible notes or equity. Further, on June 8, 2023, Old AEON and Priveterra entered into a committed financing agreement with
A1 (the “Additional Committed Financing Agreement”), pursuant to which A1 agreed to purchase, and Priveterra and Old AEON
agreed to sell to A1, up to an additional $20 million aggregate principal of interim convertible notes or equity. Pursuant to such agreement,
Old AEON issued $14 million of interim convertible notes to A1 in the first and second quarters of 2023. The notes were subsequently measured
at fair value under a fair value option election, with changes in fair value reported in earnings of the Predecessor (Old AEON). Conversion
of the notes was contingent and automatically convertible on the Merger, and 2,226,182 shares of Priveterra Class A common stock were
issued on the Closing Date in settlement of their conversion. The proceeds from the interim convertible notes were used to fund Old AEON’s
operations through the consummation of the Merger. Additionally, approximately $25 million was received on the Closing Date in exchange
for an aggregate of 3,571,429 shares of Priveterra Class A common stock at $7.00 per share that were issued under the Original Committed
Financing Agreements and Additional Committed Financing Agreements, and reflected “on the line” in the Successor’s opening
accumulated deficit.
On April 27, 2023, Priveterra and AEON amended the
Business Combination Agreement. Concurrently with the amendment to the Business Combination Agreement, Priveterra amended the Sponsor
Support Agreement to include restriction and forfeiture provisions related to the Founder Shares. See Note
6 Fair Value Measurements for additional information. The fair value of the contingent consideration at the Closing was valued
to be $125.7 million, and is included in the purchase price. Additionally, the Successor assumed the Predecessor’s 2019 Incentive
Award Plan, and as such, the fair value of the replacement awards of $13.3 million were included in purchase consideration, $11.5 million
related to stock options and $1.8 million related to restricted stock units. See Note 9 Share-based
Compensation for additional information.
Asset Acquisition Method of Accounting
The Merger was accounted for using the asset acquisition
method in accordance with U.S. GAAP. Under this method of accounting, Priveterra was considered to be the accounting acquirer based on
the terms of the Merger. Upon consummation of the Merger, the cash on hand resulted in the equity at risk being considered insufficient
for Old AEON to finance its activities without additional subordinated financial support. Therefore, Old AEON was considered a Variable
Interest Entity (“VIE”) and the primary beneficiary of Old AEON was treated as the accounting acquirer. Priveterra held a
variable interest in Old AEON and owned 100% of Old AEON’s equity. Priveterra was considered the primary beneficiary as it has the
decision-making rights that gives it the power to direct the most significant activities. Also, Priveterra retained the obligation to
absorb the losses and/or receive the benefits of Old AEON that could have potentially been significant to Old AEON. The Merger was accounted
for as an asset acquisition as substantially all of the fair value was concentrated in IPR&D, an intangible asset. Old AEON’s
assets (except for cash) and liabilities were measured at fair value as of the transaction date. Consistent with authoritative guidance
on the consolidation of a VIE that is not considered a business, differences in the total purchase price and fair value of assets and
liabilities are recorded as a gain or loss. The loss on the consolidation of the VIE is reflected “on the line” in the Successor’s
opening accumulated deficit.
Costs incurred in obtaining technology licenses
are charged to research and development expense as IPR&D if the technology licensed has not reached technological feasibility and
has no alternative future use. The acquired IPR&D of $348.0 million at the Closing was written off to the Successor’s consolidated
statement of operations for the year ended December 31, 2023. To estimate the value of the acquired IPR&D, the Company used a Multi-Period
Excess Earnings Method under the Income Approach. The determination of the fair value requires management to make significant estimates
including, but not limited to, the discount rate used, the total addressable market for each potential drug, market penetration assumptions,
and the estimated timing of commercialization of the drugs. Changes in these assumptions could have a significant impact on the fair value
of the IPR&D. The significant assumptions used in determining IPR&D was the discount rate of 25%, implied internal rate of return
of 24.8% and long-term growth rate of 4%.
14
Table of Contents
The following is a
summary of the purchase price calculation (in thousands except share and per share data):
|
|
|
|
Number of shares issued as consideration in the Merger |
|
|
16,500,000 |
Shares issued for interim convertible notes related to Committed Financing |
|
|
2,226,182 |
Total number of shares of common stock of the combined company |
|
|
18,726,182 |
Multiplied by the Priveterra share price, as of the Closing |
|
$ |
10.84 |
Total |
|
$ |
202,992 |
Fair value of contingent consideration |
|
|
125,699 |
Replacement of share-based payment awards |
|
|
13,331 |
Assumed liabilities |
|
|
125 |
Total purchase price |
|
$ |
342,147 |
The allocation of the purchase price was as follows
(in thousands):
|
|
|
|
Cash and cash equivalents |
|
$ |
2,001 |
Net working capital (excluding cash and cash equivalents) |
|
|
(16,182) |
Other assets and liabilities |
|
|
775 |
Acquired in-process research and development |
|
|
348,000 |
Net assets acquired |
|
|
334,594 |
Loss on consolidation of VIE |
|
|
7,553 |
Total purchase price |
|
$ |
342,147 |
In connection with the Merger, the transactions
that occurred concurrently with the closing date of the Merger were reflected “on the line”. “On the line” describes
those transactions triggered by the consummation of the Merger that are not recognized in the consolidated financial statements of the
Predecessor nor the Successor as they are not directly attributable to either period but instead were contingent on the Merger. The opening
cash balance in the Successor’s condensed consolidated statement of cash flow of $31.2 million consists of cash and cash equivalents
from Priveterra of $29.2 million and Old AEON $2.0 million. The number of shares of common stock issued and amounts recorded on the line
within stockholders’ deficit are reflected below to arrive at the opening consolidated balance sheet of the Successor.
|
|
|
|
|
|
|
|
|
|
|
|
|
Common shares |
|
Common stock amount |
|
Subscription Receivable |
|
APIC |
|
Accumulated Deficit |
|
|
|
|
|
|
|
|
|
|
|
Priveterra closing equity as of July 21, 2023 |
|
557,160 |
$ |
— |
$ |
— |
$ |
5,937 |
$ |
(12,897) |
Shares issued as Consideration in the Merger |
Note 1 |
16,500,000 |
|
2 |
|
— |
|
192,189 |
|
— |
Merger Consideration - Shares issued for Interim Convertible Notes related to Committed Financing |
Note 5 |
2,226,182 |
|
— |
|
— |
|
24,132 |
|
— |
Stock-Compensation for Class B Founder Shares |
Note 3 |
6,900,000 |
|
1 |
|
— |
|
68,972 |
|
(68,972) |
Forward Purchase Agreements |
Note 6 |
6,275,000 |
|
1 |
|
(60,710) |
|
66,714 |
|
(38,255) |
Issuance of Make-Whole derivative |
Note 6 |
— |
|
— |
|
— |
|
— |
|
(427) |
Shares issued in New Money PIPE Subscription Agreements |
Note 6 |
1,001,000 |
|
— |
|
— |
|
10,844 |
|
(6,433) |
Shares issued for Committed Financing |
Note 6 |
3,571,429 |
|
— |
|
— |
|
38,714 |
|
(13,714) |
Contingent Founder Shares |
Note 6 |
— |
|
— |
|
— |
|
(31,401) |
|
— |
Loss on Consolidation of VIE |
Note 3 |
— |
|
— |
|
— |
|
— |
|
(7,553) |
Other Miscellaneous |
|
128,829 |
|
— |
|
— |
|
1,397 |
|
(1,397) |
Total |
|
37,159,600 |
$ |
4 |
$ |
(60,710) |
$ |
377,498 |
$ |
(149,648) |
The Sponsor, in connection with Priveterra’s
initial public offering, purchased 6,900,000 shares of Class B common stock (the “Founder Shares”) for $25,000 (approximately
$0.004 per share). These shares had no value until Priveterra effected the Merger.
15
Table of Contents
Upon the Merger, the Founder Shares automatically converted to shares
of common stock. This conversion was solely contingent upon the completion of the Merger, a performance condition, and did not include
any future service requirements. As such, the grant date fair value of the 6,900,000 shares was expensed in the amount of $69.0 million
and is presented “on the line.” Pursuant to the terms of the Sponsor Support Agreement, as amended, effective at the Closing,
50% of the Founder Shares (i.e., 3,450,000 Founder Shares) (the “Contingent Founder Shares”) were unvested and subject to
the restrictions and forfeiture provisions set forth in the Sponsor Support Agreement. As such, the fair value at Closing of the remaining
3,450,000 shares with vesting conditions in the amount of $31.4 million was reclassified from additional paid-in capital to contingent
consideration liability on the accompanying Successor’s consolidated balance sheet.
Note 4. Related Party Transactions (Predecessor)
2019 Debt Financings
During the three and six months ended June 30, 2023
(Predecessor), the Predecessor recognized $0.1 million and $0.7 million, respectively, of expense related to the increase in the fair
value of the 2019 Convertible Notes. The 2019 Convertible Notes were converted into shares of the Successor’s common stock at the
Closing and were recorded “on the line” as part of the shares issued as consideration in the Merger (see Note
3 Forward Merger).
SCH Convertible Note
During the three and six months ended June 30, 2023
(Predecessor), the Predecessor recognized $0.6 million and $2.1 million, respectively, of expense related to the increase in the fair
value of the SCH Convertible Note. The SCH Convertible Note was converted into shares of the Successor’s common stock at the Closing
and was recorded “on the line” as part of the shares issued as consideration in the Merger (see Note
3 Forward Merger).
A1 Convertible Notes
During the three and six months ended June 30, 2023
(Predecessor), the Predecessor recognized $0.7 million and $1.2 million, respectively, of expense related to the increase in the fair
value of the 2021 A1 Convertible Notes; $1.0 million and $(1.7) million, respectively, of expense (income) related to the increase (decrease)
in the fair value of the 2022 A1 Convertible Notes; $(1.9) million and $0.1 million, respectively, of (income) expense related to the
(decrease) increase in the fair value of the March 2023 A1 Convertible Notes. All of the A1 Convertible Notes were converted into shares
of the Successor’s common stock and was recorded “on the line” at the Closing (see Note
3 Forward Merger).
Note 5. Daewoong Convertible Notes
During the three and six months ended June 30, 2023
(Predecessor), the Predecessor recognized $0.9 million and $0.4 million, respectively, of expense related to the increase in the fair
value of the Daewoong Convertible Notes. The Daewoong Convertible Notes were converted into shares of the Successor’s common stock
at the Closing.
Convertible Note Subscription and License Agreement Amendment
On March 19, 2024, the Company entered into a subscription
agreement with Daewoong (the “Subscription Agreement”) relating to the sale and issuance by the Company of senior secured
convertible notes (each, a “2024 Convertible Note” and together, the “2024 Convertible Notes”) in the principal
amount of up to $15.0 million, which are convertible into shares of the Company’s common stock, subject to certain conditions and
limitations set forth in each Convertible Note. Each Convertible Note contains customary events of default, accrues interest at an annual
rate of 15.79% and has a maturity date that is three years from the funding date, unless earlier repurchased, converted or redeemed in
accordance with its terms prior to such date. The Company will use the net proceeds from each Convertible Note to support the late-stage
clinical development of its lead product candidate ABP-450 and for general working capital purposes. Pursuant to the terms of the Subscription
Agreement, on March 24, 2024, the Company issued and sold to Daewoong one Convertible Note in the principal amount of $5.0 million, and
on April 12, 2024, the Company issued and sold to Daewoong one Convertible Note in the principal amount of $10.0 million.
16
Table of Contents
On March 19, 2024, the Company entered into a Fourth
Amendment to the License Agreement (the “License Agreement Amendment”) with Daewoong, which amends that certain License and
Supply Agreement, by and between the Company and Daewoong, dated December 20, 2019, as previously amended on July 29, 2022, January 8,
2023 and April 24, 2023 (the “License Agreement”). Pursuant to the terms of the License Agreement Amendment, the License Agreement
will terminate if, over any six month period, (a) the Company ceases to commercialize ABP-450 in certain territories specified in the
License Agreement and (b) the Company ceases to advance any clinical studies of ABP-450 in such territories. The License Agreement Amendment
also provides that, in the event that the License Agreement is terminated for the foregoing reasons, Daewoong will have the right to purchase
all Know-How (as defined in the License Agreement) related to ABP-450 for a price of $1.00 (the “Termination Purchase Right”).
The Termination Purchase Right will terminate and expire upon Daewoong’s sale of 50% of its common stock, including common stock
held by its affiliates and common stock that would be issued upon an Automatic Conversion or Optional Conversion (as defined in the Convertible
Notes).
During the three and six months ended June 30, 2024
(Successor), the Company recognized $1.8 million and $1.7 million of income related to the decrease in the fair value of the 2024 Daewoong
Convertible Note. As of June 30, 2024, the principal amount outstanding under the 2023 Daewoong Convertible Note was $15 million, with
an estimated fair value of $13.3 million.
Note 6. Fair Value Measurements
The Company measures fair value based on the prices
that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement
date.
The carrying value of cash and cash equivalents,
accounts payable, accrued liabilities and convertible notes approximate fair value because of the short-term nature of those instruments.
The following are other financial assets and liabilities that are measured at fair value on a recurring basis.
Convertible Notes at Fair Value
Due to certain embedded features within the convertible
notes, the Company elected the fair value option to account for its convertible notes, including any paid-in-kind principal and interest,
and the embedded features. During the three and six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor), the Company
recognized $1.8 million, $1.7 million, $(1.5) million and $(6.1) million, respectively, of income (expense) related to the decrease (increase)
in the fair value of the convertible notes. As of June 30, 2024 (Successor) and December 31, 2023 (Successor), the principal amount outstanding
under the convertible notes was $15.0 million and $0, respectively, with an estimated fair value of $13.3 million and $0, respectively.
The convertible notes outstanding prior to the Closing were converted into shares of the Successor’s common stock at the Closing.
For more information on convertible notes, see Note 4 Related Party Transactions (Predecessor)
and Note 5 Daewoong Convertible Notes.
The fair value of the convertible notes was determined
based on Level 3 inputs using a scenario-based analysis that estimated the fair value of the convertible notes based on the probability-weighted
present value of expected future investment returns, considering each of the possible outcomes available to the noteholders, including
various qualified financings, corporate transaction and dissolution scenarios. The significant unobservable input assumptions that can
significantly change the fair value included (i) the weighted average cost of capital, (ii) the timing of payments, (iii) the discount
for lack of marketability, (iv) the probability of certain corporate scenarios, and (v) the long-term pretax operating margin. During
the three and six months ended June 30, 2024 (Successor) June 30, 2023 (Predecessor), the Company utilized discount rates ranging from 15%
to 60%, respectively, reflecting changes in the Successor’s and Predecessor’s risk profile, time-to-maturity probability,
and key terms when modified to the convertible notes.
As of the Closing, the fair value of the convertible
notes immediately prior to their conversion was based on the fair value of the Company’s shares to be received by the holders using
the market price of the shares at Closing.
Forward Purchase Agreements (Successor)
On June 29, 2023, Priveterra and Old AEON entered
into the Forward Purchase Agreements with each of (i) ACM ARRT J LLC (“ACM”) and (ii) Polar Multi-Strategy Fund (“Polar”)
(each of ACM and Polar, individually, a “Seller”, and together, the “Sellers”) for OTC Equity Prepaid Forward
Transactions. For purposes of each Forward Purchase Agreement, Priveterra is referred to as the
17
Table of Contents
“Company” prior to the consummation of the Merger, while
AEON is referred to as the “Company” after the consummation of the Merger. As described below, the Forward Purchase Agreements
were terminated on March 18, 2024.
Pursuant to the terms of the Forward Purchase Agreements,
the Sellers intended, but were not obligated, to purchase up to 7,500,000 shares of Priveterra Class A Common Stock in the aggregate concurrently
with the Closing pursuant to each Seller’s respective FPA Funding Amount PIPE Subscription Agreement. No Seller would be required
to purchase an amount of shares of Priveterra Class A Common Stock that would result in that Seller owning more than 9.9% of the total
shares of Priveterra Class A Common Stock outstanding immediately after giving effect to such purchase, unless such Seller, at its sole
discretion, waived such 9.9% ownership limitation. The Number of Shares subject to a Forward Purchase Agreement was subject to reduction
following a termination of the Forward Purchase Agreements with respect to such shares as described under “Optional Early Termination”
(“OET”) in the respective Forward Purchase Agreements.
Each Forward Purchase Agreement provided that a
Seller would be paid directly the Prepayment Amount which was equal to an aggregate of $66.7 million based on the product of (i) 6,275,000
shares of Priveterra Class A Common Stock (the “Additional Shares”) and (ii) the redemption price per share of $10.63.
On July 21, 2023, the Company was obligated to pay
each Seller separately the Prepayment Amount required under its respective Forward Purchase Agreement, except that since the Prepayment
Amount payable to a Seller was to be paid from the purchase of the Additional Shares by such Seller pursuant to the terms of its respective
FPA Funding Amount PIPE Subscription Agreement, such amount was netted against such proceeds, with such Seller being able to reduce the
purchase price for the Additional Shares by the Prepayment Amount. For the avoidance of doubt, any Additional Shares purchased by a Seller
were to be included in the Number of Shares for its respective Forward Purchase Agreement for all purposes, including for determining
the Prepayment Amount. Therefore, the aggregate Prepayment Amount of $66.7 million was netted against the proceeds paid from the purchase
of the Additional Shares in the aggregate by the Sellers pursuant to the FPA Funding Amount PIPE Subscription Agreements. The Company
did not have access to the Prepayment Amount immediately following the Closing and, pursuant to the termination of the Forward Purchase
Agreements as described below related to the FPA termination, the Sellers will retain the Prepayment Amount in full, which may adversely
affect our liquidity and capital needs. The Prepayment Amount of $66.7 million was recorded at its present value of $60.7 million as Subscription
Receivables, which reduced stockholders’ deficit on the Successor’s condensed consolidated balance sheet at December 31, 2023.
The $6 million difference between the subscription receivables and the present value of the subscription receivables at Closing was recorded
as a loss “on the line” in the Successor’s opening accumulated deficit (see Note 3
Forward Merger).
Termination of Forward Purchase Agreements
On March 18, 2024, the Company and ACM ARRT J LLC
(“ACM”) entered into a termination agreement (the “ACM Termination Agreement”) terminating that certain Forward
Purchase Agreement, dated June 29, 2023, by and among the Company and ACM (the “ACM FPA”). The ACM Termination Agreement provides
that (i) ACM will retain 3,100,000 previously issued shares of common stock held by ACM pursuant to the ACM FPA and its respective subscription
agreement (the “ACM Retained Shares”) and (ii) the Company will be subject to up to $1,500,000 in liquidated damages if it
fails to meet certain registration requirements for the ACM Retained Shares, subject to certain conditions set forth in the ACM Termination
Agreement. In the first quarter of 2024, the Company recorded the potential $1.5 million as a liability to the condensed consolidated
balance sheet. However, since ACM elected to remove its respective shares from the registration statement, the Company released the liability
from the condensed consolidated balance sheet as of June 30, 2024. ACM did not pay any cash to the Company for the ACM Retained Shares
and retained all portions of the Prepayment Amount associated with the ACM Retained Shares.
On March 18, 2024, the Company and Polar entered
into a termination agreement (the “Polar Termination Agreement”) terminating that certain Forward Purchase Agreement, dated
June 29, 2023, by and among the Company and Polar (the “Polar FPA”). The Polar Termination Agreement provides that (i) Polar
will retain 3,175,000 previously issued shares of common stock held by Polar pursuant to the Polar FPA and its respective subscription
agreement (the “Polar Retained Shares”) and (ii) the Company will be subject to up to $1,500,000 in liquidated damages if
it fails to meet certain registration requirements for the Polar Retained Shares, subject to certain conditions set forth in the Polar
Termination Agreement. In the first quarter of 2024, the Company recorded the potential $1.5 million as a liability to the condensed consolidated
balance sheet. However, since Polar elected to remove its respective shares from the registration statement, the Company released the
liability from the condensed consolidated balance sheet as of June 30, 2024. Polar did not pay any cash to the Company for the Polar Retained
Shares and retained all portions of the Prepayment Amount associated with the Polar Retained Shares.
18
Table of Contents
As a result of the ACM Termination Agreement and
Polar Termination Agreement, the Company recorded a charge to the condensed consolidated statement of operations of $0 and $20.3 million
during the three and six months ended June 30, 2024, respectively, to reverse the related subscription receivable and derivative liability
on the accompanying condensed consolidated balance sheet.
New Money PIPE Subscription Agreements and Letter Agreements
As of June 30, 2024 (Successor), the make-whole
provision derivative liability was $0.3 million, included in the embedded forward purchase agreements and derivative liabilities on the
Successor’s condensed consolidated balance sheets. For the three and six months ended June 30, 2024 (Successor), the Company recorded
an expense (gain) related to the change in fair value of the make-whole provision derivative liability of $0.1 million and $(0.3) million,
respectively.
Contingent Consideration and Contingent Founder Shares (Successor)
As part of the Merger, certain Founder Shares and
Participating Stockholders shares (together, “Contingent Consideration Shares”), as further discussed below, contain certain
contingent provisions.
On April 27, 2023, Priveterra and Old AEON amended
the Business Combination Agreement. Concurrently with the amendment to the Business Combination Agreement, Priveterra amended the Sponsor
Support Agreement to include restriction and forfeiture provisions related to the Founder Shares. In addition following the Closing, certain
AEON Stockholders will be issued up to 16,000,000 additional shares of common stock.
Pursuant to the terms of the Sponsor Support Agreement,
as amended, effective immediately after the Closing, 50% of the Founder Shares (i.e., 3,450,000 Founder Shares) (the “Contingent
Founder Shares”) were unvested and subject to the restrictions and forfeiture provisions set forth in this Sponsor Support Agreement.
The remaining 50% of the Founder Shares and 100% of the Private Placement Warrants are not subject to such restrictions and forfeiture
provisions. The Contingent Founder Shares shall vest, and shall become free of the provisions as follows:
● 1,000,000 of the Contingent Founder
Shares (the “Migraine Phase 3 Contingent Founder Shares”) shall vest upon the achievement of the conditions for the issuance
of the Migraine Phase 3 Contingent Consideration Shares on or prior to the Migraine Phase 3 Outside Date;
● 1,000,000 of the Contingent Founder
Shares (the “CD BLA Contingent Founder Shares”) shall vest upon the achievement of the conditions for the issuance of the
CD BLA Contingent Consideration Shares on or prior to the CD BLA Outside Date; and
● 1,450,000 of the Contingent Founder
Shares (the “Episodic/Chronic Migraine Contingent Founder Shares”) shall vest upon the earlier of (x) the achievement of the
conditions for the issuance of the Episodic Migraine Contingent Consideration Shares on or before the Episodic Migraine Outside Date and
(y) the achievement of the conditions for the issuance of the Chronic Migraine Contingent Consideration Shares on or before the Chronic
Migraine Outside Date.
The Sponsor has agreed not to vote the Contingent
Founder Shares during any period of time that such Contingent Founder Shares are subject to vesting.
Following the Closing, in addition to the consideration
received at the Closing and as part of the overall consideration paid in connection with the Merger, certain holders of common stock in
Old AEON (the “Participating AEON Stockholders”) will be issued a portion of up to 16,000,000 additional shares of common
stock, as follows:
● 1,000,000 shares of common stock,
in the aggregate, if, on or before June 30, 2025 (as it may be extended, the “Migraine Phase 3 Outside Date”), the Company
shall have commenced a Phase 3 clinical study for the treatment of chronic migraine or episodic migraine, which Phase 3 clinical study
will have been deemed to commence upon the first subject having received a dose of any product candidate that is being researched, tested,
developed or manufactured by or on behalf of the Company or any of its subsidiaries (any such product candidate, a “Company
19
Table of Contents
Product”) in connection with such Phase 3 clinical
study (such 1,000,000 shares of common stock, the “Migraine Phase 3 Contingent Consideration Shares”); and
● 4,000,000 shares of common stock,
in the aggregate, if, on or before November 30, 2026 (as it may be extended, the “CD BLA Outside Date”), the Company shall
have received from the FDA acceptance for review of the BLA submitted by the Company for the treatment of cervical dystonia (such 4,000,000
shares of common stock, the “CD BLA Contingent Consideration Shares”);
● 4,000,000 shares of common stock,
in the aggregate, if, on or before June 30, 2029 (as it may be extended, the “Episodic Migraine Outside Date”), the Company
shall have received from the FDA acceptance for review of the BLA submitted by the Company for the treatment of episodic migraine (such
4,000,000 shares of common stock, the “Episodic Migraine Contingent Consideration Shares”); provided that in the event the
satisfaction of the conditions for the issuance of the Episodic Migraine Contingent Consideration Shares occurs prior to the satisfaction
of the conditions for the issuance of the Chronic Migraine Contingent Consideration Shares, then the number of Episodic Migraine Contingent
Consideration Shares shall be increased to 11,000,000 shares of common stock; and
● 7,000,000 shares of common stock,
in the aggregate, if, on or before June 30, 2028 (as it may be extended, the “Chronic Migraine Outside Date”, and together
with the Migraine Phase 3 Outside Date, the CD BLA Outside Date and the Episodic Migraine Outside Date, the “Outside Dates”),
the Company shall have received from the FDA acceptance for review of the BLA submitted by AEON for the treatment of chronic migraine
(such 7,000,000 shares of common stock, the “Chronic Migraine Contingent Consideration Shares”); provided that in the event
that the number of Episodic Migraine Contingent Consideration Shares is increased to 11,000,000, then the number of Chronic Migraine Contingent
Consideration Shares shall be decreased to zero and no Contingent Consideration Shares will be issued in connection with the satisfaction
of the conditions to the issuance of the Chronic Migraine Contingent Consideration Shares.
● In the event that the Company licenses
any of its products (except in connection with migraine or cervical dystonia indications) to a third-party licensor for distribution in
the U.S. market (a “Qualifying License”) prior to the satisfaction of (x) the conditions for the issuance of the Episodic
Migraine Contingent Consideration Shares and (y) the conditions for the issuance of the Chronic Migraine Contingent Consideration Shares,
then upon the entry of AEON into such Qualifying License, 2,000,000 shares of common stock shall become due and payable to Participating
Stockholders and the number of Episodic Migraine Contingent Consideration Shares and (A) the number of Episodic Migraine Contingent Consideration
Shares shall be reduced by 1,000,000 or by 2,000,000 and (B) the number of Chronic Migraine Contingent Consideration Shares shall be reduced
by 1,000,000, but not below zero.
The Company classifies the Contingent Consideration
Shares as a liability on the Successor’s condensed consolidated balance sheets and remeasured at each reporting period with changes
to fair value recorded to the Successor’s condensed consolidated statements of operations and comprehensive income (loss).
The Company utilized the Probability-Weighted Expected
Return Method (PWERM) model to value the contingent consideration based on earnout milestones, probability of forfeiture and success scenarios.
As of June 30, 2024 (Successor) and December 31, 2023 (Successor), the contingent consideration liability was $6.9 million and $104.4
million, respectively. For the three and six months ended June 30, 2024 (Successor), the gain related to the change in fair value of contingent
consideration was $161.2 million and $97.5 million, respectively, on the Successor’s condensed consolidated statements of operations
and comprehensive income (loss), and relates to the change in probabilities of achieving certain scenarios following the clinical results
released on May 3, 2024 and a reduction in the Company’s stock price during the period.
Warrants (Successor)
Upon the Closing, 14,479,999 warrants, initially
issued by Priveterra in February 2021, consisting of 9,200,000 public warrants sold in its initial public offering and 5,279,999 warrants
issued in a concurrent private placement, were outstanding. The terms of the warrants are governed by a Warrant Agreement dated February
8, 2021 between the Company (then known as Priveterra Acquisition Corp.) and Continental Stock Transfer & Trust Company (the “Warrant
Agreement”).
20
Table of Contents
Warrant exercises
On March 29, 2024, the Company delivered notice
of redemptions to warrant holders with a redemption date of April 29, 2024 for a cashless redemption of the Company’s outstanding
public warrants. The number of shares of common stock that each exercising warrant holder received by virtue of the cashless exercise
(instead of paying the $11.50 per Public Warrant cash exercise price) was calculated in accordance with the terms of the Warrant Agreement.
Any remaining unexercised public warrants on the redemption date were cancelled and the public warrant holders received the redemption
price of $0.10 for each public warrant.
During the three and six months ended June 30, 2024
(Successor), an aggregate of 4,079,790 warrants and 10,283,637 warrants, respectively, were exercised on a cashless basis for 1,001,950
shares and 1,962,638 shares of common stock, respectively, with an impact to additional paid in capital of $4.6 million and $15.0 million,
respectively. Additionally, the Company paid $21 thousand related to the cancellation of the remaining 207,410 public warrants on the
redemption date.
A summary of activity of the Company’s issued and outstanding
public warrants for the six months ended June 30, 2024 (Successor) is as follows (unaudited):
|
|
|
|
|
|
|
|
|
Public |
|
Private |
|
Total |
|
|
|
|
|
|
|
Issued and Outstanding, January 1, 2024 |
|
9,200,000 |
|
5,279,999 |
|
14,479,999 |
Number of warrants exercised |
|
(8,992,590) |
|
(1,291,047) |
|
(10,283,637) |
Number of warrants cancelled |
|
(207,410) |
|
- |
|
(207,410) |
Issued and Outstanding, June 30, 2024 |
|
- |
|
3,988,952 |
|
3,988,952 |
The warrants are accounted for as a liability at
the Closing with changes in the fair value recorded to the Successor’s condensed consolidated statement of operations. The Company
utilized the Black-Scholes option pricing model, which requires the input of subjective assumptions, including the Company’s stock
price, expected volatility of the Company’s common stock, expected risk-free interest rate, and the option’s expected remaining
life. The fair value of the warrant liability was $1.5 million and $1.4 million as of June 30, 2024 (Successor) and December 31, 2023
(Successor), respectively. For the three and six months ended June 30, 2024 (Successor), the (income) expense from the change in fair
value of warrants was $(5.9) million and $15.0 million.
Medytox Top-off Right
The Predecessor entered into a settlement agreement
with Medytox, Inc. (“Medytox”) (the “Settlement Agreement”), effective as of June 21, 2021, as amended on May
5, 2022. Pursuant to the Settlement Agreement, among other things, the Predecessor agreed to enter into a share issuance agreement with
Medytox pursuant to which the Predecessor issued 26,680,511 shares of Old AEON common stock, par value $0.0001 per share, to Medytox.
The Settlement Agreement stated that in the event the shares of Old AEON common stock the Predecessor issued to Medytox represent less
than 10% of the Predecessor’s total outstanding shares immediately prior to the consummation of the Merger (the “Target Ownership”),
the Company will issue additional shares of Old AEON common stock to Medytox sufficient to cause Medytox to achieve the Target Ownership
(the “Top-off Right”).
Because the shares of Old AEON
common stock due to be issued to Medytox represented less than 10% of the Predecessor’s total outstanding shares immediately prior
to consummation of the Merger, the Predecessor issued additional shares of Old AEON common stock (the “Top-off Shares”) to
Medytox sufficient to cause Medytox to achieve the Target Ownership immediately prior to the Merger to the Top-off Right.
Based on the terms of the Settlement Agreement,
the Top-off Right is a freestanding financial instrument, and is accounted for as a derivative liability pursuant to ASC 815. Accordingly,
the Company recognized a loss of $11.8 million in the Predecessor period, reflecting the change in fair value through the Closing Date.
At the Closing, the derivative liability was derecognized, and the issuance of the Top-off Shares was recognized as purchase consideration
in the Successor’s opening additional paid-in capital (see Note 3 Forward Merger).
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Table of Contents
Summary of Recurring Fair Value Measurements
The following
details the Company’s recurring measurements for assets and liabilities at fair value (in thousands, unaudited):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Convertible Notes |
|
|
Warrant Liabilities |
|
|
Contingent Consideration |
|
|
Embedded Forward Purchase Agreement and Make Whole Derivative |
|
|
|
(Level 3) |
|
|
(Level 3) |
|
|
(Level 3) |
|
|
(Level 3) |
Successor |
|
|
|
|
|
|
|
|
|
|
|
|
Balance, January 1, 2024 |
|
$ |
- |
|
$ |
1,447 |
|
$ |
104,350 |
|
$ |
41,043 |
Issuance of convertible notes |
|
|
15,000 |
|
|
- |
|
|
- |
|
|
- |
Change in fair value |
|
|
(1,708) |
|
|
14,999 |
|
|
(97,464) |
|
|
(318) |
Warrant cashless exercise |
|
|
- |
|
|
(14,979) |
|
|
- |
|
|
- |
Termination of forward purchase agreements |
|
|
- |
|
|
- |
|
|
- |
|
|
(40,380) |
Balance, June 30, 2024 |
|
$ |
13,292 |
|
$ |
1,467 |
|
$ |
6,886 |
|
$ |
345 |
Note 7. Commitments and Contingencies
Operating Leases
In December 2021, the Predecessor entered into a
three-year non-cancellable lease for office space. The lease does not include variable or contingent lease payments. On March 29, 2024,
the Company entered into an amendment to extend the lease for an additional five years. An operating lease asset and liability are recognized
based on the present value of the remaining lease payments discounted using the Company’s incremental borrowing rate. Lease expense
is recognized on a straight-line basis over the lease term.
The following table summarizes supplemental balance
sheet information related to the operating lease as of June 30, 2024 (in thousands, unaudited):
|
|
|
|
|
Minimum lease payments by fiscal year |
|
|
|
|
2024 |
|
$ |
159 |
|
2025 |
|
|
175 |
|
2026 |
|
|
297 |
|
2027 |
|
|
307 |
|
2028 |
|
|
318 |
|
Thereafter |
|
|
328 |
|
Total future minimum lease payments |
|
|
1,584 |
|
Less: Imputed interest |
|
|
(188) |
|
Present value of lease payments |
|
|
1,396 |
|
Less: Current portion (included in other accrued expenses) |
|
|
(134) |
|
Noncurrent operating lease liability |
|
$ |
1,262 |
|
Operating lease right-of-use asset |
|
$ |
1,404 |
|
Remaining lease term in years |
|
|
5.5 |
|
Discount rate |
|
|
4.3 |
% |
22
Table of Contents
The following table summarizes supplemental disclosures
of operating cost and cash flow information related to operating leases for the three and six months ended June 30, 2024 (Successor) and
June 30, 2023 (Predecessor) (in thousands) (unaudited).
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Six Months Ended |
|
|
June 30, |
|
June 30, |
|
|
2024 |
|
2023 |
|
2024 |
|
2023 |
|
|
Successor |
|
Predecessor |
|
Successor |
|
Predecessor |
|
Cost of operating leases |
$ |
72 |
|
$ |
68 |
|
$ |
116 |
|
$ |
138 |
|
Cash paid for operating leases |
|
80 |
|
|
77 |
|
|
159 |
|
|
154 |
|
Legal Proceedings
The Company, from time to time, is involved in various
litigation matters or regulatory encounters arising in the ordinary course of business that could result in unasserted or asserted claims
or litigation. Other than as described below, the Company is not subject to any currently pending legal matters or claims that would have
a material adverse effect on its accompanying financial position, results of operations or cash flows.
On September 18, 2023, Odeon Capital Group LLC (“Odeon”)
filed a lawsuit against the Company in the Supreme Court of the State of New York, alleging that the Company failed to pay Odeon’s
deferred underwriting fee of $1.25 million. Odeon claims that it served as the underwriter for Priveterra Acquisition Corp., the special
purpose acquisition company with which Old AEON merged with and into in July 2023. Odeon seeks monetary damages for the full amount of
its claimed underwriting fee, punitive damages, attorneys’ fees and other amounts. On November 16, 2023, the Company filed a motion
to dismiss certain claims included in Odeon’s complaint.
In the normal course of business, the Company enters
into contracts and agreements that contain a variety of representations and warranties and provide for general indemnifications. The Company’s
exposure under these agreements is unknown because it involves claims that may be made against the Company in the future, but have not
yet been made. The Company accrues a liability for such matters when it is probable that future expenditures will be made and such expenditures
can be reasonably estimated. See Note 2 Summary of Significant Accounting Policies for additional
information.
Note 8. Common Stock
The Successor’s certificate of incorporation,
as amended and restated, authorized the Company to issue up to 500,000,000 shares of common stock at a par value of $0.0001 per share.
As of June 30, 2024 (Successor), 39,122,238 shares were issued and outstanding. The holders of common stock are entitled to receive dividends
whenever funds are legally available, when and if declared by the Company’s Board of Directors. As of June 30, 2024 (Successor),
no cash dividend has been declared to date. Each share of common stock is entitled to one vote. Refer to Note
3 Forward Merger for more information on the number of shares of common stock outstanding immediately following the Merger.
Common Stock Reserved
The table below summarizes the Company’s reserved
common stock for further issuance as of June 30, 2024 (Successor) and December 31, 2023 (Successor):
|
|
|
|
|
|
|
|
June 30, |
|
December 31, |
|
|
|
2024 |
|
2023 |
|
|
|
(unaudited) |
|
|
|
Stock options issued and outstanding |
|
4,393,355 |
|
3,846,972 |
|
Restricted stock units (unvested) |
|
820,253 |
|
1,012,994 |
|
Shares available for future issuance under the stock incentive plan |
|
5,191,934 |
|
3,536,710 |
|
Warrants |
|
3,988,952 |
|
14,479,999 |
|
Contingent consideration |
|
16,000,000 |
|
16,000,000 |
|
Total common stock reserved |
|
30,394,494 |
|
38,876,675 |
|
23
Table of Contents
Note 9. Share-based Compensation
Stock Incentive Plans
2019 Incentive Award Plan
In June 2019, ABP Sub Inc., the Predecessor’s
wholly-owned subsidiary, established its 2019 Incentive Award Plan (the “2019 Incentive Award Plan”), as amended from time
to time, that provides for the granting of incentive and nonqualified stock options, restricted stock units, restricted stock and stock
appreciation rights to its employees, members of the Board of Directors and non-employee consultants. The 2019 Incentive Award Plan provides
for stock options to be granted with exercise prices not less than the estimated fair value of the Predecessor’s common stock, and
incentive options to be granted to individuals owning more than 10% of the total combined voting power of all classes of stock of the
Predecessor with exercise prices not less than 110% of the estimated fair value of the Predecessor’s common stock on the date of
grant. Stock options granted generally expire ten years after their original date of grant and generally vest between three years to four
years with 25% vesting on the first anniversary of the date of grant and then monthly vesting after that. Stock options granted to a 10%
stockholder are exercisable up to five years from the date of grant. Restricted stock awards granted generally become fully vested between
one to three years.
In connection with the Merger, the Successor assumed
the 2019 Incentive Award Plan and all options and RSU awards that were outstanding immediately prior to the Merger were converted into
substantially similar awards covering shares of the Successor’s common stock based on a conversion ratio of approximately 77.65
to 1 share. Additionally, the exercise price for the awards were repriced to $10.00 for all options. The fair value of the replacement
awards that were vested, based on the value immediately prior to the Merger, of $13.3 million were included as purchase consideration
(see Note 3 Forward Merger for additional information). The remaining value of the replacement
awards will be recognized in the successor period as compensation expense over the remaining vesting period, which included stock-based
compensation expense of $1.0 million recorded in the third quarter of fiscal year 2023 of the successor period for the impact of the stock
option repricing.
Prior to the consummation of the Merger, a total
of 237,500 shares of ABP Sub Inc. common stock were available for issuance under the 2019 Incentive Award Plan. Following the effective
date of the 2023 Plan, in the event that an outstanding award expires or is cancelled for any reason, the shares allocable to the unexercised
or cancelled portion of such award from the 2019 Incentive Award Plan will be added back to the shares of common stock available for issuance
under the 2023 Incentive Award Plan.
At the Closing, ABP had granted options to purchase
a total of 45,130 ABP Sub options which converted into options to purchase 3,515,219 shares of the Company’s common stock, and a
total of 15,059 RSU awards, which converted into RSU awards covering 1,169,366 shares of the Company’s common stock. Of such RSU
awards, 127,801 RSUs accelerated vesting concurrently with the Merger. As such, the Company included an additional $1.8 million in purchase
consideration (see Note 3 Forward Merger for additional information). Additionally, of such RSU
awards, 466,468 RSU’s contained performance-based vesting criteria based on the achievement of the same milestones as the contingent
consideration (see Note 6 Fair Value Measurements for additional information). As of June 30,
2024, milestones 1 and 2 were determined to be probable, and the Company began expensing the proportionate RSU’s over the vesting
term, calculated as the period from the date the milestone was determined to be probable and the expected achievement date of the milestone.
For the three and six months ended June 30, 2024 (Successor), the Company has recognized $0.2 million and $0.4 million, respectively,
of such RSU with earnout vesting criteria, $0.2 million and $0.4 million, respectively, in selling, general and administrative expenses
and a de minimus amount in research and development expenses associated with such performance-based RSU’s in the Successor’s
condensed consolidated statement of operations.
The following table summarizes stock option activity
under 2019 Incentive Award Plan (unaudited):
|
|
|
|
|
|
|
|
|
|
|
Weighted |
|
|
|
|
|
Average |
|
|
|
Number of |
|
Exercise |
|
|
|
Shares |
|
Price |
|
Successor |
|
|
|
|
|
|
Outstanding, January 1, 2024 |
|
3,515,219 |
|
$ |
10.00 |
|
Options granted |
|
— |
|
|
— |
|
Options forfeited |
|
(63,748) |
|
|
10.00 |
|
Outstanding, June 30, 2024 |
|
3,451,471 |
|
|
10.00 |
|
24
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Exercisable, June 30, 2024 |
|
— |
|
$ |
— |
|
There were no options granted in the 2019 Incentive
Plan during 2023, and no options will be granted from this plan after the Closing.
As of June 30, 2024 (Successor) and December 31,
2023 (Successor), the weighted average remaining contractual life of options outstanding and options exercisable was 6.6 years and 7.1
years, respectively.
During the three and six months ended June 30, 2024
(Successor) and June 30, 2023 (Predecessor), the Company recognized $0.8 million, $1.6 million, $1.1 million and $2.5 million, respectively,
of share-based compensation expense related to stock options granted.
As of June 30, 2024 (Successor) and December 31,
2023 (Successor), total unrecognized compensation expense related to nonvested stock options was $3.1 million and $4.9 million, respectively,
which is expected to be recognized over the weighted-average remaining requisite service period of 7 months and 10 months, respectively.
The following table summarizes restricted stock
units activity under the 2019 Incentive Award Plan:
|
|
|
|
|
|
|
|
|
|
|
Weighted |
|
|
|
|
|
Average |
|
|
|
Number of |
|
Grant Date |
|
|
|
Shares |
|
Fair Value |
|
Successor |
|
|
|
|
|
|
Outstanding, January 1, 2024 |
|
1,012,994 |
|
$ |
10.84 |
|
Granted |
|
— |
|
|
— |
|
Vested |
|
(160,063) |
|
|
10.84 |
|
Forfeited |
|
(32,678) |
|
|
10.84 |
|
Outstanding, June 30, 2024 |
|
820,253 |
|
$ |
10.84 |
|
During the three and six months ended June 30, 2024
(Successor), the Company recognized $0.5 million and $1.2 million of share-based compensation expense related to restricted stock units
granted, including $0.4 million with earnout vesting criteria.
As of June 30, 2024 (Successor), total unrecognized
compensation expense related to nonvested restricted stock units was $7.9 million, of which $4.3 million was related to the earnout vesting
criteria, and the remaining $3.6 million is expected to be recognized over the weighted-average remaining requisite service period of
26 months. The unrecognized compensation expense with the earnout criteria will be recognized when the milestones are determined to be
probable over the RSU’s vesting term, calculated as the period from the date the milestone was determined to be probable and the
expected achievement date of the milestone.
AEON Biopharma Inc 2023 Incentive Award Plan
In connection with the Merger, the Company’s
Board adopted, and its stockholders approved, the 2023 Plan, which became effective upon the consummation of the Merger, that provides
for the granting of nonqualified stock options, restricted stock and stock appreciation rights to employees, members of the Board of Directors
and non-employee consultants. The 2023 Plan will remain in effect until July 3, 2033, the tenth anniversary of the date the Company’s
stockholders approved the 2023 Plan, unless earlier terminated. Stock options granted generally expire ten years after their original
date of grant and generally vest between three years to four years with equal installments vesting on each anniversary of the grant date,
subject to continued service through the applicable vesting date.
The initial aggregate number of shares of the Company’s
common stock available for issuance under the 2023 Plan is equal to (a) 3,839,892 shares of common stock and (b) any shares which, as
of the effective date of the 2023 Plan, are subject to an award outstanding under the ABP 2019 Plan (each, a “Prior Plan Award”),
and which, on or following the effective date of the 2023 Plan, become available for issuance under the 2023 Plan as provided in the 2023
Plan. In addition, the number of shares of common stock available for issuance under the 2023 Plan will be annually increased on January
1 of each calendar year beginning in 2024 and ending
25
Table of Contents
in 2033 by an amount equal to the lesser of (i) 4% of the number of
fully-diluted number of shares outstanding on the final day of the immediately preceding calendar year or (ii) such other number of shares
as is determined by the Board. Any shares issued pursuant to the 2023 Plan may consist, in whole or in part, of authorized and unissued
common stock, treasury common stock or common stock purchased on the open market. As of June 30, 2024, there were 4,703,788 shares of
common stock available for issuance under the 2023 Plan.
|
|
|
|
|
|
|
|
|
|
|
Weighted |
|
|
|
|
|
Average |
|
|
|
Number of |
|
Exercise |
|
|
|
Shares |
|
Price |
|
|
|
|
|
|
|
|
Outstanding, January 1, 2024 |
|
331,753 |
|
$ |
5.47 |
|
Options granted |
|
698,360 |
|
|
13.26 |
|
Options forfeited |
|
(88,229) |
|
|
— |
|
Outstanding, June 30, 2024 |
|
941,884 |
|
$ |
10.75 |
|
Exercisable, June 30, 2024 |
|
— |
|
$ |
— |
|
The weighted average fair value of options granted
as of June 30, 2024 (Successor) and December 31, 2023 (Successor) was $6.89 and $3.18, respectively. The weighted average remaining contractual
life of options outstanding and options exercisable as of June 30, 2024 (Successor) and December 31, 2023 (Successor) was 9.5 years and
9.6 years, respectively. During the three and six months ended June 30, 2024 (Successor), the Company recognized $0.4 million and $0.5
million, respectively, of share-based compensation expense related to stock options granted. As of June 30, 2024 (Successor) and December
31, 2023 (Successor), total unrecognized compensation expense related to nonvested stock options was $5.2 million and $0.9 million, respectively,
which is expected to be recognized over the weighted-average remaining requisite service period of 38 months and 35 months, respectively.
Share-based Compensation Expense and Valuation Information
The Company accounts for the measurement and recognition
of compensation expense for all share-based awards based on the estimated fair value of the awards. The fair value of share-based awards
is amortized on a straight-line basis over the requisite service period. The Company records share-based compensation expense net of actual
forfeitures.
During the three and six months ended June 30, 2024
(Successor) and June 30, 2023 (Predecessor), the Company recognized $1.7 million, $3.3 million, $1.1 million and $2.5 million, respectively,
of share-based compensation expense, of which $1.3 million, $2.5 million, $1.0 million and $2.2 million, respectively, were in selling,
general and administrative expenses, and $0.4 million, $0.8 million, $0.1 million and $0.3 million, respectively, were in research and
development expenses in the accompanying condensed consolidated statements of operations and comprehensive income (loss).
The fair value of stock options under the 2019 and
2023 Stock Incentive Award Plan was estimated using the following assumptions:
|
|
|
|
|
|
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
|
2024 |
|
2023 |
|
|
|
|
|
|
|
Expected volatility |
|
47% – 50% |
|
74% – 80% |
|
Risk-free interest rate |
|
4.1% – 4.3% |
|
3.61% – 3.66% |
|
Expected life (in years) |
|
5.27-6.25 |
|
5.50 – 6.25 |
|
Expected dividend yield |
|
— |
|
— |
|
26
Table of Contents
Note 10. Subsequent Events
The Company has further evaluated subsequent events
for recognition and remeasurement purposes as of and for the three and six months ended June 30, 2024. After review and evaluation, management
has concluded that there were no material subsequent events as of the date that the financial statements were available to be issued,
except as described below.
On July 9, 2024, the Company announced a strategic
reprioritization to pursue a 351(k) biosimilar regulatory pathway for its lead candidate, ABP-450, using AbbVie Inc.’s product BOTOX
as the reference product, and plans to advance a single pivotal clinical development study in cervical dystonia for ABP-450 using this
pathway. The Company will discuss the proposed biosimilar pathway with the FDA during a Biosimilar Initial Advisory Meeting scheduled
for the third quarter of 2024.
In connection with the negotiation of the Forward
Purchase Agreements (and FPA Termination Agreements) and related subscription agreements, J.V.B. Financial Group, LLC, acting through
its Cohen & Company Capital Markets division (“CCM”), provided certain consulting services, initially to Priveterra and
subsequently to AEON, pursuant to an engagement letter, by and between the Company and CCM, dated July 27, 2023 and amended July 1, 2024
(the “CCM Engagement Letter”). On July 5, 2024, pursuant to the CCM Engagement Letter, the Company issued 400,000 shares of
the Company’s common stock to CCM.
27
Table of Contents
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations
The following discussion and analysis of financial
condition and results of operations should be read together with the condensed consolidated financial statements and the related notes
and other financial information included elsewhere in this Report. Some of the information contained in this discussion and analysis contains
forward-looking statements that involve risks and uncertainties. As a result of many factors, such as those set forth in the sections
of this Report captioned “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements”, actual results
may differ materially from those anticipated in these forward-looking statements. Unless the context otherwise requires, references to
“we”, “us”, “our” and “the Company” refer to the business and operations of AEON Biopharma,
Inc. and its consolidated subsidiaries prior to the Merger (“Old AEON” or the “Predecessor”) and to AEON Biopharma,
Inc. (“AEON”) following the consummation of the Merger.
On December 12, 2022, Old AEON and Priveterra
Acquisition Corp. (“Priveterra”), a special purpose acquisition company formed for the purpose of effecting a merger, capital
stock exchange, asset acquisition, stock purchase, reorganization, or other similar business combination with one or more target businesses,
entered into a Business Combination and Merger Agreement (the “Business Combination Agreement”). On July 21, 2023, the parties
consummated the transactions contemplated by the Business Combination Agreement (collectively referred to as the “Merger”).
In connection with the closing of the Merger (the “Closing”), Priveterra changed its name from Priveterra Acquisition Corp.
to AEON Biopharma, Inc.
Priveterra was deemed the accounting acquirer
in the Merger based on an analysis of the criteria outlined in Accounting Standards Codification 805, Business Combinations. Old
AEON was deemed to be the predecessor entity based on an analysis of the criteria outlined in the Accounting Standards Codification 805, Business
Combinations. Accordingly, the historical financial statements of Old AEON became the historical financial statements of the combined
company upon the consummation of the Merger. As a result, the financial statements included in this report reflect (i) the historical
operating results of Old AEON prior to the Merger; and (ii) the combined results of the Company following the Closing. The accompanying
financial information includes a predecessor period, which includes the periods through July 21, 2023 concurrent with the Merger, and
the successor period starting from July 22, 2023 through the date of this report. A black-line between the Successor and Predecessor periods
has been placed in the condensed consolidated financial statements and in the tables to the notes to the statements to highlight the lack
of comparability between these two periods and differentiate the cut-off of these periods.
Overview
We are a clinical stage biopharmaceutical company
focused on developing our botulinum toxin complex, prabotulinumtoxinA injection (“ABP-450”), for debilitating medical conditions,
with an initial focus on the neurosciences market. We plan to develop and seek regulatory approval of ABP-450
as a biosimilar product in the United States through submission of a Biologics License Application, or BLA, under Section 351(k) of the
Public Health Service Act, or a Section 351(k) BLA, with the goal of addressing the estimated $3.0 billion global therapeutic botulinum
toxin market, which is projected to grow to $4.4 billion in 2027, according to the Decision Resources Group Therapeutic Botulinum
Toxin Market Analysis Global as of 2021. ABP-450 is the same botulinum toxin complex that is currently approved
as a biosimilar in Mexico and India and, in the U.S. is approved to provide temporary improvement in the appearance of moderate to severe
glabellar lines for certain adult patients and marketed by Evolus, Inc. under the name Jeuveau in the United States and Nuceiva in Canada
and the European Union. We have exclusive development and distribution rights for certain therapeutic uses of ABP-450 in the United States,
Canada, the European Union, the United Kingdom, and certain other international territories. We have built a highly experienced management
team with specific experience in biopharmaceutical and botulinum toxin development and commercialization.
We have completed a Phase 2 study
of ABP-450 for the treatment of cervical dystonia and completed enrollment and dosing of patients for a Phase 2 double blind study of
ABP-450 for the treatment of both chronic and episodic migraine. We originally intended to pursue a submission of a BLA under Section
351(a) of the Public Health Service Act, or an Original BLA, seeking one or more potential therapeutic indications for ABP-450. However,
our Phase 2 clinical trials for episodic and chronic migraine did not meet their respective primary endpoints. In May 2024, we announced
the discontinuation of our Phase 2 clinical trials for episodic and chronic migraine in order to implement certain cash preservation measures.
As a result, on July 9, 2024, we announced a strategic reprioritization to pursue a 351(k) biosimilar regulatory pathway for ABP-450,
using AbbVie Inc.’s product Botox as a proposed reference product for all of the indications for which Botox is approved, other
than the cosmetic uses (for which we do not hold development or commercialization rights). We also announced our proposed plans to initiate,
subject to raising additional capital, a single pivotal clinical study evaluating ABP-450 in patients with cervical dystonia for ABP-450,
with the goal of using the biosimilar pathway, which we plan to discuss during a meeting with the FDA that is currently scheduled for
the third quarter of 2024. We believe
28
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a successful Phase 3 comparative study in cervical
dystonia could provide the necessary clinical data to support submission of a Section 351(k) BLA, and ultimately a determination that
ABP-450 is biosimilar to the proposed reference product with respect to certain therapeutic indications.
Botulinum toxins have proven to
be a highly versatile therapeutic biologic, with over 230 potential therapeutic uses documented in published scientific literature and
twelve approved therapeutic indications in the United States. Our initial development programs for ABP-450 were directed at migraine,
cervical dystonia and gastroparesis. We selected these initial programs based on a comprehensive product assessment screen designed to
identify indications where we believe ABP-450 has the potential to deliver significant value to patients, physicians and payors and where
its clinical, regulatory and commercial characteristics suggest viability. We believe that ABP-450 has potential across a broad range
of target indications and we plan to continue to explore additional development programs that satisfy our product assessment screens.
The FDA allowed our Investigational
New Drug application, or IND, for ABP-450, supporting our clinical trials in the preventative treatment for migraine, to proceed in October
2020, and we began treating patients in our Phase 2 clinical study beginning in March 2021. Prior to commencing this Phase 2 study, no
Phase 1 clinical studies of ABP-450 had been performed in regard to migraine by us or any other party. Nevertheless, given the extensive
preclinical toxicology and other data developed by our licensing partner, Daewoong, and the aesthetic licensor of ABP-450, Evolus, the
FDA permitted us to proceed directly to this Phase 2 clinical trial.
The FDA allowed our IND for ABP-450,
which supports our clinical trials in cervical dystonia, to proceed in October 2020, and we began treating patients in our Phase 2 clinical
study beginning in April 2021. We enrolled 59 patients in this randomized, double-blind, placebo-controlled study across approximately
20 study sites in the United States. Patients enrolled into the study received one of four different injection cycles, low dose of 150
units, mid-dose of 250 units, high dose of 350 units or placebo, with patients evenly split among the four arms. Topline data from the
Phase 2 cervical dystonia study, released in September 2022, showed that ABP-450 met all primary endpoints and a number of other key secondary
endpoints, supporting the further development of ABP-450 in reducing signs and symptoms associated with cervical dystonia. We are in discussions
with the FDA regarding the design of a planned Phase 3 study in cervical dystonia, which we expect to commence based on the availability
of capital resources.
We have never been profitable from operations and,
as of June 30, 2024, we had an accumulated deficit of $427.5 million. We have never generated revenue from ABP-450. Losses from operations,
excluding the impact of changes in fair value of the contingent consideration, were $7.8 million, $18.1 million, $14.0 million and $27.0
million for the three and six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor), respectively. Consolidated net income
(loss) were income of $164.1 million and $46.1 million for the three and six months ended June 30, 2024 (Successor), respectively, and
losses of $15.4 million and $33.0 million for the three and six months ended June 30, 2023 (Predecessor), respectively. As of June 30,
2024, we had $3.4 million in cash and cash equivalents. We have concluded that we do not have sufficient cash to fund our operations for
12 months from the date of our financial statements without additional financing, and as a result, there is substantial doubt about our
ability to continue as a going concern. As of the date of this Report, we have sufficient cash to fund our operating plan into the fourth
quarter of 2024. Any further development of ABP-450 for any indication, including the biosimilar pathway
and any additional studies in cervical dystonia, will require additional funding, which may not be available to us on reasonable terms,
or at all.
We do not expect to receive any revenue from ABP-450
or any future product candidates that we develop unless and until we obtain regulatory approval and commercialize ABP-450 or any future
product candidates. We expect to continue to incur significant expenses and increasing net operating losses for the foreseeable future
as we seek regulatory approval, prepare for and, if approved, proceed to commercialization of ABP-450.
We utilize clinical research organizations (“CROs”),
to carry out our clinical development and we do not yet have a sales organization. We expect to incur significant expenses related to
building our commercialization infrastructure, including marketing, sales and distribution functions, inventory build prior to commercial
launch, training and deploying a specialty sales force and implementing a targeted marketing campaign.
29
Table of Contents
Description of the Merger, Forward Purchase Agreements and Convertible
Note Subscription
Merger
At the effective time of the Merger (the “Effective
Time”), each outstanding share of Old AEON common stock (on an as-converted basis after taking into effect the conversion of the
outstanding warrants of Old AEON exercisable for shares of Old AEON preferred stock, the conversion of the shares of Old AEON preferred
stock into Old AEON common stock in accordance with the governing documents of Old AEON as of the Effective Time, the conversion of the
outstanding convertible notes of Old AEON into Old AEON common stock in accordance with the terms of such convertible notes and after
giving effect to the issuance of Old AEON common stock in connection with the merger of ABP Sub, Inc. with and into Old AEON) issued and
outstanding immediately prior to the Effective Time converted into the right to receive approximately 2.328 shares of our Class A common
stock, par value $0.0001 per share (“common stock”). In addition, each share of Priveterra Class B common stock (“Founder
Shares”), par value $0.0001 per share, issued and outstanding immediately prior to the Effective Time converted into one share of
common stock (of which 3,450,000 Founder Shares are subject to certain vesting and forfeiture conditions).
Forward Purchase Agreements
In addition, Priveterra entered into separate Forward
Purchase Agreements with each of ACM ARRT J LLC (“ACM”), and Polar Multi-Strategy Master Fund (“Polar”), on June
29, 2023, for an OTC Equity Prepaid Forward Transaction (each, a “Forward Purchase Agreement” and together, the “Forward
Purchase Agreements”). The Forward Purchase Agreements provided that each of Polar and ACM would separately be paid directly an
aggregate cash amount (the “Prepayment Amount”), which was equal to an aggregate of $66.7 million based on the product of
(i) 6,275,000 shares of Priveterra Class A common stock (the “Additional Shares”) and (ii) the redemption price per share
of $10.63. In satisfaction of the Prepayment Amount, on July 21, 2023, $66.7 million was obligated to be paid from the purchase of the
Additional Shares by each of ACM and Polar pursuant to the terms of certain FPA Funding Amount PIPE Subscription Agreements between Priveterra
and each of ACM and Polar.
On March 18, 2024, we entered into separate termination
agreements with each of ACM and Polar terminating their respective Forward Purchase Agreements (each, an “FPA Termination Agreement”
and together, the “FPA Termination Agreements”).
The FPA Termination Agreement with ACM provides
that (i) ACM will retain 3,100,000 previously issued Additional Shares held by ACM pursuant to its respective Forward Purchase Agreement
and subscription agreement (the “ACM Retained Shares”) and (ii) we will be subject to up to $1.5 million in liquidated damages,
subject to certain conditions set forth in ACM’s respective FPA Termination Agreement. The Termination Agreement with Polar provides
that (i) Polar will retain 3,175,000 previously issued Additional Shares held by Polar pursuant to its respective Forward Purchase Agreement
and subscription agreement (the “Polar Retained Shares”) and (ii) we will be subject to up to $1.5 million in liquidated damages,
subject to certain conditions set forth in Polar’s respective FPA Termination Agreement. The potential aggregate liquidated damages
of up to $3.0 million was accrued as a liability in the first quarter of 2024. However, since each FPA provider elected to remove its
respective shares from the registration statement, the Company released the liability from the condensed consolidated balance sheet as
of June 30, 2024. We did not have access to the Prepayment Amount at any time following the Closing and, pursuant to the FPA Termination
Agreements, ACM and Polar will retain the Prepayment Amount in full. The terminated access to the Prepayment Amount may adversely affect
our liquidity and capital needs.
In connection with the negotiation of the Forward
Purchase Agreements (and FPA Termination Agreements) and related subscription agreements, J.V.B. Financial Group, LLC, acting through
its Cohen & Company Capital Markets division (“CCM”), provided certain consulting services, initially to Priveterra and
subsequently to AEON, pursuant to an engagement letter, by and between AEON and CCM, dated July 27, 2023 and amended July 1, 2024 (the
“CCM Engagement Letter”). On July 5, 2024, pursuant to the CCM Engagement Letter, we issued 400,000 shares of our common stock
to CCM.
Convertible Note Subscription
On March 19, 2024, we entered into the Subscription
Agreement with Daewoong relating to our sale and issuance of the Convertible Notes in the principal amount of up to $15.0 million, which
are convertible into shares of common stock, subject to certain conditions and limitations set forth in each Convertible Note. Each Convertible
Note contains customary events of default, accrues interest at an annual rate of 15.79% and has a maturity date that is three years from
the funding date (the “Maturity Date”),
30
Table of Contents
unless earlier repurchased, converted or redeemed in accordance with
its terms prior to such date. We will use the net proceeds from each Convertible Note to support the late-stage clinical development of
ABP-450 and for general working capital purposes. Pursuant to the terms of the Subscription Agreement, on March 24, 2024, we issued and
sold to Daewoong one Convertible Note in the principal amount of $5.0 million and, on April 12, 2024, we issued and sold to Daewoong an
additional Convertible Note in the principal amount of $10.0 million.
On March 19, 2024, we entered into a Fourth Amendment
to the License Agreement (the “License Agreement Amendment”) with Daewoong, which amends that certain License and Supply Agreement,
by and between us and Daewoong, dated December 20, 2019, as amended on July 29, 2022, January 8, 2023 and April 24, 2023 (the “License
Agreement”). Pursuant to the terms of the License Agreement Amendment, the License Agreement will terminate if, over any six-month
period, (a) we cease to commercialize ABP-450 in certain territories specified in the License Agreement and (b) we cease to advance any
clinical studies of ABP-450 in such territories. The License Agreement Amendment also provides that, in the event that the License Agreement
is terminated for the foregoing reasons, Daewoong will have the right to purchase all Know-How (as defined in the License Agreement) related
to ABP-450 for a price of $1.00 (the “Termination Purchase Right”). The Termination Purchase Right will terminate and expire
upon Daewoong’s sale of 50% of its common stock, including common stock held by its affiliates and common stock that would be issued
upon an Automatic Conversion or Optional Conversion (as defined below).
If, prior to the Maturity Date, the Company consummates
a bona-fide third-party financing in the form of Common Stock or any securities convertible into, or exchangeable or exercisable for,
Common Stock (subject to certain exceptions as described in each Convertible Note), in one or more transactions or a series of related
and substantially similar and simultaneous transactions at the same purchase price from third parties unaffiliated with Daewoong and its
affiliates, for aggregate gross cash proceeds to the Company of at least $30.0 million (a “Qualified Financing”), then, upon
written notice thereof to Daewoong by the Company, on the closing date of such Qualified Financing, each Convertible Note will automatically
convert in whole (the “Automatic Conversion”) (subject to any limitations under the rules and regulations of NYSE American),
without any further action by Daewoong, into a number of shares equal to: (i) one and three tenths (1.3) multiplied by (ii) the quotient
of (a) the principal amount of each Convertible Note and all accrued and unpaid interest to be converted divided by (b) the per share
price of the common stock sold in the Qualified Financing, provided that such per share price of common stock is at least $1.00 per share.
If, prior to the Maturity Date, the Company provides
(i) written notice to Daewoong that it has publicly announced topline clinical data regarding its Phase 3 clinical study of ABP-450 for
the treatment of chronic or episodic migraine, and such data indicates achievement of all primary endpoints or (ii) a written notice that
the Company has consummated a Change of Control (as defined in each Convertible Note), Daewoong will have the right for thirty (30) days
following receipt of either such notice, at Daewoong’s option (the “Optional Conversion”), to convert all (but not less
than all) of the remaining outstanding portion of each Convertible Note (subject to any limitations under the rules of NYSE American)
into an amount of shares of common stock equal to: (i) one and three tenths (1.3) multiplied by (ii) the quotient of (a) the principal
amount of each Convertible Note and all accrued and unpaid interest to be converted divided by (b) the volume weighted average trading
per share price of common stock over the five (5) trading days prior to the Company’s receipt of Daewoong’s written notice
of exercise of the Optional Conversion, provided that such per share price of common stock is at least $1.00 per share.
As a result of becoming a public company, we will
need to engage additional resources and/or hire additional staff and implement processes and procedures to address public company regulatory
requirements and customary practices. We expect to incur additional annual expenses for, among other things, directors’ and officers’
liability insurance, director fees and additional internal and external accounting, legal and administrative resources and fees.
Components of Our Results of Operations
Revenue
We have generated no revenue from the sale of products
and do not anticipate deriving any product revenue unless and until we receive regulatory approval for, and are able to successfully commercialize,
ABP-450.
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Operating Expenses
Selling, General and Administrative Expenses
Selling, general and administrative expenses (“SG&A”)
expenses, consist primarily of compensation for personnel, including stock-based compensation, management, finance, legal, and regulatory
functions. Other SG&A expenses include travel expenses, market research and analysis, conferences and trade shows, professional services
fees, including legal, audit and tax fees, insurance costs, general corporate expenses, and allocated facilities-related expenses. We
anticipate that our SG&A expenses will increase in the future to support our continued research and development (“R&D”),
activities. Additionally, we anticipate increased costs associated with being a public company, including expenses related to services
associated with maintaining compliance with the requirements of the NYSE American and the SEC, insurance, and investor relations costs.
We expect to incur increased costs associated with establishing sales, marketing, and commercialization functions in advance of potential
future regulatory approvals and commercialization of our product candidates. If ABP-450 obtains United States regulatory approval for
any indication, we expect that we would incur significantly increased expenses associated with building a sales and marketing team and
funding commercial activities.
Research and Development Expenses
Our R&D expenses are primarily attributed to
the development of ABP-450 for migraine, cervical dystonia and gastroparesis. Due to the stage of our development and our ability to use
resources across all of our programs, most of our R&D costs are not recorded on a program-specific basis. We
expect our R&D expenses to continue to increase as we, subject to raising additional capital, develop and initiate a Phase 3 study
of ABP-450 in cervical dystonia and commence a Phase 2 study of ABP-450 for gastroparesis. R&D expenses associated with these
studies will include third-party costs such as expenses incurred under agreements with CROs, the cost of consultants who assist with the
development of ABP-450 on a program-specific basis, investigator grants, sponsored research, product costs in connection with acquiring
ABP-450 from Daewoong for use in conducting preclinical and clinical studies, and other third-party expenses attributable to the development
of our product candidates.
R&D activities will be critical to achieving
our business strategy. As our pipeline programs enter the later stages of clinical development, we will generally incur greater development
costs than those programs incurred in the earlier stages of clinical development, primarily due to the increased size and duration of
later- stage clinical studies. We expect our R&D expenses to be significant over the next several years as we advance the clinical
development of ABP-450 and prepare to seek regulatory approval.
As a result, we are unable to determine the duration
and completion costs of our programs or when and to what extent we will generate revenue from commercialization and sale of any of our
product candidates. Our R&D activities may be subject to change from time to time as we evaluate our priorities and available resources.
Acquired in-Process Research and Development
The Company records costs incurred in obtaining
technology licenses to research and development expense as acquired in-process research and development (“IPR&D”)
if the technology licensed has not reached technological feasibility and has no alternative future use. The acquired IPR&D recorded
at the Closing was written off and is included in the consolidated statement of operations for the Successor period ended December 31,
2023 (see Note 3 Forward Merger to the consolidated financial statements).
Change in Fair Value of Contingent Consideration
The Company determined that the Contingent Consideration
Shares would be classified as a liability on the Successor’s condensed consolidated balance sheets and remeasured at each reporting
period with changes to fair value recorded to the Successor’s condensed consolidated statements of operations and comprehensive
income (loss).
Other Income (Loss), Net
Other income (loss), net primarily consists of gains
and losses resulting from the remeasurement of the fair value of our convertible notes, forward purchase agreements, warrant liabilities,
each described below, at each balance sheet date.
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Change in fair value of convertible notes –
The Company elected the fair value option to account for its convertible notes, with the subsequent changes in fair value recorded in
the condensed consolidated statement of operations and comprehensive income (loss).
Loss on embedded forward purchase agreement and
make whole derivative - the Company has determined that each of its forward purchase agreements entered in connection with the Merger
is a freestanding hybrid financial instrument comprising a subscription receivable and embedded features, which have been bifurcated and
accounted for separately as derivative instruments. The Company has recorded the derivatives as liabilities and measured them at fair
value with the initial value of the derivative recorded as a loss “on the line” in the Successor’s opening accumulated
deficit. On the line describes those transactions triggered by the consummation of the Merger that are not recognized in the consolidated
financial statements of the Predecessor or the Successor as they are not directly attributable to either period but instead were contingent
on the Merger. Subsequent changes in the bifurcated derivatives are recorded in the Successor’s condensed consolidated statements
of operations and comprehensive income (loss).
Change in fair value of warrants - Changes in the
estimated fair value of our warrant liabilities are recognized as a non-cash gain or loss on the Successor’s condensed consolidated
statements of operations and comprehensive income (loss).
Income Tax Benefit
Our tax provision is comprised of federal and state
income taxes. We currently record a full valuation allowance against our net deferred tax assets. We have provided for the tax effects
of uncertain tax positions in our tax provision.
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Results of Operations
The following table summarizes our results of operations
for the periods indicated (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Six Months Ended |
|
|
June 30, |
|
June 30, |
|
|
2024 |
|
|
2023 |
|
2024 |
|
|
2023 |
|
|
|
Successor |
|
|
|
Predecessor |
|
|
Successor |
|
|
|
Predecessor |
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling, general and administrative |
|
$ |
3,321 |
|
|
$ |
4,946 |
|
$ |
7,970 |
|
|
$ |
8,787 |
Research and development |
|
|
4,439 |
|
|
|
9,025 |
|
|
10,172 |
|
|
|
18,230 |
Change in fair value of contingent consideration |
|
|
(161,233) |
|
|
|
— |
|
|
(97,464) |
|
|
|
— |
Total operating costs and expenses |
|
|
(153,473) |
|
|
|
13,971 |
|
|
(79,322) |
|
|
|
27,017 |
Income (loss) from operations |
|
|
153,473 |
|
|
|
(13,971) |
|
|
79,322 |
|
|
|
(27,017) |
Other income (loss): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in fair value of convertible notes |
|
|
1,795 |
|
|
|
(1,453) |
|
|
1,708 |
|
|
|
(6,110) |
Change in fair value of warrants |
|
|
5,905 |
|
|
|
— |
|
|
(14,999) |
|
|
|
— |
Loss on embedded forward purchase agreements and derivative liabilities, net |
|
|
2,905 |
|
|
|
— |
|
|
(20,012) |
|
|
|
— |
Other income, net |
|
|
34 |
|
|
|
45 |
|
|
75 |
|
|
|
109 |
Total other income (loss), net |
|
|
10,639 |
|
|
|
(1,408) |
|
|
(33,228) |
|
|
|
(6,001) |
Income (loss) before taxes |
|
|
164,112 |
|
|
|
(15,379) |
|
|
46,094 |
|
|
|
(33,018) |
Income taxes |
|
|
— |
|
|
|
— |
|
|
— |
|
|
|
— |
Net income (loss) and comprehensive income (loss) |
|
$ |
164,112 |
|
|
$ |
(15,379) |
|
$ |
46,094 |
|
|
$ |
(33,018) |
Basic and diluted net income (loss) per share |
|
$ |
4.22 |
|
|
$ |
(0.11) |
|
$ |
1.21 |
|
|
$ |
(0.24) |
Weighted average shares of common stock outstanding used to compute basic and diluted net income (loss) per share |
|
|
38,843,627 |
|
|
|
138,825,356 |
|
|
38,055,850 |
|
|
|
138,825,356 |
Comparison of the three and six months ended June 30, 2024 (Successor)
and June 30, 2023 (Predecessor)
Operating Expenses
Selling, General and Administrative (SG&A) Expenses
SG&A expenses were $3.3 million for the three
months ended June 30, 2024 (Successor), a decrease of $1.6 million, or 33%, compared to $4.9 million during the three months ended June
30, 2023 (Predecessor). The decrease in S&GA expenses was primarily attributable to a decrease of $2.1 million in legal expenses and
professional fees related to the Merger, offset by an increase of $0.2 million related to public company insurance for director and officers
and an increase of $0.2 million related to stock-based compensation expense.
SG&A expenses were $8.0 million for the six
months ended June 30, 2024 (Successor), a decrease of $0.8 million, or 9%, compared to $8.8 million during the six months ended June 30,
2023 (Predecessor). The decrease in SG&A expenses was primarily attributable to a decrease of $1.6 million in legal expenses and professional
fees related to the Merger, offset by an increase of $0.5 million related to public company insurance for director and officers and an
increase of $0.3 million related to stock-based compensation expense.
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Table of Contents
Research and Development (R&D) Expenses
R&D expenses were $4.4 million for the three
months ended June 30, 2024 (Successor), a decrease of $4.6 million, or 51%, compared to $9.0 million during the three months ended June
30, 2023 (Predecessor). The decrease was primarily attributable to a $4.7 million decrease in R&D expenses due to wind down of Phase
2 clinical trials related to chronic and episodic migraine and cervical dystonia, and a decrease of $0.2 million related to headcount
reduction to preserve cash, offset by an increase of $0.3 million related to stock-based compensation expense.
R&D expenses were $10.2 million for the six
months ended June 30, 2024 (Successor), a decrease of $8.1 million, or 44%, compared to $18.2 million during the six months ended June
30, 2023 (Predecessor). The decrease was primarily attributable to a $8.5 million decrease in R&D expenses due to wind down of Phase
2 clinical trials related to chronic and episodic migraine and cervical dystonia, offset by an increase of $0.5 million related to stock-based
compensation expense.
Change in Fair Value of Contingent Consideration
The Company recognized a gain of $161.2 million
and $97.5 million related to the change in the fair value of the contingent consideration liability for the three and six months ended
June 30, 2024 (Successor), respectively, related to certain contingent provisions, restrictions and forfeiture provisions for Founder
Shares and certain Participating Stockholders shares, which was primarily attributable to the change in probabilities of meeting milestones
and fluctuations in stock price of the Company. See Note 6 Fair Value Measurements to the condensed
consolidated financial statements for further discussion.
Other Income (Loss), Net
Other income (loss), net was income of $10.6 million
for the three months ended June 30, 2024 (Successor), compared to a loss of $1.4 million for the three months ended June 30, 2023 (Predecessor).
The change was primarily attributable to a gain of $5.9 million for change in fair value of warrants (Successor), mainly due to the decrease
in the Company’s stock price and a decrease in the number of warrants outstanding at June 30, 2024 due to the cashless warrant exercises
and redemption of all public warrants as of June 30, 2024; income of $3.0 million related to the release of accrual for potential liquidated
damages related to the termination of the forward purchase agreements; and gain of $1.8 million related to the change in fair value of
convertible notes (Successor) compared to a loss of $1.5 million for the same period in the prior year primarily due to change in fair
value in convertible notes (Predecessor).
Other income (loss), net was a loss of $33.2 million
for the six months ended June 30, 2024 (Successor), compared to a loss of $6.0 million for the six months ended June 30, 2023 (Predecessor).
The change was primarily attributable to a loss on forward purchase agreements and derivative liabilities of $20.0 million (Successor),
mainly related to the termination of the forward purchase agreements of $19.9 million; loss of $15.0 million for change in fair value
of warrants (Successor), mainly due to the decrease in the Company’s stock price and a decrease in the number of warrants outstanding
at June 30, 2024 due to the cashless warrant exercises and redemption of public warrants as of June 30, 2024; offset by a gain of $1.7
million related to the change in fair value of convertible notes (Successor) compared to a loss of $6.1 million for the same period in
the prior year primarily related to change in fair value of convertible notes (Predecessor).
Liquidity and Capital Resources
Our primary sources of capital have been debt financing
(Predecessor) and equity financing (Successor). We have experienced recurring losses from operations and have a net capital deficiency
and negative cash flows from operations since our inception. As of June 30, 2024 (Successor), we had reported cash and cash equivalents
of $3.4 million and an accumulated deficit of $427.5 million.
On May 3, 2024, we announced preliminary top-line
results from its planned interim analysis of the Phase 2 trial with ABP-450 in the preventative treatment of chronic migraine, which did
not meet the primary or secondary endpoints. We originally intended to pursue submission of an Original BLA seeking one or more potential
therapeutic indications for ABP-450. However, in May 2024, we announced the discontinuation of our Phase 2 clinical trials for episodic
and chronic migraine in order to implement certain cash preservation measures. As a result, on July 9, 2024, we announced a strategic
reprioritization to pursue a 351(k) biosimilar regulatory pathway for ABP-450, using AbbVie Inc.’s product Botox as a proposed reference
product for all of the indications for which Botox is
35
Table of Contents
approved, other than the cosmetic uses. We are continuing to evaluate
other cash preservation measures and will review all strategic options.
Prior to the Merger, Priveterra had entered into
separate Forward Purchase Agreements with each of ACM and Polar. The Forward Purchase Agreements provided that each of Polar and ACM would
separately be paid directly the Prepayment Amount, which was equal to an aggregate of $66.7 million based on the product of (i) 6,275,000
Additional Shares and (ii) the redemption price per share of $10.63. In satisfaction of the Prepayment Amount, on July 21, 2023, $66.7
million was obligated to be paid from the purchase of the Additional Shares by each of ACM and Polar pursuant to the terms of certain
FPA Funding Amount PIPE Subscription Agreements between Priveterra and each of ACM and Polar.
On March 18, 2024, we entered into separate FPA
Termination Agreements with each of ACM and Polar terminating their respective Forward Purchase Agreements. The FPA Termination Agreement
with ACM provides that (i) ACM will retain 3,100,000 previously issued Additional Shares held by ACM pursuant to its respective Forward
Purchase Agreement and subscription agreement and (ii) we will be subject to up to $1.5 million in liquidated damages, subject to certain
conditions set forth in ACM’s respective FPA Termination Agreement. The Termination Agreement with Polar provides that (i) Polar
will retain 3,175,000 previously issued Additional Shares held by Polar pursuant to its respective Forward Purchase Agreement and subscription
agreement and (ii) we will be subject to up to $1.5 million in liquidated damages, subject to certain conditions set forth in Polar’s
respective FPA Termination Agreement. We did not have access to the Prepayment Amount at any time following the Closing and, pursuant
to the FPA Termination Agreements, ACM and Polar will retain the Prepayment Amount in full. The potential aggregate liquidated damages
of up to $3.0 million was accrued as a liability in the first quarter of 2024. However, since each FPA provider elected to remove its
respective shares from the registration statement, the Company released the liability from the condensed consolidated balance sheet as
of June 30, 2024. The terminated access to the Prepayment Amount may adversely affect our liquidity and capital needs.
On March 19, 2024, we entered into the Subscription
Agreement with Daewoong relating to our sale and issuance of Convertible Notes in the principal amount of up to $15.0 million, which are
convertible into shares of common stock, subject to certain conditions and limitations set forth in each Convertible Note. Each Convertible
Note will contain customary events of default, will accrue interest at an annual rate of 15.79% and will have a maturity date that is
three years from the funding date, unless earlier repurchased, converted or redeemed in accordance with its terms prior to such date.
We will use the net proceeds from each Convertible Note to support the late-stage clinical development of ABP-450 and for general working
capital purposes. Pursuant to the terms of the Subscription Agreement, on March 24, 2024, we issued and sold to Daewoong one Convertible
Note in the principal amount of $5.0 million. The Subscription Agreement further provides that we will issue and sell to Daewoong a second
Convertible Note in the principal amount of $10.0 million no later than thirty (30) days following our compliance with certain conditions
set forth in the Subscription Agreement, including our execution of an amendment to the License Agreement with Daewoong.
On March 19, 2024, we entered into the License Agreement
Amendment with Daewoong, which amends the License Agreement. Pursuant to the terms of the License Agreement Amendment, the License Agreement
will terminate if, over any six-month period, (a) we cease to commercialize ABP-450 in certain territories specified in the License Agreement
and (b) we cease to advance any clinical studies of ABP-450 in such territories. The License Agreement Amendment also provides that, in
the event that the License Agreement is terminated for the foregoing reasons, Daewoong will have the right to purchase all Know- How (as
defined in the License Agreement) related to ABP-450 for a price of $1.00. The Termination Purchase Right will terminate and expire upon
Daewoong’s sale of 50% of its common stock, including common stock held by its affiliates and common stock that would be issued
upon an Automatic Conversion or Optional Conversion (as defined in the Convertible Notes).
On July 9, 2024, we announced a strategic reprioritization
to pursue a Section 351(k) biosimilar regulatory pathway for ABP-450, using AbbVie Inc.’s product Botox as a proposed reference
product. We also announced our proposed plans to initiate, subject to raising additional capital, a single pivotal clinical study evaluating
ABP-450 in patients with cervical dystonia, with the goal of using the biosimilar pathway, which we plan to discuss during a meeting with
the FDA that is currently scheduled for the third quarter of 2024. We believe a successful Phase 3 comparative study in cervical dystonia
could provide the necessary clinical data to support submission of a Section 351(k) BLA, and ultimately a determination that ABP-450 is
biosimilar to the proposed reference product with respect to certain therapeutic indications. However, the commencement of such study
and any further development of ABP-450 would require additional funding in the form of equity financings or debt. There can be no assurance
that such efforts will be successful or that, in the event that they are successful, the terms and conditions of such financing will be
commercially acceptable. Furthermore, the use of equity as a source of financing would dilute existing shareholders.
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Table of Contents
As of the date of this Report, we expect to have
sufficient cash to fund our operating plan into the fourth quarter of 2024. We are actively attempting to secure additional capital to
fund our operations. However, we cannot assure you that we will be able to raise additional capital on commercially reasonable terms or
at all.
We have incurred operating losses and negative cash
flows from operating activities since inception and expect to continue to incur significant operating losses for the foreseeable future
and may never become profitable. We expect to continue to incur substantial costs in order to conduct R&D activities necessary to
develop and commercialize our product candidates. Until such time, if ever, as we can generate substantial product revenue from sales
of ABP-450, we will need additional capital to undertake these activities and commercialization efforts, and, therefore, we intend to
raise such capital through the issuance of additional equity, borrowings, and potentially strategic alliances with other companies. However,
if such financing is not available at adequate levels or on acceptable terms, we could be required to reduce the scope of or eliminate
some of our development programs or commercialization efforts, out-license intellectual property rights to our product candidates or sell
unsecured assets, or a combination of the above, any of which may have a material adverse effect on our business, results of operations,
financial condition and/or our ability to fund our scheduled obligations on a timely basis or at all. Our ability to continue as a going
concern is dependent upon our ability to successfully accomplish these plans and secure sources of financing and ultimately attain profitable
operations.
Our primary use of cash is to fund operating expenses,
which consist of R&D expenditures, including clinical trials, as well as SG&A expenditures. Cash used to fund operating expenses
is impacted by the timing of when we pay or prepay these expenses.
We may also seek to raise additional capital through
the sale of public or private equity or convertible debt securities. If we incur additional debt, the debt holders would have rights senior
to holders of common stock to make claims on our assets, and the terms of any debt could restrict our operations, including our ability
to pay dividends to holders of our common stock. If we undertake discretionary financing by issuing equity securities or convertible debt
securities, our stockholders may experience substantial dilution. We may sell common stock, convertible securities or other equity securities
in one or more transactions at a price per share that is less than the price per share paid by current public stockholders. If we sell
common stock, convertible securities, or other equity securities in more than one transaction, stockholders may be further diluted by
subsequent sales. Additionally, future equity financings may result in new investors receiving rights superior to our existing stockholders.
Because our decision to issue securities in the future will depend on numerous considerations, including factors beyond our control, we
cannot predict or estimate the amount, timing, or nature of any future issuances of debt or equity securities. As a result, our stockholders
bear the risk of future issuances of debt or equity securities reducing the value of our common stock and diluting their interests.
We may receive additional capital from the cash
exercise of the Private Placement Warrants. However, the exercise price of our Private Placement Warrants is $11.50 per warrant and the
last reported sales price of our common stock on July 22, 2024 was $2.35. The likelihood that holders of the Private Placement Warrants
will exercise their Private Placement Warrants, and therefore the likelihood of any amount of cash proceeds that we may receive, is dependent
upon the trading price of our common stock after effectiveness of the registration statement related thereto registering the issuance
of common stock underlying the Private Placement Warrants. If the trading price for our common stock does not maintain a price above $11.50
per share, we do not expect holders to exercise their Warrants for cash. We will have broad discretion over the use of any proceeds from
the exercise of such securities. Any proceeds from the exercise of such securities would increase our liquidity, but we are not currently
budgeting for any cash proceeds from the exercise of the Private Placement Warrants when planning for our operational funding needs. The
Private Placement Warrants may be exercised on a cashless basis at any time and we will not receive any proceeds from such exercise, even
if the Private Placement Warrants are in-the-money.
To the extent that we raise additional capital through
marketing and distribution arrangements or other collaborations, strategic alliances, or licensing arrangements with third parties, we
may have to relinquish valuable rights to our product candidates, future revenue streams, research programs or product licenses on terms
that may not be favorable to us. If these sources are insufficient to satisfy our liquidity requirements, we will seek to raise additional
funds through future equity or debt financings. If we raise additional funds by issuing equity securities, our stockholders would experience
dilution. Additional debt financing, if available, may involve covenants restricting our operations or our ability to incur additional
debt. There can be no assurance that our efforts to procure additional financing will be successful or that, if they are successful, the
terms and conditions of such financing will be favorable to us or our stockholders. If we are unable to raise additional financing when
needed, we may be required to delay, reduce, or terminate the development, commercialization and marketing of our products and scale back
our business and operations.
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As a result of these conditions, management has
concluded that substantial doubt about our ability to continue as a going concern exists as conditions and events, considered in the aggregate,
indicate that it is probable that we will be unable to meet our obligations as they become due within one year after the date that the
financial statements included in this Report are issued. Our financial information throughout this Report and our financial statements
included elsewhere in this Report have been prepared on a basis that assumes that we will continue as a going concern, which contemplates
the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. This financial information
and our consolidated financial statements do not include any adjustments that may result from an unfavorable outcome of this uncertainty.
Our ability to continue as a going concern is dependent upon our ability to successfully accomplish our business plans and secure sources
of financing and ultimately attain profitable operations.
Net Cash Used in Operating Activities
Net cash used in operating activities for the six
months ended June 30, 2024 (Successor) was $16.7 million, consisting primarily of a net income of $46.1 million (Successor) and non-cash
charges of $60.8 million, consisting primarily of $(1.7) million related to the change in fair value of the convertible notes (Successor),
$15.0 million related to change in fair value of warrants (Successor), $20.0 million related to loss on forward purchase agreement and
derivative liabilities (Successor), $(917.5) million related to change in fair value of contingent consideration (Successor) and a $3.3
million non-cash expense related to stock-based compensation for our executives and directors (Successor).
Net cash used in operating activities for the six
months ended June 30, 2023 (Predecessor) was $21.1 million, consisting primarily of a net loss of $33.0 million and non-cash items of
$8.7 million, consisting primarily of $6.1 million related to the change in the fair value of the convertible notes (Predecessor) and
a $2.5 million non-cash expense related to stock-based compensation for our executives and directors (Predecessor).
Cash Flows from Investing Activities
There was no cash used in investing activities for
the six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor).
Cash Flows from Financing Activities
Net cash provided by financing activities for the
six months ended June 30, 2024 (Successor) and June 30, 2023 (Predecessor) were $15.0 million and $14.0 million, respectively, primarily
related to the issuance of convertible notes.
Critical Accounting Policies and Estimates
Management’s discussion and analysis of our
financial condition and results of operations are based on our financial statements, which have been prepared in accordance with United
States generally accepted accounting principles (“GAAP”). The preparation of these financial statements requires us to make
estimates and assumptions that affect the reported amounts of assets and liabilities and related disclosure of contingent assets and liabilities,
revenue and expenses at the date of the financial statements as well as the expenses incurred during the reporting period. Generally,
we base our estimates on historical experience and on various other assumptions in accordance with United States GAAP that we believe
to be reasonable under the circumstances. Actual results may differ materially from these estimates under different assumptions or conditions
and such differences could be material to the financial position and results of operations. On an ongoing basis, we evaluate our judgments
and estimates in light of changes in circumstances, facts and experience. As of June 30, 2024, there have been no changes to our critical
accounting policies from those reported on our Annual Report Form 10-K.
JOBS Act; Smaller Reporting Company
We are an emerging growth company, as defined in
the Securities Act, as modified by the JOBS Act. For so long as we remain an emerging growth company, we are permitted and intend to rely
on certain exemptions from various public company reporting requirements, including not being required to have our internal control over
financial reporting audited by our independent registered public accounting firm pursuant to Section 404 of the Sarbanes-Oxley Act, reduced
disclosure obligations regarding executive compensation in our periodic reports and proxy statements, and exemptions from the requirements
of holding a non-binding advisory
38
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vote on executive compensation and any golden parachute payments not
previously approved. In particular, in this Report, we have provided only two years of audited financial statements and unaudited financial
statements and have not included all of the executive compensation- related information that would be required if we were not an emerging
growth company. Section 102(b)(2) of the JOBS Act allows us to delay adoption of the new or revised accounting standards until those standards
apply to non-public business entities. Accordingly, the information contained herein may be different than the information you receive
from other public companies in which you hold stock.
We will remain an emerging growth company until
the earliest of (i) the last day of the fiscal year following the fifth anniversary of Priveterra’s initial public offering (December
31, 2026), (ii) the last day of the fiscal year in which we have total annual gross revenue of at least $1.235 billion, (iii) the last
day of the fiscal year in which we are deemed to be a “large accelerated filer” as defined in Rule 12b-2 under the Exchange
Act, which would occur if the market value of our common stock held by non-affiliates exceeded $700.0 million as of the last business
day of the second fiscal quarter of such year, or (iv) the date on which we have issued more than $1.0 billion in non-convertible debt
securities during the prior three-year period.
We are also a “smaller reporting company,”
as such term is defined in Rule 12b-2 of the Exchange Act, meaning that the market value of our common stock held by non-affiliates plus
the proposed aggregate amount of gross proceeds to us as a result of this offering is less than $700 million and our annual revenue is
less than $100 million during the most recently completed fiscal year. We will continue to be a smaller reporting company if either (i)
the market value of our common stock held by non-affiliates is less than $250 million or (ii) our annual revenue is less than $100 million
during the most recently completed fiscal year and the market value of our common stock held by non-affiliates is less than $700 million.
If we are a smaller reporting company at the time we cease to be an emerging growth company, we may continue to rely on exemptions from
certain disclosure requirements that are available to smaller reporting companies.
Specifically, as a smaller reporting company, we
may choose to present only the two most recent fiscal years of audited financial statements in our Annual Report on Form 10-K and, similar
to emerging growth companies, smaller reporting companies have reduced disclosure obligations regarding executive compensation. Investors
could find our common stock less attractive to the extent we rely on these exemptions. If some investors find our common stock less attractive
as a result, there may be a less active trading market for our common stock and the trading price may be more volatile.
Recently Issued and Adopted Accounting Pronouncements
We describe the recently issued
accounting pronouncements that apply to us in Note 2 Summary of Significant Accounting Policies
of the condensed consolidated financial statements.
Item 3. Quantitative and Qualitative Disclosures About Market
Risk
The Company is a smaller reporting company as defined
by Rule 12b-2 of the Exchange Act and is not required to provide the information under this Item.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Disclosure controls and procedures
are designed to ensure that information required to be disclosed by us in our Exchange Act reports is recorded, processed, summarized
and reported within the time periods specific in the SEC rules and forms, and that such information is accumulated and communicated to
our management, including our principal executive officer and principal financial officer or persons performing similar functions, as
appropriate to allow timely decisions regarding required disclosure.
Per Rules 13a-15(e) and 15d-15(e),
the term disclosure controls and procedures means controls and other procedures of an issuer that are designed to ensure that information
required to be disclosed by the issuer in the reports that it files or submits under the Exchange Act (15 U.S.C. 78a et seq.) is recorded,
processed, summarized, and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures
include, without limitation, controls and procedures designed to ensure that information required to be disclosed by an issuer in the
reports that it files or submits under the Exchange Act is accumulated and communicated to
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the issuer’s management, including its Chief
Executive Officer and Chief Financial Officer, or persons performing similar functions, as appropriate to allow timely decisions regarding
required disclosure.
Our management, including our chief executive officer
and chief financial officer, or persons performing similar functions, does not expect that our disclosure controls and procedures or our
internal control over financial reporting will prevent all errors and all fraud due to inherent limitations of internal controls. Because
of such limitations, there is a risk that material misstatements will not be prevented or detected on a timely basis by internal control
over financial reporting. However, these inherent limitations are known features of the financial reporting process. Therefore, it is
possible to design into the process safeguards to reduce, though not eliminate, this risk. A material weakness is a deficiency, or a combination
of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement
of the Company’s annual or interim financial statements will not be prevented or detected on a timely basis.
Our Chief Executive Officer (“certifying officer”),
in his role as Principal Executive and Financial Officer, has conducted an evaluation of the effectiveness of the design and operation
of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended
(the Exchange Act)) as of June 30, 2024. Our certifying officer concluded that, as a result of the material weaknesses in internal control
over financial reporting as described below, our disclosure controls and procedures were not effective as of June 30, 2024.
Our certifying officer concluded
that the Company did not have an effective risk assessment over complex transactions due to the lack of sufficient and qualified resources.
This also led to a deficiency in the design and implementation of controls over in-process research and development and valuation of financial
instruments. The material weaknesses resulted in a restatement of our financial statements as described in the Explanatory Note to the
Quarterly Report Form 10Q/A for the quarter ended September 30, 2023 filed on March 29, 2024 and the Explanatory Note to the Annual Report
Form 10K/A for the year ended December 31, 2023 filed on May 14, 2024. Furthermore, the control deficiencies described above created a
reasonable possibility that a material misstatement to the consolidated financial statements would not be prevented or detected on a timely
basis.
Additionally, as previously disclosed, on July 21,
2023, AEON completed a Merger with Old AEON and Merger Sub, pursuant to which Merger Sub merged with and into Old AEON, with Old AEON
surviving the merger as a wholly-owned subsidiary of AEON. Prior to the Merger, Priveterra was a special purpose acquisition company formed
for the purpose of effecting a merger, capital stock exchange, asset acquisition, stock purchase, reorganization, or other similar business
combination with one or more target businesses. As a result, previously existing internal controls are no longer applicable or comprehensive
enough as of the assessment date considering the Company’s operations prior to the Merger were insignificant compared to those of
the Post-Combination Company. The design and implementation of internal controls over financial reporting for the Post-Combination Company
has required and will continue to require significant time and resources from management and other personnel.
Based on our assessment, we have continued to identify
a material weakness in connection with Priveterra’s internal controls around the interpretation and accounting for extinguishment
of a significant contingent obligation as of December 31, 2022 that were not effectively designed or maintained.
Remediation Status of Material Weaknesses in Internal Control over
Financial Reporting
We plan to enhance our processes by designing and
implementing controls to review the results of valuations and estimates, including the completeness and accuracy of relevant data elements
included in the valuation or estimate. We also plan to engage additional qualified resources and/or hire additional staff to ensure these
incremental controls are properly implemented.
Management continues to be actively engaged to take
steps to remediate the material weaknesses, including transition of financial reporting responsibilities from Priveterra to AEON and enhanced
processes to identify and appropriately apply applicable accounting requirements to better evaluate and understand the nuances of the
complex accounting standards that apply to our consolidated financial statements, providing enhanced access to accounting literature,
research materials and documents, and increased communication among our personnel and third-party professionals with whom we consult regarding
complex accounting applications.
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Changes in Internal Control over Financial Reporting
Management has continued to take action to remediate
the material weaknesses during the quarterly period ended June 30, 2024. However, the material weaknesses will not be considered remediated
until management designs and implements effective controls that operate for a sufficient period of time and management has concluded,
through testing, that these controls are effective.
Other than described above, there has not been any
changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15(d)-15(f) under the Exchange Act) during
the quarter to which this Report relates 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
On September 18, 2023, Odeon Capital Group LLC (“Odeon”)
filed a lawsuit against the Company in the Supreme Court of the State of New York, alleging that the Company failed to pay Odeon’s
deferred underwriting fee of $1.25 million. Odeon claims that it served as the underwriter for Priveterra Acquisition Corp., the special
purpose acquisition company with which Old AEON merged with and into in July 2023. Odeon seeks monetary damages for the full amount of
its claimed underwriting fee, punitive damages, attorneys’ fees and other amounts. On November 16, 2023, the Company filed a motion
to dismiss certain claims included in Odeon’s complaint.
Item 1A. Risk Factors
We are subject to various risks
and uncertainties in the course of our business. You should carefully consider the risks and uncertainties described below and the other
information in this Quarterly Report on Form 10-Q (this “Report”) before making an investment in our Class A common stock,
par value $0.0001 per share (“Common Stock”). Our business, financial condition, results of operations, or prospects could
be materially and adversely affected if any of these risks occur, and as a result, the market price of our common stock could decline
and you could lose all or part of your investment. This Report also contains forward-looking statements that involve risks and uncertainties.
See “Cautionary Note Regarding Forward-Looking
Statements.” Our actual results could differ materially and adversely from those anticipated in these forward-looking statements
as a result of certain factors, including those set forth below.
Summary of Principal Risks Associated
with Our Business
|
● |
Our management has concluded that uncertainties around our ability to raise additional capital raise substantial doubt about our ability to continue as a going concern. We will require additional financing to fund our future operations. Any failure to obtain additional capital when needed on acceptable terms, or at all, could force us to delay, limit, reduce or terminate our operations. |
|
● |
Our future success currently depends entirely on the successful and timely regulatory approval and commercialization of our only product candidate, ABP-450. The development and commercialization of pharmaceutical products is subject to extensive regulation, and we may not obtain regulatory approvals for ABP-450 on a timely basis or at all. |
|
● |
Clinical product development involves a lengthy, expensive and uncertain process. We may incur greater costs than we anticipate or encounter substantial delays or difficulties in our clinical studies. |
|
● |
Even if ABP-450 receives regulatory approval for any of our proposed indications, it may fail to achieve the broad degree of market acceptance by physicians, patients, third-party payors and others in the medical community necessary for commercial success. |
|
● |
ABP-450, if approved, will face significant competition and our failure to effectively compete may prevent us from achieving significant market penetration and expansion. |
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|
● |
If we fail to attract and keep senior management and key scientific personnel, we may be unable to successfully develop ABP-450 in any of our proposed therapeutic indications, conduct our clinical studies and commercialize ABP-450. |
|
● |
We rely on the Daewoong Agreement to provide us exclusive rights to commercialize and distribute ABP-450 in certain territories. Any termination or loss of significant rights, including exclusivity, under the Daewoong Agreement would materially and adversely affect our development or commercialization of ABP-450. |
|
● |
We currently rely solely on Daewoong to manufacture ABP-450, and as such, any production or other problems with Daewoong could adversely affect us. The manufacture of biologics is complex and Daewoong may encounter difficulties in production that may impact our ability to provide supply of ABP-450 for clinical studies, our ability to obtain marketing approval, or our ability to obtain commercial supply of our products, which, if approved, could be delayed or stopped. |
|
● |
Third-party claims of intellectual property infringement, misappropriation or violation, or challenges related to the invalidity or unenforceability of any issued patents we may obtain or in-license may prevent or delay our development and commercialization efforts or otherwise adversely affect our results of operations. |
|
● |
Our business and products are subject to extensive government regulation. |
|
● |
Legislative or regulatory healthcare reforms in the United States and other countries may make it more difficult and costly for us to obtain regulatory clearance or approval of ABP-450 and to produce, market, and distribute our products after clearance or approval is obtained. |
|
● |
The price of our common stock may be volatile. |
|
● |
Sales of a substantial number of our securities in the public market by our existing securityholders could cause the price of our common stock and warrants to fall. |
|
● |
We will require additional capital, which additional financing may result in restrictions on our operations or substantial dilution to our stockholders, to support the growth of our business, and this capital might not be available on acceptable terms, if at all. |
Risks Related to Our Business Operations and
Financial Position
We have a limited operating history and have
incurred significant losses since our inception and anticipate that we will continue to incur losses for the foreseeable future. If we
ever achieve profitability, we may not be able to sustain it.
We are a clinical stage biopharmaceutical
company with a limited operating history. Pharmaceutical product development is a highly speculative undertaking and involves a substantial
degree of risk. Old AEON was originally incorporated in 2012 but did not begin focusing its efforts and financial resources on the clinical
development and regulatory approval of ABP-450 for therapeutic indications until 2019. The operating history upon which investors must
evaluate our business and prospects is limited. Consequently, any predictions about our future success, performance or viability may not
be as accurate as they could be if we had a longer operating history or a history of commercial operations. In addition, as an organization,
we have limited experience and have not yet demonstrated an ability to successfully overcome many of the risks and uncertainties frequently
encountered by companies in the biopharmaceutical market. To date, we have not obtained any regulatory approvals for ABP-450 or generated
any revenue from product sales relating to ABP-450. On May 16, 2024, we announced the discontinuation of our Phase 2 double blind study
of ABP-450 in the treatment of episodic migraine and chronic migraine, which had previously completed enrollment and dosing of patients,
and ceased enrollment and dosing of patients in our open label extension study related to such study, in order to implement certain cash
preservation measures while the Company continues to evaluate its strategic options. On July 9, 2024, we announced a strategic reprioritization
to seek regulatory approval of ABP-450 as a biosimilar product in the United States through submission of a Biologics License Application,
or BLA, under Section 351(k) of the Public Health Service Act, or a Section 351(k) BLA, using AbbVie Inc.’s product Botox as the
reference product, for all of the indications for which Botox is approved, other than the cosmetic uses (for which we do not hold development
or commercialization rights). We also announced our proposed plans to initiate a single pivotal clinical
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study in patients with cervical dystonia for ABP-450
with the goal of using the biosimilar pathway, which we plan to discuss during a meeting with the FDA that is currently scheduled for
the third quarter of 2024.
Because we have not
yet received regulatory approvals, we are not permitted to market ABP-450 for any use in the United States or in any other territory,
and as such, we have not generated any revenue from sales of ABP-450 to date. We have recorded losses from operations of $29.6 million,
income of $29.6 million and loss of $48.4 million for the periods January 1, 2023 to July 21, 2023 (Predecessor), July 22, 2023 to December
31, 2023 (Successor) and for the year ended December 31, 2022, respectively; and we have net losses of $60.7 million, income of $24.0
million and loss of $52.6 million for the periods January 1, 2023 to July 21, 2023 (Predecessor), July 22, 2023 to December 31, 2023 (Successor)
and for the year ended December 31, 2022, respectively. Losses from operations, excluding the impact of changes in fair value of
the contingent consideration, were $7.8 million, $18.1 million, $14.0 million and $27.0 million for the three and six months ended June
30, 2024 (Successor) and June 30, 2023 (Predecessor), respectively. Consolidated net income (loss) were income of $164.1 million and $46.1
million for the three and six months ended June 30, 2024 (Successor), respectively, and losses of $15.4 million and $33.0 million for
the three and six months ended June 30, 2023 (Predecessor), respectively. As of June 30, 2024, we had $3.4 million in cash and cash equivalents.
As a result of our ongoing losses, as of June 30, 2024 (Successor), we had an accumulated deficit of $427.5
million. We expect to continue to incur losses for the foreseeable future, and we anticipate these losses will increase as we continue
to seek regulatory approval for, and begin to commercialize, ABP- 450, if approved. We may encounter unforeseen expenses, difficulties,
complications, delays and other unknown factors that may adversely affect our business. The size of our future net losses will depend,
in part, on the rate of future growth of our expenses and our ability to generate revenues. Our prior losses and expected future losses
have had and will continue to have an adverse effect on our stockholders’ equity (deficit) and working capital. Because of the numerous
risks and uncertainties associated with drug development, we are unable to accurately predict the timing or amount of increased expenses,
or when, if at all, we will be able to achieve profitability. Even if we achieve profitability in the future, we may not be able to sustain
profitability in subsequent periods. Our prior losses, combined with expected future losses, may adversely affect the market price of
common stock and our ability to raise capital and continue operations.
Our management has concluded that uncertainties
around our ability to raise additional capital raise substantial doubt about our ability to continue as a going concern. We will require
additional financing to fund our future operations. Any failure to obtain additional capital when needed on acceptable terms, or at all,
could force us to delay, limit, reduce or terminate our operations.
We have concluded that we do not
have sufficient cash to fund our operations and to meet our obligations as they become due within one year from the date that our consolidated
financial statements are issued and as a result, there is substantial doubt about our ability to continue as a going concern. Our ability
to continue as a going concern is an issue raised as a result of ongoing operating losses and a lack of financing commitments to meet
cash requirements, and is subject to our ability to generate a profit or obtain appropriate financing from outside sources, including
obtaining additional funding from the sale of our securities or obtaining loans from third parties where possible. We will need to raise
additional capital to fund our operations. We cannot assure you that we will be able to raise additional capital on commercially reasonable
terms or at all. The perception that we may not be able to continue as a going concern may materially limit our ability to raise additional
funds through the issuance of new debt or equity securities or otherwise and no assurance can be given that sufficient funding will be
available when needed to allow us to continue as a going concern. This perception may also make it more difficult to operate our business
due to concerns about our ability to meet our contractual obligations. If we cannot continue as a going concern, we may have to liquidate
our assets and may receive less than the value at which those assets are carried on our financial statements, and it is likely that our
stockholders may lose some or all of their investment in us.
We expect that we will continue
to expend substantial resources for the foreseeable future in order to complete development of and seek regulatory approval for ABP-450
as a biosimilar to Botox, identify future potential therapeutic applications for ABP-450 and establish sales and marketing capabilities
to commercialize ABP-450 across any approved indications.
We expect to have sufficient cash
to fund our operating plan into the fourth quarter of 2024. We have based these estimates, however, on assumptions that may prove to be
wrong, and we could spend our available capital resources much faster than we currently expect or require more capital to fund our operations
than we currently expect. Our future capital requirements depend on many factors, including:
•the
timing of, and the costs involved in, obtaining regulatory approvals for ABP-450;
•the
scope, progress, results and costs of researching and developing ABP-450, and conducting preclinical and clinical studies, including any
studies required by the FDA to support submission of a Section 351(k) BLA;
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•the
cost of commercialization activities if ABP-450 is approved for sale, including marketing, sales and distribution costs;
•costs
under our third-party manufacturing and supply arrangements for ABP-450 and any products we commercialize;
•the
degree and rate of market acceptance of ABP-450, if approved, or any future approved products;
•the
emergence, approval, availability, perceived advantages, relative cost, relative safety and relative efficacy of alternative and competing
products;
•costs
associated with any acquisition or in-license of products and product candidates, technologies or businesses, and the terms and timing
of any strategic collaboration or other arrangement;
•the
terms of any conversion of the senior secured convertible notes in the principal amount of $15.0 million (each a “Convertible Note”
and together, the “Convertible Notes”), pursuant to a subscription agreement (the “Subscription Agreement”), dated
as of March 19, 2024, with Daewoong Pharmaceutical Co. Ltd. (“Daewoong”), into shares of common stock, subject to certain
conditions and limitations set forth in each Convertible Note
•the
timing and terms of any liquidated damages cash payments under the separate termination agreements, dated as of March 18, 2024 (each,
a “FPA Termination Agreement” and together, the “FPA Termination Agreements”), with each of ACM ARRT J LLC (“ACM”),
and Polar Multi-Strategy Master Fund (“Polar”) (each of ACM and Polar, individually, a “Seller”, and together,
the “Sellers”), terminating their respective Forward Purchase Agreements with us, dated as of June 29, 2023, for an OTC Equity
Prepaid Transaction (each, a “Forward Purchase Agreement”, and together, the “Forward Purchase Agreements”), which
in certain circumstances may require aggregate payments of up to $3.0 million by us to the Sellers under the FPA Termination Agreements;
and
•costs
of operating as a public company.
If we raise additional capital through
marketing and distribution arrangements or other collaborations, strategic alliances or licensing arrangements with third parties, we
may have to relinquish certain valuable rights to our product candidate(s), technologies, future revenue streams or research programs
or may have to grant licenses on terms that may not be favorable to us. If we raise additional capital through public or private equity
offerings or offerings of securities convertible into our equity, the ownership interest of stockholders will be diluted and the terms
of any such securities may have a preference over our common stock. Debt financing, receivables financing and royalty financing may also
be coupled with an equity component, such as warrants to purchase our capital stock, which could also result in dilution of our existing
stockholders’ ownership, and such dilution may be material.
Furthermore, if we raise additional
capital through debt financing, we will have increased fixed payment obligations and may be subject to covenants limiting or restricting
our ability to take specific actions, such as incurring additional debt or making capital expenditures to meet specified financial ratios,
and other operational restrictions, any of which could restrict our ability to commercialize ABP-450 or to operate as a business and may
result in liens being placed on our assets. If we were to default on any of our indebtedness, we could lose such assets. Additional funding
may not be available on acceptable terms, or at all. The global credit and financial markets have experienced volatility and disruptions
recently, including diminished liquidity and credit availability, declines in consumer confidence, declines in economic growth, increases
in unemployment rates, and uncertainty about economic stability. If the equity and credit markets deteriorate, it may make any necessary
debt or equity financing more difficult, more costly or more dilutive.
Our future success currently depends entirely
on the successful and timely regulatory approval and commercialization of our only product candidate, ABP-450. The development and commercialization
of pharmaceutical products is subject to extensive regulation, and we may not obtain regulatory approvals for ABP-450 on a timely basis
or at all.
The clinical development, manufacturing,
labeling, storage, record-keeping, advertising, promotion, import, export, marketing and distribution of biological products, including
ABP-450, are subject to extensive regulation by the FDA in the U.S. and by comparable foreign regulatory authorities in foreign markets.
Regulatory approval of biologics in the United States requires the submission of a BLA to the FDA. A BLA must be supported by extensive
clinical and preclinical data, as well as extensive information regarding pharmacology, chemistry, manufacturing and controls demonstrating
the safety, purity and potency of the biological product for its intended uses. FDA approval of a BLA is not guaranteed, and the review
and approval process is an expensive and uncertain process that may take several years. The FDA also has substantial discretion in the
approval process, including the ability to delay, limit or deny approval of a product candidate for many reasons. Despite the time and
expense invested in clinical development of product candidates,
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regulatory approval of a product candidate is never
guaranteed. Of the large number of drugs in development, only a small percentage successfully complete the FDA or foreign regulatory approval
processes and are commercialized.
Prior to obtaining approval to commercialize
any product candidate in the United States or abroad, we must demonstrate with substantial evidence from well-controlled clinical trials,
and to the satisfaction of the FDA or comparable foreign regulatory authorities, that our product candidate, ABP-450, is safe and effective
for its intended uses and in the case of biological products in the U.S., such as ABP-450, that such product candidate is safe, pure and
potent for its intended uses. Results from preclinical studies and clinical trials can be interpreted in different ways. Even if we believe
that the preclinical or clinical data for our product candidates, including ABP-450, are promising, such data may not be sufficient to
support approval for further development, manufacturing or commercialization of our product candidates by the FDA and other regulatory
authorities. The FDA or other regulatory authorities may also require us to conduct additional preclinical studies or clinical trials
for our product candidates either prior to or post-approval, or it may object to elements of our clinical development program, requiring
their alteration. The number and types of preclinical studies and clinical studies that will be required for BLA approval varies depending
on the product candidate, the disease or the condition that the product candidate is designed to treat and the regulations applicable
to any particular product candidate.
The FDA and other regulatory authorities
can delay, limit or deny approval of a product candidate for many reasons, including the following:
•such
authorities may disagree with the design or execution of our clinical trials;
•negative
or ambiguous results from our clinical trials or results may not meet the level of statistical significance or persuasiveness required
by the FDA or comparable foreign regulatory agencies for approval
•serious
and unexpected drug-related side effects may be experienced by participants in our clinical trials or by individuals using drugs similar
to our product candidates;
•the
population studied in the clinical trial may not be sufficiently broad or representative to assure safety in the full population for which
we seek approval;
•serious
and unexpected drug-related side effects may be experienced by participants in our clinical trials or by individuals using products similar
to our product candidates;
•the
populations we evaluate in our the clinical trials may not be sufficiently broad or representative to assure safety in the full population
for which we seek approval;
•such
authorities may not accept clinical data from trials that are conducted at clinical facilities or in countries where the standard of care
is potentially different from that of their own country;
•such
authorities may disagree with our interpretation of data from preclinical studies or clinical trials;
•we
may be unable to demonstrate that a product candidate is safe, pure, potent, or effective for its intended uses, that such product candidate’s
clinical and other benefits outweigh its safety risks, or that such product candidate is biosimilar to a reference product;
•such
authorities may not agree that the data collected from clinical trials of our product candidates are acceptable or sufficient to support
the submission of a Section 351(k) BLA or other submission or to obtain regulatory approval in the U.S. or elsewhere, and such authorities
may impose requirements for additional preclinical studies or clinical trials;
•such
authorities may disagree with us regarding the formulation, labeling and/or the product specifications of our product candidates;
•approval
may be granted only for indications that are significantly more limited than those sought by us, and/or may include significant restrictions
on distribution and use;
•such
authorities may find deficiencies in the manufacturing processes or facilities of the third-party manufacturers with which we contract
for clinical and commercial supplies; or
•the
FDA and other regulatory agencies may change their approval policies or adopt new regulations.
If ABP-450 fails to demonstrate
the requisite safety, purity, potency or biosimilarity in our planned clinical studies or does not gain approval, our business and results
of operations will be materially and adversely harmed.
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We are currently planning to pursue
approval for ABP-450 in the United States as a biosimilar to Botox, and our business presently depends entirely on our ability to obtain
regulatory approval for ABP-450 and to successfully commercialize it in a timely manner. To date, as an organization, we have completed
one clinical study evaluating ABP-450 for the treatment of cervical dystonia. We originally intended to pursue submission of an Original
BLA seeking one or more potential therapeutic indications for ABP-450. However, our Phase 2 clinical trials for episodic and chronic migraine
did not meet their respective primary endpoints. In May 2024, we announced the discontinuation of our Phase 2 clinical trials for episodic
and chronic migraine in order to implement certain cash preservation measures. As a result, on July 9, 2024, we announced a strategic
reprioritization to pursue a Section 351(k) BLA for ABP-450, using AbbVie Inc.’s product Botox as a proposed reference product,
for which we would seek approval for all of the indications for which Botox is approved, other than the cosmetic uses. We also announced
our proposed plans to initiate a single pivotal clinical study evaluating ABP-450 in patients with cervical dystonia, with the goal of
using the biosimilar pathway, which we plan to discuss during a meeting with the FDA, currently scheduled for the third quarter of 2024.
Although we believe ABP-450 represents
a favorable candidate to develop as a biosimilar product, the FDA may indicate that a biosimilar pathway is not feasible, or prohibitively
challenging, with a neurotoxin. For example, the FDA could require us to perform analytical testing procedures for ABP-450 that are not
technologically feasible, or could disagree that the results from a single pivotal study could support submission of a Section 351(k)
BLA. Even if the FDA acknowledges that ABP-450 has the potential to be developed as a biosimilar product, we may not be able to successfully
complete our planned clinical study, or successfully prepare, submit, and obtain approval of a Section 351(k) BLA in a timely manner,
or at all.
We have no products currently approved
for sale and we may never be able to develop marketable products. We are not permitted to market ABP-450 in the United States unless we
receive approval of a BLA from the FDA or approval of a similar application in any other countries permitted under the Daewoong Agreement.
We can provide no assurances that ABP-450 will be successful in clinical studies or will ultimately receive regulatory approval. In addition,
if we receive approval in one country, we may not receive a similar approval in any other jurisdiction.
Even if we obtain regulatory approvals
for ABP-450 we may never be able to successfully commercialize ABP-450. We will need to transition at some point from a company with a
development focus to a company capable of supporting commercial activities, including by obtaining approval for coverage and adequate
reimbursement from third-party and government payors, but we may not be successful in such a transition. Accordingly, we may not be able
to generate sufficient revenue through the sale of ABP-450 to continue our business.
Clinical product development involves a lengthy,
expensive and uncertain process. We may incur greater costs than we anticipate or encounter substantial delays or difficulties in our
clinical studies.
We may not commercialize, market,
promote or sell any product candidate, including ABP-450, without obtaining regulatory approval from the FDA or other regulatory agencies,
and we may never receive such approvals.
Clinical testing is expensive, difficult
to design and implement, can take many years to complete and is uncertain as to outcome. We cannot guarantee that any clinical studies
will be conducted as planned or completed on schedule, if at all. A failure of one or more clinical studies can occur at any stage of
testing. Moreover, preclinical and clinical data are often susceptible to varying interpretations and analyses, and many companies that
have believed their product candidates performed satisfactorily in preclinical studies and clinical studies have nonetheless failed to
obtain regulatory approval of their product candidates.
The results from preclinical studies
or early clinical trials of a product candidate may not predict the results of later clinical trials of the product candidate, and interim
results of a clinical trial are not necessarily indicative of final results. Product candidates in later stages of clinical trials may
fail to show the desired characteristics despite having progressed through preclinical studies and initial clinical trials. In particular,
while we have conducted clinical studies evaluating ABP-450 in patients with cervical dystonia and migraines, we do not know whether our
product candidates will perform similarly in future clinical trials. It is not uncommon to observe results in clinical trials that are
unexpected based on preclinical studies and early clinical trials, and many product candidates fail in clinical trials despite very promising
early results. For example, our Phase 2 clinical trials for episodic and chronic migraine did not meet their respective primary endpoints.
As a result, in May 2024, we announced the discontinuation of our Phase 2 clinical trials for episodic and chronic migraine in order to
implement certain cash preservation measures.
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We do not know whether our planned
clinical trials will be completed on schedule, if at all. We may experience numerous unforeseen events prior to, during, or as a result
of, clinical studies that could delay or prevent our ability to receive regulatory approval or to commercialize ABP-450 or any other product
candidate, including the following:
•delays
in reaching a consensus with regulatory authorities on the design or implementation of our clinical studies;
•regulators
or institutional review boards, or IRBs, and ethics committees may not allow or authorize us or our investigators to commence a clinical
study or conduct a clinical study at a prospective study site;
•delays
in identifying, recruiting and training suitable clinical investigators;
•delays
in reaching agreement on acceptable terms with prospective contract research organizations, or CROs. and clinical study sites, the terms
of which can be subject to extensive negotiation and may vary significantly among different CROs and trial sites;
•delays
or failures by our contract manufacturers, including Daewoong, to comply with current Good Manufacturing Practices, or cGMPs, or other
applicable requirements, or to provide sufficient supply of ABP-450 for use in our clinical studies;
•the
number of patients required for clinical studies of ABP-450 may be larger than we anticipate, enrollment in these clinical studies may
be slower than we anticipate, participants may drop out of these clinical studies at a higher rate than we anticipate or fail to return
for post-treatment follow-up or we may fail to recruit suitable patients to participate in a study;
•IRBs
refusing to approve, suspending or terminating the trial at an investigational site, precluding enrollment of additional subjects, or
withdrawing their approval of the trial;
•changes
or amendments to the clinical trial protocol;
•clinical
sites deviating from the trial protocol or dropping out of a trial;
•failure
by our CROs to perform in accordance with Good Clinical Practice, or GCP, requirements or applicable regulatory rules and guidelines in
other countries;
•lack
of adequate funding to continue a clinical trial, or costs being greater than we anticipate;
•subjects
experiencing severe or serious unexpected drug-related adverse effects;
•clinical
studies of ABP-450 may produce negative or inconclusive results;
•imposition
of a clinical hold by regulatory authorities as a result of a serious adverse event, concerns with a class of product candidates or after
an inspection of our clinical study operations, study
sites or manufacturing
facilities;
•we
may decide, or regulators may require us, to conduct additional clinical studies or abandon product development programs; or
•the
impacts of any public health outbreaks (such as the COVID-19 pandemic) on our ongoing and planned clinical studies.
Any inability to successfully complete
preclinical and clinical development could result in additional costs to us or impair our ability to generate revenue from future product
sales or other sources. In addition, if we make manufacturing or formulation changes to ABP-450, we may need to conduct additional testing
to bridge our modified product candidate to earlier versions. Clinical study delays could also shorten any periods during which we may
have the exclusive right to commercialize ABP-450, if approved, or allow our competitors to bring competing products to market before
we do, which could impair our ability to successfully commercialize ABP-450 and may harm our business, financial condition, results of
operations and prospects.
Additionally, if the results of
our clinical studies are inconclusive or if there are safety concerns or serious adverse events associated with ABP-450, we may:
•be
delayed in obtaining regulatory approval, or not obtain regulatory approval at all;
•obtain
approval in patient populations that are not as broad as intended or desired;
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•obtain
approval with labeling that includes significant use or distribution restrictions or safety warnings or be subject to the addition of
labeling statements, such as warnings or contraindications;
•be
subject to additional post-marketing testing requirements;
•be
required to perform additional clinical studies to support approval or be subject to additional post- marketing testing requirements;
•have
regulatory authorities withdraw, or suspend, their approval of the product or impose restrictions on its distribution in the form of a
risk evaluation and mitigation strategy, or REMS;
•be
sued; or
•experience
damage to our reputation.
Our product development costs will
also increase if we experience delays in testing or obtaining regulatory approvals. We do not know whether any of our preclinical studies
or clinical studies will begin as planned, need to be restructured or be completed on schedule, if at all.
Further, we, the FDA, a foreign
regulatory authority, an ethics committee or an institutional review board may suspend our clinical studies at any time if it appears
that we are failing to conduct a study in accordance with regulatory requirements, including among other things, the FDA’s GCP regulations,
that we are exposing participants to unacceptable health risks, or if the FDA other regulatory agency finds deficiencies in our current
or planned investigational new drug applications, or INDs, or other clinical study applications, or the conduct of these studies. Therefore,
we cannot predict with any certainty the schedule for commencement and completion of future clinical studies, including our planned pivotal
trial for ABP-450. If we experience delays in the commencement or completion of our clinical studies, or if we terminate a clinical study
prior to completion, the commercial prospects of ABP-450 could be negatively impacted, and our ability to generate revenue from ABP-450
may be delayed.
Additionally, certain of our scientific
advisors or consultants who receive compensation from us are likely to be investigators for our future clinical studies. Under certain
circumstances, we may be required to report some of these relationships to the FDA. The FDA may conclude that a financial relationship
between us and a principal investigator has created a conflict of interest or otherwise affected interpretation of the study. The FDA
may therefore question the integrity of the data generated at the applicable clinical study site and the utility of the clinical study
itself may be jeopardized. This could result in a delay in approval, or rejection, of our marketing applications by the FDA and may ultimately
lead to the denial of regulatory approval of ABP-450. If we experience delays in the completion of, or termination of, any clinical study
of ABP-450, the commercial prospects of ABP-450 will be harmed, and our ability to generate product revenue will be delayed. Moreover,
any delays in completing our clinical studies will increase our costs, slow down our development and approval process and jeopardize our
ability to commence product sales and generate revenues which may harm our business, financial condition and prospects significantly.
Enrollment and retention of patients in clinical
studies is an expensive and time-consuming process and could be delayed, made more difficult or rendered impossible by multiple factors
outside our control. If we experience delays or difficulties in enrolling patients in clinical studies, our clinical development activities
could be delayed or otherwise adversely affected.
Identifying and qualifying patients
to participate in our clinical studies is critical to our success. We may encounter difficulties in enrolling patients in our clinical
studies and may compete against other clinical studies for the same pool of potential patients, thereby delaying or preventing development
and potential regulatory approval of ABP-450. For example, we currently plan to initiate, subject to raising additional capital, a Phase
3 clinical study evaluating ABP-450 in patients with cervical dystonia, which represents a small patient population. Even once enrolled,
we may be unable to retain a sufficient number of patients to complete any of our studies on a timely basis or at all.
Patient enrollment in clinical trials
may be affected by other factors, including:
•size
and nature of the targeted patient population;
•severity
of the disease or condition under investigation;
•availability
and efficacy of approved therapies for the disease or condition under investigation;
•patient
eligibility criteria for the trial in question as defined in the protocol;
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•perceived
risks and benefits of the product candidate under study;
•clinicians’
and patients’ perceptions as to the potential advantages of the product candidate being studied in relation to other available therapies,
including any products that may be approved for, or any product candidates under investigation for, the indications we are investigating;
•efforts
to facilitate timely enrollment in clinical trials;
•patient
referral practices of physicians;
•the
ability to monitor patients adequately during and after treatment;
•proximity
and availability of clinical trial sites for prospective patients;
•our
ability to engage with patient communities and advocacy groups;
•continued
enrollment of prospective patients by clinical trial sites; and
•the
risk that patients enrolled in clinical trials will drop out of such trials before completion.
We also rely on, and will continue
to rely on, CROs and clinical trial sites to ensure proper and timely conduct of our clinical trials and preclinical studies. Though we
have entered into agreements governing their services, we will have limited influence over their actual performance. Our inability to
enroll a sufficient number of patients for our clinical trials would result in significant delays or may require us to abandon one or
more clinical trials altogether. Enrollment delays in our clinical trials may result in increased development costs for ABP-450 and any
other product candidate and jeopardize our ability to obtain regulatory approval. Furthermore, even if we are able to enroll a sufficient
number of patients for our clinical trials, we may have difficulty maintaining enrollment of such patients in our clinical trials.
ABP-450 may cause undesirable side effects
or have other properties that could delay or prevent its regulatory approval, limit its commercial potential or result in significant
negative consequences following any potential regulatory approval.
During the conduct of clinical studies,
patients report changes in their health, including illnesses, injuries and discomforts, to their doctor. Often, it is not possible to
determine whether or not the product candidate being studied caused or contributed to these conditions and regulatory authorities may
draw different conclusions from us and require additional testing to confirm these determinations, if they occur. Any adverse events or
undesirable side effects caused by, or other unexpected properties of, ABP-450 could cause us, any future collaborators, IRB, or ethics
committee or regulatory authorities to interrupt, delay or halt clinical studies of ABP-450 and could result in a more restrictive label
or the delay or denial of regulatory approval by the FDA or other regulatory authorities.
In addition, it is possible that
as we test ABP-450 in larger, longer and more extensive clinical studies, or as use of ABP-450 becomes more widespread if it receives
regulatory approval, that illnesses, injuries, discomforts and other adverse events that were not observed in earlier studies conducted
by us, or, in the case of ABP-450, by others using the same botulinum toxin, as well as conditions that did not occur or went undetected
in previous studies, will be reported by subjects or patients. Many times, side effects are only detectable after investigational products
are tested in large-scale pivotal studies or, in some cases, after they are made available to patients on a commercial scale after approval.
If additional clinical experience indicates that ABP-450 has side effects or causes serious or life-threatening side effects, the development
of ABP-450 may fail or be delayed. Additionally, there is the risk that as botulinum toxins other than ABP-450 are approved for and studied
in connection with a broader range of diseases and conditions and across a more diverse population, additional safety signals and other
adverse events may be identified. All botulinum toxin products are required to include a class labeling that contains a boxed warning
related to safety and we could be required to include additional warnings on our product labeling, if approved.
Additionally, if ABP-450 or any
other product candidate receives regulatory approval, and we or others later identify undesirable side effects caused by such product,
a number of potentially significant negative consequences could result. For example, the FDA could require us to adopt a REMS, to ensure
that the benefits of treatment with such product candidate outweigh the risks for each potential patient, which may include, among other
things, a communication plan to health care practitioners, patient education, extensive patient monitoring or distribution systems and
processes that are highly controlled, restrictive and more costly than what is typical for the industry. We may also be required to engage
in similar actions, such as patient education, certification of health care professionals or specific monitoring, if we or others later
identify undesirable side effects caused by any product that we develop. Other potentially significant negative consequences associated
with adverse events include:
•we
may be required to suspend marketing of a product, or we may decide to remove such product from the
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marketplace;
•regulatory
authorities may withdraw or change their approvals of a product;
•regulatory
authorities may require additional warnings on the label or limit access of a product to selective specialized centers with additional
safety reporting and with requirements that patients be geographically close to these centers for all or part of their treatment;
•we
may be required to create a medication guide outlining the risks of a product for patients, or to conduct post-marketing studies;
•we
may be required to change the way a product is administered;
•we
could be subject to fines, injunctions, or the imposition of criminal or civil penalties, or be sued and held liable for harm caused to
subjects or patients; and
•a
product may become less competitive, and our reputation may suffer.
Any of these events could diminish
the usage or otherwise limit the commercial success of our product candidates and prevent us from achieving or maintaining market acceptance
of ABP-450, if approved by the FDA or other regulatory authorities.
Results of other parties’ clinical studies
involving the same or a nearly identical botulinum toxin complex as ABP-450, or results in any preclinical studies we conduct, may not
be predictive of future results of our clinical studies.
Success in clinical studies conducted
by Daewoong and Evolus, Inc., or Evolus, involving a botulinum toxin that is identical or nearly identical to ABP-450 does not ensure
that any clinical studies we conduct using ABP-450 will be successful and we will still need to submit our independently generated data
to applicable regulatory agencies to support regulatory approval of ABP-450. Similarly, success in any preclinical studies or clinical
studies that we conduct will not ensure that later clinical studies will be successful. A number of companies in the biotechnology and
pharmaceutical industries have suffered significant setbacks in clinical studies, even after positive results in earlier preclinical studies
and earlier clinical studies. These setbacks have been caused by, among other things, preclinical findings made while clinical studies
were underway and safety or efficacy observations made in clinical studies, including previously unreported adverse events. Notwithstanding
any potential promising results in earlier studies, we cannot be certain that we will not face similar setbacks.
Additionally, our clinical studies
may utilize an “open-label” trial design. An “open-label” clinical trial is one where both the patient and investigator
know whether the patient is receiving the investigational product candidate for either an existing approved drug or placebo. Most typically,
open-label clinical studies test only the investigational product candidate and may do so at different dose levels. Open-label clinical
studies are subject to various limitations that may exaggerate any therapeutic effect as patients in open-label clinical studies are aware
when they are receiving treatment. Open-label clinical studies may be subject to a “patient bias” where patients perceive
their symptoms to have improved merely due to their awareness of receiving an experimental treatment. In addition, open-label clinical
studies may be subject to an “investigator bias” where those assessing and reviewing the physiological outcomes of the clinical
studies are aware of which patients have received treatment and may interpret the information of the treated group more favorably given
this knowledge. The results from an open-label trial may not be predictive of future clinical trial results with any of our product candidates
when studied in a controlled environment with a placebo or active control.
Interim, topline or preliminary data from our
clinical studies that we may announce or publish from time to time may change as more patient data become available and are subject to
audit and verification procedures that could result in material changes in the final data.
From time to time, we may publicly
disclose topline or preliminary data from our clinical studies, which are based on a preliminary analysis of then-available data, and
the results and related findings and conclusions are subject to change following a more comprehensive analysis of the data related to
the particular study. Interim data for the studies we may complete are subject to the risk that one or more clinical outcomes may materially
change as patient enrollment continues or more patient data become available. We also make assumptions, estimations, calculations and
conclusions as part of our analyses of data, and we may not have received or had the opportunity to fully and carefully evaluate all data.
Interim, topline and preliminary data also remains subject to audit and verification procedures that may result in the final data being
materially different from the data previously published. As a result, the interim, topline, or preliminary results that we report may
differ from future results of the same trials, or different conclusions or considerations may qualify such results, once additional data
have been received and fully evaluated, and any interim, topline or
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preliminary data should be viewed with caution until
final data are available. Material adverse changes in the final data could result in significant harm to our business prospects.
Further, others, including regulatory
agencies, may not accept or agree with our assumptions, estimates, calculations, conclusions or analyses or may interpret or weigh the
importance of data differently, which could impact the value of the particular program, the approvability or commercialization of our
product candidate or product and our company in general. In addition, the information we choose to publicly disclose regarding a particular
study or clinical study is based on what is typically extensive information, and you or others may not agree with what we determine is
the material or otherwise appropriate information to include in our disclosure, and any information we determine not to disclose may ultimately
be deemed significant with respect to future decisions, conclusions, views, activities or otherwise regarding a particular pharmaceutical
or biological product, pharmaceutical or biological product candidate or our business. If the interim, topline or preliminary data that
we report differ from actual results, or if others, including regulatory authorities, disagree with the conclusions reached, our ability
to obtain approval for and commercialize our product may be harmed, which could harm our business, operating results, prospects or financial
condition.
We recently announced a strategic pivot to
pursue regulatory approval for ABP-450 utilizing a 351(k) biosimilar pathway. Obtaining regulatory approvals under this novel approach
may prove difficult, or even impossible, for a variety of reasons.
On July 9, 2024, we announced a
strategic reprioritization to pursue submission of a Section 351(k) BLA for ABP-450, using AbbVie Inc.’s product Botox as a proposed
reference product, for which we would seek approval for all of the indications for which Botox is approved, other than the cosmetic uses.
We also announced our proposed plans to initiate a single pivotal clinical study evaluating ABP-450 in patients with cervical dystonia,
with the goal of using this pathway, which we plan to discuss during a meeting with the FDA, s currently scheduled for the third quarter
of 2024. To obtain regulatory approval for the commercial sale of ABP-450 as biosimilar product, we will be required to demonstrate to
the satisfaction of the FDA, among other things, that ABP-450 is highly similar to a biological reference product already licensed by
the FDA pursuant to an approved BLA, notwithstanding minor differences in clinically inactive components, and that it has no clinically
meaningful differences as compared to the reference product in terms of the safety, purity and potency of the product.
The potential to leverage the biosimilar
pathway for a neurotoxin is untested, as no biosimilar has been approved utilizing Botox as the reference product. Among other things,
Section 351(k) BLAs must include an assessment of toxicity and a clinical study or studies sufficient to demonstrate safety, purity, and
potency in one or more appropriate conditions of use for which the reference product is licensed and for which licensure is sought for
the proposed biological product. The amount of toxin in a single vial of Botox is miniscule and comparing toxicity vial-to-vial, which
could be required by the FDA, may prove prohibitively difficult.
We plan to pursue the biosimilar
pathway for ABP-450 because this pathway offers the potential to obtain FDA approvals for all FDA-approved indications for the reference
product. If we are successful in demonstrating the biosimilarity of ABP-450 to Botox and obtain regulatory approval with respect to one
indication, we believe the FDA could also approve ABP-450 for one or more indications currently listed on Botox’s FDA-approved labeling
without our having to conduct additional clinical trials for ABP-450, provided that the FDA determines that ABP-450 relies on a similar
mechanism of action to Botox with respect to each such indication. However, even if we are able to demonstrate that ABP-450 is biosimilar
to Botox with respect to one indication, the FDA may nevertheless determine that certain of Botox existing approved indications do not
rely on a clearly established similar mechanism of action, which would limit our ability to seek approvals for ABP-450 without conducting
additional trials. For example, pending FDA feedback, we plan to conduct a single pivotal clinical study in patients cervical dystonia.
And the FDA could determine that a clinical study in cervical dystonia, a muscular disorder, even if successful, will not support a Section
350(k) BLA seeking approval for ABP-450 as a biosimilar in patients with migraine, a neurological disorder, or any of the other therapeutic
(non-cosmetic) indications for which Botox is currently approved. Moreover, negative or ambiguous results from clinical trials of ABP-450
in certain patient populations, including the results from our Phase 2 trials, could adversely affect our ability to pursue certain indications
in any Section 351(k) BLA. In addition, pursuant to our agreement with Daewoong, we do not have the rights to develop and commercialize
ABP-450 for any of the cosmetic indications for which Botox has been approved, which further limits the market potential for ABP-450,
even if we are successful in pursuing a biosimilar pathway.
Additionally, even if the FDA allows
us to pursue a biosimilar pathway for ABP-450, and even if we are successful in demonstrating biosimilarity for ABP-450 to the satisfaction
of the FDA, many manufacturers of reference biological products have used legislative, regulatory and other means, such as litigation,
to delay regulatory approval and to seek to restrict competition from manufacturers of biosimilars. These efforts may include or have
included:
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•settling,
or refusing to settle, patent lawsuits with biosimilar companies, resulting in such patents remaining an obstacle for biosimilar approval;
•submitting
citizen petitions to request the FDA to take administrative action with respect to prospective and submitted biosimilar applications;
•appealing
denials of citizen petitions in United States federal district courts and seeking injunctive relief to reverse approval of biosimilar
applications;
•restricting
access to reference brand products for equivalence and biosimilarity testing that interferes with timely biosimilar development plans;
•attempting
to influence potential market share by conducting medical education with physicians, payers, regulators and patients claiming that biosimilar
products are too complex for biosimilar approval or are too dissimilar from originator products to be trusted as safe and effective alternatives;
•implementing
payer market access tactics that benefit their brands at the expense of biosimilars;
•seeking
state law restrictions on the substitution of biosimilar products at the pharmacy without the intervention of a physician or through other
restrictive means such as excessive recordkeeping requirements or patient and physician notification;
•seeking
federal or state regulatory restrictions on the use of the same non-proprietary name as the reference brand product for a biosimilar or
interchangeable biologic;
•seeking
changes to the United States Pharmacopeia, an industry recognized compilation of drug and biologic standards;
•obtaining
new patents covering existing products or processes, which could extend patent exclusivity for a number of years or otherwise delay the
launch of biosimilars; and
•influencing
legislatures so that they attach special patent extension amendments to unrelated federal legislation.
In addition, Any of these factors
could prevent us from obtaining market acceptance for or otherwise successfully commercializing ABP-450, if approved as a biosimilar product.
Even if ABP-450 receives regulatory approval
as a biosimilar or otherwise, it may fail to achieve the broad degree of market acceptance by physicians, patients, third-party payors
and others in the medical community necessary for commercial success.
Even if ABP-450 receives regulatory
approval, it may nonetheless fail to gain sufficient market acceptance by physicians, patients, third-party payors and others in the medical
community. The commercial success of ABP-450, if approved, will depend significantly on the broad adoption and use of the resulting product
by physicians. The degree of market acceptance of any product candidate, if approved for commercial sale, will depend on a number of factors,
including but not limited to:
•the
convenience and ease of administration compared to alternative treatments and therapies;
•the
willingness of the target patient population to try new therapies and of physicians to prescribe a biosimilar product;
•the
efficacy and potential advantages compared to alternative treatments and therapies;
•the
availability of third-party coverage and adequate reimbursement, and patients’ willingness to pay out-of-pocket in the absence of
third-party coverage or adequate reimbursement;
•the
effectiveness of sales and marketing efforts;
•the
strength of our relationships with patient communities;
•the
timing of market introduction of our product candidate in relation to other potentially competitive products;
•the
cost of treatment in relation to alternative treatments and therapies;
•the
amount of upfront costs or training required for physicians to administer our product candidate;
•our
ability to offer such product for sale at competitive prices;
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•the
strength of marketing and distribution support;
•the
presence or perceived risk of potential product liability claims;
•the
prevalence and severity of any side effects; and
•any
restrictions on the use of the product together with other medications.
Our efforts to educate physicians,
patients, third party payors and others in the medical community on the benefits of our product candidates, if approved, may require significant
resources and may never be successful.
If ABP-450 fails to gain market
acceptance, this will have a material adverse impact on our ability to generate revenues to provide a satisfactory, or any, return on
our investments. Even if some therapeutic indications achieve market acceptance, the market may prove not to be large enough to allow
us to generate significant revenues.
Due to our limited resources and access to
capital, we must prioritize the strategic pivot to pursue regulatory approval for ABP-450 utilizing a 351(k) biosimilar pathway and evaluate
the development of certain therapeutic uses of ABP-450; these decisions may prove to be wrong and may adversely affect our business.
While we have shifted our focus
to the development and potential commercialization of ABP-450 as a biosimilar to Botox, a key element of our future strategy is to identify
additional conditions for which ABP-450 may warrant further development. However, there can be no assurances that we will be successful
in identifying such conditions, such as gastroparesis and PTSD. Even if we are successful in identifying conditions that could potentially
be treated with ABP-450, we may experience difficulties in identifying a proper treatment regimen, or we may fail to successfully develop
ABP-450 or secure regulatory approval for such conditions.
Efforts to identify and pursue additional
potential therapeutic uses of ABP-450 require substantial technical, financial and human resources, regardless of whether they are ultimately
successful. Because we have limited financial and personnel resources, we may forgo or delay pursuit of opportunities with potential target
indications that later prove to have greater commercial potential or a greater likelihood of success.
Our resource allocation decisions
may cause us to fail to capitalize on viable commercial products or profitable market opportunities. We may focus our efforts and resources
on potential therapeutic uses of ABP-450 that ultimately prove to be unsuccessful.
Even if we receive regulatory approval for
ABP-450, we will be subject to ongoing regulatory obligations and continued regulatory review, which may result in significant additional
expense, limit or prohibit commercial distribution, prevent continued investigation and research and subject us to penalties if we fail
to comply with applicable regulatory requirements. Additionally, ABP-450, if approved, could be subject to labeling and other restrictions
and market withdrawal and we may be subject to penalties if we fail to comply with regulatory requirements or experience unanticipated
problems with our products.
For any regulatory approvals that
we may receive for our ABP-450, the manufacturing processes, labeling, packaging, distribution, adverse event reporting, storage, advertising,
promotion, import, export and recordkeeping for our product candidates will be subject to extensive and ongoing regulatory requirements.
These requirements include submissions of safety and other post-marketing information and reports, registration, as well as ongoing compliance
with cGMPs and GCPs for any clinical trials. In addition, manufacturers of biological products and their facilities are subject to continual
review and periodic, unannounced inspections by the FDA and other regulatory authorities for compliance with cGMPs and other applicable
regulations and standards. In addition, any regulatory approvals we may receive will require the submission of periodic reports to regulatory
authorities and ongoing surveillance to monitor the safety and efficacy of the product. Such approvals may also contain significant limitations
related to use restrictions for specified age groups, warnings, precautions or contraindications, and may include burdensome post-approval
study or risk management requirements. For example, the FDA may require a REMS as a condition of approval of our product candidates, which
could include requirements for a medication guide, physician training and communication plans or additional elements to ensure safe use,
such as restricted distribution methods, patient registries and other risk minimization tools.
If we or a regulatory agency discover
previously unknown problems with a product, such as adverse events of unanticipated severity or frequency, or problems with the facilities
where the product is manufactured, a regulatory agency may impose restrictions on that product, the manufacturing facility or us, including
requiring recall or withdrawal of the product from the market or suspension of manufacturing. In addition, failure to comply with FDA
and other comparable foreign regulatory requirements may subject our company to administrative or judicially imposed sanctions, including:
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•the
imposition of restrictions on the marketing or manufacturing of the product, suspension or withdrawal of product approvals or revocation
of necessary licenses;
•the
issuance of warning letters, untitled letters, or comparable notices describing alleged violations, which may be publicly available;
•mandated
modifications to promotional materials or a requirement to provide corrective information to healthcare practitioners;
•required
revisions to the labeling, including limitation on approved uses or the addition of additional warnings, contraindications or other safety
information;
•a
requirement to enter into a consent decree, which can include imposition of various fines, reimbursements for inspection costs, required
due dates for specific actions and penalties for noncompliance;
•the
commencement of criminal investigations and prosecutions;
•the
suspension of any ongoing clinical studies;
•a
delay in approving or a refusal to approve pending applications or supplements to approved applications submitted by us;
•a
refusal to permit products or active ingredients to be imported or exported to or from the United States or other applicable jurisdictions;
•a
suspension of operations or the imposition of restrictions on operations, including costly new manufacturing requirements;
•a
seizure or detention of products or a requirement that we initiate a product recall; and
•injunctions
or the imposition of civil or criminal penalties.
Regulatory policies may change and
additional government regulations may be enacted that could prevent, limit or delay regulatory approval of ABP-450. We cannot predict
the likelihood, nature or extent of government regulation that may arise from future legislation or administrative action, either in the
United States or abroad. If we are slow to or unable to adapt to changes in existing requirements or the adoption of new requirements
or policies, or if we are not able to maintain regulatory compliance, we may be subject to enforcement action and we may not achieve or
sustain profitability, which would adversely affect our business, prospects, financial condition and results of operations.
In addition, given the similarity
of ABP-450 to Jeuveau, any adverse developments with respect to Jeuveau, including adverse events or changes in regulatory status, may
also directly impact the development, commercialization or regulation of ABP-450, if approved.
Even if we receive regulatory approval, coverage
and adequate reimbursement may not be available for ABP-450, which could make it difficult for us to sell the product profitably.
Market acceptance and sales of ABP-450,
if approved, will depend in part on the extent to which reimbursement for the product and related treatments will be available from third-party
payors, including government health administration authorities, managed care organizations and other private health insurers.
Obtaining coverage and adequate
reimbursement approval for a product from a government or other third-party payor is a time-consuming and costly process that could require
us to provide supporting scientific, clinical and cost-effectiveness data for the use of our products to the payor.
Third-party payors decide which
therapies they will pay for and establish reimbursement levels. While no uniform policy for coverage and reimbursement exists in the United
States, third-party payors often rely upon Medicare coverage policy and payment limitations in setting their own coverage and reimbursement
policies. However, decisions regarding the extent of coverage and amount of reimbursement to be provided for ABP-450 will be made on a
payor-by-payor basis. Therefore, one payor’s determination to provide coverage for a product does not assure that other payors will
also provide coverage, and adequate reimbursement, for the product or any related treatments. Additionally, a third-party payor’s
decision to provide coverage for a therapy does not imply that an adequate
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reimbursement rate will be approved. Each payor determines
whether or not it will provide coverage for a therapy, what amount it will pay the manufacturer for the therapy and on what tier of its
formulary it will be placed. The position on a payor’s list of covered drugs and biological products, or formulary, generally determines
the co-payment that a patient will need to make to obtain the therapy and can strongly influence the adoption of such therapy by patients
and physicians. Patients who are prescribed treatments for their conditions and providers prescribing such services generally rely on
third-party payors to reimburse all or part of the associated healthcare costs. Patients are unlikely to use our products unless coverage
is provided and reimbursement is adequate to cover a significant portion of the cost of our products. In addition, because ABP-450 may
be required to be physician-administered, separate reimbursement for the product itself may or may not be available. Instead, the administering
physician may only be reimbursed for providing the treatment or procedure in which our product is used.
There may be significant delays
in obtaining such coverage and reimbursement for newly approved products, and coverage may be more limited than the purposes for which
the product is approved by the FDA. Moreover, eligibility for coverage and reimbursement does not imply that a product will be paid for
in all cases or at a rate that covers our costs, including research, development, intellectual property, manufacture, sale and distribution
expenses. Interim reimbursement levels for new products, if applicable, may also not be sufficient to cover our costs and may not be made
permanent. Reimbursement rates may vary according to the use of the product and the clinical setting in which it is used, may be based
on reimbursement levels already set for lower cost products and may be incorporated into existing payments for other services. Net prices
for products may be reduced by mandatory discounts or rebates required by government healthcare programs or private payors, by any future
laws limiting pharmaceutical prices and by any future relaxation of laws that presently restrict imports of product from countries where
they may be sold at lower prices than in the United States.
Third-party payors have attempted
to control costs by limiting coverage and the amount of reimbursement for particular medications. We cannot be sure that coverage and
reimbursement will be available for any product that we commercialize and, if reimbursement is available, what the level of reimbursement
will be. Inadequate coverage and reimbursement may impact the demand for, or the price of, any product for which we obtain regulatory
approval. If coverage and adequate reimbursement are not available, or are available only at limited levels, we may not be able to successfully
commercialize ABP-450.
Outside the United States, international
operations are generally subject to extensive governmental price controls and other market regulations, and we believe a continued emphasis
on cost containment initiatives in Europe, Canada and other countries could continue to put pressure on the pricing and usage of our product
candidates. In many countries, the prices of medical products are subject to varying price control mechanisms as part of national health
systems. Other countries allow companies to fix their own prices for medical products, but monitor and control company profits. Additional
foreign price controls or other changes in pricing regulation could restrict the amount that we are able to charge for our product candidates.
Accordingly, in markets outside the United States, the reimbursement for our products may be reduced compared with the United States and
may be insufficient to generate commercially reasonable revenue and profits.
Moreover, increasing efforts by
governmental and third party payors in the United States and other jurisdictions to cap or reduce health care costs may cause such organizations
to limit both coverage and the level of reimbursement for newly approved products and, as a result, they may not cover or provide adequate
payment for our product candidates. We expect to experience pricing pressures in connection with the sale of any of our product candidates
due to the trend toward managed health care, the increasing influence of health maintenance organizations and additional legislative changes.
The downward pressure on health care costs in general, particularly prescription drugs and surgical procedures and other treatments, has
become very intense. As a result, increasingly high barriers are being erected to the entry of new products.
Enacted and future legislation may increase
the difficulty and cost for us to obtain marketing approval of and commercialize our products and may affect the prices we may set.
In the United States and other foreign
jurisdictions, there have been, and we expect there will continue to be, a number of legislative and regulatory changes and proposed changes
to the healthcare system that could affect our future results of operations. In particular, there have been and continue to be a number
of initiatives at the U.S. federal and state levels that seek to reduce healthcare costs and improve the quality of healthcare. For example,
in March 2010, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, or collectively
the ACA, was enacted, which substantially changes the way healthcare is financed by both governmental and private insurers. Among the
provisions of the ACA, those of greatest importance to the pharmaceutical and biotechnology industries include the following:
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•an
annual, non-deductible fee payable by any entity that manufactures or imports certain branded prescription drugs and biologic agents,
which is apportioned among these entities according to their market share in certain government healthcare programs;
•a
new Medicare Part D coverage gap discount program, in which manufacturers must agree to offer point-of-sale discounts off negotiated prices
of applicable brand drugs to eligible beneficiaries during their coverage gap period, as a condition for the manufacturer’s outpatient
drugs to be covered under Medicare Part D;
•an
increase in the statutory minimum rebates a manufacturer must pay under the Medicaid Drug Rebate Program to 23.1% and 13.0% of the average
manufacturer price for branded and generic drugs, respectively;
•a
new methodology by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated for drugs that are inhaled,
infused, instilled, implanted or injected;
•extension
of a manufacturer’s Medicaid rebate liability to covered drugs dispensed to individuals who are enrolled in Medicaid managed care
organizations;
•expansion
of eligibility criteria for Medicaid programs by, among other things, allowing states to offer Medicaid coverage to certain individuals
with income at or below 133% of the federal poverty level, thereby potentially increasing a manufacturer’s Medicaid rebate liability;
•a
new Patient-Centered Outcomes Research Institute to oversee, identify priorities in, and conduct comparative clinical effectiveness research,
along with funding for such research; and
•establishment
of a Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services, or CMS, to test innovative payment
and service delivery models to lower Medicare and Medicaid spending, potentially including prescription drug spending.
Since its enactment, there have
been judicial, executive and Congressional challenges to certain aspects of the ACA. On June 17, 2021, the U.S. Supreme Court dismissed
the most recent judicial challenge to the ACA brought by several states without specifically ruling on the constitutionality of the ACA.
In addition, other legislative changes
have been proposed and adopted in the United States since the ACA was enacted. For example, the Budget Control Act of 2011 has, among
other things, led to aggregate reductions of Medicare payments to providers, which, due to subsequent legislative amendments to the statute,
will remain in effect through 2032, with the exception of a temporary suspension from May 1, 2020 through March 31, 2022, unless additional
action is taken by Congress. On January 2, 2013, the American Taxpayer Relief Act of 2012 was signed into law, which, among other things,
further reduced Medicare payments to several types of providers, including hospitals, imaging centers and cancer treatment centers, and
increased the statute of limitations period for the government to recover overpayments to providers from three to five years. In addition,
the American Rescue Plan Act of 2021 was signed into law, which eliminates the statutory Medicaid drug rebate cap, beginning January 1,
2024. The rebate was previously capped at 100% of a drug’s average manufacturer price. These laws and any laws enacted in the future
may result in additional reductions in Medicare and other health care funding, which could have a material adverse effect on our customers
and accordingly, our financial operations.
Moreover, payment methodologies
may be subject to changes in healthcare legislation and regulatory initiatives. For example, CMS may develop new payment and delivery
models, such as bundled payment models. In addition, recently there has been heightened governmental scrutiny over the manner in which
manufacturers set prices for their marketed products. Most recently, on August 16, 2022, the Inflation Reduction Act of 2022, or IRA,
was signed into law. Among other things, the IRA requires manufacturers of certain drugs to engage in price negotiations with Medicare
(beginning in 2026), with prices that can be negotiated subject to a cap; imposes rebates under Medicare Part B and Medicare Part D continue
to penalize price increases that outpace inflation; and replaces the Part D coverage gap discount program with a new discounting program
(beginning in 2025). The IRA permits the Secretary of the Department of Health and Human Services, or HHS, to implement many of these
provisions through guidance, as opposed to regulation, for the initial years. HHS has and will continue to issue and update guidance as
these programs are implemented. On August 29, 2023, HHS announced the list of the first ten drugs that will be subject to price negotiations,
although the Medicare drug price negotiation program is currently subject to legal challenges. The impact of the IRA on the pharmaceutical
industry cannot yet be fully determined but, is likely to be significant.
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We expect that additional U.S. federal
healthcare reform measures will be adopted in the future, any of which could limit the amounts that the U.S. federal government will pay
for healthcare products and services, which could result in reduced demand for ABP-450, if approved, or additional pricing pressures.
Individual states in the United
States have also become increasingly active in passing legislation and implementing regulations designed to control pharmaceutical and
biological product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and
marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk
purchasing. Legally mandated price controls on payment amounts by third-party payors or other restrictions could harm our business, results
of operations, financial condition and prospects. In addition, regional healthcare authorities and individual hospitals are increasingly
using bidding procedures to determine what pharmaceutical products and which suppliers will be included in their prescription drug and
other healthcare programs. This could reduce the ultimate demand for our products or put pressure on our product pricing.
We cannot predict the likelihood,
nature or extent of government regulation that may arise from future legislation or administrative action, either in the United States
or abroad. If we or our collaborators are slow or unable to adapt to changes in existing requirements or the adoption of new requirements
or policies, or if we or our collaborators are not able to maintain regulatory compliance, our products may lose any regulatory approval
that may have been obtained and we may not achieve or sustain profitability.
ABP-450, if approved, will face significant
competition and our failure to effectively compete may prevent us from achieving significant market penetration and expansion.
The pharmaceutical industry is highly
competitive and requires an ongoing, extensive search for technological innovation. It also requires, among other things, the ability
to effectively discover, develop, test and obtain regulatory approvals for novel products, as well as the ability to effectively commercialize,
market and promote approved products, including communicating the effectiveness, safety and value of products to actual and prospective
customers and medical professionals. Numerous companies are engaged in the development, manufacture and marketing of products competitive
with those that we are developing.
Our primary competitors for ABP-450
in the injectable botulinum toxin pharmaceutical market for therapeutic use are:
•Botox,
which is marketed by AbbVie, and since its original approval by the FDA in 1989 has been approved for multiple therapeutic indications,
including migraine, cervical dystonia, upper and lower limb spasticity, strabismus, blepharospasm, overactive bladder, axillary hyperhidrosis,
neurogenic detrusor overactivity and overactive bladder, and which is currently studying its botulinum toxin for therapeutic indications
of episodic migraine, essential tremor and interstitial cystitis/bladder pain syndrome;
•Dysport,
which is marketed by Ipsen Ltd. As an injectable botulinum toxin for the therapeutic indications of cervical dystonia and upper and lower
limb spasticity, and which is currently studying its botulinum toxin for therapeutic indications of neurogenic detrusor overactivity and
migraine (episodic and chronic);
•Xeomin,
which is marketed by Merz Pharmaceuticals, LLC as an injectable botulinum toxin for the therapeutic indications of cervical dystonia,
blepharospasm, chronic sialorrhea and upper limb spasticity; and
•Revance
Therapeutics, Inc., or Revance, which is currently studying, preparing BLA submissions for and/or has received approval for, its injectable
botulinum toxin, daxibotulinumtoxinA, for the therapeutic indications of cervical dystonia and adult upper limb spasticity, and which
has also entered into a collaboration and license agreement with Viatris Inc. to develop and commercialize a biosimilar to Botox.
We are also aware of competing botulinum
toxins currently being developed or commercialized in the United States, European Union, Asia, South America and other markets. While
some of these products may not meet United States regulatory standards, the companies operating in these markets may be able to produce
products at a lower cost than United States and European manufacturers. In addition to the injectable botulinum toxin dose forms, we are
aware that other companies are developing topical botulinum toxins for therapeutic indications. We will also face competition in our target
therapeutic markets from other pharmaceutical products.
As more companies develop new intellectual
property in our markets, the possibility of a competitor acquiring patent or other rights that may limit our products or potential products
increases, which could lead to litigation. In addition to product development,
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testing, approval and promotion, other competitive
factors in the pharmaceutical industry include industry consolidation, product quality and price, product technology, reputation, customer
service and access to technical information.
If we are unable to establish sales and marketing
capabilities on our own or through third parties, we will be unable to successfully commercialize ABP-450, if approved, or generate product
revenue.
We do not have a sales or marketing
infrastructure and have little experience in the sale, marketing, or distribution of pharmaceutical products. To successfully commercialize
ABP-450, if approved, in the United States and other jurisdictions we may seek to enter, we will need to build out our sales and marketing
capabilities, either on our own or with others. The establishment and development of our own commercial team or the establishment of a
contract sales force to market ABP-450 will be expensive and time-consuming and may divert significant management focus and resources,
potentially delaying any product launch. Moreover, we cannot be certain that we will be able to successfully develop this capability,
given that we have no experience as a company in commercializing products. We may seek to enter into collaborations with other entities
to utilize their established marketing and distribution capabilities, but we may be unable to enter into or maintain such agreements on
favorable terms or at all. We can provide no assurance that any future collaborators will provide effective sales forces or marketing
and distribution capabilities. We compete with many companies that currently have extensive, experienced and well-funded marketing and
sales operations to recruit, hire, train and retain marketing and sales personnel, and will have to compete with those companies to recruit,
hire, train and retain any of our own marketing and sales personnel. We will likely also face competition if we seek third parties to
assist us with the sales and marketing efforts of ABP-450. Without an internal team or the support of a third party to perform marketing
and sales functions, we may be unable to compete successfully against these more established companies.
We will need to grow the size of our organization,
and we may experience difficulties in managing this growth.
As of June 30, 2024, we had five
employees. If ABP-450 receives regulatory approval, we would expect to experience significant growth in the number of our employees and
the scope of our operations, particularly in the areas of research, development, regulatory affairs, sales, marketing and distribution.
In addition, we also expect to hire additional personnel in order to operate as a public company. To manage our anticipated future growth,
we must continue to implement and improve our managerial, operational and financial systems, expand our facilities, and continue to recruit
and train additional qualified personnel. In addition, we must effectively integrate, develop and motivate a growing number of new employees,
and maintain the beneficial aspects of our corporate culture. The expansion of our operations may lead to significant costs and may divert
our management and business development resources. We may not be able to effectively manage the expansion of our operations or recruit
and train additional qualified personnel. Any inability to manage growth could delay the execution of our development and strategic objectives
or disrupt our operations.
We currently rely, and for the foreseeable
future will continue to rely, in substantial part on third parties, including independent organizations, advisors and consultants, and
CROs to provide certain services to support and perform our operations. There can be no assurance that the services of these third parties
will continue to be available to us on a timely basis when needed, or that we can find qualified replacements. In addition, if we are
unable to effectively manage our outsourced activities or if the quality, accuracy or quantity of the services provided, in particular
the services provided by our CROs, is compromised for any reason, our clinical studies may be delayed or terminated, and we may not be
able to obtain, or may be substantially delayed in obtaining, regulatory approval of ABP-450 or otherwise advance our business. There
can be no assurance that we will be able to manage our existing consultants or find other suitable outside contractors and consultants
on economically reasonable terms, or at all.
Our employees, independent contractors, consultants,
commercial collaborators, principal investigators, vendors and other agents may engage in misconduct or other improper activities, including
non-compliance with regulatory standards and requirements.
We are exposed to the risk that
our employees, independent contractors, consultants, commercial collaborators, principal investigators, vendors and other agents may engage
in fraudulent conduct or other illegal activity. Misconduct by these parties could include intentional, reckless or negligent conduct
or disclosure of unauthorized activities to us that violates applicable regulations, including those laws requiring the reporting of true,
complete and accurate information to regulatory agencies, manufacturing standards, and federal and state healthcare laws and regulations.
In particular, sales, marketing and business arrangements in the healthcare industry are subject to extensive laws and regulations intended
to prevent fraud, kickbacks, self-dealing and other abusive practices. We could face liability under the federal Anti-Kickback Statute
and similar state laws. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion,
sales commission, referrals, customer incentive programs
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and other business arrangements. Misconduct by these
parties could also involve the improper use of individually identifiable information, including, without limitation, information obtained
in the course of clinical studies, which could result in significant regulatory sanctions and serious harm to our reputation. Further,
should violations include promotion of unapproved (off-label) uses of one or more of our products, we could face significant regulatory
sanctions for unlawful promotion, as well as substantial penalties under the federal False Claims Act, or FCA, and similar state laws.
Similar concerns could exist in jurisdictions outside of the United States as well. It is not always possible to identify and deter misconduct
by employees and other third parties, and the precautions we take to detect and prevent this activity may not be effective in controlling
unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a
failure to comply with these laws or regulations. If any such actions are instituted against us, and we are not successful in defending
ourselves or asserting our rights, those actions could have a significant impact on our business, including the imposition of civil, criminal
and administrative penalties, damages, monetary fines, imprisonment, possible exclusion from participation in Medicare, Medicaid and other
federal healthcare programs, additional reporting requirements and oversight if we become subject to a corporate integrity agreement or
similar agreement to resolve allegations of noncompliance with these laws, contractual damages, reputational harm, diminished profits
and future earnings, and curtailment of our operations, any of which could adversely affect our ability to operate our business, financial
condition and results of operations.
Our potential international operations will
expose us to risks, and failure to manage these risks may adversely affect our operating results and financial condition.
We expect to have operations both
inside and outside the United States if ABP-450 is approved for commercial sale in multiple jurisdictions. International operations are
subject to a number of inherent risks, and our future results could be adversely affected by a number of factors if we seek and obtain
the necessary approvals, including:
•requirements
or preferences for domestic products, which could reduce demand for our products;
•differing
existing or future regulatory and certification requirements;
•management
communication and integration problems resulting from cultural and geographic dispersion;
•greater
difficulty in collecting accounts receivable and longer collection periods;
•difficulties
in enforcing contracts;
•difficulties
and costs of staffing and managing non-United States operations;
•the
uncertainty of protection for intellectual property rights in some countries;
•tariffs
and trade barriers, export regulations and other regulatory and contractual limitations on our ability to sell our products;
•more
stringent data protection standards in some countries;
•regulatory
concerns limiting ability to import or export products;
•greater
risk of a failure of foreign employees to comply with both United States and foreign laws, including export and antitrust regulations,
the United States Foreign Corrupt Practices Act, or the FCPA, quality assurance and other healthcare regulatory requirements and any trade
regulations ensuring fair trade practices;
•heightened
risk of unfair or corrupt business practices in certain geographies and of improper or fraudulent sales arrangements that may impact financial
results and result in restatements of, or irregularities in, financial statements;
•foreign
currency exchange rates;
•potentially
adverse tax consequences, including multiple and possibly overlapping tax structures and difficulties relating to repatriation of cash;
and
•political
and economic instability, political unrest and terrorism. These and other factors associated with international operations could harm
our ability to gain future revenue and, consequently, materially impact our business, results of operations and financial condition.
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If product liability lawsuits are brought against
us, we may incur substantial liabilities and may be required to limit commercialization of ABP-450.
We face an inherent risk of product
liability as a result of the clinical testing of ABP-450 and will face an even greater risk if we commercialize any products. For example,
we may be sued if any product we develop allegedly causes injury or is found to be otherwise unsuitable during product testing, manufacturing,
marketing or sale. Any such product liability claims may include allegations of defects in manufacturing, defects in design, a failure
to warn of dangers inherent in the product, negligence, strict liability and a breach of warranties. Claims could also be asserted under
state consumer protection acts. If we cannot successfully defend ourselves against product liability claims, we may incur substantial
liabilities or be required to limit commercialization of our products. Even a successful defense would require significant financial and
management resources. Regardless of the merits or eventual outcome, liability claims may result in:
•decreased
demand for ABP-450;
•termination
of clinical study sites or entire study programs;
•injury
to our reputation and significant negative media attention;
•withdrawal
of clinical study participants or cancellation of clinical studies;
•significant
costs to defend the related litigation;
•a
diversion of management’s time and our resources;
•substantial
monetary awards to study participants or patients;
•regulatory
investigations, product recalls, withdrawals or labeling, marketing or promotional restrictions;
•loss
of revenue;
•the
inability to commercialize any products we develop; and
•a
decline in our share price.
Our inability to obtain and maintain
sufficient product liability insurance at an acceptable cost and scope of coverage to protect against potential product liability claims
could prevent or inhibit the commercialization of ABP-450. We currently carry product liability insurance covering our clinical studies.
Although we maintain such insurance,
any claim that may be brought against us could result in a court judgment or settlement in an amount that is not covered, in whole or
in part, by our insurance or that is in excess of the limits of our insurance coverage. Our insurance policies also have various exclusions
and deductibles, and we may be subject to a product liability claim for which we have no coverage. We will have to pay any amounts awarded
by a court or negotiated in a settlement that exceed our coverage limitations or that are not covered by our insurance, and we may not
have, or be able to obtain, sufficient capital to pay such amounts. Moreover, in the future, we may not be able to maintain insurance
coverage at a reasonable cost or in sufficient amounts to protect us against losses. If and when we obtain approval for marketing ABP-450,
we intend to expand our insurance coverage to include the sale of ABP-450; however, we may be unable to obtain this liability insurance
on commercially reasonable terms.
If we fail to attract and keep senior management
and key scientific personnel, we may be unable to successfully develop ABP-450, conduct our clinical studies and commercialize ABP-450.
Our success depends in part on our
continued ability to attract, retain and motivate highly qualified management. We believe that our future success is highly dependent
upon the contributions of our senior management, particularly Marc Forth, our Chief Executive Officer, as well as other members of our
senior management team. The loss of services of any of these individuals could delay or prevent the successful development of our product
pipeline, completion of our planned clinical studies or the commercialization of ABP-450 or any future products we develop.
In addition, we could experience
difficulties attracting and retaining qualified employees in the future. For example, competition for qualified personnel in the pharmaceuticals
field is intense due to the limited number of individuals who possess the skills and experience required by our industry. We may not be
able to attract and retain quality personnel on acceptable terms, or at all. In
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addition, to the extent we hire personnel from competitors,
we may be subject to allegations that they have been improperly solicited or that they have divulged proprietary or other confidential
information or that their former employers own their research output.
Our business involves the use of hazardous
materials, and we and our third-party manufacturer and supplier must comply with environmental laws and regulations, which can be expensive
and restrict how we do business.
Our R&D and manufacturing activities
in the future may, and Daewoong’s manufacturing and supplying activities presently do, involve the controlled storage, use and disposal
of hazardous materials, including botulinum toxin type-A, a key component of ABP-450, and other hazardous compounds. We and Daewoong are
subject to laws and regulations governing the use, manufacture, storage, handling and disposal of these hazardous materials. In some cases,
these hazardous materials and various wastes resulting from their use are stored at Daewoong’s facilities pending their use and
disposal. We and Daewoong cannot eliminate the risk of contamination, which could cause an interruption of Daewoong’s manufacturing
processes, our commercialization efforts or our business operations and could cause environmental damage resulting in costly clean-up
and liabilities under applicable laws and regulations governing the use, storage, handling and disposal of these materials and specified
waste products. Although we believe that the safety procedures utilized by Daewoong for handling and disposing of these materials generally
comply with the standards prescribed by these laws and regulations, this may not eliminate the risk of accidental contamination or injury
from these materials. In such an event, we may be held liable for any resulting damages and such liability could exceed our resources,
and state or federal or other applicable authorities may curtail our use of certain materials and interrupt our business operations. Furthermore,
environmental laws and regulations are complex, change frequently and have tended to become more stringent.
Our ability to use our net operating loss carryforwards
and certain other tax attributes may be limited.
Under Sections 382 and 383 of the
Code, if a corporation undergoes an “ownership change,” generally defined as a greater than 50 percentage point change (by
value) in its equity ownership by one or more 5% shareholders over a rolling three-year period, the corporation’s ability to use
its pre-change net operating loss carryforwards, or NOLs, and other pre-change tax attributes, such as research tax credits, to offset
its post- change taxable income or income tax liabilities, as applicable, may be limited. As of December 31, 2023 (Successor), the Company
had $87.3 million of federal NOLs available to offset our future federal taxable income, if any, and federal research and development
tax credit carryforwards of $6.1 million. These federal research and development tax credit carryforwards and our federal NOLs expire
at various dates in 2039 and 2036, respectively. The Company had $116.2 million of state NOLs as of December 31, 2023 (Successor). We
may experience ownership changes in the future as a result of subsequent shifts in our stock ownership. As a result, if we earn net taxable
income, our ability to use our pre-change NOLs to offset federal taxable income may be subject to limitations, which could potentially
result in increased future tax liability to us. Similar rules may apply under state tax laws. In addition, at the state level, there may
be periods during which the use of NOLs is suspended or otherwise limited, which could accelerate or permanently increase state taxes
owed.
Changes in tax laws may impact our future financial
position and results of operations.
New income, sales, use or other
tax laws, statutes, rules, regulations or ordinances could be enacted at any time, or interpreted, changed, modified or applied adversely
to us, any of which could adversely affect our business operations and financial performance. We are currently unable to predict whether
such changes will occur and, if so, the ultimate impact on our business. To the extent that such changes have a negative impact on us
or our suppliers, including as a result of related uncertainty, these changes may materially and adversely impact our business, financial
condition, results of operations and cash flows.
Prior to the Business Combination, Priveterra
identified material weaknesses in its internal control over financial reporting. In 2024, AEON identified additional material weaknesses
in its internal control over financial reporting related to fiscal year 2023. One or more of these material weaknesses could adversely
affect our ability to report our results of operations and financial condition accurately and in a timely manner, which may adversely
affect investor confidence in us and materially and adversely affect our business and operating results.
Prior to consummation of the Business
Combination, Priveterra management identified a material weakness in its internal control over financial reporting, related to Priveterra’s
accounting for complex financial instruments. In 2024, AEON management identified additional material weaknesses in its internal control
over financial reporting related to its fiscal year 2023, related to the Business Combination and for the valuation of complex financial
instruments. To respond to the material weaknesses, we have devoted and plan to continue to devote, significant effort and resources to
the remediation and improvement of our internal control over financial reporting. We plan to enhance our processes by designing and implementing
controls to review the results of valuations and estimates,
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including the completeness and accuracy of relevant
data elements included in the valuation or estimate. We also plan to engage additional qualified resources and/or hire additional staff
to ensure these incremental controls are properly implemented. Management continues to be actively engaged to take steps to remediate
the material weaknesses, including transition of financial reporting responsibilities from Priveterra to AEON and enhanced processes to
identify and appropriately apply applicable accounting requirements to better evaluate and understand the nuances of the complex accounting
standards that apply to our consolidated financial statements, providing enhanced access to accounting literature, research materials
and documents, and increased communication among our personnel and third-party professionals with whom we consult regarding complex accounting
applications. The elements of our remediation plan can only be accomplished over time, and we can offer no assurance that these initiatives
will ultimately have the intended effects.
We may face an excise tax liability as a result
of redemptions of Priveterra Class A common stock prior to and in connection with the Business Combination.
The Inflation Reduction Act of 2022
provides for, among other measures, a new 1% U.S. federal excise tax on certain repurchases (including redemptions) of stock by publicly
traded domestic (i.e., U.S.) corporations. Because Priveterra was a Delaware corporation with securities trading on Nasdaq prior to the
Business Combination, Priveterra was a “covered corporation” for this purpose. The excise tax is imposed on the repurchasing
corporation itself, not its stockholders from whom the shares are repurchased. The amount of the excise tax is generally 1% of the excess
of (i) the fair market value of the shares repurchased reduced by (ii) the fair market value of stock issued by the repurchasing corporation
in the same year. In addition, certain exceptions apply to the excise tax. The U.S. Department of the Treasury (the “Treasury”)
has been given authority to provide regulations and other guidance to carry out, and prevent the abuse or avoidance of, the excise tax.
A total of 27,042,840 shares of
Priveterra Class A common stock were redeemed in 2023 in connection with Priveterra’s special meetings held in February 2023 and
July 2023, respectively. Whether and to what extent we are ultimately subject to the excise tax in connection with these redemptions will
depend on a number of factors, including (i) the fair market value of such redemptions, together with any other redemptions or repurchases
consummated by us in 2023, (ii) the nature and amount of any equity issuances made by us and Priveterra in 2023 (including the shares
of Priveterra Class A common stock issued in the Business Combination and any subsequent issuances we may make in 2023), and (iii) legal
uncertainties regarding how the excise tax applies to transactions like the Business Combination and the content of final and proposed
regulations and further guidance from the U.S. Department of the Treasury. Any excise tax would be payable by us, and the mechanics of
any required payment of the excise tax are not clear.
Risks Related to our Reliance on Third Parties
We rely on the Daewoong Agreement to provide
us exclusive rights to commercialize and distribute ABP-450 in certain territories. Any termination or loss of significant rights, including
exclusivity, under the Daewoong Agreement would materially and adversely affect our development or commercialization of ABP-450.
Pursuant to the Daewoong Agreement,
we have secured an exclusive license from Daewoong, a South Korean pharmaceutical manufacturer, to import, distribute, promote, market,
develop, offer for sale and otherwise commercialize and exploit ABP-450 for therapeutic indications in certain territories including the
United States, the European Union, the United Kingdom, Canada, Australia, Russia, Commonwealth of Independent States and South Africa.
The Daewoong Agreement imposes on us obligations relating to exclusivity, territorial rights, development, regulatory approval, commercialization,
payment, diligence, sublicensing, intellectual property protection and other matters. For example, we are obligated to use commercially
reasonable efforts to obtain regulatory approval of ABP-450 and obtain from Daewoong all of our product supply requirements for ABP-450.
In addition, under the Daewoong Agreement, we are required to submit our commercialization plan to a Joint Steering Committee, or JSC,
comprised of an equal number of development and commercial representatives from Daewoong and us, for review and input.
Although the Daewoong Agreement
provides us with final decision-making power regarding the marketing, promotion, sale and/or distribution of ABP-450, any disagreement
among the JSC would be referred to Daewoong’s and our respective senior management for resolution if the JSC is unable to reach
a decision within thirty days, which may result in a delay in our ability to implement our commercialization plan or harm our working
relationship with Daewoong. Further, under the Daewoong Agreement, we may not purchase, sell or distribute any injectable botulinum toxin
that is launched in the covered territories after the effective date of the Daewoong Agreement other than ABP-450 in a covered territory
or sell ABP-450 outside a covered territory.
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The initial term of the Daewoong
Agreement will expire on the later of December 20, 2029 or the fifth anniversary of our receipt of approval from the relevant governmental
authority necessary to market and sell ABP-450 in any of the aforementioned territories. The Daewoong Agreement will renew for unlimited
additional three-year terms after the expiration of the initial term. We or Daewoong may terminate the Daewoong Agreement if the other
party breaches any of its duties or obligations and such breach continues without cure for ninety days, or thirty days in the case of
a payment default, or, if such breach is not capable of being cured, immediately by delivery of written notice. The Daewoong Agreement
will terminate without notice upon our bankruptcy or insolvency or if we assign our business or the Daewoong Agreement in whole or in
part for the benefit of creditors. On March 19, 2024, we entered into a Fourth Amendment to the Daewoong Agreement (the “Daewoong
Agreement Amendment”) with Daewoong, which amends the Daewoong Agreement to provide that Daewoong may terminate the Daewoong Agreement
if, over any six- month period, (a) we cease to commercialize ABP-450 in each of the territories specified in the License Agreement and
(b) we cease to advance any clinical studies of ABP-450 in any such territories. The Daewoong Agreement Amendment also provides that,
in the event that the License Agreement is terminated for the foregoing reasons, Daewoong will have the right to purchase all Know-How
(as defined in the License Agreement) related to ABP-450 for a price of $1.00 (the “Termination Purchase Right”). The Termination
Purchase Right will terminate and expire upon Daewoong’s sale of 50% of its common stock, including common stock held by its affiliates
and common stock that would be issued upon an Automatic Conversion or Optional Conversion of the Convertible Notes (as defined in the
Convertible Notes).
We will be the sole owner of any
marketing authorization we pursue related to therapeutic indications of ABP-450 in a covered territory. This will include ownership of
any BLA that we may submit to the FDA, MAA that we may submit to the EMA, NDS that we may submit to Health Canada, and any other approvals
that we may receive in a covered territory. However, if we do not renew the Daewoong Agreement following any initial or renewal term,
or if Daewoong terminates the Daewoong Agreement due to a breach by us, we are obligated to transfer our rights in such marketing authorizations
to Daewoong.
If we breach any material obligations,
or use the intellectual property licensed to us in an unauthorized manner, we may be required to pay damages to Daewoong and Daewoong
may have the right to terminate our license. Any termination or loss of rights under the Daewoong Agreement would materially and adversely
affect our ability to develop and commercialize ABP-450, which in turn would have a material adverse effect on our business, operating
results and prospects. If we were to lose our rights under the Daewoong Agreement, we believe it would be difficult or impossible for
us to find an alternative supplier of a botulinum toxin type-A complex. In addition, to the extent the alternative supplier has not secured
regulatory approvals in a jurisdiction, we would have to expend significant resources, including performing additional clinical studies,
to obtain regulatory approvals that may never be obtained or require several years to obtain, which could significantly delay commercialization.
We may be unable to raise additional capital to fund our operations during this extended time on terms acceptable to us or at all. If
we were to commercialize ABP-450 and later experience delays as a result of a dispute with Daewoong, the demand for ABP-450 could be materially
and adversely affected.
We currently rely solely on Daewoong to manufacture
ABP-450, and as such, any production or other problems with Daewoong could adversely affect us. The manufacture of biologics is complex
and Daewoong may encounter difficulties in production that may impact our ability to provide supply of ABP-450 for clinical studies, our
ability to obtain regulatory approval, or our ability to obtain commercial supply of our products, which, if approved, could be delayed
or stopped.
We have no experience in biologic
manufacturing and do not own or operate, and we do not expect to own or operate, facilities for product manufacturing, storage and distribution,
or testing. We depend solely upon Daewoong to manufacture ABP-450. Any failure or refusal by Daewoong to supply ABP-450 could delay, prevent
or impair our clinical development or commercialization efforts. The Daewoong Agreement also provides for a fixed price related to the
supply of ABP-450 for ten years or for five years after the receipt of regulatory approvals, and if a change in price were to occur, it
could impair our ability to obtain necessary quantities of ABP-450. Although alternative sources of supply may exist, the number of third-party
suppliers with the necessary manufacturing and regulatory expertise and facilities is limited, and it could be expensive and take a significant
amount of time to arrange for alternative suppliers, which could have a material adverse effect on our business. New suppliers of any
product candidate would be required to qualify under applicable regulatory requirements and would need to have sufficient rights under
applicable intellectual property laws to the method of manufacturing the product candidate. Obtaining the necessary FDA approvals or other
qualifications under applicable regulatory requirements and ensuring non- infringement of third-party intellectual property rights could
result in a significant interruption of supply and could require the new manufacturer to bear significant additional costs which may be
passed on to us. We will also need to verify, such as through a manufacturing comparability study, that any new contract manufacturing
organization or manufacturing process will produce our product candidate according to the specifications previously submitted to the FDA
or another regulatory authority. We may be unsuccessful in demonstrating the comparability of clinical suppliers which could require conducting
additional clinical studies.
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In addition, there are risks associated
with large scale manufacturing for clinical studies or commercial scale including, among others, cost overruns, potential problems with
process scale-up, process reproducibility, stability issues, compliance with cGMP, lot consistency and timely availability of raw materials.
Even if we obtain regulatory approval for ABP-450, there is no assurance that Daewoong will be able to manufacture the approved product
to specifications acceptable to the FDA or other comparable foreign regulatory authorities, to produce it in sufficient quantities to
meet the requirements for the potential commercial launch of the product or to meet potential future demand. If Daewoong is unable to
produce sufficient quantities for clinical studies, including preclinical studies, or for commercialization, our development and commercialization
efforts would be impaired, which would have an adverse effect on our business, financial condition, results of operations and growth prospects.
Our reliance on Daewoong entails
additional risks, including reliance on Daewoong for regulatory compliance and quality assurance, the possible breach of the Daewoong
Agreement by Daewoong, and the possible termination or nonrenewal of the Daewoong Agreement at a time that is costly or inconvenient for
us. Our failure, or the failure of Daewoong, to comply with applicable regulations, such as cGMP, which includes, among other things,
quality control, quality assurance and the maintenance of records and documentation, could result in sanctions being imposed on us, including
clinical holds, fines, injunctions, civil penalties, delays, suspension or withdrawal of approvals, license revocation, seizures or recalls
of the product candidate or drugs, import alerts or detentions preventing import of product into the United States or other territories,
operating restrictions and criminal prosecutions, any of which could significantly and adversely affect supplies of ABP-450. Our dependence
on Daewoong also subjects us to all of the risks related to Daewoong’s business, which are all generally beyond our control. Daewoong’s
ability to perform its obligations under the Daewoong Agreement is dependent on its operational and financial health, which could be negatively
impacted by several factors, including changes in the economic, political and legislative conditions in South Korea and the broader region
in general and the ability of Daewoong to continue to successfully attract customers and compete in its market. Daewoong’s lack
of familiarity with, or inability to effectively operate, the facility and produce products of consistent quality, may harm our ability
to compete in our market.
In addition, we are ultimately responsible
for distribution of products under any authorization or approval we hold to investigate or market ABP-450. We do not own a manufacturing
facility and we have never supervised manufacturing operations, but we have regulatory obligations to review batch records and release
of the investigational product for our clinical studies. Further, we will have similar regulatory obligations if the product is marketed
and could be held responsible for any distribution of adulterated or misbranded ABP-450, even if caused by Daewoong’s noncompliance.
If Daewoong’s facility were to be damaged, destroyed or otherwise unable to operate or comply with regulatory requirements, whether
due to earthquakes, fire, floods, hurricanes, storms, tornadoes, other natural disasters, employee malfeasance, terrorist acts, political
unrest, power outages or otherwise, or if operations at the facility were disrupted for any other reason, such an event could negatively
affect our ongoing preclinical studies and clinical studies and, if ABP-450 is approved, jeopardize Daewoong’s ability to manufacture
ABP-450 as promptly as we or our customers expect or possibly at all. If an event occurred that prevented Daewoong from using all or a
significant portion of its manufacturing facility due to damaged critical infrastructure, or that otherwise disrupted operations, it may
be difficult or, in certain cases, impossible for Daewoong to supply enough ABP- 450 to continue our business for a substantial period
of time.
A material breach by us of the terms of our
license and settlement agreement with Medytox, Inc. could have a material adverse effect on our business.
In May 2021, Medytox, Inc., or Medytox,
brought a case against Old AEON in the United States District Court for the Central District of California, or the Medytox Litigation,
alleging, among other things, that Daewoong stole Medytox’s botulinum toxin bacterial strain, or the BTX strain, and misappropriated
certain trade secrets of Medytox, including the process used to manufacture ABP-450 using the BTX strain, and that our and Daewoong’s
activities conducted in the United States gave rise to liability for misappropriation of trade secrets. Medytox sought, among other things,
(i) actual, consequential and punitive damages, (ii) a reasonable royalty, as appropriate, (iii) disgorgement of any proceeds or profits,
(iv) injunctive relief prohibiting us from using Medytox’s trade secrets to manufacture, offer to sell, or sell therapeutic BTX
products, including ABP-450, and (v) attorneys’ fees and costs.
The Medytox Litigation was another
step in an ongoing dispute involving Medytox and Allergan, on the one side, and Evolus, Daewoong and us on the other side. In June 2017,
Medytox brought a civil lawsuit of a similar nature against Evolus, Daewoong and us in the Superior Court of the State of California,
which we refer to as the Superior Court Litigation, and a separate lawsuit in October 2017 against Daewoong in South Korea, which we refer
to as the Korea Litigation. The lawsuit filed in the Superior Court of the State of California alleged claims substantially similar to
the Medytox Litigation and was subsequently stayed on grounds of forum non
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conveniens, because the underlying facts that gave
rise to the complaint occurred in South Korea, among other reasons. We are not a party to the Korea Litigation. In April 2018, the Superior
Court of the State of California dismissed Medytox’s suit against Daewoong without prejudice on the basis that Medytox had brought
a substantially similar proceeding against Daewoong in South Korea, and continued a stay of the case as to us and Evolus. In February
2021, the Superior Court of the State of California dismissed Medytox’s suit against us without prejudice, following Medytox’s
filing of a notice of settlement of the case based on a settlement it entered with Evolus.
Additionally, in January 2019, Allergan
and Medytox filed a complaint against Daewoong and Evolus with the United States International Trade Commission, or the United States
ITC, alleging that the BTX strain used in Evolus’ Jeuveau product is manufactured based on misappropriated trade secrets of Medytox
and therefore its importation is an unfair act. The Administrative Law Judge issued a final determination in December 2020. The final
determination concluded that a violation of Section 337 of the Tariff Act of 1930 had occurred, and the United States ITC issued a limited
exclusion order forbidding entry of Jeuveau into the United States for 21 months and a cease and desist order prohibiting Daewoong and
Evolus from engaging in the importations, sale for importation, marketing, distribution, offering for sale, the sale after the importation
of, or other transfers of Jeuveau within the United States for 21 months. The 21-month ban was stayed as a result of a settlement agreement
between Evolus and Medytox in February 2021.
Effective June 21, 2021, we entered
into a settlement and license agreement with Medytox, or the Medytox Settlement Agreement, pursuant to which, among other things, Medytox
agreed (a) to dismiss all claims against us in the Medytox Litigation, (b) to pursue dismissal of the appeals related to the December
2020 final determination of the United States ITC and agreed that as a result of such dismissal the final determination would be vacated,
(c) to file appropriate documents in the Korea Litigation and related actions in support of the terms of the settlement, and (d) not to
revive or otherwise pursue the Superior Court Litigation with respect to us. In addition, Medytox granted us a non-exclusive, royalty
bearing license to Medytox’s botulinum toxin strain and specific trade secrets alleged to have been misappropriated in the litigation
to commercialize and manufacture specific botulinum neurotoxin products including ABP-450 worldwide, with the exception of South Korea.
In exchange for the license, we issued Medytox 26,680,511 shares of Old AEON common stock, par value $0.0001 per share, and agreed to
pay Medytox single-digit royalties on the net sales of licensed products for 15 years following our first $1.0 million in commercial sales
of neurotoxin products.
Medytox can terminate the Medytox
Settlement Agreement if we materially breach any material provision of the agreement, either immediately upon written notice if the breach
is incurable or after 60 days if capable of remedy. Additionally, Medytox may terminate the Medytox Settlement Agreement with 15 days
of written notice if we or our affiliates or sublicensees challenge the validity, enforceability, scope, or protected status of Medytox’s
botulinum strain and specific trade secrets alleged to have been misappropriated in the litigation. If the Medytox Settlement Agreement
were terminated, Medytox would be able to revive the Medytox Litigation and other claims against us, and may seek an injunction or other
ruling against us in the Korea Litigation, any one of which could result in us losing access to ABP-450 and the manufacturing process
and require us to negotiate a new license with Medytox for continued access to ABP-450. We may not be able to successfully negotiate such
license on terms acceptable to us or at all. If we are unable to license ABP-450, we may not be able to find a replacement product candidate
on a timeline favorable to us, if at all, without expending significant resources and being required to seek additional regulatory approvals,
which would be uncertain, time consuming and costly.
We rely, and will continue to rely, on third
parties, CROs and consultants to conduct all of our preclinical studies and clinical studies. If these third parties or consultants do
not successfully carry out their contractual duties or meet expected deadlines, we may be unable to obtain regulatory approval for ABP-450.
We do not currently have the ability
to independently conduct any preclinical studies or clinical studies. We rely, and will continue to rely, on medical institutions, clinical
investigators, contract laboratories, collaborative partners and other third parties, such as CROs, to conduct preclinical studies and
clinical studies on ABP-450. The third parties with whom we currently or may in the future contract for execution of any of our preclinical
studies and clinical studies play a significant role in the conduct of these studies and the subsequent collection and analysis of data.
However, these third parties are not our employees, and except for contractual duties and obligations, we have limited ability to control
the amount or timing of resources that they devote to any of our current or future programs. Although we rely on these third parties to
conduct our preclinical studies and clinical studies, we remain responsible for ensuring that each of our preclinical studies and clinical
studies is conducted in accordance with the investigational plan and protocol. Moreover, the FDA and other similar regulatory authorities
require us to observe both good laboratory practices, or GLP, and animal welfare requirements for preclinical studies, and to comply with
GCPs for conducting, monitoring, recording and reporting the results of clinical studies to ensure that the data and results are scientifically
credible and accurate, and that the study subjects are
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adequately informed of the potential risks of participating
in clinical studies. Our reliance on CROs and other third parties does not relieve us of these regulatory and legal responsibilities.
Regulatory authorities enforce GCPs through periodic inspections of trial sponsors, principal investigators and trial sites. If we or
any of our CROs or trial sites fail to comply with applicable GLP, GCP or other requirements, the data generated in our clinical trials
may be deemed unreliable, and the FDA or comparable foreign regulatory authorities may require us to perform additional clinical trials
before approving our marketing applications, if ever. Furthermore, our clinical trials must be conducted with materials manufactured in
accordance with cGMP regulations. Failure to comply with these regulations may require us to repeat clinical trials, which would delay
the regulatory approval process.
In addition, the execution of preclinical
studies and clinical studies, and the subsequent compilation and analysis of the data produced, requires coordination among various parties.
In order for these functions to be carried out effectively and efficiently, it is imperative that these parties communicate and coordinate
with one another. Moreover, these third parties may also have relationships with other commercial entities, some of which may compete
with us. If the third parties or consultants conducting our clinical studies do not perform their contractual duties or obligations, experience
work stoppages, do not meet expected deadlines, terminate their agreements with us or need to be replaced, or if the quality or accuracy
of the preclinical or clinical data they obtain is compromised due to the failure to adhere to GLPs, or our clinical study protocols or
GCPs, or for any other reason, we may need to conduct additional clinical studies or enter into new arrangements with alternative third
parties, which could be difficult, costly or impossible, and our preclinical studies and clinical studies may be extended, delayed or
terminated or may need to be repeated. Further, any noncompliance that results in data integrity issues could put any regulatory approval
we receive at risk of withdrawal, and could subject us to regulatory sanctions due to failure to adequately oversee the third parties
we rely upon. If any of the foregoing were to occur, we may not be able to obtain, or may be delayed in obtaining, regulatory approval
for and will not be able to, or may be delayed in our efforts to, successfully commercialize ABP-450.
Public health outbreaks, epidemics or pandemics
(such as the COVID-19 pandemic) may materially and adversely affect our business and operations.
The COVID-19 pandemic previously
adversely affected, and the COVID-19 pandemic or other actual or threatened public health outbreaks, epidemics or pandemics may in the
future adversely affect, among other things, our research and development efforts, clinical trial operations, manufacturing and supply
chain operations, administrative personnel, third-party service providers, and business partners.
While the COVID-19 pandemic did
not materially adversely affect our business operations during the twelve months ended December 31, 2023, economic and health conditions
in the United States and across most of the globe continue to change rapidly and may materially affect us economically. While the potential
economic impact brought by, and the duration of, the COVID-19 pandemic may be difficult to assess or predict, a continuing widespread
pandemic could result in significant disruption of global financial markets, reducing our ability to access capital, which could in the
future negatively affect our liquidity. In addition, a recession or market correction resulting from the spread of COVID-19 or a future
public health outbreak could materially affect our business and the value of our common stock. The ultimate impact of the COVID-19 pandemic
or a similar public health outbreak is highly uncertain and subject to change. We do not yet know the full extent of potential delays
or impacts on our business, our clinical trials, healthcare systems or the global economy as a whole. However, these effects could have
a material adverse effect on our business, results of operations and financial condition.
We may use third-party collaborators to help
us develop, validate or commercialize any new products, and our ability to commercialize such products could be impaired or delayed if
these collaborations are unsuccessful.
We may license or selectively pursue
strategic collaborations for the development, validation and commercialization of ABP-450. In any third-party collaboration, we would
be dependent upon the success of the collaborators in performing their responsibilities and their continued cooperation, and we would
have limited control over the amount and timing of resources and effort that our collaborators would dedicate to the development or commercialization
of our product candidates. Our collaborators may not cooperate with us or perform their obligations under our agreements with them at
all or as expected. Our collaborators may choose to pursue alternative technologies in preference to those being developed in collaboration
with us. The development, validation and commercialization of our current and future product candidates may be delayed if collaborators
fail to conduct their responsibilities in a timely manner or in accordance with applicable regulatory requirements or if they breach or
terminate their collaboration agreements with us. Our collaborators could also independently develop, or develop with third parties, products
that compete directly or indirectly with our product candidates, fail to properly maintain or defend our intellectual property rights
or infringe the intellectual property rights of third
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parties, exposing us to litigation. Disputes with our
collaborators could also impair our reputation or result in development and commercialization delays, decreased revenues and could cause
litigation expenses.
In addition, we may face significant
competition in seeking appropriate collaborators. Whether we reach a definitive agreement for a collaboration will depend, among other
things, upon our assessment of the collaborator’s resources and expertise, the terms and conditions of the proposed collaboration
and the proposed collaborator’s evaluation of a number of factors. Those factors may include the design or results of clinical studies,
the likelihood of approval by the FDA or similar regulatory authorities outside the United States, the potential market for ABP-450 or
our future product candidates, the costs and complexities of manufacturing and delivering ABP-450 or our future product candidates to
patients, the potential of competing products, the existence of uncertainty with respect to our ownership of technology, which can exist
if there is a challenge to such ownership without regard to the merits of the challenge, and industry and market conditions generally.
The collaborator may also consider alternative product candidates or technologies that may be available to collaborate on and whether
such a collaboration could be more attractive than the one with us for our product candidate. Collaborations are complex and time-consuming
to negotiate and document.
We may not be able to negotiate
collaborations on a timely basis, on acceptable terms, or at all. If we are unable to do so, we may have to curtail the development of
ABP-450 or our future product candidates, reduce or delay development programs, delay potential commercialization or reduce the scope
of any sales or marketing activities, or increase our expenditures and undertake development or commercialization activities at our own
expense. If we elect to increase our expenditures to fund development or commercialization activities on our own, we may need to obtain
additional capital, which may not be available to us on acceptable terms or at all. If we do not have sufficient funds, we may not be
able to further develop and commercialize ABP-450 or our future product candidates or bring them to market and generate revenue.
Risks Related to Intellectual Property
If we or any of our current or future licensors,
including Daewoong, are unable to maintain, obtain or protect intellectual property rights related to ABP-450 and any future product candidates
we may develop, or if the scope of any protection obtained is not sufficiently broad, we may not be able to compete effectively in our
market.
Our success depends, in part, on
our ability to seek, obtain and maintain intellectual property protection in the United States and other countries with respect to our
technologies. We and Daewoong currently rely upon a combination of trademarks, trade secret protection, confidentiality agreements and
proprietary know- how. Additionally, Daewoong has obtained a United States patent related to its proprietary botulinum toxin manufacturing
process. We also intend to protect our proprietary technology and methods by, among other things, filing for and obtaining United States
and foreign patent applications related to our proprietary technology, inventions, methods of use, and improvements that are important
to the development and implementation of our business. However, due to existing patent eligibility laws, we do not expect to obtain patent
protection for the composition of matter for botulinum toxin, as it is produced by Clostridium botulinum, a gram-positive, rod-shaped,
anaerobic, spore-forming, motile bacterium with the ability to produce the botulinum toxin. Although we only own one issued patent covering
our migraine injection paradigm (U.S. Patent No. 11,826,405), we do not own any other issued patents, but we have filed certain provisional
and non-provisional patent applications with the United States Patent and Trademark Office, or USPTO, related to other novel and proprietary
methods of utilizing ABP-450 for therapeutic purposes. These patent applications may fail to result in any issued patents with claims
that cover ABP-450, in the United States or in other foreign countries, and the patents, if issued, may be declared invalid or unenforceable.
The patent prosecution process is
expensive, time-consuming and complex, and we may not be able to file, prosecute, maintain, enforce or license all necessary or desirable
patent applications at a reasonable cost or in a timely manner. We may not be able to obtain or maintain patent applications and patents
due to the subject matter claimed in such patent applications and patents being in disclosures in the public domain. In addition, it is
possible that we will fail to identify patentable aspects of our R&D output before it is too late to obtain patent protection. Although
we enter into confidentiality agreements with parties who have access to confidential or patentable aspects of our R&D output, such
as our employees and third-party consultants, any of these parties may breach these agreements and disclose such output before a patent
application is filed, thereby jeopardizing our ability to seek patent protection. Consequently, we may not be able to prevent any third
party from using any of our technology that is in the public domain to compete with ABP-450 and any future product candidates.
Other parties have developed technologies
that may be related to or competitive to our own technologies and such parties may have filed or may file patent applications, or may
have obtained or may obtain patents, claiming inventions that may overlap or conflict with those claimed in our patent applications or
any future issued patents. We may not be aware of all third-party intellectual property rights
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potentially relating to ABP-450 and any future product
candidates. Publications of discoveries in the scientific literature often lag behind the actual discoveries, and patent applications
in the United States and in other jurisdictions are typically not published until 18 months after filing, or, in some cases, not at all.
Therefore, we cannot know with certainty whether the inventors of our pending patent applications were the first to make the inventions
claimed in those patent applications, or that they were the first to file for patent protection of such inventions. If a third party can
establish that we were not the first to make or the first to file for patent protection of such inventions, our patent applications may
not issue and any patents, if issued, may be challenged and invalidated or rendered unenforceable.
Even in the event our non-provisional
patent applications are granted, or if we in-license issued patent rights from third parties, the issuance of a patent is not conclusive
as to its inventorship, scope, validity or enforceability and any such patents may be challenged in courts or patent offices in the United
States and abroad and later declared invalid or unenforceable. For example, we may be subject to a third-party submission of prior art
to the USPTO challenging the validity of one or more claims of any such patents. A third party may also claim that any such patents are
invalid or unenforceable in a litigation. The outcome following legal assertions of invalidity and unenforceability is unpredictable.
An adverse result in any legal proceeding could put any such patents at risk of being invalidated or interpreted narrowly and could allow
third parties to commercialize our products and compete directly with us, without payment to us, or result in our inability to manufacture
or commercialize products without infringing third-party patent rights. In addition, we may become involved in derivation, reexamination,
inter partes review, post-grant review or interference proceedings and other similar proceedings in foreign jurisdictions (e.g., opposition
proceedings) challenging the validity, priority or other features of patentability of any such patent rights. Challenges to our patent
rights may result in loss of patent rights, exclusivity, or in patent claims being narrowed, invalidated, or held unenforceable, in whole
or in part, which could limit our ability to stop others from using or commercializing similar or identical technology and products, or
limit the scope and duration of the patent protection of ABP-450 or future product candidates. Such challenges also may result in substantial
cost and require significant time from our scientists and management, even if the eventual outcome is favorable to us. Any of the foregoing
could have a material adverse effect on our business, financial condition, results of operations and prospects.
Furthermore, patents have a limited
lifespan. In the United States, the natural expiration of a patent is generally 20 years after it is filed. Various extensions may be
available; however, the life of a patent, and the protection it affords, is limited. Given the amount of time required for the development,
testing and regulatory review of botulinum toxins, patents protecting such product candidates might expire before or shortly after they
are commercialized. As a result, our patent applications, even if issued, may not provide us with adequate and continuing patent protection
sufficient to exclude others from commercializing products similar to ABP-450 or future product candidates, including biosimilar versions
of such products.
Even if they are unchallenged, our
pending patent applications, if issued, may not provide us with any meaningful protection or prevent competitors from designing around
our patent claims to circumvent our patents by developing similar or alternative technologies or therapeutics in a non-infringing manner.
If the patent protection provided by our patent applications, if issued, is not sufficiently broad to impede such competition, our ability
to successfully commercialize ABP-450 and future product candidates could be negatively affected, which could have a material adverse
effect on our business, financial condition, results of operations and prospects.
Under the Daewoong Agreement, we
license the trademark for Nabota associated with ABP-450 from Daewoong; however, we may ultimately pursue alternative trademarks and branding
for ABP-450. Our or Daewoong’s trade secrets and other confidential proprietary information and those of our future licensors could
be disclosed or competitors could otherwise gain access to our trade secrets or independently develop substantially equivalent information
and techniques. Further, the laws of some foreign countries do not protect proprietary rights to the same extent or in the same manner
as the laws of the United States. As a result, we or any of our current or future licensors may encounter significant problems in protecting
and defending our or their intellectual property both in the United States and internationally. If we or any of our current or future
licensors are unable to prevent material disclosure of the non-patented intellectual property related to ABP-450 to third parties, we
may not be able to establish or maintain a competitive advantage in our market, which could adversely affect our business.
In addition to the protection afforded
by patents, trademarks, confidentiality agreements and proprietary know-how, we may in the future rely upon in-licensed or acquired patents
or proprietary technology for the development of ABP-450. We may not be able to in-license third party patents necessary to commercialize
ABP-450 on commercially reasonable terms, or at all, which could materially harm our business. Even if we are able to in-license any such
necessary intellectual property, it could be on nonexclusive terms, thereby giving our competitors and other third parties access to the
same intellectual property licensed to us, and it could require us to make substantial licensing and royalty payments. The licensing or
acquisition of third-party intellectual property rights is a competitive
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area, and several more established companies may pursue
strategies to license or acquire third-party intellectual property rights that we may consider attractive or necessary. These established
companies may have a competitive advantage over us due to their size, capital resources and greater clinical development and commercialization
capabilities. In addition, companies that perceive us to be a competitor may be unwilling to assign or license rights to us. We also may
be unable to license or acquire third-party intellectual property rights on terms that would allow us to make an appropriate return on
our investment. If we are unable to successfully obtain rights to required third-party intellectual property or maintain the existing
intellectual property rights we have licensed, we may be required to expend significant time and resources to redesign ABP-450 or future
product candidates, or to develop or license replacement technology, all of which may not be feasible on a technical or commercial basis,
and we may have to abandon development of ABP-450 or future product candidates which could have a material adverse effect on our business,
financial condition, results of operations and prospects.
Additionally, the strength of any
patents that issue from our non-provisional patent applications or that we may in-license from third parties in the technology and healthcare
fields involves complex legal and factual questions and has, in recent years, been the subject of much litigation. As a result, the issuance,
scope, validity, enforceability and commercial value of any patent rights in such fields can be uncertain. Our pending patent applications
and any patent applications that we may in-license may fail to result in issued patents with claims that cover ABP-450, in the United
States or in other foreign countries, and the issued patents that we may in-license may be declared invalid or unenforceable.
We are reliant on the ability of
Daewoong, as the licensor of our only product candidate, to maintain its intellectual property and protect its intellectual property against
misappropriation, infringement or other violation. We may not have primary control over Daewoong’s or our future licensors’
patent prosecution activities. Furthermore, we may not be allowed to comment on prosecution strategies, and patent applications currently
being prosecuted may be abandoned by the patent owner without our knowledge or consent.
With respect to patents that are
issued to our licensors, or patents that may issue on patent applications, third parties may challenge their validity, enforceability
or scope, which may result in such patents being narrowed or invalidated. As a licensee, we are reliant on Daewoong and our future licensors
to defend any third-party claims. Our licensors may not defend or prosecute such actions as vigorously or in the manner that we would
have if entitled to do so, and we may be impacted by any judgment or settlement resulting from such actions. Also, a third party may challenge
the validity of our in-licensing transactions. Furthermore, even if they are unchallenged, any of our future in-licensed patents and patent
applications may not adequately protect the licensors or our intellectual property or prevent others from designing around their or our
claims.
Third-party claims of intellectual property
infringement, misappropriation or violation, or challenges related to the invalidity or unenforceability of any issued patents we may
obtain or in-license may prevent or delay our development and commercialization efforts or otherwise adversely affect our results of operations.
Our commercial success depends in
part on our and any of our future collaborators avoiding infringement, misappropriation or other violation of the intellectual property
and related proprietary rights of third parties. Competitors and other entities that possess intellectual property rights related to the
use of botulinum toxins in the fields of neurology and gastroenterology have developed large portfolios of patents and patent applications
in fields relating to our business. In particular, there are patents held by third parties that relate to the treatment with botulinum
toxin-based products. There may also be patent applications that have been filed but not published that, when issued as patents, could
be asserted against us. There is a substantial amount of litigation, both within and outside the United States, involving patent and other
intellectual property rights in the technology, medical device and pharmaceutical industries, including patent infringement lawsuits,
interferences, oppositions and inter partes reexamination proceedings before the USPTO. Numerous United States and foreign issued patents
and pending patent applications, which are owned by third parties, exist in the fields in which we plan to develop ABP-450. As the technology,
medical device and pharmaceutical industries expand and more patents are issued, the risk increases that our product candidate may be
subject to claims of infringement of the patent rights of third parties, regardless of their merit.
There may be third-party patents
or patent applications with claims to materials, methods of manufacture or methods for treatment related to the use or manufacture of
ABP-450. Because patent applications can take many years to issue, may be confidential for 18 months or more after filing and can be revised
before issuance, there may be currently pending patent applications that may later result in issued patents that ABP-450 or any future
product candidates may infringe. It is difficult for industry participants, including us, to identify all third-party patent rights that
may be relevant to ABP-450 and future product candidates because patent searching is imperfect due to differences in terminology among
patents, incomplete databases and the difficulty in assessing the meaning of patent
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claims. We may fail to identify relevant patents or
patent applications or may identify pending patent applications of potential interest but incorrectly predict the likelihood that such
patent applications may issue with claims of relevance to our technology or incorrectly conclude their invalidity or unenforceability.
In addition, pending patent applications that have been published can, subject to certain limitations, be later amended in a manner that
could cover ABP-450 or future product candidates and third parties may obtain patents in the future and claim that use of our technologies
infringes upon these patents. Even if we believe claims brought against us are without merit, a court of competent jurisdiction could
hold that these third-party patents are valid, enforceable and infringed. In order to successfully challenge the validity of any such
United States patent in federal court, we would need to overcome a presumption of validity. As this burden is a high one requiring us
to present clear and convincing evidence as to the invalidity of any such United States patent claim, there is no assurance that a court
of competent jurisdiction would invalidate the claims of any such United States patent or find that ABP-450 or future product candidates
did not infringe any such claims. If any third-party patents were held by a court of competent jurisdiction to cover the manufacturing
process of ABP-450, the holders of any such patents may be able to block our ability to commercialize ABP-450 unless we obtain a license
under the applicable patents or until such patents expire. Similarly, if any third-party patent were held by a court of competent jurisdiction
to cover aspects of our methods of use, the holders of any such patent may be able to block our ability to develop and commercialize ABP-450
unless we obtain a license or until such patent expires. In either case, such a license may not be available on commercially reasonable
terms or at all.
In addition to claims of patent
infringement, third parties may bring claims against us asserting misappropriation or other violations of proprietary technology or other
information in the development, manufacture and commercialization of ABP-450. Defense of such a claim would require dedicated time and
resources, which time and resources could otherwise be used by us toward the maintenance of our own intellectual property and the development
and commercialization of ABP-450 or for operational upkeep and manufacturing of our product. In addition, there could be public announcements
of the results of hearings, motions or other interim proceedings or developments and if securities analysts or investors perceive these
results to be negative, it could have a substantial adverse effect on the price of our common stock. We have been, and may in the future
become, party to, or be threatened with, adversarial proceedings or litigation where our competitors or other third parties may assert
claims against us, alleging that our therapeutics, manufacturing methods, formulations, administration methods or delivery devices infringe,
misappropriate or otherwise violate their intellectual property rights, including patents and trade secrets. For example, in the past,
Medytox asserted that we and Daewoong were employing their proprietary technology without authorization, and other third parties may make
similar assertions about us or any of our current or future licensors, including Daewoong, in the future. For more information regarding
our litigation with Medytox, please see “Risk Factors — Risks Related to Our Reliance on Third Parties — A material
breach by us of the terms of our license and settlement agreement with Medytox, Inc. could have a material adverse effect on our business.”
Likewise, any patents that may issue
from our pending patent applications or any future in-licensed patents and pending patent applications may also be subject to priority,
validity, inventorship and enforceability disputes in court or before administrative bodies in the United States or abroad. If we or any
of our licensors are unsuccessful in any of these proceedings, such patents and patent applications may be narrowed, invalidated or held
unenforceable, we may be required to obtain licenses from third parties, which may not be available on commercially reasonable terms or
at all, or we may be required to cease the development, manufacture and commercialization of ABP-450 or future product candidates. Any
of the foregoing could have a material adverse effect on our business, financial condition, results of operations and prospects.
Parties making claims against us
or any of our current or future licensors may request and obtain injunctive or other equitable relief, which could effectively block our
ability to further develop and commercialize ABP-450. Defense of these claims, regardless of their merit, would involve substantial litigation
expense and would be a substantial diversion of employee resources from our business which time and resources could otherwise be used
by us toward the maintenance of our own intellectual property and the development and commercialization of ABP-450 or for operational
upkeep and manufacturing of our product. In the event of a successful claim of infringement, misappropriation or other violation of a
third party’s intellectual property, we or any of our current or future licensors may have to pay substantial damages, including
treble damages and attorneys’ fees for willful infringement, obtain one or more licenses from third parties which may not be commercially
available, or pay royalties or redesign our infringing products or manufacturing processes, which may be impossible or require substantial
time and monetary expenditure. Furthermore, even in the absence of litigation, we may need to obtain licenses from third parties to advance
our research, manufacture clinical study supplies or allow commercialization of ABP-450. We may fail to obtain any of these licenses at
a reasonable cost or on reasonable terms, if at all. In that event, we would be unable to further develop and commercialize ABP-450, which
could harm our business significantly. Similarly, third-party patents could exist that might be enforced against our products, resulting
in either an injunction prohibiting our sales, or with respect to our sales, an obligation on our part to pay royalties and/or other forms
of compensation to third parties.
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We may become involved in lawsuits to protect
or enforce our intellectual property or the patents and other intellectual property of our licensors, which could be expensive and time-consuming.
Competitors may infringe our intellectual
property, including any future patents we may acquire, or any future patents or other intellectual property licensed to us by our licensors,
including Daewoong. As a result, we or any of our current or future licensors may be required to file infringement claims to stop third-party
infringement or unauthorized use. Even if resolved in our favor, this can be unpredictable, expensive, particularly for a company of our
size, and time-consuming and may cause us to incur significant expenses and distract our scientific and management personnel from their
normal responsibilities. In addition, in an infringement proceeding, a court may decide that a patent of ours or any of our current or
future licensors is not valid or is unenforceable, or may refuse to stop the other party from using the technology at issue on the grounds
that our patent claims do not cover its technology or that the factors necessary to grant an injunction against an infringer are not satisfied.
An adverse determination of any
litigation or other proceedings could put one or more of such patents at risk of being invalidated or interpreted narrowly. Interference,
derivation or other proceedings brought at the USPTO may be necessary to determine the priority or patentability of inventions with respect
to any of our future patent applications or those of our licensors or collaborators. Litigation or USPTO proceedings brought by us or
any of our current or future licensors may fail or may be invoked against us or our licensors by third parties. Even if we are successful,
domestic or foreign litigation or USPTO or foreign patent office proceedings may result in substantial costs and distraction to our management
or the management of any of our current or future licensors, including Daewoong. We may not be able, alone or with any of our current
or future licensors or collaborators, to prevent misappropriation of our proprietary rights, particularly in countries where the laws
may not protect such rights as fully as in the United States.
Furthermore, because of the substantial
amount of discovery required in connection with intellectual property litigation or other proceedings, there is a risk that some of our
confidential information could be compromised by disclosure during this type of litigation or proceedings. In addition, during the course
of this kind of litigation or proceedings, there could be public announcements of the results of hearings, motions or other interim proceedings
or developments or public access to related documents. If securities analysts or investors perceive these results to be negative, the
market price for our common stock could be significantly harmed. Such litigation or proceedings could substantially increase our operating
losses and reduce the resources available for development activities or any future sales, marketing or distribution activities.
Most of our competitors are larger
than we are and have substantially greater resources. They are, therefore, likely to be able to sustain the costs of complex patent litigation
or other intellectual property proceedings longer than we could. Accordingly, despite our efforts, we may not be able to prevent third
parties from infringing upon or misappropriating our intellectual property. In addition, the uncertainties associated with the initiation
and continuation of litigation or other intellectual property proceedings could compromise our ability to raise the funds necessary to
continue our clinical studies, continue our internal research programs, or in-license needed technology, or otherwise have a material
adverse effect on our business, financial condition, results of operations and prospects.
Our rights to develop and commercialize ABP-450
and future product candidates are subject, in part, to the terms and conditions of licenses granted to us by others, including Daewoong.
If we fail to comply with our obligations in the agreements under which we license intellectual property rights from third parties or
otherwise experience disruptions to our business relationships with our licensors, we could lose license rights that are important to
our business.
We are heavily reliant upon our
license from Daewoong to certain proprietary technology that is important or necessary to the development of ABP-450 and future product
candidates. Additionally, further development and commercialization of ABP-450 and future product candidates may require us to enter into
additional license or collaboration agreements. For more information regarding our reliance on Daewoong and future collaboration agreements,
please see “Risk Factors — Reliance on Third Parties.”
Our current and any future licenses
may not provide us with exclusive rights to use the licensed intellectual property and technology or may not provide us with exclusive
rights to use such intellectual property and technology in all relevant fields of use and in all territories in which we may wish to develop
or commercialize ABP-450 and future product candidates. As a result, we may not be able to prevent competitors or other third parties
from developing and commercializing competitive products, including in territories covered by our licenses.
In some circumstances, we may not
have the right to control the maintenance, prosecution, preparation, filing, enforcement, defense or litigation of patents and patent
applications that we license from or license to third parties and are reliant on our licensors or
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licensees to do so. We thus cannot be certain that
activities such as patent maintenance and prosecution by our licensors have been or will be conducted consistent with our best interests
or in compliance with applicable laws and regulations, or will result in valid and enforceable patents and other intellectual property
rights. It is possible that our licensors’ infringement proceedings or defense activities may be less vigorous than had we conducted
them ourselves or may not be conducted in accordance with our best interests. If our licensors fail to maintain such patents or patent
applications, or lose rights to those patents or patent applications, the rights we have licensed may be reduced or eliminated, and our
right to develop and commercialize future product candidates that are the subject of such licensed rights and our right to exclude third
parties from commercializing competing products could be adversely affected. Any of the foregoing could have a material adverse effect
on our business, financial condition, results of operations and prospects.
In spite of our efforts, our current
and future licensors might conclude that we have materially breached our obligations under our license agreements and might therefore
terminate such license agreements, thereby removing or limiting our ability to develop and commercialize products and technology covered
by these license agreements. Disputes may arise with respect to our current or future licensing agreements, including disputes relating
to:
•the
scope of rights granted under the license agreements and other interpretation-related issues;
•our
financial or other obligations under the license agreements;
•the
extent to which ABP-450 and future product candidates infringe on intellectual property of the licensors that is not subject to the licensing
agreements;
•the
sublicensing of patent and other rights;
•our
diligence obligations under the license agreements and what activities satisfy those diligence obligations;
•the
inventorship or ownership of inventions and know-how resulting from the joint creation or use of intellectual property by our licensors
and us and our partners; and
•the
priority of invention of patented technology.
For example, the Daewoong Agreement
does not contain provisions regarding the ownership of any intellectual property that results from inventions or improvements related
to ABP-450. There could be disputes in the future related to the inventorship or ownership of inventions and know-how resulting from our
improvements to ABP-450 and future related product candidates, although we believe we are the sole owner of our intellectual property
and have developed it independently of Daewoong.
If disputes over intellectual property
that we have licensed prevent or impair our ability to maintain our current licensing arrangements on acceptable terms, we may be unable
to successfully develop and commercialize ABP-450 and future product candidates. If our licenses are terminated, we may lose our rights
to develop and market ABP-450 and future product candidates, lose patent protection for ABP-450 and future product candidates, experience
significant delays in the development and commercialization of ABP-450 and future product candidates, or incur liability for damages.
In addition, we may seek to obtain additional licenses from our licensors and, in connection with obtaining such licenses, we may agree
to amend our existing licenses in a manner that may be more favorable to the licensors, including by agreeing to terms that could enable
third parties, including our competitors, to receive licenses to a portion of the intellectual property that is subject to our existing
licenses and to compete with ABP-450 and future product candidates.
Furthermore, if the Daewoong Agreement
or any future licenses are terminated, or if the underlying patents or other intellectual property rights fail to provide the intended
exclusivity, competitors or other third parties would have the freedom to seek regulatory approval of, and to market, products identical
or competitive to ours and we may be required to cease our development and commercialization of ABP-450 and future product candidates.
Moreover, if disputes over intellectual property that we license prevent or impair our ability to maintain other licensing arrangements
on commercially acceptable terms, we may be unable to successfully develop and commercialize ABP-450 and future product candidates. In
addition, certain of these license agreements may not be assignable by us without the consent of the respective licensor, which may have
an adverse effect on our ability to engage in certain transactions. Any of the foregoing could have a material adverse effect on our business,
financial condition, results of operations and prospects.
Our license agreements are, and
future license agreements are likely to be, complex, and certain provisions in such agreements may be susceptible to multiple interpretations.
The resolution of any contract interpretation disagreement that may arise could narrow what we believe to be the scope of our rights to
the relevant intellectual property or technology, or increase what we believe to be our financial or
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other obligations under the relevant agreement, either
of which could have a material adverse effect on our business, financial condition, results of operations and prospects.
We may not be able to protect our intellectual
property rights throughout the world.
Filing, prosecuting and defending
patents relating to ABP-450 and any future product candidates in all countries throughout the world would be prohibitively expensive,
and our intellectual property rights in some countries outside the United States can be less extensive than those in the United States.
In addition, the laws of some foreign countries do not protect intellectual property rights to the same extent as federal and state laws
in the United States; a patent owner may have limited remedies, and in some cases foreign authorities may even force us to grant a compulsory
license to competitors or other third parties. As such, we or our licensors may not be able to obtain patent protection for ABP-450 and
future product candidates outside the United States. Consequently, we may not be able to prevent third parties from using our inventions
in all countries outside the United States or from selling or importing products made using our inventions in and into the United States
or other jurisdictions. Competitors may use our technologies in jurisdictions where we have not obtained patent protection to develop
their own products and further, may export otherwise infringing products to territories where we have patent protection, but enforcement
is not as strong as that in the United States. These products may compete with our products and our patents or other intellectual property
rights may not be effective or sufficient to prevent them from competing.
Many companies have encountered
significant problems in protecting and defending intellectual property rights in foreign jurisdictions. The legal systems of certain countries,
particularly certain developing countries, do not favor the enforcement of patents and other intellectual property protection, particularly
those relating to biopharmaceuticals, which could make it difficult for us to stop the infringement any of our patents that may issue
from our pending patent applications, or the marketing of competing products in violation of our proprietary rights generally. Proceedings
to enforce our patent rights in foreign jurisdictions could result in substantial costs and divert our efforts and attention from other
aspects of our business, could put our patents at risk of being invalidated or interpreted narrowly, could put our patent applications
at risk of not issuing and could provoke third parties to assert claims against us. We or our licensors may not prevail in any lawsuits
that we or our licensors initiate and the damages or other remedies awarded, if any, may not be commercially meaningful. Accordingly,
our efforts to enforce our intellectual property rights around the world may be inadequate to obtain a significant commercial advantage
from the intellectual property that we develop or license.
In addition, our ability to protect
and enforce our intellectual property rights may be adversely affected by unforeseen changes in domestic and foreign intellectual property
laws.
If we are unable to protect the confidentiality
of our trade secrets, our business and competitive position would be harmed.
In addition to seeking patent protection
for our product candidates, including ABP-450, we and our licensors also rely on trade secrets protection to protect our and their unpatented
know-how, technology and other proprietary information, in order to maintain our and their competitive positions.
We and our licensors seek to protect
our trade secrets, in part, by entering into non-disclosure and confidentiality agreements with parties who have access to them, such
as our employees, collaborators, consultants, advisors and other third parties. We have entered into invention assignment agreements with
our current employees. Despite these efforts, any of these parties may breach the agreements and disclose our proprietary information,
including our trade secrets, and we may not be able to obtain adequate remedies for such breaches. Monitoring unauthorized uses and disclosures
is difficult, and we do not know whether the steps we or our licensors have taken to protect our respective proprietary technologies will
be effective.
Additionally, we cannot guarantee
that we or our licensors have entered into such agreements with each party that may have or has had access to our respective trade secrets.
We also seek to preserve the integrity and confidentiality of our data and trade secrets by taking security measures with respect to our
information technology systems; however, our or our licensors’ systems and security measures may be breached, and we may not have
adequate remedies for any breach. As a result, we or our licensors could lose our trade secrets and third parties could use our or our
licensors’ trade secrets to compete with ABP-450 or future product candidates.
Enforcing a claim that a party illegally
disclosed or misappropriated a trade secret is difficult, expensive and time-consuming, and the outcome is unpredictable. In addition,
some courts inside and outside the United States are less willing or unwilling to protect trade secrets. Competitors or third parties
could purchase ABP-450 and future product candidates and attempt to replicate or reverse engineer some or all of the competitive advantages
we derive from our development efforts, willfully infringe our intellectual property
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rights, design around our protected technology or develop
their own competitive technologies that fall outside the scope of our intellectual property rights. If any of our trade secrets were to
be lawfully obtained or independently developed by a competitor or third party, we would have no right to prevent them, or those to whom
they communicate it, from using that technology or information to compete with us. If any of our trade secrets were to be disclosed to
or independently developed by a competitor, our competitive position would be harmed.
We may be subject to claims that our employees,
consultants or independent contractors have wrongfully used or disclosed confidential information of third parties or asserting ownership
of what we regard as our own intellectual property.
We employ individuals who were previously
employed at other pharmaceutical companies including certain of our anticipated competitors. We may be subject to claims that we or our
employees, consultants or independent contractors have inadvertently or otherwise used or disclosed confidential information, including
intellectual property and other proprietary information, of our employees’ former employers or other third parties. Litigation may
be necessary to defend against these claims. We may not be successful in defending these claims, and even if we are successful, litigation
could result in substantial cost and be a distraction to our management and other employees. Any litigation or the threat thereof may
adversely affect our ability to hire or retain employees. A loss of key personnel or their work product could diminish or prevent our
ability to commercialize ABP-450, which could have an adverse effect on our business, results of operations and financial condition.
In addition, while it is our policy
to require our employees and contractors who may be involved in the conception or development of intellectual property to execute agreements
assigning such intellectual property to us, we may also be subject to claims that former employers or other third parties have an ownership
interest in our patents or other intellectual property. Moreover, even when we obtain agreements assigning intellectual property to us,
the assignment of intellectual property rights may not be self-executing or the assignment agreements may be breached, and we may be forced
to bring claims against third parties, or defend claims that they may bring against us, to determine the ownership of what we regard as
our intellectual property. Furthermore, individuals executing agreements with us may have preexisting or competing obligations to a third
party, such as an academic institution, and thus an agreement with us may be ineffective in perfecting ownership of inventions developed
by that individual. We or our licensors may in the future be subject to claims by former employees, consultants or other third parties
asserting an ownership right in our owned or licensed patents or patent applications. An adverse determination in any such submission
or proceeding may result in loss of exclusivity or freedom to operate or in patent claims being narrowed, invalidated or held unenforceable,
in whole or in part, which could limit our ability to stop others from using or commercializing similar technology and therapeutics, without
payment to us, or could limit the duration of any patent protection covering ABP-450 and future product candidates. Disputes about the
ownership of intellectual property may have a material adverse effect on our business, financial condition, results of operations and
prospects.
If our trademarks and trade names are not adequately
protected, then we may not be able to build name recognition in our markets of interest and our business may be adversely affected.
Although we have filed applications
to register trademarks in the United States and other jurisdictions, we currently do not own any registered trademarks and our current
and future trademark applications in the United States and in foreign jurisdictions may not be allowed or may subsequently be opposed,
as has been done in the United States with the Company’s trademark applications for AEON and related marks. Further, our unregistered
or future registered trademarks or trade names may be challenged, infringed, circumvented or declared generic or determined to be infringing
on other marks. We may not be able to protect our rights to these trademarks and trade names, which we need to build name recognition
by potential partners or customers in our markets of interest. At times, competitors may adopt trade names or trademarks similar to ours,
thereby impeding our ability to build brand identity and possibly leading to market confusion. Over the long term, if we are unable to
establish name recognition based on our trademarks and trade names, then we may not be able to compete effectively and our business may
be adversely affected.
Third parties may assert that we
are using trademarks or trade names that are confusingly similar to their marks. If any third-party were able to establish that our trademarks
or trade names were infringing their marks, that third-party may be able to block our ability to use the infringing trademark or trade
name. In addition, if a third-party were to bring such a claim, we would be required to dedicate time and resources to fight the claim,
which time and resources could otherwise be used toward the maintenance of our own intellectual property.
Parties making claims against us
may request and obtain injunctive or other equitable relief, which could prevent our ability to use the subject trademarks or trade names.
Defense of these claims, regardless of their merit, would involve substantial litigation expense and would be a substantial diversion
of employee and management resources from our business, and their time and resources could
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otherwise be used toward the maintenance of our own
intellectual property and may otherwise be expensive and time- consuming, particularly for a company of our size. In the event of a successful
claim of infringement against us, we may have to pay substantial damages, including treble damages and attorneys’ fees for willful
infringement. We may be required to re-brand one or more of our products or services offered under the infringing trademark or trade name,
which may require substantial time and monetary expenditure. Third parties could claim senior rights in marks which might be enforced
against our use of trademarks or trade names, resulting in an injunction prohibiting our sales under those trademarks or trade names.
Our efforts to enforce or protect
our proprietary rights related to trademarks may be ineffective and could result in substantial costs and diversion of resources. Any
of the foregoing could have a material adverse effect on our business, financial condition, results of operations and prospects.
Intellectual property rights do not necessarily
address all potential threats.
The degree of future protection
afforded by our intellectual property rights is uncertain because intellectual property rights have limitations and may not adequately
protect our business or permit us to maintain our competitive advantage. For example:
•others
may be able to make ABP-450 and future product candidates that are similar to ours, but that are not covered by the claims of the patents
that we may license or own in the future;
•we,
or our license partners or future collaborators, might not have been the first to make the inventions covered by the issued patent or
pending patent applications that we license or may own in the future;
•we,
or our license partners or future collaborators, might not have been the first to file patent applications covering certain of our or
their inventions;
•others
may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our owned or licensed
intellectual property rights;
•others
may circumvent our regulatory exclusivities, such as by pursuing approval of a competitive product candidate via the traditional approval
pathway based on their own clinical data, rather than relying on the abbreviated pathway provided for biosimilar applicants;
•it
is possible that our pending licensed patent applications or those that we may own in the future will not lead to issued patents;
•issued
patents that we hold rights to now or in the future may be held invalid or unenforceable, including as a result of legal challenges by
our competitors;
•others
may have access to the same intellectual property rights licensed to us in the future on a nonexclusive basis;
•our
competitors might conduct R&D activities in countries where we do not have patent rights and then use the information learned from
such activities to develop competitive products for sale in our major commercial markets;
•we
may not develop additional proprietary technologies that are patentable;
•the
patents or other intellectual property rights of others may have an adverse effect on our business; or
•we
may choose not to file a patent for certain trade secrets or know-how, and a third party may subsequently file a patent covering such
intellectual property.
Any of the foregoing could have
a material adverse effect on our business, financial condition, results of operations and prospects.
Risks Related to Government Regulation
Our business and products are subject to extensive
government regulation.
We are subject to extensive, complex,
costly and evolving regulation by federal and state governmental authorities in the United States and other countries, principally by
the FDA and other similar regulatory authorities. Daewoong is also subject to extensive regulation by the FDA and the South Korean regulatory
authorities as well as other regulatory authorities. Our failure to comply with all applicable regulatory requirements, or Daewoong’s
or any future collaborator’s failure to comply with applicable regulatory
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requirements, including those promulgated under the
Federal Food, Drug, and Cosmetic Act, the Public Health Service Act, and other laws may subject us to operating restrictions and criminal
prosecution, monetary penalties and other enforcement or administrative actions, including sanctions, warning letters, import alerts,
product seizures, recalls, fines, injunctions, suspension, revocation of approvals, or exclusion from future participation in the Medicare
and Medicaid programs.
In the event ABP-450 receives regulatory
approval, we and our direct and indirect suppliers, including Daewoong, will remain subject to the periodic inspection of our plants and
facilities, review of production processes, and testing of our products to confirm that we are in compliance with all applicable regulations.
Adverse findings during regulatory inspections may result in requirements that we implement REMS programs, requirements that we complete
government mandated clinical studies, and government enforcement actions, including those relating to labeling, advertising, marketing
and promotion, as well as regulations governing manufacturing controls.
If we experience delays in obtaining
approval or if we fail to obtain approval of ABP-450, the commercial prospects for ABP-450 may be harmed and our ability to generate revenue
will be materially impaired.
In addition, in the course of our
activities we may collect information from clinical study subjects or other individuals that subjects us to a variety of rapidly evolving
laws regarding privacy, data protection and data security, including those related to the collection, storage, handling, use, disclosure,
transfer and security of personal data. Data breaches or other violations of these laws could subject our business to significant penalties
and reputational harm. For more information on data security and privacy, see “Risk Factors — Risks Related to Government
Regulation — We are subject to stringent and often unsettled privacy laws, information security laws, regulations, policies and
contractual obligations related to data privacy and security and changes in such laws, regulations, policies and contractual obligations
could adversely affect our business.”
Even if we obtain FDA approval for ABP-450
in the United States, we may never obtain approval for or commercialize such candidates in any other jurisdiction, which would limit our
ability to realize their full market potential.
In order to market any products
in any particular jurisdiction, we must establish and comply with numerous and varying regulatory requirements on a country-by-country
basis regarding safety and efficacy. Approval by the FDA in the United States does not ensure approval by regulatory authorities in other
countries or jurisdictions. However, the failure to obtain approval in one jurisdiction may negatively impact our ability to obtain approval
elsewhere. In addition, clinical trials conducted in one country may not be accepted by regulatory authorities in other countries, and
regulatory approval in one country does not guarantee regulatory approval in any other country.
Approval processes vary among countries
and can involve additional product testing and validation, as well as additional administrative review periods. Seeking foreign regulatory
approval could result in difficulties and increased costs for us and require additional preclinical studies or clinical trials which could
be costly and time consuming. Regulatory requirements can vary widely from country to country and could delay or prevent the introduction
of our products in those countries. We do not have any product candidates approved for sale in any jurisdiction, including in international
markets, and we do not have experience in obtaining regulatory approval in international markets. If we fail to comply with regulatory
requirements in international markets or to obtain and maintain required approvals, or if regulatory approvals in international markets
are delayed, our target market will be reduced and our ability to realize the full market potential of any product we develop will be
unrealized.
The misuse or off-label use of our approved
products, if any, may harm our reputation in the marketplace, result in injuries that lead to product liability suits or result in costly
investigations, fines or sanctions by regulatory bodies if we are deemed to have engaged in the promotion of these uses, any of which
could be costly to our business.
The FDA and other regulatory agencies
strictly regulate the marketing and promotional claims that are made about pharmaceutical products. These regulations include standards
and restrictions for direct-to- consumer advertising, industry-sponsored scientific and educational activities, promotional activities
involving the internet and off-label promotion. Any regulatory approval that the FDA grants is limited to those specific diseases and
indications for which a product is deemed to be safe and effective by FDA. While physicians in the United States may choose, and are generally
permitted, to prescribe drugs for uses that are not described in the product’s labeling and for uses that differ from those tested
in clinical trials and approved by the regulatory authorities, our ability to promote any products will be narrowly limited to those indications
that are specifically approved by the FDA. In particular, a product may not be promoted for uses or indications that are not specifically
approved by the FDA or other regulatory agencies as reflected in the product’s approved labeling. For example, if we receive regulatory
approval for ABP-450 and if we are found to have promoted uses
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that are not part of ABP-450’s approved labeling,
we may be subject to enforcement action from the FDA and other regulatory agencies, as applicable, and become subject to significant liability,
which would materially harm our business. The federal government has levied large civil and criminal fines against companies for alleged
improper promotion and has enjoined several companies from engaging in off-label promotion. If we become the target of such an investigation
or prosecution based on our marketing and promotional practices, we could face similar sanctions, which would materially harm our business.
In addition, management’s attention could be diverted from our business operations, significant legal expenses could be incurred,
and our reputation could be damaged. The FDA has also required that companies enter into consent decrees or permanent injunctions under
which specified promotional conduct is changed or curtailed in order to resolve FDA enforcement actions. If we are deemed by the FDA to
have engaged in the promotion of our products for off-label use, we could be subject to FDA prohibitions or other restrictions on the
sale or marketing of our products and other operations or significant fines and penalties, and the imposition of these sanctions could
also affect our reputation and position within the industry. In addition, off-label promotion could expose us to liability under the FCA,
as well as similar state laws.
Physicians may also misuse ABP-450,
if approved, or use improper techniques, potentially leading to adverse results, side effects or injury, which may lead to product liability
claims. If ABP-450 is misused or used with improper techniques or is determined to cause or contribute to patient harm, we may become
subject to costly litigation by our customers or their patients. Product liability claims could divert management’s attention from
our core business, be expensive to defend, result in sizable damage awards against us that may not be covered by insurance and subject
us to negative publicity resulting in reduced sales of our products. Furthermore, the use of ABP-450, if approved, for indications other
than those cleared by the FDA, may not effectively treat such conditions, which could harm our reputation in the marketplace among physicians
and patients. Any of these events could harm our business and results of operations and cause the price of our common stock to decline.
Our relationships with healthcare providers
and physicians and third-party payors will be subject to applicable anti-kickback, fraud and abuse and other healthcare laws and regulations,
which could expose us to criminal sanctions, civil penalties, contractual damages, reputational harm and diminished profits and future
earnings.
We are subject to applicable fraud
and abuse and other healthcare laws and regulations, including, without limitation, the federal Anti-Kickback Statute and the FCA, which
may constrain the business or financial arrangements and relationships through which we sell, market and distribute our products. In particular,
the promotion, sales and marketing of healthcare items and services, as well as certain business arrangements in the healthcare industry
(e.g., healthcare providers, physicians and third party payors), are subject to extensive laws designed to prevent fraud, kickbacks, self-dealing
and other abusive practices. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion,
structuring and commission(s), certain customer incentive programs and other business arrangements generally. We also may be subject to
patient information and privacy and security regulation by both the federal government and the states and foreign jurisdictions in which
we conduct our business. The applicable federal, state and foreign healthcare laws and regulations that may affect our ability to operate
include, but are not limited to:
The Anti-Kickback Statute, which
prohibits the knowing and willful offer, receipt, or payment of remuneration in exchange for or to induce the referral of patients or
the use of products or services that would be paid for in whole or part by Medicare, Medicaid or other federal health care programs. Remuneration
has been broadly defined to include anything of value, including but not limited to cash, improper discounts, and free or reduced price
items and services. A person or entity does not need to have actual knowledge of the statute or specific intent to violate it in order
to have committed a violation. Further, courts have found that if “one purpose” of remuneration is to induce referrals, the
federal Anti-Kickback Statute is violated. The Anti-Kickback Statute has been interpreted to apply to arrangements between pharmaceutical
manufacturers on the one hand and prescribers, purchasers, and formulary managers on the other. There are a number of statutory exceptions
and regulatory safe harbors protecting some common activities from prosecution, but the exceptions and safe harbors are drawn narrowly
and require strict compliance in order to offer protection. A claim including items or services resulting from a violation of the federal
Anti- Kickback Statute constitutes a false or fraudulent claim for purposes of the FCA. Many states have similar laws that apply to their
state health care programs as well as private payors. Violations of anti-kickback and other applicable laws can result in exclusion from
federal health care programs and substantial civil and criminal penalties.
The federal civil and criminal false
claims laws and civil monetary penalty laws, including the FCA, which prohibit, among other things, individuals or entities from knowingly
presenting, or causing to be presented, false or fraudulent claims for payment to, or approval by Medicare, Medicaid, or other federal
healthcare programs, knowingly making, using or causing to be made or used a false record or statement material to a false or fraudulent
claim or an obligation to pay or transmit money to the federal government, or knowingly concealing or knowingly and improperly avoiding
or decreasing or concealing an obligation to pay money to the federal
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government. The FCA has been used to prosecute persons
submitting claims for payment that are inaccurate or fraudulent, that are for services not provided as claimed, or for services that are
not medically necessary. The FCA includes a whistleblower provision that allows individuals to bring actions on behalf of the federal
government and share a portion of the recovery of successful claims. Some state law equivalents of the above federal laws, such as the
Anti-Kickback Statute and FCA, apply to items or services regardless of whether the good or service was reimbursed by a government program,
so called all- payor laws. These all-payor laws could apply to our sales and marketing activities even if the Anti-Kickback Statute and
FCA laws are inapplicable.
The federal Health Insurance Portability
and Accountability Act of 1996, or HIPAA, which created new federal criminal statutes that prohibit knowingly and willfully executing,
or attempting to execute, a scheme to defraud any healthcare benefit program or obtain, by means of false or fraudulent pretenses, representations,
or promises, any of the money or property owned by, or under the custody or control of, any healthcare benefit program, regardless of
the payor (e.g., public or private) and knowingly and willfully falsifying, concealing or covering up by any trick or device a material
fact or making any materially false statements in connection with the delivery of, or payment for, healthcare benefits, items or services
relating to healthcare matters. Similar to the federal Anti-Kickback Statute, a person or entity can be found guilty of violating HIPAA
without actual knowledge of the statute or specific intent to violate it.
HIPAA, as amended by the Health
Information Technology for Economic and Clinical Health Act of 2009, or HITECH, and their implementing regulations, and as amended again
by the Final HIPAA Omnibus Rule, published in January 2013, which imposes certain obligations, including mandatory contractual terms,
with respect to safeguarding the privacy, security and transmission of individually identifiable health information without appropriate
authorization by covered entities subject to the rule, such as health plans, healthcare clearinghouses and certain healthcare providers,
as well as their business associates that perform certain services involving the use or disclosure of individually identifiable health
information also implicate our business. HITECH also created new tiers of civil monetary penalties, amended HIPAA to make civil and criminal
penalties directly applicable to business associates, and gave state attorneys general new authority to file civil actions for damages
or injunctions in federal courts to enforce the federal HIPAA laws and seek attorneys’ fees and costs associated with pursuing federal
civil actions. In addition to other federal laws, state laws and foreign laws, such as the General Data Protection Regulation in the European
Union, or the GDPR, create the potential for substantial penalties in the event of any non-compliance with the applicable data privacy
and data protection laws.
The federal Physician Payment Sunshine
Act, which requires manufacturers of drugs, devices, biologicals and medical supplies for which payment is available under Medicare, Medicaid
or the Children’s Health Insurance Program (with certain exceptions) to report annually to the United States Department of Health
and Human Services, or HHS, information related to payments or other transfers of value made to physicians (defined to include doctors,
dentists, optometrists, podiatrists and chiropractors), certain non-physician providers such as physician assistants and nurse practitioners
certain non-physician providers such as physician assistants and nurse practitioners, and teaching hospitals, as well as ownership and
investment interests held by physicians and their immediate family members.
The scope and enforcement of each
of these laws is uncertain and subject to rapid change in the current environment of healthcare reform, especially in light of the lack
of applicable precedent and regulatory guidance. Federal and state enforcement bodies have recently increased their scrutiny of interactions
between healthcare companies, healthcare providers and other third parties, including charitable foundations, which has led to a number
of investigations, prosecutions, convictions and settlements in the healthcare industry. Responding to investigations can be time- and
resource-consuming and can divert management’s attention from the business. Any such investigation or settlement could increase
our costs or otherwise have an adverse effect on our business.
If our marketing or other arrangements
were determined to violate anti-kickback or related laws, including the FCA or an all-payor law, then we could be subject to penalties,
including administrative, civil and criminal penalties, damages, fines, disgorgement, the exclusion from participation in federal and
state healthcare programs, individual imprisonment, reputational harm and the curtailment or restructuring of our operations, as well
as additional reporting obligations and oversight if we become subject to a corporate integrity agreement or other agreement to resolve
allegations of non-compliance with these laws. Any action for violation of these laws, even if successfully defended, could cause us to
incur significant legal expenses and divert management’s attention from the operation of the business. Prohibitions or restrictions
on sales or withdrawal of future marketed products could materially affect our business in an adverse way. Efforts to ensure that our
business arrangements will comply with applicable healthcare laws may involve substantial costs.
State and federal authorities have
aggressively targeted pharmaceutical companies for alleged violations of these anti-fraud statutes, based on improper research or consulting
contracts with doctors, certain marketing arrangements with pharmacies and other
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healthcare providers that rely on volume-based pricing,
off-label marketing schemes, and other improper promotional practices. Companies targeted in such prosecutions have paid substantial fines,
have been ordered to implement extensive corrective action plans, and have in many cases become subject to consent decrees severely restricting
the manner in which they conduct their business, among other consequences. Additionally, federal and state regulators have brought criminal
actions against individual employees responsible for alleged violations. If we become the target of such an investigation or prosecution
based on our contractual relationships with providers or institutions or our marketing and promotional practices, we could face similar
sanctions, which would materially harm our business.
Also, the FCPA and similar worldwide
anti-bribery laws generally prohibit companies and their intermediaries from making improper payments to non-United States officials for
the purpose of obtaining or retaining business. Our internal control policies and procedures may not protect us from reckless or negligent
acts committed by our employees, future distributors, partners, collaborators or agents. Violations of these laws, or allegations of such
violations, could result in fines, penalties or prosecution and have a negative impact on our business, results of operations and reputation.
Inadequate funding for the FDA, the SEC and
other government agencies, including from government shut downs, or other disruptions to these agencies’ operations, could hinder
their ability to hire and retain key leadership and other personnel, prevent new products and services from being developed or commercialized
in a timely manner or otherwise prevent those agencies from performing normal business functions on which the operation of our business
may rely, which could negatively impact our business.
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 the payment of user fees, and statutory, regulatory and policy changes. Average review times at the agency
have fluctuated in recent years as a result. Disruptions at the FDA and other agencies may also slow the time necessary for new product
candidates to be reviewed and/or approved by necessary government agencies, which would adversely affect our business. In addition, government
funding of the SEC and other government agencies on which our operations may rely, including those that fund R&D activities, is subject
to the political process, which is inherently fluid and unpredictable.
Disruptions at the FDA and other
agencies may also slow the time necessary for product candidates to be reviewed and/or approved by necessary government agencies, which
would adversely affect our business. For example, over the last several years the United States government has shut down several times
and certain regulatory agencies, such as the FDA and the SEC, have had to furlough critical FDA, SEC and other government employees and
stop critical activities. Separately, in response to the COVID-19 pandemic, the FDA postponed most inspections at domestic and foreign
manufacturing facilities from March 2020 until July 2021. Even though the FDA has since resumed standard inspection operations, any resurgence
of the virus may lead to other inspectional or administrative delays. If a prolonged government shutdown occurs, or if global health concerns
hinder or prevent the FDA or other regulatory authorities from conducting regular inspections or review, it could significantly impact
the ability of the FDA to timely review and process our regulatory submissions, which could have a material adverse effect on our business.
Further, future government shutdowns could impact our ability to access the public markets and obtain necessary capital in order to properly
capitalize and continue our operations.
We are subject to stringent and often unsettled
privacy laws, information security laws, regulations, policies and contractual obligations related to data privacy and security and changes
in such laws, regulations, policies and contractual obligations could adversely affect our business.
We are subject to data privacy and
protection laws and regulations that apply to the collection, transmission, storage and use of personally identifying information or personal
data, which among other things, impose certain requirements relating to the privacy, security and transmission of personal information.
The legislative and regulatory landscape for privacy and data protection continues to evolve in jurisdictions worldwide, and there has
been an increasing focus on privacy and data protection issues with the potential to affect our business. Failure to comply with any of
these laws and regulations could result in enforcement action against us, including fines, imprisonment of company officials and public
censure, claims for damages by affected individuals, damage to our reputation and loss of goodwill, any of which could have a material
adverse effect on our business, financial condition, results of operations or prospects.
There are numerous United States
federal and state laws and regulations relating to privacy and security of personal information. Data privacy remains an evolving landscape
at both the domestic and international level, with new regulations coming into effect. For example, the State of California enacted the
California Consumer Privacy Act of 2018, or CCPA, which went into effect on January 1,
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2020 and requires companies that process information
on California residents to make new disclosures to consumers about their data collection, use and sharing practices, allow consumers to
opt out of certain data sharing with third parties and provide a new cause of action for data breaches. Additionally, California voters
approved a new privacy law, the California Privacy Rights Act, or CPRA, in the November 3, 2020 election. Effective starting on January
1, 2023, the CPRA significantly modifies the CCPA, including by expanding consumers’ rights with respect to certain sensitive personal
information. The CPRA also created a new state agency that is vested with authority to implement and enforce the CCPA and the CPRA. New
legislation proposed or enacted in various other states will continue to shape the data privacy environment nationally. Certain state
laws may be more stringent or broader in scope, or offer greater individual rights, with respect to confidential, sensitive and personal
information than federal, international or other state laws, and such laws may differ from each other, which may complicate compliance
efforts.
In addition, all 50 states and the
District of Columbia have enacted breach notification laws that may require us to notify patients, employees or regulators in the event
of unauthorized access to or disclosure of personal or confidential information experienced by us or our service providers. These laws
are not consistent, and compliance in the event of a widespread data breach is difficult and may be costly. Moreover, states have been
frequently amending existing laws, requiring attention to changing regulatory requirements. We also may be contractually required to notify
patients or other counterparties of a security breach.
Although we may have contractual
protections with our service providers, any actual or perceived security breach could harm our reputation and brand, expose us to potential
liability or require us to expend significant resources on data security and in responding to any such actual or perceived breach. Any
contractual protections we may have from our service providers may not be sufficient to adequately protect us from any such liabilities
and losses, and we may be unable to enforce any such contractual protections.
In addition, the GDPR became applicable
on May 25, 2018 in respect of processing operations carried out in the context of the activities of an establishment in the European Economic
Area, or EEA, and any processing relating to the offering of goods or services to individuals in the EEA and/or the monitoring of their
behavior in the EEA.
While we do not at this time collect,
store, use or process data on behalf of existing customers or for anyone residing in the United Kingdom or Europe, if we do so in the
future, we will be subject to the rigorous and time-intensive policies of the GDPR. There is no assurance that our own limited privacy
and security- related safeguards will protect us from all risks associated with data privacy and information security.
Risks Related to Being a Public Company and
Ownership of Our Securities
The price of our common stock may be volatile.
The price of our common stock has
been and is likely to continue to be volatile. The market price for our common stock may be influenced by many factors, including the
other risks described in this section of the Report entitled “Risk Factors” and the following:
•our
ability to advance our current or potential future product candidates throughout applicable clinical studies;
•results
of preclinical studies for our current or potential future product candidates, or those of our competitors;
•regulatory
or legal developments in the United States and other countries, especially changes in laws or regulations applicable to our future products;
•the
success of competitive products or technologies;
•introductions
and announcements of new product candidates by us or our competitors, and the timing of these introductions or announcements;
•actions
taken by regulatory authorities with respect to our future product candidates, clinical trials, manufacturing process or sales and marketing
terms;
•actual
or anticipated variations in our financial results or those of companies that are perceived to be similar to us;
•the
success of our efforts to acquire or in-license additional technologies, products or product candidates;
•developments
concerning any future collaborations, including, but not limited to, those with any sources of manufacturing supply and future commercialization
collaborators;
•market
conditions in the pharmaceutical and biotechnology sectors;
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•market
conditions and sentiment involving companies that have recently completed a business combination with a special purpose acquisition company
(“SPAC”);
•announcements
by us or our competitors of significant acquisitions, strategic alliances, joint ventures or capital commitments;