PROSPECTUS SUMMARY
This prospectus summary highlights certain information about us and
selected information contained elsewhere in or incorporated by
reference into this prospectus. This prospectus summary is not
complete and does not contain all of the information that you
should consider before making an investment decision. For a more
complete understanding of the Company, you should read and consider
carefully the more detailed information included or incorporated by
reference in this prospectus and any applicable prospectus
supplement or amendment, including the factors described under the
heading “Risk Factors,” beginning on page 5 of this
prospectus, as well as the information incorporated herein by
reference, before making an investment decision.
Overview of the Company
We are an interventional oncology company focused on the treatment
of primary and metastatic liver cancers. Our lead product
candidate, the HEPZATO® KIT (melphalan
hydrochloride for injection/hepatic delivery system), or HEPZATO,
is a drug/device combination product designed to administer
high-dose chemotherapy to the liver while controlling systemic
exposure and associated side effects. HEPZATO has not been approved
for sale in the United States. In Europe, the hepatic delivery
system is a stand-alone medical device having the same device
components as HEZPATO, but without the melphalan hydrochloride, and
is approved for sale under the trade name CHEMOSAT Hepatic Delivery
System for Melphalan, or CHEMOSAT, where it has been used at major
medical centers to treat a wide range of cancers of the liver.
In the United States, HEPZATO is considered a combination drug and
device product and is regulated as a drug by the United States Food
and Drug Administration, or the FDA. Primary jurisdiction for
regulation of HEPZATO has been assigned to the FDA’s Center for
Drug Evaluation and Research. The FDA has granted Delcath six
orphan drug designations (five for melphalan in the treatment of
patients with ocular (uveal) melanoma, cutaneous melanoma,
hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and
neuroendocrine tumors) and one for doxorubicin in the treatment of
patients with hepatocellular carcinoma).
Our most advanced development program is the treatment of ocular
melanoma liver metastases, or mOM, a type of primary liver cancer.
We are currently reviewing the incidence, unmet need, available
efficacy data and development requirements for a broad set of liver
cancers in order to select a portfolio of indications which will
maximize the value of the HEPZATO platform. We believe that the
disease states we are investigating and intend to investigate are
unmet medical needs that represent significant market
opportunities.
In December 2021, we announced that the FOCUS Trial for HEPZATO met
its pre-specified endpoint.
Based on the FOCUS Trial results, we are preparing to submit a new
drug application, or NDA, to the FDA for HEPZATO. We held a
pre-NDA meeting with the
FDA in April 2022. Based on the feedback from FDA, we do not
believe any additional pre-clinical or clinical studies are
required to re-file the
NDA. Due to vendor delays in delivering certain reports, we plan to
submit an NDA to the FDA by the end of the third quarter of 2022.
We have opened two Expanded Access Program sites to provide access
to patients who meet the inclusion criteria during the pendency of
FDA’s review of HEPZATO.
On February 28, 2022, CHEMOSAT received Medical Device
Regulation certification under the European Medical Devices
Regulation [2017/745/EU], which may be considered by jurisdictions
when evaluating reimbursement. As of March 1, 2022, we have
assumed direct responsibility for sales, marketing and distribution
of CHEMOSAT in Europe.
Private Placement
Securities Purchase Agreement
On July 18, 2022 we entered into a Securities Purchase
Agreement with certain accredited investors (each an “Investor” and
collectively, the “Investors”) pursuant to which the Company agreed
to sell and issue to the