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

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended March 31, 2024

☐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 001-36193

Trevena, Inc.

(Exact Name of Registrant as Specified in Its Charter)


Delaware (State or Other Jurisdiction of Incorporation or Organization)	26-1469215 (I.R.S. Employer Identification No.)

955 Chesterbrook Boulevard, Suite 110 Chesterbrook, PA (Address of Principal Executive Offices)	19087 (Zip Code)

Registrant’s telephone number, including area code: (610) 354-8840

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


Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, $0.001 par value	TRVN	The Nasdaq Stock Market LLC

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

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

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

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practical date.


Common Stock, $0.001 par value	Shares outstanding as of May 13, 2024: 18,340,953

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		Page
Cautionary Note Regarding Forward-Looking Statements		ii

	PART I- FINANCIAL INFORMATION
Item 1.	Consolidated Financial Statements (Unaudited)	1
	Consolidated Balance Sheets	1
	Consolidated Statements of Operations and Comprehensive Loss	2
	Consolidated Statements of Stockholders’ (Deficit) Equity	3
	Consolidated Statements of Cash Flows	4
	Notes to Unaudited Consolidated Financial Statements	5
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	18
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	28
Item 4.	Controls and Procedures	28
	PART II- OTHER INFORMATION
Item 1.	Legal Proceedings	29
Item 1A.	Risk Factors	29
Item 2.	Unregistered Sales of Equity Securities, Use of Proceeds, and Issuer Purchases of Equity Securities	30
Item 3.	Defaults Upon Senior Securities	30
Item 4.	Mine Safety Disclosures	30
Item 5.	Other Information	30
Item 6.	Exhibits	31

SIGNATURES		32

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Cautionary Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q, or this “Quarterly Report,” contains forward-looking statements that involve substantial risks and uncertainties. The forward-looking statements are contained principally in the section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” but also are contained elsewhere in this Quarterly Report, as well as in sections such as “Risk Factors,” including those that are incorporated by reference into this Quarterly Report from our most recent Annual Report on Form 10-K, or the “Annual Report.” In some cases, you can identify forward-looking statements by the words “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “objective,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue” and “ongoing,” or the negative of these terms, or other comparable terminology intended to identify statements about the future. These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. Although we believe that we have a reasonable basis for each forward-looking statement contained in this Quarterly Report, we caution you that these statements are based on a combination of facts and factors currently known by us and our expectations of the future, about which we cannot be certain. Forward-looking statements include statements about:

●

our plans and expectations regarding our strategic alternative review process and the timing and success of such process regarding a potential transaction;

●

success in retaining, or changes required in, our officers, key employees or directors;

●

our sales of OLINVYK and our ability to successfully commercialize other product candidates for which we may obtain regulatory approval;

●

our sales, marketing and manufacturing capabilities and strategies;

●

any ongoing or planned clinical trials and nonclinical studies for our product candidates;

●

the extent of future clinical trials potentially required by the U.S. Food and Drug Administration for our product candidates;

●

our ability to fund future operating expenses and capital expenditures with our current cash resources or to secure additional funding in the future;

●

the timing and likelihood of obtaining and maintaining regulatory approvals for our product candidates;

●

our plan to develop and potentially commercialize our product candidates;

●

the clinical utility and potential market acceptance of our product candidates, particularly in light of existing and future competition;

●

the size of the markets for our product candidates;

●

the performance of third-parties upon which we depend, including contract manufacturing organizations, suppliers, contract research organizations, distributors and logistics providers;

●

our ability to identify or acquire additional product candidates with significant commercial potential that are consistent with our commercial objectives;

●

the extent to which health epidemics and other outbreaks of communicable diseases could disrupt our operations and/or materially and adversely affect our business and financial conditions;

●

our intellectual property position and our ability to obtain and maintain patent protection and defend our intellectual property rights against third parties; and

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●

our ability to satisfy and maintain all applicable Nasdaq continued listing requirements.

You should refer to the “Risk Factors” section of this Quarterly Report and our Annual Report for a discussion of important factors that may cause our actual results to differ materially from those expressed or implied by our forward-looking statements. As a result of these factors, we cannot assure you that the forward-looking statements in this Quarterly Report will prove to be accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. We undertake no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

iii

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PART I

ITEM 1. CONSOLIDATED FINANCIAL STATEMENTS

TREVENA, INC.

Consolidated Balance Sheets (Unaudited)

(in thousands, except share and per share data)


	March 31, 2024		December 31, 2023
Assets
Current assets:
Cash and cash equivalents	$	23,552	$	32,975
Prepaid expenses and other current assets		2,426		2,230
Total current assets		25,978		35,205
Restricted cash		540		540
Property and equipment, net		1,107		1,195
Right-of-use lease assets		3,512		3,665
Total assets	$	31,137	$	40,605
Liabilities and stockholders’ deficit
Current liabilities:
Accounts payable, net	$	2,327	$	2,303
Accrued expenses and other current liabilities		3,839		4,239
Lease liabilities		1,041		1,012
Total current liabilities		7,207		7,554
Loan payable, net		31,317		30,809
Leases, net of current portion		4,153		4,424
Warrant liability		3,114		5,475
Total liabilities		45,791		48,262
Stockholders’ deficit:
Preferred stock—$0.001 par value; 5,000,000 shares authorized, none issued or outstanding at March 31, 2024 and December 31, 2023		—		—
Common stock—$0.001 par value; 200,000,000 shares authorized at March 31, 2024 and December 31, 2023; 18,321,010 and 17,289,104 shares issued and outstanding at March 31, 2024 and December 31, 2023, respectively		18		17
Additional paid-in capital		581,067		580,387
Accumulated deficit		(595,739)		(588,061)
Total stockholders’ deficit		(14,654)		(7,657)
Total liabilities and stockholders’ deficit	$	31,137	$	40,605

See accompanying notes to consolidated financial statements.

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TREVENA, INC.

Consolidated Statements of Operations and Comprehensive Loss (Unaudited)

(in thousands, except share and per share data)


	Three Months Ended
	March 31,
	2024		2023
Revenue:
Product revenue	$	20	$	6
Total revenue		20		6
Operating expenses:
Cost of goods sold		88		127
Selling, general and administrative		5,845		6,089
Research and development		3,965		3,909
Total operating expenses		9,898		10,125
Loss from operations		(9,878)		(10,119)
Other income (expense):
Change in fair value of warrant liability		2,361		2,466
Other income (expense), net		4		9
Interest income		353		289
Interest expense		(513)		(446)
Loss on foreign currency exchange		(5)		(18)
Total other income, net		2,200		2,300
Net loss		(7,678)		(7,819)
Unrealized gain on marketable securities		—		1
Comprehensive loss	$	(7,678)	$	(7,818)
Per share information:
Net loss per share of common stock, basic and diluted	$	(0.36)	$	(0.81)
Weighted average common shares outstanding, basic and diluted		21,303,390		9,594,072

See accompanying notes to consolidated financial statements.

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TREVENA, INC.

Consolidated Statements of Stockholders’ (Deficit) Equity (Unaudited)
(in thousands, except share data)


	Stockholders' (Deficit) Equity
								Accumulated
	Common Stock							Other
	Number	$0.001		Additional				Comprehensive		Total
	of	Par		Paid-in		Accumulated		Income		Stockholders'
	Shares	Value		Capital		Deficit		(Loss)		(Deficit) Equity
Balance, January 1, 2024	17,289,104	$	17	$	580,387	$	(588,061)	$	—	$	(7,657)
Stock-based compensation expense	—		—		681		—		—		681
Exercise of pre-funded warrant	1,031,906		1		(1)		—		—		—
Net loss	—		—		—		(7,678)		—		(7,678)
Balance, March 31, 2024	18,321,010	$	18	$	581,067	$	(595,739)	$	—	$	(14,654)


Balance, January 1, 2023	7,744,692	$	8	$	563,362	$	(547,772)	$	1	$	15,599
Stock-based compensation expense	—		—		806		—		—		806
Unrealized loss on marketable securities	—		—		—		—		(1)		(1)
Exercise of pre-funded warrants and related reclassification of warrant liability	1,230,380		1		1,568		—		—		1,569
Net loss	—		—		—		(7,819)		—		(7,819)
Balance, March 31, 2023	8,975,072	$	9	$	565,736	$	(555,591)	$	—	$	10,154

See accompanying notes to consolidated financial statements.

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TREVENA, INC.

Consolidated Statements of Cash Flows (Unaudited)

(in thousands)


	Three Months Ended
	March 31,
	2024		2023
Operating activities:
Net loss	$	(7,678)	$	(7,819)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation		88		82
Stock-based compensation		681		806
Noncash interest expense on loan		508		46
Change in fair value of warrant liability		(2,361)		(2,466)
Change in right-of-use asset		153		132
Changes in operating assets and liabilities:
Accounts receivable, prepaid expenses and other assets		(196)		(701)
Operating lease liabilities		(239)		(212)
Accounts payable, accrued expenses and other liabilities		(376)		(742)
Net cash used in operating activities		(9,420)		(10,874)
Financing activities:
Finance lease payments		(3)		(3)
Proceeds from exercise of pre-funded warrants		—		1
Net cash used in financing activities		(3)		(2)
Net decrease in cash, cash equivalents and restricted cash		(9,423)		(10,876)
Cash, cash equivalents and restricted cash—beginning of period		33,515		40,280
Cash, cash equivalents and restricted cash—end of period	$	24,092	$	29,404
Supplemental disclosure of cash flow information:
Reclassification of warrant liability upon exercise of pre-funded warrants	$	—	$	1,568

See accompanying notes to consolidated financial statements.

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TREVENA, INC.

Notes to Unaudited Consolidated Financial Statements

March 31, 2024

1. Organization and Description of the Business

Trevena, Inc., or the Company, is a biopharmaceutical company focused on the development and commercialization of novel medicines for patients affected by central nervous system, or CNS, disorders. The Company operates in one segment and has its principal office in Chesterbrook, Pennsylvania.

Since commencing operations in 2007, the Company has devoted substantially all of its financial resources and efforts to commercialization and research and development, including nonclinical studies and clinical trials. The Company has never been profitable. In late 2017, the Company submitted a new drug application, or NDA, for OLINVYK® (OLINVYK) injection, or OLINVYK, to the United States Food and Drug Administration, or the FDA. In August 2020, the FDA approved the NDA for OLINVYK and the Company initiated commercial launch of OLINVYK in the first quarter of 2021. In April 2024, we announced that OLINVYK remains available for purchase by customers, but that we are reducing commercial support for the product to preserve capital as we conduct a process to explore a range of strategic alternatives for OLINVYK.

Since its inception, the Company has incurred losses and negative cash flows from operations. At March 31, 2024, the Company had an accumulated deficit of $595.7 million. The Company’s net loss was $7.7 million and $7.8 million for the three months ended March 31, 2024 and 2023 respectively. The Company follows the provisions of Financial Accounting Standards Board, or FASB, Accounting Standards Codification, or ASC, Topic 205-40, Presentation of Financial Statements—Going Concern, or ASC 205-40, which requires management to assess the Company’s ability to continue as a going concern for one year after the date the financial statements are issued. The Company expects that its existing balance of cash and cash equivalents as of March 31, 2024 is not sufficient to fund operations for one year after the date of this filing and therefore management has concluded that substantial doubt exists about the Company’s ability to continue as a going concern. Management’s plans to mitigate this risk include raising additional capital through equity or debt financings, or through strategic transactions, including collaborations. Management’s plans may also include the deferral of certain operating expenses unless and until additional capital is received. However, there can be no assurance that the Company will be successful in raising additional capital or that such capital, if available, will be on terms that are acceptable to the Company, or that the Company will be successful in deferring certain operating expenses. As a result, management concluded that such plans do not alleviate the substantial doubt. If the Company is unable to raise sufficient additional capital, consummate a strategic transaction or defer sufficient operating expenses, the Company may be compelled to reduce the scope of its operations and planned capital expenditures.

2. Summary of Significant Accounting Policies

Basis of Presentation

The accompanying consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States of America, or U.S. GAAP. Any reference in these notes to applicable guidance is meant to refer to the authoritative United States generally accepted accounting principles as found in the ASC and Accounting Standards Updates, or ASUs, of the FASB. The Company’s functional currency is the U.S. dollar.

The consolidated financial statements include all normal and recurring adjustments that are considered necessary for the fair presentation of the Company’s consolidated balance sheets as of March 31, 2024, its results of operations and its comprehensive loss for the three months ended March 31, 2024 and 2023, its consolidated statements of stockholders’ equity for the period from January 1, 2024 to March 31, 2024 and for the period January 1, 2023 to March 31, 2023, and its consolidated statements of cash flows for the three months ended March 31, 2024 and 2023. The information included in this Quarterly Report on Form 10-Q should be read in conjunction with the financial statements and accompanying notes included in the Company’s most recent Annual Report on Form 10-K for the year ended December 31, 2023. Since the date of those financial statements, there have been no changes to the Company’s significant accounting policies. The financial data and other information disclosed in these notes related to the three

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months ended March 31, 2024 and 2023 are not necessarily indicative of the results to be expected for the year ending December 31, 2024, any other interim periods, or any future year or period.

Principles of Consolidation

In connection with the royalty-based financing agreement disclosed in Note 5, the Company established three wholly owned subsidiaries, Trevena Royalty Corporation, Trevena SPV1 LLC and Trevena SPV2 LLC to facilitate the financing. The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries as of March 31, 2024. All significant intercompany accounts and transactions have been eliminated in consolidation.

Use of Estimates

The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Management used significant estimates in the following areas, among others: stock-based compensation expense, the determination of the fair value of stock-based awards, the fair value of common stock warrants, the accounting for research and development costs, accrued expenses, the recoverability of the Company’s net deferred tax assets and related valuation allowance, and the amortization of debt expenses. The financial data and other information disclosed in these notes are not necessarily indicative of the results to be expected for any future year or period. The Company bases its estimates on historical experience and also on assumptions that it believes are reasonable, however, actual results could significantly differ from those results.

Fair Value of Financial Instruments

The carrying amount of the Company’s financial instruments, which include cash and cash equivalents, restricted cash, accounts payable, and accrued expenses approximate their fair values, given their short-term nature. Additionally, the Company believes the carrying value of the loan payable approximates its fair value as the interest rate is reflective of the rate the Company could obtain on debt with similar terms and conditions. Certain of the Company’s common stock warrants are carried at fair value, as disclosed in Note 3.

The Company has evaluated the estimated fair value of financial instruments using available market information and management’s estimates. The use of different market assumptions and/or estimation methodologies could have a significant effect on the estimated fair value amounts. See Note 3 for additional information.

Product Revenue

Product revenue is recognized at the point in time when our performance obligations with our customers have been satisfied. At contract inception, we determine if the contract is within the scope of ASC Topic 606 and then evaluate the contract using the following five steps: (i) identify the contract with the customer; (ii) identify the performance obligations; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations; and (v) recognize revenue at the point in time when the Company satisfies a performance obligation.

OLINVYK is sold to wholesalers in the US (collectively, “customers”). These customers subsequently resell OLINVYK generally to hospitals, ambulatory surgical centers and other purchasers of OLINVYK. We recognize revenue from OLINVYK sales at the point customers obtain control of the product, which generally occurs upon delivery.

Revenue is recorded at the transaction price, which is the amount of consideration we expect to receive in exchange for transferring products to a customer. We determine the transaction price based on fixed consideration in our contractual agreements, which includes estimates of variable consideration which are more fully described below. The transaction price is allocated entirely to the performance obligation to provide pharmaceutical products. In determining the transaction price, a significant financing component does not exist since the timing from when we deliver product to when the customers pay for the product is less than one year and the customers do not pay for product in advance of the transfer of the product.

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Variable Consideration

The Company includes an estimate of variable consideration in its transaction price at the time of sale when control of the product transfers to the customer. Variable consideration includes distributor chargebacks, prompt payment (cash) discounts, distribution service fees and product returns.

The Company assesses whether or not an estimate of its variable consideration is constrained and has determined that the constraint does not apply, since it is probable that a significant reversal in the amount of cumulative revenue will not occur in the future when the uncertainty associated with the variable consideration is subsequently resolved. The Company’s estimates for variable consideration are adjusted as required at each reporting period for specific known developments that may result in a change in the amount of total consideration it expects to receive.

Distributor Chargebacks

When a product that is subject to a contractual price agreement is sold to a third party, the difference between the price paid to the Company by the wholesaler and the price under the specific contract is charged back to the Company by the wholesaler. Utilizing this information, the Company estimates a chargeback percentage for each product and records an allowance for chargebacks as a reduction to revenue when the Company records sales of the products. We reduce the chargeback allowance when a chargeback request from a wholesaler is processed. Reserves for distributor chargebacks are included in accounts receivable, net on the consolidated balance sheet.

Prompt Payment (Cash) Discounts

The Company provides customers with prompt payment discounts which may result in adjustments to the price that is invoiced for the product transferred, in the case that payments are made within a defined period. The Company’s prompt payment discount reserves are based on actual net sales and contractual discount rates. Reserves for prompt payment discounts are included in accounts receivable, net on the consolidated balance sheet.

Distribution Service Fees

The Company pays distribution service fees to its customers based on a fixed percentage of the product price. These fees are not in exchange for a distinct good or service and therefore are recognized as a reduction of the transaction price. The Company reserves for these fees based on actual net sales, contractual fee rates negotiated with the customer and the mix of the products in the distribution channel that remain subject to fees. Reserves for distribution service fees are included in accounts receivable, net on the consolidated balance sheet.

Product Returns

Generally, the Company’s customers have the right to return any unopened product during the eighteen (18) month period beginning six (6) months prior to the labeled expiration date and ending twelve (12) months after the labeled expiration date. The Company does not currently rely on industry data in its analysis of returns reserve. As the Company sold OLINVYK and established historical sales over a longer period of time (i.e., two to three years), the Company placed more reliance on historical purchasing, demand and return patterns of its customers when evaluating its reserves for product returns. OLINVYK has a forty-eight (48) month shelf life.

The Company recognizes the amount of expected returns as a refund liability, representing the obligation to return the customer’s consideration. Since the returns primarily consist of expired and short dated products that will not be resold, the Company does not record a return asset for the right to recover the goods returned by the customer at the time of the initial sale (when recognition of revenue is deferred due to the anticipated return). Accrued product return estimates are recorded in accrued expenses and other current liabilities on the consolidated balance sheet.

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3. Fair Value of Financial Instruments

ASC 820, Fair Value Measurement, establishes a fair value hierarchy for instruments measured at fair value that distinguishes between assumptions based on market data (observable inputs) and the Company’s own assumptions (unobservable inputs). Observable inputs are inputs that market participants would use in pricing the asset or liability based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the

Company’s assumptions about the inputs that market participants would use in pricing the asset or liability and are developed based on the best information available in the circumstances.

ASC 820 identifies fair value as the exchange price, or exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As a basis for considering market participant assumptions in fair value measurements, ASC 820 establishes a three-tier fair value hierarchy that distinguishes among the following:

●

Level 1 – Valuations based on unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access.

●

Level 2 – Valuations based on quoted prices for similar assets or liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active and models for which all significant inputs are observable, either directly or indirectly.

●

Level 3 – Valuations based on inputs that are unobservable and significant to the overall fair value measurement.

To the extent that the valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value requires more judgment. Accordingly, the degree of judgment exercised by the Company in determining fair value is greatest for instruments categorized in Level 3. A financial instrument’s level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement.

The following table presents fair value of the Company’s cash, cash equivalents, restricted cash and warrant liability as of March 31, 2024 and December 31, 2023 (in thousands):



	March 31,		Quoted Prices in Active Markets		Significant Other Observable Inputs		Unobservable Inputs
Description:	2024		(Level 1)		(Level 2)		(Level 3)
Assets:
Cash	$	2,381	$	2,381	$	—	$	—
Money Market Funds		21,171		21,171		—		—
Restricted Cash		540		540		—		—
Total assets measured and recorded at fair value	$	24,092	$	24,092	$	—	$	—
Liabilities:
Warrant Liability		3,114		—		—		3,114
Total liabilities measured and recorded at fair value	$	3,114	$	—	$	—	$	3,114

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	December 31,		Quoted Prices in Active Markets		Significant Other Observable Inputs		Unobservable Inputs
Description:	2023		(Level 1)		(Level 2)		(Level 3)
Assets:
Cash	$	3,159	$	3,159	$	—	$	—
Money Market Funds		29,816		29,816		—		—
Restricted Cash		540		540		—		—
Total assets measured and recorded at fair value	$	33,515	$	33,515	$	—	$	—
Liabilities:
Warrant Liability		5,475		—		—		5,475
Total liabilities measured and recorded at fair value	$	5,475	$	—	$	—	$	5,475

(1)	The fair value of Level 1 securities is estimated based on quoted prices in active markets for identical assets or liabilities.

The Company recognizes transfers between levels of the fair value hierarchy as of the end of the reporting period. There were no transfers between Level 2 and Level 3 during the three months ended March 31, 2024.

December 2023 Equity Offering and Warrant Issuance

The common stock warrants issued in connection with the Company’s private placement and warrant exercise transactions in December 2023 (collectively, the “December 2023 Offering”) were classified as liabilities at the time of issuance due to certain cash settlement adjustment features that were not deemed to be indexed to the Company’s stock. The warrant liability is remeasured each reporting period with the change in fair value recorded to other income (expense) in the consolidated statement of operations and comprehensive loss until the warrants are exercised, expired, reclassified or otherwise settled. The fair value of the warrant liability was determined using Level 3 inputs and was estimated using a Black-Scholes Option Pricing Model.

The assumptions used to estimate the fair value were as follows:



	March 31, 2024			December 31, 2023
Expected term of warrants (in years)		5.0			5.3
Risk-free interest rate		4.2	%		3.8	%
Expected volatility		114.72	%		128.26	%
Dividend yield		—	%		—	%

The following is a roll forward of the December 2023 Offering common stock warrant liability (in thousands):


	Warrant Liability
Balance, December 31, 2023	$	5,475
Change in fair value		(2,361)
Balance, March 31, 2024	$	3,114

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Warrants

As of March 31, 2024, the Company had the following common stock warrants outstanding:



	Classification	Warrants	Exercise Price	Expiration Date
December 2023 Offering Pre-Funded Warrants	Equity	1,748,000	$0.001	Until exercised
December 2023 Offering Warrants	Liability	8,648,666	0.70	4/19/2029
R-Bridge warrants	Equity	200,000	20.50	4/14/2025
Other warrants	Equity	4,114	90.38 - 265.48	9/19/2024 - 3/31/2027
		10,600,780

4. Inventories

Inventories are valued at the lower of cost or net realizable value. Cost is determined using the first-in, first-out method for all inventories. Inventory includes the cost of API, raw materials and third-party contract manufacturing and packaging services. Indirect overhead costs associated with production and distribution are recorded as period costs in the period incurred. Costs of drug product to be consumed in any current or future clinical trials will continue to be recognized as research and development expense.

The Company periodically evaluates the carrying value of inventory on hand using the same lower of cost or net realizable value approach as that used to initially value the inventory. Valuation adjustments may be required for slow-moving or obsolete inventory or in any situations where market conditions have caused net realizable value to fall below the carrying cost of the inventory.

Inventory consists of the following (in thousands):


	March 31, 2024		December 31, 2023
Finished goods	$	—	$	896
Inventory Valuation Adjustment		—		(896)
Total Inventories	$	-	$	-

The Company recorded an inventory valuation adjustment of $0.9 million during the year ended December 31, 2023. The valuation adjustment was recorded to account for slow moving or obsolete inventory due to uncertainty of commercial activities and future expected OLINVYK sales.

5. Loan Payable

In April 2022, the Company, through its wholly owned subsidiary, Trevena SPV2 LLC (“SPV2”), entered into a royalty-based loan agreement (the “Loan Agreement”) with R-Bridge, pursuant to which the Company may be eligible to receive up to $40.0 million in term loan borrowings (the “R-Bridge Financing”). Term loan borrowings will be advanced in three tranches. The first tranche of $15.0 million was advanced in April 2022. The second tranche of $10.0 million will become available upon achievement of either a commercial or financing milestone as set forth in the Loan Agreement. The third tranche of $15.0 million became available upon the first commercial sale of OLINVYK in China which occurred in August 2023 and the Company elected to receive such proceeds.

The following table summarizes the impact of the Loan Agreement on the Company’s consolidated balance sheet as follows (in thousands):

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	March 31,
	2024
Principal and accreted interest	$	32,691
Unamortized debt discount		(1,374)
Loans payable, net	$	31,317

The term loans bear interest at a rate per annum equal to 7.00% and will mature on the earlier of (i) the fifteen (15) year anniversary of the closing date in March 2022 and (ii) the date on which the license agreement with Nhwa expires. Repayment of any borrowings and related interest will be made quarterly beginning June 30, 2022. Repayment will be in the form of (i) a 4.0% royalty payment on the Company’s net sales of OLINVYK in the United States and (ii) proceeds from royalties from the Company’s license agreement with Nhwa. As a result of Nhwa obtaining Chinese approval of OLINVYK in May 2023, royalties from net sales of OLINVYK in the United States are capped at $10.0 million in accordance with the Loan Agreement. Upon a change in control or in the event the Company elects to repay any outstanding borrowings prior to their contractual maturity, SPV2 is required to pay a control premium equal to the greater of (i) principal and interest and (ii) $10.0 million or $20.0 million depending on the timing in which the triggering event occurs as further provided in the Loan Agreement.

In April 2022, the Company placed $2.0 million into an interest reserve account in connection with the Loan Agreement. Payments of interest under the Loan Agreement are made quarterly from the royalty on the Company’s net sales of OLINVYK in the United States and proceeds from royalties from the Company’s license agreement with Nhwa. On each interest payment date, if the royalty payments received do not equal the total interest due for the respective quarter, the interest payment due will be paid from the interest reserve account. The interest reserve account was classified as restricted cash on the Company’s balance sheet at December 31, 2022. During the second quarter of 2023, the Company agreed to transfer the remaining funds, approximately $1.0 million, to R-Bridge to prepay future interest payments. As of December 31, 2023, the prepaid interest had been reduced to $0.0 through interest expense incurred under the Loan Agreement.

Repayments of all borrowings, interest and other related payments, under the Loan Agreement are secured by substantially all of the assets associated with the license agreement with Nhwa, the Chinese intellectual property related to OLINVYK, and deposit accounts established to hold amounts received on account for repayment of the borrowings and related interest under the Loan Agreement. The Loan Agreement contains certain customary affirmative and negative covenants and contains customary defined events of default, upon which any outstanding principal and unpaid interest shall be due on demand. At March 31, 2024, there were no events of default pursuant to the Loan Agreement and the Company was in compliance with all covenants. Interest expense is imputed based on the estimated loan repayment period, which takes into consideration estimated future revenue in the United States and China. Changes in estimates are recognized prospectively and may have a material impact on liability balance. As of March 31, 2024, the effective interest rate was 5.8%.

In connection with the first tranche borrowings in April 2022, the Company issued a warrant to R-Bridge to purchase 200,000 shares of the Company’s common stock at an initial exercise price of $20.50 per share and will be exercisable for a period of three years. The Company concluded the warrant was a freestanding equity-classified instrument to which the proceeds from the first tranche was allocated across the debt and warrant on a relative fair value basis. In addition, the Company incurred lender fees and third-party costs of $0.5 million each and were netted against the proceeds allocated to the debt and warrant. Fees netted against debt proceeds represent a debt discount and are amortized into interest expense using the effective interest method. During the three months ended March 31, 2024, the Company recognized interest expense of $0.5 million, of which $0.1 million pertained to the amortization of the debt discount.

The accounting for the Loan Agreement requires the Company to make certain estimates and assumptions, particularly about future royalties under the license agreement with Nhwa and sales of OLINVYK in the United States and China. Such estimates and assumptions are utilized in determining the expected repayment term, amortization period of the debt discount, accretion of interest expense and classification between current and long-term portions of amounts outstanding. The Company amortizes the debt discount into interest expense over the expected term of the arrangement using the interest method based on projected cash flows. Similarly, the Company classifies as current debt for the Loan Agreement, amounts that are expected to be repaid during the succeeding twelve months after the reporting period end. However, the repayment of amounts due under the Loan Agreement is variable because the cash flows to be utilized for periodic payments is a function of amounts received by the Company with respect to the royalties and net product sales.

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Accordingly, the estimates of the magnitude and timing of amounts to be available for debt service are subject to significant variability and thus, subject to significant uncertainty. Therefore, these estimates and assumptions are likely to change, which may result in future adjustments to the portion of the debt that is classified as a current liability, the amortization of debt discount and the accretion of interest expense. Other amounts that may become due and payable under the Loan Agreement, including amounts shared between the parties with respect to cash flows received in excess of pre-defined thresholds, are recognized as additional interest expense when they become probable and estimable. The amount of principal to be repaid in each of the five succeeding years is not fixed and determinable.

6. Stockholders’ (Deficit) Equity

Equity Offerings

Under its certificate of incorporation, the Company was authorized to issue up to 200,000,000 shares of common stock as of March 31, 2024. The Company also was authorized to issue up to 5,000,000 shares of preferred stock as of March 31, 2024. The Company is required, at all times, to reserve and keep available out of its authorized but unissued shares of common stock sufficient shares to effect the conversion of the shares of the preferred stock and all outstanding stock options and warrants.

December 2023 Equity Offering and Warrant issuance

On December 28, 2023, the Company and a single investor entered into a securities purchase agreement whereby the Company issued 2,779,906 pre-funded warrants with an initial exercise price of $0.001 per share for $0.70 per warrant, which are exercisable immediately and do not expire. In addition, the investor received 2,779,906 common stock warrants with an initial exercise price of $0.70 per share, which are exercisable for five years beginning on the date in which the Company obtains shareholder approval to issue the underlying shares of common stock associated with the warrants.

Concurrent with the securities purchase agreement above, the Company and the investor entered into an inducement agreement whereby the Company agreed to reduce the exercise price of 2,934,380 warrants held by the investor from prior equity offerings. The weighted average exercise price of the outstanding warrants was $3.35 per share and was reduced to $0.70 per share in exchange for the investor agreeing to immediately exercise the warrants. Of the warrants exercised, 1,234,380 are being held in abeyance for the benefit of the holder due to certain beneficial ownership limitations and these shares are not considered issued or outstanding in our consolidated balance sheet. In addition to reducing the exercise price, the Company issued 5,868,760 common stock warrants to the investor with an initial exercise price of $0.70 per share, which are exercisable for five years beginning on the date in which the Company obtained shareholder approval to issue the underlying shares of common stock associated with the warrants. The fair value of the warrants to purchase 5,868,760 shares of common stock and the change in fair value of the warrants resulting from the reduction in the exercise price totaling $4.2 million was accounted for as equity issuance costs in the consolidated statement of operations.

The Company received $3.5 million in total, after deducting underwriter fees and other third-party costs, as a result of the sale of pre-funded warrants and exercise of the warrants as part of the inducement.

The warrants issued did not meet the requirements to be indexed to equity and equity classified and, as such, are classified as liabilities at fair value with changes in fair value recorded within other income (expense), net on the consolidated statements of operations and comprehensive loss.

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Equity Incentive Plan

The estimated grant date fair value of the Company’s share-based awards is amortized on a straight-line basis over the awards’ service periods. Share based compensation expense recognized was as follows (in thousands):


	Three Months Ended March 31,
	2024		2023
Research and development	$	156	$	189
Selling, general and administrative		525		617
Total stock-based compensation	$	681	$	806

Stock Options

A summary of stock option activity and related information through March 31, 2024 follows:


	Options Outstanding
				Weighted
				Average
		Weighted		Remaining
		Average		Contractual
	Number of	Exercise		Term
	Shares	Price		(in years)
Balance, December 31, 2023	403,484	$	35.68	6.81
Granted	—		—
Exercised	—		—
Forfeited/Cancelled	(18,767)		37.31
Balance, March 31, 2024	384,717	$	35.61	6.66
Vested or expected to vest at March 31, 2024	384,717	$	35.61	6.66
Exercisable at March 31, 2024	257,015	$	47.92	5.62

The aggregate intrinsic value of options exercisable as of March 31, 2024 was zero, based on the difference between the Company’s closing stock price of $0.46 and the exercise price of each stock option.

The Company uses the Black Scholes option pricing model to estimate the fair value of stock options at the grant date. The Black Scholes model requires the Company to make certain estimates and assumptions, including estimating the fair value of the Company’s common stock, assumptions related to the expected price volatility of the Company’s common stock, the period during which the options will be outstanding, the rate of return on risk free investments and the expected dividend yield for the Company’s stock.

Restricted Stock Units

RSU-related expense is recognized on a straight-line basis over the vesting period. Upon vesting, these awards may be settled on a net-exercise basis to cover any required withholding tax with the remaining amount converted into an equivalent number of shares of common stock.

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The following is a summary of changes in the status of non-vested RSUs during the three months ended March 31, 2024:



		Weighted
		Average
	Number of	Grant Date
	Awards	Fair Value
Non-vested at December 31, 2023	1,602,588	$	2.05
Granted	—		—
Vested	—		—
Forfeited/Cancelled	(34,471)		1.70
Non-vested at March 31, 2024	1,568,117	$	2.06

For the three months ended March 31, 2024, the Company recorded $0.4 million in stock-based compensation expense related to RSUs, which is reflected in the consolidated statements of operations and comprehensive loss.

As of March 31, 2024, there was $2.5 million of total unrecognized compensation expense related to unvested RSUs that will be recognized over the weighted average remaining period of 2.17 years.

Shares Available for Future Grant

At March 31, 2024, the Company has the following shares available to be granted under its equity incentive plans:


		Inducement
	2023 Plan	Plan
Available at December 31, 2023	253,463	12,000
Authorized	—	—
Granted	—	—
Shares withheld for taxes not issued	—	—
Forfeited/Cancelled	53,238	—
Available at March 31, 2024	306,701	12,000

Shares Reserved for Future Issuance

At March 31, 2024, the Company has reserved the following shares of common stock for issuance:


Stock options outstanding under 2013 Plan		273,967
Stock options outstanding under 2023 Plan		102,750
Restricted stock units outstanding under 2013 Plan		1,568,117
Stock options outstanding under Inducement Plan		8,000
Warrants outstanding		10,600,780
Total shares of common stock reserved for future issuance		12,553,614

7. Commitments and Contingencies

Leases

The Company leases office space in Chesterbrook, Pennsylvania and equipment. The Company’s principal office is located at 955 Chesterbrook Boulevard, Chesterbrook, Pennsylvania, where the Company currently leases approximately 8,231 square feet of developed office space on the first floor and 40,565 square feet of developed office space on the second floor. The lease term for this space extends through May 2028. On October 11, 2018, the Company entered into an agreement with The Vanguard Group, Inc. (“Vanguard”) whereby Vanguard agreed to sublease the 40,565 square feet of space on the second floor for an initial term of 37 months. On October 2, 2020, Vanguard notified the Company that they exercised the first option to extend the sublease term for three years through November 30, 2024. Vanguard has a second option to extend the sublease term for an additional three years through November 30, 2027. On

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August 3, 2023, Vanguard exercised its second option to extend its sublease term. The Company and Vanguard agreed to further extend the sublease through May 2028. With the current extension to May 2028, Vanguard’s sublease is coterminous with the Company’s master lease term. The sublease provides for rent abatement for the first month of the term; thereafter, the rent payable to the Company by Vanguard under the sublease is (i) $0.50 less during months 2 through 13 of the sublease and (ii) $1.00 less in month 14 through 109 of the sublease, and (iii) in month 110 through 116 of the sublease, $16.50 less than the base rent payable by us under our master lease with Chesterbrook Partners, L.P. Vanguard also is responsible for paying to the Company all tenant energy costs, annual operating costs, and annual tax costs attributable to the subleased space during the term of the sublease. Rent expense and associated sublease income are recorded in the Company’s consolidated statements of operations and comprehensive loss as other income (expense).

Supplemental balance sheet information related to leases was as follows (in thousands):


	March 31, 2024		December 31, 2023
Operating leases:
Operating lease right-of-use assets	$	3,512	$	3,665
Other current lease liabilities		1,031		1,002
Operating lease liabilities		4,148		4,417
Total operating lease liabilities	$	5,179	$	5,419

Finance leases:
Property and equipment, at cost	$	29	$	29
Accumulated depreciation		(16)		(13)
Property and equipment, net		13		16
Other current lease liabilities		10		10
Other long-term liabilities		5		7
Total finance lease liabilities	$	15	$	17

The components of lease expense were as follows (in thousands):


	Three Months Ended
	March 31,
	2024		2023
Operating lease costs:
Operating lease expense	$	385	$	398
Other income		(350)		(350)
Total operating lease costs	$	35	$	48

Finance lease costs:
Amortization of right-of-use assets		2		2
Interest on lease liabilities		—		—
Total finance lease costs	$	2	$	2

Supplemental cash flow information related to leases was as follows (in thousands):


	Three Months Ended
	March 31,
	2024		2023
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$	(122)	$	(128)
Financing cash flows from finance leases		(3)		(3)

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Our lease liabilities will mature, as follows (in thousands):


	Operating Leases		Financing Leases
2024 (April 1 - December 31)		1,090		8
2025		1,474		8
2026		1,498		—
2027		1,523		—
2028		640		—
Total minimum lease payments	$	6,225	$	16
Less: imputed interest		(1,046)		(1)
Lease liability	$	5,179	$	15

Per the terms of our sublease, we expect the following inflows (in thousands):


	Sublease
2024 (April 1 - December 31)		869
2025		1,178
2026		1,198
2027		1,166
2028		254
Total minimum lease payments	$	4,665

Weighted average lease term and discount rates are as follows:


	Three Months Ended March 31,
	2024		2023
Weighted average remaining lease term (years)
Operating leases		4		5
Finance leases		1		2
Weighted average discount rate
Operating leases		9.2%		9.2%
Finance leases		6.5%		6.5%

8. Product Revenue

Performance Obligation

The Company’s performance obligation is the supply of finished pharmaceutical products to its customers. The Company’s customers consist of major wholesale distributors. The Company’s customer contracts generally consist of both a master agreement, which is signed by the Company and its customer, and a customer submitted purchase order, which is governed by the terms and conditions of the master agreement.

Revenue is recognized when the Company transfers control of its products to the customer, which occurs at a point-in-time, upon delivery.

The Company offers standard payment terms to its customers and has elected the practical expedient to not adjust the promised amount of consideration for the effects of a significant financing, since the period between when the Company transfers the product to the customer and when the customer pays for that product is one year or less. Taxes collected from customers relating to product revenue and remitted to governmental authorities are excluded from revenues. The consideration amounts due from customers as a result of product revenue are subject to variable consideration.

The Company offers standard product warranties which provide assurance that the product will function as expected and in accordance with specifications. Customers cannot purchase warranties separately and these warranties

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do not give rise to a separate performance obligation. The Company permits the return of product under certain circumstances, mainly upon at or near product expiration, instances of shipping errors or where product is damaged in transit. The Company accrues for the customer’s right to return as part of its variable consideration.

Sales-Related Deductions

The following table presents a roll forward of the major categories of sales-related deductions included in trade receivable allowances for the three months ended March 31, 2024 (in thousands):


	Sales Discounts		Chargebacks		Fee for Service
Balance, January 1, 2024	$	2		19		9
Provision related to sales recorded in the period		—		4		3
Credits / payments during the period		—		(2)		—
Adjustments related to prior period sales		—		—		—
Balance, March 31, 2024	$	2	$	21	$	12

As of March 31, 2024, the Company’s outstanding accounts receivable of $35,000 was offset by the trade receivable allowances presented above.

9. License and Royalty Revenue

License and Commercialization Agreement with Pharmbio Korea Inc.

In April 2018, the Company entered into an exclusive license agreement with Pharmbio Korea Inc., or Pharmbio, for the development and commercialization of OLINVYK for the management of moderate to severe acute pain in South Korea. Under the terms of the agreement, the Company received an upfront, non-refundable cash payment of $3.0 million (less applicable withholding taxes of $0.5 million) in June 2018, and will receive a cash commercial milestone of up to $0.5 million if OLINVYK is approved in South Korea and tiered royalties on product sales in South Korea ranging from high single digits to 20%, less applicable withholding taxes. As part of the agreement, the Company also granted Pharmbio an option to manufacture OLINVYK, on a non-exclusive basis, for the development and commercialization of the product in South Korea, subject to a separate arrangement to be entered into if Pharmbio exercises the option. The license agreement is terminable by Pharmbio for any reason upon 180 days written notice.

In accordance with the terms of the agreement, Pharmbio is solely responsible for all development and regulatory activities in South Korea. The parties have formed a Joint Development Committee with equal representation from the Company and Pharmbio to provide overall coordination and oversight of the development of OLINVYK in South Korea. The parties also agreed to form a Joint Manufacturing and Commercialization Committee at least six months prior to the anticipated date of regulatory approval of OLINVYK in South Korea to provide overall coordination and oversight of the manufacture and commercialization of OLINVYK in South Korea.

License Agreement with Jiangsu Nhwa Pharmaceutical Co. Ltd.

In April 2018, the Company also entered into an exclusive license agreement with Jiangsu Nhwa Pharmaceutical Co. Ltd., or Nhwa, for the development and commercialization of OLINVYK for the management of moderate to severe acute pain in China. Under the terms of this agreement, the Company received an upfront, non-refundable cash payment of $2.5 million (less applicable withholding taxes of $0.3 million) in July 2018. In August 2020, the Company received a milestone payment of $3.0 million (less applicable withholding taxes of $0.3 million), that became payable by Nhwa upon FDA approval of OLINVYK. In May 2023, the Company received a milestone payment of $3.0 million (less applicable withholding taxes $0.3 million), that became payable by Nhwa upon regulatory approval of OLINVYK in China. The Company is eligible to receive up to an additional $6.0 million of commercialization milestone payments based on product sales levels in China, and a ten percent royalty on all net product sales in China, less applicable withholding taxes. In the third quarter of 2023, Nhwa launched OLINVYK, recognized net product sales in China and reported royalties on those sales to the Company. This royalty is required to be used by the Company to repay its obligations under the Loan Agreement. As part of the license agreement with Nhwa, the Company also granted Nhwa an option to manufacture OLINVYK, on an exclusive basis in China, for the

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development and commercialization of the product in China. In the second quarter of 2018, Nhwa elected to exercise this manufacturing option. The license agreement is terminable by Nhwa for any reason upon 180 days written notice.

In accordance with the terms of the agreement, Nhwa is solely responsible for all development and regulatory activities in China. The parties have formed a Joint Development Committee with equal representation from the Company and Nhwa to provide overall coordination and oversight of the development of OLINVYK in China. The parties also formed a Joint Manufacturing and Commercialization Committee to provide overall coordination and oversight of the manufacture and commercialization of OLINVYK in China.

For the three months ended March 31, 2024 and 2023, there was no license and royalty revenue.

10. Net Loss Per Common Share

The following table sets forth the computation of basic and diluted net loss per share for the periods indicated (in thousands, except share and per share data):


	Three Months Ended March 31,
	2024		2023
Basic and diluted net loss per common share calculation:
Net loss	$	(7,678)	$	(7,819)
Weighted average common shares outstanding		21,303,390		9,594,072
Net loss per share of common stock - basic and diluted	$	(0.36)	$	(0.81)

The pre-funded warrants to purchase common shares issued in connection with the December 2023 offering are included in the calculation of basic and diluted net loss per share as the exercise price of $0.001 per share is non-substantive and virtually assured. The pre-funded warrants are more fully described in Note 3. Further, the shares held in abeyance also described in Note 6, are included in the calculation of basic and diluted net loss per share.

The following outstanding securities at March 31, 2024 and 2023 have been excluded from the computation of diluted weighted shares outstanding, as they would have been anti-dilutive:


	March 31,
	2024	2023
Options outstanding	384,717	334,060
RSUs outstanding	1,568,117	834,720
Warrants outstanding	8,852,780	3,145,394
Total	10,805,614	4,314,174

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

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited consolidated financial statements and related notes that appear in Item 1 of this Quarterly Report on Form 10-Q and with our audited financial statements and related notes for the year ended December 31, 2023, which are included in our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, on April 1, 2024. Unless the context otherwise requires, we use the terms “Trevena,” “Company,” “we,” “us” and “our” to refer to Trevena, Inc.

Overview

We are a biopharmaceutical company focused on developing and commercializing novel medicines for patients affected by central nervous system, or CNS, disorders. Our lead product, OLINVYK® (oliceridine) injection, or OLINVYK, was approved by the United States Food and Drug Administration (the “FDA”), in August 2020. In October 2020, we announced that OLINVYK had received scheduling from the U.S. Drug Enforcement Administration (the

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“DEA”), and was classified as a Schedule II controlled substance. We initiated commercial launch of OLINVYK in the first quarter of 2021.

In April 2024, we announced that OLINVYK remains available for purchase by customers, but that we are reducing commercial support for the product to preserve capital as we conduct a process to explore a range of strategic alternatives for OLINVYK. Notwithstanding our reduction of commercial support for OLINVYK, which includes the elimination of our Chief Commercial Officer role, we continue to comply with all regulatory requirements, including post-marketing surveillance and reporting obligations. Potential strategic alternatives that may be explored or evaluated include, but are not limited to, a sale, license, divestiture or discontinuation of US commercial sales of OLINVYK. There can be no assurance regarding the schedule for completion of the strategic review process, that this strategic review process will result in the Company pursuing any transaction or that any transaction, if pursued, will be completed.

OLINVYK is an opioid agonist for use in adults for the management of acute pain severe enough to require an intravenous opioid analgesic and for whom alternative treatments are inadequate. We are also developing a pipeline of product candidates based on our proprietary product platform, including TRV045 for diabetic neuropathic pain, epilepsy, and seizure disorders; and TRV734 for moderate-to-severe acute and chronic pain and opioid use disorders.

Since our incorporation in late 2007, our operations have included organizing and staffing our company, business planning, raising capital, discovering and developing our product candidates, and establishing our intellectual property portfolio. We have financed our operations primarily through private placements and public offerings of our equity securities and debt borrowings. As of March 31, 2024, we had an accumulated deficit of $595.7 million. Our net loss was $7.7 million and $7.8 million for the three months ended March 31, 2024 and 2023, respectively. Our ability to become and remain profitable depends on our ability to generate revenue or sales. We do not expect to generate significant revenue or sales unless and until we or a collaborator successfully commercialize OLINVYK or obtain marketing approval for and successfully commercialize TRV045 or TRV734.

We expect to incur significant expenses and operating losses for the foreseeable future even as we reduce commercial support for OLINVYK and continue the development and clinical trials of our other product candidates. We will need to obtain substantial additional funding in connection with our continuing operations. We will seek to fund our operations through the sale of equity, debt financings or other sources, including potential strategic transactions, including collaborations. However, we may be unable to raise additional funds or enter into such other agreements when needed on favorable terms, or at all. If we fail to raise capital or enter into such other arrangements as, and when, needed, we may have to significantly delay, scale back or discontinue our operations, development programs, and/or any future commercialization efforts.

Recent Developments

Results of Special Meeting of Stockholders

On April 19, 2024, the Company held a special meeting of stockholders (the “Adjourned Meeting”), which was originally held on March 21, 2024 and adjourned (the “Original Meeting” and together with the Adjourned Meeting, the “Special Meeting”). At the Special Meeting, we sought stokcholder approval to, among other things, authorize, for purposes of complying with Nasdaq Listing Rule 5635(d), the issuance of shares of our common stock underlying certain warrants issued by the Company in connection with the December 2023 Offering (the “Issuance Proposal”). At the Special Meeting, the Issuance Proposal was approved by a majority of the voting power of the outstanding shares of the Company’s common stock represented in person or by proxy and entitled to vote at the Special Meeting.

Compliance with Nasdaq Listing Requirements

As previously disclosed, on March 6, 2024, we received a letter from Nasdaq stating that, for the last 30 consecutive business days, the bid price for the Company’s common stock had closed below the minimum $1.00 per share required for continued inclusion on The Nasdaq Capital Market under Nasdaq Listing Rule 5550(a)(2) (the “Minimum Bid Price Requirement”) and that we were not eligible for a second 180-day extension period because the Company did not comply with the $5,000,000 minimum stockholders’ equity initial listing requirement for The Nasdaq Capital Market. As permitted under Nasdaq rules, we appealed Nasdaq’s determination and requested a hearing before a Nasdaq Hearings Panel (the “Panel”). The hearing took place on May 2, 2024 (the “Appeal Hearing”).

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On April 5, 2024, we received an additional letter from Nasdaq notifying us that we no longer complied with the requirement under Nasdaq Listing Rule 5550(b)(1) to maintain a minimum of $2.5 million in stockholders’ equity for continued listing on the Nasdaq Capital Market (the “Equity Standard Requirement”). At the Appeal Hearing, we presented our plan to regain and maintain compliance with both the Minum Bid Price Requirement and the Equity Standard Requirement. All delisting actions were stayed pending a final decision by the Panel.

On May 13, 2024, we received a decision letter from the Panel granting us an extension until August 28, 2024, subject to certain conditions, to regain compliance with the Nasdaq continued listing requirements, including the Minimum Bid Price Requirement and Equity Standard Requirement. All delisting actions are stayed during the additional extension period granted by the Panel following the Appeal Hearing. While we are investigating a range of options available to us to regain compliance with the Minimum Bid Price Requirement and Equity Standard Requirement, there can be no assurance that we will be able to regain compliance with the Nasdaq continued listing requirements before dates required by Nasdaq or at all.

Critical Accounting Policies and Significant Judgments and Estimates

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

Our significant accounting policies are more fully described in the notes to our audited consolidated financial statements for the year ended December 31, 2023 included in our Annual Report on Form 10-K. However, we believe that the following accounting policies are important to understanding and evaluating our reported financial results, and we have accordingly included them in this discussion.

Product Revenue

We account for product revenue in accordance with ASC Topic 606, Revenue from Contracts with Customers (ASC 606). We perform the following five steps to recognize revenue under ASC 606: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the entity satisfies a performance obligation. We only recognize revenue when we believe that it is probable that we will collect the consideration to which we are entitled in exchange for the goods or services that will be transferred to the customer.

We sell OLINVYK to wholesalers in the US (collectively, “customers”). These customers subsequently resell our products generally to hospitals, ambulatory surgical centers and other purchasers of OLINVYK. We recognize revenue from OLINVYK sales at the point customers obtain control of the product, which generally occurs upon delivery. The transaction price that is recognized as revenue for products includes an estimate of variable consideration which is more fully described below.

Variable Consideration

We include an estimate of variable consideration in our transaction price at the time of sale when control of the product transfers to the customer. Variable consideration includes distributor chargebacks, prompt payment (cash) discounts, distribution service fees and product returns.

We assess whether or not an estimate of our variable consideration is constrained based on the probability that a significant reversal in the amount of cumulative revenue may occur in the future when the uncertainty associated with the variable consideration is subsequently resolved. Actual amounts of consideration ultimately received may vary from

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our estimates. If actual results in the future vary from our estimates, we will adjust these estimates, which would affect product sales and earnings in the period such variances become known.

Distributor Chargebacks

When a product is sold to a third party that is subject to a contractual price agreement, the difference between the price paid to us by the wholesaler and the price under the specific contract is charged back to us by the wholesaler. Utilizing this information, we estimate a chargeback percentage for each product and record an allowance for chargebacks as a reduction to revenue when we record our sale of the products. We reduce the chargeback allowance when a chargeback request from a wholesaler is processed. Reserves for chargebacks are included in accounts receivable, net on the consolidated balance sheet.

Product Returns

Generally, our customers have the right to return any unopened product during the eighteen (18) month period beginning six (6) months prior to the labeled expiration date and ending twelve (12) months after the labeled expiration date. We do not currently rely on industry data in our analysis of returns reserve. As we sold OLINVYK and established historical sales over a longer period of time (i.e., two to three years), we placed more reliance on historical purchasing, demand from hospitals and ambulatory surgical centers, return patterns of our customers and the amount of OLINVYK held by wholesalers, when evaluating our reserves for product returns. OLINVYK has a forty-eight (48) month shelf life.

We recognize the amount of expected returns as a refund liability, representing the obligation to return the customer’s consideration. Since the returns primarily consist of expired and short dated products that will not be resold, we do not record a return asset for the right to recover the goods returned by the customer at the time of the initial sale (when recognition of revenue is deferred due to the anticipated return). Accrued product return estimates are recorded in accrued expenses and other current liabilities on the consolidated balance sheet.

Stock-Based Compensation

We have applied the fair value recognition provisions of Financial Accounting Standards Board Accounting Standards Codification Topic 718, Compensation — Stock Compensation, or ASC 718, to account for stock-based compensation for employees. We recognize compensation costs related to stock options granted to employees based on the estimated fair value of the awards on the date of grant.

We have equity incentive plans under which various types of equity-based awards including, but not limited to, incentive stock options, non-qualified stock options, restricted stock unit awards and performance stock unit awards, may be granted to employees, non-employee directors, and non-employee consultants. We also have an inducement plan under which various types of equity-based awards, including non-qualified stock options and restricted stock unit awards, may be granted to new employees.

We recognize compensation expense on a straight-line basis over the requisite service period for all stock-based awards based on the estimated grant-date fair values. For restricted stock unit awards to employees, the fair value is based on the closing price of our common stock on the date of grant. The fair value of stock options is determined using the Black-Scholes option pricing model. We utilize a dividend yield of zero based on the fact that we have never paid cash dividends and have no current intention of paying cash dividends. We elected an accounting policy to record forfeitures as they occur.

See Note 6, included in Part 1, Item 1 of this Quarterly Report, for a discussion of the assumptions we used in determining the grant date fair value of options granted under the Black-Scholes option pricing model, as well as a summary of the stock option activity under our stock-based compensation plan for all years presented.

Loan Payable

In April 2022, an indirect subsidiary (“SPV2”) entered into a Loan Agreement with R-Bridge, pursuant to which the Company may be eligible to receive up to $40.0 million in term loan borrowings, or the R-Bridge Financing. Term loan borrowings will be advanced in three tranches. The first tranche of $15.0 million was advanced in April 2022. The second tranche of $10.0 million will become available upon achievement of either a commercial or financing

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milestone as set forth in the Loan Agreement. The third tranche of $15.0 million was received in August 2023 upon the first commercial sale of OLINVYK in China. In December 2023, we notified R-Bridge that we believed we had satisfied the conditions for the second tranche based on the achievement of the specified cumulative financing milestone. We are in discussions with R-Bridge with respect to the second tranche. However, there can be no assurance when, or if, we will receive the funds under the second tranche.

Under the relevant accounting guidance, the loan agreement has been accounted for as a debt instrument that will be amortized using the effective interest method over the life of the arrangement. In order to determine the amortization of the liability, we are required to estimate the total amount of future royalty payments to be paid to R-Bridge. Consequently, we impute interest on the unamortized portion of the liability and record interest expense related to the loan agreement accordingly. Due to the significant judgments and factors related to the estimates of future payments under the loan agreement, there are significant uncertainties surrounding the amount and timing of future payments and the related interest expense we recognize. We record non-cash interest expense within our consolidated statements of operations over the term of the loan agreement.

Recent Accounting Pronouncements

None.

Results of Operations

Comparison of the three months ended March 31, 2024 and 2023 (in thousands)


	Three Months Ended
	March 31,
	2024		2023		Change
Revenue:
Product revenue	$	20	$	6	$	14
Total revenue		20		6		14
Operating expenses:
Cost of goods sold		88		127		(39)
Selling, general and administrative		5,845		6,089		(244)
Research and development		3,965		3,909		56
Total operating expenses		9,898		10,125		(227)
Loss from operations		(9,878)		(10,119)		241
Other income (expense):
Change in fair value of warrant liability		2,361		2,466		(105)
Other income, net		4		9		(5)
Interest income		353		289		64
Interest expense		(513)		(446)		(67)
Loss on foreign currency transactions		(5)		(18)		13
Total other income, net		2,200		2,300		(100)
Net Loss	$	(7,678)	$	(7,819)	$	141
Unrealized loss on marketable securities		—		1		(1)
Comprehensive loss	$	(7,678)	$	(7,818)	$	140

Revenue

We derive our revenue from providing OLINVYK to our customers and activities pursuant to our licensing agreements related to the development and commercialization of OLINVYK in China and South Korea. For the three months ended March 31, 2024, we recorded $20,000 in product revenue from the shipment of drug product to wholesalers. For the three months ended March 31, 2023, we recorded $6,000 in product revenue from the shipment of drug product to wholesalers.

For the three months ended March 31, 2024 and 2024 there was no license and royalty revenue.

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As noted, in 2022 we recorded a returns reserve adjustment of $0.4 million for expected returns from our wholesalers. This adjustment was due, in part, to feedback we received in October 2022 from one of our wholesalers indicating that the wholesaler intended to return a significant portion of its supply of OLINVYK. As a result, we evaluated our returns reserves and updated our estimates to reflect this expected return, as well as potential increased probability of returns from our other wholesalers. In the fourth quarter of 2023, we recorded a returns reserve adjustment of $0.1 million for expected returns from our wholesalers. This adjustment was due, in part, on our evaluation of historical purchasing trends, the remaining expiry period of inventory held by our wholesalers and the potential increase in the probability of returns from our wholesalers.

As further background on our methodology with respect to returns reserves, every quarter since our launch of OLINVYK, we review the amounts of OLINVYK held at our wholesalers to evaluate the likelihood of expected product returns. In our analysis, we consider a range of factors including the level of sales from our wholesalers to hospitals, ambulatory surgical centers (“ASCs”) and other purchasers of OLINVYK, which our wholesalers report to us on a regular basis, as well as any new customer contracts. Based on information from our wholesalers, sales from our wholesalers to hospitals and ASCs, which we refer to as commercial sell through, have occurred, at a low level, every quarter since our commercial launch in February 2021. Commercial sell through of OLINVYK from our wholesalers to hospitals and ASCs for the three months ended March 31, 2024 was approximately $26,600. Commercial sell through from our wholesalers to hospitals and ASCs for the three months ended March 31, 2023 was approximately $15,000. While there is a general upward trend compared to the prior period, the overall level of these sales remains low and we do not expect this trend will continue as we reduce commercial support for OLINVYK.

In our returns reserve analysis, we also consider feedback from our wholesalers, group purchasing organizations and users of OLINVYK, as well as additional factors such as new safety data, or clinical or health economic data for OLINVYK that may affect future adoption and sales trends. Examples include OLINVYK data we announced in April 2022 with respect to respiratory physiology, and in July 2022 with respect to cognitive function. More recently in July 2023, we also announced OLINVYK data with respect to reduced cost per admission for hospitals and reduced average length of hospital stay, for OLINVYK-treated patients compared to matched patients treated with other IV opioids. We also consider factors that may negatively affect sales of OLINVYK, such as the price of OLINVYK compared to conventional IV opioids, which are generally generic and available at a lower initial cost relative to OLINVYK. Other factors may include the public perception of opioids in general, as well as the FDA’s and HHS’ policy initiatives that may limit the promotion and marketing of opioids.

We incorporate these factors as we consider the need for any adjustment for slow-moving or obsolete product on a quarterly basis.

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Gross product revenue, and adjustments applied to calculate net product revenue, are set forth below (in thousands):


	Three Months Ended
	March 31,
	2024		2023

Product revenue, gross	$	28	$	7
GTN Accruals
Chargebacks and cash discounts		(4)		(1)
Returns		(1)		—
Other rebates, discounts and adjustments		(3)		—
Total GTN Accruals		(8)		(1)
Product revenue		20		6
Adjustments to prior period accruals
Returns reserve		—		—
Other GTN accrual adjustments		—		—
Product revenue, net	$	20	$	6

Cost of goods sold

Cost of goods sold for product revenue includes third party logistics costs, shipping costs, and indirect overhead costs which are recorded as period costs in the period incurred.

The following table provides information regarding cost of goods sold during the periods indicated, including percent changes (dollar amounts in thousands):


	Three Months Ended March 31,
	2024		2023		% Increase (Decrease)
Cost of goods sold	$	88	$	127	-31%

Cost of goods sold decreased by less than $0.1 million for the three months ended March 31, 2024, compared to the same period in 2023, due to a reduction in indirect overhead costs.

Selling, general and administrative expense

Selling, general and administrative expenses consist principally of salaries and related costs for personnel in our executive, finance, commercial, and other administrative areas, including expenses associated with stock‑based compensation and travel. Other selling, general and administrative expenses include professional fees for legal, field sales organization, medical affairs, market research, consulting, and accounting services.

Selling, general and administrative expenses for the three months ended March 31, 2024 decreased by $0.2 million or 4%, as compared to the same period in 2023. The decrease was primarily related to a reduction in full time employees and a reduction in marketing activities offset by $0.8 million in severance and termination expense accruals in 2024.

Research and development expense

Research and development expenses consist primarily of costs incurred for research and the development of our product candidates, including costs associated with the regulatory approval process. In addition, research and development expenses include salaries and related costs for our research and development personnel and stock-based compensation expense and travel expenses for such individuals. Research and development activities are central to our business model. Product candidates in later stages of clinical development generally have higher development costs than

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those in earlier stages of clinical development, primarily due to the increased size, complexity and duration of later-stage clinical trials.

Research and development costs are expensed as incurred and are tracked by discovery program and subsequently by product candidate once a product candidate has been selected for development. We record costs for some development activities, such as clinical trials, based on an evaluation of the progress to completion of specific tasks using data such as patient enrollment, clinical site activations or information provided to us by our vendors.

Research and development expenses increased by less than $0.1 million, or 1%, for the three months ended March 31, 2024, as compared to the same period in 2023. The following table summarizes our research and development expenses (in thousands):


	Three Months Ended
	March 31,
	2024		2023
TRV045	$	2,173	$	1,946
OLINVYK		241		129
TRV250		1		—
TRV027		18		47
Personnel-related costs		831		1,139
Other research and development		701		648
	$	3,965	$	3,909

The increase in research and development expenses incurred during the three months ended March 31, 2024 compared to the same period in 2023 was primarily driven by increased spend to advance TRV045 offset by lower personnel costs.

Total other income (expense), net

Total other income (expense), net for the three months ended March 31, 2024 was slightly lower than the same periods in the prior year primarily due to a $0.1 million, or 4%, decrease in the Change in Fair Value Warrant Liability offset by $0.1 million increase in interest income. The Change in Fair Value Warrant Liability decreased due to a $2.5 million gain on the change in fair value of our liability classified warrants in 2023 compared to $2.4 million gain in 2024.

Liquidity and Capital Resources

We have historically funded substantially all of our operations through the sale and issuance of our equity securities, debt securities and borrowings under debt facilities. We have also received an aggregate of $12.1 million pursuant to licensing agreements for the development and commercialization of OLINVYK in China and South Korea.

At March 31, 2024, we had an accumulated deficit of $595.7 million, working capital of $18.8 million, cash and cash equivalents of $23.6 million, and restricted cash of $0.5 million. In November 2020, we filed a $250.0 million shelf registration statement, which includes our at-the-market program with H.C. Wainwright & Co., LLC., of which there was approximately $33.7 million of available capacity as of March 31, 2024, subject to the restrictions set forth in General Instruction I.B.6 of Form S-3.

Our primary use of cash is to fund operating expenses, which consist of research and development expenditures, commercialization expenditures, and other selling, general and administrative expenditures. We anticipate these expenses to decrease in 2024 as we reduce commercial support of OLINVYK, while we continue to make OLINVYK available for purchase by customers and continue to advance our other product candidates. Cash used to fund operating expenses is impacted by the timing of when we pay these expenses, as reflected in the change in accounts payable and accrued expenses.

Net cash used in operating activities was $9.4 million and $10.9 million for the three months ended March 31, 2024 and 2023, respectively. We incurred net losses of $7.7 million and $7.8 million for those same periods. These expenses have decreased in the three months ended March 31, 2024 as compared to the same period in 2023.

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Our success is dependent on finding a commercial partner for OLINVYK and obtaining adequate capital to fund operating losses until we become profitable. We expect that our existing balance of cash and cash equivalents as of March 31, 2024 will not be sufficient to fund the Company’s operating expenses and capital expenditure requirements for one year after the date of this filing and therefore management has concluded that substantial doubt exists about our ability to continue as a going concern.

Cash Flows

The following table summarizes our cash flows for the three months ended March 31, 2024 and 2023 (in thousands):


	March 31,
	2024		2023
Net cash (used in) provided by:
Operating activities	$	(9,420)	$	(10,874)
Financing activities		(3)		(2)
Net decrease in cash, cash equivalents and restricted cash	$	(9,423)	$	(10,876)

Net cash used in operating activities

Net cash used in operating activities was $9.4 million for the three months ended March 31, 2024 as compared to $10.9 million for the three months ended March 31, 2023. Net cash used in operating activities for the three months ended March 31, 2024 includes a $7.7 million net loss as compared to $7.8 million for the prior period. The net loss was $0.1 million lower due to a decrease in selling, general and administrative expenses from the reduction of OLINVYK commercial activities and field-based headcount.

Net cash used in financing activities

Net cash used in financing activities was less than $0.1 million for the three months ended March 31, 2024 and 2023, respectively, which was primarily due to finance lease payments.

Operating and Capital Expenditure Requirements

We have not achieved profitability since our inception, and we expect to continue to incur net losses and negative cash flows from operations for the foreseeable future. We expect our cash expenditures to continue to be significant in the near term as we continue to make OLINVYK available for purchase by customers, and continue to advance TRV045. Over the next twelve months, we anticipate that our total operating expenses will decrease compared to the previous twelve months.

We believe that our cash and cash equivalents as of March 31, 2024, together with interest thereon, will not be sufficient to fund the Company’s operating expenses and capital expenditure requirements for one year after the date of this filing. Our anticipated operating expenses involve significant risks and uncertainties and are dependent on our current assessment of the extent and costs of activities required to support our operations and advance our other product candidates. In the future, we anticipate that we will need to raise substantial additional financing to fund our operations. To meet these requirements, we may seek to sell equity or convertible securities in public or private transactions that may result in significant dilution to our stockholders. We may offer and sell shares of our common stock under the existing registration statement or any registration statement we may file in the future. If we raise additional funds through the issuance of convertible securities, these securities could have rights senior to those of our common stock and could contain covenants that restrict our operations.

Ultimately, there can be no assurance that we will be able to obtain additional equity or debt financing on terms acceptable to us, if at all. Our future capital requirements will depend on many factors, including:

●

our ability to successfully find a commercial partner for OLINVYK and commercialize our other product candidates;

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●

our ability to generate sales and other revenues from OLINVYK or any of our other product candidates, once approved, including setting an acceptable price for and obtaining adequate coverage and hospital formulary acceptance of such products;

●

the size and growth potential of the markets for OLINVYK and our ability to serve those markets;

●

the scope, progress, results and costs of researching and developing our product candidates or any future product candidates, both in the United States and in territories outside the United States;

●

the number and development requirements of any other product candidates that we may pursue;

●

our ability to enter into collaborative agreements for the development and/or commercialization of our product candidates, including for OLINVYK;

●

the costs, timing, and outcome of any regulatory review of OLINVYK and any future product candidates, both in the United States and in territories outside the United States;

●

the costs, timing, and extent of future commercialization activities, including product manufacturing, marketing, sales and distribution, for any of our product candidates for which we receive marketing approval;

●

the revenue, if any, received from commercial sales of our product candidates for which we receive marketing approval;

●

any product liability or other lawsuits related to our products or us;

●

the expenses needed to attract and retain skilled personnel; and

●

the costs involved in preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and defending our intellectual property-related claims, both in the United States and in territories outside the United States.

Please see “Risk Factors” section of this Quarterly Report and our Annual Report for additional risks associated with our substantial capital requirements.

Other Commitments

In the course of normal business operations, we have agreements with contract service providers to assist in the performance of our research and development and manufacturing activities. We can elect to discontinue the work under these agreements at any time. We also could enter into additional collaborative research, contract research, manufacturing and supplier agreements in the future, which may require upfront payments and even long-term commitments of cash.

We have no material non-cancelable purchase commitments with contract manufacturers or service providers as we have generally contracted on a cancelable basis.

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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not required.

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer, or CEO, and our Chief Financial Officer, or CFO, evaluated the effectiveness of our disclosure controls and procedures as of March 31, 2024, the end of the period covered by this Quarterly Report.

Based on our evaluation, our CEO and CFO concluded that 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, or the Exchange Act) as of the date of our Quarterly Report have been designed and are functioning effectively to provide reasonable assurance that the information required to be disclosed by us in reports filed under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. We believe that a controls system, no matter how well designed and operated, cannot provide absolute assurance that the objectives of the controls system are met, and no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within a company have been detected.

Changes in Internal Control over Financial Reporting

There have been no changes in our internal control over financial reporting during our most recent fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II

ITEM 1. LEGAL PROCEEDINGS

None

ITEM 1A. RISK FACTORS

Our business is subject to numerous risks. You should carefully consider the following risks and all other information contained in this Quarterly Report, as well as general economic and business risks, together with any other documents we file with the SEC. If any of the following events actually occur or risks actually materialize, it could have a material adverse effect on our business, operating results and financial condition and cause the trading price of our common stock to decline.

There have been no material changes to our risk factors disclosed in our Annual Report for the year ended December 31, 2023, with the exception of the following risk factors. The risk factors disclosed in our Annual Report are incorporated herein by reference.

If we are not able to comply with the applicable continued listing requirements or standards of The Nasdaq Stock Market, Nasdaq could delist our common stock.

Our common stock is currently listed on The Nasdaq Stock Market. In order to maintain that listing, we must satisfy minimum financial and other continued listing requirements and standards, including the Minimum Bid Price Requirement, the Equity Standard Requirement, and those regarding director independence and independent committee requirements, minimum stockholders’ equity, and certain corporate governance requirements. There can be no assurances that we will be able to comply with the applicable listing standards.

We are required to maintain a minimum bid price of $1.00 per share. On September 1, 2023, we received a notice from Nasdaq indicating that the Company was not in compliance with Nasdaq Listing Rule 5550(a)(2), or the Minimum Bid Price Requirement, because our common stock failed to maintain a minimum closing bid price of $1.00 for 30 consecutive business days. In accordance with Nasdaq Marketplace Rule 5810(c)(3)(A), the Company was afforded an initial period of 180 calendar days, or until February 28, 2024, to regain compliance with the Minimum Bid Price Requirement. On March 1, we received a letter from Nasdaq stating that we were not eligible for a second 180-day extension period because the Company did not comply with the $5,000,000 minimum stockholders’ equity initial listing requirement for The Nasdaq Capital Market. As permitted under Nasdaq rules, we appealed Nasdaq’s determination and requested a hearing before a Nasdaq Hearings Panel (the “Panel”). The hearing took place on May 2, 2024 (the “Appeal Hearing”).

Prior to the date of the Appeal Hearing, on April 5, 2024, we received an additional letter from Nasdaq notifying us that we no longer complied with the requirement under Nasdaq Listing Rule 5550(b)(1) to maintain a minimum of $2.5 million in stockholders’ equity for continued listing on the Nasdaq Capital Market (the “Equity Standard Requirement”).

At the Appeal Hearing, we presented our plan to regain and maintain compliance with both the Minum Bid Price Requirement and the Equity Standard Requirement. All delisting actions were stayed pending a final decision by the Panel. On May 13, 2024, we received a decision letter from the Panel granting us an extension until August 28, 2024, subject to certain conditions, to regain compliance with the Nasdaq continued listing requirements, including the Minimum Bid Price Requirement and Equity Standard Requirement. All delisting actions are stayed during the additional extension period granted by the Panel following the Appeal Hearing. While we are investigating a range of options available to us to regain compliance with the Minimum Bid Price Requirement and Equity Standard Requirement, there can be no assurance that we will be able to regain compliance with the Nasdaq continued listing requirements before dates required by Nasdaq or at all.

In the event that our common stock is delisted from The Nasdaq Stock Market and is not eligible for quotation or listing on another market or exchange, trading of our common stock could be conducted only in the over the counter market or on an electronic bulletin board established for unlisted securities such as the Pink Sheets or the OTC Bulletin Board. In such event, it could become more difficult to dispose of, or obtain accurate price quotations for, our common

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stock, and there would likely also be a reduction in our coverage by securities analysts and the news media, which could cause the price of our common stock to decline further. Also, it may be difficult for us to raise additional capital if we are not listed on a major exchange.

Such a delisting would also likely have a negative effect on the price of our common stock and would impair your ability to sell or purchase our common stock when you wish to do so. In the event of a delisting, we may take actions to restore our compliance with The Nasdaq Stock Market’s listing requirements, but we can provide no assurance that any such action taken by us would allow our common stock to become listed again, stabilize the market price or improve the liquidity of our common stock, prevent our common stock from dropping below The Minimum Bid Price Requirement, Equity Standard Requirement or prevent future non-compliance with The Nasdaq Stock Market’s listing requirements.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES, USE OF PROCEEDS, AND ISSUER PURCHASES OF EQUITY SECURITIES

None.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

None.

ITEM 4. MINE SAFETY DISCLOSURES

None.

ITEM 5. OTHER INFORMATION

During the three months ended March 31, 2024, none of our directors or officers (as defined in Rule 16a-1(f) of the Securities Exchange Act of 1934, as amended) adopted, modified or terminated a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement (as such terms are defined in Item 408 of Regulation S-K of the Securities Act of 1933).

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ITEM 6. EXHIBITS

The following is a list of exhibits filed as part of this Quarterly Report on Form 10-Q.


Exhibit Number		Description


31.1#		Certification of the Principal Executive Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934.

31.2#		Certification of the Principal Financial Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934.

32.1*#		Certification of the Principal Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2*#		Certification of the Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101#		The following financial information from this Quarterly Report on Form 10-Q for the three months ended March 31, 2024, formatted in Inline XBRL (eXtensible Business Reporting Language): (i) Consolidated Balance Sheets as of March 31, 2024 and December 31, 2023, (ii) Consolidated Statements of Operations and Comprehensive Income (Loss) for the three months ended March 31, 2024 and 2023, (iii) Consolidated Statements of Stockholders’ Equity for the period from January 1, 2024 to March 31, 2024, (iv) Consolidated Statements of Cash Flows for the three months ended March 31, 2024 and 2023, and (v) Notes to Unaudited Consolidated Financial Statements, tagged as blocks of text.

104#		Cover Page Interactive Data File – The cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.

These certifications are being furnished solely to accompany this quarterly report pursuant to 18 U.S.C. Section 1350, and are not being filed for purposes of Section 18 of the Exchange Act and are not to be incorporated by reference into any filing of the registrant, whether made before or after the date hereof, regardless of any general incorporation language in such filing.

#	Filed herewith.

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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

Date: May 15, 2024


	TREVENA, INC.

	By:	/s/ BARRY SHIN
		Barry Shin
		Executive Vice President, Chief Operating Officer & Chief Financial Officer

Exhibit 31.1

Certification of Principal Executive Officer of Trevena, Inc.

Pursuant to Rules 13a-14(a) and 15d-15(a) under the Securities Exchange Act of 1934

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

I, Carrie L. Bourdow, certify that:

1.	I have reviewed this Quarterly Report on Form 10-Q of Trevena, Inc.;

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

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

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

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

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

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

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

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

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

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


Date: May 15, 2024

	/s/ CARRIE L. BOURDOW
	Carrie L. Bourdow
	President and Chief Executive Officer
	(Principal Executive Officer)

Exhibit 31.2

Certification of Principal Financial Officer of Trevena, Inc.

Pursuant to Rules 13a-14(a) and 15d-15(a) under the Securities Exchange Act of 1934

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

I, Barry Shin, certify that:

1.	I have reviewed this Quarterly Report on Form 10-Q of Trevena, Inc.;

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

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

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

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

Date: May 15, 2024

	/s/ BARRY SHIN
	Barry Shin
	Chief Financial Officer

Exhibit 32.1

Certification Of

Principal Executive Officer

Pursuant To 18 U.S.C. Section 1350,

As Adopted Pursuant To

Section 906 Of The Sarbanes-Oxley Act Of 2002

In connection with the Quarterly Report of Trevena, Inc. (the “Company”) on Form 10-Q for the period ended March 31, 2024, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Carrie L. Bourdow, President and Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The information contained in the Report fairly presents, in all material respects, the financial condition of the Company at the end of the period covered by the Report and results of operations of the Company for the period covered by the Report.


Date:	May 15, 2024	/s/ CARRIE L. BOURDOW
		Carrie L. Bourdow
		President and Chief Executive Officer
		(Principal Executive Officer)

This certification accompanies the Report and shall not be deemed “filed” by the Company with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Report), irrespective of any general incorporation language contained in such filing.

Exhibit 32.2

Certification Of

Principal Financial Officer

Pursuant To 18 U.S.C. Section 1350,

As Adopted Pursuant To

Section 906 Of The Sarbanes-Oxley Act Of 2002

In connection with the Quarterly Report of Trevena, Inc. (the “Company”) on Form 10-Q for the period ended March 31, 2024, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Barry Shin, Chief Financial Officer, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and


Dated:	May 15, 2024	/s/ BARRY SHIN
		Barry Shin
		Chief Financial Officer

Document and Entity Information - shares	3 Months Ended
Document and Entity Information - shares	Mar. 31, 2024	May 13, 2024
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2024
Document Transition Report	false
Entity File Number	001-36193
Entity Registrant Name	Trevena, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	26-1469215
Entity Address, Address Line One	955 Chesterbrook Boulevard, Suite 110
Entity Address, City or Town	Chesterbrook
Entity Address, State or Province	PA
Entity Address, Postal Zip Code	19087
City Area Code	610
Local Phone Number	354-8840
Title of 12(b) Security	Common Stock, $0.001 par value
Trading Symbol	TRVN
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		18,340,953
Entity Central Index Key	0001429560
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q1
Amendment Flag	false

Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents	$ 23,552	$ 32,975
Prepaid expenses and other current assets	2,426	2,230
Total current assets	25,978	35,205
Restricted cash	540	540
Property and equipment, net	1,107	1,195
Right-of-use lease assets	3,512	3,665
Total assets	31,137	40,605
Current liabilities:
Accounts payable, net	2,327	2,303
Accrued expenses and other current liabilities	3,839	4,239
Lease liabilities	1,041	1,012
Total current liabilities	7,207	7,554
Loans payable, net	31,317	30,809
Leases, net of current portion	4,153	4,424
Warrant liability	3,114	5,475
Total liabilities	45,791	48,262
Stockholders' (deficit) equity:
Preferred stock-$0.001 par value; 5,000,000 shares authorized, none issued or outstanding at March 31, 2024 and December 31, 2023
Common stock-$0.001 par value; 200,000,000 shares authorized at March 31, 2024 and December 31, 2023; 18,321,010 and 17,289,104 shares issued and outstanding at March 31, 2024 and December 31, 2023, respectively	18	17
Additional paid-in capital	581,067	580,387
Accumulated deficit	(595,739)	(588,061)
Total stockholders' deficit	(14,654)	(7,657)
Total liabilities and stockholders' deficit	$ 31,137	$ 40,605

Consolidated Balance Sheets (Unaudited) (Parenthetical) - $ / shares	Mar. 31, 2024	Dec. 31, 2023
Consolidated Balance Sheets (Unaudited)
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock authorized (in shares)	5,000,000	5,000,000
Preferred stock issued (in shares)	0	0
Preferred stock outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock authorized (in shares)	200,000,000	200,000,000
Common stock issued (in shares)	18,321,010	17,289,104
Common stock outstanding (in shares)	18,321,010	17,289,104

Consolidated Statements of Operations and Comprehensive Loss (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Revenue:
Total revenue	$ 20	$ 6
Operating expenses:
Cost of goods sold	88	127
Selling, general and administrative	5,845	6,089
Research and development	3,965	3,909
Total operating expenses	9,898	10,125
Loss from operations	(9,878)	(10,119)
Other income (expense):
Change in fair value of warrant liability	2,361	2,466
Other income (expense), net	4	9
Interest income	353	289
Interest expense	(513)	(446)
Loss on foreign currency exchange	(5)	(18)
Total other income, net	2,200	2,300
Net loss	(7,678)	(7,819)
Other comprehensive loss
Unrealized gain on marketable securities		1
Comprehensive loss	$ (7,678)	$ (7,818)
Per share information:
Net loss per share of common stock, basic (in dollars per share)	$ (0.36)	$ (0.81)
Net loss per share of common stock, diluted (in dollars per share)	$ (0.36)	$ (0.81)
Weighted average common shares outstanding, basic (in shares)	21,303,390	9,594,072
Weighted average common shares outstanding, diluted (in shares)	21,303,390	9,594,072
Product revenue
Revenue:
Total revenue	$ 20	$ 6

Consolidated Statements of Stockholders' (Deficit) Equity (Unaudited) - USD ($) $ in Thousands	Common Stock	Additional Paid-in Capital	Subscriptions Receivable	Accumulated Deficit	Accumulated Other Comprehensive Income (Loss)	Total
Beginning Balance at Dec. 31, 2022	$ 8	$ 563,362	$ (547,772)	$ 1	$ 15,599
Beginning Balance (in shares) at Dec. 31, 2022	7,744,692
Increase (Decrease) in Stockholders' Equity
Stock-based compensation expense		806			806
Unrealized loss on marketable securities				(1)	(1)
Exercise of pre-funded warrants	$ 1	1,568			1,569
Exercise of pre-funded warrants (in shares)	1,230,380
Net Income (Loss)			(7,819)		(7,819)	$ (7,819)
Ending Balance at Mar. 31, 2023	$ 9	565,736	$ (555,591)		$ 10,154
Ending Balance (in shares) at Mar. 31, 2023	8,975,072
Beginning Balance at Dec. 31, 2023	$ 17	580,387		(588,061)		$ (7,657)
Beginning Balance (in shares) at Dec. 31, 2023	17,289,104					17,289,104
Increase (Decrease) in Stockholders' Equity
Stock-based compensation expense		681				$ 681
Exercise of pre-funded warrants	$ 1	(1)
Exercise of pre-funded warrants (in shares)	1,031,906
Net Income (Loss)				(7,678)		(7,678)
Ending Balance at Mar. 31, 2024	$ 18	$ 581,067		$ (595,739)		$ (14,654)
Ending Balance (in shares) at Mar. 31, 2024	18,321,010					18,321,010

Consolidated Statements of Stockholders' (Deficit) Equity (Unaudited) (Parenthetical) - $ / shares	Mar. 31, 2024	Dec. 31, 2023	Mar. 31, 2023
Consolidated Statements of Stockholders' Equity (Deficit) Equity (Unaudited)
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001	$ 0.001

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Operating activities:
Net loss	$ (7,678)	$ (7,819)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation	88	82
Stock-based compensation	681	806
Noncash interest expense on loan	508	46
Change in fair value of warrant liability	(2,361)	(2,466)
Change in right-of-use asset	153	132
Changes in operating assets and liabilities:
Accounts receivable, prepaid expenses and other assets	(196)	(701)
Operating lease liabilities	(239)	(212)
Accounts payable, accrued expenses and other liabilities	(376)	(742)
Net cash used in operating activities	(9,420)	(10,874)
Financing activities:
Finance lease payments	(3)	(3)
Proceeds from exercise of pre-funded warrants		1
Net cash provided by financing activities	(3)	(2)
Net decrease in cash, cash equivalents and restricted cash	(9,423)	(10,876)
Cash, cash equivalents and restricted cash-beginning of period	33,515	40,280
Cash, cash equivalents and restricted cash-end of period	$ 24,092	29,404
Supplemental disclosure of cash flow information:
Reclassification of warrant liability upon exercise of pre-funded warrants		$ 1,568

Organization and Description of the Business

3 Months Ended

Mar. 31, 2024

Organization and Description of the Business

Organization and Description of the Business

1. Organization and Description of the Business

Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2024

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

Basis of Presentation

months ended March 31, 2024 and 2023 are not necessarily indicative of the results to be expected for the year ending December 31, 2024, any other interim periods, or any future year or period.

Principles of Consolidation

Use of Estimates

Fair Value of Financial Instruments

Product Revenue

Variable Consideration

Distributor Chargebacks

Prompt Payment (Cash) Discounts

Distribution Service Fees

Product Returns

Fair Value of Financial Instruments

3 Months Ended

Mar. 31, 2024

Fair Value of Financial Instruments

Fair Value of Financial Instruments

3. Fair Value of Financial Instruments

Company’s assumptions about the inputs that market participants would use in pricing the asset or liability and are developed based on the best information available in the circumstances.

●

Level 1 – Valuations based on unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access.

●

Level 3 – Valuations based on inputs that are unobservable and significant to the overall fair value measurement.

The following table presents fair value of the Company’s cash, cash equivalents, restricted cash and warrant liability as of March 31, 2024 and December 31, 2023 (in thousands):



	March 31,		Quoted Prices in Active Markets		Significant Other Observable Inputs		Unobservable Inputs
Description:	2024		(Level 1)		(Level 2)		(Level 3)
Assets:
Cash	$	2,381	$	2,381	$	—	$	—
Money Market Funds		21,171		21,171		—		—
Restricted Cash		540		540		—		—
Total assets measured and recorded at fair value	$	24,092	$	24,092	$	—	$	—
Liabilities:
Warrant Liability		3,114		—		—		3,114
Total liabilities measured and recorded at fair value	$	3,114	$	—	$	—	$	3,114



	December 31,		Quoted Prices in Active Markets		Significant Other Observable Inputs		Unobservable Inputs
Description:	2023		(Level 1)		(Level 2)		(Level 3)
Assets:
Cash	$	3,159	$	3,159	$	—	$	—
Money Market Funds		29,816		29,816		—		—
Restricted Cash		540		540		—		—
Total assets measured and recorded at fair value	$	33,515	$	33,515	$	—	$	—
Liabilities:
Warrant Liability		5,475		—		—		5,475
Total liabilities measured and recorded at fair value	$	5,475	$	—	$	—	$	5,475

(1)	The fair value of Level 1 securities is estimated based on quoted prices in active markets for identical assets or liabilities.

December 2023 Equity Offering and Warrant Issuance

The assumptions used to estimate the fair value were as follows:



	March 31, 2024			December 31, 2023
Expected term of warrants (in years)		5.0			5.3
Risk-free interest rate		4.2	%		3.8	%
Expected volatility		114.72	%		128.26	%
Dividend yield		—	%		—	%

The following is a roll forward of the December 2023 Offering common stock warrant liability (in thousands):


	Warrant Liability
Balance, December 31, 2023	$	5,475
Change in fair value		(2,361)
Balance, March 31, 2024	$	3,114

Warrants

As of March 31, 2024, the Company had the following common stock warrants outstanding:



	Classification	Warrants	Exercise Price	Expiration Date
December 2023 Offering Pre-Funded Warrants	Equity	1,748,000	$0.001	Until exercised
December 2023 Offering Warrants	Liability	8,648,666	0.70	4/19/2029
R-Bridge warrants	Equity	200,000	20.50	4/14/2025
Other warrants	Equity	4,114	90.38 - 265.48	9/19/2024 - 3/31/2027
		10,600,780

Inventories

3 Months Ended

Mar. 31, 2024

Inventories

Inventories

4. Inventories

Inventory consists of the following (in thousands):


	March 31, 2024		December 31, 2023
Finished goods	$	—	$	896
Inventory Valuation Adjustment		—		(896)
Total Inventories	$	-	$	-

Loan Payable

3 Months Ended

Mar. 31, 2024

Loan Payable.

Loan Payable

5. Loan Payable

The following table summarizes the impact of the Loan Agreement on the Company’s consolidated balance sheet as follows (in thousands):


	March 31,
	2024
Principal and accreted interest	$	32,691
Unamortized debt discount		(1,374)
Loans payable, net	$	31,317

Stockholders' (Deficit) Equity

3 Months Ended

Mar. 31, 2024

Stockholders' (Deficit) Equity

Stockholders' (Deficit) Equity

6. Stockholders’ (Deficit) Equity

Equity Offerings

December 2023 Equity Offering and Warrant issuance

Equity Incentive Plan


	Three Months Ended March 31,
	2024		2023
Research and development	$	156	$	189
Selling, general and administrative		525		617
Total stock-based compensation	$	681	$	806

Stock Options

A summary of stock option activity and related information through March 31, 2024 follows:


	Options Outstanding
				Weighted
				Average
		Weighted		Remaining
		Average		Contractual
	Number of	Exercise		Term
	Shares	Price		(in years)
Balance, December 31, 2023	403,484	$	35.68	6.81
Granted	—		—
Exercised	—		—
Forfeited/Cancelled	(18,767)		37.31
Balance, March 31, 2024	384,717	$	35.61	6.66
Vested or expected to vest at March 31, 2024	384,717	$	35.61	6.66
Exercisable at March 31, 2024	257,015	$	47.92	5.62

Restricted Stock Units

The following is a summary of changes in the status of non-vested RSUs during the three months ended March 31, 2024:



		Weighted
		Average
	Number of	Grant Date
	Awards	Fair Value
Non-vested at December 31, 2023	1,602,588	$	2.05
Granted	—		—
Vested	—		—
Forfeited/Cancelled	(34,471)		1.70
Non-vested at March 31, 2024	1,568,117	$	2.06

As of March 31, 2024, there was $2.5 million of total unrecognized compensation expense related to unvested RSUs that will be recognized over the weighted average remaining period of 2.17 years.

Shares Available for Future Grant

At March 31, 2024, the Company has the following shares available to be granted under its equity incentive plans:


		Inducement
	2023 Plan	Plan
Available at December 31, 2023	253,463	12,000
Authorized	—	—
Granted	—	—
Shares withheld for taxes not issued	—	—
Forfeited/Cancelled	53,238	—
Available at March 31, 2024	306,701	12,000

Shares Reserved for Future Issuance

At March 31, 2024, the Company has reserved the following shares of common stock for issuance:


Stock options outstanding under 2013 Plan		273,967
Stock options outstanding under 2023 Plan		102,750
Restricted stock units outstanding under 2013 Plan		1,568,117
Stock options outstanding under Inducement Plan		8,000
Warrants outstanding		10,600,780
Total shares of common stock reserved for future issuance		12,553,614

Commitments and Contingencies

3 Months Ended

Mar. 31, 2024

Commitments and Contingencies.

Commitments and Contingencies

7. Commitments and Contingencies

Leases

Supplemental balance sheet information related to leases was as follows (in thousands):


	March 31, 2024		December 31, 2023
Operating leases:
Operating lease right-of-use assets	$	3,512	$	3,665
Other current lease liabilities		1,031		1,002
Operating lease liabilities		4,148		4,417
Total operating lease liabilities	$	5,179	$	5,419

Finance leases:
Property and equipment, at cost	$	29	$	29
Accumulated depreciation		(16)		(13)
Property and equipment, net		13		16
Other current lease liabilities		10		10
Other long-term liabilities		5		7
Total finance lease liabilities	$	15	$	17

The components of lease expense were as follows (in thousands):


	Three Months Ended
	March 31,
	2024		2023
Operating lease costs:
Operating lease expense	$	385	$	398
Other income		(350)		(350)
Total operating lease costs	$	35	$	48

Finance lease costs:
Amortization of right-of-use assets		2		2
Interest on lease liabilities		—		—
Total finance lease costs	$	2	$	2

Supplemental cash flow information related to leases was as follows (in thousands):


	Three Months Ended
	March 31,
	2024		2023
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$	(122)	$	(128)
Financing cash flows from finance leases		(3)		(3)

Our lease liabilities will mature, as follows (in thousands):


	Operating Leases		Financing Leases
2024 (April 1 - December 31)		1,090		8
2025		1,474		8
2026		1,498		—
2027		1,523		—
2028		640		—
Total minimum lease payments	$	6,225	$	16
Less: imputed interest		(1,046)		(1)
Lease liability	$	5,179	$	15

Per the terms of our sublease, we expect the following inflows (in thousands):


	Sublease
2024 (April 1 - December 31)		869
2025		1,178
2026		1,198
2027		1,166
2028		254
Total minimum lease payments	$	4,665

Weighted average lease term and discount rates are as follows:


	Three Months Ended March 31,
	2024		2023
Weighted average remaining lease term (years)
Operating leases		4		5
Finance leases		1		2
Weighted average discount rate
Operating leases		9.2%		9.2%
Finance leases		6.5%		6.5%

Product Revenue

3 Months Ended

Mar. 31, 2024

Revenue.

Product Revenue

8. Product Revenue

Performance Obligation

Revenue is recognized when the Company transfers control of its products to the customer, which occurs at a point-in-time, upon delivery.

Sales-Related Deductions

The following table presents a roll forward of the major categories of sales-related deductions included in trade receivable allowances for the three months ended March 31, 2024 (in thousands):


	Sales Discounts		Chargebacks		Fee for Service
Balance, January 1, 2024	$	2		19		9
Provision related to sales recorded in the period		—		4		3
Credits / payments during the period		—		(2)		—
Adjustments related to prior period sales		—		—		—
Balance, March 31, 2024	$	2	$	21	$	12

As of March 31, 2024, the Company’s outstanding accounts receivable of $35,000 was offset by the trade receivable allowances presented above.

License and Royalty Revenue

3 Months Ended

Mar. 31, 2024

License and Royalty Revenue.

License and Royalty Revenue

9. License and Royalty Revenue

License and Commercialization Agreement with Pharmbio Korea Inc.

License Agreement with Jiangsu Nhwa Pharmaceutical Co. Ltd.

For the three months ended March 31, 2024 and 2023, there was no license and royalty revenue.

Net Loss Per Common Share

3 Months Ended

Mar. 31, 2024

Net Loss Per Common Share

Net Loss Per Common Share

10. Net Loss Per Common Share

The following table sets forth the computation of basic and diluted net loss per share for the periods indicated (in thousands, except share and per share data):


	Three Months Ended March 31,
	2024		2023
Basic and diluted net loss per common share calculation:
Net loss	$	(7,678)	$	(7,819)
Weighted average common shares outstanding		21,303,390		9,594,072
Net loss per share of common stock - basic and diluted	$	(0.36)	$	(0.81)

The following outstanding securities at March 31, 2024 and 2023 have been excluded from the computation of diluted weighted shares outstanding, as they would have been anti-dilutive:


	March 31,
	2024	2023
Options outstanding	384,717	334,060
RSUs outstanding	1,568,117	834,720
Warrants outstanding	8,852,780	3,145,394
Total	10,805,614	4,314,174

Summary of Significant Accounting Policies (Policies)	3 Months Ended
Summary of Significant Accounting Policies (Policies)	Mar. 31, 2024
Summary of Significant Accounting Policies
Basis of Presentation	Basis of Presentation The accompanying consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States of America, or U.S. GAAP. Any reference in these notes to applicable guidance is meant to refer to the authoritative United States generally accepted accounting principles as found in the ASC and Accounting Standards Updates, or ASUs, of the FASB. The Company’s functional currency is the U.S. dollar. The consolidated financial statements include all normal and recurring adjustments that are considered necessary for the fair presentation of the Company’s consolidated balance sheets as of March 31, 2024, its results of operations and its comprehensive loss for the three months ended March 31, 2024 and 2023, its consolidated statements of stockholders’ equity for the period from January 1, 2024 to March 31, 2024 and for the period January 1, 2023 to March 31, 2023, and its consolidated statements of cash flows for the three months ended March 31, 2024 and 2023. The information included in this Quarterly Report on Form 10-Q should be read in conjunction with the financial statements and accompanying notes included in the Company’s most recent Annual Report on Form 10-K for the year ended December 31, 2023. Since the date of those financial statements, there have been no changes to the Company’s significant accounting policies. The financial data and other information disclosed in these notes related to the three months ended March 31, 2024 and 2023 are not necessarily indicative of the results to be expected for the year ending December 31, 2024, any other interim periods, or any future year or period.
Principles of Consolidation	Principles of Consolidation In connection with the royalty-based financing agreement disclosed in Note 5, the Company established three wholly owned subsidiaries, Trevena Royalty Corporation, Trevena SPV1 LLC and Trevena SPV2 LLC to facilitate the financing. The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries as of March 31, 2024. All significant intercompany accounts and transactions have been eliminated in consolidation.
Use of Estimates	Use of Estimates The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Management used significant estimates in the following areas, among others: stock-based compensation expense, the determination of the fair value of stock-based awards, the fair value of common stock warrants, the accounting for research and development costs, accrued expenses, the recoverability of the Company’s net deferred tax assets and related valuation allowance, and the amortization of debt expenses. The financial data and other information disclosed in these notes are not necessarily indicative of the results to be expected for any future year or period. The Company bases its estimates on historical experience and also on assumptions that it believes are reasonable, however, actual results could significantly differ from those results.
Fair Value of Financial Instruments	Fair Value of Financial Instruments The carrying amount of the Company’s financial instruments, which include cash and cash equivalents, restricted cash, accounts payable, and accrued expenses approximate their fair values, given their short-term nature. Additionally, the Company believes the carrying value of the loan payable approximates its fair value as the interest rate is reflective of the rate the Company could obtain on debt with similar terms and conditions. Certain of the Company’s common stock warrants are carried at fair value, as disclosed in Note 3. The Company has evaluated the estimated fair value of financial instruments using available market information and management’s estimates. The use of different market assumptions and/or estimation methodologies could have a significant effect on the estimated fair value amounts. See Note 3 for additional information.
Product Revenue	Product Revenue Product revenue is recognized at the point in time when our performance obligations with our customers have been satisfied. At contract inception, we determine if the contract is within the scope of ASC Topic 606 and then evaluate the contract using the following five steps: (i) identify the contract with the customer; (ii) identify the performance obligations; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations; and (v) recognize revenue at the point in time when the Company satisfies a performance obligation. OLINVYK is sold to wholesalers in the US (collectively, “customers”). These customers subsequently resell OLINVYK generally to hospitals, ambulatory surgical centers and other purchasers of OLINVYK. We recognize revenue from OLINVYK sales at the point customers obtain control of the product, which generally occurs upon delivery. Revenue is recorded at the transaction price, which is the amount of consideration we expect to receive in exchange for transferring products to a customer. We determine the transaction price based on fixed consideration in our contractual agreements, which includes estimates of variable consideration which are more fully described below. The transaction price is allocated entirely to the performance obligation to provide pharmaceutical products. In determining the transaction price, a significant financing component does not exist since the timing from when we deliver product to when the customers pay for the product is less than one year and the customers do not pay for product in advance of the transfer of the product.
Variable Consideration	Variable Consideration The Company includes an estimate of variable consideration in its transaction price at the time of sale when control of the product transfers to the customer. Variable consideration includes distributor chargebacks, prompt payment (cash) discounts, distribution service fees and product returns. The Company assesses whether or not an estimate of its variable consideration is constrained and has determined that the constraint does not apply, since it is probable that a significant reversal in the amount of cumulative revenue will not occur in the future when the uncertainty associated with the variable consideration is subsequently resolved. The Company’s estimates for variable consideration are adjusted as required at each reporting period for specific known developments that may result in a change in the amount of total consideration it expects to receive.
Distributor Chargebacks	Distributor Chargebacks When a product that is subject to a contractual price agreement is sold to a third party, the difference between the price paid to the Company by the wholesaler and the price under the specific contract is charged back to the Company by the wholesaler. Utilizing this information, the Company estimates a chargeback percentage for each product and records an allowance for chargebacks as a reduction to revenue when the Company records sales of the products. We reduce the chargeback allowance when a chargeback request from a wholesaler is processed. Reserves for distributor chargebacks are included in accounts receivable, net on the consolidated balance sheet.
Prompt Payment (Cash) Discounts	Prompt Payment (Cash) Discounts The Company provides customers with prompt payment discounts which may result in adjustments to the price that is invoiced for the product transferred, in the case that payments are made within a defined period. The Company’s prompt payment discount reserves are based on actual net sales and contractual discount rates. Reserves for prompt payment discounts are included in accounts receivable, net on the consolidated balance sheet.
Distribution Service Fees	Distribution Service Fees The Company pays distribution service fees to its customers based on a fixed percentage of the product price. These fees are not in exchange for a distinct good or service and therefore are recognized as a reduction of the transaction price. The Company reserves for these fees based on actual net sales, contractual fee rates negotiated with the customer and the mix of the products in the distribution channel that remain subject to fees. Reserves for distribution service fees are included in accounts receivable, net on the consolidated balance sheet.
Product Returns	Product Returns Generally, the Company’s customers have the right to return any unopened product during the eighteen (18) month period beginning six (6) months prior to the labeled expiration date and ending twelve (12) months after the labeled expiration date. The Company does not currently rely on industry data in its analysis of returns reserve. As the Company sold OLINVYK and established historical sales over a longer period of time (i.e., two to three years), the Company placed more reliance on historical purchasing, demand and return patterns of its customers when evaluating its reserves for product returns. OLINVYK has a forty-eight (48) month shelf life. The Company recognizes the amount of expected returns as a refund liability, representing the obligation to return the customer’s consideration. Since the returns primarily consist of expired and short dated products that will not be resold, the Company does not record a return asset for the right to recover the goods returned by the customer at the time of the initial sale (when recognition of revenue is deferred due to the anticipated return). Accrued product return estimates are recorded in accrued expenses and other current liabilities on the consolidated balance sheet.

Fair Value of Financial Instruments (Tables)

3 Months Ended

Mar. 31, 2024

Stockholders' (Deficit) Equity

Schedule of cash, cash equivalents, marketable securities and restricted cash



	March 31,		Quoted Prices in Active Markets		Significant Other Observable Inputs		Unobservable Inputs
Description:	2024		(Level 1)		(Level 2)		(Level 3)
Assets:
Cash	$	2,381	$	2,381	$	—	$	—
Money Market Funds		21,171		21,171		—		—
Restricted Cash		540		540		—		—
Total assets measured and recorded at fair value	$	24,092	$	24,092	$	—	$	—
Liabilities:
Warrant Liability		3,114		—		—		3,114
Total liabilities measured and recorded at fair value	$	3,114	$	—	$	—	$	3,114



	December 31,		Quoted Prices in Active Markets		Significant Other Observable Inputs		Unobservable Inputs
Description:	2023		(Level 1)		(Level 2)		(Level 3)
Assets:
Cash	$	3,159	$	3,159	$	—	$	—
Money Market Funds		29,816		29,816		—		—
Restricted Cash		540		540		—		—
Total assets measured and recorded at fair value	$	33,515	$	33,515	$	—	$	—
Liabilities:
Warrant Liability		5,475		—		—		5,475
Total liabilities measured and recorded at fair value	$	5,475	$	—	$	—	$	5,475

(1)	The fair value of Level 1 securities is estimated based on quoted prices in active markets for identical assets or liabilities.

Schedule of assumptions used for valuation of warrants



	March 31, 2024			December 31, 2023
Expected term of warrants (in years)		5.0			5.3
Risk-free interest rate		4.2	%		3.8	%
Expected volatility		114.72	%		128.26	%
Dividend yield		—	%		—	%

Schedule of roll forward of common stock warrant liability

The following is a roll forward of the December 2023 Offering common stock warrant liability (in thousands):


	Warrant Liability
Balance, December 31, 2023	$	5,475
Change in fair value		(2,361)
Balance, March 31, 2024	$	3,114

Schedule of common stock warrants outstanding

As of March 31, 2024, the Company had the following common stock warrants outstanding:



	Classification	Warrants	Exercise Price	Expiration Date
December 2023 Offering Pre-Funded Warrants	Equity	1,748,000	$0.001	Until exercised
December 2023 Offering Warrants	Liability	8,648,666	0.70	4/19/2029
R-Bridge warrants	Equity	200,000	20.50	4/14/2025
Other warrants	Equity	4,114	90.38 - 265.48	9/19/2024 - 3/31/2027
		10,600,780

Inventories (Tables)

3 Months Ended

Mar. 31, 2024

Inventories

Schedule of Inventories

Inventory consists of the following (in thousands):


	March 31, 2024		December 31, 2023
Finished goods	$	—	$	896
Inventory Valuation Adjustment		—		(896)
Total Inventories	$	-	$	-

Loans Payable (Tables)

3 Months Ended

Mar. 31, 2024

Loan Payable.

Schedule of impact of the Loan Agreement on the Company's consolidated balance sheet

The following table summarizes the impact of the Loan Agreement on the Company’s consolidated balance sheet as follows (in thousands):


	March 31,
	2024
Principal and accreted interest	$	32,691
Unamortized debt discount		(1,374)
Loans payable, net	$	31,317

Stockholders' (Deficit) Equity (Tables)

3 Months Ended

Mar. 31, 2024

Stockholders' (Deficit) Equity

Schedule of share-based compensation expense recognized


	Three Months Ended March 31,
	2024		2023
Research and development	$	156	$	189
Selling, general and administrative		525		617
Total stock-based compensation	$	681	$	806

Summary of stock option activity


	Options Outstanding
				Weighted
				Average
		Weighted		Remaining
		Average		Contractual
	Number of	Exercise		Term
	Shares	Price		(in years)
Balance, December 31, 2023	403,484	$	35.68	6.81
Granted	—		—
Exercised	—		—
Forfeited/Cancelled	(18,767)		37.31
Balance, March 31, 2024	384,717	$	35.61	6.66
Vested or expected to vest at March 31, 2024	384,717	$	35.61	6.66
Exercisable at March 31, 2024	257,015	$	47.92	5.62

Schedule of changes in the status of non-vested RSU



		Weighted
		Average
	Number of	Grant Date
	Awards	Fair Value
Non-vested at December 31, 2023	1,602,588	$	2.05
Granted	—		—
Vested	—		—
Forfeited/Cancelled	(34,471)		1.70
Non-vested at March 31, 2024	1,568,117	$	2.06

Schedule of shares available to be granted under equity incentive plans

At March 31, 2024, the Company has the following shares available to be granted under its equity incentive plans:


		Inducement
	2023 Plan	Plan
Available at December 31, 2023	253,463	12,000
Authorized	—	—
Granted	—	—
Shares withheld for taxes not issued	—	—
Forfeited/Cancelled	53,238	—
Available at March 31, 2024	306,701	12,000

Schedule of shares of common stock reserved/available

At March 31, 2024, the Company has reserved the following shares of common stock for issuance:


Stock options outstanding under 2013 Plan		273,967
Stock options outstanding under 2023 Plan		102,750
Restricted stock units outstanding under 2013 Plan		1,568,117
Stock options outstanding under Inducement Plan		8,000
Warrants outstanding		10,600,780
Total shares of common stock reserved for future issuance		12,553,614

Commitments and Contingencies (Tables)

3 Months Ended

Mar. 31, 2024

Commitments and Contingencies.

Schedule of balance sheet information related to leases

Supplemental balance sheet information related to leases was as follows (in thousands):


	March 31, 2024		December 31, 2023
Operating leases:
Operating lease right-of-use assets	$	3,512	$	3,665
Other current lease liabilities		1,031		1,002
Operating lease liabilities		4,148		4,417
Total operating lease liabilities	$	5,179	$	5,419

Finance leases:
Property and equipment, at cost	$	29	$	29
Accumulated depreciation		(16)		(13)
Property and equipment, net		13		16
Other current lease liabilities		10		10
Other long-term liabilities		5		7
Total finance lease liabilities	$	15	$	17

Schedule of components of lease expense

The components of lease expense were as follows (in thousands):


	Three Months Ended
	March 31,
	2024		2023
Operating lease costs:
Operating lease expense	$	385	$	398
Other income		(350)		(350)
Total operating lease costs	$	35	$	48

Finance lease costs:
Amortization of right-of-use assets		2		2
Interest on lease liabilities		—		—
Total finance lease costs	$	2	$	2

Schedule of supplemental cash flow information

Supplemental cash flow information related to leases was as follows (in thousands):


	Three Months Ended
	March 31,
	2024		2023
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$	(122)	$	(128)
Financing cash flows from finance leases		(3)		(3)

Schedule of maturities of operating lease liabilities

Our lease liabilities will mature, as follows (in thousands):


	Operating Leases		Financing Leases
2024 (April 1 - December 31)		1,090		8
2025		1,474		8
2026		1,498		—
2027		1,523		—
2028		640		—
Total minimum lease payments	$	6,225	$	16
Less: imputed interest		(1,046)		(1)
Lease liability	$	5,179	$	15

Schedule of maturities of financing lease liabilities

Our lease liabilities will mature, as follows (in thousands):


	Operating Leases		Financing Leases
2024 (April 1 - December 31)		1,090		8
2025		1,474		8
2026		1,498		—
2027		1,523		—
2028		640		—
Total minimum lease payments	$	6,225	$	16
Less: imputed interest		(1,046)		(1)
Lease liability	$	5,179	$	15

Schedule of expected sublease inflows

Per the terms of our sublease, we expect the following inflows (in thousands):


	Sublease
2024 (April 1 - December 31)		869
2025		1,178
2026		1,198
2027		1,166
2028		254
Total minimum lease payments	$	4,665

Schedule of weighted average lease term and discount rates


	Three Months Ended March 31,
	2024		2023
Weighted average remaining lease term (years)
Operating leases		4		5
Finance leases		1		2
Weighted average discount rate
Operating leases		9.2%		9.2%
Finance leases		6.5%		6.5%

Product Revenue (Tables)

3 Months Ended

Mar. 31, 2024

Revenue.

Schedule of major categories of sales-related deductions included in trade receivable allowances


	Sales Discounts		Chargebacks		Fee for Service
Balance, January 1, 2024	$	2		19		9
Provision related to sales recorded in the period		—		4		3
Credits / payments during the period		—		(2)		—
Adjustments related to prior period sales		—		—		—
Balance, March 31, 2024	$	2	$	21	$	12

Net Loss Per Common Share (Tables)

3 Months Ended

Mar. 31, 2024

Net Loss Per Common Share

Schedule of computation of basic and diluted net loss per share

The following table sets forth the computation of basic and diluted net loss per share for the periods indicated (in thousands, except share and per share data):


	Three Months Ended March 31,
	2024		2023
Basic and diluted net loss per common share calculation:
Net loss	$	(7,678)	$	(7,819)
Weighted average common shares outstanding		21,303,390		9,594,072
Net loss per share of common stock - basic and diluted	$	(0.36)	$	(0.81)

Schedule of outstanding securities excluded from the computation of diluted weighted shares outstanding as they would have been anti-dilutive


	March 31,
	2024	2023
Options outstanding	384,717	334,060
RSUs outstanding	1,568,117	834,720
Warrants outstanding	8,852,780	3,145,394
Total	10,805,614	4,314,174

Organization and Description of the Business (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($) segment	Mar. 31, 2023 USD ($)	Dec. 31, 2023 USD ($)
Organization and Description of the Business
Number of operating segments \| segment	1
Accumulated deficit	$ 595,739		$ 588,061
Net loss	$ 7,678	$ 7,819

Summary of Significant Accounting Policies (Details)	3 Months Ended
Summary of Significant Accounting Policies (Details)	Mar. 31, 2024 subsidiary
Summary of Significant Accounting Policies
Number of wholly owned subsidiaries	3

Fair Value of Financial Instruments (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Dec. 31, 2023
Liabilities
Transfers between Level 2 and Level 3	$ 0
Fair Value
Assets
Cash	2,381	$ 3,159
Money market funds	21,171	29,816
Restricted cash	540	540
Total	24,092	33,515
Liabilities
Liabilities	3,114	5,475
Warrants \| Fair Value
Liabilities
Liabilities	3,114	5,475
Level 1
Assets
Cash	2,381	3,159
Money market funds	21,171	29,816
Restricted cash	540	540
Total	24,092	33,515
Level 3 \| Fair Value
Liabilities
Liabilities	3,114	5,475
Level 3 \| Warrants \| Fair Value
Liabilities
Liabilities	$ 3,114	$ 5,475

Fair Value of Financial Instruments - Additional Information (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($)	Mar. 31, 2023 USD ($)	Dec. 31, 2023
Warrant liability rollforward
Beginning balance	$ 5,475
Change in fair value of warrant liability	(2,361)	$ (2,466)
Ending balance	3,114
December 2023 Equity Offering and Warrant Issuance
Warrant liability rollforward
Beginning balance	5,475
Change in fair value of warrant liability	(2,361)
Ending balance	$ 3,114
Level 3 \| Estimated remaining term \| Common Stock Warrants \| December 2023 Equity Offering and Warrant Issuance
Warrants
Warrant liability measurement input	5.0		5.3
Level 3 \| Risk-free interest rate \| Common Stock Warrants \| December 2023 Equity Offering and Warrant Issuance
Warrants
Warrant liability measurement input	4.2		3.8
Level 3 \| Volatility \| Common Stock Warrants \| December 2023 Equity Offering and Warrant Issuance
Warrants
Warrant liability measurement input	114.72		128.26

Fair Value of Financial Instruments- Registered Direct Stock Offering and Concurrent Warrant Issuance (Details) - USD ($) $ / shares in Units, $ in Thousands		3 Months Ended
	Dec. 28, 2023	Mar. 31, 2024	Mar. 31, 2023	Dec. 27, 2023
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)		10,600,780
Change in fair value of warrant liability		$ 2,361	$ 2,466
Registered direct offering
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)		1,748,000
Exercise price (in dollars per share)		$ 0.001
December 2023 Equity Offering and Warrant Issuance
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)		8,648,666
Exercise price (in dollars per share)		$ 0.70
Warrants term		5 years
Change in fair value of warrant liability		$ 2,361
December 2023 Inducement Agreement
Stockholders' Equity
Exercise price (in dollars per share)	$ 0.70			$ 3.35
Warrants term	5 years
Number of warrants held by investor (in shares)	2,934,380
Number of warrants exercised held in abeyance (in shares)	1,234,380
Granted (in shares)	5,868,760
Change in fair value of warrant liability	$ 4,200
Proceeds from sale of pre-funded warrants and exercise of warrants	$ 3,500
R-Bridge Financing
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)		200,000
Exercise price (in dollars per share)		$ 20.50
Other Warrants
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)		4,114
Other Warrants \| Minimum
Stockholders' Equity
Exercise price (in dollars per share)		$ 90.38
Other Warrants \| Maximum
Stockholders' Equity
Exercise price (in dollars per share)		265.48
Pre-funded Common Stock Warrants \| December 2023 Equity Offering and Warrant Issuance
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)	2,779,906
Exercise price (in dollars per share)	$ 0.001	$ 0.001
Warrant price (in dollars per share)	$ 0.70
Common Stock Warrants \| December 2023 Equity Offering and Warrant Issuance
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)	2,779,906
Exercise price (in dollars per share)	$ 0.70
Warrants term	5 years

Inventories - Schedule Of Inventory (Details) $ in Thousands	Dec. 31, 2023 USD ($)
Inventories
Finished goods	$ 896
Inventory Valuation Adjustment	$ (896)

Inventories - narrative (Details) $ in Millions	12 Months Ended
Inventories - narrative (Details) $ in Millions	Dec. 31, 2023 USD ($)
Inventories
Inventory valuation adjustment	$ 0.9

Loan Payable (Details) $ / shares in Units, $ in Thousands	1 Months Ended	3 Months Ended
Loan Payable (Details) $ / shares in Units, $ in Thousands	Apr. 30, 2022 USD ($) tranche $ / shares shares	Mar. 31, 2024 USD ($) shares	Jun. 30, 2023 USD ($)	Mar. 31, 2023 USD ($)	Dec. 31, 2023 USD ($)
Long Term Debt
Number of shares that can be purchased upon exercise of warrants (in shares) \| shares		10,600,780
Interest expense		$ 513		$ 446
R-Bridge Financing \| Royalty Based Loan Agreement
Long Term Debt
Maximum amount of borrowings under term loan agreement	$ 40,000
Debt number of tranches \| tranche	3
Face amount		32,691
Unamoritized debt discount		(1,374)
Loans payable, net		$ 31,317
Interest rate (as a percent)	7.00%
Term of loan	15 years
Net revenue interest in U.S. net sales (as a percent)	4.00%
Cap of U.S. revenue interest if Chinese approval occurs by year-end 2023	$ 10,000
Amount placed in interest reserve account	2,000
Amount transferred to prepay future interest payments			$ 1,000
Prepaid interest					$ 0
Effective interest rate (as a percent)		5.80%
R-Bridge Financing \| Royalty Based Loan Agreement \| Minimum
Long Term Debt
Control premium, amount if triggered	10,000
R-Bridge Financing \| Royalty Based Loan Agreement \| Maximum
Long Term Debt
Control premium, amount if triggered	20,000
R-Bridge Financing \| Royalty Based Loan Agreement - First Tranche
Long Term Debt
Proceeds from royalty-based loan agreement	$ 15,000
Exercise price (in dollars per share) \| $ / shares	$ 20.50
Warrants term	3 years
Lender fees and third-party costs	$ 500
Number of shares that can be purchased upon exercise of warrants (in shares) \| shares	200,000
Interest expense		$ 500
Amortization of debt discount		$ 100
R-Bridge Financing \| Royalty Based Loan Agreement - Second Tranche
Long Term Debt
Commercialization milestone payments	$ 10,000
R-Bridge Financing \| Royalty Based Loan Agreement - Third Tranche \| CHINA
Long Term Debt
Milestone payment upon first commercial sale in China	$ 15,000

Stockholders (Deficit) Equity - Equity Offering and Warrant issuance (Details) - USD ($) $ / shares in Units, $ in Thousands		3 Months Ended
	Dec. 28, 2023	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023	Dec. 27, 2023
Stockholders' Equity
Common stock authorized (in shares)		200,000,000		200,000,000
Preferred stock authorized (in shares)		5,000,000		5,000,000
Number of shares that can be purchased upon exercise of warrants (in shares)		10,600,780
Change in fair value of warrant liability		$ 2,361	$ 2,466
December 2023 Equity Offering and Warrant Issuance
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)		8,648,666
Exercise price (in dollars per share)		$ 0.70
Warrants term		5 years
Change in fair value of warrant liability		$ 2,361
December 2023 Equity Offering and Warrant Issuance \| Common Stock Warrants
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)	2,779,906
Exercise price (in dollars per share)	$ 0.70
Warrants term	5 years
December 2023 Equity Offering and Warrant Issuance \| Pre-funded Common Stock Warrants
Stockholders' Equity
Number of shares that can be purchased upon exercise of warrants (in shares)	2,779,906
Warrant price (in dollars per share)	$ 0.70
Exercise price (in dollars per share)	$ 0.001	$ 0.001
December 2023 Inducement Agreement
Stockholders' Equity
Number of warrants held by investor (in shares)	2,934,380
Number of warrants exercised held in abeyance (in shares)	1,234,380
Exercise price (in dollars per share)	$ 0.70				$ 3.35
Warrants term	5 years
Granted (in shares)	5,868,760
Change in fair value of warrant liability	$ 4,200
Proceeds from sale of pre-funded warrants and exercise of warrants	$ 3,500

Stockholders' (Deficit) Equity - Equity Incentive Plans (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Equity Incentive Plans
Stock-based compensation	$ 681	$ 806
Research and Development Expense
Equity Incentive Plans
Stock-based compensation	156	189
General and Administrative Expense
Equity Incentive Plans
Stock-based compensation	$ 525	$ 617

Stockholders' (Deficit) Equity - Stock option activity (Details) - Employee Stock Option [Member] - $ / shares	3 Months Ended	12 Months Ended
	Mar. 31, 2024	Dec. 31, 2023
Number of Shares
Balance at the beginning of the period (in shares)	403,484
Forfeited/Cancelled (in shares)	(18,767)
Balance at the end of the period (in shares)	384,717	403,484
Vested or expected to vest at the end of the period (in shares)	384,717
Exercisable at the end of the period (in shares)	257,015
Weighted-Average Exercise Price
Balance at the beginning of the period (in dollars per share)	$ 35.68
Forfeited/Cancelled (in dollars per share)	37.31
Balance at the end of the period (in dollars per share)	35.61	$ 35.68
Vested or expected to vest at the end of the period (in dollars per share)	35.61
Exercisable at the end of the period (in dollars per share)	$ 47.92
Weighted Average Remaining Contractual Term
Options Outstanding at the end of the period	6 years 7 months 28 days	6 years 9 months 21 days
Vested or expected to vest at the end of the period	6 years 7 months 28 days
Exercisable at the end of the period	5 years 7 months 13 days

Stockholders' (Deficit) Equity - Options other Info (Details) check - Employee Stock Option [Member] $ / shares in Units, $ in Millions	Mar. 31, 2024 USD ($) $ / shares
Options outstanding
Intrinsic value of options exercisable \| $	$ 0.0
Closing price of Company's stock (in dollars per share) \| $ / shares	$ 0.46

Stockholders' (Deficit) Equity - Non-vested RSUs (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Weighted Average Grant Date Fair Value
Stock-based compensation	$ 681	$ 806
Restricted Stock Units
Number of Shares
Non-vested at beginning of period (in shares)	1,602,588
Forfeited/Cancelled (in shares)	(34,471)
Non-vested at end of period (in shares)	1,568,117
Weighted Average Grant Date Fair Value
Non-vested at beginning of period (in dollars per share)	$ 2.05
Forfeited (in dollars per share)	1.70
Non-vested at end of period (in dollars per share)	$ 2.06
Stock-based compensation	$ 400
Unrecognized compensation expense	$ 2,500
Weighted average remaining period for recognition of unrecognized compensation expense	2 years 2 months 1 day

Stockholders' (Deficit) Equity - Shares Reserved for Future Grant and Issuance (Details) check - shares	3 Months Ended
	Mar. 31, 2024	Dec. 31, 2023
Shares Reserved for Future Issuance
Warrants outstanding (in shares)	10,600,780
Total shares of common stock reserved for future issuance (in shares)	12,553,614
Inducement Plan
Shares Available for Future Grant
Balance at the beginning of the period (in shares)	12,000
Balance at the end of the period (in shares)	12,000
2023 Plan
Shares Available for Future Grant
Balance at the beginning of the period (in shares)	253,463
Forfeited/Cancelled (in shares)	53,238
Balance at the end of the period (in shares)	306,701
Employee Stock Option [Member]
Shares Reserved for Future Issuance
Stock options outstanding (in shares)	384,717	403,484
Employee Stock Option [Member] \| 2013 plan
Shares Reserved for Future Issuance
Stock options outstanding (in shares)	273,967
Employee Stock Option [Member] \| Inducement Plan
Shares Reserved for Future Issuance
Stock options outstanding (in shares)	8,000
Employee Stock Option [Member] \| 2023 Plan
Shares Reserved for Future Issuance
Stock options outstanding (in shares)	102,750
Restricted Stock Units \| 2013 plan
Shares Reserved for Future Issuance
Stock options outstanding (in shares)	1,568,117

Commitments and Contingencies - Leases (Details) - Chesterbrook, Pennsylvania	Oct. 02, 2020	Oct. 11, 2018 ft² $ / ft²	Mar. 31, 2024 USD ($)
Leases
Number of square feet of space leased on the first floor \| $			8,231
Number of square feet of space leased on the second floor \| $			40,565
Sublease Agreements \| Vanguard Group, Inc
Leases
Number of square feet of space being subleased on second floor \| ft²		40,565
Initial term of sublease		37 months
Term of optional sublease extension	3 years
Term of second optional sublease extension	3 years
Amount per square foot less for rent during months 2 through 13		0.50
Amount per square foot less for rent during months 14 through 109		1.00
Amount per square foot less for rent during months 110 through 116		16.50

Commitments and Contingencies - Balance sheet information related to leases (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Leases
Operating lease right-of-use assets	$ 3,512	$ 3,665
Operating lease liabilities - Current	$ 1,031	$ 1,002
Operating Lease, Liability, Current, Statement of Financial Position [Extensible List]	Lease Liability Current	Lease Liability Current
Operating lease liabilities - Noncurrent	$ 4,148	$ 4,417
Operating Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]	Lease Liability Noncurrent	Lease Liability Noncurrent
Lease Liability	$ 5,179	$ 5,419
Operating Lease, Liability, Statement of Financial Position [Extensible List]	Lease Liability Current, Lease Liability Noncurrent	Lease Liability Current, Lease Liability Noncurrent
Property and equipment, net	$ 1,107	$ 1,195
Finance lease liabilities - Current	$ 10	$ 10
Finance Lease, Liability, Current, Statement of Financial Position [Extensible List]	Lease Liability Current	Lease Liability Current
Finance lease liabilities - Noncurrent	$ 5	$ 7
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]	Lease Liability Noncurrent	Lease Liability Noncurrent
Lease Liability	$ 15	$ 17
Finance Lease, Liability, Statement of Financial Position [Extensible List]	Lease Liability Current, Lease Liability Noncurrent	Lease Liability Current, Lease Liability Noncurrent
Finance leased assets
Leases
Property and equipment, at cost	$ 29	$ 29
Accumulated depreciation	(16)	(13)
Property and equipment, net	$ 13	$ 16

Commitments and Contingencies - Components of lease expense (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Operating lease costs:
Operating lease rental expense	$ 385	$ 398
Other income	(350)	(350)
Total operating lease costs	35	48
Finance lease costs:
Amortization of right-of-use assets	2	2
Total finance lease costs	$ 2	$ 2

Commitments and Contingencies - Cash flow information (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Commitments and Contingencies.
Operating cash flows from operating leases	$ (122)	$ (128)
Financing cash flows from finance leases	$ (3)	$ (3)

Commitments and Contingencies - Lease liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Operating Leases
2024 (April 1 - December 31)	$ 1,090
2025	1,474
2026	1,498
2027	1,523
2028	640
Total minimum lease payments	6,225
Interest Expense	(1,046)
Lease Liability	5,179	$ 5,419
Financing Leases
2024 (April 1 - December 31)	8
2025	8
Total minimum lease payments	16
Interest Expense	(1)
Lease Liability	15	$ 17
Sublease
2024 (April 1 - December 31)	869
2025	1,178
2026	1,198
2027	1,166
2028	254
Total minimum lease payments	$ 4,665

Commitments and Contingencies - Lease term and discount rates (Details)	Mar. 31, 2024	Mar. 31, 2023
Commitments and Contingencies.
Weighted average remaining lease term - Operating leases	4 years	5 years
Weighted average remaining lease term - Finance leases	1 year	2 years
Weighted average discount rate - Operating leases	9.20%	9.20%
Weighted average discount rate - Finance leases	6.50%	6.50%

Product Revenue (Details)	3 Months Ended
Product Revenue (Details)	Mar. 31, 2024 USD ($)
Sales Discounts
Beginning Balance	$ 2,000
Ending Balance	2,000
Chargebacks
Beginning Balance	19,000
Credit / payments made during the period	(2,000)
Adjustment related to prior period sales	4,000
Ending Balance	21,000
Fee for Service
Beginning Balance	9,000
Adjustment related to prior period sales	3,000
Ending Balance	12,000
Outstanding accounts receivable	$ 35,000

License and Royalty Revenue (Details) - Licensing agreements for development and commercialization - USD ($) $ in Millions	1 Months Ended
	May 31, 2023	Aug. 31, 2020	Jul. 31, 2018	Jun. 30, 2018
Pharmbio Korea Inc
Licensing Arrangements
Upfront payment				$ 3.0
Commercialization milestone payments				$ 0.5
Time period for written notice to terminate license agreement				180 days
Pharmbio Korea Inc \| Minimum
Licensing Arrangements
Time period to form a committee prior to the anticipated date of regulatory approval				6 months
Pharmbio Korea Inc \| Maximum
Licensing Arrangements
Royalties on product sales, percentage				20.00%
Jiangsu Nhwa Pharmaceutical Co Ltd
Licensing Arrangements
Upfront payment			$ 2.5
Withholding taxes	$ 0.3	$ 0.3	$ 0.3
Time period for written notice to terminate license agreement		180 days
Milestone payment upon regulatory approval		$ 3.0
Milestone payment upon regulatory approval in China	$ 3.0
Milestone payment upon sales targets reached in China		$ 6.0
Royalty percentage on net product sales in China after milestones met		10.00%
License revenue
Licensing Arrangements
Withholding taxes				$ 0.5

Net Loss Per Common Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Dec. 28, 2023
Basic and diluted net loss per common share calculation:
Net Income (Loss)	$ (7,678)	$ (7,819)
Weighted average common shares outstanding, basic (in shares)	21,303,390	9,594,072
Weighted average common shares outstanding, diluted (in shares)	21,303,390	9,594,072
Net loss per share of common stock, basic (in dollars per share)	$ (0.36)	$ (0.81)
Net loss per share of common stock, diluted (in dollars per share)	$ (0.36)	$ (0.81)
Outstanding securities excluded from computation of diluted weighted shares outstanding (in shares)	10,805,614	4,314,174
December 2023 Equity Offering and Warrant Issuance
Basic and diluted net loss per common share calculation:
Exercise price (in dollars per share)	$ 0.70
December 2023 Equity Offering and Warrant Issuance \| Pre-funded Common Stock Warrants
Basic and diluted net loss per common share calculation:
Exercise price (in dollars per share)	$ 0.001		$ 0.001
Employee Stock Option
Basic and diluted net loss per common share calculation:
Outstanding securities excluded from computation of diluted weighted shares outstanding (in shares)	384,717	334,060
Restricted Stock Units
Basic and diluted net loss per common share calculation:
Outstanding securities excluded from computation of diluted weighted shares outstanding (in shares)	1,568,117	834,720
Warrants
Basic and diluted net loss per common share calculation:
Outstanding securities excluded from computation of diluted weighted shares outstanding (in shares)	8,852,780	3,145,394

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Mar. 31, 2024	Mar. 31, 2023
Pay vs Performance Disclosure
Net Income (Loss)	$ (7,678)	$ (7,819)

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false