UNITED STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM 10-K
For the fiscal
year ended December 31, 2025
For the transition
period from__________ to ___________
Commission
file number 001-32188
ORAGENICS,
INC.
(Exact name
of registrant as specified in its charter)
9015 Town Center Parkway, Suite 143, Lakewood Ranch, FL 34202
(Address of Principal Executive Offices) (Zip Code)
813-286-7900
(Registrant’s
Telephone Number, Including Area Code)
SECURITIES
REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT:
Title of each class Trading Symbol Name of each exchange on which registered
Common Stock $0.001 par value per share OGEN NYSE AMERICAN
SECURITIES
REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT:
None
Indicate by
check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate by
check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes ☐
No ☒
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, 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 has filed a report on and attestation to its management’s assessment of the effectiveness of its
internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public
accounting firm that prepared or issued its audit report. ☐
If securities
are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included
in the filing reflect the correction of an error to previously issued financial statements. ☐
Indicate by
check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received
by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by
check mark whether the registrant is a shell company (as defined in Exchange Act Rule 12b-2). Yes ☐ No ☒
The aggregate
market value of the voting and non-voting common equity stock held by non-affiliates of the registrant, was approximately $3,126,135
computed based upon a last sales price of $3.82 as reported by the NYSE American as of June 30, 2025, the last business day of the registrant’s
most recently completed second fiscal quarter.
As of March
13, 2026, there were 4,336,029 shares of the registrant’s Common stock outstanding.
Note
Regarding Reverse Stock Split
On
June 3, 2025, the Company effected a 1-for-30 reverse stock split of its outstanding common stock. All share and per share amounts in
these consolidated financial statements and related footnotes have been retroactively adjusted to reflect the reverse stock split for
all periods presented in the accompanying financial statements, unless otherwise indicated (the “Reverse Stock Split”).
TABLE
OF CONTENTS
FORWARD-LOOKING STATEMENTS AND CERTAIN CONSIDERATIONS ii
PART I
ITEM 1. BUSINESS 1
ITEM 1A. RISK FACTORS 21
ITEM 1B. UNRESOLVED STAFF COMMENTS 54
ITEM 1C. CYBERSECURITY 54
ITEM 2. PROPERTIES 55
ITEM 3. LEGAL PROCEEDINGS 55
ITEM 4. MINE SAFETY DISCLOSURES 55
PART II
ITEM 6. RESERVED 56
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 63
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 63
ITEM 9A. CONTROLS AND PROCEDURES 63
ITEM 9B. OTHER INFORMATION 64
ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS 64
PART III
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE 65
ITEM 11. EXECUTIVE COMPENSATION 68
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES 82
PART IV
ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES 83
SIGNATURES 84
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM F-2
CONSOLIDATED BALANCE SHEETS F-3
CONSOLIDATED STATEMENTS OF OPERATIONS F-4
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ (DEFICIT) EQUITY F-5
CONSOLIDATED STATEMENTS OF CASH FLOWS F-6
CONSOLIDATED NOTES TO FINANCIAL STATEMENTS F-7
i
FORWARD
LOOKING STATEMENTS AND CERTAIN CONSIDERATIONS
This
report, along with other documents that are publicly disseminated by us, contains or might contain forward-looking statements within
the meaning of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements included in this report
and in any subsequent filings made by us with the Securities and Exchange Commission (the “SEC”) other than statements of
historical fact, that address activities, events or developments that we or our management expect, believe or anticipate will or may
occur in the future are forward-looking statements. These statements represent our reasonable judgment on the future based on various
factors and using numerous assumptions and are subject to known and unknown risks, uncertainties and other factors that could cause our
actual results and financial position to differ materially. We claim the protection of the safe harbor for forward-looking statements
provided in the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act and Section 21E of the Exchange Act.
Examples of forward-looking statements include: (i) projections of revenue, earnings, capital structure and other financial items, (ii)
statements of our plans and objectives, (iii) statements of expected future economic performance, and (iv) assumptions underlying statements
regarding us or our business. Forward-looking statements can be identified by, among other things, the use of forward-looking language,
such as “believes,” “expects,” “estimates,” “may,” “will,” “should,”
“could,” “seeks,” “plans,” “intends,” “anticipates” or “scheduled to”
or the negatives of those terms, or other variations of those terms or comparable language, or by discussions of strategy or other intentions.
Forward-looking
statements are subject to known and unknown risks, uncertainties and other factors that could cause the actual results to differ materially
from those contemplated by the statements. The forward-looking information is based on various factors and was derived using numerous
assumptions. Important factors that could cause our actual results to be materially different from the forward-looking statements include
the following risks and other factors discussed under the Item 1A “Risk Factors” in this Annual Report on Form 10-K. These
factors include:
● The timing, progress and results of clinical trials of our product candidates;
● Our ability to successfully commercialize our product candidates;
● Our ability to identify, recruit and retain key personnel and consultants;
● The safety, efficacy, and benefits of our product candidates;
We
caution investors that actual results or business conditions may differ materially from those projected or suggested in forward-looking
statements as a result of various factors including, but not limited to, those described above and in the Risk Factors section of this
report. We cannot assure you that we have identified all the factors that create uncertainties. Moreover, new risks emerge from time
to time, and it is not possible for our management to predict all risks, nor can we assess the impact of all risks on our business or
the extent to which any risk, or combination of risks, may cause actual results to differ from those contained in any forward-looking
statements. Readers should not place undue reliance on forward-looking statements. Except as required by applicable law, we undertake
no obligation to publicly release the result of any revision of these forward-looking statements to reflect events or circumstances after
the date they are made or to reflect the occurrence of unanticipated events.
ii
PART
I
ITEM
1. BUSINESS.
This
description contains certain forward-looking statements that involve risks and uncertainties. Our actual results could differ materially
from the results discussed in the forward-looking statements as a result of certain of the risks set forth herein. We assume no obligation
to update any forward-looking statements contained herein.
Overview
We
are a development-stage biopharmaceutical company dedicated to the research and development of nasal delivery pharmaceutical therapies
targeting neurological conditions and infectious diseases. The Company is currently focused on advancing the development and commercialization
of its lead product candidate, ONP-002. Our lead product, ONP-002, is a fully synthetic, non-naturally occurring neurosteroid, is lipophilic,
and we believe it can cross the blood-brain barrier with the goal of rapidly eliminating swelling, oxidative stress and inflammation
while restoring proper blood flow through gene amplification.
Our
ONP-002 Neurology Asset for Brain Related Illness and Injury
Our
lead product and focus are on the development and commercialization of ONP-002 for the treatment of mild traumatic brain injury (“mTBI”
or “Concussion”).
ONP-002,
together with our other neurology assets, are referred to herein as the Neurology Assets. To date, ONP-002 has been shown to be stable
up to 104 degrees for 18 months. The drug candidate is manufactured into a powder and filled into a novel intranasal device. The drug
is then administered through the nasal passage from the device. The novel intranasal device is lightweight and easy to use in the field.
We
believe the proprietary powder formulation and intranasal administration allows for rapid and direct accessibility to the brain. The
device is breath propelled and is designed to allow patients to blow into the device which closes the soft palate in the back of the
nasopharynx, preventing the flow of drug to the lungs or esophagus, minimizes system exposure and side effects, and effectively crosses
the blood brain barrier. This mechanism is designed to trap ONP-002 in the nasal cavity allowing for more abundant and faster drug availability
in the traumatized brain.
Expected
ONP-002 Product Development Timeline:
Complete Complete Q1 2026 Start Estimated Q1 2027 start Estimated Q1 2028 start
This
product development plan is an estimate and is subject to change based on funding, technical risks and regulatory approvals.
Validation
and Stability of ONP-002
A
Certificate of Analysis (COA) was issued by the manufacturer of the drug, indicating that testing methods were standard and include appearance,
identification by 1H NMR (a technique used to determine the structure of organic molecules), identification by Mass Spectroscopy (MS),
optical purity by HPLC, residual solvent analysis, elemental impurities, percent water, and residue on ignition. The manufacturer has
shown both the specifications and the results, indicating that the material supplied passes all criteria. ONP-002 is supplied in pure
form. As such, no excipients are present. Stability studies were performed by storing samples under carefully controlled conditions with
respect to temperature and humidity. The stability testing protocol included storage at 25 °C± 2 °C at 60% relative humidity
± 5% relative humidity for 24 months and 40 °C± 2 °C at 75% relative humidity ± 5% for 18 months. Samples
were pulled at the scheduled time and analyzed for appearance, purity, assay, optical purity, and water content. No changes in ONP-002
were seen.
Intellectual
Property
Patent
applications that concern ONP-002 and the nasal delivery device have been filed as follows:
○ An issued U.S. patent expiration without patent term extension - 9/17/2035.
○ An exemplary issued U.S. patent expiration - 10/19/2042.
ONP-002
Development and Studies
ONP-002
Pre-Clinical Trials
The
ONP-002 drug has completed toxicology studies in rats and dogs. Those studies show that ONP-002 has a large safety margin for its predicted
efficacious dose. In preclinical animal studies, the drug demonstrated rapid and broad biodistribution throughout the brain while simultaneously
reducing swelling, inflammation, and oxidative stress, along with an excellent safety profile.
Results
from the preclinical studies suggest that ONP-002 has an equivalent, and potentially superior, neuroprotective effect compared to related
neurosteroids. The animals treated with the drug post-concussion showed positive behavioral outcomes using various testing platforms
including improved memory and sensory-motor performance, and reduced depression and anxiety-like behaviors.
ONP-002
Induction of Pregnane X Receptor (PXR)
The
induction of the human CYP450 enzymes, CYP2B6, and CYP3A4, by ONP-002, as measured by mRNA expression, was tested in human hepatocytes
from 3 donors at 3 concentrations: 1 μM, 10 μM and 100 μM. Results reflected that ONP-002, through the known PXR-mechanism,
produced a modest induction of CYP3A4, up to 17% of the positive control, and a greater induction of CYP2B6, of up to 59% of the positive
control, both at a concentration of 100 μM. Past data reflected that ONP-001 (entProgesterone) and Progesterone induce the PXR receptor.
Receptor binding studies have been performed showing ONP-002 does not activate the classical Progesterone Receptor.
ONP-002
Animal Studies
All
surgical animals (male Sprague-Dawley rats weighing approximately 250 grams) were anesthetized with an initial isoflurane induction for
4 minutes, the minimum time necessary to sedate the animal. The scalp was shaved and cleaned with isopropanol and betadine. During the
stereotaxic surgery, anesthesia was maintained with isoflurane. A medial incision was made, and the scalp was pulled back over the medial
frontal cortex. A 6mm diameter craniotomy was performed exposing the brain tissue. An electrically controlled injury device using a 5mm
metal impactor was positioned over the exposed brain. An impact speed of 1.6 m/s at a 90-degree angle from vertical was used to produce
an open head injury at a depth of 1mm to create a milder TBI. All treatments were given intranasal (IN) as a liquid solution with a micro
atomizer. Vehicle for all administrations was 22.5% Hydroxy-Propyl-β-cyclodextrin (HPβCD).
Molecular
Studies - Brain tissue was taken from the penumbral region of injury.
Cerebral
Edema
In
Figure 1, we show that ONP-002 reduces swelling in rats compared to vehicle-treated at 24hours after brain injury by measure of brain
water content through speed-vacuum dehydration and tissue weight comparisons. ONP-002-treated (4mg/kg) and vehicle-treated were compared
to sham which was set at zero. Local edema can occur after mTBI.
Severe
cerebral edema is associated with poor outcomes including increased mortality after mTBI with Second Impact Syndrome (2). *Denotes
significance at p<0.05, n=6
Figure
1
Inflammation
mTBI
causes vascular and neuronal stress. Microglia and reactive astrocytes infiltrate the areas of injury and release inflammatory mediators
like TNF-alpha. We show that ONP-002 (4mg/kg) reduces TNF-alpha-mediated neuroinflammation in brain tissue of rats compared to vehicle
at 24 hours after mTBI (ELISA).
Pharmacokinetics
and Safety of IN ONP-002 in Dogs
This
pivotal GLP 14-day study used repeat dosing of ONP-002, 3X a day, approximately 4 hours apart, for 14 consecutive days at concentrations
of 0, 3, 10 or 23 mg/mL at a volume of 1ml/nostril to beagle dogs (both nostrils had drug administered). The IN treatment was given as
a liquid solution using a micro atomizer using 22.5% HPβCD as the vehicle. IN ONP-002 dosing revealed that ONP-002 was well tolerated
up to the highest dose of 23mg/ml or 46mg in total per dosing. Clinical observations were limited to increased salivation in dogs which
occurred in a dose-dependent manner. There were no effects on body weight, food consumption, ophthalmic parameters, clinical chemistry,
hematology, or organ weights at any of the doses tested. Microscopic analysis revealed purulent exudates in the nasal turbinate and evidence
of inflammatory infiltrates and fibrin deposition in the lungs. All of these events were classified as mild, reversed during the recovery
period, and did not appear to show any dose dependency. Similar findings were evident in vehicle control treated dogs indicating the
findings were vehicle related. The highest dose of 23mg/ml was thus determined to be the no-observed adverse-effect level (NOAEL), which
is equivalent to a ONP-002 dose of 1.5mg/kg and 2.3mg/kg in male and female dogs, respectively. Testing shows the dose-dependent increase
in plasma exposure of ONP-002 in male and female dogs following IN administration. Plasma exposure levels were similar in males and females
and there did not appear to be any evidence of drug accumulation following multiple doses.
Cardiopulmonary
Safety Pharmacology
The
effect of ONP-002 on the human ether-a-go-go related gene (hERG) tail currents was assessed in a non-Good Laboratory Practice (GLP) study
using manual whole-cell patch clamp. ONP-002 tested at a single concentration of 10μM inhibited hERG tail currents by 42.6% (n=3).
In order to achieve a safety factor of 30-fold between in vitro hERG IC50 and free plasma levels of ONP-002 in clinical studies, Cmax
should not exceed a free drug concentration of 0.33μM (99ng/ml). ONP-002 is 97.2% human plasma protein bound and is estimated to reach
a plasma Cmax of 12.5nM, the highest dose of 0.533mg/kg to be administered in the planned first in human (FIH) study, which provides
a safety factor of 800-fold. A GLP study is planned at Charles River, Inc. and will be performed prior to IND submission.
ONP-002
Clinical Trials
ONP-002
has completed a Phase 1 clinical trial in healthy human subjects showing it is safe and well tolerated.
Safety
studies have established a dosing regimen of 2X/day for fourteen days. The Phase I clinical trial was performed in Melbourne, Australia
with a Contract Research Organization (CRO), Avance Clinical Pty Ltd and Nucleus Network Pty Ltd. The country of Australia provides a
currency exchange advantage and a tax rebate at the end of our fiscal year from the Australian government on all Research and Development
performed in Australia.
The
Phase 1 study was double-blinded, randomized and placebo controlled (3:1, drug: placebo). Phase 1 used a Single Ascending/Multiple Ascending
(SAD/MAD) drug administration design. The SAD component was a 1X treatment (low, medium, or high dose) and the MAD component was a 1X/day
treatment for five consecutive days (low and medium dose). Blood and urine samples were collected at multiple time points for safety
pharmacokinetics. Standard safety monitoring was provided for each body system.
Forty
human subjects (31 males, 9 females) were successfully enrolled in Phase I. The Safety Review Board, made up of medical doctors, has
reviewed the trial data and has determined the drug is safe and well tolerated at all dosing levels.
After
a delay due to a large hospital merger in Australia that included our lead site, we anticipate launching our Phase 2a clinical trials
in Australia in the first quarter of 2026. Phase 2a clinical trials are focused on feasibility metrics and we anticipate that this data
will be important in our clinical trial design and strategy for future U.S. based clinical trials.
We
anticipate preparing for Phase 2b clinical trials to further evaluate ONP-002’s safety and efficacy. Based on the Phase I data,
we plan to apply for an Investigational New Drug application (IND) with the FDA and conduct a Phase 2b trial in the U.S. Additional non-clinical
studies are planned for 2026 as part of our IND submission strategy.
Business
Development Strategy
Success
in the biopharmaceutical and product development industry relies on the continuous development of novel product candidates. Most product
candidates do not make it past the clinical development stage, which forces companies to look externally for innovation. Accordingly,
we expect, from time to time, to seek strategic opportunities through various forms of business development, which can include strategic
alliances, licensing deals, joint ventures, collaborations, equity or debt-based investments, dispositions, mergers, and acquisitions.
We view these business development activities as a necessary component of our strategies, and we seek to enhance shareholder value by
evaluating business development opportunities both within and complementary to our current business, as well as opportunities that may
be new and separate from the development of our existing product candidates.
Market
Opportunity
We
are currently focused on applying intranasal drug delivery to the development of therapies for neurological conditions, including mild
traumatic brain injury (“mTBI” or concussion). We believe the treatment of concussion represents a significant unmet medical
need, as there are currently no FDA-approved pharmacological therapies specifically indicated for the treatment of concussion.
We
believe intranasal delivery may offer certain advantages compared to systemic administration, including non-invasive administration and
the potential for more rapid central nervous system exposure. Systemic administration can present challenges in achieving efficient delivery
of certain therapies to the central nervous system, which we believe present an opportunity for intranasal drug delivery approaches.
Growth
Strategy
If
the FDA clears or approves our product candidates to be marketed commercially, we intend to enter into agreements with industry partners
or qualified distributors throughout the U.S. We intend to pursue a similar approach if our product candidates are cleared or approved
for marketing outside of the U.S. We intend to require such partners or distributors to pay us an initial license fee, as well as royalties
based on gross sales. Retaining exclusivity is expected to be based on a mutually agreeable semi-annual or quarterly sales minimum. We
also anticipate focusing on international growth because, generally, we believe such international license agreements provide a stronger
path to revenue and earnings than purely domestic products.
Our
objective is to eventually grow revenue through marketing and sales of ONP-002 if it gains regulatory approvals. Although no assurances
can be given, management anticipates company growth from the following areas:
We
currently have no products authorized for commercial distribution in the U.S., Europe, or any other country. We have development programs
for devices and pharmaceutical drugs, which are in various stages of development. Currently we are only funding the development of ONP-002
which is intended to treat concussion. All of our products require regulatory clearance or approvals, and we cannot begin marketing and
selling our product candidates until we obtain applicable authorizations from the respective regulatory agency.
Government
Regulations
In
the U.S., foods (including dietary supplements), drugs (including biological products), medical devices, cosmetics, tobacco products
and radiation-emitting products are subject to extensive regulation by the FDA. The FDC Act and other federal and state statutes and
regulations govern, among other things, the manufacture, distribution and sale of these products. These laws and regulations prescribe
criminal and civil penalties that can be assessed, and violation of these laws and regulations can result in enforcement actions by the
FDA and other regulatory agencies.
FDA
Regulation of Drugs - New Drug Approval Process
Pharmaceutical
products are subject to extensive regulation by the FDA. The FDC Act, and other federal and state statutes and regulations, govern, among
other things, the research, development, testing, manufacture, storage, recordkeeping, approval, labeling, promotion and marketing, distribution,
post-approval monitoring and reporting, sampling, and import and export of pharmaceutical products. Failure to comply with applicable
U.S. requirements may subject a company to a variety of administrative or judicial sanctions, such as FDA refusal to approve pending
NDAs or Biologics License Applications (BLAs), warning or untitled letters, product recalls, product seizures, total or partial suspension
of production or distribution, injunctions, fines, civil penalties and criminal prosecution.
Pharmaceutical
product development for a new product or certain changes to an approved product in the U.S. typically involves the following steps before
a biological product or new drug may be marketed in the U.S.:
● submission of an NDA or BLA to the FDA for review;
● FDA approval of the NDA or BLA; and
● payment of user and establishment fees, if applicable.
Satisfaction
of FDA pre-market approval requirements typically takes many years, and the actual time required may vary substantially based upon the
type, complexity and novelty of the product or disease.
Pre-clinical
tests include laboratory evaluation of product chemistry, formulation and toxicity, as well as animal trials to assess the characteristics
and potential safety and efficacy of the product. The conduct of the pre-clinical tests must comply with federal regulations and requirements,
including good laboratory practices. The results of preclinical testing are submitted to the FDA as part of an IND along with other information,
including information about product chemistry, manufacturing and controls, and a proposed clinical trial protocol. Long term pre-clinical
tests, such as animal tests of reproductive toxicity and carcinogenicity, may continue after the IND is submitted.
A
30-day waiting period after the submission of each IND is required prior to the commencement of clinical testing in humans. If the FDA
has neither commented on nor questioned the IND within this 30-day period, the clinical trial proposed in the IND may begin.
Clinical
trials involve the administration of the IND to healthy volunteers or patients under the supervision of a qualified investigator. Clinical
trials must be conducted: (i) in compliance with federal regulations; (ii) in compliance with good clinical practice, or GCP, an international
standard meant to protect the rights and health of patients and to define the roles of clinical trial sponsors, administrators, and monitors;
as well as (iii) under protocols detailing the objectives of the trial, the parameters to be used in monitoring safety, and the effectiveness
criteria to be evaluated. Each protocol involving testing on U.S. patients and subsequent protocol amendments must be submitted to the
FDA as part of the IND.
The
FDA may order the temporary, or permanent, discontinuation of a clinical trial at any time, or impose other sanctions, if it believes
that the clinical trial is not being conducted in accordance with FDA requirements or presents an unacceptable risk to the clinical trial
patients. The trial protocol and informed consent information for patients in clinical trials must also be submitted to an institutional
review board or IRB for approval. An IRB may also require the clinical trial at the site to be halted, either temporarily or permanently,
for failure to comply with the IRB’s requirements, or may impose other conditions.
Clinical
trials to support NDAs or BLAs for marketing approval are typically conducted in three sequential phases, but the phases may overlap.
In Phase 1, after the initial introduction of the drug into healthy human subjects or patients, the drug is tested to assess metabolism,
pharmacokinetics, pharmacological actions, side effects associated with increasing doses, and, if possible, early evidence on effectiveness.
Phase 2 usually involves trials in a limited patient population to determine the effectiveness of the drug for a particular indication,
dosage tolerance, and optimum dosage, and to identify common adverse effects and safety risks. If a compound demonstrates evidence of
effectiveness and an acceptable safety profile in Phase 2 evaluations, Phase 3 trials are undertaken to obtain the additional information
about clinical efficacy and safety in a larger number of patients, typically at geographically dispersed clinical trial sites, to permit
the FDA to evaluate the overall benefit-risk relationship of the drug and to provide adequate information for the labeling of the drug.
In most cases the FDA requires two adequate and well-controlled Phase 3 clinical trials to demonstrate the efficacy of the drug. A single
Phase 3 clinical trial with other confirmatory evidence may be sufficient in rare instances where the trial is a large multicenter trial
demonstrating internal consistency and a statistically very persuasive finding of a clinically meaningful effect on mortality, irreversible
morbidity or prevention of a disease with a potentially serious outcome and confirmation of the result in a second trial would be practically
or ethically impossible.
The
length of time and related costs necessary to complete clinical trials varies significantly and may be difficult to predict. Clinical
trial results are frequently susceptible to varying interpretations that may delay, limit or prevent regulatory approvals. Additional
factors that can cause delay or termination of our clinical trials, or cause the costs of these clinical trials to increase, include:
● delays in approvals from a trial site’s IRB;
● lack of sufficient supplies of the drug candidate for use in clinical trials;
● adverse medical events or side effects in treated patients; and
● lack of effectiveness of the drug candidate being tested.
Any
drug is likely to produce some toxicities or undesirable side effects in animals and in humans when administered at sufficiently high
doses and/or for sufficiently long periods of time. Unacceptable toxicities or side effects may occur at any dose level, and at any time
in the course of animal studies designed to identify unacceptable effects of a drug candidate, known as toxicological studies, or in
clinical trials of our drug candidates. The appearance of any unacceptable toxicity or side effect could cause us or regulatory authorities
to interrupt, limit, delay or abort the development of any of our drug candidates and could ultimately prevent marketing approval by
the FDA or foreign regulatory authorities for any or all targeted indications.
In
addition, the manufacturer of an investigational drug in a Phase 2 or Phase 3 clinical trial for a serious or life-threatening disease
is required to make available, such as by posting on its website, its policy on evaluating and responding to requests for expanded access.
After
completion of the required clinical testing, an NDA or BLA is prepared and submitted to the FDA. FDA approval of the NDA or BLA is required
before marketing of the product may begin in the U.S. The NDA or the BLA must include the results of all pre-clinical, clinical and other
testing and a compilation of data relating to the product’s pharmacology, chemistry, manufacture and controls. The cost of preparing
and submitting an NDA is substantial.
The
FDA has 60 days from its receipt of an NDA or BLA to determine whether the application will be filed based on the agency’s threshold
determination that it is sufficiently complete to permit substantive review. If the NDA or BLA submission is filed, the FDA reviews the
NDA or BLA to determine, among other things, whether the proposed product is safe and effective for its intended use. The FDA has agreed
to certain performance goals in the review of NDAs or BLAs. Most such applications for standard review drug products are reviewed within
ten to twelve months; most applications for priority review drugs are reviewed in six to eight months. Priority review can be applied
to drugs that the FDA determines offer major advances in treatment or provide a treatment where no adequate therapy exists. For biologics,
priority review is further limited to drugs intended to treat a serious or life-threatening disease relative to the currently approved
products. The review process for both standard and priority review may be extended by the FDA for three additional months to consider
certain late-submitted information, or information intended to clarify information already provided in the submission.
The
FDA may also refer applications for novel drug products, or drug products that present difficult questions of safety or efficacy, to
an advisory committee – typically a panel that includes clinicians and other experts – for review, evaluation and a recommendation
as to whether the application should be approved. The FDA is not bound by the recommendation of an advisory committee, but it generally
follows such recommendations. Before approving an NDA or BLA, the FDA will typically inspect one or more clinical sites to assure compliance
with GCP. Additionally, the FDA will inspect the facility or the facilities at which the drug is manufactured. The FDA will not approve
the product unless compliance with current Good Manufacturing Processes (cGMPs) is satisfactory and the NDA or BLA contains data that
provide substantial evidence that the drug is safe and effective in the indication studied.
After
the FDA evaluates the NDA or BLA and the manufacturing facilities, it issues either an approval letter or a complete response letter.
A complete response letter generally outlines the deficiencies in the submission and may require substantial additional testing, or information,
in order for the FDA to reconsider the application. If, or when, those deficiencies have been addressed to the FDA’s satisfaction
in a resubmission of the NDA or BLA, the FDA will issue an approval letter. The FDA has committed to reviewing such resubmissions in
two or six months depending on the type of information included.
An
approval letter authorizes commercial marketing of the drug with specific prescribing information for specific indications. As a condition
of NDA or BLA approval, the FDA may require a risk evaluation and mitigation strategy, or REMS, to help ensure that the benefits of the
drug outweigh the potential risks. REMS can include medication guides, communication plans for healthcare professionals, and elements
to assure safe use, or ETASU. ETASU can include, but is not limited to, special training or certification for prescribing or dispensing,
dispensing only under certain circumstances, special monitoring and the use of patient registries. The requirement for a REMS can materially
affect the potential market and profitability of the drug. Moreover, product approval may require substantial post-approval testing and
surveillance to monitor the drug’s safety or efficacy. Once granted, product approvals may be withdrawn if compliance with regulatory
standards is not maintained, or problems are identified following initial marketing.
Changes
to some of the conditions established in an approved application, including changes in indications, labeling, or manufacturing processes
or facilities, require submission and FDA approval of a new NDA or BLA supplement before the change can be implemented. An NDA or BLA
supplement for a new indication typically requires clinical data similar to that in the original application, and the FDA uses the same
procedures and actions in reviewing NDA or BLA supplements as it does in reviewing NDAs or BLAs.
The
required testing, data collection, analysis and compilation of an IND and a BLA or NDA are labor intensive and costly and may take a
great deal of time. Tests may have to be redone, or new tests performed in order to comply with FDA requirements. It can take considerable
time (e.g., 5-10 years) and resources to achieve enrollment sufficient to commence such trials and complete Phase 2 or 3 clinical trials.
Moreover, there is no guarantee a product will be approved.
The
Orphan Drug Act provides incentives to manufacturers to develop and market drugs for rare diseases and conditions affecting fewer than
200,000 people in the U.S. at the time of application for orphan drug designation. The first developer to receive FDA marketing approval
for an orphan drug is entitled to a seven-year exclusive marketing period in the U.S. for the orphan drug indication. However, a drug
that the FDA considers to be clinically superior to, or different from, another approved orphan drug, even though for the same indication,
may also obtain approval in the U.S. during the seven-year exclusive marketing period.
Legislation
similar to the Orphan Drug Act has been enacted in other countries outside of the U.S., including the EU. The orphan legislation in the
EU is available for therapies addressing conditions that affect five or fewer out of 10,000 persons, are life-threatening or chronically
debilitating conditions and for which no satisfactory treatment is authorized. The market exclusivity period is for ten years, although
that period can be reduced to six years if, at the end of the fifth year, available evidence establishes that the product does not justify
maintenance of market exclusivity.
Expedited
Development and Review Programs
Under
the FDA Modernization Act of 1997, designation as a Fast-Track product or a breakthrough therapy for a new drug or biological product
means that the FDA will take such actions as are appropriate to The FDA has the authority to facilitate and expedite the development
and review of a drug through various programs, such as fast track designation, breakthrough therapy designation and priority review designation.
Each program may be utilized by the FDA in the context of particular circumstances. For example, fast track designation would generally
be used to facilitate the development and review of a drug that addresses an unmet medical need. Breakthrough therapy designation applies
similarly in cases where a drug demonstrates substantial improvement over existing and available therapies. Priority review designation
suggests the FDA will act on an application within six months of filing.
We
cannot guarantee that the FDA will grant any of our requests for fast track or breakthrough therapy designations, that any such designations
would affect the time of review or that the FDA will approve the NDA or BLA submitted for any of our drug candidates, whether these designations
are granted or not. Additionally, FDA approval of a fast track/breakthrough product can include restrictions on the product’s use
or distribution (such as permitting use only for specified medical conditions or limiting distribution to physicians or facilities with
special training or experience). Approval of such designated products can be conditioned on additional clinical trials after approval.
Accelerated
approval is also possible in the event a product treats a serious or life-threatening condition and provides a meaningful advantage over
available therapies. Products in this category must also meet a number of additional requirements. While a product may qualify for one
or more of the foregoing programs, the FDA reserves the right to later decide the product no longer qualifies or that the product is
no longer subject to priority regarding its review or approval.
Emergency
Use Authorization
The
FDA also has the authority to grant an Emergency Use Authorization (“EUA”) to allow unapproved medical products to be used
in an emergency to diagnose, treat, or prevent serious or life-threatening diseases or conditions when there are no adequate, approved,
and available alternatives, as designated by the U.S. government. An EUA granted by the FDA would permit a drug candidate to be able
to be distributed under the conditions set forth in the EUA prior to FDA approval. Furthermore, the FDA may revoke an EUA for a variety
of reasons, including where it is determined that the underlying health emergency no longer exists or warrants such authorizations.
Pediatric
Information
Under
the Pediatric Research Equity Act, or PREA, NDAs, BLAs or supplements to NDAs or BLAs must contain data to assess the safety and effectiveness
of the drug for the claimed indications in all relevant pediatric subpopulations and to support dosing and administration for each pediatric
subpopulation for which the drug is safe and effective. The FDA may grant full or partial waivers, or deferrals, for submission of data.
Unless otherwise required by regulation, PREA does not apply to any drug for an indication for which orphan designation has been granted,
except a product with a new active ingredient that is a molecularly targeted cancer product intended for the treatment of an adult cancer
and directed at a molecular target determined by FDA to be substantially relevant to the growth or progression of a pediatric cancer
that is subject to an NDA submitted on or after August 18, 2020.
The
Best Pharmaceuticals for Children Act, (“BPCA”), provides NDA holders a six-month extension of any exclusivity – patent
or non-patent – for a drug if certain conditions are met. For BLAs, the BPCA provides a six-month extension for non-patent exclusivity
if certain conditions are met. Conditions for exclusivity include the FDA’s determination that information relating to the use
of a new drug in the pediatric population may produce health benefits in that population, the FDA making a written request for pediatric
studies, and the applicant agreeing to perform, and reporting on, the requested studies within the statutory timeframe. Applications
under the BPCA are treated as priority applications, with all of the benefits that designation confers.
Disclosure
of Clinical Trial Information
Sponsors
of clinical trials of FDA-regulated products, including drugs, are required to register and disclose certain clinical trial information.
Information related to the product, patient population, phase of investigation, study sites and investigators, and other aspects of the
clinical trial is then made public as part of the registration. Sponsors are also obligated to discuss the results of their clinical
trials after completion. Disclosure of the results of these trials can be delayed in certain circumstances for up to two years after
the date of completion of the trial. Competitors may use this publicly available information to gain knowledge regarding the progress
of development programs.
The
Hatch-Waxman Amendments
Orange
Book Listing
In
seeking approval for a drug through an NDA, applicants are required to list with the FDA each patent with claims covering the applicant’s
product or method of using the product. Upon approval of a drug, each of the patents listed in the application for the drug is then published
in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book. Drugs listed in
the Orange Book can, in turn, be cited by potential generic competitors in support of approval of an abbreviated new drug application,
or ANDA. An ANDA provides for marketing of a drug product that has the same active ingredients in the same strengths and dosage form
as the listed drug and has been shown to be bioequivalent to the listed drug. Other than the requirement for bioequivalence testing,
ANDA applicants are not required to conduct, or submit results of, pre-clinical or clinical tests to prove the safety or effectiveness
of their drug product. Drugs approved in this way are commonly referred to as “generic equivalents” to the listed drug and
can often be substituted by pharmacists under prescriptions written for the original listed drug.
The
ANDA applicant is required to certify to the FDA concerning any patents listed for the approved product in the FDA’s Orange Book.
Specifically, the applicant must certify that: (i) the required patent information has not been filed; (ii) the listed patent has expired;
(iii) the listed patent has not expired but will expire on a particular date and approval is sought after patent expiration; or (iv)
the listed patent is invalid or will not be infringed by the new product. The ANDA applicant may also elect to submit a section viii
statement certifying that its proposed ANDA labeling does not contain (or carves out) any language regarding the patented method-of-use
rather than certify to a listed method-of-use patent. If the applicant does not challenge the listed patents, the ANDA application will
not be approved until all the listed patents claiming the referenced product have expired.
A
certification that the new product will not infringe the already approved product’s listed patents, or that such patents are invalid,
is called a Paragraph IV certification. If the ANDA applicant has provided a Paragraph IV certification to the FDA, the applicant must
also send notice of the Paragraph IV certification to the NDA and patent holders once the ANDA has been received by the FDA. The NDA
and patent holders may then initiate a patent infringement lawsuit in response to the notice of the Paragraph IV certification. The filing
of a patent infringement lawsuit within 45 days of the receipt of a Paragraph IV certification automatically prevents the FDA from approving
the ANDA until the earlier of 30 months, expiration of the patent, settlement of the lawsuit or a decision in the infringement case that
is favorable to the ANDA applicant.
The
ANDA application also will not be approved until any applicable non-patent exclusivity listed in the Orange Book for the referenced product
has expired.
Exclusivity
Exclusivity
provisions under the FDC Act also can delay the submission or the approval of certain applications. The FDC Act provides a five-year
period of non-patent exclusivity within the U.S. to the first applicant to gain approval of an NDA for a new chemical entity, or NCE.
A drug is entitled to NCE exclusivity if it contains a drug substance with no active moiety of which has been previously approved by
the FDA. During the exclusivity period, the FDA may not accept for review an ANDA or file a 505(b)(2) NDA submitted by another company
for another version of such drug where the applicant does not own or have a legal right of reference to all the data required for approval.
However, an application may be submitted after four years if it contains a Paragraph IV certification. The FDC Act also provides three
years of market exclusivity for an NDA, including a 505(b)(2) NDA, or supplement to an existing NDA if new clinical investigations, other
than bioavailability studies, that were conducted or sponsored by the applicant are deemed by the FDA to be essential to the approval
of the application, for example, for new indications, dosages or strengths of an existing drug. This three-year exclusivity covers only
the conditions for use associated with the new clinical investigations and does not prohibit the FDA from approving ANDAs for drugs for
the original conditions of use, such as the originally approved indication. Five-year and three-year exclusivity will not delay the submission
or approval of a full NDA; however, an applicant submitting a full NDA would be required to conduct or obtain a right of reference to
all the non-clinical studies and adequate and well-controlled clinical trials necessary to demonstrate safety and effectiveness.
Patent
Term Extension
After
NDA approval, the owner of relevant drug patent may apply for up to a five-year patent term extension. Only one patent may be extended
for each regulatory review period, which is composed of two parts: a testing phase, and an approval phase. The allowable patent term
extension is calculated as half of the drug’s testing phase – the time between the day the IND becomes effective and NDA
submission – and all of the review phase – the time between NDA submission and approval up to a maximum of five years. The
time can be shortened if the FDA determines that the applicant did not pursue approval with due diligence. The total patent term after
the extension may not exceed 14 years and only one patent may be extended.
For
patents that might expire during the application phase, the patent owner may request an interim patent extension. An interim patent extension
increases the patent term by one year and may be renewed up to four times. For each interim patent extension granted, the post-approval
patent extension is reduced by one year. The Director of the U.S. Patent and Trademark Office must determine that approval of the drug
covered by the patent for which a patent extension is being sought is likely. Interim patent extensions are not available for a drug
for which an NDA has not been submitted.
Section
505(b)(2) New Drug Applications
Most
drug products obtain FDA marketing approval pursuant to an NDA or an ANDA. A third alternative is a special type of NDA, commonly referred
to as a Section 505(b) (2), or 505(b)(2), NDA, which enables the applicant to rely, in part, on studies not conducted by, or for, the
applicant and for which the applicant has not obtained a right of reference or use, such as the FDA’s findings of safety and/or
effectiveness for a similar previously approved product, or published literature, in support of its application.
505(b)(2)
NDAs often provide an alternate path to FDA approval for new or improved formulations or new uses of previously approved products. Section
505(b)(2) permits the filing of an NDA where at least some of the information required for approval comes from studies not conducted
by, or for, the applicant and for which the applicant has not obtained a right of reference. If the 505(b)(2) applicants can establish