You should read the following discussion and analysis of our financial condition and results of operations together with our interim condensed financial statements and the related notes appearing elsewhere in this Quarterly Report on Form 10-Q. In addition to historical information, this discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. Our actual results may differ materially from those discussed below. Factors that could cause or contribute to such differences include, but are not limited to, those identified below, and those discussed in the section titled "Risk Factors" included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2021, as may be amended, supplemented or superseded from time to time by other reports we file with the SEC. All amounts in this report are in U.S. dollars, unless otherwise noted.






     CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS AND INDUSTRY DATA


This Quarterly Report on Form 10-Q (this "Quarterly Report") contains forward-looking statements which are made pursuant to the safe harbor provisions of Section 27A of the Securities Act of 1933, as amended (the "Securities Act"), and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). This Quarterly Report contains forward-looking statements that involve substantial risks and uncertainties. Any statements in this Quarterly Report about our expectations, beliefs, plans, objectives, assumptions or future events or performance are not historical facts and are forward-looking statements. These statements are often, but not always, made through the use of words or phrases such as "believe," "will," "expect," "anticipate," "estimate," "intend," "plan" and "would." For example, statements concerning financial condition, possible or assumed future results of operations, growth opportunities, industry ranking, plans and objectives of management, markets for our common stock and future management and organizational structure are all forward-looking statements. Forward-looking statements are not guarantees of performance. They involve known and unknown risks, uncertainties and assumptions that may cause actual results, levels of activity, performance or achievements to differ materially from any results, levels of activity, performance or achievements expressed or implied by any forward-looking statement.

Any forward-looking statements are qualified in their entirety by reference to the risk factors discussed throughout this Quarterly Report. Some of the risks, uncertainties and assumptions that could cause actual results to differ materially from estimates or projections contained in the forward-looking statements include but are not limited to:





  ? Market conditions;




  ? Our capital position;




  ? Our ability to compete effectively and with larger better financed
    pharmaceutical companies;




  ? Our uncertainty of developing marketable products;




  ? Our ability to develop and commercialize our products;




  ? Our ability to obtain regulatory approvals;




  ? Our ability and third parties' ability to maintain and protect intellectual
    property rights;




  ? Our ability to raise additional future financing and possible lack of
    financial and other resources;




  ? The ultimate impact of the current coronavirus pandemic, or any other health
    epidemic, on our business, our clinical trials, our research programs,
    healthcare systems or the global economy as a whole;




  ? The success of our clinical trials through all phases of clinical development;




  ? Any delays in regulatory review and approval of our current and future
    product candidates;




  ? Our dependence on third-party manufacturers to supply or manufacture our products;




  ? Our ability to control product development costs;




  ? Our ability to attract and retain key employees;




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  ? Our ability to enter into new strategic collaborations, licensing or other
    arrangements;




  ? Changes in government regulation affecting product candidates that could
    increase our development costs;



  ? Our involvement in patent and other intellectual property litigation that
    could be expensive and divert management's attention;



  ? The possibility that there may be no market acceptance for our products; and




  ? Changes in third-party reimbursement policies which could adversely affect
    potential future sales of any of our products that are approved for
    marketing.



The foregoing list sets forth some, but not all, of the factors that could affect our ability to achieve results described in any forward-looking statements, which speak only as of the date of this Quarterly Report or the date of the document incorporated by reference into this Quarterly Report. Except as required by law, we assume no obligation and expressly disclaim any duty to update any forward-looking statement to reflect events or circumstances after the date of this Quarterly Report or to reflect the occurrence of unanticipated events. In addition, we cannot assess the impact of each factor on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements contained in this Quarterly Report. All forward-looking statements are expressly qualified in their entirety by the cautionary statements contained in this section.





Overview


We are a clinical stage gene therapy company pioneering the development of gene-based therapies for large patient populations with unmet medical needs. Our oncology platform utilizes our non-viral ONCOPREX™ Nanoparticle Delivery System. Using this system, we encapsulate plasmids that express tumor suppressor genes within lipid nanoparticles and intravenously administer the encapsulated plasmids which are taken up by the tumor cells, after which the tumor suppressor genes express proteins that are missing or found in low quantities in the tumor cells. Our diabetes technology is designed to work by transforming alpha cells in the pancreas into functional beta-like cells, which can produce insulin but are distinct enough from beta cells to evade the body's immune system.





Oncology Platform



Our lead oncology drug candidate, REQORSA™ Immunogene Therapy, also sometimes referred to as GPX-001, initially is being developed in combination with top selling cancer drugs to treat Non-Small Cell Lung Cancer ("NSCLC") and Small Cell Lung Cancer ("SCLC"). The active agent in REQORSA is a plasmid that expresses a tumor suppressor gene named TUSC2. REQORSA has a multimodal mechanism of action whereby it interrupts cell signaling pathways that cause replication and proliferation of cancer cells, re-establishes pathways for apoptosis, or programmed cell death, in cancer cells, and modulates the immune response against cancer cells. REQORSA also has been shown to block mechanisms that create drug resistance and to be complementary with targeted drugs and immunotherapies. We believe REQORSA's unique attributes position REQORSA to provide treatment for patients with NSCLC, SCLC, and possibly other cancers, who are not benefitting from current therapies.

We currently are enrolling and treating patients in two Phase 1/2 clinical trials in NSCLC, our Acclaim-1 and Acclaim-2 clinical trials. The Acclaim-1 clinical trial ("Acclaim-1") is using a combination of REQORSA with AstraZeneca PLC's Tagrisso® in patients with late-stage NSCLC with activating epidermal growth factor receptor ("EGFR") mutations, whose disease progressed after treatment with Tagrisso. The first patient was dosed in Acclaim-1 in February 2022. We expect the Phase 1 portion of Acclaim-1 to be completed by year end 2022. The Acclaim-2 clinical trial ("Acclaim-2") is using a combination of REQORSA with Merck & Co.'s Keytruda® in patients with late-stage NSCLC whose disease progressed after treatment with Keytruda. The first patient was dosed in Acclaim-2 in April 2022. We expect to complete the Phase 1 portion of Acclaim-2 by the end of the first quarter of 2023.

The Food and Drug Administration ("FDA") has granted two Fast Track Designations, one for use of REQORSA in the patient population targeted in each of these trials.

The TUSC2 gene is one of a series of genes whose therapeutic use is covered by our exclusive worldwide licenses from The University of Texas MD Anderson Cancer Center ("MD Anderson"). We believe that our ONCOPREX Nanoparticle Delivery System allows for delivery of several cancer-fighting genes, alone or in combination with other cancer therapies, to combat multiple types of cancer and are in early stages of discovery programs to identify early-stage candidates.





Diabetes Gene Therapy


In diabetes, we are developing a gene therapy that is exclusively licensed from the University of Pittsburgh of the Commonwealth System of Higher Education ("University of Pittsburgh") for the treatment of Type 1 and Type 2 diabetes. This potential treatment is designed to work by transforming alpha cells in the pancreas into functional beta-like cells, which can produce insulin but are distinct enough from beta cells to evade the body's immune system. The therapy utilizes a procedure in which an adeno-associated virus vector delivers Pdx1 and MafA genes to the pancreas. Our diabetes product candidate is currently being evaluated in preclinical studies at the University of Pittsburgh.





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JOBS Act


On April 5, 2012, the JOBS Act was enacted. Section 107 of the JOBS Act provides that an "emerging growth company" can take advantage of the extended transition period provided in Section 7(a)(2)(B) of the Securities Act for complying with new or revised accounting standards. In other words, an "emerging growth company" can delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. Although we are an emerging growth company, we have irrevocably elected not to avail ourselves of this extended transition period and, as a result, we will adopt new or revised accounting standards on the relevant dates on which adoption of such standards is required for other public companies. We have implemented all new accounting pronouncements that are in effect and may affect our financial statements, and we do not believe that there are any other new accounting pronouncements that have been issued that would have a material impact on our financial position or results of operations.

Notwithstanding the foregoing, subject to certain conditions set forth in the JOBS Act, as an "emerging growth company," we intend to rely on certain exemptions, including, without limitation, the exemption from the requirements (i) to provide an auditor's attestation report on our system of internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley Act, and (ii) to comply with any requirement that may be adopted by the Public Company Accounting Oversight Board regarding mandatory audit firm rotation or a supplement to the auditor's report providing additional information about the audit and the financial statements, known as the auditor discussion and analysis. We will remain an "emerging growth company" until the earliest of (i) the last day of the fiscal year in which we have total annual gross revenues of $1.07 billion or more; (ii) the last day of our fiscal year following the fifth anniversary of the date of our initial public offering; (iii) the date on which we have issued more than $1.0 billion in nonconvertible debt during the previous three years; or (iv) the date on which we are deemed to be a large accelerated filer under the rules of the SEC.

Recently Issued Accounting Pronouncements

A description of recently issued accounting pronouncements that may potentially impact our financial position and results of operations is disclosed in Note 2 to our financial statements appearing in this Quarterly Report on Form 10-Q.

Critical Accounting Policies and Significant Judgments and Estimates

Our condensed financial statements have been prepared in accordance with generally accepted accounting principles in the U.S. ("GAAP"). The preparation of these condensed 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 the condensed financial statements, and the reported amounts of expenses incurred during the reporting periods. Our estimates are based on our 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 readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

We believe that the following accounting policies are the most critical to aid in fully understanding and evaluating our reported financial results, and they require our most difficult, subjective or complex judgments, resulting from the need to make estimates about the effect of matters that are inherently uncertain.

Research and Development Costs

We record accrued expenses for costs invoiced from research and development activities conducted on our behalf by third-party service providers, which include the conduct of preclinical studies and clinical trials and contract research, manufacturing, and testing activities. We record the costs of research and development activities based upon the amount of services provided, and we include these costs in accrued liabilities in the condensed balance sheets and within research and development expense in the condensed statements of operations. These costs are a significant component of our research and development expenses. Purchased materials to be used in future research are capitalized and included in research and development supplies.

We estimate the amount of work completed through discussions with internal personnel and external service providers as to the progress or stage of completion of the services and the agreed-upon fee to be paid for such services. We make significant judgments and estimates in determining the accrued balance in each reporting period. As actual costs become known, we adjust our accrued estimates. Although we do not expect our estimates to be materially different from amounts actually incurred, our understanding of the status and timing of services performed, the number of patients enrolled and the rate of patient enrollment in any of our clinical trials may vary from our estimates and could result in our reporting amounts that are too high or too low in any particular period. Our accrued expenses are dependent, in part, upon the receipt of timely and accurate reporting from contract research organizations ("CROs") and other third-party service providers. To date, there have been no material differences from our accrued expenses to actual expenses.




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Income Taxes

Deferred tax assets or liabilities are recorded for temporary differences between financial statement and tax basis of assets and liabilities, using applicable rates in effect for the year in which the differences are expected to reverse. A valuation allowance is recorded if it is more likely than not that a deferred tax asset will not be realized. We have provided a full valuation allowance on our deferred tax assets, which primarily consist of cumulative net operating losses from April 1, 2009 (inception) to March 31, 2022. Due to our history of operating losses since inception and losses expected to be incurred in the foreseeable future, a full valuation allowance was considered necessary.

Impairment of Long-Lived Assets

Management reviews long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount may not be realizable or at a minimum annually during the fourth quarter of the year. If an evaluation is required, the estimated future undiscounted cash flows associated with the asset are compared to the asset's carrying value to determine if an impairment of such asset is necessary. The effect of any impairment would be to expense the difference between the fair value of such asset and its carrying value.

Components of our Results of Operations and Financial Condition

Operating expenses

We classify our operating expenses into three categories: research and development, general and administrative and depreciation.





Research and development. Research and development expenses consist primarily
of:



  •  costs incurred to conduct research, such as the discovery and development of
     our current and potential product candidates;
     costs related to the production and storage of supplies for engineering
  •  purposes and storage and usage of clinical supplies, including waste created
     in the process of producing clinical materials, spoilage, and testing of
     clinical materials;
     costs related to the use of contract manufacturers, manufacturing
  •  consultants, testing organizations, cold-storage facilities, and logistics
     service providers;
  •  fees paid to clinical consultants, clinical trial sites and vendors,
     including CROs in conjunction with implementing and monitoring our clinical
     trials and acquiring and evaluating clinical trial data, including all
     related fees, such as patient screening fees, laboratory work, and
     statistical compilation and analysis;
  •  costs related to compliance with drug development regulatory requirements;
     and
  •  costs related to staffing and personnel associated with research and
     development activities, including wages, taxes, benefits, leases, overheads,
     supplies, and share-based compensation.



We recognize all research and development costs as they are incurred. Clinical trial costs, contract manufacturing and other development costs incurred by third parties are expensed as the contracted work is performed.

We expect our research and development expenses to increase in the future as we advance our current and future product candidates into and through clinical trials, as we pursue regulatory approval of our current and potential product candidates in the United States and Europe, and as we expand our research programs to include new therapies and new therapy combinations. The process of conducting the necessary clinical research to obtain regulatory approval is costly and time-consuming. The actual probability of success for our current and potential product candidates may be affected by a variety of factors including the quality of our current and potential product candidates, early clinical data, investment in our clinical program, competition, manufacturing capability and commercial viability, and limited contracted partners. We may never succeed in achieving regulatory approval for any of our current or future product candidates. As a result of the uncertainties discussed above, we are unable to determine the duration and completion costs of our research and development projects or when and to what extent we will generate revenue from the commercialization and sale of our product candidates, if at all.

General and administrative. General and administrative expense consists of personnel related costs, which include salaries, as well as the costs of professional services, such as accounting and legal, travel, facilities, information technology and other administrative expenses. We expect our general and administrative expense to increase in future periods due to the anticipated growth of our business and related infrastructure as well as accounting, insurance, investor relations, and other costs associated with being a public company.

Depreciation. Depreciation expense consists of depreciation from our fixed assets consisting of our property, equipment, and furniture. We depreciate our assets over their estimated useful life. We estimate furniture and computer and office equipment to have a five-year life.




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Results of Operations

Comparison of the Three Months Ended March 31, 2022, and 2021

The following summarizes our results of operations for the three months ended March 31, 2022, and 2021.

Research and Development Expense

R&D expense for the three months ended March 31, 2022, was $1,860,837, compared to $2,169,143 for the three months ended March 31, 2021. Despite the growth in our R&D headcount since the first quarter of 2021 and its attendant increase in R&D expense, our R&D expense in the first quarter of 2022 compared to the first quarter of 2021 decreased $308,306, or 14%, primarily due to advancements and expenditures made in our manufacturing program in the first quarter of 2021 to support our Acclaim-1 and Acclaim-2 clinical trials which started enrollment and patient treatment in the first half of 2022.

General and Administrative Expense

General and administrative ("G&A") expense for the three months ended March 31, 2022, was $3,855,796, compared to $4,316,310 for the three months ended March 31, 2021, or a decrease of $460,514, or 11%. The larger G&A expense in the three months ended March 31, 2021, was primarily due to a one-time finance fee of $1,750,000 in connection with a registered direct offering during the period. The decrease in G&A expenses in the first quarter of 2022 is offset by increases in equity-based compensation due to the vesting of stock options by employees and consultants and growth of our G&A headcount, associated personnel expenses, and insurance premiums during the three months ended March 31, 2022.

Interest Income. Interest income was $879 and $1,982 for the three months ended March 31, 2022, and 2021, respectively, representing a decrease of $1,103, or 56%. The decreases associated with interest income for the three months ended March 31, 2022 were due to changes in the cash balances associated with money market instruments.

Depreciation Expense. Depreciation expense was $6,730 and $6,242 for the three months ended March 31, 2022, and 2021, respectively, representing an increase of $488, or 8%. The changes in associated depreciation expense for the three months ended March 31, 2022 were due to the timing of purchases of computer equipment for new employees.

Net Loss. We had a net loss of $5,722,484 and $6,489,713 for the three months ended March 31, 2022, and 2021, respectively, representing a decrease of $767,229, or 12%. The larger net loss during the three months ended March 31, 2021 is principally due to a one-time finance fee of $1,750,000 in connection with a registered direct offering during the period. The one-time finance fee was offset during the three months ended March 31, 2022 , as our headcount grew from 13 to 19 employees since March 31, 2021.

Liquidity and Capital Resources

From inception through March 31, 2022, we have never generated revenue from product sales and have incurred net losses in each year. As of March 31, 2022, we had an accumulated deficit of $83,740,337. We have funded our operations primarily through the sale and issuance of capital stock. For the year ended December 31, 2021, we sold an aggregate of 4,000,000 shares of common stock for total net proceeds of $23,192,500 pursuant to a registered direct offering and issued 670,889 shares of common stock upon the exercise of options for gross proceeds of $677,912. We did not sell any shares of common stock during the three months ended March 31, 2022.





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As of March 31, 2022, we had $34,555,337 in cash and cash equivalents.

We do not expect to generate revenue from product sales unless and until we successfully complete development of, obtain regulatory approval for and begin to commercialize one or more of our current or potential product candidates, which we expect will take several years and which is subject to significant uncertainty. Accordingly, we anticipate that we will need to raise additional capital to fund our future operations, which include conducting our Acclaim-1 and our Acclaim-2 clinical trials. Both trials are currently open for enrollment. The first patient in Acclaim-1 was dosed in February 2022 and the first patient in Acclaim-2 was dosed in April 2022. We expect the Phase 1 portion of the Acclaim-1 trial to be completed by year end 2022 and we expect the Phase 1 portion of the Acclaim-2 trial to be completed by the end of the first quarter of 2023. Until such time as we can generate substantial revenue from product sales, if ever, we expect to finance our operating activities through a combination of equity offerings and debt financings and we may seek to raise additional capital through strategic collaborations. However, we may be unable to raise additional funds or enter into such arrangements when needed on favorable terms, or at all, which would have a negative impact on our financial condition and could force us to delay, limit, reduce or terminate our development programs or commercialization efforts or grant rights to others to develop or market product candidates that we would otherwise prefer to develop and market ourselves. Failure to receive additional funding could cause us to curtail or cease our operations. Furthermore, even if we believe we have sufficient funds for our current or future operating plans, we may seek additional capital due to favorable market conditions or strategic considerations.

Based on our current cash and cash equivalents, we estimate that we will be able to fund our expenditure requirements for our current operations and planned clinical trial activities into 2024. We have based this estimate on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we currently plan due to economic factors, such as inflation, incorrect assumptions, or due to a decision to expand our activities, or innovate existing activities beyond those currently planned. We also have been experiencing delays in engaging clinical sites for our Acclaim-1 and Acclaim-2 trials because of a backlog of clinical trial protocols at the sites requiring review created by an accumulation of protocols while clinical trials have been widely disrupted during the COVID-19 pandemic and workforce shortages impacting the U.S. economy in general. Although, continued delays will enable us to fund our expenditure requirements for our current operations and planned clinical trial activities longer, we would not be advancing our clinical trials as anticipated and utilizing our available capital resources to support our operations only.

The following table sets forth the primary sources and uses of cash and cash equivalents during the three months ended March 31, 2022, and 2021:





                                                          Three Months Ended March 31,
                                                            2022                 2021
Net cash used in operating activities                  $    (4,083,857 )    $   (5,465,282 )
Net cash provided (used) by investing activities                10,319            (110,030 )
Net cash provided by financing activities                            -          25,324,330

Net decrease (increase) in cash and cash equivalents $ (4,073,539 ) $ 19,749,018

Cash used in operating activities

Net cash used in operating activities was $4,083,857 and $5,465,282 for the three months ended March 31, 2022, and 2021, respectively, or a decrease of $1,381,425, or 25%. The one-time finance fee of $1,750,000 in the three months ended March 31, 2021, was offset in the three months ended March 31, 2022 due to our headcount growing from 13 to 19 employees as well as the associated personnel and insurance expenses.

Cash provided (used) in investing activities

Net cash provided by investing activities was $10,319 for the three months ended March 31, 2022, and the net cash used by investing activities was $110,030 for the three months ended March 31, 2021. This decrease of $120,349, or 109%, was due to timing and use of materials for our clinical trials.

Cash provided by financing activities

Net cash provided by financing activities was $0 and $25,324,330 during the three months ended March 31, 2022, and 2021, respectively. The decrease of $25,324,330, or 100%, in net cash provided by financing activities was due to significant sales of common stock in capital raising activities and option and warrant exercises during the three months ended March 31, 2021, compared to the three months ended March 31, 2022, in which we did not sell any common stock.




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