The following discussion and analysis of our financial condition and results of operations should be read together with:
? Our unaudited condensed consolidated financial statements and accompanying notes included in Part I, Item 1 of this Quarterly Report on Form 10-Q; and ? Our financial statements and the related notes thereto for the year endedDecember 31, 2020 , included in our registration statement on Form S-1 filed with theSEC onOctober 15, 2021 . In addition to historical information, this discussion and analysis includes forward-looking statements that are subject to risks and uncertainties, including those discussed in the section titled "Risk Factors," set forth in Part II, Item 1A of this Quarterly Report on Form 10-Q, that could cause actual results to differ materially from historical results or anticipated results. Prior toSeptember 2, 2021 , we were known asChardan Healthcare Acquisition 2 Corp. OnSeptember 2, 2021 , we completed the Business Combination withRenovacor Holdings, Inc. , a private company. For accounting purposes,Chardan Healthcare Acquisition 2 Corp. was deemed to be the acquired entity. Unless the context indicates otherwise, references in this section to the "Company," "Renovacor ," "we," "us," "our" and similar terms refer toRenovacor, Inc. (f/k/aChardan Healthcare Acquisition 2 Corp. ) and our consolidated subsidiaries. References to "Chardan" refer to our predecessor company prior to the consummation of the Business Combination. References to "Old Renovacor" refer toRenovacor, Inc. prior to the consummation of the Business Combination and toRenovacor Holdings, Inc. (f/k/aRenovacor, Inc. ), now the wholly owned subsidiary ofRenovacor , upon the consummation of the Business Combination. Overview Following consummation of the Business Combination, described below, we are a biotechnology company focused on delivering innovative precision therapies to improve the lives of patients and families battling genetically-driven cardiovascular and related diseases. Our initial focus is on the treatment of BAG3 mutation-associated dilated cardiomyopathy ("BAG3 DCM"), a heritable rare disease that leads to early onset, rapidly progressing heart failure and significant mortality and morbidity. Our lead product candidate, REN-001, is a recombinant AAV9-based gene therapy designed to deliver a fully functional BAG3 gene to augment BAG3 protein levels in cardiomyocytes and slow or halt progression of BAG3 DCM. We are leveraging the expertise of our founder, Dr.Arthur M. Feldman , M.D., Ph.D., the Laura H. Carnell Professor of Medicine at theLewis Katz School of Medicine atTemple University ("Temple"), a cardiovascular scientist and pre-eminent expert on BAG3 biology, to advance the development of REN-001 and our other product candidates. We believe that development of a BAG3 gene replacement therapy for DCM patients who carry BAG3 mutations has the potential to prevent progression of DCM in this otherwise healthy patient population. Gene therapy has recently re-emerged as a potentially novel therapy for patients suffering from monogenic diseases. Recently approved therapies have utilized adeno-associated virus ("AAV") as a vehicle to deliver genes to patients suffering from these diseases. For example, in 2017, theU.S. Food and Drug Administration , or the FDA, approved Luxturna, an AAV2-based gene therapy developed by Spark Therapeutics, Inc., a subsidiary ofRoche Holdings AG , for the treatment of patients with retinal dystrophy due to mutation of the RPE65 gene and in 2019, Zolgensma, an AAV9-based gene therapy developed byAveXis, Inc. , a subsidiary ofNovartis Pharmaceuticals Corporation , was approved for the treatment of patients with spinal muscular atrophy ("SMA") due to mutations in the SMN1 gene. There are many additional ongoing clinical development programs utilizing AAV-based gene therapies to address monogenic diseases. We believe we are the first company to apply AAV technology to patients with DCM due to mutations in the BAG3 gene. REN-001 utilizes an AAV9 vector intended to deliver a healthy version of the BAG3 gene to produce functional BAG3 protein in patients with genetic mutations that cause insufficient levels of functional BAG3 protein. This approach has shown promise in multiple preclinical models, demonstrating production of functional BAG3 protein and improvement in cardiac function.
We anticipate filing an Investigational New Drug ("IND") submission in connection with our lead product candidate, REN-001, in mid-2022, and plan to initiate a phase I/II clinical trial of REN-001 in patients with BAG3 DCM following IND submission.
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Research and Development Our Pipeline In addition to our lead product candidate, REN-001, we are currently developing a pipeline of innovative and proprietary BAG3-based gene therapies for diseases with high unmet medical need associated with mutations in the BAG3 gene. Our current pipeline is represented in the diagram below.
[[Image Removed: img87202428_1.jpg]]
* The diagram above is representative of the current stage of our development and does not reflect our expectations of the clinical trials needed or an agreed upon pathway with the FDA for commercialization of our product candidates. We acknowledge that the required clinical studies and pathway to commercialization must be agreed upon with the FDA. REN-001 (AAV9-BAG3) Our lead product candidate, REN-001, is an AAV9 vector-based gene therapy designed to treat BAG-3 associated DCM through delivery of a human BAG3 gene to express a fully functional human BAG3 protein in transduced cells. We are currently exploring the delivery of REN-001 through retrograde coronary sinus infusion ("RCSI") and anticipate filing an IND for REN-001 in mid-2022.
REN-001 has been studied in multiple animal models of heart failure. These studies have demonstrated the ability of REN-001 to induce increased expression of BAG3 protein and to improve cardiac function.
We are currently conducting preclinical studies exploring the ability of a BAG3 gene therapy to treat patients suffering from DCM caused by BAG3 haploinsufficiency. In conducting preclinical research in this field to generate data validating this novel therapeutic approach, animal studies have been completed in several heart failure disease models, including studies involving mice subjected to trans-aortic constriction, mice suffering from left ventricular dysfunction following a myocardial infarction ("MI"), mice with left ventricular dysfunction post-ischemia and reperfusion, and large animal studies in pigs suffering from left ventricular dysfunction following an MI. We have several IND-enabling preclinical studies of REN-001 currently planned or in progress to further evaluate AAV9 transduction efficiency, safety, and efficacy in mouse and pig models. These studies include a dose-ranging efficacy study in BAG3 haploinsufficient mice, a survival and durability of effect study in BAG3 haploinsufficient mice and a good laboratory practice ("GLP") toxicology study in normalYucatan pigs. Data from these studies are expected to be available to support a mid-2022 IND filing. 26 --------------------------------------------------------------------------------
The BAG3 haploinsufficient mouse survival and durability study continues to progress at the Feldman laboratory under our Sponsored Research Agreement, as amended to date, with Temple and results are expected in the first half of 2022.
The study in normalYucatan pigs to evaluate transduction efficiency and preliminary safety of multiple doses of REN-001 administered via RCSI has been completed. Data from this study demonstrated that RCSI drives successful cardiac transduction above a key vector copy number threshold at doses less than 1e13 vg per kilogram. Results of this preclinical feasibility study informed the design of our ongoing GLP toxicology study.
We expect our GLP toxicology study in normal
Clinical Development Plan for REN-001
We completed a Type B Pre-IND meeting with the FDA onJune 16, 2020 to obtain FDA feedback on REN-001. We anticipate filing an IND for REN-001 in mid-2022, and plan to initiate a phase I/II clinical trial of REN-001 in patients with BAG3-associated DCM following IND submission. We expect the phase I/II clinical trial will enroll an initial cohort of six patients who will be evaluated by an independent data and safety monitoring board. We anticipate a second cohort of four to six patients will subsequently be enrolled, with potential for adjustments to dosing dependent on the response in the initial cohort. An additional cohort of similar size to evaluate other REN-001 doses may be studied. This will be an open label study with the goal of evaluating the safety and efficacy of REN-001. Safety and tolerability will be evaluated based on assessment of frequency and severity measures of adverse events and series of adverse events. Efficacy will be evaluated based on improvement in EF, with additional secondary endpoints capturing anatomical, biomarker, functional, and quality of life changes.
We will consult with the FDA following completion of the phase I/II clinical trial to determine the need for and optimal design of future clinical trials.
Other Indications Our preclinical strategy includes plans to advance earlier stage research programs where we believe our BAG3 gene therapy technology has the potential to provide meaningful clinical benefit for diseases in areas of high unmet medical need. These research and discovery programs include BAG3-mediated diseases associated with the cardiovascular system and the central nervous system. 27
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The Business Combination OnSeptember 2, 2021 , we consummated the previously announced business combination contemplated by that certain Agreement and Plan of Merger, datedMarch 22, 2021 (the "Merger Agreement"), by and among the Company,CHAQ2 Merger Sub, Inc. , a wholly owned subsidiary of the Company ("Merger Sub"), andRenovacor Holdings, Inc. (f/k/aRenovacor, Inc. ("Old Renovacor")). Pursuant to the Merger Agreement, onSeptember 2, 2021 (the "Closing Date"), Merger Sub merged with and into Old Renovacor, with Old Renovacor as the surviving company in the merger and, after giving effect to such merger, continuing as a wholly owned subsidiary of the Company (the "Merger" and, together with the other transactions contemplated by the Merger Agreement, the "Business Combination"). On the Closing Date, the Company changed its name fromChardan Healthcare Acquisition 2 Corp. toRenovacor, Inc. The Business Combination was accounted for as a reverse recapitalization in accordance withU.S. GAAP. Under this method of accounting, Chardan was treated as the "acquired" company and Old Renovacor is treated as the acquirer for financial reporting purposes as more fully explained in Note 3 of the accompanying notes to the condensed consolidated financial statements contained elsewhere in this Quarterly Report on Form 10-Q. Prior to the Business Combination, we were a special purpose acquisition company, formed for the purpose of acquiring, through a merger, share exchange, asset acquisition, stock purchase, reorganization, recapitalization, or other similar business transaction, one or more operating businesses or entities, and prior to consummation of the Business Combination, our operating activities consisted of our formation, initial public offering and costs associated with the Business Combination. The intended strategy of the combined company will continue to focus on Old Renovacor's core product/service offerings related to gene therapy-based treatments for cardiovascular disease, as more fully described below. OnSeptember 2, 2021 , our common stock, par value$0.0001 per share ("Common Stock") and our warrants originally issued in our initial public offering, began trading on theNew York Stock Exchange ("NYSE") under the ticker symbols "RCOR" and "RCOR.WS," respectively. COVID-19 We are monitoring the potential impact of the novel coronavirus disease ("COVID-19") pandemic, including variants thereof such as the delta variant, on our business and financial statements. To date, we have not experienced material business disruptions. We are following, and will continue to follow, recommendations from theU.S. Centers for Disease Control and Prevention as well as federal, state, and local governments regarding working-from-home practices for non-essential employees. For example, the COVID-19 outbreak inPennsylvania resulted in a temporary reduction in workforce presence at the Temple research facility located inPhiladelphia , at which we operate. While we increased workforce presence at the Temple research facility in the second quarter of 2020, not all employees have returned to the facility and we cannot be certain that the facility will not be closed in the future as a result of the COVID-19 outbreak. Accordingly, the full extent to which the COVID-19 pandemic will directly or indirectly impact our business, results of operations and financial condition, including expenses and manufacturing, preclinical and clinical trials and research and development costs, will depend on future developments that are highly uncertain at this time. 28
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Results of Operations
Three and Nine Months Ended
Overview During the three months endedSeptember 30, 2021 , our loss from operations totaled$5.2 million , a 404% increase compared to a loss from operations of$1.0 million for the three months endedSeptember 30, 2020 . During the nine months endedSeptember 30, 2021 , our loss from operations totaled$10.6 million , a 341% increase compared to a loss from operations of$2.4 million for the nine months endedSeptember 30, 2020 . Research and development expenses comprise the majority of our total operating expenses, as shown in the table below. Three Months Ended Nine Months Ended September 30, September 30, ($ in thousands) 2021 2020 $ Change 2021 2020 $ Change Operating expenses: Research and development$ 2,925 $ 892 $ 2,033 $ 7,413 $ 1,868 $ 5,545 General and administrative 2,315 147 2,168 3,227 547 2,680 Total operating expenses$ 5,240 $ 1,039 $ 4,201 $ 10,640 2,415$ 8,225 Loss from operations$ (5,240 ) $ (1,039 ) $ (4,201 ) $ (10,640 ) $ (2,415 ) $ (8,225 ) Revenue To date, we have not generated any revenue from any sources, including product sales, and do not expect to generate any revenue from the sale of products for the foreseeable future. If our development efforts for our product candidates are successful and result in regulatory approval or collaboration or license agreements with third parties, we may generate revenue in the future from product sales, payments from collaboration or license agreements that we may enter into with third parties, or any combination thereof.
Research and Development Expenses
Research and development expenses consist of costs incurred for our research activities, including our discovery efforts, and the development of our programs. These expenses include:
? employee-related expenses, including salaries, payroll taxes, related benefits and stock-based compensation expense for employees engaged in research and development functions; ? expenses incurred in connection with the preclinical development of our product candidates and the development of research programs, including under agreements with third parties, such as consultants, contractors, preclinical laboratories, licensors, CMOs, and CROs; and ? laboratory supplies and research materials. We expense research and development costs as incurred. Non-refundable advance payments that we make for goods or services to be received in the future for use in research and development activities are recorded as prepaid expenses. The prepaid amounts are expensed as the related goods are delivered or the services are performed, or when it is no longer expected that the goods will be delivered or the services rendered. Our direct external research and development expenses consist of costs that include fees, reimbursed materials, and other costs paid to consultants, contractors, CMOs and other research organizations in connection with our preclinical activities. We do not allocate employee costs, costs associated with our discovery efforts, laboratory supplies, facilities expenses, including depreciation or other indirect costs, to specific product development programs because these costs are deployed across multiple programs and, as such, are not separately classified. 29
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In the table below, research and development expenses are set forth in the following categories: (i) compensation and related benefits and (ii) other external research and development costs.
Three Months Ended Nine Months Ended September 30, September 30, ($ in thousands) 2021 2020 $ Change 2021 2020 $ Change Compensation and related benefits$ 928 $ 31 $ 897 $ 1,424 $ 94 $ 1,330 Other external research and development costs 1,997 861 1,136 5,989 1,774 4,215 Total research and development expenses$ 2,925 $ 892 $ 2,033 $ 7,413 $ 1,868 $ 5,545 Total research and development expenses were$2.9 million for the three months endedSeptember 30, 2021 , a 228% increase compared to total research and development expenses of$0.9 million for the three months endedSeptember 30, 2020 . Total research and development expenses were$7.4 million for the nine months endedSeptember 30, 2021 , a 297% increase compared to total research and development expenses of$1.9 million for the nine months endedSeptember 30, 2020 . The increases during each of the three and nine months endedSeptember 30, 2021 , as compared to the corresponding prior period, were primarily due to increases in (i) compensation-related costs associated with the hiring of key personnel, (ii) drug supply costs associated with our preclinical activities, including IND-enabling studies and preparation of future clinical trials, and (iii) external costs associated with the execution of ongoing preclinical studies as we prepare for an IND submission for REN-001, anticipated in mid-2022, and related clinical activities.
General and Administrative Expenses
General and administrative expenses consist primarily of salaries and personnel-related costs, including stock-based compensation, for personnel in executive, finance and accounting, and other administrative functions. General and administrative expenses also include legal fees relating to patent and corporate matters; professional fees paid for accounting, auditing, consulting, and tax services; insurance costs and travel expenses. Three Months Ended Nine Months Ended September 30, September 30, ($ in thousands) 2021 2020 $ Change 2021 2020 $ Change Compensation and related benefits$ 861 $ 59 $ 802 $ 1,080 $ 178 $ 902 Professional and consulting fees 626 84 542 1,252 326 926 Merger-related transaction costs 616 - 616 616 - 616 Other administrative costs 212 4 208 279 43 236 Total general and administrative expenses$ 2,315 $ 147 $ 2,168 $ 3,227 $ 547 $ 2,680 Total general and administrative expenses were$2.3 million for the three months endedSeptember 30, 2021 , a 1475% increase compared to total general and administrative expenses of$0.1 million for the three months endedSeptember 30, 2020 . Total general and administrative expenses were$3.2 million for the nine months endedSeptember 30, 2021 , a 490% increase compared to total general administrative expenses of$0.5 million for the nine months endedSeptember 30, 2020 . The increases during each of the three and nine months endedSeptember 30, 2021 , as compared to the corresponding prior period, were primarily due to increases in (i) compensation-related costs associated with the hiring of key personnel, (ii) professional and consulting fees due to increases in patent-related legal costs and fees incurred with investor/public relations and financial advisory firms, (iii) merger-related costs, including legal and accounting fees, incurred in connection with the Business Combination which were allocated to warrant and share earnout liabilities, and (iv) other costs related to additional spending as a result of our growth and operating as a publicly-traded company. Interest Expense During the three and nine months endedSeptember 30, 2021 , we recorded interest expense of approximately$0.1 million representing interest paid and amortization of debt discounts (e.g., issuance costs and embedded derivative) related to our convertible note issued inJuly 2021 , which was converted into shares of our common stock inSeptember 2021 upon closing of the Business Combination. 30
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Change in Fair Value of Derivative Liability
During the three and nine months endedSeptember 30, 2021 , we recorded a change in fair value of derivative liability, representing a non-cash derivative revaluation gain of approximately$0.1 million , related to the derecognition of the derivative liability associated with certain embedded features in the Note Purchase Agreement which were required to be bifurcated and accounted for separately as derivative financial instrument, due to the conversion of the Convertible Promissory Note upon closing of the Business Combination.
Change in Fair Value of Warrant Liability
During the three and nine months endedSeptember 30, 2021 , we recorded a change in the fair value of warrant liability, representing a non-cash warrant revaluation loss of approximately$1.4 million , related to our liability-classified Private Placement Warrants, as more fully described in note 9 of the notes to the unaudited condensed consolidated financial statements appearing elsewhere in this Quarterly Report on Form 10-Q. Due to the nature of and inputs in the model used to assess the fair value of our outstanding Private Placement Warrants, it is not abnormal to experience significant fluctuations during each remeasurement period. These fluctuations may be due to a variety of factors, including changes in our stock price and changes in estimated stock price volatility over the remaining life of the warrants. Changes in the fair value of the warrant liability and resulting warrant revaluation loss for the three and nine months endedSeptember 30, 2021 was driven primarily by the increase in our stock price as ofSeptember 30, 2021 , compared to our stock price as of theSeptember 2, 2021 issuance date.
Change in Fair Value of Share Earnout Liability
During the three and nine months endedSeptember 30, 2021 , we recorded a change in fair value of share earnout liability, representing a non-cash share earnout revaluation loss of approximately$1.4 million , related to our liability-classified Earnout Shares, as more fully described in note 3 of the notes to the unaudited condensed consolidated financial statements appearing elsewhere in this Quarterly Report on Form 10-Q. Due to the nature of and inputs in the model used to assess the fair value of the outstanding Earnout Shares, it is not abnormal to experience significant fluctuations during each remeasurement period. These fluctuations may be due to a variety of factors, including changes in our stock price and changes in estimated stock price volatility over the remaining life of the warrants. Changes in the fair value of the share earnout liability and resulting share earnout revaluation loss for the three and nine months endedSeptember 30, 2021 was driven primarily by the increase in our stock price as ofSeptember 30, 2021 , compared to our stock price as of theSeptember 2, 2021 issuance date.
Net Loss Applicable to Common Stockholders
As a result of the factors discussed above, our net loss applicable to common stockholders for the three months endedSeptember 30, 2021 and 2020 was$8.2 million and$1.0 million , respectively, and our net loss for the nine months endedSeptember 30, 2021 and 2020 was$13.6 million and$2.4 million , respectively. The weighted-average number of common shares used in computing net loss per share applicable to common stockholders for the three and nine months endedSeptember 30, 2021 and 2020 excludes, for the entirety of the three and nine month periods endedSeptember 30, 2020 , and for the majority of the three and nine month periods endedSeptember 30, 2021 , the shares deemed issued in connection with the Merger and recapitalization, and shares and pre-funded warrants issued pursuant to the PIPE financing transaction, each which occurred inSeptember 2021 and are more fully described in Note 3 of the accompanying notes to the condensed financial statements contained elsewhere in this Quarterly Report on Form 10-Q. 31
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Financial Condition, Liquidity and Capital Resources
Financial Condition
As of
Since our inception, we have focused substantially all of our resources on organizing and staffing the company, in-licensing key intellectual property, business planning, raising capital, conducting research and development activities, filing and prosecuting patent applications, and engaging in other preclinical activities. We do not have any products approved for sale and have not generated any revenue from product sales or from any other sources. To date, we have funded our operations with proceeds from the Business Combination and thePIPE Investment , sales of convertible preferred stock, and a convertible note. Since our inception, we have incurred significant operating losses. Our ability to generate any product revenue, and in particular to generate product revenue sufficient to achieve profitability, will depend on the successful development and eventual commercialization of one or more of our product candidates.
Liquidity and Capital Resources
Overview We require cash to fund our operating expenses and to make capital expenditures. Historically, we have funded our cash requirements primarily through the sale of preferred stock, common stock, pre-funded warrants, common stock warrants and a convertible note. As ofSeptember 30, 2021 we had$85.3 million of cash. Note Purchase Agreement OnJuly 20, 2021 , in accordance with the Merger Agreement and pursuant to a note purchase agreement (the "Note Purchase Agreement"), datedJuly 20, 2021 , by and betweenOld Renovacor and Chardan Healthcare Investments, LLC ("Chardan Healthcare "), an affiliate of our sponsor, Chardan Investments 2, LLC (the "Sponsor"), Old Renovacor issued a$2.5 million convertible promissory note toChardan Healthcare (the "Convertible Promissory Note") in exchange for$2.5 million in cash to be used to finance Old Renovacor's operations through the consummation of the Merger. In connection with the consummation of the Merger, the total principal of$2.5 million converted automatically into shares of Common Stock, at a price per share equal to$10.00 .
Concurrently with the execution of the Merger Agreement, we entered into subscription agreements (the "Subscription Agreements"), with certain investors ("PIPE Investors "), includingChardan Healthcare , certain stockholders of OldRenovacor and certain other institutional and accredited investors, pursuant to which, on the Closing Date, and concurrently with the closing of the Business Combination, thePIPE Investors purchased an aggregate of 2,284,776 shares Common Stock, at a price of$10.00 per share, and a pre-funded warrant entitling the holder thereof to purchase 715,224 shares of Common Stock (the "Pre-Funded Warrant") at an initial purchase price of$9.99 per share underlying the Pre-Funded Warrant, for aggregate gross proceeds of approximately$30.0 million (the "PIPE Investment "). Funding Requirements We believe based on our current operating plan, our existing cash on hand as ofSeptember 30, 2021 will enable us to fund our operations into 2023. Specifically, we believe our available funds will be sufficient to enable us to perform the following: ? complete IND-enabling studies for its REN-001 AAV-based gene therapy program and submit an IND for REN-001; ? fund our obligations under theTemple License Agreement andTemple SRA ; ? initiate our phase 1/2 trial in DCM patients with BAG3 mutation (REN-001); and ? maintain the necessary level of general and administrative expense in order to support the business. However, we have based this estimate on assumptions that may prove to be wrong, and our operating plan may change as a result of many factors currently unknown to us. In addition, we could utilize our available capital resources sooner than expected. 32
-------------------------------------------------------------------------------- Our net losses were$13.6 million for the nine months endedSeptember 30, 2021 and$3.2 million for the year endedDecember 31, 2020 . Substantially all of our losses have resulted from expenses incurred in connection with our research and development programs and from general and administrative costs associated with our operations. We expect our expenses and capital expenditures to increase substantially in connection with our ongoing activities, particularly if and as we: ? initiate IND-enabling studies for our REN-001 AAV-based gene therapy program; ? continue our current research programs and preclinical development of product candidates from our current research programs; ? advance additional product candidates into preclinical and clinical development; ? advance our clinical-stage product candidate into later stage clinical trials; ? seek to discover, validate, and develop additional product candidates, including carrying out activities related to our discovery stage programs; ? seek regulatory approvals for any product candidates that successfully complete clinical trials; ? scale up our manufacturing processes and capabilities, or arrange for a third party to do so on our behalf, to support our clinical trials of our product candidates and potential commercialization of any of our product candidates for which we may obtain marketing approval; ? establish a sales, marketing, and distribution infrastructure or channel to commercialize any product candidate for which we may obtain regulatory approval; ? acquire or in-license products, product candidates, or technologies; ? maintain, expand, enforce, defend, and protect our intellectual property portfolio; ? hire additional clinical, quality control, and scientific personnel; and ? add operational, financial, and management information systems and personnel, including personnel to support our product development, planned future commercialization efforts, and our operations as a public company. We will not generate revenue from product sales unless and until we successfully complete clinical development and obtain regulatory approval for one or more of our product candidates. If we obtain regulatory approval for any of our product candidates, we expect to incur significant expenses related to developing our commercialization capability to support product sales, marketing, and distribution. As a result, we will need substantial additional funding to support our continuing operations and pursue our growth strategy. Until such time as we can generate significant revenue from product sales, if ever, we expect to finance our operations through a combination of equity offerings, debt financings, collaborations, strategic alliances and marketing, distribution or licensing arrangements. Additionally, we may receive up to an aggregate of approximately$89.8 million from the exercise of our warrants outstanding as ofSeptember 30, 2021 , assuming the exercise in full of such warrants for cash. See Note 9 of the notes to the condensed consolidated financial statements appearing elsewhere in this Quarterly Report on Form 10-Q for additional details on our outstanding warrants. However, certain warrants may be exercised on a cashless basis and our warrants may never be exercised. If we fail to raise capital or enter into such agreements or arrangements as, and when, needed, we may have to significantly delay, scale back or discontinue the development and commercialization of one or more of our product candidates. The timing and amount of our funding requirements will depend on many factors, including: ? the scope, progress, costs, and results of preclinical and clinical development for our other product candidates and development programs; ? the number of and development requirements for other product candidates that we pursue; ? the costs, timing and outcome of regulatory review of our product candidates; ? the cost and timing of completion of commercial-scale manufacturing activities; ? our ability to establish and maintain strategic collaborations, licensing or other arrangements and the financial terms of such arrangements; ? the payment or receipt of milestones and receipt of other collaboration-based revenues, if any; ? our efforts to enhance operational systems and hire additional personnel to satisfy our obligations as a public company, including enhanced internal controls over financial reporting; 33 -------------------------------------------------------------------------------- ? the costs and timing of future commercialization activities, including product manufacturing, sales, marketing and distribution, for any of our product candidates for which we receive marketing approval; ? the amount and timing of revenue, if any, received from commercial sales of our product candidates for which we receive marketing approval; ? the costs and timing of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property and proprietary rights and defending any intellectual property-related claims; ? the extent to which we acquire or in-license other products, product candidates or technologies; ? the receptivity of the capital markets to financings by biotechnology companies generally and companies with product candidates and technologies similar to ours specifically; and ? the impact of the novel coronavirus disease, COVID-19, to global economy and capital markets, and to our business and our financial results.
In addition, increases in expenses or delays in clinical development may adversely impact our cash position and require additional funds or cost reductions.
Because of the numerous risks and uncertainties associated with pharmaceutical product development, we are unable to accurately predict the timing or amount of increased expenses or when, or if, it will be able to achieve or maintain profitability. Even if we are able to generate product sales, we may not become profitable. If we fail to become profitable or are unable to sustain profitability on a continuing basis, then we may be unable to continue our operations at planned levels and may be forced to reduce or terminate our operations, or relinquish rights to portions of our technology and/or product candidates. Cash Flows
The following table provides a summary of the primary sources and uses of cash for the periods presented:
Nine Months Ended September 30, (In thousands) 2021 2020 Net cash provided by (used in): Net cash used in operating activities$ (9,300 ) $ (2,329 ) Net cash provided by financing activities 89,237
821
Net increase (decrease) in cash$ 79,937 $ (1,508 ) Operating Activities. The net cash used in operating activities for each period presented consists primarily of net loss adjusted for non-cash charges and changes in components of working capital. The increase in cash used in operating activities for the nine months endedSeptember 30, 2021 , as compared to the same period in 2020, was primarily due to timing of cash outflows related to our REN-001 development program, including payments to consultants and contract research and manufacturing organizations, as we prepare for our forthcoming clinical activities for REN-001.
Financing Activities. Net cash provided by financing activities primarily consisted of the following amounts received in connection with the following transactions:
? for the nine months endedSeptember 30, 2021 ,$2.4 million in net proceeds from the issuance of the Convertible Promissory Note and$86.8 million in net proceeds related to the Merger, which was accounted for as a reverse recapitalization. See Note 3 of the notes to our unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q for additional information. ? for the nine months endedSeptember 30, 2020 ,$0.8 million in net proceeds from the issuance of Old Renovacor Series A Preferred Stock, which was converted into common stock upon closing of the Business Combination.
Investing Activities. There was no cash used in or provided by investing
activities during the nine months ended
2021 or 2020. 34
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Contractual Obligations and Commitments
InAugust 2019 , we entered into both theTemple License Agreement andTemple SRA , as defined within Note 8 of the notes to our unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q. Pursuant to theTemple License Agreement , we are responsible for all the ongoing costs relating to the prosecution and maintenance of the licensedTemple Patent Rights going forward. We also agreed to pay Temple a minimum annual administrative fee of$20,000 per year beginning with the effective date of the License Agreement and continuing each annual anniversary thereafter. Additionally, theTemple License Agreement requires us to pay up to an aggregate of$1.25 million to Temple upon the achievement of certain developmental, regulatory and commercial milestones for the first licensed product that achieves said milestones regardless of the number of licensed products that achieve them. In addition, we are required to pay Temple a low single-digit royalty on net sales of any product utilizing theTemple Patent Rights , up to 50% of which may be reduced by payments we make to third parties for freedom to operate. In addition, we must also pay a percentage of all consideration based on a percentage of sublicense consideration received by it, which percentage ranges from the mid-teens to mid-twenties depending on the stage of development at the time of the sublicense agreement.The Temple License Agreement will remain effective until (i) the expiration date of the last-to-expire patents covered under theTemple License Agreement (currently expected to occur in 2041), (ii) the termination by Temple upon (a) an uncured breach by us, with a 60-day notification period, (b) our filing of a voluntary petition in bankruptcy or related proceeding, provided such petition is not dismissed within 90 days after the filing thereof, (c) a failure by us to meet certain milestones set forth in the License Agreement, or (d) non-payment of undisputed monies due to Temple, with a 30-day notification period. Additionally, we may terminate the entire agreement or with respect to an individual patent or patent application, if desired, subject to a 90-day notification period. As it relates to theTemple SRA , which was amended effective as ofAugust 12, 2019 ,August 27, 2019 andJuly 1, 2021 , Temple will conduct certain preclinical activities throughJune 2024 , unless terminated sooner or extended by mutual written consent, for which we will be obligated to fund approximately$5.3 million throughJune 30, 2024 , of which approximately$1.1 million has been funded and/or incurred since inception of theTemple SRA throughSeptember 30, 2021 . Other We enter into contracts in the normal course of business with CMOs, CROs, and other third parties for preclinical study activities. These contracts do not contain minimum purchase commitments and are cancelable by us upon prior written notice. Payments due upon cancellation consist only of payments for services provided or expenses incurred, including non- cancelable obligations of our service providers, up to the date of cancellation. 35
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Critical Accounting Policies and Significant Judgments and Estimates
This management's discussion and analysis of financial condition and results of operations is based on our unaudited condensed consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted inthe United States . The preparation of these financial statements requires management 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 financial statements and the reported amounts of revenues and expenses during the reporting period. On an ongoing basis, management evaluates its estimates and judgments which are affected by the application of our accounting policies Management bases its estimates and judgments on historical experience and on various other factors that are believed to be appropriate under the circumstances. Actual results may differ from these estimates under different assumptions or conditions.
We regard an accounting estimate or assumption underlying our financial statements as a "critical accounting estimate" where:
(i)
the nature of the estimate or assumption is material due to the level of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and (ii) the impact of the estimates and assumptions on financial condition or operating performance is material. Our significant accounting policies are described in Note 2 of the accompanying notes to the unaudited condensed consolidated financial statements contained in this Quarterly Report on Form 10-Q. Not all of these significant policies, however, fit the definition of critical accounting policies and estimates. We believe that our accounting policies relating to (i) research and development prepayments, accruals and related expenses, (ii) warrant liabilities and related change in fair values (gains / losses), and (iii) share earnout liabilities and related change in fair values (gains / losses), fit the description of critical accounting estimates and judgments. Additionally, see Note 3 of the accompanying notes to the unaudited condensed consolidated financial statements contained in this Quarterly Report on Form 10-Q for information pertaining to accounting for the Business Combination.
New Accounting Pronouncements
New accounting pronouncements are discussed in Note 2 in the notes to the condensed consolidated financial statements in this Quarterly Report on Form 10-Q.
Off-Balance Sheet Arrangements
As of
Emerging Growth Company Status
We are an emerging growth company, as defined in the JOBS Act. Under the JOBS Act, emerging growth companies can delay adopting new or revised accounting standards issued subsequent to the enactment of the JOBS Act until such time as those standards apply to private companies. We elected to use this extended transition period for complying with new or revised accounting standards that have different effective dates for public and private companies until the earlier of the date that we (1) are no longer an emerging growth company, or (2) affirmatively and irrevocably opt out of the extended transition period provided in the JOBS Act. As a result, our financial statements may not be comparable to companies that comply with the new or revised accounting pronouncements as of public company effective dates. We will remain an emerging growth company until the earliest of (1) the last day of the fiscal year following the fifth anniversary of the closing of the initial public offering of Chardan, (2) the last day of the fiscal year in which we have total annual gross revenue of at least$1.07 billion , (3) the last day of the fiscal year in which we are deemed to be a "large accelerated filer" as defined in Rule 12b-2 under the Securities Exchange Act of 1934, as amended, or the Exchange Act, which would occur if the market value of our common stock held by non-affiliates exceeded$700.0 million as of the last business day of the second fiscal quarter of such year, or (4) the date on which we have issued more than$1.0 billion in non-convertible debt securities during the prior three-year period. 36
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