The following discussion and analysis of our financial condition and results of operations should be read together with our financial statements and the related notes and the other financial information included elsewhere in this Quarterly Report and with our audited consolidated financial statements (and notes thereto) for the year endedDecember 31, 2021 included in our Annual Report on Form 10-K filed with theSEC , particularly those under "Risk Factors." This discussion contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors, including those discussed below and elsewhere in this Quarterly Report. Additionally, many of these risks and uncertainties are currently elevated by and may or will continue to be elevated by the COVID-19 pandemic. We undertake no obligation to update these forward-looking statements to reflect events or circumstances after the date of this report or to reflect actual outcomes. CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS This Quarterly Report on Form 10-Q contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 under Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements include statements with respect to our beliefs, plans, objectives, goals, expectations, anticipations, assumptions, estimates, intentions and future performance, and involve known and unknown risks, uncertainties and other factors, which may be beyond our control, and which may cause our actual results, performance or achievements to be materially different from future results, performance or achievements expressed or implied by such forward-looking statements. All statements other than statements of historical fact are statements that could be forward-looking statements. You can identify these forward-looking statements through our use of words such as "may," "can," "anticipate," "assume," "should," "indicate," "would," "believe," "contemplate," "expect," "seek," "estimate," "continue," "plan," "point to," "project," "predict," "could," "intend," "target," "potential" and other similar words and expressions of the future. There are a number of important factors that could cause the actual results to differ materially from those expressed in any forward-looking statement made by us. These factors include, but are not limited to:
? our lack of operating history and history of operating losses;
our current and future capital requirements and our ability to satisfy our
? capital needs, including our ability to access financing that may be
unavailable due to contractual limitations under the Securities Purchase
Agreement (as defined below);
? the dilutive effect of our outstanding convertible securities:
our ability to successfully complete required clinical trials of our products
? and obtain approval from the
regulatory agents in different jurisdictions;
the potential impact of outbreaks of communicable diseases, including the
? COVID-19 pandemic, and adverse global conditions, including political and
economic uncertainty on our business, financial conditions, and results of
operations, including on our clinical development plans and timelines;
? the outcome, costs and timing of clinical trial results for our current or
future product candidates;
? our ability to maintain or protect the validity of our patents and other
intellectual property;
? the volatility of the price of our common stock;
? our ability to retain key executives;
? our ability to internally develop new inventions and intellectual property;
31 Table of Contents
? acceptance of our products in our industry;
? the emergence and effect of competing or complementary products, including the
ability of our existing and future products to compete effectively;
? the accuracy of our estimates regarding expenses and capital requirements; and
? our ability to adequately support growth.
Trademarks
This Quarterly Report on Form 10-Q includes trademarks, service marks, and trade names owned by us or other companies. All trademarks, service marks, and trade names included in this Quarterly Report on Form 10-Q are the property of their respective owners. Solely for convenience, the trademarks and trade names in this report may be referred to without the ® and ™ symbols, but such references should not be construed as any indicator that their respective owners will not assert, to the fullest extent under applicable law, their rights thereto.
ADDITIONAL NOTES
? herein as "Timber," the "Company," "we," "us," and "our," unless the context
indicates otherwise.
? Amounts and percentages throughout this Quarterly Report on Form 10-Q may
reflect rounding adjustments and consequently totals may not appear to sum.
OverviewTimber Pharmaceuticals, Inc. ("Timber", the "Company", "we", "us") is a clinical-stage biopharmaceutical company focused on the development and commercialization of treatments for orphan dermatologic diseases. Our investigational therapies have proven mechanisms-of-action backed by decades of clinical experience and well-established CMC (chemistry, manufacturing and control) and safety profiles. We are initially focused on developing non-systemic treatments for rare dermatologic diseases including congenital ichthyosis ("CI"), facial angiofibromas ("FAs") in tuberous sclerosis complex ("TSC"), and other sclerotic skin diseases. Our lead late-stage program is TMB-001. TMB-003 is our earliest stage program.
TMB-001
TMB-001, a patented topical formulation of isotretinoin using our patented IPEG™ delivery system, completed its Phase 2b clinical trial (the CONTROL study) in the fourth quarter of 2021, for the treatment of moderate to severe subtypes of CI, a group of rare genetic keratinization disorders that lead to dry, thickened, and scaling skin. This study demonstrated a clinically meaningful reduction in targeted and overall severity of CI along with a favorable safety profile. A prior Phase 1/2 study involving 19 patients with CI demonstrated safety and a signal of preliminary efficacy of TMB-001, as well as minimal systemic absorption. TheU.S. Food and Drug Administration ("FDA") (through its Orphan Products Grant program) awarded us a$1.5 million grant to support clinical trials evaluating TMB-001. OnOctober 7, 2021 , we announced the completion of our Phase 2b trial in CI. The Phase 2b CONTROL study was a randomized, double-blind, vehicle-controlled study designed to assess the efficacy and safety of two concentrations of TMB-001 (0.05% and 0.1% isotretinoin) for the treatment of two distinct subtypes of moderate-to-severe CI (X-linked recessive and lamellar ichthyosis) in patients (n=33) three years old or older. Subjects applied TMB-001 twice daily for 12 weeks. The primary endpoint was the reduction of targeted ichthyosis severity, determined by a 50 percent or greater reduction in the validated Visual Index for Ichthyosis Severity ("VIIS") scaling score (or VIIS-50), a clinically meaningful change. Secondary endpoints included reduction in overall ichthyosis severity, as measured by a two-point improvement using the (IGA) scale, also considered to be a clinically relevant improvement. The study was not designed or powered for statistical analysis of the endpoints and was intended to provide information for future development. 32
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Top-line results including descriptive statistics are described below:
In the per protocol (the "PP") population, 100 percent (nominal p= 0.04) and 40
? percent (nominal p= ns) of patients treated with TMB-001 0.05% and 0.1%,
respectively, achieved VIIS-50 compared to 40 percent in the vehicle group.
In the intent to treat (the "ITT") population, 64 percent (nominal p= 0.17) and
? 40 percent (nominal p= ns) of patients treated with TMB-001 0.05% and 0.1%,
respectively, achieved VIIS-50 compared to 33 percent in the vehicle group.
In the PP population, 100 percent (nominal p= 0.002) and 60 percent
? (nominal p=ns) of patients treated with TMB-001 0.05% and 0.1%, respectively,
achieved a ?2 point improvement in the IGA at week 12 compared to 10 percent in
the vehicle group.
In the ITT population, 55 percent (nominal p= 0.02) and 40 percent
? (nominal p=ns) of patients treated with TMB-001 0.05% and 0.1%, respectively,
achieved a ?2 point improvement in the IGA at week 12 compared to 8 percent in
the vehicle group.
TMB-001 was generally well tolerated with a similar incidence of adverse events
? (Aes) across treatment groups. The most frequent Aes were local adverse effects
common for such topical treatments. There were no treatment-related serious
adverse events (SAE).
OnFebruary 3, 2022 , we announced the successful completion of an End-of-Phase 2 meeting with the FDA that resulted in a clear path to progress to a pivotal Phase 3 study for TMB-001. The clinical development program for TMB-001 includes a Phase 3 study with an efficacy arm and a maximum use pharmacokinetic arm as well as a smaller bridging study required to bridge to the oral reference product. Based on FDA feedback at the End-of-Phase 2 meeting, we initiated a pivotal Phase 3 study of TMB-001 in the second quarter of 2022. OnMarch 25, 2022 , we announced a late-breaking presentation of a sub-analysis of the Company's Phase 2b CONTROL study that evaluated TMB-001 was made by a third party at theAmerican Academy of Dermatology 2022 Annual Meeting. The sub-type analysis found that TMB-001 0.05% demonstrated a substantially greater proportion of patients achieving VIIS-50 and ?2-grade IGA improvement compared with vehicle regardless of subtype. Among enrolled patients (TMB-001 0.05% [n=11], 0.1% [n=10], and vehicle [n=12]), 55% had autosomal recessive CI lamellar ichthyosis (ARCI-LI) and 45% % X-linked recessive ichthyosis (XLRI) subtypes. OnApril 7, 2022 , we received a notice of allowance from the Korean Intellectual Property Office for a patent application covering TMB-001 (Application Number: 10-2018-7014948). Additional patents are pending for TMB-001 in several other countries.
On
OnMay 31, 2022 , we announced that theU.S. Food and Drug Administration (FDA) has granted Breakthrough Therapy designation to TMB-001, a topical isotretinoin formulated using the Company's patented IPEG™ delivery system, for the treatment of CI.
On
10-2018-7074948 to issue on
On
On
33
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On
On
TMB-002
TMB-002, a proprietary topical formulation of rapamycin, is currently being evaluated in a Phase 2b clinical trial for the treatment of FAs in TSC, a multisystem genetic disorder resulting in the growth of hamartomas in multiple organs. TSC results from dysregulation in the mTOR pathway, and as a topical mTOR inhibitor, TMB-002, marketed under the brand name Pascomer, may address FAs in TSC without the level of systemic absorption of an oral agent. As ofApril 30, 2022 , recruitment had been finalized on the TMB-002 Phase 2b trial with a total of 114 consented (108 randomized) patients. OnMarch 17, 2021 , we announced that AFT Pharmaceuticals Limited ("AFT"), our development partner for TMB-002, entered into a license and supply agreement withDesitin Arzneimittel GmbH ("Desitin") for Pascomer for the treatment of FAs associated with TSC inEurope . Pursuant to our licensing and development agreement, we are entitled to receive 50% of the economics (royalties and milestones) in any licensing transaction that AFT executes outside ofNorth America ,Australia ,New Zealand , andSoutheast Asia . OnApril 4, 2022 ,Nobelpharma America LLC ("Nobelpharma") announced that the FDA has approved HYFTOR™ (sirolimus topical gel) 0.2% as the first topical treatment indicated for FAs associated with TSC in adults and children six (6) years of age or older. The approval of this program inthe United States and the protection granted under the Orphan Drug Act represent a major shift in the commercial opportunity and environment for TMB-002. As TMB-002 is intended for treatment of the same indication, we do not intend to proceed with a pivotal Phase 3 clinical trial of TMB-002 in FAs at this time. OnJuly 23, 2022 , we provided written notice to AFT of our decision to terminate the AFT License Agreement, dated as ofJuly 5, 2019 , by and between the Subsidiary and AFT (the "AFT License Agreement") because we believe there is no longer a commercially reasonable path to approval and commercialization for TMB-002 inthe United States for FAs associated with TSC. Additionally, following the receipt and analysis of topline data for the Phase II Clinical Trial (as defined in the AFT License Agreement) it was determined that the study failed to meet its primary efficacy endpoint. Under the AFT License Agreement, we were required to provide 120 days' prior written notice of termination to AFT which was waived by AFT onJuly 25, 2022 (the "Termination Date"). On the Termination Date, the rights and licenses to TMB-002 reverted to AFT, among other things, as set forth in the AFT License Agreement.
TMB-003
The earliest stage product in our pipeline is TMB-003, a proprietary formulation of Sitaxsentan, a new chemical entity in theU.S. , which is a selective endothelin-A receptor antagonist. It is currently in preclinical development as a locally applied formulation for the treatment of sclerotic skin diseases.
The
two disease areas under consideration include Lichen Sclerosis a rare chronic disease of vulvae and perianal areas, and Localized Scleroderma, a chromic connective tissue disease that also affects other organ systems.
OnJanuary 12, 2021 , we announced that the FDA has granted orphan drug designation for TMB-003, our locally delivered formulation of Sitaxsentan, for the treatment of Systemic Sclerosis. We are considering pursuing additional orphan drug designations in other indications in the future.
BPX-01 and BPX-04
In connection with the merger withBioPharmX Corporation ("BioPharmX") onMay 18, 2020 , we acquired the BPX-01 and BPX-04 assets. BPX-01 is a Phase 3 ready topical minocycline for the treatment of inflammatory lesions of acne vulgaris. BPX-04 is a Phase 3 ready topical minocycline for the treatment of papulopustular rosacea. OnSeptember 15 , 34
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2020, we announced that we had received a notice of allowance from theU.S. Patent and Trademark Office (USPTO) for a Company patent application covering BPX-01 and BPX-04 (U.S. Patent Application No.: 16/514,459) and the application subsequently issued onJanuary 5, 2021 , as US 10,881,672. We are seeking to monetize these assets through a license, co-development, or sale.
The Merger, Reverse Stock Split, and Name Change
OnMay 18, 2020 , BioPharmX completed its business combination withTimber Pharmaceuticals LLC , aDelaware limited liability company ("Timber Sub"), in accordance with the terms of the Agreement and Plan of Merger and Reorganization, dated as ofJanuary 28, 2020 (the "Merger Agreement"), by and among BioPharmX,Timber Sub and BITI Merger, Inc. , aDelaware corporation and wholly-owned subsidiary of the Company ("Merger Sub"), as amended by Amendment No. 1 thereto made and entered into as ofMarch 24, 2020 (the "First Amendment") and Amendment No. 2 thereto made and entered into as ofApril 27, 2020 (the "Second Amendment") (the Merger Agreement, as amended by the First Amendment and the Second Amendment, the "Amended Merger Agreement"), pursuant to which Merger Sub merged with and into Timber Sub, with Timber Sub surviving as a wholly-owned subsidiary of the Company (the "Merger"). In connection with, and immediately prior to the completion of, the Merger, BioPharmX effected a reverse stock split of the Company's common stock, par value$0.001 per share, at a ratio of 1-for-12 (the "Reverse Stock Split"). Immediately after completion of the Merger, BioPharmX changed its name to "Timber Pharmaceuticals, Inc. " and the officers and directors of Timber Sub became the officers and directors of the Company. Under the terms of the Amended Merger Agreement, BioPharmX issued shares of common stock to the holders of common units of Timber Sub. Immediately after the Merger, there were approximately 11,849,031 shares of common stock outstanding (after the Reverse Stock Split). Pursuant to the terms of the Amended Merger Agreement, the former holders of common units of Timber Sub (including the Investors, as defined below, but excluding Value Appreciation Rights of Timber Sub ("VARs"), as defined below) owned in the aggregate approximately 88.5% of the outstanding common stock, with the Company's stockholders immediately prior to the Merger owning approximately 11.5% of the outstanding common stock. The number of shares of common stock issued to the holders of common units of Timber Sub for each common unit of Timber Sub outstanding immediately prior to the Merger was calculated using an exchange ratio of approximately 629.57 shares of common stock for each Timber Sub unit. In addition, the 584 VARs that were outstanding immediately prior to Merger became denoted and payable in 367,670 shares of common stock at the Effective Time of the Merger (the "Effective Time"). Further, the holder of the 1,819,289 preferred units of Timber Sub outstanding immediately prior to the Merger received 1,819 shares of the newly created convertible Series A preferred stock (the "Series A Preferred Stock") at the Effective Time.
Private Placement of Common Stock and Warrants
In connection with the Merger Agreement, onMarch 27, 2020 , Timber Sub and BioPharmX entered into a securities purchase agreement (the "Securities Purchase Agreement"), with certain accredited investors (the "Investors") pursuant to which, among other things, Timber Sub issued to the Investors shares of Timber units immediately prior to the Merger and BioPharmX issued to the Investors warrants to purchase shares of BioPharmX common stock on the tenth trading day following the consummation of the Merger (the "Investor Warrants") in a private placement transaction for an aggregate purchase price of approximately$25 million (which amount is comprised of (x) a$5 million credit with respect to the Bridge Notes and (y)$20 million in cash from the Investors) (the "Purchase Price"). We issued to the Investors 8,384,764 Series A Warrants to purchase shares of common stock ("Series A Warrants") and 7,042,175 Series B Warrants to purchase shares of common stock ("Series B Warrants"). The Series A Warrants have a 5-year term and an exercise price of$2.7953 , subject to the number of shares and exercise price being reset based on our stock price after the Merger. The Series A Warrants were initially exercisable into 8,384,764 shares of common stock issued to the Investors, subject to certain adjustments. The Series B Warrants had an exercise price per share of$0.001 , were exercisable upon issuance and were initially convertible into 7,042,175 shares of common stock in the aggregate. In addition, pursuant to the terms of the Securities Purchase Agreement, onMay 22, 2020 , we issued to the Investors warrants to purchase 413,751 shares of common stock (the "Bridge Warrants") which had an exercise price of$2.2362 per share, which was revised to$0.31 per share as a result of theNovember 2021 offering. 35 Table of Contents
OnNovember 19, 2020 , we entered into a Warrant Waiver Agreement with each of the warrant holders which modified the terms of the original agreement and eliminated further resets. The aggregate number of Series A Warrants issued was fixed at 20,178,214 and the warrant exercise price was fixed at$1.16 . The aggregate number of Series B Warrants was fixed at 22,766,777. The exercise price of the Series B Warrants remained unchanged.
In addition, certain restrictions contained in the Warrant Agreement and
Securities Purchase Agreement were modified including restrictions on our
ability to issue additional equity securities in connection with a financing and
our ability to complete a fundamental transaction. Subject to certain
restrictions detailed in the Warrant Waiver Agreement, we are now able to
complete an equity financing or a fundamental transaction at any time after
Further, in connection with the Warrant Waiver Agreement we agreed to immediately register 11,383,389 shares of common stock issuable upon exercise of the Series B Warrants. The warrant holders have additional demand registration rights as described in the Warrant Waiver Agreement. As ofMarch 4, 2021 , the Series B Warrants were exercised in full. As ofJune 30, 2022 , 16,701,824 shares of common stock remain issuable upon exercise of the Series A Warrants.
OnNovember 2, 2021 , we entered into an underwriting agreement withH.C. Wainwright & Co., LLC , as representative of the several underwriters named in Schedule I thereto, relating to the public offering, issuance and sale of shares of our common stock and, to certain investors, pre-funded warrants to purchase shares of common stock, and accompanying warrants to purchase shares of our common stock. After giving effect to the sale of additional shares pursuant to the exercise of the option byH.C. Wainwright & Co., LLC that closed onNovember 9, 2021 , the total number of shares of common stock (or common stock equivalents) sold by us in the offering was 26,953,125, together with warrants to purchase up to 26,953,125 shares of common stock issued at the closing onNovember 5, 2021 , for total gross proceeds of$17.25 million before deducting underwriting discounts and commissions and other offering expenses, and net proceeds of approximately$15.8 million . As a result of the offering, the exercise price of the Bridge Warrants was adjusted to$0.31 per share. Each share of common stock and pre-funded warrant to purchase one share of common stock was sold together with a warrant to purchase one share of common stock. All the securities sold in the offering were sold by us. The public offering price of each share of common stock and accompanying common warrant was$0.64 and$0.639 for each pre-funded warrant and accompanying common warrant. The pre-funded warrants were immediately exercisable at a price of$0.001 per share of common stock and were exercised in full onNovember 5, 2021 . The warrants were immediately exercisable at a price of$0.70 per share of common stock and expire five years from the date of issuance. Asset Purchase Agreements withPatagonia Pharmaceuticals LLC ("Patagonia") OnFebruary 28, 2019 , we acquired the intellectual property rights for a topical formulation of isotretinoin for the treatment of CI and identified as TMB-001, formerly PAT-001 including the IPEGTM brand, from Patagonia (the "TMB-001 Acquisition") pursuant to an asset acquisition agreement (the "Asset Acquisition Agreement").Zachary Rome , our former director, Executive Vice-President and Chief Operating Officer serves as President of Patagonia and also maintains an ownership interest therein. Under the terms of the TMB-001 Acquisition, we paid a one-time upfront payment of$50,000 to Patagonia. Patagonia is entitled to up to$27.0 million of cash milestone payments relating to certain regulatory and commercial achievements of the TMB-001 Acquisition, with the first being$4.0 million from the initiation of a Phase 3 pivotal trial, as agreed with the FDA and defined as the first patient enrolled in such trial for the product. In addition, Patagonia is entitled to net sales earn-out payments ranging from low single digits to mid-double digits for the program licensed. We are responsible for all development activities under the license. The first regulatory and commercial milestone occurred inJune 2022 , as the first patient enrolled in the Phase 3 pivotal trial for the product and as such a$4.0 million milestone payment has been accrued atJune 30, 2022 . There were no milestone payments accrued atDecember 31, 2021 , as the potential regulatory and commercial milestones were not considered probable. 36 Table of Contents OnJuly 20, 2022 , we entered into an amendment to the Asset Acquisition Agreement with Patagonia (the "Amendment"). Pursuant to the Amendment, the Company and Patagonia agreed to extend the time for Company's payment of the first milestone payment, which became payable in the third quarter of 2022 upon the Company commencing patient enrollment in its Phase 3 ASCEND clinical trial in the second quarter of 2022. The first milestone payment is now payable by us in two tranches, with$2.25 million due bySeptember 1, 2022 and$2.065 million due bySeptember 1, 2023 . Further, we granted Patagonia a security interest in TMB-001 and certain other assets. OnJune 26, 2019 , we acquired the intellectual property rights for a locally administered formulation of Sitaxsentan for the treatment of cutaneous fibrosis and/or pigmentation disorders, and identified as TMB-003, formerly PAT-S03, from Patagonia (the "TMB-003 Acquisition"). Upon closing of the TMB-003 Acquisition, we paid a one-time upfront payment of$20,000 to Patagonia. Patagonia is entitled to up to$10.25 million of cash milestone payments subject to adjustments relating to certain regulatory and commercial achievements of TMB-003, with the first being a one-time payment of$250,000 upon the opening of investigational new drug application ("IND") with the FDA. In addition, Patagonia is entitled to net sales earn-out payments ranging from low to mid-single digits for the program licensed. We are responsible for all development activities under the license. The potential regulatory and commercial milestones are not yet considered probable, and no milestone payments have been accrued atJune 30, 2022 , andDecember 31, 2021 .
Acquisition of License from AFT Pharmaceuticals Limited ("AFT")
OnJuly 5, 2019 , we entered into a license agreement with AFT which provides us with (i) an exclusive license to certain licensed patents, licensed know-how and AFT trademarks to commercialize Pascomer inthe United States ,Canada andMexico and (ii) a co-exclusive license to develop Pascomer in this territory. Concurrently, we granted to AFT an exclusive license to commercialize Pascomer outside of its territory and co-exclusive sublicense to develop and manufacture the licensed product for commercialization outside of its territory (the "AFT License Agreement"). The development of Pascomer had been conducted pursuant to a written development plan, written by AFT and approved by the joint steering committee, which had been reviewed on at least an annual basis. Aft agreed to perform clinical trials of Pascomer in the specified territory and perform all CMC (chemistry, manufacturing and controls) and related activities to support regulatory approval. We were responsible for all expenses incurred by AFT during the term of the AFT License Agreement and equally shared all costs and expenses with AFT, incurred by AFT for development and marketing work performed in furtherance of regulatory approval and commercialization worldwide, outside of the specified territory. We were also entitled to receive 50% of the economics (royalties and milestones) in any licensing transaction that AFT executes outside ofNorth America ,Australia ,New Zealand , andSoutheast Asia . Upon closing of the AFT License Agreement, we were obligated to reimburse AFT for previously spent development costs, subject to certain limitations and were obligated to pay a one-time, irrevocable and non-creditable upfront payment to AFT, payable in scheduled installments. AFT was entitled to up to$25.5 million of cash milestone payments if TMB-002 achieved certain regulatory and commercial milestones, with the first payment of$1.0 million upon the successful completion of a Phase 2b trial defined as the achievement of the trial's primary clinical endpoints. In addition, AFT was entitled to net sales royalties ranging from high single digits to low double digits for the program licensed. The potential regulatory and commercial milestones were not yet considered probable, and no milestone payments have been accrued atJune 30, 2022 , andDecember 31, 2021 . OnJuly 22, 2022 , we provided written notice to AFT of our decision to terminate the AFT License Agreement because we believe there is no longer a commercially reasonable path to approval and commercialization for TMB-002 inthe United States for FAs associated with TSC. Additionally, following the receipt and analysis of topline data for the Phase II Clinical Trial (as defined in the AFT License Agreement) it was determined that the study failed to meet its primary efficacy endpoint. Under the AFT License Agreement, we were required to provide 120 days' prior written notice of termination to AFT which was waived by AFT onJuly 25, 2022 , or the Termination Date. On the Termination Date, the rights and licenses to TMB-002 reverted to AFT, among other things, as set forth in the AFT License Agreement. 37 Table of ContentsAugust 2022 Offering
OnMarch 1, 2022 , we entered into an engagement agreement, as subsequently amended onJune 30, 2022 (the "Engagement Agreement"), withH.C. Wainwright & Co., LLC ("Wainwright"), pursuant to which Wainwright agreed to act as the exclusive placement agent on a reasonable best efforts basis in connection with a public offering of our common stock, par value$0.001 per share (the "Common Stock"). OnAugust 4, 2022 , we announced the pricing of the public offering (the "August 2022 Offering") of (i) 46,583,333 shares (the "Shares") of Common Stock, (ii) pre-funded warrants (the "Pre-Funded Warrants") to purchase up to an aggregate of 20,083,334 shares of Common Stock (the "Pre-Funded Warrant Shares") and (iii) common warrants (the "Common Warrants") to purchase up to an aggregate of 66,666,667 shares of Common Stock (the "Common Warrant Shares" and, together with the Pre-Funded Warrant Shares, the "Warrant Shares"). Each Share and Pre-Funded Warrant to purchase one share of Common Stock was sold together with a Common Warrant to purchase one share of Common Stock. All of the securities sold in theAugust 2022 Offering were sold by the Company. The public offering price of each Share and accompanying Common Warrant was$0.12 and$0.1199 for each Pre-Funded Warrant and accompanying Common Warrant. The Pre-Funded Warrants were immediately exercisable at a price of$0.0001 per share of Common Stock and may be exercised at any time until all of the Pre-Funded Warrants are exercised in full. The Common Warrants are immediately exercisable at a price of$0.12 per share of Common Stock and will expire five years from the date of issuance. The Shares and Pre-Funded warrants, and the accompanying Common Warrants, were issued separately and were immediately separable upon issuance. TheAugust 2022 Offering closed onAugust 8, 2022 . All of the Pre-Funded Warrants were exercised, and none remain outstanding. In connection with theAugust 2022 Offering, onAugust 4, 2022 , we entered into securities purchase agreements (the "Purchase Agreements") with certain institutional investors in the Offering (the "Signatories"). The net proceeds to us from the Offering were approximately$6.9 million , after deducting placement agent fees and expenses and estimated offering expenses payable by us, excluding the proceeds, if any, from the exercise of the Common Warrants. We intends to use the net proceeds from the offering for research and development, including clinical trials, working capital and general corporate purposes. Further, the exercise price of the Bridge Warrants was reduced to the offering price per share of theAugust 2022 Offering less the Black Scholes value of the common warrants issued in theAugust 2022 Offering.
Corporate History
We have a limited operating history as the Company was formed onFebruary 26, 2019 . Since inception, our operations have focused on establishing its intellectual property portfolio, including acquiring rights to the proprietary formulations of isotretinoin, rapamycin and Sitaxsentan, as described above, organizing and staffing the Company, business planning, raising capital, and conducting clinical trials. Over the past two years. We have financed our operations with gross proceeds totaling$42.3 million through capital contributions. Since inception, we have incurred significant operating losses. For the six months endedJune 30, 2022 , our net loss was approximately$12.6 million . As ofJune 30, 2022 , we had an accumulated deficit of approximately$41.5 million . We expect to continue to incur significant expenses and operating losses for the foreseeable future. We anticipate that our expenses will increase significantly in connection with our ongoing activities, as we continue to develop the pipeline of programs. 38 Table of Contents Results of Operations
Comparison of the Three Months Ended
Three Months Ended June 30, 2022 2021 Change $ Change % Grant revenue $ -$ 134,927 $ (134,927) NA % Milestone revenue - 253,892 (253,892) NA Total revenue - 388,819 (388,819) (100) % Research and development 3,891,500 1,800,100 2,091,400 116 % Research and Development milestone expense forPatagonia Pharmaceuticals LLC 4,000,000 - 4,000,000 NA Selling, general and administrative 1,512,343 1,556,012 (43,669) (3) % Loss from operations (9,403,843) (2,967,293) (6,436,550) 217 % Interest expense (42,077) - (42,077) NA Gain (loss) on foreign currency exchange (50,076) 1,090 (51,166) (4,694) % Net (loss) income before provision for income taxes (9,495,996) (2,966,203) (6,529,793) 220 % Provision for income taxes - - - NA Net (loss) income (9,495,996) (2,966,203) (6,529,793) 220 % Cumulative dividends on Series A preferred stock - (36,286) 36,286 NA % Net (loss) income attributable to common stockholders$ (9,495,996) $
(3,002,489)
Grant and Milestone Revenue
InSeptember 2018 , Patagonia was awarded a$1.5 million grant (the "Grant") from the FDA as part of the Orphan Products Clinical Trials Grants Program of theOffice of Orphan Products Development . The Grant funds were made available in three annual installments of$500,000 per year, which commenced inSeptember 2018 . The Grant was transferred to us pursuant to the TMB-001 Acquisition Agreement with Patagonia inFebruary 2019 . InMarch 2020 andMarch 2021 , the FDA awarded us the second and third tranches of the grant, respectively.
During the three months ended
Pursuant to theAFT Licensing and Development Agreement, we are entitled to receive a significant percentage of the economics (royalties and milestones) in any licensing transaction that AFT executes outside ofNorth America ,Australia ,New Zealand , andSoutheast Asia . The transaction with Desitin is included in the scope of this provision. The Company was entitled to €213,750 related to an upfront milestone payment paid to AFT by Desitin and recorded approximately$0.3 million during the three months endedJune 30, 2021 . No revenues were recorded as there were no milestone payments during the three months endedJune 30, 2022 .
As the agreement with AFT has been terminated we will no longer receive any royalties or milestones for any transactions under this agreement.
Operating Costs and Expenses
Research and Development Expense
During the three months endedJune 30, 2022 , and 2021, research and development expenses were$7.9 and$1.8 million , respectively. The increase in research and development expenses of approximately$6.1 million are primarily related to costs incurred related to our Phase 3 clinical trial of TMB-001 such as CRO direct and pass-through expenses, and the accrual of the approximately$4.0 million milestone payment due to Patagonia as the first regulatory and commercial milestone occurred inJune 2022 , as the first patient enrolled in the Phase 3 pivotal trial for the product. Research and development expenses are expected to continue to significantly increase in 2022 as a result of the Phase 3 trial for TMB-001. 39 Table of Contents
Research and development costs are expensed as incurred. Costs for certain activities, such as preclinical studies and clinical trials, are generally recognized based on an evaluation of the progress to completion of specific tasks using information and data provided to us by our vendors and collaborators.
General and Administrative Expense
During the three months endedJune 30, 2022 , general and administrative expenses were$1.5 million compared to$1.6 million for the three months endedJune 30, 2021 . The decrease in general and administrative expenses of approximately$0.1 million was due to a slight decrease in professional fees during the quarter.
Other Income (Expense)
During the three months endedJune 30, 2022 , other income (expense) included interest expense of$0.04 million related to the Redeemable Series A Preferred Stock under redemption, a loss on foreign currency n of approximately$0.05 million due to the strength of the US$ versus the AUD$. There was de-minimis other income (expense) for the three months endedJune 30, 2021 .
Income Taxes
We did not record tax expense for the three-months ended
Comparison of the Six Months Ended
Six Months Ended June 30, 2022 2021 Change $ Change % Grant revenue$ 83,177 $ 175,661 $ (92,484) (53) % Milestone revenue - 253,892 (253,892) NA % Total revenue 83,177 429,553 (346,376) (81) % Research and development 5,410,459 2,649,618 2,760,841 104 % Research and development milestone expense forPatagonia Pharmaceuticals LLC 4,000,000 - 4,000,000 NA % Selling, general and administrative 3,214,738 2,621,401
593,337 23 % Loss from operations (12,542,020) (4,841,466) (7,700,554) 159 % Interest expense (96,328) - (96,328) NA % Other income 75,000 - 75,000 NA % Forgiveness of PPP loan 37,772 - 37,772 NA % Gain (loss) on foreign currency exchange (43,814) 1,003 (44,817) (4,468) % Net loss before provision for income taxes (12,569,390) (4,840,463) (7,728,927) 160 % (Benefit) provision for income taxes - - - NA % Net loss (12,569,390) (4,840,463) (7,728,927) 160 % Cumulative dividends on Series A preferred stock - (72,173) 72,173 (100) % Net loss attributable to common stockholders$ (12,569,390) $ (4,912,636) $ (7,656,754) 156 % Grant and Milestone Revenue
During the six months endedJune 30, 2022 , and 2021, we recognized revenues of$83,177 and$175,661 respectively, from the$1.5 million Grant to Patagonia from the FDA as part of the Orphan Products Clinical Trials Grants Program of theOffice of Orphan Products Development . Pursuant to theAFT Licensing and Development Agreement, the Company was entitled to €213,750 related to an upfront milestone payment paid to AFT by Desitin and recorded approximately$0.3 million during the six months endedJune 30, 2021 . No revenues were recorded for milestone payments during the six months endedJune 30, 2022 . As the agreement 40
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with AFT has been terminated we will no longer receive any royalties or milestones for any transactions under this agreement.
Operating Costs and Expenses
Research and Development Expense
During the six months endedJune 30, 2022 , and 2021, research and development expenses were$9.4 and$2.6 million , respectively. The increase in research and development expenses of$6.8 million are primarily related to costs incurred related to our Phase 3 clinical trial of TMB-001 such as CRO direct and pass-through expenses, and the accrual of the approximately$4.0 million milestone payment due to Patagonia as the first regulatory and commercial milestone occurred inJune 2022 , as the first patient enrolled in the Phase 3 pivotal trial for the product. Research and development expenses are expected to continue to significantly increase in 2022 as a result of the Phase 3 trial for TMB-001.
Research and development costs are expensed as incurred. Costs for certain activities, such as preclinical studies and clinical trials, are generally recognized based on an evaluation of the progress to completion of specific tasks using information and data provided to us by our vendors and collaborators.
General and Administrative Expense
During the six months endedJune 30, 2022 , general and administrative expenses were approximately$3.2 million compared to$2.6 million for the six months endedJune 30, 2021 . The increase in general and administrative expenses of approximately$0.6 million was due to an increase in stock-based compensation costs of$0.4 million due to grants issued in the last six months of 2021 and the second quarter of 2022 and increased professional and legal fees of$0.2 million during the six month period.
Other Income (Expense)
During the six months endedJune 30, 2022 , other income (expense) included interest expense of approximately$0.1 million related to the Redeemable Series A Preferred Stock under redemption, a gain on the forgiveness of our PPP loan of approximately$0.04 million and other income of approximately$0.08 million for fees received from a third party for their access to review certain agreements related to BPX-01 and BPX-04 and a loss on foreign currency of approximately$0.04 million due to the strength of the US$ versus the AUD$. There was de-minimis other income (expense) for the six months endedJune 30, 2021 .
Income Taxes
We did not record tax expense for the six months ended
Liquidity and Capital Resources
Since inception, we have not generated revenue from product sales and has incurred net losses and negative cash flows from its operations. AtJune 30, 2022 , we had working capital of approximately$2.7 million , which included cash of approximately$8.3 million . We reported a net loss of approximately$12.6 million during the six months endedJune 30, 2022 . 41
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Cash Flows for the Six Months Ended
Six Months Ended June 30, 2022 2021 Cash provided by (used in) continuing operations: Operating activities$ (8,528,864) $ (4,202,755) Investing activities (5,947) (16,903) Financing activities - - Net decrease in cash and cash equivalents$ (8,534,811) $ (4,219,658) Operating Activities For the six months ended June 30 2022, net cash used in operating activities was$8.5 million , which primarily consisted of our net loss of$12.6 million , adjusted for non-cash expenses of approximately$0.7 million of stock-based compensation expense offset by the change in assets and liabilities of$3.2 million , which is primarily due an decrease in prepaid expenses of$0.7 related to research and development, a decrease in accounts payable of$0.5 million as payments were made, and an increase in accrued expenses of approximately$062 million related to research and development expenses, a decrease in the lease liability of$0.2 million and the recording of the milestone payable due to Patagonia of approximately$4.0 million .
Investing Activities
For the six months endedJune 30, 2022 , and 2021, net cash used in investing activities was$0.006 million for purchases of equipment and$0.02 million for furniture and equipment, respectively.
Financing Activities
For the six months ended
Funding Requirements
We expect our expenses to increase in connection with our ongoing activities, particularly as we continue the research and development of our pipeline of programs and begin a Phase 3 trial. As a result, we expect to continue to incur significant expenses and increasing operating losses and negative cash flows for the foreseeable future. Furthermore, we expect to continue to incur costs as a public company. Accordingly, we will need to obtain additional funding. If we are unable to raise capital or otherwise obtain funding when needed or on attractive terms, we could be forced to delay, reduce or eliminate our research and development programs or future commercialization efforts. OnJuly 17, 2020 , we entered into an Amended and Restated Registration Rights Agreement (as amended, the "Registration Rights Agreement") with the Investors. Pursuant to the Registration Rights Agreement, we agreed to provide certain demand registration rights to the Investors relating to the registration of the shares underlying the Investor Warrants and the Bridge Warrants. In connection with the entry into the Registration Rights Agreement and pursuant to the Securities Purchase Agreement, we were restricted from various financing activities untilAugust 16, 2022 . OnNovember 19, 2020 , we entered into waiver agreements with the investors revising the restriction date toApril 30, 2021 , except with respect to variable rate transactions. We remain restricted with respect to conducting variable rate transactions untilMay 18, 2023 . OnJuly 5, 2019 , we entered into the AFT License Agreement which provided us with (i) an exclusive license to certain licensed patents, licensed know-how and AFT trademarks to commercialize Pascomer inthe United States ,Canada andMexico and (ii) a co-exclusive license to develop Pascomer in this territory. Concurrently, we granted to AFT an exclusive license to commercialize Pascomer outside of its territory and co-exclusive sublicense to develop and manufacture the licensed product for commercialization outside of its territory. 42
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Upon closing of the AFT License Agreement, we were obligated to reimburse AFT for previously spent development costs, subject to certain limitations and were obligated to pay a one-time, irrevocable and non-creditable upfront payment to AFT, payable in scheduled installments. AFT was entitled to up to$25.5 million of cash milestone payments if TMB-002 achieved certain regulatory and commercial milestones, with the first payment of$1.0 million upon the successful completion of a Phase 2b trial defined as the achievement of the trial's primary clinical endpoints. In addition, AFT was entitled to net sales royalties ranging from high single digits to low double digits for the program licensed.
The potential regulatory and commercial milestones were not yet considered
probable, and no milestone payments have been accrued at
OnJuly 23, 2022 , we provided written notice to AFT of our decision to terminate the AFT License Agreement because we believe there is no longer a commercially reasonable path to approval and commercialization for TMB-002 inthe United States for FAs associated with TSC. Additionally, following the receipt and analysis of topline data for the Phase II Clinical Trial (as defined in the AFT License Agreement) it was determined that the study failed to meet its primary efficacy endpoint. Under the AFT License Agreement, we were required to provide 120 days' prior written notice of termination to AFT which was waived by AFT onJuly 25, 2022 , or the Termination Date. On the Termination Date, the rights and licenses to TMB-002 reverted to AFT, among other things, as set forth in the AFT License Agreement. We have a class of Series A Preferred Stock as to which the holder TardiMed has demanded redemption. The redemption price is equal to approximately$2.2 million in the aggregate, atJune 30, 2022 , and$2.1 million atDecember 31, 2021 , respectively including accumulated and unpaid interest which accrues compounded at the rate of 8% per annum. Redemption is subject to certain limitations underDelaware corporate law due to our current financial condition. As a result of the call for redemption, the Series A Preferred Stock was reclassified as a liability atDecember 31, 2021 . Dividends continue to accrue and will be recorded as non-cash interest expense in the Statement of Operations rather than to additional-paid-in-capital in fiscal 2022. OnJuly 27, 2022 , we entered into a letter agreement (the "Letter Agreement") with TardiMed, pursuant to which TardiMed agreed to exchange its 1,819 shares of the Company's Series A Preferred Stock (the "Series A Preferred Stock") plus accrued dividends for a pre-funded warrant (the "Warrant") to purchase 9,054,132 shares of the Company's common stock, par value$0.001 per share (the "Common Stock"). The number of shares underlying the Warrant is based on the redemption price of the Series A Preferred Stock (which had been demanded by TardiMed) divided by$0.239 , the last closing price of the Common Stock prior to the date the Letter Agreement was executed. Twenty percent of the Warrant is immediately exercisable upon issuance. Beginning onSeptember 30, 2022 , and then at the end of each subsequent calendar quarter upon written request of TardiMed, the Company will allow an additional 20% of the initial balance of the Warrant to become exercisable, provided that only 20% of the initial balance of the Warrant will be exercisable in any given quarter. The Warrant's exercise price is$0.0001 and may be exercised on a cashless basis. The Warrant will terminate when exercised in full. OnAugust 3, 2022 , 20% of the Warrant was exercised on a cashless basis and 1,809,280 shares of Common Stock were issued to TardiMed. Pursuant to the Letter Agreement, TardiMed released and discharged the Company and its affiliates from any and all claims, rights, demands, actions, suits, causes of action, liabilities, obligations, damages and costs of any nature whatsoever that TardiMed has, had or may have against the Company or related parties in any way arising from or related to the Series A Preferred Stock. In addition, under the terms of the TMB-001 Acquisition, we paid a one-time upfront payment of$50,000 to Patagonia. Patagonia is entitled to up to$27.0 million of cash milestone payments relating to certain regulatory and commercial achievements of the TMB-001 Acquisition, with the first being$4.0 million from the initiation of a Phase 3 pivotal trial, as agreed with the FDA, and defined as the first patient enrolled in such trial for the product. In addition, Patagonia is entitled to net sales earn-out payments ranging from low single digits to mid-double digits for the program licensed. We are responsible for all development activities under the license. The first regulatory and commercial milestone occurred inJune 2022 , and as such the first$4.0 million milestone payment has been accrued atJune 30, 2022 . There were no milestone payments accrued atDecember 31, 2021 . as the potential regulatory and commercial milestones were not considered probable. 43
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On
Amendment, we and Patagonia agreed to extend the time for our payment of the first milestone payment, which became
payable in the third quarter of 2022 upon completion of patient enrollment in our Phase 3 ASCEND clinical trial. The first
milestone payment is now payable by us in two tranches, with
due by
OnMarch 1, 2022 , we entered into an engagement agreement, as subsequently amended onJune 30, 2022 (the "Engagement Agreement"), withH.C. Wainwright & Co., LLC ("Wainwright"), pursuant to which Wainwright agreed to act as the Company's exclusive placement agent on a reasonable best efforts basis in connection with a public offering of our common stock, par value$0.001 per share (the "Common Stock"). OnAugust 4, 2022 , the Company announced the pricing of the public offering (the "August 2022 Offering") of (i) 46,583,333 shares (the "Shares") of Common Stock, (ii) pre-funded warrants (the "Pre-Funded Warrants") to purchase up to an aggregate of 20,083,334 shares of Common Stock (the "Pre-Funded Warrant Shares") and (iii) common warrants (the "Common Warrants") to purchase up to an aggregate of 66,666,667 shares of Common Stock (the "Common Warrant Shares" and, together with the Pre-Funded Warrant Shares, the "Warrant Shares"). Each Share and Pre-Funded Warrant to purchase one share of Common Stock was sold together with a Common Warrant to purchase one share of Common Stock. All of the securities sold in theAugust 2022 Offering were sold by the Company. The public offering price of each Share and accompanying Common Warrant was$0.12 and$0.1199 for each Pre-Funded Warrant and accompanying Common Warrant. The Pre-Funded Warrants were immediately exercisable at a price of$0.0001 per share of Common Stock and may be exercised at any time until all of the Pre-Funded Warrants are exercised in full. The Common Warrants are immediately exercisable at a price of$0.12 per share of Common Stock and will expire five years from the date of issuance. The Shares and Pre-Funded warrants, and the accompanying Common Warrants, were issued separately and were immediately separable upon issuance. TheAugust 2022 Offering closed onAugust 8, 2022 . All of the Pre-Funded Warrants were exercised, and none remain outstanding. In connection with theAugust 2022 Offering, onAugust 4, 2022 , the Company entered into securities purchase agreements (the "Purchase Agreements") with certain institutional investors in the Offering (the "Signatories"). The net proceeds to the Company from the Offering were approximately$6.9 million , after deducting placement agent fees and expenses and estimated offering expenses payable by the Company, excluding the proceeds, if any, from the exercise of the Common Warrants. The Company intends to use the net proceeds from the offering for research and development, including clinical trials, working capital and general corporate purposes. Further, the exercise price of the Bridge Warrants was reduced to the offering price per share of theAugust 2022 Offering less the Black Scholes value of the common warrants issued in theAugust 2022 Offering. We have evaluated whether there are any conditions and events, considered in the aggregate, that raise substantial doubt about our ability to continue as a going concern within one year beyond the filing of this Quarterly Report on Form 10-Q. Based on such evaluation and our current plans, which are subject to change, management believes that our existing cash and cash equivalents as ofJune 30, 2022 only are sufficient to satisfy our operating cash needs into the fourth quarter of 2022. The Company closed on theAugust 2022 Offering onAugust 8, 2022 . As a result, management believes the Company's cash and cash equivalents will be sufficient only to satisfy our operating cash needs into the second quarter of 2023.
Our future liquidity and capital funding requirements will depend on numerous factors, including:
? our ability to raise additional funds to finance our operations,
the outcome, costs and timing of clinical trial results for our current or
? future product candidates, including the timing, progress, costs and results of
our Phase 3 clinical trial of TMB-001 for the treatment of CI;
? the outcome, timing and cost of meeting regulatory requirements established by
the FDA and other comparable foreign regulatory authorities;
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? the emergence and effect of competing or complementary products including the
ability of our existing and future products to compete effectively; our ability to maintain, expand and defend the scope of our intellectual
property portfolio, including the amount and timing of any payments we may be
? required to make, or that we may receive, in connection with the licensing,
filing, prosecution, defense and enforcement of any patents or other
intellectual property rights;
? the cost and timing of completion of commercial-scale manufacturing activities
if any of our products are approved for commercial sale,
the cost of establishing sales, marketing and distribution capabilities for our
? products in regions where we choose to commercialize our products on our own if
approved for commercial sale
? the initiation, progress, timing and results of the commercialization of our
product candidates, if approved for commercial sale;
? our ability to retain our current employees and the need and ability to hire
additional management and scientific and medical personnel; and
? the terms and timing of any collaborative, licensing or other arrangements that
we have or may establish.
We will need to raise substantial additional funds through one or more of the following: issuance of additional debt or equity and/or the completion of a licensing or other commercial transaction for one or more of our product candidates. If we are unable to maintain sufficient financial resources, our business, financial condition and results of operations will be materially and adversely affected. This could affect future development and business activities and potential future clinical studies and/or other future ventures. There can be no assurance that we will be able to obtain the needed financing on acceptable terms or at all. Additionally, equity or convertible debt financings will likely have a dilutive effect on the holdings of our existing stockholders. The impact of the worldwide spread of COVID-19 has been unprecedented and unpredictable. Clinical trial activities, including patient enrollment can be impacted at any time. We are continuing to assess the effect on our operations by monitoring the spread of COVID-19 and the actions implemented to combat the virus throughout the world and our assessment of the impact of COVID-19 may change.
Critical Accounting Policies and Significant Estimates
Our management's discussion and analysis of financial condition and results of operations is based on our financial statements, which have been prepared in accordance with accounting principles generally accepted inthe United States , or GAAP. The preparation of these financials 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 financial statements, as well as the revenue and expenses incurred during the reporting periods. On an ongoing basis, we evaluate our estimates and adjustments, including those related to accrued expenses and share-based compensation. We base our estimates on historical experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not apparent from other sources. Changes in estimates are reflected in reported results for the period in which they become known. Actual results may differ from these estimates under different assumptions or conditions.
There have been no material changes to our critical accounting policies and estimates as compared to the critical accounting policies and estimates described in our latest Annual Report on Form 10-K.
Recently Used and Adopted Accounting Pronouncements
See Note 2 to our financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q for discussion of recent accounting pronouncements.
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