Some of the information contained in this discussion and analysis or set forth
elsewhere in this Quarterly Report on Form 10-Q, including information with
respect to our plans and strategy for our business and related financing
activities, includes forward-looking statements that involve risks,
uncertainties and assumptions. These statements are based on our beliefs and
expectations about future outcomes and are subject to risks and uncertainties
that could cause our actual results to differ materially from anticipated
results. We undertake no obligation to publicly update these forward-looking
statements, whether as a result of new information, future events or otherwise.
The reader should review the Forward-Looking Statements section, any risk
factors discussed elsewhere in this Quarterly Report on Form 10-Q, which are in
addition to and supplement the risk factors discussed in our Annual Report on
Form 10-K for the year ended December 31, 2019 that we filed with the Securities
and Exchange Commission, or SEC, on April 3, 2020, our Quarterly Reports on Form
10-Q filed thereafter, and our other filings with the SEC, and any amendments
thereto, for a discussion of important factors that could cause actual results
to differ materially from the results described in or implied by the
forward-looking statements contained in the following discussion and analysis or
elsewhere in this Quarterly Report on Form 10-Q.



This Management's Discussion and Analysis, or MD&A, is provided as a supplement
to the accompanying interim unaudited Condensed Consolidated Financial
Statements (including the notes thereto) to help provide an understanding of our
financial condition and changes in our financial condition and our results of
operations. This item should be read in connection with our accompanying interim
unaudited Condensed Consolidated Financial Statements (including the notes
thereto) and our Annual Report on Form 10-K for the year ended December 31,
2019. Unless otherwise specified, references to Notes in this MD&A shall refer
to the Notes to Condensed Consolidated Financial Statements (unaudited) in this
Quarterly Report on Form 10-Q.



                                    OVERVIEW



We are a clinical-stage, biopharmaceutical and medical device company focused on
the development of novel therapeutics intended to address significant unmet
medical needs in important acute care markets. Our development programs are
primarily focused in the treatment of acute cardiovascular and pulmonary
diseases. Our lead cardiovascular product candidate istaroxime, a
first-in-class, dual-acting agent being developed to improve cardiac function in
patients with acute heart failure, or AHF, and early cardiogenic shock with a
potentially differentiated safety profile from existing treatments. Istaroxime
demonstrated significant improvement in both diastolic and systolic aspects of
cardiac function and was generally well tolerated in two phase 2 clinical trials
and has been granted Fast Track designation for the treatment of AHF by the U.S.
Food and Drug Administration, or FDA. We have also focused on developing
AEROSURF (lucinactant for inhalation), a novel drug/medical device combination
for non-invasive delivery of our proprietary aerosolized KL4 surfactant, using
our proprietary aerosol delivery system, or ADS, technology for the treatment of
respiratory distress syndrome, or RDS, in premature infants. Our licensee in
Asia, Lee's Pharmaceutical (HK) Ltd., or Lee's (HK), will conduct the
development of AEROSURF in Asia. We are exploring potential licensing agreements
with companies ex-Asia. We are conducting a small pilot study of our proprietary
KL4 surfactant for the treatment of lung injury resulting from severe novel
coronavirus, or COVID-19, infections. Our other drug product candidates include
rostafuroxin, a novel medicine for the treatment of hypertension in patients
with a specific genetic profile. We also have a number of pipeline preclinical
product candidates that we are evaluating for progression into clinical
development. These include evaluating and pursuing a number of early exploratory
research programs to identify potential product candidates, including oral and
intravenous SERCA 2a heart failure compounds and other product candidates
utilizing our KL4 surfactant and ADS technologies.



Business and Program Updates





The reader is referred to, and encouraged to read in its entirety, Item 1 -
Business in our Annual Report on Form 10-K for the year ended December 31, 2019
that we filed with the SEC on April 3, 2020, which contains a discussion of our
business and business plans, as well as information concerning our proprietary
technologies and our current and planned development programs.



Istaroxime (AHF)



In April 2020, we announced the presentation at the American College of
Cardiology 2020 virtual meeting of a new subset analysis from a phase 2b study
of istaroxime in patients hospitalized with AHF. We previously presented the
overall results of the study where the primary endpoint demonstrated a
significant improvement (p<0.05) in cardiac function at both istaroxime study
doses. This post-hoc analysis characterized the responses between Caucasian and
Asian patients. The istaroxime dose of 0.5 µg/kg/min produced a similar response
on E/e', the primary study endpoint, and stroke volume index, an important
measure of cardiac performance, in Asian and Caucasian patients.



Istaroxime (Early Cardiogenic Shock)





We have initiated the study of istaroxime for the treatment of early cardiogenic
shock in patients with severe heart failure, a presentation of heart failure
characterized by very low blood pressure and hypo-perfusion to critical organs
which is associated with high mortality and morbidity and is not well treated
with current therapies. We believe istaroxime may fulfill an unmet need in early
cardiogenic shock based on the profile observed in our phase 2 clinical studies
in AHF. Because of the unmet need in the treatment of early cardiogenic shock,
we believe there may be an opportunity with a breakthrough therapy designation,
which may provide an expedited development program. Receipt of either Fast Track
or breakthrough therapy designation may increase the likelihood of receiving
priority review of a marketing application, which would provide for an expedited
review timeframe.



In October 2020, we announced that we had dosed the first patient in our phase 2
study of istaroxime for the acute treatment of early cardiogenic shock in heart
failure patients to evaluate the potential to improve blood pressure and organ
perfusion. The study will also evaluate the safety and side effect profile of
istaroxime in this patient population. Due to the current global outbreak of
COVID-19 and its effect on hospital intensive care units, the location of this
study, and the study staff and resources, our study has been impacted and we
have experienced some delays in anticipated timelines and milestones.



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AEROSURF (lucinactant for inhalation)





In April 2020, as part of the phase 2 clinical program, we enrolled the first
patient and commenced our small, approximately 90-patient, phase 2b bridging
study in premature infants with RDS to prepare to transition to a phase 3
clinical program by demonstrating the performance of our new ADS, in the
neonatal intensive care unit as well as a more intensive dosing regimen. The
AEROSURF phase 2b bridging study is a multicenter, randomized, controlled study
with masked treatment assignment in up to 90 premature infants 26 to 32 weeks
gestational age receiving nasal continuous airway pressure, or nCPAP, for RDS.
The trial will leverage the favorable safety profile from the previous phase 2
studies to evaluate higher and more frequent dosing of aerosolized KL4
surfactant compared to premature infants receiving standard care of nCPAP alone.
The trial will utilize the new ADS and bridge to data generated in the phase 2
program utilizing a prototype device on the following endpoints: time to nCPAP
failure (the need for intubation and delayed surfactant therapy), incidence of
nCPAP failure and physiological parameters indicating the effectiveness of lung
function. In June 2020, we announced that all initial European trial sites were
active and enrolling or able to enroll patients into the phase 2b bridging
study. Most recently, the European study sites were affected by increased rates
of COVID-19, which has impacted key study personnel, and resulted in
periodic holds on screenings for new patients and dosing. Following termination
of the PF Agreement (as defined below), these European trial sites will no
longer enroll patients and Lee's (HK) will conduct a clinical trial in Asia. As
a result, Asia will be the only location to complete the phase 2b bridging
study. Lee's (HK) will conduct, fund and execute the AEROSURF phase 2b bridging
study while we focus on the study of lucinactant to prevent lung injury in
patients with COVID-19, as described below.



Lyophilized KL4 Surfactant - Lung Injury and Other Studies





We are initiating a study of our proprietary KL4 surfactant for the treatment of
lung injury resulting from severe COVID-19 infection. In September 2020, the FDA
accepted our investigational new drug, or IND, application for a phase 2
clinical trial to assess the ability of our proprietary KL4 surfactant to impact
key respiratory parameters in ventilated COVID-19 patients. The small pilot
study will evaluate changes in physiological parameters in patients who are
intubated and mechanically ventilated for COVID-19 associated lung injury and
acute respiratory distress syndrome, or ARDS. The study will evaluate the dosing
regimen, tolerability, and functional changes in gas exchange and lung
compliance after KL4 surfactant administration. We plan to enroll up to 20
patients with COVID-19 and ARDS, who are on mechanical ventilation, from four to
five U.S. sites. We plan to start the study during the fourth quarter of 2020.
We applied to the Biomedical Advanced Research and Development Authority, or
BARDA, requesting funding for our development plans of KL4 surfactant in
COVID-19 patients and we were granted a meeting to review our proposal with
BARDA representatives. With the acceptance of the IND by the FDA and planned
start of the trial, we plan to reengage with the federal government on the
program. There is no assurance that we will receive funding from BARDA.



Impact of COVID-19



The COVID-19 pandemic continues to evolve, and we are closely monitoring the
situation, including its potential impact on our clinical development plans and
timelines. As of the date of the filing of this Quarterly Report on Form 10-Q,
however, our operations, capital and financial resources and overall liquidity
position and outlook have not been materially impacted by COVID-19, while our
operations have experienced delays, including in clinical study initiation and
early productivity. For example, certain of our ongoing clinical trials have
experienced delays, including our phase 2 study of istaroxime for early
cardiogenic shock in heart failure patients. In addition, travel restrictions
and other COVID-19 mitigation efforts have impacted our business development
activities with respect to out-licensing certain of our product candidates for
which we are seeking partnership. The full extent, duration, or impact that the
COVID-19 pandemic will have, directly or indirectly, on our financial condition
and operations, including ongoing and planned clinical trials, will depend on
future developments that are highly uncertain and cannot be accurately
predicted. These potential future developments include new information that may
emerge concerning the severity of the COVID-19 outbreak, including any regional
resurgences in one or more markets where our current or intended clinical trial
sites, our principal executive offices, research and development laboratories or
other facilities are located, and the actions taken to contain it or treat its
impact, which may include, among others, the timing and extent of governments
reopening activities and the economic impact on local, regional, national, and
international markets. The strategic re-implementation of mitigating COVID-19
measures in one or more markets where our clinical trial sites, principal
executive offices, research and development laboratories or other facilities are
located remains possible and we believe there could be further impact on the
clinical development of our product candidates, which may include potential
delays, halts or modifications to our ongoing and planned trials in the fourth
quarter of 2020 and beyond.



                          CRITICAL ACCOUNTING POLICIES



There have been no changes to our critical accounting policies since December
31, 2019. For a discussion of our accounting policies, see Note 4 - Summary of
Significant Accounting Policies and, in the Notes to Consolidated Financial
Statements (Notes) in our Annual Report on Form 10-K for the year ended December
31, 2019, Note 5 - Accounting Policies and Recent Accounting
Pronouncements. Readers are encouraged to review those disclosures in
conjunction with this Quarterly Report on Form 10-Q.



                             RESULTS OF OPERATIONS



Operating Loss and Net Loss


The operating loss for the three months ended September 30, 2020 and 2019 was $8.7 million and $7.2 million, respectively. The increase in operating loss from 2019 to 2020 was due to a $1.5 million increase in operating expenses.





The operating loss for the nine months ended September 30, 2020 and 2019
was $23.4 million and $20.3 million, respectively. The increase in operating
loss from 2019 to 2020 was due to a $2.8 million increase in operating expenses
and a $0.2 million decrease in license revenue with affiliate.



The net loss for the three months ended September 30, 2020 and 2019 was $9.0 million and $7.1 million, respectively. The net loss for the nine months ended September 30, 2020 and 2019 was $25.1 million and $20.1 million, respectively. Included in the net loss for the three and nine months ended September 30, 2020 is $1.1 million in non-cash expenses related to the modification of certain warrants.


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Research and Development Expenses





Our research and development expenses are charged to operations as incurred and
we account for such costs by category rather than by project. As many of our
research and development activities likely form the foundation for the potential
development of multiple product candidates, including istaroxime, our KL4
surfactant and drug delivery technologies, and rostafuroxin, they are expected
to benefit more than a single project. For that reason, we cannot reasonably
estimate the costs of our research and development activities on a
project-by-project basis. We believe that tracking our expenses by category is a
more accurate method of accounting for these activities. Our research and
development costs consist primarily of expenses associated with (a) product
development and manufacturing, (b) clinical, medical and regulatory operations,
and (c) direct preclinical and clinical development programs. We also account
for research and development and report annually by major expense category as
follows: (i) salaries and benefits, (ii) contracted services, (iii) raw
materials, aerosol devices and supplies, (iv) rents and utilities, (v)
depreciation, (vi) contract manufacturing, (vii) travel, (viii) stock-based
compensation and (ix) other.



Research and development expenses by category are as follows:





                                            Three Months Ended September 30,             Nine Months Ended September 30,
(in thousands)                                2020                     2019                2020                  2019

Product development and manufacturing   $          1,002         $          1,165     $         3,610       $         3,262
Clinical, medical and regulatory
operations                                         1,591                    1,734               5,009                 5,339
Direct preclinical and clinical
programs                                           1,289                      893               3,219                 1,946
Total research and development
expenses                                $          3,882         $          3,792     $        11,838       $        10,547

Research and development expenses include non-cash charges associated with stock-based compensation and depreciation of $0.3 million and $0.6 million, respectively, for the three months ended September 30, 2020 and 2019 and $1.7 million and $1.7 million, respectively, for the nine months ended September 30, 2020 and 2019.

Product Development and Manufacturing



Product development and manufacturing includes (i) manufacturing operations,
both in-house and with contract manufacturing organizations, validation
activities, quality assurance and analytical chemistry capabilities that support
the manufacture of our drug products used in research and development
activities, and our medical devices, including our ADS, (ii) design and
development activities related to our ADS for use in our AEROSURF clinical
development program; and (iii) pharmaceutical and manufacturing development
activities of our drug product candidates including development of istaroxime,
lyophilized KL4 surfactant, and rostafuroxin. These costs include employee
expenses, facility-related costs, depreciation, costs of drug substances
(including raw materials), supplies, quality control and assurance activities,
analytical services, and expert consultants and outside services to support
pharmaceutical and device development activities.



Product development and manufacturing expenses decreased $0.2 million for the
three months ended September 30, 2020 compared to the same period in 2019 due to
a decrease in analytical testing costs related to our AEROSURF clinical
development program. Product development and manufacturing expenses
increased $0.3 million for the nine months ended September 30, 2020 compared
to the same period in 2019 due to a $0.4 million purchase of raw materials
during the second quarter of 2020, partially offset by a decrease in analytical
testing costs related to our AEROSURF clinical development program.



Clinical, Medical and Regulatory Operations





Clinical, medical and regulatory operations include (i) medical, scientific,
preclinical and clinical, regulatory, data management and biostatistics
activities in support of our research and development programs; and (ii) medical
affairs activities to provide scientific and medical education support for our
KL4 surfactant and aerosol delivery systems under development. These costs
include personnel, expert consultants, outside services to support regulatory
and data management, symposiums at key medical meetings, facilities-related
costs, and other costs for the management of clinical trials.



Clinical, medical and regulatory operations expenses decreased $0.1 million for
the three months ended September 30, 2020 compared to the same period
in 2019 due to a decrease of $0.2 million in non-cash, stock compensation
expense, partially offset by an increase of $0.1 million in personnel
costs. Clinical, medical and regulatory operations expenses decreased
$0.3 million for the nine months ended September 30, 2020 compared to the same
period in 2019 due to (i) a decrease of $0.2 million in personnel and travel
costs and (ii) a decrease of $0.2 million in employee-related incentive bonus
expense, partially offset by (iii) an increase of $0.1 million in non-cash,
stock compensation expense.



Direct Preclinical and Clinical Development Programs

Direct preclinical and clinical development programs include: (i) development activities, toxicology studies and other preclinical studies; and (ii) activities associated with conducting clinical trials, including patient enrollment costs, clinical site costs, clinical device and drug supply, and related external costs, such as consultant fees and expenses.





Direct preclinical and clinical development programs expenses increased $0.4
million and $1.3 million, respectively, for the three and nine months ended
September 30, 2020 compared to the same periods in 2019 due to an increase in
costs related to our continued clinical development of istaroxime and AEROSURF.



General and Administrative Expenses





                                            Three Months Ended September 30,               Nine Months Ended September 30,
(in thousands)                                2020                     2019                 2020                     2019

General and administrative expenses $ 4,823 $ 3,395 $ 11,518 $ 9,990

General and administrative expenses consist of costs for executive management, business development, intellectual property, finance and accounting, legal, human resources, information technology, facility, and other administrative costs.





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General and administrative expenses increased $1.4 million and $1.5 million,
respectively, for the three and nine months ended September 30, 2020 compared to
the same periods in 2019 due to (i) an increase of $1.0 million and $1.8
million, respectively, in professional fees, taxes, and insurance and (ii)
severance costs of $0.8 million and $0.9 million, respectively, (iii) an
increase of $0.1 million and a decrease of $0.4 million, respectively, in
employee-related incentive bonus expense, partially offset by (iv) a decrease
of $0.5 million and $0.8 million, respectively, in non-cash, stock compensation
expense.



Other (Expense) Income



                                           Three Months Ended September 30,          Nine Months Ended September 30,
(in thousands)                               2020                    2019               2020                 2019

Interest income                                      21                      25              115                   124
Interest expense                                    (46 )                  (105 )           (121 )                (358 )
Other (expense) income, net                        (290 )                   141           (1,750 )                 473

Total other (expense) income, net $ (315 ) $


 61     $     (1,756 )       $         239



Interest income relates to interest on our money market account and U.S. Treasury notes.





For the three and nine months ended September 30, 2020 and 2019, interest
expense consists of interest expense associated with the collaboration and
device development payables and with the loans payable. The decrease of
$0.1 million and $0.2 million, respectively, in interest expense for the three
and nine months ended September 30, 2020 to the comparable periods in 2019 is
related to the repayment of $2.1 million in loans payable during the year ended
December 31, 2019.



For the three months ended September 30, 2020, other (expense) income, net
primarily consists of losses on foreign currency translation of $0.3 million.
For the nine months ended September 30, 2020, other (expense) income, net
primarily consists of $1.1 million in non-cash expenses related to the
modification of certain warrants and losses on foreign currency translation of
$0.6 million.


For the three and nine months ended September 30, 2019, other (expense) income, net primarily consists of $0.1 million and $0.4 million, respectively, in gains on foreign currency translation.





                        LIQUIDITY AND CAPITAL RESOURCES



We are subject to risks common to companies in the biotechnology industry,
including but not limited to, the need for additional capital, risks of failure
of preclinical and clinical studies, the need to obtain marketing approval and
reimbursement for any drug product candidate that we may identify and develop,
the need to successfully commercialize and gain market acceptance of our product
candidates, dependence on key personnel, protection of proprietary technology,
compliance with government regulations, development of technological innovations
by competitors, and reliance on third party manufacturers.



We have incurred net losses since inception. Our net loss was $9.0 million and
$7.1 million, respectively, for the three-month periods ended September 30, 2020
and 2019. Our net loss was $25.1 million and $20.1 million, respectively, for
the nine-month periods ended September 30, 2020 and 2019. We expect to continue
to incur operating losses for at least the next several years. As of September
30, 2020, we had an accumulated deficit of $710.2 million. Our future success is
dependent on our ability to identify and develop our product candidates, and
ultimately upon our ability to attain profitable operations. We have devoted
substantially all of our financial resources and efforts to research and
development and general and administrative expense to support such research and
development. Net losses and negative cash flows have had, and will continue to
have, an adverse effect on our stockholders' equity and working capital, and
accordingly, our ability to execute our future operating plans.



In May 2020, we received net proceeds of approximately $20.2 million related to
a public offering, or the May 2020 Offering, of 3,172,413 units, inclusive of
413,793 units related to a fully exercised over-allotment option, at a price per
unit of $7.25. Each unit consisted of one share of our common stock and a
warrant to purchase one share of common stock, or the Warrant. The Warrants are
immediately exercisable for shares of common stock at a price of $7.975 per
share and expire five years from the date of issuance.



In March 2020, we entered into a binding term sheet, or the Term Sheet, with
Lee's (HK), pursuant to which Lee's (HK) will provide financing for the
development of AEROSURF and in August 2020, we entered into a Project Financing
Agreement with Lee's (HK), or the PF Agreement, under which we have received
payments of $2.8 million. Pursuant to the PF Agreement, Lee's (HK) agreed to pay
additional amounts to be set forth in an updated development budget to be agreed
between the parties by September 1, 2020 and updated every six months
thereafter, to fund the continued development of AEROSURF and to be paid with
the payment schedule to be set forth in each updated development budget. On
November 12, 2020, Lee's (HK) provided notice of termination of the PF
Agreement. Lee's (HK) will conduct clinical development of AEROSURF in Asia and
we will wind-down our clinical development of AEROSURF. Lee's (HK) will fund an
additional $1.0 million to us in 2021, repayable pursuant to the terms of the PF
Agreement, for certain transition and analytical services to be provided by
us with respect to the development of AEROSURF.



We believe that our cash and cash equivalents as of the filing of our Quarterly
Report on Form 10-Q for the quarterly period ended September 30, 2020 are
sufficient to fund operations through at least the next twelve months. In the
future, we will need to raise additional capital to continue funding our
operations. We plan to obtain funding through a combination of public or private
equity offerings, or strategic transactions including collaborations, licensing
arrangements or other strategic partnerships. There is inherent uncertainty
associated with these fundraising activities, and thus they are not considered
probable.



Our funding requirements, however, are based on estimates that are subject to
risks and uncertainties and may change as a result of many factors currently
unknown. Although management continues to pursue the plans described above,
there is no assurance that we will be successful in obtaining sufficient funding
on terms acceptable to us to fund continuing operations, if at all, including as
a result of market volatility following the COVID-19 pandemic. Until such time
as we can generate substantial product revenues, if ever, we expect to finance
our cash needs through a combination of equity offerings, strategic partnerships
and licensing arrangements. The terms of any future financing may adversely
affect the holdings or the rights of our existing stockholders.



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Cash Flows



Cash outflows for the nine months ended September 30, 2020 consist of $20.8
million used in ongoing operating activities and $19.9 million provided
by financing activities. Cash outflows for the nine months ended September 30,
2019 consist of $19.2 million used in ongoing operating activities and $1.0
million used in financing activities, offset by cash inflows for the nine months
ended September 30, 2019 of $13.9 million for investing activities.



Operating Activities



Net cash used in operating activities for the nine months ended September 30,
2020 and 2019 was $20.8 million and $19.2 million, respectively. Net cash used
in operating activities is a result of our net losses for the period, adjusted
for non-cash items and changes in working capital. The increase in net cash used
in operating activities from 2019 to 2020 is due to (i) a $5.0 million increase
in net loss for the nine months ended September 30, 2020 compared to the same
period in 2019;  and (ii) a $1.1 million increase in payments related to our
collaboration and device development payable with Battelle Memorial Institute as
a result of contractual milestone payments during the nine months ended
September 30, 2020; partially offset by (iii) costs related to the acquisition
of CVie Investments Limited, or the CVie Acquisition, costs from the December
2018 private placement financing and the payment of pre-existing obligations
with the proceeds of the December 2018 private placement financing during the
nine months ended September 30, 2019.



Investing Activities



Net cash used in investing activities for the nine months ended September 30,
2019 represents $14.0 million related to the sale of marketable securities,
partially offset by $0.1 million in purchase of property and equipment compared
with a de minimis amount of net cash used in investing activities for the nine
months ended September 30, 2020.



Financing Activities



Net cash provided by financing activities for the nine months ended September
30, 2020 was $19.9 million and includes the following: (i) $20.2 million in net
proceeds from the May 2020 Offering; (ii) $2.4 million in proceeds from our
research and development funding arrangement with Lee's (HK); (iii) $0.1 million
in proceeds from the exercise of common stock warrants; and (iv) $2.9 million of
principal payments on loans payable. Net cash used in financing activities for
the nine months ended September 30, 2019 was $1.0 million and represents $0.8
million in principal payments on our loans payable and $0.2 million related to
withholding tax payments for net share settlements of restricted stock units.



The following sections provide a more detailed discussion of our available financing facilities.





Loans Payable


Loan payable to Bank Direct Capital Finance





In May 2019, we entered into an insurance premium financing and security
agreement with Bank Direct Capital Finance, or Bank Direct. Under the agreement,
we financed $0.7 million of certain premiums at a 5.35% annual interest rate. As
of December 31, 2019, the outstanding principal of the loan was $0.2 million.
The balance of the loan was repaid during the quarter ended March 31, 2020.



In June 2020, we entered into an insurance premium financing and security
agreement with Bank Direct. Under the agreement, we financed $1.1 million of
certain premiums at a 4.26% annual interest rate. Payments of approximately
$117,000 are due monthly from July 2020 through March 2021. As of September 30,
2020, the outstanding principal of the loan was $0.7 million.



Assumption of bank debt as part of the CVie Acquisition





In September 2016, CVie Therapeutics Limited entered into a 12-month revolving
credit facility of approximately $2.9 million with O-Bank Co., Ltd., or O-Bank,
to finance operating activities, or the O-Bank Facility. The O-Bank Facility was
later renewed and increased to approximately $5.8 million in September 2017. The
O-Bank Facility is guaranteed by Lee's Pharmaceutical Holdings Limited, or
Lee's, which pledged bank deposits in the amount of 110% of the actual borrowing
amount. Interest, payable in cash on a monthly basis, is determined based on the
90-day Taipei Interbank Offer Rate, or TAIBOR, plus 0.91%. The O-Bank Facility
expired on September 11, 2019 and the loans were set to mature six months after
the expiration date, on March 11, 2020. In March 2020, the O-Bank Facility was
amended, among other things, to extend the maturity date to March 2022, to
decrease the total amount of the O-Bank Facility to approximately $5.0 million,
to change the applicable interest rate to the TAIBOR plus 1.17% and to adjust
the term to 24-month non-revolving.



As of September 30, 2020 and December 31, 2019, the outstanding principal of the
O-Bank Facility was approximately $2.4 million and $4.6 million, respectively.
In the second quarter of 2020, we were informed by Lee's of their desire to
reduce the amount of pledged bank deposits with O-Bank by 50%. To remain in
compliance with the terms of the O-Bank Facility, we repaid approximately $2.3
million of the outstanding principal in August 2020. In November 2020, Lee's
committed to maintain the required level of pledged bank deposits with O-Bank
through the date of full repayment of the O-Bank Facility.



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Common Stock Offerings



Historically, we have funded, and expect that we will continue to fund, our
business operations through various sources, including financings in the form of
common stock offerings. In September 2020, we filed with the SEC a "shelf"
registration statement on Form S-3 (No. 333-248874), or the Universal
Shelf, that was declared effective on September 29, 2020, for the proposed
offering from time to time of up to $75.0 million of our securities, including
common stock, preferred stock, debt securities, warrants, units, subscription
rights, or any combination of the foregoing, on terms and conditions that will
be determined at the time of an offering. As of September 30, 2020,
approximately $75.0 million remained available under the Universal Shelf. The
Universal Shelf will expire upon the earlier to occur of (i) the sale of
$75.0 million of our securities or (ii) September 29, 2023.



At-The-Market Program



On September 17, 2020, we entered into an At-The-Market Offering Agreement with
Ladenburg Thalmann & Co. Inc., or Ladenburg, pursuant to which we may offer and
sell, from time to time at our sole discretion, up to a maximum of $10.0 million
of shares of our common stock through Ladenburg as agent and/or principal
through an at-the-market program, or the ATM Program. We are not obligated to
make any sales under the ATM Program, and as of November 16, 2020, we have not
sold any shares under the ATM Program. If we issue a sale notice to Ladenburg,
we will designate the maximum amount of shares to be sold by Ladenburg daily and
the minimum price per share at which shares may be sold. Ladenburg may sell
shares by any method permitted by law deemed to be an "at-the-market
offering" as defined in Rule 415(a)(4) under the Securities Act of 1933, as
amended, or in privately negotiated transactions. Sales under the ATM Program
will be made pursuant to the Universal Shelf.



Either party may suspend the offering under the ATM Program by notice to the
other party. The ATM Program will terminate upon the earlier of (i) the sale of
all shares subject to the ATM Program or (ii) termination of the ATM Program in
accordance with its terms. Either party may terminate the ATM Program at any
time upon five business days' prior written notification to the other party in
accordance with the related agreement.



We agreed to pay Ladenburg a commission of 3% of the gross sales price of any
shares sold pursuant to the ATM Program. The rate of compensation will not apply
when Ladenburg acts as principal. We also agreed to reimburse Ladenburg for the
fees and disbursements of its counsel in an amount not to exceed $50,000, in
addition to certain ongoing disbursements of its legal counsel up to $3,000 per
calendar quarter.


Off-Balance Sheet Arrangements

We did not have any material off-balance sheet arrangements at September 30, 2020 and 2019 or during the periods then ended.

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