Smoking Cessation Treatment - Cytisinicline is an established smoking cessation treatment with over 20 million users globally, including over 2,000 patients in Phase 3 clinical trials[99] - In the Phase 2b ORCA-1 trial, subjects on cytisinicline experienced a 74-80% median reduction in the number of cigarettes smoked compared to a 62% reduction in placebo arms[110] - The 3 mg TID dosing schedule for cytisinicline demonstrated a 54% abstinence rate at week 4, compared to 16% for placebo (p<0.0001)[111] - The FDA agreed on the 3 mg TID dosing schedule for Phase 3 development following the ORCA-1 trial results[114] - The planned Phase 3 trial will assess smoking abstinence over 6-week and 12-week treatment periods, with secondary endpoints extending to 24 weeks[115] - Cytisinicline has shown no clinically significant drug interactions, allowing for co-administration with other medications[103] - The Phase 1 clinical study indicated that cytisinicline was well tolerated, with no severe adverse events reported[112] - The company aims to address the global smoking and nicotine addiction epidemic, which causes over 8 million deaths annually[98] Financial Performance - The company reported a net loss of 3.3millionforthethreemonthsendedMarch31,2020,withanaccumulateddeficitof49.0 million[118] - Cash and cash equivalents as of March 31, 2020, were 12.2million,withapositiveworkingcapitalbalanceof11.4 million[118] - Research and development expenses decreased to 1.5millionforthethreemonthsendedMarch31,2020,downfrom4.1 million in the same period of 2019[132] - General and administrative expenses for the three months ended March 31, 2020, were 1.8million,comparedto1.9 million for the same period in 2019[133] - The company has no products approved for commercial sale and has not generated any revenue from product sales to date[118] - The company expects to incur significant expenses and increasing operating losses for at least the next several years as it continues clinical development of cytisinicline[119] - The company is uncertain about its ability to continue as a going concern without obtaining additional financing[119] - The company anticipates that its operating losses will fluctuate significantly from quarter to quarter and year to year due to the timing of clinical development programs[119] Financing Activities - The company has entered into a Purchase Agreement with Lincoln Park Capital Fund, LLC, allowing it to sell up to 11.0millioninsharesofcommonstock[139]−ThecompanyhasengagedFreeMindGrouptoassistinsecuringnon−dilutivefundingforevaluatingcytisiniclineinreducingorceasingvaping[117]−ThecompanyextendedthetermofthePurchaseAgreementwithLPCfrom30monthsto54monthsandincreasedthenumberofsharesforRegularPurchasesfrom80,000to150,000[142]−FromSeptember14,2017,toMay14,2020,thecompanysoldatotalof557,378shares,generatinggrossproceedsofapproximately4.4 million with offering expenses of 0.5million[143]−ThepublicofferingcompletedonDecember17,2019,raisedtotalgrossproceedsof13.8 million, with net proceeds of 12.3millionafterdeducting1.5 million in underwriting discounts and commissions[156] - The company entered into a private placement on April 27-28, 2020, issuing approximately 5,615,653 units for aggregate gross proceeds of approximately 1.9million[158]−ThecompanydidnotofferanysharesforsaleundertheAtTheMarketOfferingAgreementfromJune7,2019,toMay14,2020,withapproximately6.0 million remaining available for sale[148] - The Warrant Exercise Agreement with Armistice resulted in aggregate exercise proceeds of approximately 4.2millionfromtheexerciseofwarrantsfor1,107,813shares[149]AssetandLiabilityManagement−AsofMarch31,2020,totalassetsdecreasedto16.6 million from 21.1millionasofDecember31,2019,primarilyduetocashandshort−terminvestmentsusedforoperations[166]−Totalliabilitiesdecreasedto1.7 million as of March 31, 2020, from 3.0millionasofDecember31,2019,mainlyduetoloweremployeebonusaccrualsandtradepayables[166]−ForthethreemonthsendedMarch31,2020,netcashusedinoperatingactivitieswas4.5 million, a decrease from $4.9 million for the same period in 2019, attributed to reduced research and development expenses[160] - The company had no off-balance sheet financing arrangements as of March 31, 2020[163]