Financial Position and Capital Requirements - As of April 30, 2023, the company had 5.1millionincashandcashequivalents,whichisexpectedtofundoperationsforapproximatelysixmonthswithoutadditionalfunding[142].−Thecompanyanticipatessubstantialincreasesinexpensesoverthenextfewyearsduetothecapital−intensivenatureofbiotechnologyproductdevelopment,includingcostsforclinicaltrialsandcommercialization[141].−Thecompanyhasexpressedsubstantialdoubtaboutitsabilitytocontinueasagoingconcernduetoinsufficientcapitaltofundoperations,asindicatedbytheauditors′goingconcernopinion[145].−Thecompanymustraisesubstantialadditionalcapitaltocompletethedevelopmentandcommercializationofitsproductcandidates,whichmayinvolvesignificantdilutionforexistingshareholders[144].−Thecompanydoesnotexpecttogeneraterevenueforseveralyears,andprofitabilityisnotanticipateduntilseveralyearsaftergeneratingmaterialrevenue[147].ProductDevelopmentandRegulatoryApproval−Thecompanyhasinitiatedclinicaltrialsfortwoproductcandidates,AL001andALZN002,buthasnotyetcompletedpivotaltrialsorobtainedmarketingapprovals,indicatingalackofnear−termrevenue[146].−ThecompanyplanstosubmitAL001andALZN002forregulatoryapproval,whichisessentialforinitiatingcommercialdistribution[159].−Successfuldevelopment,FDAapproval,andcommercializationofAL001orALZN002arecriticalforthecompany′snear−termprospectsandrevenuegeneration[159].−Thecompanyfacessignificantrisksrelatedtotheregulatoryapprovalprocess,whichrequiressubstantialresourcesandmayleadtoabandonmentofproductcandidatesifsafetyandefficacyarenotdemonstrated[178].−TheFDAhasonlyapprovedtwonewdrugsforAlzheimer′ssince2003,highlightingahighfailureratefordrugcandidatesinclinicaltrials[183].−ClinicaltrialsforAL001andALZN002areexpectedtobeexpensiveandtime−consuming,potentiallytakingseveralyearstocomplete[184].−ThecompanyplanstoseekbreakthroughtherapydesignationforbothAL001andALZN002,whichmaynotguaranteefasterdevelopmentorFDAapproval[187].−Regulatoryapprovalsmaycomewithconditionsthatrequirecostlypost−marketingsurveillanceandcompliancewithextensiverequirements[191].−Thereimbursementapprovalprocessistime−consumingandmaysignificantlyimpactthecommercialviabilityofAL001andALZN002[172].CompetitionandMarketRisks−Thecompanyfacessubstantialcompetitionfrommajorpharmaceuticalandbiotechnologycompanies,whichmayhavegreaterresourcesandexpertiseindrugdevelopmentandcommercialization[210].−Ifcompetitorsdevelopsaferormoreeffectiveproducts,thecompany′smarketopportunitycouldbesignificantlyreducedoreliminated[212].−MarketacceptanceofAL001andALZN002isuncertainanddependsonfactorssuchassafety,efficacy,pricing,andreimbursementfromthird−partypayers[162].−Costcontainmenttrendsinthehealthcareindustrycouldleadtolowerproductrevenueandprofitabilityduetopricingpressuresfromthird−partypayers[173].IntellectualPropertyandLegalRisks−Thecompanymayneedtolitigatetoprotectitsintellectualpropertyrights,whichcouldbecostlyanddistractmanagementfromcorebusinessoperations[217].−Thecompanyreliesonacombinationofpatentsandtradesecretstoprotectitsintellectualproperty,butthereisariskofinadequateprotectionleadingtocompetitivedisadvantages[226].−Obtainingandenforcingpatentsinthebiopharmaceuticalindustryiscostly,time−consuming,anduncertain,withrecentpatentlawchangespotentiallydiminishingpatentvalue[231].−Thecompanymayencountersignificantproblemsinprotectinganddefendingintellectualpropertyrightsinforeignjurisdictions,particularlyindevelopingcountries[235].−Thecompanyissubjecttovarioushealthcarefraudandabuselaws,includingtheAnti−KickbackStatute,whichcouldmateriallyaffectitsoperationsuponsuccessfulcommercializationofitsproductsintheU.S.[202].ManagementandOperationalChallenges−Thecompanyreliesheavilyonseniormanagement,andthelossofkeypersonnelcoulddelaythedevelopmentandcommercializationofitsproductcandidates,AL001andALZN002[208].−Thecompanyhasidentifiedmaterialweaknessesinitsinternalcontroloverfinancialreporting,whichcouldleadtomisstatementsinfinancialstatementsifnotremediatedeffectively[266].−Thecompanyisintheprocessofenhancingitsinternalcontroloverfinancialreporting,whichisexpectedtobetime−consumingandcostly[272].−Thecompanymayfacechallengesinhiringqualifiedpersonnelduetointensecompetitioninthebiopharmaceuticalfield[273].−Thecompany′sinformationtechnologysystemsarevulnerabletodisruptions,whichcouldadverselyaffectbusinessoperationsandfinancialcondition[274].StockandMarketPerformance−Thecompany′scommonstockislistedontheNasdaqCapitalMarket,withtradingpricesfluctuatingbetween0.425 and 1.19pershareduringtheyearendedApril30,2023[251].−Beneficialownershipofthesharesofcommonstockbydirectorsandexecutiveofficersrepresentsapproximately49.52,000,000 is due 36 months from the completion of the first Phase II clinical trial, with an additional 16,000,000dueuponthefirstpatienttreatedinaPhaseIIIclinicaltrial[369].−Thecompanyisrequiredtopayroyaltypaymentsof410 million upon FDA approval for AL001 [151].