TALPHERA, INC.
For the period ended Mar 31, 2025. Filed May 14, 2025.
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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Mar 31, 2025 · Filed May 14, 2025
Contents
Item 1. Financial Statements
Condensed Consolidated Balance Sheets
(In thousands, except share and per share data)
| March 31, 2025 | December 31, 2024(1) | |
|---|---|---|
| Assets | ||
| Current Assets: | ||
| Cash and cash equivalents | $5,388 | $8,863 |
| Prepaid expenses and other current assets | 788 | 554 |
| Total current assets | 6,176 | 9,417 |
| In-process research and development asset | 8,819 | 8,819 |
| Total assets | $14,995 | $18,236 |
| Liabilities and Stockholders’ Equity | ||
| Current Liabilities: | ||
| Accounts payable | $326 | $670 |
| Accrued and other liabilities | 1,013 | 1,254 |
| Liabilities of discontinued operations, current portion | 650 | 723 |
| Total current liabilities | 1,989 | 2,647 |
| Warrant liability | 880 | 1,061 |
| Liability related to the sale of future payments | 6,527 | 6,527 |
| Total liabilities | 9,396 | 10,235 |
| Commitments and Contingencies | ||
| Stockholders’ Equity: | ||
| Common stock, $0.001 par value—200,000,000 shares authorized as of March 31, 2025 and December 31, 2024; 17,098,345 and 17,029,469 shares issued and outstanding as of March 31, 2025 and December 31, 2024, respectively | 17 | 17 |
| Additional paid-in capital | 465,405 | 465,214 |
| Accumulated deficit | (459,823) | (457,230) |
| Total stockholders’ equity | 5,599 | 8,001 |
| Total Liabilities and Stockholders’ Equity | $14,995 | $18,236 |
| (1) | The condensed consolidated balance sheet as of December 31, 2024 has been derived from the audited financial statements as of that date included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024. |
Condensed Consolidated Statements of Operations
(In thousands, except share and per share data)
| Three Months Ended March 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Revenue | $27 | $— |
| Operating costs and expenses: | ||
| Research and development | 1,169 | 1,433 |
| Selling, general and administrative | 1,774 | 2,804 |
| Total operating costs and expenses | 2,943 | 4,237 |
| Loss from operations | (2,916) | (4,237) |
| Other income (expense): | ||
| Interest income and other income, net | 69 | 220 |
| Gain on sale of future payments | — | 1,246 |
| Gain (loss) on change in fair value of warrant liability | 181 | (1,002) |
| Non-cash interest expense on liability related to sale of future payments | — | (181) |
| Total other income (expense), net | 250 | 283 |
| Net loss from continuing operations | (2,666) | (3,954) |
| Net income from discontinued operations– See Note 3 | 73 | — |
| Net loss | $(2,593) | $(3,954) |
| Net (loss) income per share attributable to stockholders: | ||
| Basic and diluted, continuing operations | $(0.10) | $(0.16) |
| Basic and diluted, discontinued operations | $0.00 | $0.00 |
| Basic and diluted loss per share | $(0.10) | $(0.16) |
| Shares used in computing net loss per share of common stock, basic and diluted – See Note 7 | 26,268,209 | 24,721,964 |
Condensed Consolidated Statements of Stockholders’** Equity**
(in thousands, except share data)
| Common Stock · Additional Paid-in Capital · Accumulated Deficit · Total Stockholders’ Equity | |||||
|---|---|---|---|---|---|
| Shares · Amount | |||||
| Balance as of January 1, 2025 | 17,029,469 | $17 | $465,214 | $(457,230) | $8,001 |
| Stock-based compensation | — | — | 196 | — | 196 |
| Issuance of common stock upon vesting of restricted stock units, net of shares withheld for employee taxes | 42,523 | — | (18) | — | (18) |
| Issuance of common stock upon ESPP purchase | 26,353 | — | 13 | — | 13 |
| Net loss | — | — | — | (2,593) | (2,593) |
| Balance as of March 31, 2025 | 17,098,345 | $17 | $465,405 | $(459,823) | $5,599 |
| Common Stock · Additional Paid-in Capital · Accumulated Deficit · Total Stockholders’ Equity | |||||
|---|---|---|---|---|---|
| Shares · Amount | |||||
| Balance as of January 1, 2024 | 16,952,519 | $17 | $458,314 | $(444,226) | $14,105 |
| Stock-based compensation | — | — | 302 | — | 302 |
| Issuance of common stock upon vesting of restricted stock units, net of shares withheld for employee taxes | 23,952 | — | (17) | — | (17) |
| Net proceeds from issuance of pre-funded warrants in connection with equity financing | — | — | 5,884 | — | 5,884 |
| Issuance of common stock upon ESPP purchase | 16,255 | — | 14 | — | 14 |
| Net loss | — | — | — | (3,954) | (3,954) |
| Balance as of March 31, 2024 | 16,992,726 | $17 | $464,497 | $(448,180) | $16,334 |
Condensed Consolidated Statements of Cash Flows
(In thousands)
| Three Months Ended March 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Cash flows from operating activities: | ||
| Net loss | $(2,593) | $(3,954) |
| Adjustments to reconcile net loss to net cash used in operating activities: | ||
| Non-cash interest expense on liability related to sale of future payments | — | 181 |
| Net amortization of discount on short-term investments | — | (72) |
| Stock-based compensation | 196 | 302 |
| (Gain) loss on change in fair value of warrant liability | (181) | 1,002 |
| Changes in operating assets and liabilities: | ||
| Accounts receivable | (27) | — |
| Prepaid expenses and other assets | (207) | 826 |
| Accounts payable | (345) | (62) |
| Accrued liabilities | (313) | (1,106) |
| Net cash used in operating activities | (3,470) | (2,883) |
| Cash flows from investing activities: | ||
| Purchase of investments | — | (4,230) |
| Proceeds from maturities of investments | — | 1,500 |
| Net cash used in investing activities | — | (2,730) |
| Cash flows from financing activities: | ||
| Gross proceeds from sale of future payments | — | 6,654 |
| Issuance costs related to sale of future payments | — | (521) |
| Net proceeds from issuance of prefunded warrants in January 2024 private placement offering | — | 5,884 |
| Net proceeds from issuance of common stock through equity plans | (5) | (3) |
| Net cash (used in) provided by financing activities | (5) | 12,014 |
| Net change in cash and cash equivalents | (3,475) | 6,401 |
| Cash and cash equivalents—Beginning of period | 8,863 | 5,721 |
| Cash and cash equivalents—End of period | $5,388 | $12,122 |
Notes to Condensed Consolidated Financial Statements
(In thousands, except where otherwise noted)
1. Organization and Summary of Significant Accounting Policies
The Company
Talphera, Inc., or the Company, or Talphera, was incorporated in Delaware on July 13, 2005 as SuRx, Inc. The Company subsequently changed its name to AcelRx Pharmaceuticals, Inc. and, on January 9, 2024 to Talphera, Inc. The Company’s operations are based in San Mateo, California.
Talphera is a specialty pharmaceutical company focused on the development and commercialization of innovative therapies for use in medically supervised settings. The Company’s product development portfolio features Niyad™ (a regional anticoagulant for the dialysis circuit), LTX-608 (a nafamostat formulation for direct IV infusion) that the Company intends to develop for one or more of the following indications: disseminated intravascular coagulation, or DIC, acute respiratory distress syndrome, or ARDS, acute pancreatitis, or as an anti-viral treatment.
On January 7, 2022, the Company acquired Lowell Therapeutics, Inc., or Lowell, a privately held company (see Note 4, “Asset Acquisition” to the consolidated financial statements in the Company’s 2024 Annual Report on Form 10-K for additional information) and, as a result acquired the Niyad™ developmental product, a regional anticoagulant for the dialysis circuit during continuous renal replacement therapy for acute kidney injury patients in the hospital, that the Company is studying under an investigational device exemption, or IDE, and which has received Breakthrough Device Designation status from the FDA. While not approved for commercial use in the United States, the active drug component of Niyad, nafamostat, has been approved in Japan and South Korea as a regional anticoagulant for the dialysis circuit, disseminated intravascular coagulation, and acute pancreatitis. Niyad is a lyophilized formulation of nafamostat, a broad-spectrum, synthetic serine protease inhibitor, with anticoagulant, anti-inflammatory, and potential anti-viral activities. The second intended indication for Niyad is as a regional anticoagulant for the dialysis circuit for chronic kidney disease patients undergoing intermittent hemodialysis in dialysis centers. In addition, the Company acquired LTX-608, a nafamostat formulation for direct IV infusion, that it intends to develop for the treatment of one or more of the following indications: ARDS, DIC, acute pancreatitis or as an anti-viral agent.
Liquidity and Going Concern
The condensed consolidated financial statements for the three months ended March 31, 2025 were prepared on the basis of a going concern, which contemplates that the Company will be able to realize assets and discharge liabilities in the normal course of business. The Company has incurred recurring operating losses and negative cash flows from operating activities since inception and expects to continue to incur operating losses and negative cash flows in the future. These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Considering the Company’s current cash resources and its current and expected levels of operating expenses for the next twelve months, management expects to need additional capital to fund its planned operations prior to the 12-month anniversary of the date this Quarterly Report on Form 10-Q is filed with the United States Securities and Exchange Commission, or the SEC.
Management may seek to raise such additional capital through public or private equity offerings, debt securities, a new debt facility, monetizing or securitizing certain assets, entering into product development, license or distribution agreements with third parties, or divesting any of the Company’s remaining product candidates. While management believes its plans to raise additional funds will alleviate the conditions that raise substantial doubt about the Company’s ability to continue as a going concern, these plans are not entirely within the Company’s control and cannot be assessed as being probable of occurring.
Additional funds may not be available when the Company needs them on terms that are acceptable to the Company, or at all. If adequate funds are not available, the Company may be required to further reduce its workforce, delay the ongoing clinical trial for Niyad, or delay the development of its regulatory filing plans for its product candidates in advance of the date on which the Company’s cash resources are exhausted to ensure that the Company has sufficient capital to meet its obligations and continue on a path designed to preserve stockholder value. In addition, if additional funds are raised through collaborations, strategic alliances or licensing arrangements with third parties, the Company may have to relinquish rights to its technologies, future revenue streams or product candidates, or to grant licenses on terms that may not be favorable to the Company.
Basis of Presentation
The accompanying condensed consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States, or GAAP, and with the rules and regulations of the U.S. Securities and Exchange Commission, or SEC, related to quarterly reports on Form 10-Q, and accordingly, they do not include all the information and disclosures required by GAAP for annual financial statements. These condensed consolidated financial statements and notes thereto should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024, as filed with the SEC on March 31, 2025. The unaudited financial information for the interim periods presented herein reflects all adjustments, consisting of normal recurring adjustments, which, in the opinion of management, are necessary for a fair statement of its financial position and the condensed consolidated results of operations for the periods presented. Results of operations for interim periods covered by this Quarterly Report on Form 10-Q may not necessarily be indicative of results of operations for the full fiscal year or any other interim period.
The condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiary. All intercompany accounts and transactions have been eliminated in consolidation.
The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and accompanying notes. Management believes its most significant accounting estimates relate to fair value of warrants, impairment of long-lived assets, management’s assessment of going concern, revenue recognition, liability related to the sale of future payments and accrued clinical trial liabilities. Management evaluates its estimates on an ongoing basis including critical accounting policies. Estimates are based on historical experience and on various other market-specific and other relevant assumptions that the Company believes to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results could differ from those estimates.
Significant Accounting Policies
The Company’s significant accounting policies are detailed in its Annual Report on Form 10-K for the year ended December 31, 2024. There have been no significant changes to the Company’s significant accounting policies during the three months ended March 31, 2025, from those previously disclosed in its 2024 Annual Report on Form 10-K.
Recently Adopted Accounting Pronouncements
In December 2023, the FASB issued ASU 2023-09,Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires companies to disclose, on an annual basis, specific categories in the effective tax rate reconciliation and provide additional information for reconciling items that meet a quantitative threshold. In addition, ASU 2023-09 requires companies to disclose additional information about income taxes paid. The Company has adopted ASU 2023-09 for its period beginning January 1, 2025, and it will be applied on a prospective basis. The adoption of ASU 2023-09 will not have a material impact on the Company’s condensed consolidated financial statements.
Recently Issued Accounting Pronouncements
In November 2024, the FASB issued ASU 2024-03,Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, or ASU 2024-03, which is intended to enhance transparency into the nature and function of expenses, primarily through additional disclosures on certain cost and expenses. Additionally, in January 2025, the FASB issued ASU 2025-01 to clarify the effective date of ASU 2024-03. This authoritative guidance is effective for the Company beginning with its annual disclosures for 2027 and interim periods beginning in 2028. Early adoption is permitted, and the amendments may be applied prospectively to reporting periods after the effective date or retrospectively to all periods presented in the financial statements. The Company is in the process of evaluating the impact of this new guidance on its disclosures.
The Company does not believe other recently issued but not yet effective accounting standards, if currently adopted, would have a material effect on the condensed consolidated financial statements.
2. Investments and Fair Value Measurement
Investments
The Company classifies its marketable securities as available for sale and records its investments at fair value. Available-for-sale securities are carried at estimated fair value based on quoted market prices or observable market inputs of almost identical assets, with the unrealized holding gains and losses included in accumulated other comprehensive income (loss).
As of March 31, 2025, and December 31, 2024, the contractual maturity of all investments held was less than one year.
The tables below summarize the Company’s cash and cash equivalents (in thousands):
| Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Fair Value | |
|---|---|---|---|---|
| Cash and cash equivalents: | ||||
| Cash | $725 | $— | $— | $725 |
| Money market funds | 1,755 | — | — | 1,755 |
| U.S. government agency securities | 2,908 | — | — | 2,908 |
| Total cash and cash equivalents | $5,388 | $— | $— | $5,388 |
| Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Fair Value | |
|---|---|---|---|---|
| Cash and cash equivalents: | ||||
| Cash | $364 | $— | $— | $364 |
| Money market funds | 2,632 | — | — | 2,632 |
| U.S. government agency securities | 5,867 | — | — | 5,867 |
| Total cash and cash equivalents | $8,863 | $— | $— | $8,863 |
At each reporting date, the Company performs an evaluation of impairment to determine if any unrealized losses are the result of credit losses. Impairment is assessed at the individual security level. Factors considered in determining whether a loss resulted from a credit loss or other factors include the Company’s intent and ability to hold the investment until the recovery of its amortized cost basis, the extent to which the fair value is less than the amortized cost basis, the length of time and extent to which fair value has been less than the cost basis, the financial condition of the issuer, any historical failure of the issuer to make scheduled interest or principal payments, any changes to the rating of the security by a rating agency, any adverse legal or regulatory events affecting the issuer or issuer’s industry, any significant deterioration in economic conditions. There were no material realized or unrealized gains or losses on marketable securities for the three months ended March 31, 2025 or the twelve months ended December 31, 2024. As such, the Company did not record a credit allowance for the three months ended March 31, 2025 or the year ended December 31, 2024.
Fair Value Measurement
The Company’s financial instruments consist of Level I and II assets. Money market funds are highly liquid investments and are actively traded. The pricing information on these investment instruments is readily available and can be independently validated as of the measurement date. This approach results in the classification of these securities as Level 1 of the fair value hierarchy. For Level II instruments, the Company estimates fair value by utilizing third-party pricing services in developing fair value measurements where fair value is based on valuation methodologies such as models using observable market inputs, including benchmark yields, reported trades, broker/dealer quotes, bids, offers and other reference data. Such Level II instruments typically include U.S. Treasury, U.S. government agency securities and commercial paper. As of March 31, 2025 and December 31, 2024, the Company held, in addition to Level II assets, a warrant liability related to the December 2022 Common Stock Warrants. The fair value of the warrant liability was estimated using the Black Scholes Model which uses as inputs the following weighted average assumptions: dividend yield, expected term in years; equity volatility; and risk-free interest rate. The Company follows the guidance in ASC 820 for its financial assets and liabilities that are re-measured and reported at fair value at each reporting period. The estimated fair value of the warrant liability represents a Level III measurement. Changes to the estimated fair value of these liabilities are recorded in change in fair value of warrant liability in the condensed consolidated statements of operations.
The following tables set forth the fair value of the Company’s financial assets by level within the fair value hierarchy (in thousands):
| Fair Value | Level I | Level II | Level III | |
|---|---|---|---|---|
| Assets | ||||
| Money market funds | $1,755 | $1,755 | $— | $— |
| U.S. government agency securities | 2,908 | — | 2,908 | — |
| Total assets measured at fair value | $4,663 | $1,755 | $2,908 | $— |
| Liabilities | ||||
| Warrant liability | $880 | $— | $— | $880 |
| Total liabilities measured at fair value | $880 | $— | $— | $880 |
| Fair Value | Level I | Level II | Level III | |
|---|---|---|---|---|
| Assets | ||||
| Money market funds | $2,632 | $2,632 | $— | $— |
| U.S. government agency securities | 5,867 | — | 5,867 | — |
| Total assets measured at fair value | $8,499 | $2,632 | $5,867 | $— |
| Liabilities | ||||
| Warrant liability | $1,061 | $— | $— | $1,061 |
| Total liabilities measured at fair value | $1,061 | $— | $— | $1,061 |
The following tables set forth a summary of the changes in the fair value of the Company’s Level III warrant liability for the three months ended March 31, 2025 and 2024 (in thousands):
| · Three Months Ended March 31, 2025 · Three Months Ended March 31, 2024 | |||
|---|---|---|---|
| Fair value—beginning of period | $1,061 | | $1,778 |
| Gain (loss) on change in fair value of December 2022 Common Stock Warrants liability | (181) | | 1,002 |
| Fair value—end of period | $880 | | $2,780 |
The common warrants issued in December 2022 to purchase an aggregate of 4,227,052 shares of common stock, or the December 2022 Common Stock Warrants, were accounted for by the Company as a liability. At March 31, 2025, the December 2022 Common Stock Warrants were valued at approximately $0.9 million, using the Black-Scholes option pricing model as follows: exercise price of $2.07 per share, stock price of $0.495 per share, expected life of 3.75 years, volatility of 98.15%, a risk-free rate of 3.93% and 0% expected dividend yield.
There were no transfers between Level I, Level II or Level III of the fair value hierarchy during the three months ended March 31, 2025, and the year ended December 31, 2024.
3. Discontinued Operations
On March 12, 2023, the Company entered into the Asset Purchase Agreement with Alora Pharmaceuticals, LLC, or Alora, for Alora’s acquisition of all assets related to DSUVIA, including inventories, equipment and intellectual property in exchange for consideration at closing of $1.1 million, a 15% payment on commercial sales of DSUVIA,75% payment on sales of DSUVIA to the Department of Defense and up to $116.5 million in sales-based milestones, or the DSUVIA Agreement. The transaction closed on April 3, 2023 (see Note 3, “Discontinued Operations” to the consolidated financial statements in the Company’s 2024 Annual Report on Form 10-K for additional information).
The following table presents the results of the discontinued operations for the three-month period ended March 31, 2025 and March 31, 2024 (in thousands):
| | Three months ended | |
|---|---|---|
| | March 31, | |
| | 2025 | 2024 |
| Change in estimated net liabilities of discontinued operations | $73 | $— |
| Net income from discontinued operations | $73 | $— |
The following table summarizes the carrying amounts of major classes of liabilities of discontinued operations for each of the periods presented (in thousands).
| | March 31, 2025 | December 31, 2024 |
|---|---|---|
| Accrued liabilities | $650 | $723 |
| Total current liabilities of discontinued operations | 650 | 723 |
| Net liabilities of discontinued operations | $(650) | $(723) |
4. Sale of Future Payments
On January 12, 2024, the Company and XOMA (US) LLC, or XOMA, entered into a Payment Interest Purchase Agreement, or the Purchase Agreement, for the sale by the Company to XOMA, in exchange for $8.0 million, of the Company’s right, title and interest in and to certain amounts payable to the Company, or collectively the Purchased Receivables, pursuant to the DSUVIA Agreement. See Note 7, “Sale of Future Payments” and Note 3, “Discontinued Operations” to the consolidated financial statements in the Company’s 2024 Annual Report on Form 10-K for additional information on the Purchase Agreement and DSUVIA Agreement, respectively.
The allocation of the consideration for the Purchase Agreement resulted in proceeds of $1.4 million reduced by $0.2 million of transaction costs being allocated to the sale of all future interest in payments related to commercial sales of DSUVIA representing its fair value. As a result of the Company’s loss of control, no further continuing involvement in, or rights to future payments related to commercial sales of DSUVIA, the Company recognized other income of $1.2 million in January 2024.
The Company evaluated the terms of the Purchase Agreement and concluded that the features of the Purchased Receivables are similar to those of a debt instrument. Accordingly, the Company recorded the allocated proceeds of approximately $6.6 million reduced by approximately $0.5 million of transaction costs, as a liability. The Company accounts for the value of the debt at amortized cost. The amounts received by the Company will be accreted to the total estimated amount of the payments necessary to extinguish the Company’s obligation under the Purchase Agreement, which will be recognized as interest expense. The carrying value of the debt will decrease for payments made to XOMA.
In October 2024, Alora Pharmaceuticals, LLC, or Alora, notified the Company that they are discontinuing their DSUVIA sales efforts to non-DoD customers. At this time, the Company is uncertain as to the impact of this decision on sales of DSUVIA to the DoD. As a result, the Company estimates that future payments under the Purchase Agreement will be less than the proceeds from the sale of such future payments. Accordingly, the Company will not recognize any related non-cash interest expense. When the expected payments under the sale of future payments are lower than the gross proceeds of $6.6 million received, the Company defers recognition of any probable contingent gain until the Company has met its obligations under the liability related to the sale of future payments. For the three months ended March 31, 2025, and 2024, the estimated effective interest rate under the agreement was approximately 0% and 13.3%, respectively.
The Company did not recognize any non-cash revenue or non-cash interest expense for the three months ended March 31, 2025, and did not recognize any non-cash payment interest revenue and recognized non-cash interest expense of approximately $0.2 million during the three months ended March 31, 2024. The interest and amortization of issuance costs are reflected as non-cash interest expense for the sale of future payments in the condensed consolidated statements of operations.
5. Commitments and Contingencies
Litigation
On June 8, 2021, a securities class action complaint was filed in the U.S. District Court for the Northern District of California against the Company andtwo of its officers. The plaintiff is a purported stockholder of the Company. The complaint alleged that defendants violated Sections 10(b) and 20(a) of the Exchange Act and SEC Rule 10b-5 by making false and misleading statements and omissions of material fact about the Company’s disclosure controls and procedures with respect to its marketing of DSUVIA. The complaint sought unspecified damages, interest, attorneys’ fees, and other costs. On December 16, 2021, the Court appointed co-lead plaintiffs. Plaintiffs’ amended complaint was filed on March 7, 2022. The amended complaint named the Company and three of its officers and continued to allege that defendants violated Sections 10(b) and 20(a) of the Exchange Act and SEC Rule 10b-5 by making false and misleading statements and omissions of material fact about the Company’s disclosure controls and procedures with respect to its marketing of DSUVIA. The amended complaint also asserted a violation of Section 20A of the Exchange Act against the individual defendants for alleged insider trading. The amended complaint sought unspecified damages, interest, attorneys’ fees, and other costs. The Court granted three motions to dismiss plaintiffs’ complaint: the first on September 28, 2022, the second on November 28, 2022, and the third, with prejudice on May 7, 2024. Judgment was entered for defendants on plaintiffs’ claims on May 7, 2024. On June 5, 2024, plaintiffs filed a notice of appeal in the United States Court of Appeals for the Ninth Circuit. Briefing on the appeal was complete on January 21, 2025. Oral argument for the appeal is set for June 12, 2025.
On July 6, 2021, a purported shareholder derivative complaint was filed in the U.S. District Court for the Northern District of California. The complaint names ten of the Company’s officers and directors and asserts state and federal claims based on the same alleged misstatements as the securities class action complaint. On September 30, 2021, October 26, 2021, and November 17, 2021, three additional purported shareholder derivative complaints were filed in the U.S. District Court for the Northern District of California. The complaints name nine of the Company’s officers and directors and also assert state and federal claims based on the same alleged misstatements as the securities class action complaint. All four complaints seek unspecified damages, attorneys’ fees, and other costs. On December 6, 2021, the Court entered an order consolidating all four actions and staying the consolidated action pending the outcome of any motion to dismiss the securities class action.
On February 16, 2024, another purported shareholder derivative complaint was filed in the Court of Chancery of the State of Delaware, asserting the same claims as those in the previously filed derivative actions. The case has been stayed pending the outcome of any motion to dismiss the securities class action.
Please see “Part II., Item 1A. Risk Factors—Risks of a General Nature—Litigation may substantially increase our costs and harm our business.”
The Company believes that these lawsuits are without merit and intends to vigorously defend against them. Given the uncertainty of litigation, the preliminary stage of the cases, and the legal standards that must be met for, among other things, class certification and success on the merits, the Company cannot estimate the reasonably possible loss or range of loss that may result from these actions. It is reasonably possible that this estimate may change in the near term. An adverse outcome regarding these matters could materially adversely affect the Company’s financial condition, results of operations, and cash flows.
6. Stock-Based Compensation
The Company recorded total stock-based compensation expense for stock options, restricted stock units, or RSUs, and the Amended and Restated 2011 Employee Stock Purchase Plan, or the Amended ESPP, as follows (in thousands):
| March 31, 2025 | March 31, 2024 | |
|---|---|---|
| Research and development | $77 | $107 |
| Selling, general and administrative | 119 | 195 |
| Total | $196 | $302 |
The following table summarizes restricted stock unit activity under the Company’s equity incentive plans:
| Weighted | ||
|---|---|---|
| Number of | Average | |
| Restricted | Grant Date | |
| Stock Units | Fair Value | |
| Restricted stock units outstanding, January 1, 2025 | 212,923 | $1.59 |
| Granted | — | — |
| Vested | (69,897) | 2.59 |
| Forfeited | — | — |
| Restricted stock units outstanding, March 31, 2025 | 143,026 | $1.10 |
Upon vesting, certain of the Company’s RSUs may be settled on a net-exercise basis to cover any required withholding tax with the remaining amount converted into an equivalent number of shares of common stock. There were 27,374 shares of common stock underlying vested RSUs that were withheld during the quarter ended March 31, 2025, based on the value of the RSUs as determined by the Company’s closing stock price on the applicable vesting date.
The following table summarizes stock option activity under the Company’s equity incentive plans:
| Number of Stock Options Outstanding | Weighted- Average Exercise Price | Weighted- Average Remaining Contractual Life (Years) | Aggregate Intrinsic Value | |
|---|---|---|---|---|
| (in thousands) | ||||
| January 1, 2025 | 1,786,900 | $12.48 | ||
| Granted | — | — | ||
| Forfeited | — | — | ||
| Expired | (8,000) | 37.70 | ||
| Exercised | — | — | ||
| March 31, 2025 | 1,778,900 | $12.37 | 7.4 | $— |
| Vested and exercisable options— March 31, 2025 | 825,541 | $25.19 | 5.7 | $— |
| Vested and expected to vest— March 31, 2025 | 1,778,900 | $12.37 | 7.4 | $— |
As of March 31, 2025, total stock-based compensation expense related to unvested options to be recognized in future periods was $0.9 million which is expected to be recognized over a weighted-average period of 2.4 years. As of March 31, 2025, there were 1,964,919 shares available for grant under the Company’s equity incentive plans and 139,544 shares available for grant under the Amended ESPP.
7. Net Loss per Share of Common Stock
The Company’s basic net loss per share of common stock is calculated by dividing the net loss by the weighted average number of shares of common stock outstanding for the period. The diluted net loss per share of common stock is computed by giving effect to all potential common stock equivalents outstanding for the period determined using the treasury stock method. For purposes of this calculation, options to purchase common stock, RSUs, and warrants to purchase common stock were considered to be common stock equivalents. In periods with a reported net loss, common stock equivalents are excluded from the calculation of diluted net loss per share of common stock if their effect is antidilutive. Potential common shares that are issuable for little or no cash consideration, such as the Company’s pre-funded warrants issued in January 2024 and July 2023 with a de minimis exercise price of $0.001 per share, and the Company’s pre-funded warrants issued in December 2022 with a de minimis exercise price of $0.0001 per share, are considered outstanding common shares which are included in the calculation of basic and diluted net income (loss) per share in all circumstances.
The following outstanding shares of common stock equivalents were excluded from the computation of diluted net loss per share of common stock for the periods presented because including them would have been antidilutive:
| Three Months Ended March 31, | ||
|---|---|---|
| 2025 | 2024 | |
| ESPP, RSUs and stock options to purchase common stock | 1,921,926 | 1,850,012 |
| Common stock warrants | 20,265,576 | 20,265,576 |
In addition, the shares contingently issuable in connection with the Lowell Merger, as described in Note 4, “Asset Acquisition” to the Company’s 2024 Annual Report on Form 10-K, have also been excluded from the computation of diluted net loss per share of common stock for the periods presented because the contingencies for issuance of these shares have not been met.
8. Segment Information
The Company reports segment information based on how it internally evaluates the operating performance of its business units, or segments. The Company hasone reportable segment, which is the development and commercialization of innovative therapies for use in medically supervised settings.
The Company’s chief operating decision maker, or CODM, which consists of its Chief Executive Officer and the Chief Financial Officer, reviews the Company’s operating results on an aggregate basis and manages the Company’s operations. The CODM assesses performance for the segment and decides how to allocate resources based on condensed consolidated net loss that is also reported on the condensed consolidated statements of operations. The CODM uses condensed consolidated net loss to evaluate the Company's spend and monitor budget versus actual results. The monitoring of budgeted versus actual results is used in assessing performance of the segment and in establishing resource allocation across the organization.
The measure of segment assets is reported on the condensed consolidated balance sheets as total condensed consolidated assets.
Factors used in determining the reportable segment include the nature of the Company's operating activities, the organizational and reporting structure and the type of information reviewed by the CODM to allocate resources and evaluate financial performance. The accounting policies of the segment are the same as those described in the summary of significant accounting policies.
All long-lived assets are maintained in the United States.
The table below is a summary of the segment loss, including significant segment expenses (in thousands):
| Three months ended March 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Revenue | $(27) | $— |
| Employee expense (not including stock-based compensation) | 1,338 | 1,868 |
| Development and clinical trial expense | 458 | 523 |
| Other general and administrative expense(a) | 927 | 1,388 |
| Other segment income, net(b) | (30) | 175 |
| Discontinued operations | (73) | — |
| Segment and condensed consolidated net loss | $(2,593) | $(3,954) |
(a)Other general and administrative expense includes consulting and professional services fees, insurance, facilities and other corporate expenses.
(b)Other segment income, net includes gain on sale of future payments, fair value adjustments to warrant liability, interest income and expense, and stock-based compensation expense and marketing support.
9. Subsequent Events
On April 2, 2025, the Company issued and sold to several institutional investors and a member of management, pursuant to the securities purchase agreement dated March 31, 2025, or the 2025 Private Placement: (i)3,405,118 shares of common stock at a price of $0.586 per share, and (ii) pre-funded warrants at a price of $0.585 per warrant to purchase up to an aggregate of 4,999,316 shares of common stock at an exercise price of $0.001 per share. The aggregate gross proceeds to the Company from the first closing of the 2025 Private Placement were approximately $4.9 million, before deducting approximately $0.5 million in placement agent fees and other estimated expenses payable by the Company, and excluding the proceeds, if any, from the exercise of the pre-funded warrants.
The second and third closings of the 2025 Private Placement will occur if the Company announces the enrollment of at least 17 and 35 patients, respectively, in its Niyad NEPHRO CRRT study and following such announcements the average volume weighted average price of its common stock for each of the immediately subsequent five trading days is at least $0.7325 per share. At each of the second and third closings, the Company expects to issue and sell to the same investors as the first closing shares of common stock at a price of $0.586 per share, or pre-funded warrants in lieu thereof at a price of $0.585 per warrant at an exercise price of $0.001 per share for gross proceeds of approximately $4.9 million at each such closing (approximately $9.8 million in the aggregate), before deducting placement agent fees and other estimated expenses payable by the Company, and excluding the proceeds, if any, from the exercise of the pre-funded warrants.
Pursuant to the registration rights agreement, the Company agreed to file registration statements under the Securities Act of 1933, as amended, with the Securities and Exchange Commission following the applicable closings covering the resale of the shares of common stock to be issued in the private placement and the shares of common stock underlying the pre-funded warrants.
The 2025 Private Placement released the entities affiliated with Nantahala Management, LLC from their obligations under the Nantahala Agreements related to the second tranche of the January 2024 Private Placement. Accordingly, the second tranche of the January 2024 Private Placement will not be consummated.
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.