As filed with the Securities and Exchange Commission on August 5, 2016January 13, 2021
Registration No. 333-          
 
Registration No. 333-212511


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
  
AMENDMENT NO. 2
TO

 
FORM S-1
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
  
AZURRX BIOPHARMA, INC.
AzurRx BioPharma, Inc.
(Exact name of registrant as specified in its charter)
  
Delaware
2834
2834

46-4993860
(State or other jurisdiction of
incorporation or organization)

(Primary standard industrial
classification code number)
Standard Industrial Classification Code Number)

(I.R.S. employer
identification number)
Employer Identification No.)
 
760 Parkside1615 South Congress Avenue, Suite 103
Downstate Biotechnology Incubator, Suite 217Delray Beach, Florida 33445
Brooklyn, New York 11226
(646)Telephone: (646) 699-7855
(Address, including zip code, and telephone number,
including area code, of registrant’s principal executive offices)
 
Johan M. (Thijs) Spoor, President and James Saperstein
Chief Executive Officer
AzurRx BioPharma, Inc.
760 Parkside1615 South Congress Avenue, Suite 103
Downstate Biotechnology Incubator, Suite 217Delray Beach, Florida 33445
Brooklyn, New York 11226
(646)Telephone: (646) 699-7855
 
(Name, address,(Address, including zip code, and telephone number,
including area code, of agent for service)
 
CopiesCopy to:
 
Fran Stoller,James O’Grady, Esq.
David J. Levine, Esq.
Loeb & Loeb LLP
345 Park Avenue
New York, NY 10154
Tel: (212) 407-4000
Fax: (212) 937-3943
Martin T. Schrier, Esq.
Christopher J. Bellini, Esq.
Cozen O’Connor
277 Park Avenue
New York, NY 10172
Tel: (212) 883-4900
Fax: (212) 986-0604
Michael J. Lerner, Esq.
Lowenstein Sandler LLP
1251 Avenue of the Americas

New York, New York 10020
Telephone: (212) 262-6700
    
Approximate date of commencement of proposed sale to the public:public: As soon as practicable after the effective date of this registration statement.Registration Statement is declared effective.
 
If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, check the following box. o
 
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. £
 
If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ¨
 
If this Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ¨
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 under the Securities Exchange Act of the Exchange Act.
1934. (Check one):
 
Large accelerated filer       ¨
Accelerated Filer
Accelerated filer                       ¨Filer
Non-accelerated filer         ¨
(Do not check if smaller reporting company)
Filer
Smaller reporting company     xReporting Company
Emerging Growth Company
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☒


 
CALCULATION OF REGISTRATION FEE
 
Title of Each Class of Security Being Registered 
Proposed Maximum Aggregate Offering Price (1)(2)
  
Amount of
Registration Fee (3)
 
Common Stock, $0.0001 par value $17,250,000  $1,738.00 
Title of Each Class of Securities to be Registered
 
Amount to be Registered (1)
 
 
Proposed Maximum Offering Price per Share (2)  
 
 
 
Proposed Maximum Aggregate Offering Price (2)
 
 
 
Amount of Registration Fee
 
Common stock, $0.0001 par value per share
  16,000,002(3)
 $0.8175 
 $13,080,001 
 $1,427.02 
 
(1) 
Includes common stock that may be issued upon exercise of a 45-day option granted to the underwriters to cover over-allotments, if any.
(2) Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(o) under the Securities Act of 1933, as amended.
Pursuant to Rule 416 under the Securities Act, there is also being registered hereby such indeterminate number of additional shares of Common Stock as may be issued or issuable because of stock splits, stock dividends stock distributions, and similar transactions.
(3) $228 was paid in connection with this filing and the balance was previously paid. Calculated pursuant to Rule 457(o) based on an estimate of the proposed maximum aggregate offering price.
 
(2) 
Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c) under the Securities Act of 1933, as amended. The proposed maximum offering price per share and proposed maximum aggregate offering price are based upon the average of the high $0.8490 and low $0.79 sale prices of our Common Stock on January 7, 2021, as reported on the Nasdaq Capital Market.
(3) 
Represents (i) 5,333,334 shares of Common Stock issuable upon conversion of outstanding shares of Series C Preferred Stock, and (ii) 10,666,668 shares of Common Stock issuable upon exercise of outstanding warrants.
The registrantRegistrant hereby amends this registration statement on such date or dates as may be necessary to delay its effective date until the registrantRegistrant shall file a further amendment whichthat specifically states that this registration statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, as amended, or until the registration statement shall become effective on such date as the Securities and Exchange Commission, acting pursuant to said Section 8(a), may determine.
 

 



 
The information in this prospectus is not complete and may be changed. We may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted.
 
PRELIMINARY PROSPECTUS SUBJECT TO COMPLETIONDATED AUGUST 5, 2016
2,142,857   Shares
SUBJECT TO COMPLETION, DATED JANUARY 13, 2021
 
Common StockPRELIMINARY PROSPECTUS
 
AZURRX BIOPHARMA, INC.16,000,002 Shares of Common Stock
Issuable upon Conversion of Outstanding Series C Preferred Stock and
Exercise of Outstanding Warrants
 


This is our initial public offeringprospectus relates to the resale from time to time, by the selling stockholder identified in this prospectus under the caption “Selling Stockholder,” of common stock.  No public market currently exists forup to 16,000,002 shares of our common stock.  We anticipatestock, par value $0.0001 per share (“Common Stock”), it may acquire upon (i) the initial public offering price will be between $6.00conversion of outstanding Series C 9.00% Convertible Junior Preferred Stock, par value $0.0001 per share (the “Series C Preferred Stock”), (ii) upon the exercise of outstanding warrants (“Investor Warrants”) and $8.00 per share.
(iii) upon We are selling 2,142,857the exercise of any pre-funded warrants (“Pre-funded Warrants”) issued or issuable upon the conversion of the Series C Preferred Stock. Up to 5,333,334 shares of common stock.our Common Stock are issuable upon conversion of the Series C Preferred Stock (or any Pre-funded Warrants, as applicable), and up to 10,666,668 shares of our Common Stock are issuable upon exercise of the Investor Warrants.
 
We haveissued the Series C Preferred Stock and the Investor Warrants to the selling stockholder in a private placement (the “Private Placement”) concurrent with a registered direct offering (the “Registered Direct Offering,” and together with the Private Placement, the “Offerings”) of additional shares of Series C Preferred Stock convertible into an additional 5,333,334 shares of Common Stock (or Pre-funded Warrants, as applicable), which was completed on January 6, 2021.
The certificate of designations for the Series C Preferred Stock (the “Series C Certificate of Designations”) contains limitations that prevent the holders thereof from acquiring shares of Common Stock upon conversion that would result in the number of shares beneficially owned by any such holder and its affiliates exceeding 9.99% of the total number of shares of Common Stock outstanding immediately after giving effect to the conversion (the “Beneficial Ownership Limitation”). As a result, the Series C Certificate of Designation provides for the issuance of Pre-funded Warrants to purchase shares of our Common Stock, with an exercise price of $0.001 per share and with no expiration date, if necessary to comply with the Beneficial Ownership Limitation. Accordingly, this offering also relates to the Pre-funded Warrants issuable upon conversion of the Series C Preferred Stock being offered by this prospectus and to the shares of Common Stock issuable upon exercise of such Pre-funded Warrants.
Except to the extent effective stockholder approval has been obtained to amend our certificate of incorporation to increase the number of authorized shares of Common Stock above 150,000,000 and to comply with the applicable stockholder approval rules and regulations of the Nasdaq Stock Market (the “Stockholder Approval”), our outstanding Series C Preferred Stock will not be convertible into shares of Common Stock (or any Pre-funded Warrants exercisable into shares of Common Stock, as applicable) in excess of 6,186,966 shares in the aggregate (the “Issuable Maximum”), which amount equals 19.99% of the shares of Common Stock outstanding as of December 30, 2020, the date prior to the date of this prospectus. Any conversions of Series C Preferred Stock will be processed in the order in which we receive such conversion request from the holders of Series C Preferred Stock, and not on a pro rata basis. The Issuable Maximum shall be applied collectively, when any conversions of Series C Preferred Stock are aggregated together with all shares of Common Stock issuable in respect of certain Related Transactions described herein, including the Registered Direct Offering. See “Description of Capital Stock– Series C Preferred Stock” for additional information. As a result of the conversion, immediately upon consummation of the Registered Direct Offering, of 5,333.3333 shares of Series C Preferred Stock into Common Stock and Pre-funded Warrants, 853,632 shares of Common Stock remained available for issuance below the Issuable Maximum as of January 11, 2021.
Upon receipt of the Stockholder Approval, we anticipate to listconvert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-Funded Warrants, as applicable).
In addition, until the commonStockholder Approval has been obtained, the Investor Warrants and any Pre-funded Warrants held by the selling stockholder named herein may not be exercised for any shares of our Common Stock.

The selling stockholder may, from time to time, sell, transfer or otherwise dispose of any or all of their shares of Common Stock or interests in their shares of Common Stock on any stock exchange, market or trading facility on The NASDAQwhich the shares of Common Stock are traded or in private transactions. These dispositions may be at fixed prices, at prevailing market prices at the time of sale, at prices related to the prevailing market price, at varying prices determined at the time of sale, or at negotiated prices. See “Plan of Distribution” in this prospectus for more information. We will not receive any proceeds from the resale or other disposition of the Common Stock by the selling stockholder. However, we will receive the proceeds of any cash exercise of the Warrants. See “Use of Proceeds” beginning on page 39 and “Plan of Distribution” beginning on page 8 of this prospectus for more information.
Our Common Stock is listed on the Nasdaq Capital Market or NASDAQ, under the symbol “AZRX.” On January 12, 2021, the last reported sale price of our Common Stock as reported on the Nasdaq Capital Market was $0.9090 per share.
 
We are an “emerging growth company” as definedthat term is used in the Jumpstart Our Business Startups Act of 2012, and, as such, may electwe have elected to comply withtake advantage of certain reduced public company reporting requirements afterfor this offering. See “Prospectus Summary—Emerging Growth Company Status.”prospectus and future filings.
 
Investing in our securities involves a high degree of risk.  You should carefully consider the risk factors beginning on page 6 ofread this prospectus, together with additional information described under the headings “Information Incorporated by Reference” and “Where You Can Find More Information,” carefully before purchasing sharesyou invest in any of our common stock.
_______________________
securities.
 
  Price to Public  
Underwriting Discounts and Commissions(1)
  Proceeds to Us 
Per Share
 
$
7.00 
  
$
0.49 
  
$
6.51 
 
Total
 
$
15,000,000 
  
$
1,050,000 
  
$
13,950,000 
 

(1) See “Underwriting”This prospectus contains or incorporates by reference summaries of certain provisions contained in some of the documents described herein, but reference is made to the actual documents for additional information regarding underwriting compensation.
Wecomplete information. All the summaries are qualified in their entirety by the actual documents. Copies of some of the documents referred to herein have grantedbeen filed or have been incorporated by reference as exhibits to the underwritersregistration statement of which this prospectus forms a part, and you may obtain copies of those documents as described in this prospectus under the right to purchase an additional 321,429 shares of our common stock to cover over-allotments.
heading “Where You Can Find More Information.
 
Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or determined if this prospectus is truthful or complete. Any representation to the contrary is a criminal offense.
_______________________
 
The underwriters expect to deliver the shares of common stock to purchasers on           , 2016.
WallachBeth Capital, LLCNetwork 1 Financial Securities, Inc.
The date of this prospectusProspectus is         , 20162021

 
 

 
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 F-1
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F-1 II-9
 

 
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SUMMARYABOUT THIS PROSPECTUS
We have not authorized anyone to provide you with information that is different from that contained in this prospectus or in any free writing prospectus we may authorize to be delivered or made available to you. When you make a decision about whether to invest in our securities, you should not rely upon any information other than the information in this prospectus or in any free writing prospectus that we may authorize to be delivered or made available to you. Neither the delivery of this prospectus nor the sale of our securities means that the information contained in this prospectus or any free writing prospectus is correct after the date of this prospectus or such free writing prospectus. This prospectus is not an offer to sell or the solicitation of an offer to buy our securities in any circumstances under which the offer or solicitation is unlawful.
For investors outside the United States: We have not taken any action that would permit this offering or possession or distribution of this prospectus in any jurisdiction where action for that purpose is required, other than in the United States. Persons outside the United States who come into possession of this prospectus must inform themselves about, and observe any restrictions relating to, the offering of the securities covered hereby and the distribution of this prospectus outside the United States.
 
This summary highlightsprospectus contains summaries of certain information appearing elsewhereprovisions contained in some of the documents described herein, but reference is made to the actual documents for complete information. All of the summaries are qualified in their entirety by the full text of the actual documents, some of which have been filed or will be filed and incorporated by reference herein. See “Information Incorporated by Reference” and “Where You Can Find More Information” in this prospectus. ForWe further note that the representations, warranties and covenants made by us in any agreement that is filed as an exhibit to any document that is incorporated by reference into this prospectus were made solely for the benefit of the parties to such agreement, including, in some cases, for the purpose of allocating risk among the parties to such agreements, and should not be deemed to be a more complete understandingrepresentation, warranty or covenant to you. Moreover, such representations, warranties or covenants were accurate only as of this offering, youthe date when made. Accordingly, such representations, warranties and covenants should readnot be relied on as accurately representing the entirecurrent state of our affairs.
This prospectus carefully,contains and incorporates by reference certain market data and industry statistics and forecasts that are based on studies sponsored by us, independent industry publications and other publicly available information. Although we believe these sources are reliable, estimates as they relate to projections involve numerous assumptions, are subject to risks and uncertainties, and are subject to change based on various factors, including the informationthose discussed under “Risk Factors” and our financial statements and the related notes included elsewhere in this prospectus before investingand under similar headings in our common stock.the documents incorporated by reference herein and therein. Accordingly, investors should not place undue reliance on this information.
 
In this prospectus, unless otherwise stated or the context otherwise requires, references to “AzurRx,” “Company,” “we,” “us,” “our,” or similar references mean AzurRx BioPharma, Inc. and its subsidiaries on a consolidated basis. References to “AzurRx BioPharma” refer to AzurRx BioPharma, Inc. on an unconsolidated basis. References to “AzurRx SAS” refer to AzurRx BioPharma SAS, AzurRx BioPharma’s wholly-owned subsidiary through which we conduct our European operations.

Our Company-1-
 
We are engaged in the research and development of non-systemic biologics for the treatment of patients with gastrointestinal disorders. Non-systemic biologics are non-absorbable drugs that act locally without reaching the systemic circulation, i.e. the intestinal lumen, skin or mucosa.  Our current product pipeline consists of two therapeutic proteins under development:
 
 
PROSPECTUS SUMMARY
This summary highlights information contained elsewhere in this prospectus. This summary does not contain all of the information that you should consider before deciding to invest in our securities. You should read this entire prospectus carefully, including the “Risk Factors” section in this prospectus and under similar captions in the documents incorporated by reference into this prospectus. In this prospectus, unless otherwise stated or the context otherwise requires, references to “AzurRx”, “Company”, “we”, “us”, “our” or similar references mean AzurRx BioPharma, Inc. and its subsidiaries on a consolidated basis. References to “AzurRx BioPharma” refer to AzurRx BioPharma, Inc. on an unconsolidated basis. References to “AzurRx SAS” refer to AzurRx SAS, AzurRx BioPharma’s wholly-owned subsidiary through which we conduct our European operations.
Overview
We are engaged in the research and development of targeted, non-systemic therapies for the treatment of patients with gastrointestinal (“GI”) diseases. Non-systemic therapies are non-absorbable drugs that act locally, i.e. the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation. 
We are currently focused on developing our pipeline of three gut-restricted GI clinical drug candidates. The lead therapeutic candidate is MS1819, - an autologous (from the same organism) yeasta recombinant lipase for the treatment of exocrine pancreatic insufficiency (EPI)(“EPI”) in patients with cystic fibrosis and chronic pancreatitis, currently in two Phase 2 clinical trials. We plan to launch two clinical programs using proprietary formulations of niclosamide, a pro-inflammatory pathway inhibitor; FW-420, for grade 1 Immune Checkpoint Inhibitor-Associated Colitis (“ICI-AC”) and diarrhea in oncology patients and FW-1022, for Severe Acute Respiratory Syndrome Coronavirus 2 (“COVID-19” or “COVID”) gastrointestinal infections. Each drug candidate is described below:
MS1819
MS1819 is a recombinant lipase enzyme for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with cystic fibrosis (“CF”) and chronic pancreatitis (CP)(“CP”). MS1819, supplied as an oral non-systemic biologic capsule, is derived from the Yarrowia lipolytica yeast lipase and cystic fibrosis (CF). A recombinant lipase is an enzyme that breaks up fat molecules whichin the digestive tract of EPI patients so that they can be absorbed as nutrients. Unlike the standard of care, the MS1819 synthetic lipase does not contain any animal products.
EPI is created from new combinationsa condition characterized by deficiency of genetic materialthe exocrine pancreatic enzymes, resulting in yeast.a patient’s inability to digest food properly, or maldigestion. The deficiency in this enzyme can be responsible for greasy diarrhea, fecal urge and weight loss. There are more than 30,000 patients with EPI caused by CF according to the Cystic Fibrosis Foundation approximately and approximately 90,000 patients in the U.S. with EPI caused by CP according to the National Pancreas Foundation. Patients are currently treated with porcine pancreatic enzyme replacement pills (“PERT”).
MS1819 – Phase 2b OPTION 2 Cystic Fibrosis Monotherapy Studies
On October 17, 2019, we announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board (the “CFF DSMB”) completed its review of our final results of the OPTION Cross-Over Study and had found no safety concerns for MS1819, and that the CFF DSMB supported our plan to proceed to a higher 4.4 gram dose of MS1819 with enteric capsules in the multi-center dose escalation Phase 2b OPTION clinical trial (the “OPTION 2 Trial”). In December 2019, the Company submitted the clinical trial protocol to the existing IND at the FDA. The clinical trial protocol has been reviewed by the FDA with no comments. In April 2020, the Company received approval to conduct the OPTION 2 Trial in Therapeutics Development Network (“TDN”) clinical sites in the U.S. as well as Institutional Review Board (“IRB”) approval to commence the OPTION 2 Trial.
 
-2-

 

AZX1101 -The OPTION 2 Trial is designed to investigate the safety, tolerability and efficacy of MS1819 (2.2 gram and 4.4 gram doses in enteric capsules) in a recombinant head-to-head manner versus the current standard of care, porcine pancreatic enzyme replacement therapy (βPERT”) pills. The OPTION 2 Trial will be an open-label, crossover study, conducted in 15 sites in the U.S. and Europe. A total of 30 CF patients 18 years or older will be enrolled.  MS1819 will be administered in enteric capsules to provide gastric protection and allow optimal delivery of enzyme to the duodenum.  Patients will first be randomized into two cohorts: to either the MS1819 arm, where they receive a 2.2 gram daily oral dose of MS1819 for three weeks; or to the PERT arm, where they receive their pre-study dose of PERT pills for three weeks. After three weeks, stools will be collected for analysis of coefficient of fat absorption (CFA”). Patients will then be crossed over for another three weeks of the alternative treatment. After three weeks of cross-over therapy, stools will again be collected for analysis of CFA. A parallel group of patients will be randomized and studied in the same fashion, using a 4.4 gram daily dose of MS1819. All patients will be followed for an additional two weeks after completing both crossover treatments for post study safety observation. Patients will be assessed using descriptive methods for efficacy, comparing CFA between MS1819 and PERT arms, and for safety.-lactamase combination
We initiated the OPTION 2 Trial in July 2020 with the first patient screened and three clinical trial sites activated in the U.S. In August 2020, the Company dosed the first patients and initiated the European arm of bacterial originthe OPTION 2 Trial. Topline data is anticipated in the first quarter of 2021; however, this timeline may be further delayed due to the COVID-19 pandemic.  
In November 2020, we submitted a protocol amendment for the preventionOPTION 2 Trial to add a study arm that uses an immediate release MS1819 capsule to compare data from the existing arm, that uses delayed-release enteric capsules with data from the new arm, that uses immediate release capsules, in order to determine the optimal dose and delivery method. We plan to initiate the OPTION 2 study extension in early first quarter 2021.
MS1819 – Phase 2 Combination Therapy Study
In addition to the monotherapy studies, we launched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Europe to investigate MS1819 in combination with PERT, for CF patients who suffer from severe EPI but continue to experience clinical symptoms of hospital-acquired infections by resistant bacterial strains induced by parenteral administrationfat malabsorption despite taking the maximum daily dose of β-lactam antibiotics, as well as preventionPERTs. The Combination Trial is designed to investigate the safety, tolerability and efficacy of antibiotic-associated diarrhea (AAD). A recombinant β-lactamase is an enzyme that breaks up moleculesescalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a beta-lactam ring asstable dose of PERTs, in order to increase CFA and relieve abdominal symptoms in uncontrolled CF patients. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI.
We dosed the first patients in its Combination Trial in Hungary in October 2019. Planned enrollment is often seenexpected to include approximately 24 CF patients with severe EPI, at clinical trial sites in antibiotics, whichHungary and additional countries in Europe, including Turkey. Topline data is created from new combinationscurrently expected in the first half of genetic material2021; however, this timeline may be further delayed due to the COVID-19 pandemic.
We announced positive interim data on the first five patients in yeast.the Combination Trial in August 2020. The primary efficacy endpoint was met, with CFAs greater than 80% for all patients across all visits. For secondary efficacy endpoints, we observed that stool weight decreased, the number of stools per day decreased, steatorrhea improved, and body weight increased. Additionally, no serious adverse events were reported.
We opened a total of five clinical sites for the Combination Trial in Turkey in October 2020 and announced that its first patients were dosed in November 2020. We currently have a total of nine of the expected ten sites in Europe active and recruiting patients.
 
Our initial product, MS1819, is intended to treat patients suffering from EPI who are currently treated with porcine pancreatic extracts, or PPEs, which have been on the market since 1938.  The PPE market is well established and growing with estimated sales of $880 million in the U.S. in 2015 (based on a 20% discount to IMS Health’s 2015 prescription data) and has been growing for the past five years at a compound annual growth rate of 22% according to IMS Health 2009-2014 data. In spite of their long-term use, however, PPEs suffer from poor stability, formulation problems, possible transmission of conventional and non-conventional infectious agents due to their animal origins, possible adverse events at high doses in patients with CF and limited effectiveness. We believe that MS1819, if successfully developed and approved for commercialization, can address these shortcomings associated with PPEs.
-3-
Phase I/IIa testing of MS1819 was completed in March 2011 and we anticipate initiating a phase IIb clinical trial during the middle of 2016.  We expect to use a substantial portion of the proceeds of this offering to conduct the necessary formulation work and validation and stabilization testing on the MS1819 capsules that will be used in future clinical studies, as well as to conduct the trial. While enrollment criteria and statistical considerations for the phase IIb clinical trial will be dependent on the outcome of discussions we expect to have with the U.S. Food and Drug Administration ("FDA"), we expect enrollment in this trial to last for up to 18 months depending on a number of factors, including but not limited to the number of clinical trial sites and local patient demographics. The trial is expected to have both an open-label and randomized component and we anticipate having initial results from the open-label, dose-escalation arm of the trial available approximately six months following the initiation of the trial.


Our second non-systemic biologic product under preclinical development, AZX1101, is designed to protect the gut microbiome (gastrointestinal (GI) microflora) from the effects of certain commonly used intravenous (IV) antibiotics for the prevention of C. difficile infection (CDI) and antibiotic-associated diarrhea (AAD).  CDIs are a leading type of hospital acquired infection (HAI) and are frequently associated with IV antibiotic treatment. Designed to be given orally and co-administered with a broad range of IV beta-lactam antibiotics (e.g., penicillins, cephalosporins and aminogycosides), AZX1101 is intended to protect the gut while the IV antibiotics fight the primary infection. AZX1101 is believed to have the potential to protect the gut from a broad spectrum of IV beta-lactam antibiotics. Beta-lactam antibiotics are a mainstay in hospital infection management and include the commonly used penicillin and cephalosporin classes of antibiotics. AZX1101’s target market is significant and, according to IMS Health and CDM Hospital 2012 databases, represented by U.S. hospitals’ purchases of approximately 118 million doses of IV beta-lactam antibiotics annually, which are administered to approximately 14 million patients. Currently there are no approved treatments designed to protect the gut microbiome from the damaging effects of IV antibiotics.
 
We intend to use a portion of the proceeds of this offering to fund the additional preclinical studies needed to file an Investigational New Drug Application, or IND, with the FDA.
Emerging Growth Company Status
We qualify as an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2012, which we refer to as the JOBS Act. As a result, we are permitted to, and intend to, rely on exemptions from certain disclosure requirements that are applicable to other companies that are not emerging growth companies. Accordingly, we have included detailed compensation information for only our three most highly compensated executive officers and have not included a compensation discussion and analysis, or CD&A, of our executive compensation programs in this prospectus. In addition, for so long as we are an “emerging growth company,” we will not be required to:
 
 

engageWe do not expect to generate revenue from drug candidates that we develop until we obtain approval for one or more of such drug candidates and commercialize our product or enter into a collaborative agreement with a third party. We do not have any products approved for sale at the present and have never generated revenue from product sale. 
Recent Developments
License Agreement with First Wave Bio, Inc.
On December 31, 2020, we entered into a License Agreement (the “First Wave License Agreement”) with First Wave Bio, Inc. (“First Wave”). Pursuant to the First Wave License Agreement, First Wave granted us a worldwide, exclusive right to develop, manufacture, and commercialize First Wave’s proprietary immediate release and enema formulations of niclosamide for the fields of treating ICI-AC and COVID in humans (the “Product”). The Product uses First Wave’s proprietary formulations of niclosamide, a pro-inflammatory pathway inhibitor. We plan to commence in 2021 both a Phase 2 trial of the Product for COVID in GI and a Phase 1b/2a trial for ICI-AC.
In consideration of the license and other rights granted by First Wave, we paid First Wave a $9.0 million upfront cash payment and are obligated to make an auditoradditional payment of $1.25 million due on June 30, 2021. In addition, we are obligated to reportpay potential milestone payments to First Wave totaling up to $37.0 million for each indication, based upon the achievement of specified development and regulatory milestones. Under the First Wave License Agreement we are obligated to pay First Wave royalties as a mid-single digit percentage of net sales of the Product, subject to specified reductions.
In addition, on our internal controls over financial reportingJanuary 8, 2021, pursuant to Section 404(b)the First Wave License Agreement we entered into a securities purchase agreement with First Wave (the “First Wave Purchase Agreement”) pursuant to which we issued to First Wave, on that same day, 3,290.1960 shares of Series C Preferred Stock, initially convertible into an aggregate of 3,290,196 shares of Common Stock, at an initial stated value of $750.00 per share and a conversion price of $0.75 per share, which was the equivalent of $3.0 million based upon the volume weighted average price of our Common Stock for the five-day period immediately preceding the date of the Sarbanes–Oxley ActFirst Wave License Agreement, or $0.9118 per share. The First Wave Purchase Agreement contains demand and piggyback registration rights with respect to the Common Stock issuable upon conversion.
Pursuant to the First Wave Purchase Agreement, the shares of 2002, orSeries C Preferred Stock issued to First Wave are not convertible prior to the Sarbanes–Oxley Act;Stockholder Approval.
 
 
comply with any requirement that may be adopted by the Public Company Accounting Oversight Board, or the PCAOB, regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial statements (i.e., an auditor discussion and analysis);
 

submit certain executive compensation matters to shareholder advisory votes, such as “say-on-pay,” “say-on-frequency,”Registered Direct Offering and “say-on-golden parachutes;” orPrivate Placement
 
On December 31, 2020, we entered into a securities purchase agreement (the “Series C Purchase Agreement”) with the selling stockholder named herein, pursuant to which we agreed to sell in the Registered Direct Offering 5,333.333 shares of Series C Preferred Stock, at a price of $750 per share, initially convertible into an aggregate of 5,333,334 shares of Common Stock, which is equivalent to the Issuable Maximum, at an initial stated value of $750.00 per share and a conversion price of $0.75 per share. The Registered Direct Offering closed on January 6, 2020.
Upon the closing of the Registered Direct Offering, the selling stockholder converted all of its Series C Preferred Stock issued in the Registered Direct Offering, effective immediately upon the closing. Upon such conversion, in lieu of the issuance of shares of Common Stock, the Series C Certificate of Designation provides for the issuance of Pre-funded Warrants to purchase shares of Common Stock, with an exercise price of $0.001 per share and no expiration term, if necessary to comply with the Beneficial Ownership Limitation contained therein. Accordingly, the investor received upon the closing of the Registered Direct Offering, an aggregate of 3,400,000 shares of Common stock and Pre-funded Warrants to purchase up to 1,933,334 shares of Common stock.
disclose certain executive compensation related items such
Concurrently with the Registered Direct Offering, in the Private Placement pursuant to the Series C Purchase Agreement, we also sold to the selling stockholder named herein, an additional 5,333.333 shares of Series C Preferred Stock at the same price as the correlation between executive compensationSeries C Preferred Stock offered in the Registered Direct Offering, which shares are convertible into an aggregate of 5,333,334 shares of our Common stock, together with Investor Warrants to purchase up to an aggregate of 10,666,668 shares of Common Stock, with an exercise price of $0.80 per share and performancean expiration term of five and comparisona half years from the date of issuance. The Private Placement closed on January 6, 2020.
The aggregate gross proceeds from the Offerings, excluding the net proceeds, if any, from the exercise of the chief executive officer’s compensation to median employee compensation.
In addition, the JOBS Act providesInvestor Warrants, were $8.0 million and we estimate that an “emerging growth company” can use the extended transition period for complying with new or revised accounting standards.


We will remain an “emerging growth company” until the earliest to occur of:
our reporting $1 billion or more in annual gross revenues;
our issuance, in a three -year period, of more than $1 billion in non-convertible debt;
the end of the fiscal year in which the market value of our common stock held by non-affiliates exceeds $700 million on the last business day of our second fiscal quarter; and
March 31, 2021.
Our Corporate Information
We were incorporated on January 30, 2014 in the State of Delaware. In June 2014, we acquired 100% of the issued and outstanding capital stock of AzurRx BioPharma SAS (formerly ProteaBio Europe SAS), a company incorporated in October 2008 under the laws of France that had been a wholly-owned subsidiary of Protea Biosciences, Inc., or Protea Sub, in turn a wholly-owned subsidiary of Protea Biosciences Group, Inc., a publicly-traded company.  Our principal executive offices are located at 760 Parkside Avenue, Downstate Biotechnology Incubator, Suite 217, Brooklyn, NY 11226. Our telephone number is 646-699-7855. We maintain a website at www.azurrx.com. The information contained on our website is not, and should not be interpreted to be, a part of this prospectus.

Common stock being offered by us............................................................
2,142,857 shares
Common stock tonet proceeds will be outstanding immediately after this offering..........
10,813,945 shares (1)
Over-allotment option...................................................................................
321,429 shares
Use of proceeds.............................................................................................
approximately $6.8 million. We intend to use the net proceeds from this offeringthe Offerings to continue clinical developmentfund the payment of the cash consideration payable to First Wave under the First Wave License Agreement, and testing of MS1819, to advance our preclinical AZX1101 program to pay back convertible debt notes note converted in the IPO and for working capital and other general corporate purposes.
 
Proposed NASDAQ trading symbol...........................................................Until we have obtained the Stockholder Approval, we may not issue, upon conversion of the Series C Preferred Stock and certain related transactions, a number of shares of Common Stock which would exceed 6,186,966 shares of Common Stock in the aggregate, which amount is equal to the Issuable Maximum. The Issuable Maximum shall be applied collectively, when any conversions of Series C Preferred Stock are aggregated together with all shares of Common Stock issuable upon conversion or exchange of any securities issued in certain transactions related to the Offerings, including (i) any shares of Series C Preferred Stock issued to First Wave as consideration for the First Wave License Agreement, (ii) any warrants issued as compensation to the placement agent in the Offerings and (iii) any securities issuable to holders of the Exchange Rights (as defined and further described below) as a result of the Offerings. Any conversions of Series C Preferred Stock will be processed in the order in which we receive such conversion request from the holders of Series C Preferred Stock, and not on a pro rata basis. As a result of the conversion, immediately upon consummation of the Registered Direct Offering, of 5,333.3333 shares of Series C Preferred Stock into Common Stock and Pre-funded Warrants, 853,632 shares of Common Stock remained available for issuance below the Issuable Maximum as of January 11, 2021.
Upon receipt of the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-Funded Warrants, as applicable).
 
“AZRX”
Risk factors.....................................................................................................The securities offered by this prospectus are speculative and involve a high degree of risk and investors purchasing securities should not purchase the securities unless they can afford the loss of their entire investment. See “Risk Factors” beginning on page 6.
 
(1) The number
 
 

1,092,800In connection with the Offerings, we issued to H.C. Wainwright & Co. LLC (“Wainwright”) and its designees certain warrants (the “Placement Agent Warrants”) exercisable for up to 746,667 shares of common stockCommon Stock, which is equal to 7.0% of the amount determined by dividing the gross proceeds of the Offerings by the offering price per share of Common Stock, or $0.75. The Placement Agent Warrants have substantially the same terms as the Investor Warrants, except an exercise price of $0.9375, or 125% of the per share price of the Series C Preferred Stock issued in the Offerings. The Placement Agent Warrants are not exercisable until the Stockholder Approval is obtained.
Pursuant to the Series C Purchase Agreement, we must hold a meeting of our stockholders not later than March 31, 2021 to seek such approval as may be required from our stockholders, in accordance with applicable law, the applicable rules and regulations of the Nasdaq Stock Market, our certificate of incorporation and bylaws and the General Corporate Law of the State of Delaware with respect to the issuance of shares of Common Stock upon conversion or exercise of the Series C Preferred Stock and the Warrants sold in the Private Placement and the related transactions described herein, including (x) an increase in the number of authorized shares of Common Stock above 150,000,000 and (y) the potential issuance of shares of Common Stock in excess of the Issuable Maximum. We have scheduled a special meeting (the “Special Meeting”) of our stockholders to be held on February 24, 2021 at 9:00 A.M., Eastern Time in order to obtain the Stockholder Approval. Only holders of record of our Common Stock as of the close of business on January 4, 2021 are entitled to notice of and to vote at the Special Meeting.
The terms of the Offerings were previously reported in our Current Reports on Form 8-K filed on January 4, 2021 and January 8, 2021.
Registration Rights Agreement
In connection with the Offerings, we entered into a registration rights agreement, dated as of December 31, 2020 (the “Registration Rights Agreement”), with the selling stockholder, pursuant to which we undertook to file, within 30 days following the closing of the Offerings, this registration statement to register the shares of Common Stock issuable upon (i) the conversion of the Series C Preferred Stock sold in the Private Placement, (ii) the exercise of the Investor Warrants sold in the Private Placement and (iii) the exercise of any Pre-funded Warrants issued or issuable upon the exerciseconversion of the Series C Preferred Stock sold in the Private Placement (collectively, the “Registrable Securities”). We are filing this registration statement, of which this prospectus forms a part, to register the resale of the Registerable Securities by the selling stockholder named herein in compliance with our obligations under the Registration Rights Agreement.
Corporate Information
We were incorporated on January 30, 2014 in the State of Delaware.  In June 2014, we acquired 100% of the issued and outstanding optionscapital stock of AzurRx SAS. Our principal executive offices are located at 1615 South Congress Avenue, Suite 103, Delray Beach, Florida 33445. Our telephone number is (646) 699-7855. We maintain a website at www.azurrx.com. The information contained on our website is not, and warrants atshould not be interpreted to be, a weighted average exercise pricepart of $5.75 per share; and
this prospectus.
 

 
THE OFFERING
Securities to be Offered by the Selling Stockholder
Up to 16,000,002 shares of Common Stock issuable upon conversion of the Series C Preferred Stock (or Pre-funded Warrants, as applicable) and exercise of the Investor Warrants.
1,081,395
Use of ProceedsThe Common Stock to be offered and sold using this prospectus will be offered and sold by the selling stockholder named in this prospectus. Accordingly, we will not receive any proceeds from any sale of shares reservedof our Common Stock in this offering. A portion of the shares covered by this prospectus may be issued upon exercise of the Warrants. Upon any cash exercise of the Warrants, the selling stockholder will pay us the applicable exercise price. We anticipate that proceeds that we receive from the cash exercise of such warrants, if any, will be used for issuanceworking capital and general corporate purposes, including, without limitation, development of our product candidates, and general and administrative expenses. It is possible that, pending their use, we may invest the net proceeds in a way that does not yield a favorable, or any, return for us. See the section entitled “Use of Proceeds” in this prospectus.
Risk FactorsYou should read the section entitled “Risk Factors” in this prospectus for a discussion of the factors to consider carefully before deciding to invest in shares of our Common Stock.
Nasdaq Capital Market SymbolOur Common Stock is listed on the Nasdaq Capital Market under our equity incentive plans.the symbol “AZRX.”


 
Unless otherwise stated, all
RISK FACTORS
Investing in our securities involves a high degree of risk. You should carefully consider the risks and uncertainties described below, together with the other information in this prospectus, assumes:
the conversion of our outstanding shares of preferred stock into 878,171 shares of common stock;
the conversion of our outstanding convertible notes into 2,642,160 shares of common stock immediately prior to the closing of this offering based on the assumed initial public offering price of $7.00 per share, the midpoint of the price range set forth on the cover page of this prospectus; and
no exercise of the underwriters’ over-allotment option to purchase additional shares.
SUMMARY CONSOLIDATED FINANCIAL AND OTHER DATA
The following table presents our summary consolidated historical financial data forthis prospectus and in the periods presented and should be read in conjunction withsection titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations”Operations,” before deciding whether to invest in our securities. The occurrence of one or more of the events or circumstances described in these risk factors, alone or in combination with other events or circumstances, may have a material adverse effect on the our business, reputation, revenue, financial condition, results of operations and future prospects, in which event the financial statementsmarket price of our Common Stock could decline, and notes thereto included elsewhereyou could lose part or all of your investment. Unless otherwise indicated, reference in this prospectus. The consolidated statements of operations data for the fiscal years ended December 31, 2014 and 2015 are derived from our audited consolidated financial statements included elsewhere in this prospectus.  The summary consolidated statements of operations data for the three months ended March 31, 2016 and 2015 and the consolidated balance sheet data as of March 31, 2016 have been derived from our unaudited interim consolidated financial statements included elsewhere in this prospectus.
  01/30/14 (Date of Inception) through 12/31/14  01/01/15 through 12/31/15  Three Months Ended March 31, 
      2016  2015 
        (unaudited)  (unaudited) 
Statements of Operations Data:            
Operating expenses
 
$
2,329,106
  
$
4,728,808
  
$
1,347,216
  
$
1,072,416
 
Loss from operations
  
(2,329,106
)
  
(4,728,808
)
  
(1,347,216
)
  
(1,072,416
)
Total other expense
  
(36,042)
   
(1,201,428
)
 
 $
      (644,104)
   
(118,891
)
Net loss
 
$
(2,365,148)
  
$
(5,930,236
)
 
$
(1,991,320
)
 
$
(1,191,307
)
Net loss per share, basic and diluted
 
$
    (0.67)
  
$
(1.63
)
 
$
(0.42
)
 
$
(0.33
)
        As of March 31, 2016 
  
As of
December 31, 2015
  
As of
December 31, 2014
  Pro Forma (1)  
Pro Forma
As Adjusted (2)
 
        (unaudited)    
Balance Sheet Data:            
Cash
 $94,836  $581,668  $2,178,036  $15,062,178 
Total assets
 $6,575,753  $6,685,682  $8,167,821  $20,661,248 
Total current liabilities
 $2,430,855  $8,815,512  $2,295,827  $1,966,328 
Total liabilities
 $3,930,855  $10,315,512  $3,795,827  $3,466,328 
Total stockholders’ equity (deficit)
 $2,644,898  $(3,629,830) $4,371,994  $17,194,920 
(1) 
The pro forma balance sheet data as of March 31, 2016 reflects (i) the conversion of our outstanding shares of preferred stock into 878,171 shares of common stock that has no effect on Total stockholders’ equity (deficit); (ii) the settlement in cash of other receivable for OID convertible debt of $150,000 that increases Cash by that amount but has no effect on Total assets; (iii) the conversion of $135,000 of convertible promissory notes into OID convertible notes that has no effect on Total current liabilities; (iv) the proceeds of $1,859,000 in additional OID convertible debt that increases Cash and Total current liabilities by that amount; and (v) the issuance of 2,642,160 shares of common stock immediately prior to the closing of this offering upon the mandatory conversion portion of OID convertible notes (based on the assumed initial public offering price of $7.00 per share, the midpoint of the price range set forth on the cover page of this prospectus that decreases Total current liabilities and Total liabilities by $9,791,501 and increases Total stockholders’ equity (deficit) by that same amount.
(2) 
The pro forma as adjusted balance sheet data as of March 31, 2016 reflects the pro forma adjustments described in footnote (1) above as adjusted to give effect to (i) the receipt by us of the estimated net proceeds from this offering, based on an assumed initial public offering price of $7.00 per share, the midpoint of the range set forth on the cover page of this prospectus, after deducting underwriting discounts and commissions and estimated offering expenses payable by us of $2,150,000 that increases Cash by $13,240,715, increases Total assets by $12,850,000 and increases Total stockholders’ equity (deficit) by $12,850,000; (ii) the grant of 107,143 warrants with a five-year life to the underwriters at 120% of the IPO price with an estimated value of $562,501 with no effect on Total stockholders’ equity; and (iii) retiring in cash $356,573 of OID convertible debt and accreted interest not mandatorily converted at time of the IPO that decreases cash by $356,573, decreases Total current liabilities and Total liabilities by $329,499 and decreases Total stockholders’ equity (deficit) by $27,074.
RISK FACTORS
You should carefully consider the risks described belowsection and elsewhere in this report, which could materially andprospectus to our business being adversely affect ouraffected, negatively impacted or harmed will include an adverse effect on, or a negative impact or harm to, the business, reputation, financial condition, results of operations, or financial condition. Our business faces significantrevenue and our future prospects. The material and other risks and the risksuncertainties summarized above and described below mayare not intended to be exhaustive and are not the only risksones we face. Additional risks and uncertainties not presently known to us or that we currently believe aredeem immaterial may materially affectalso impair our business operations. This prospectus also contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in the forward-looking statements as a result of a number of factors, including the risks described below. See the section titled “Cautionary Note Regarding Forward-Looking Statements.”
Summary of Risk Factors
We have never generated any product revenues.
We expect to incur significant losses for the foreseeable future and may never achieve or maintain profitability.
We will need substantial additional funding, and certain terms included in our financing transactions may restrict our ability to raise such capital at the times and in the manner we may require.
To date, most of our development activities have been focused on our MS1819 product candidate, which is still under clinical development, and if MS1819 does not receive regulatory approval or is not successfully commercialized, our business will be harmed.
The COVID-19 outbreak and global pandemic could adversely impact our business, including our clinical trials.
We will require additional capital to fund our operations, and if we fail to obtain necessary financing, we may not be able to complete the development and commercialization of our product candidates.

Clinical trials are very expensive, time-consuming, difficult to design and implement and involve an uncertain outcome.
We face significant competition from other biotechnology and pharmaceutical companies, and our operating results will suffer if we fail to compete effectively.
We do not have our own manufacturing capabilities and will rely on third parties to produce clinical and commercial supplies of our product candidates.
We intend to rely on third parties to conduct, supervise and monitor our clinical trials, and if those third parties perform in an unsatisfactory manner, it may harm our business.
If we are unable to obtain and maintain patent protection for our technology and products or financial condition. Ifif the scope of the patent protection obtained is not sufficiently broad, we may not be able to compete effectively in our markets.
We are an emerging growth company within the meaning of the Securities Act and have taken advantage of certain exemptions from disclosure requirements available to emerging growth companies; this could make our securities less attractive to investors and may make it more difficult to compare our performance with other public companies.
We do not currently intend to pay dividends on our Common Stock in the foreseeable future, and consequently, any of these risks occur,gains from an investment in our Common Stock will likely depend on appreciation in the trading price of our common stock could decline and you may lose all or part of your investment.Common Stock.
 
Risks Related to Our Business and Industry
 
We are a developmentclinical stage biopharmaceutical company and have a limited operating history upon which to base an investment decision.
 
We are a clinical development stage biopharmaceutical company. Since inception, we have engaged primarily in research and development activities of MS1819 and our other product candidates. We have not generated any revenuesrevenue from product sales and have incurred significant net losses. As of March 31, 2016, we had an accumulated deficit of approximately $10.3 million. We have not demonstrated our ability to perform the functions necessary for the successful commercialization of any products.product candidates. The successful commercialization of any of our products will require us to perform a variety of functions, including:
 
continuing to undertake pre-clinical development and clinical trials;
participating in regulatory approval processes;
formulating and manufacturing products; and
conducting sales and marketing activities.
 
participating in regulatory approval processes;
formulating and manufacturing products; and
conducting sales and marketing activities.
Ouroperations to date have been limited to organizing and staffing, our company, acquiring, developing and securing the proprietary rights for, and undertaking pre-clinical development and clinical trials of MS1819, the acquisition of rights to niclosamide and our other product candidates. These operations provide a limited basis for our stockholders and prospective investors to assess our ability to complete development of or commercialize MS1819, niclosamide or any productsother product candidates and the advisability of investing in our securities.

We have incurred significant operating losses and negative cash flows from operations since inception. As of September 30, 2020, we had accumulated deficit of approximately $78.0 million. While we had positive working capital as of September 30, 2020, based on our historical and anticipated rate of cash expenditures, we do not anticipate our working capital will be sufficient to sustain our business through the successful commercialization of our product candidates. Therefore, we are dependent on obtaining, and are continuing to pursue, the necessary funding from outside sources, including obtaining additional funding from the sale of securities in order to continue our operations. We are actively working to obtain additional funding. We cannot make any assurances that additional financings will be available to us and, if available, completed on a timely basis, on acceptable terms or at all. If we are unable to complete an equity and/or debt offering, or otherwise obtain sufficient financing when and if needed, it would negatively impact our business and operations, which would likely cause the price of our Common Stock to decline or ultimately force us to cease our operations.
 
Our product candidates are at an early stage of development and may not be successfully developed or commercialized.
 
Our twoWe have no products approved for sale. MS1819, our lead product candidates, MS1819candidate, and AZX1101,niclosamide , which we recently acquired, are in the early stages of clinical development and our other product candidates are still in preclinical phase. Our product candidates will require substantial further capital expenditures, development, testing, and regulatory clearances prior to commercialization. The development and regulatory approval process takestake several years, and it is not likely that either ofany such products, even if successfully developed and approved by the FDAU.S. Food and Drug Administration (“FDA”) or any comparable foreign regulatory authority, would be commercially available foruntil at least four to five years2022 or more.beyond. Of the large number of drugs in development, only a small percentage successfully completes the regulatory approval process and is commercialized. Accordingly, even if we are able to obtain the requisite financing to fund our development programs, we cannot assure you that our product candidates will be successfully developed or commercialized. Our failure to develop, manufacture or receive regulatory approval for or successfully commercialize any of our product candidates, could result in the failure of our business and a loss of all of your investment in our company.
 
 
Any product candidates we advance into and through clinical development are subject to extensive regulation, which can be costly and time consuming, cause unanticipated delays or prevent the receipt of the required approvals to commercialize our product candidates.
 
The clinical development, manufacturing, labeling, storage, record-keeping, advertising, promotion, import, export, marketing and distribution of our product candidates are subject to extensive regulation by the FDA in the United States and by comparable health authorities in foreign markets, including Health Canada’s Therapeutic Products Directorate, or the TPD, and the European Medicines Agency, or the EMA. In the United States, we are not permitted to market our product candidates until we receive approval of a Newan NDA (New Drug Application,Application) or NDA, or BiologicsBLA (Biologic License Application, or BLA,Application) from the FDA. The process of obtaining such approval is expensive, often takes many years and can vary substantially based upon the type, complexity and novelty of the products involved. In addition to the significant clinical testing requirements, our ability to obtain marketing approval for these productsproduct candidates depends on obtaining the final results of required non-clinical testing, including characterization of the manufactured components of our product candidates and validation of our manufacturing processes. The FDA may determine that our product manufacturing processes, testing procedures or facilities are insufficient to justify approval. Approval policies or regulations may change, and the FDA has substantial discretion in the pharmaceutical approval process, including the ability to delay, limit or deny approval of a product candidate for many reasons. Despite the time and expense invested in clinical development of product candidates, regulatory approval is never guaranteed.
 
The FDA, the TPD and/or the EMA can delay, limit or deny approval of a product candidate for many reasons, including, but not limited to:
 
disagreement with the design or implementation of our clinical trials;
disagreement with the design or implementation of our clinical trials;
failure to demonstrate to their satisfaction that a product candidate is safe and effective for any indication;
failure to accept clinical data from trials which are conducted outside their jurisdiction;
the results of clinical trials may not meet the level of statistical significance required for approval;
we may be unable to demonstrate that a product candidate’s clinical and other benefits outweigh its safety risks;
such agencies may disagree with our interpretation of data from preclinical studies or clinical trials;
failure to approve the manufacturing processes or facilities of third-party manufacturers with which we or our collaborators contract for clinical and commercial supplies; or
changes in the approval policies or regulations of such agencies may significantly change in a manner rendering our clinical data insufficient for approval.
 
failure to demonstrate to their satisfaction that a product candidate is safe and effective for any indication;
failure to accept clinical data from trials which are conducted outside their jurisdiction;
the results of clinical trials may not meet the level of statistical significance required for approval;
we may be unable to demonstrate that a product candidate’s clinical and other benefits outweigh its safety risks;
such agencies may disagree with our interpretation of data from preclinical studies or clinical trials;
failure to approve the manufacturing processes or facilities of third-party manufacturers with which we or our collaborators contract for clinical and commercial supplies; or
changes in the approval policies or regulations of such agencies may significantly change in a manner rendering our clinical data insufficient for approval.
Any delay in obtaining, or inability to obtain, applicable regulatory approvals would prevent us from commercializing our product candidates.

 
If we encounter difficulties enrolling patients in our clinical trials, our clinical development activities could be delayed or otherwise adversely affected.
 
We may experience difficulties in patient enrollment in our clinical trials for a variety of reasons. The timely completion of clinical trials in accordance with their protocols depends, among other things, on our ability to enroll a sufficient number of patients who remain in the trial until its conclusion. The enrollment of patients depends on many factors, including:
 
the patient eligibility criteria defined in the protocol;
the size of the patient population;
the proximity and availability of clinical trial sites for prospective patients;
the design of the trial;
our ability to recruit clinical trial investigators with the appropriate competencies and experience;
our ability to obtain and maintain patient consents; and
the risk that patients enrolled in clinical trials will drop out of the trials before completion.
the number of clinical trials for other product candidates in the same therapeutic area that are currently in clinical development, and our ability to compete with such trials for patients and clinical trial sites;
the patient eligibility criteria defined in the protocol;
the size of the patient population;
the proximity and availability of clinical trial sites for prospective patients;
the design of the trial;
our ability to recruit clinical trial investigators with the appropriate competencies and experience;
our ability to obtain and maintain patient consents; and
the risk that patients enrolled in clinical trials will drop out of the trials before completion.
 
Our clinical trials will compete with other clinical trials for product candidates that are in the same therapeutic areas as our product candidates. This competition will reduce the number and types of patients and qualified clinical investigators available to us, because some patients who might have opted to enroll in our trials may instead opt to enroll in a trial being conducted by one of our competitors or clinical trial sites may not allow us to conduct our clinical trial at such site if competing trials are already being conducted there. Since the number of qualified clinical investigators is limited, we expect to conduct some of our clinical trials at the same clinical trial sites that some of our competitors use, which will reduce the number of patients who are available for our clinical trials in such clinical trial site. We may also encounter difficulties finding a clinical trial site at which to conduct our trials.
 
Delays in patient enrollment may result in increased costs or may affect the timing or outcome of our planned clinical trials, which could prevent completion of these clinical trials and adversely affect our ability to advance the development of our product candidates.
 
Because the results of preclinical studies and early clinical trials are not necessarily predictive of future results, any product candidate we advance into clinical trials may not have favorable results in later clinical trials, if any, or receive regulatory approval.
 
Pharmaceutical development has inherent risk. We will be required to demonstrate through well-controlled clinical trials that our product candidates are effective with a favorable benefit-risk profile for use in their target indications before we can seek regulatory approvals for their commercial sale. Our principallead product candidate, MS1819, has only completed two Phase 2 clinical trials in two separate indications (one Phase 2 in CF patients and one Phase 2 in CP patients). Niclosamide has completed a phase I/IIa clinical trial, while our second product, AZX1101Phase 1b/2a study, conducted by First Wave, in patients with mild-to-moderate ulcerative colitis but has only been testednot completed a study in a pre-clinical setting.an indication that we intend on pursuing (ICI-AC and COVID-19 GI). Success in pre-clinical studies or early clinical trials does not mean that later clinical trials will be successful, as product candidates in later-stage clinical trials may fail to demonstrate sufficient safety or efficacy despite having progressed through initial clinical testing. We also may need to conduct additional clinical trials that are not currently anticipated. Companies frequently suffer significant setbacks in advanced clinical trials, even after earlier clinical trials have shown promising results.

 
Any product candidate we advance into and through clinical trials may cause unacceptable adverse events or have other properties that may delay or prevent their regulatory approval or commercialization or limit their commercial potential.
 
Unacceptable adverse events caused by any ofMS1819, niclosamide and our other product candidates in clinical trials could cause us or regulatory authorities to interrupt, delay or halt clinical trials and could result in the denial of regulatory approval by the FDA or other regulatory authorities for any or all targeted indications and markets. This, in turn, could prevent us from commercializing the affected product candidate and generating revenues from its sale. We have not yet completed testing of any of our product candidates for the treatment of the indications for which we intend to seek product approval in humans, and we currently do not know the extent of adverse events, if any, that will be observed in patients who receive any of our product candidates. If any of our product candidates cause unacceptable adverse events in clinical trials, we may not be able to obtain regulatory approval or commercialize such product or, if such product candidate is approved for marketing, future adverse events could cause us to withdraw such product from the market.
 
Delays in the commencement or completion of our clinical trials could result in increased costs and delay our ability to pursue regulatory approval.approval and commercialization of our product candidates.
 
Although we intend to usecommenced the proceeds of this offering to commence a Phase II clinical trial for MS1819ongoing Combination Trial in 2019 and the second half of 2016 and to complete the preclinical work necessary to file an IND for AZX1101 by the first quarter of 2017,OPTION 2 Trial in 2020, the commencement and completion of clinical trials can be delayed for a variety of reasons, including delays in:
 
obtaining regulatory clearance to commence a clinical trial;
 
identifying, recruiting and training suitable clinical investigators;
reaching agreement on acceptable terms with prospective CROs and trial sites, the terms of which can be subject to extensive negotiation, may be subject to modification from time to time and may vary significantly among different CROs and trial sites;
obtaining sufficient quantities of a product candidate for use in clinical trials;
obtaining Investigator Review Board, or IRB, or ethics committee approval to conduct a clinical trial at a prospective site;
identifying, recruiting and enrolling patients to participate in a clinical trial;
retaining patients who have initiated a clinical trial but may withdraw due to adverse events from the therapy, insufficient efficacy, fatigue with the clinical trial process or personal issues; and
identifying, recruiting and training suitable clinical investigators;
reaching agreement on acceptable terms with prospective clinical research organizations (“CROs”) and trial sites, the terms of which can be subject to extensive negotiation, may be subject to modification from time to time and may vary significantly among different CROs and trial sites;
obtaining sufficient quantities of investigational product (“IP”) for our product candidates for use in clinical trials;
obtaining Institutional Review Board (“IRB”) or ethics committee approval to conduct a clinical trial at a prospective site;
identifying, recruiting and enrolling patients to participate in a clinical trial, including delays and/orinterruptions resulting from geo-political actions, disease or public health epidemics, such as the coronavirus, or natural disasters;
retaining patients who have initiated a clinical trial but may withdraw due to adverse events from the therapy, insufficient efficacy, changing clinical protocols, fatigue with the clinical trial process, or personal issues;
retaining patients who may not follow the clinical trial protocols due to factors including the coronavirus epidemic; and
availability of funds.
availability of cash.
 
Any delays in the commencement of our clinical trials will delay our ability to pursue regulatory approval for our product candidates. In addition, many of the factors that cause, or lead to, a delay in the commencement of clinical trials may also ultimately lead to the denial of regulatory approval of a product candidate.
 
Once a
If we encounter difficulties enrolling patients in our clinical trial has begun, patient recruitment and enrollment may be slower than we anticipate. Clinical trials, may alsoour clinical development activities could be delayed as a resultor otherwise adversely affected.
The timely completion of ambiguous or negative interim results or difficulties in obtaining sufficient quantities of product manufacturedclinical trials in accordance with regulatory requirements.their protocols depends, among other things, on our ability to enroll a sufficient number of patients who remain in the trial until its conclusion. We may experience difficulties in patient enrollment in our clinical trials for a variety of reasons, including the size and nature of the patient population and the patient eligibility criteria defined in the protocol, competition from competing companies, and natural disasters or public health epidemics, such as the coronavirus impacting the U.S., Europe and elsewhere.
Our clinical trials will likely compete with other clinical trials for drug candidates that are in the same therapeutic areas as our drug candidates, and this competition will reduce the number and types of patients available to us, because some patients who might have opted to enroll in our trials may instead opt to enroll in a trial being conducted by one of our competitors. Because the number of qualified clinical investigators and clinical trial sites is limited, we expect to conduct some of our clinical trials at the same clinical trial sites that some of our competitors may use, which will reduce the number of patients who are available for our clinical trials at such clinical trial sites. Even if we are able to enroll a sufficient number of patients in our clinical trials, delays in patient enrollment may result in increased costs or may affect the timing or outcome of the planned clinical trials, which could delay or prevent completion of these trials and adversely affect our ability to advance the development of MS1819, niclosamide and our other product candidates.
A pandemic, epidemic, or outbreak of an infectious disease, such as COVID-19, or coronavirus, may materially and adversely affect our business and our financial results.
The spread of COVID-19 has affected segments of the global economy and may affect our operations, including the potential interruption of our clinical trial activities and our supply chain. The continued spread of COVID-19 may result in a period of business disruption, including delays in our clinical trials or delays or disruptions in our supply chain. In addition, there could be a potential effect of COVID-19 to the business at FDA or other health authorities, which could result in delays of reviews and approvals, including with respect to our drug candidates.
The continued spread of COVID-19 globally could adversely affect our clinical trial operations in the United States and Europe and other jurisdictions where we may decide to conduct clinical trials, including our ability to recruit and retain patients and principal investigators and site staff who, as healthcare providers, may have heightened exposure to COVID-19 if an outbreak occurs in their geography. We have already experienced certain delays of our clinical trials and may experience further delays as the pandemic continues. In March and April of 2020, shutdowns in Europe hindered recruitment for certain clinical trials, due to (among other factors) travel restrictions, home confinement and diversions of resources by hospitals and other healthcare professionals away from normal operations and toward the COVID-19 response. Potential enrollees for our clinical trials of MS1819 are among patient populations that are more likely to be considered to be at high-risk for a severe illness from a COVID-19 infection, which may affect their willingness to participate. Further, some patients may be unable to comply with clinical trial protocols if quarantines or travel restrictions impede patient movement or interrupt healthcare services, or if the patients become infected with COVID-19 themselves. While we have sufficient supply of MS1819 on hand to meet any needs for our ongoing clinical trials through completion, disruptions in national or international shipments and deliveries could impede our ability to distribute product to trial sites in a timely manner. Any of the foregoing factors could delay our ability to conduct clinical trials or release clinical trial results. COVID-19 may also affect employees of third-party CROs located in affected geographies that we rely upon to carry out our clinical trials, which could result in inefficiencies due to reductions in staff and disruptions to work environments.
The spread of COVID-19, or another infectious disease, could also negatively affect the operations at our third-party manufacturers, which could result in delays or disruptions in the supply of our product candidates. In addition, we have taken temporary precautionary measures intended to help minimize the risk of the virus to our employees, including temporarily requiring all employees to work remotely, suspending all non-essential travel worldwide for our employees, and discouraging employee attendance at industry events and in-person work-related meetings, which could negatively affect our business.
We cannot presently predict the scope and severity of any potential business shutdowns or disruptions. If we or any of the third parties with whom we engage, however, were to experience shutdowns or other business disruptions, our ability to conduct our business in the manner and on the timelines presently planned could be materially and negatively affected, which could have a material adverse impact on our business and our results of operation and financial condition.
In addition, the global spread of COVID-19 has created significant volatility and uncertainty in global financial markets and may materially affect us economically and such conditions continue to persist. While the potential economic impact brought by, and the duration of, COVID-19 may be difficult to assess or predict, a widespread pandemic could result in significant disruption of global financial markets, reducing our ability to access capital, which could in the future negatively affect our liquidity. A recession or market correction resulting from the spread of COVID-19 could materially affect our business and the value of our Common Stock.
 
We may be required to suspend, repeat or terminate our clinical trials if they are not conducted in accordance with regulatory requirements, the results are negative or inconclusive or the trials are not well designed.
 
Regulatory agencies, IRBs or data safety monitoring boards may at any time recommend the temporary or permanent discontinuation of our clinical trials or request that we cease using investigators in the clinical trials if they believe that the clinical trials are not being conducted in accordance with applicable regulatory requirements, or that they present an unacceptable safety risk to participants. Clinical trials must be conducted in accordance with current Good Clinical Practices, or cGCPs or other applicable foreign government guidelines governing the design, safety monitoring, quality assurance and ethical considerations associated with clinical studies. Clinical trials are subject to oversight by the FDA, other foreign governmental agencies and IRBs at the study sites where the clinical trials are conducted. In addition, clinical trials must be conducted with product candidates produced in accordance with applicable Current Good Manufacturing Practices, or cGMPs, which are the FDA'sFDA’s regulations governing the design, monitoring and control of manufacturing processes and facilities. Clinical trials may be suspended by the FDA, other foreign governmental agencies, or us for various reasons, including:

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Tabledeficiencies in the conduct of Contentsthe clinical trials, including failure to conduct the clinical trial in accordance with regulatory requirements or clinical protocols;
 
deficiencies in the clinical trial operations or trial sites;
the product candidate may have unforeseen adverse side effects;
deficiencies in the trial design necessary to demonstrate efficacy;
fatalities or other adverse events arising during a clinical trial due to medical problems that may not be related to clinical trial treatments;
the product candidate may not appear to be more effective than current therapies; or
the quality or stability of the product candidate may fall below acceptable standards.
deficiencies in the conduct of the clinical trials, including failure to conduct the clinical trial in accordance with regulatory requirements or clinical protocols;
deficiencies in the clinical trial operations or trial sites;
the product candidate may have unforeseen adverse side effects;
deficiencies in the trial design necessary to demonstrate efficacy;
fatalities or other adverse events arising during a clinical trial due to medical problems that may not be related to clinical trial treatments;
the product candidate may not appear to be more effective than current therapies; or
the quality or stability of the product candidate may fall below acceptable standards.
 
If we elect or are forced to suspend or terminate a clinical trial for MS1819, niclosamide or of any other of our product candidates, the commercial prospects for that product candidate will be harmed and our ability to generate product revenue from that product candidate may be delayed or eliminated. Furthermore, any of these events could prevent us or our partners from achieving or maintaining market acceptance of the affected product candidate and could substantially increase the costs of commercializing our product candidates, and impair our ability to generate revenue from the commercialization of these productsproduct candidates either by us or by our collaboration partners.
 
The approval processes of regulatory authorities are lengthy, time consuming, expensive and inherently unpredictable. If we are unable to obtain approval for our product candidates from applicable regulatory authorities, we will not be able to market and sell those product candidates in those countries or regions and our business will be substantially harmed.
The time required to obtain approval by the FDA and comparable foreign authorities is unpredictable, but typically takes many years following the commencement of clinical trials and depends upon numerous factors, including the substantial discretion of the regulatory authorities. We have not submitted an NDA or similar filing or obtained regulatory approval for any product candidate in any jurisdiction and it is possible that none of our existing product candidates or any product candidates we may seek to develop in the future will ever obtain regulatory approval.
MS1819, niclosamide and our other product candidates could fail to receive regulatory approval for many reasons, including any one or more of the following:
the FDA or comparable foreign regulatory authorities may disagree with the design or implementation of our clinical trials;
we may be unable to demonstrate to the satisfaction of the FDA or comparable foreign regulatory authorities that a product candidate is safe and effective for its proposed indication;
the results of clinical trials may not meet the level of statistical significance required by the FDA or comparable foreign regulatory authorities for approval;
we may be unable to demonstrate that a product candidate’s clinical and other benefits outweigh its safety risks;
the FDA or comparable foreign regulatory authorities may disagree with our interpretation of data from preclinical studies or clinical trials;
the data collected from clinical trials of our product candidates may not be sufficient to support the submission of an NDA, BLA or other submission or to obtain regulatory approval in the United States or elsewhere;
the FDA or comparable foreign regulatory authorities may fail to hold to previous agreements or commitments;
the FDA or comparable foreign regulatory authorities may fail to approve the manufacturing processes or facilities of third-party manufacturers with which we contract for clinical and commercial supplies;
the FDA or comparable foreign regulatory authorities may fail to approve our product candidates;
invest significant additional cash in each of the above activities; and;
the approval policies or regulations of the FDA or comparable foreign regulatory authorities may significantly change in a manner rendering our clinical data insufficient for approval.
The time and expense of the approval process, as well as the unpredictability of clinical trial results and other contributing factors, may result in our failure to obtain regulatory approval to market, in one or more jurisdictions, MS1819, niclosamide or future product candidates, which would significantly harm our business, results of operations and prospects.
We intend to rely on third-party collaborators to market and sell our products. Our third-party collaborators may not have the resources to pursue approvals, which in turn could severely limit our potential markets and ability to generate revenue.
In order to market and sell our products in any jurisdiction, we or our third-party collaborators must obtain separate marketing approvals in that jurisdiction and comply with its regulatory requirements. The approval procedure can vary drastically among countries, and each jurisdiction may impose different testing and other requirements to obtain and maintain marketing approval. Further, the time required to obtain those approvals may differ substantially among jurisdictions. Approval by the FDA or an equivalent foreign authority does not ensure approval by regulatory authorities in any other countries or jurisdictions. As a result, the ability to market and sell a product candidate in more than one jurisdiction can involve significant additional time, expense and effort to undertake separate approval processes, and could subject us and our collaborators to the numerous and varying post-approval requirements of each jurisdiction governing commercial sales, manufacturing, pricing and distribution of MS1819, niclosamide and our other product candidates. We or any third parties with whom we may collaborate may not have the resources to pursue those approvals, and we or they may not be able to obtain any approvals that are pursued. The failure to obtain marketing approval for MS1819, niclosamide and our other product candidates in foreign jurisdictions could severely limit their potential markets and our ability to generate revenue.
In addition, even if we were to obtain regulatory approval in one or more jurisdictions, regulatory authorities may approve MS1819, niclosamide and our other product candidates for fewer or more limited indications than we request, may not approve the prices we may propose to charge for our products, may grant approval contingent on the performance of costly post-marketing clinical trials, or may approve a product candidate with labeling that does not include the claims necessary or desirable for the successful commercialization of that product candidate. Any of the foregoing circumstances could materially harm the commercial prospects for MS1819, niclosamide and our other product candidates.
Our product candidates may cause undesirable side effects or have other properties that could delay or prevent their regulatory approval, limit the commercial profile of the approved labeling, or result in significant negative consequences following marketing approval, if any.
Results of current and future clinical trials of MS1819, niclosamide and our other product candidates could reveal a high and/or unacceptable severity and frequency of these or other side effects. In such an event, our trials could be suspended or terminated, and the FDA or comparable foreign regulatory authorities could order us to cease further development of, or deny approval of, our product candidates for any or all targeted indications. Further, any observed drug-related side effects could affect patient recruitment or the ability of enrolled patients to complete the trial or result in potential product liability claims. Any of these occurrences could materially harm our business, financial condition and prospects.
Additionally, if MS1819, niclosamide and our other product candidates receive marketing approval, and we or others later identify undesirable side effects caused by our products, a number of potentially significant negative consequences could result, including:
regulatory authorities may withdraw approvals of such product;
regulatory authorities may require additional warnings in the product’s labeling;
we may be required to create a medication guide for distribution to patients that outlines the risks of such side effects;
we could be sued and held liable for harm caused to patients; and;
our reputation may suffer.
Any of these events could prevent us from achieving or maintaining market acceptance of the particular product, if approved, and could significantly harm our business, results of operations and prospects
If we are unable to execute our sales and marketing strategy for our products and are unable to gain market acceptance, we may be unable to generate sufficient revenue to sustain our business.
We are a clinical-stage biopharmaceutical company and have yet to begin to generate revenue from MS1819, niclosamide or any of our other product candidates. Our product candidates are in an early stage of clinical development, and, if we obtain marketing approval for any of products in the future, which we anticipate would not occur for several years, if at all.
Although we believe that MS1819 and niclosamide represent promising commercial opportunities, we may never gain significant market acceptance and therefore may never generate substantial revenue or profits for us. We will need to establish a market for MS1819, niclosamide and our other product candidates and build that market through physician education, awareness programs and the publication of clinical data. Gaining acceptance in medical communities requires, among other things, publication in leading peer-reviewed journals of results from our studies. The process of publication in leading medical journals is subject to a peer review process and peer reviewers may not consider the results of our studies sufficiently novel or worthy of publication. Failure to have our studies published in peer-reviewed journals could limit the adoption of MS1819, niclosamide or our other product candidates. Our ability to successfully market our product candidates that we may develop will depend on numerous factors, including:
the FDA or comparable foreign regulatory authorities may disagree with the design or implementation of our clinical trials;
the inability to demonstrate that the clinical and other benefits of a product candidate outweigh any safety or other perceived risks;
conducting clinical utility studies of our product candidates to demonstrate economic usefulness to providers and payers;
whether our current or future partners, support our offerings;
the success of the sales force and marketing effort;
whether healthcare providers believe our product candidates provide clinical utility; and
whether private health insurers, government health programs and other third-party payers will cover our product candidates.

We currently have no commercial organization. If we are unable to establish satisfactory sales and marketing capabilities or secure a sales and marketing partner, we may not successfully commercialize any of our product candidates.
We have no commercial infrastructure. In order to commercialize products that are approved for marketing, we must either establish our own sales and marketing infrastructure or collaborate with third parties that have such commercial infrastructure.
We may not be able to enter into collaboration agreements on terms acceptable to us or at all. In addition, even if we enter into such relationships, we may have limited or no control over the sales, marketing and distribution activities of these third parties. Our future revenues may depend heavily on the success of the efforts of these third parties. If we elect to establish a sales and marketing infrastructure, we may not realize a positive return on this investment. In addition, we will have to compete with established and well-funded pharmaceutical and biotechnology companies to recruit, hire, train and retain sales and marketing personnel. Factors that may inhibit our efforts to commercialize our product candidates without strategic partners or licensees include:
our inability to recruit and retain adequate numbers of effective sales and marketing personnel;
the inability of sales personnel to obtain access to or persuade adequate numbers of physicians to prescribe our future products;
the lack of complementary products to be offered by sales personnel, which may put us at a competitive disadvantage relative to companies with more extensive product lines; and
unforeseen costs and expenses associated with creating an independent sales and marketing organization.
If we are not successful in recruiting sales and marketing personnel or in building a sales and marketing infrastructure, or if we do not successfully enter into appropriate collaboration arrangements, we will have difficulty successfully commercializing our product candidates and any we may develop or acquire, which would adversely affect our business, operating results and financial condition. Outside the United States, we may commercialize our product candidates by entering into collaboration agreements with pharmaceutical partners. We may not be able to enter into such agreements on terms acceptable to us or at all. In addition, even if we enter into such relationships, we may have limited or no control over the sales, marketing and distribution activities of these third parties. Our future revenues may depend heavily on the success of the efforts of these third parties.
Because we in-licensedlicense some of our product candidates from third parties, including First Wave, any dispute with our licensors or non-performance by us or by our licensors may adversely affect our ability to develop and commercialize the applicable product candidates.
 
Some of our product candidates, including MS1819 and niclosamide, including related intellectual property rights, were in-licensedlicensed from third parties. Under the terms of our license agreements, the licensors generally have the right to terminate such agreements in the event of a material breach by us. Our licenses require us to make annual, milestone or other payments prior to commercialization of any product and royalties on net sales following commercialization and our ability to make these payments depends on our ability to generate cash in the future. These agreements generally require us to use diligent and reasonable efforts to develop and commercialize the product candidate. In the case of MS1819, Laboratoires Mayoly Spindler SAS, or Mayoly, licenses MS1819 from a third party and, accordingly, our rights to MS1819 are also subject to Mayoly’s performance of its obligations to its licensor, any breach of which we may be required to remedy in order to preserve our rights.
 
If there is any conflict, dispute, disagreement or issue of non-performance between us and our licensing partner regarding our rights or obligations under the license agreement,or other agreements, including any conflict, dispute or disagreement arising from our failure to satisfy payment obligations under such agreement, our ability to develop and commercialize the affected product candidate may be adversely affected. Similarly, any such dispute or issue of non-performance between Mayoly and its licensor that we are unable to cure could adversely affect our ability to develop and commercialize MS1819. Any loss of our rights under our license agreements could delay or completely terminate our product development efforts for the affected product candidate.
We may form or seek strategic alliances or enter into additional licensing arrangements in the future, and we may not realize the benefits of such alliances or licensing arrangements.
 
From time to time, we may form or seek strategic alliances, create joint ventures or collaborations or enter into additional licensing arrangements with third parties that we believe will complement or augment our development and commercialization efforts with respect to MS1819, niclosamide and our other product candidates and any future product candidates that we may develop. Any of these relationships may require us to incur non-recurring and other charges, increase our near and long-term expenditures, issue securities that dilute our existing stockholders or disrupt our management and business. These relationships also may result in a delay in the development of MS1819, niclosamide and our other product candidates if we become dependent upon the other party and such other party does not prioritize the development of our product candidates relative to its other development activities. In addition, we face significant competition in seeking appropriate strategic partners and the negotiation process is time-consuming and complex. Moreover, we may not be successful in our efforts to establish a strategic partnership or other alternative arrangements for our product candidates because they may be deemed to be at too early of a stage of development for collaborative effort and third parties may not view our product candidates as having the requisite potential to demonstrate safety and efficacy. If we license products or businesses, we may not be able to realize the benefit of such transactions if we are unable to successfully integrate them with our existing operations and company culture. We cannot be certain that, following a strategic transaction or license, we will achieve the revenue or specific net income that justifies such transaction. We rely completely on third parties to manufacture our preclinical and clinical pharmaceutical supplies and expect to continue to rely on third parties to produce commercial supplies of any approvedour product candidate,candidates, and our dependence on third party suppliers could adversely impact our business.
 
We rely completely on third parties to manufacture our preclinical and clinical pharmaceutical supplies and expect to continue to rely on third parties to produce commercial supplies of any approved product candidate, and our dependence on third party suppliers could adversely impact our business.
 
We rely on third parties to manufacture our lead product candidate, MS1819 and niclosamide. The proprietary yeast strain used to manufacture MS1819 APIactive pharmaceutical ingredient (“API“) is located in a storage facility maintained by Charles River Laboratories in Malvern, PA and suchPennsylvania. The drug substance manufacturing for MS1819 is conducted by DSM Capua SPA in Italy.Italy and we intend to use Delpharm SAS to make the drug product for MS1819 for the OPTION 2 Trial and beyond. Niclosamide API is obtained by chemical synthesis and is currently manufactured by Olon at a facility in Murcia, Spain. The drug substance manufacturing for niclosamide is currently conducted at a contract facility located in Milan, Italy owned by Moteresearch. We are completely dependent on these third parties for product supply and our MS1819 development programs would be adversely affected by a significant interruption in our ability to receive such materials. We have not yet entered into long-term manufacturing or supply agreements with any third parties. Furthermore, our third-party suppliers will be required to maintain compliance with cGMPs and will be subject to inspections by the FDA or comparable regulatory authorities in other jurisdictions to confirm such compliance. In the event that the FDA or such other authorities determine that our third-party suppliers have not complied with cGMP, our clinical trials could be terminated or subjected to a clinical hold until such time as we are able to obtain appropriate replacement material. Any delay, interruption or other issues that arise in the manufacture, packaging, or storage of our products as a result of a failure of the facilities or operations of our third partythird-party suppliers to pass any regulatory agency inspection could significantly impair our ability to develop and commercialize our products.
 
We do not expect to have the resources or capacity to commercially manufacture any of our proposed products, if approved, and will likely continue to be dependent upon third party manufacturers. Our dependence on third parties to manufacture and supply us with clinical trial materials and any approved products may adversely affect our ability to develop and commercialize our products on a timely basis or at all.
 
We rely on third parties to conduct our clinical trials. If these third parties do not meet our deadlines or otherwise conduct the trials as required, our clinical development programs could be delayed or unsuccessful and we may not be able to obtain regulatory approval for or commercialize our product candidates when expected or at all.
 
We do not have the ability to conduct all aspects of our preclinical testing or clinical trials ourselves. We intend to use CROscontract research organizations (CROs) to conduct our planned clinical trials and will rely upon such CROs, as well as medical institutions, clinical investigators and consultants, to conduct our trials in accordance with our clinical protocols. Our future CROs, investigators and other third parties will play a significant role in the conduct of these trials and the subsequent collection and analysis of data from the clinical trials.


There is no guarantee that any CROs, investigators and other third parties upon which we rely for administration and conduct of our clinical trials will devote adequate time and resources to such trials or perform as contractually required. If any of these third parties fail to meet expected deadlines, fail to adhere to our clinical protocols or otherwise perform in a substandard manner, our clinical trials may be extended, delayed or terminated. If any of our clinical trial sites terminate for any reason, we may experience the loss of follow-up information on patients enrolled in our ongoing clinical trials unless we are able to transfer the care of those patients to another qualified clinical trial site. In addition, principal investigators for our clinical trials may serve as scientific advisors or consultants to us from time to time and receive cash or equity compensation in connection with such services. If these relationships and any related compensation result in perceived or actual conflicts of interest, the integrity of the data generated at the applicable clinical trial site may be jeopardized.
 
We will face intense competition and may not be able to compete successfully.
 
We operate in highly competitive segments of the biotechnology and biopharmaceutical markets. We face competition from many different sources, including commercial pharmaceutical and biotechnology enterprises, academic institutions, government agencies, and private and public research institutions. OurMS1819, niclosamide and our other product candidates, if successfully developed and approved, will compete with established therapies, as well as new treatments that may be introduced by our competitors. Many of our competitors have significantly greater financial, product development, manufacturing and marketing resources than us. Large pharmaceutical companies have extensive experience in clinical testing and obtaining regulatory approval for drugs. In addition, many universities and private and public research institutes are active in cancer research, some in direct competition with us. We also may compete with these organizations to recruit management, scientists and clinical development personnel. Smaller or early-stage companies may also prove to be significant competitors, particularly through collaborative arrangements with large and established companies. New developments, including the development of other biological and pharmaceutical technologies and methods of treating disease, occur in the pharmaceutical and life sciences industries at a rapid pace. Developments by competitors may render our product candidates obsolete or noncompetitive. We will also face competition from these third parties in recruiting and retaining qualified personnel, establishing clinical trial sites and patient registration for clinical trials and in identifying and in-licensing new product candidates.  In the case of niclosamide, we may also face competition from other companies developing different formulation of niclosamide for the same indications for which we intend to develop niclosamide, or from off-label uses of niclosamide approved for other indications.
 
Our success will depend upon intellectual property, proprietary technologies and regulatory market exclusivity periods, and we may be unable to protect our intellectual property.
 
Our success will depend, in large part, on obtaining and maintaining patent protection and trade secret protection for MS1819, niclosamide and our other product candidates and their formulations and uses, as well as successfully defending these patents against third-party challenges. Under our license agreement with Mayoly, enforcement of patents relating to MS1819 is the responsibility of Mayoly. If we or our licensors fail to appropriately prosecute and maintain patent protection for our product candidates, our ability to develop and commercialize these product candidates may be adversely affected and we may not be able to prevent competitors from making, using and selling competing products. This failure to properly protect the intellectual property rights relating to these product candidates could have a material adverse effect on our financial condition and results of operations.
 
The patent application process is subject to numerous risks and uncertainties, and there can be no assurance that we or our partners will be successful in protecting our product candidates by obtaining and defending patents. These risks and uncertainties include the following:
patent applications may not result in any patents being issued;
 
patents that may be issued or in-licensed may be challenged, invalidated, modified, revoked, circumvented, found to be unenforceable, or otherwise may not provide any competitive advantage;
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our competitors, many of which have substantially greater resources than we or our partners and many of which have made significant investments in competing technologies, may seek, or may already have obtained, patents that will limit, interfere with, or eliminate our ability to make, use, and sell our potential products;
there may be significant pressure on the United States government and other international governmental bodies to limit the scope of patent protection both inside and outside the United States for disease treatments that prove successful as a matter of public policy regarding worldwide health concerns;
countries other than the United States may have patent laws less favorable to patentees than those upheld by United States courts, allowing foreign competitors a better opportunity to create, develop, and market competing products; and
 
we may be involved in lawsuits to protect or enforce our patents or the patents of our licensors, which could be expensive, time consuming and unsuccessful.
patent applications may not result in any patents being issued;
patents that may be issued or in-licensed may be challenged, invalidated, modified, revoked, circumvented, found to be unenforceable, or otherwise may not provide any competitive advantage;
our competitors, many of which have substantially greater resources than we or our partners and many of which have made significant investments in competing technologies, may seek, or may already have obtained, patents that will limit, interfere with, or eliminate our ability to make, use, and sell our potential products;
there may be significant pressure on the United States government and other international governmental bodies to limit the scope of patent protection both inside and outside the United States for disease treatments that prove successful as a matter of public policy regarding worldwide health concerns;
countries other than the United States may have patent laws less favorable to patentees than those upheld by United States courts, allowing foreign competitors a better opportunity to create, develop, and market competing products; and
we may be involved in lawsuits to protect or enforce our patents or the patents of our licensors, which could be expensive, time consuming and unsuccessful.
 
In addition to patents, we and our partners also rely on trade secrets and proprietary know-how. Although we have taken steps to protect our trade secrets and unpatented know-how, including entering into confidentiality agreements with third parties, and confidential information and inventions agreements with employees, consultants and advisors, third parties may still obtain this information or come upon this same or similar information independently. We may become subject to claims that we or consultants, advisors or independent contractors that we may engage to assist us in developing MS1819, niclosamide, and our other product candidates have wrongfully or inadvertently disclosed to us or used trade secrets or other proprietary information of their former employers or their other clients.
 
We intend to rely on market exclusivity periods that may not be or remain available to us.us.
 
We intend to rely on our ability to obtain and maintain a regulatory period of market exclusivity for any of our biologic product candidates, including MS1819 and niclosamide that are successfully developed and approved for commercialization. Although this period in the United States is currently 12 years from the date of marketing approval, reductions to this period have been proposed. This exclusivity period in Europe is currently 10 years from the date of marketing approval by the EMA. Once any regulatory period of exclusivity expires, depending on the status of our patent coverage and the nature of the product, we may not be able to prevent others from marketing products that are biosimilar to or interchangeable with our products, which would materially adversely affect us.
 
In addition, United States patent laws may change which could preventBecause niclosamide is a small molecule it would be subject either to three or limit us from filing patent applications or patent claims to protect our products and/or technologies or limitfive year exclusivity, depending on the exclusivity periods that are available to patent holders. For example, on September 16, 2011, the Leahy-Smith America Invents Act, or the Leahy-Smith Act, was signed into law, and includes a numberregulatory pathway of significant changes to United States patent law. These include changes to transition from a “first-to-invent” system to a “first-to-file” system andany clinical trials. niclomsaside is not entitled to the way issued patents are challenged. These changes may favor larger and more established companies that have more resources to devote to patent application filing and prosecution. The United States Patent and Trademark Office is currently developing regulations and procedures to administer the Leahy-Smith Act, and many of the substantive changes to patent law associated with the Leahy-Smith Act will not become effective until onesame 12 year or 18 months after its enactment. Accordingly, it is not clear what, if any, impact the Leahy-Smith Act will ultimately have on the cost of prosecutingexclusivity as our patent applications, our ability to obtain patents based on our discoveries and our ability to enforce or defend our issued patents.

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biologic product candidates.
 
If we are unable to establish sales and marketing capabilities or fail to enter into agreements with third parties to market, distribute and sell any products we may successfully develop, we may not be able to effectively market and sell any such products and generate product revenue.
 
We do not currently have the infrastructure for the sales, marketing and distribution of any of our product candidates, and must build this infrastructure or make arrangements witharrange for third parties to perform these functions in order to commercialize any products that we may successfully develop. The establishment and development of a sales force, either by us or jointly with a partner, or the establishment of a contract sales force to market any products we may develop will be expensive and time-consuming and could delay any product launch. If we, or our partners, are unable to establish sales and marketing capability or any other non-technical capabilities necessary to commercialize any products we may successfully develop, we will need to contract with third parties to market and sell such products. We may not be able to establish arrangements with third-parties on acceptable terms, if at all.
 
If any product candidate that we successfully develop does not achieve broad market acceptance among physicians, patients, healthcare payors and the medical community, the revenues that it generates from their sales will be limited.
 
Even if MS1819, niclosamide and our other product candidates receive regulatory approval, they may not gain market acceptance among physicians, patients, healthcare payors and the medical community. Coverage and reimbursement of our product candidates by third-party payors, including government payors, generally is also necessary for commercial success. The degree of market acceptance of any approved products will depend on a number of factors, including:
 
the efficacy and safety as demonstrated in clinical trials;
the clinical indications for which the product is approved;
acceptance by physicians, major operators of hospitals and clinics and patients of the product as a safe and effective treatment;
acceptance of the product by the target population;
the potential and perceived advantages of product candidates over alternative treatments;
the safety of product candidates seen in a broader patient group, including its use outside the approved indications;
the cost of treatment in relation to alternative treatments;
the availability of adequate reimbursement and pricing by third parties and government authorities;
relative convenience and ease of administration;
the prevalence and severity of adverse events;
the effectiveness of our sales and marketing efforts; and
 
the efficacy and safety as demonstrated in clinical trials;
the clinical indications for which the product is approved;
acceptance by physicians, major operators of hospitals and clinics and patients of the product as a safe and effective treatment;
acceptance of the product by the target population;
the potential and perceived advantages of product candidates over alternative treatments;
the safety of product candidates seen in a broader patient group, including its use outside the approved indications;
the cost of treatment in relation to alternative treatments;
the availability of adequate reimbursement and pricing by third parties and government authorities;
relative convenience and ease of administration;
the prevalence and severity of adverse events;
the effectiveness of our sales and marketing efforts; and
unfavorable publicity relating to the product.
 
If any product candidate is approved but does not achieve an adequate level of acceptance by physicians, hospitals, healthcare payors and patients, we may not generate sufficient revenue from these products and may not become or remain profitable.

 
-14-The First Wave License Agreement requires us to make significant developmental milestone and other  payments which will require additional financing and, in the event we do commercialize niclosamide, we will be required to make royalty payments on net sales of the product which will  decrease the revenues we may ultimately receive on sales. To the extent that such milestone, royalty and other payments are not timely made, First Wave, in certain cases, may terminate the First Wave License Agreement.


any future sales of niclosamide if we do receive regulatory approval and seek to commercialize niclosamide. To the extent that such milestone payments and royalties are not timely made, under the First Wave License Agreement, First Wave has certain termination rights relating to our license of niclosamide.
 
We may incur substantial product liability or indemnification claims relating to the clinical testinguse of our product candidates.
 
We face an inherent risk of product liability exposure related tobased on the testinguse of MS1819, niclosamide and our other product candidates in human clinical trials, or, if obtained, following marketing approval and claimscommercialization. Claims could be brought against us if use or misuse of one of our product candidates causes, or merely appears to have caused, personal injury or death. WhileAlthough we have and intend to maintain product liability insurance relating to our clinical trials, our coverage may not be sufficient to cover claims that may be made against us and we may be unable to maintain such insurance. Any claims against us, regardless of their merit, could severely harm our financial condition, strain our management and other resources or destroy the prospects for commercialization of the product which is the subject of any such claim. We are unable to predict if we will be able to obtain or maintain product liability insurance for any products that may be approved for marketing. Additionally, we have entered into various agreements where we indemnify third parties for certain claims relating to the testing and use of our product candidates. These indemnification obligations may require us to pay significant sums of money for claims that are covered by these indemnifications.
We cannot predict all of the possible harms or side effects that may result from the use of our products and, therefore, the amount of insurance coverage we currently hold, or that we or our collaborators may obtain, may not be adequate to protect us from any claims arising from the use of our products that are beyond the limit of our insurance coverage. If we cannot protect against potential liability claims, we or our collaborators may find it difficult or impossible to commercialize our products, and we may not be able to renew or increase our insurance coverage on reasonable terms, if at all. The marketing, sale and use of our products and our planned future products could lead to the filing of product liability claims against us if someone alleges that our products failed to perform as designed. A product liability or professional liability claim could result in substantial damages and be costly and time-consuming for us to defend.
Any product liability or professional liability claim brought against us, with or without merit, could increase our insurance rates or prevent us from securing insurance coverage. Additionally, any product liability lawsuit could damage our reputation, result in the recall of products, or cause current partners to terminate existing agreements and potential partners to seek other partners, any of which could impact our results of operations.
If we use biological and hazardous materials in a manner that causes injury, we could be liable for damages.
Our activities may require the controlled use of potentially harmful biological materials, hazardous materials and chemicals and may in the future require the use of radioactive compounds. We cannot eliminate the risk of accidental contamination or injury to employees or third parties from the use, storage, handling or disposal of these materials. In the event of contamination or injury, we could be held liable for any resulting damages, and any liability could exceed our resources or any applicable insurance coverage we may have. Additionally, we are subject on an ongoing basis to federal, state and local laws and regulations governing the use, storage, handling and disposal of these materials and specified waste products. The cost of compliance with these laws and regulations might be significant and could negatively affect our operating results. In the event of an accident or if we otherwise fail to comply with applicable regulations, we could lose our permits or approvals or be held liable for damages or penalized with fines.
We have benefited from certain non-reimbursable subsidies from the French government that if terminated or reduced may restrict our ability to successfully develop, manufacture and commercialize our drug candidates. 
We have benefited from certain tax advantages, including, for example, the research tax credit (Crédit d'Impôt Recherche, the “CIR”). The CIR is a French tax credit aimed at stimulating research and development. The CIR can be offset against French corporate income tax due and the portion in excess (if any) may be refunded at the end of a three fiscal-year period (or, sooner, for smaller companies such as ours). The CIR is calculated based on our claimed amount of eligible research and development expenditures in France. The French tax authority with the assistance of the Research and Technology Ministry may audit each research and development program in respect of which a CIR benefit has been claimed and assess whether such program qualifies in its view for the CIR benefit. The French tax authorities may challenge our eligibility to, or our calculation of certain tax reductions and/or deductions in respect of our research and development activities and, should the French tax authorities be successful, we may be liable for additional corporate income tax, and penalties and interest related thereto, or we may not obtain the refunds for which we have applied, which could have a significant impact on our results of operations and future cash flows. We believe we are eligible to receive the CIR benefit through at least the end of 2021. If our research and development operations in France are terminated, we would no longer be eligible to receive the CIR. Furthermore, if the French Parliament decides to eliminate, or reduce the scope or the rate of, the CIR benefit, either of which it could decide to do at any time, our results of operations could be adversely affected.
Due to the significant resources required for the development of our drug candidates, we must prioritize development of certain drug candidates and/or certain disease indications. We may expend our limited resources on candidates or indications that do not yield a successful product and fail to capitalize on drug candidates or indications that may be more profitable or for which there is a greater likelihood of success. 
We plan to develop a pipeline of drug candidates to treat GI and other diseases. Due to the significant resources required for the development of drug candidates, we must focus our attention and resources on specific diseases and/or indications and decide which drug candidates to pursue and the amount of resources to allocate to each. We are currently focusing our resources on the development of our lead product candidate, MS1819, for the treatment of exocrine pancreatic insufficiency ("EPI") associated with cystic fibrosis ("CF") and chronic pancreatitis ("CP").
We have also recently entered into the First Wave License Agreement with First Wave pursuant to which we were granted a worldwide, exclusive right to develop, manufacture, and commercialize First Wave’s proprietary immediate release and enema formulations of niclosamide for the fields of treating ICI-AC and COVID gastrointestinal infections in humans. We are now solely responsible, and have agreed to use commercially reasonable efforts, for all development, regulatory and commercial activities related to the Products in the ICI-AC and COVID fields.
Our decisions concerning the allocation of research, development, collaboration, management and financial resources toward particular drug candidates or therapeutic areas may not lead to the development of any viable commercial product and may divert resources away from better opportunities. Similarly, any decision to delay, terminate or collaborate with third parties in respect of certain programs or product candidates may subsequently prove to be suboptimal and could cause us to miss valuable opportunities. If we make incorrect determinations regarding the viability or market potential of any of our programs or product candidates or misread trends in the GI, CF, CP, COVID or biotechnology industry, our business, financial condition and results of operations could be materially adversely affected. As a result, we may fail to capitalize on viable commercial products or profitable market opportunities, be required to forego or delay pursuit of opportunities with other product candidates or other diseases and indications that may later prove to have greater commercial potential than those we choose to pursue, or relinquish valuable rights to such product candidates through collaboration, licensing or other royalty arrangements in cases in which it would have been advantageous for us to invest additional resources to retain development and commercialization rights.
 
If we fail to attract and retain key management and clinical development personnel, we may be unable to successfully develop or commercialize our product candidates.
 
We are dependent on our management team and clinical development personnel and our success will depend on their continued service, as well as our ability to attract and retain highly qualified personnel. In particular, the continued servicedevelopment of our senior management team including Johan M. (Thijs) Spoor,which now includes James Sapirstein, our President and Chief Executive Officer, and Daniel Dupret,Schneiderman, our Chief ScientificFinancial Officer, and James Pennington, our Chief Medical Officer, is critical to our success. The market for the services of qualified personnel in the biotechnology and pharmaceutical industry isindustries are highly competitive. The loss of service of any member of our senior management team or key personnel could prevent, impair or delay the implementation of our business plan, the successful conduct and completion of our planned clinical trials and the commercialization of any product candidates that we may successfully develop. We do not carry key man insurance for any member of our senior management team.
 
We use biological materials and may use hazardous materials, and any claims relating to improper handling, storage or disposal of these materials could be time consuming or costly.
 
We may use hazardous materials, including chemicals and biological agents and compounds, that could be dangerous to human health and safety or the environment. Our operations also produce hazardous waste products. Federal, state and local laws and regulations govern the use, generation, manufacture, storage, handling and disposal of these materials and wastes. Compliance with applicable environmental laws and regulations may be expensive, and current or future environmental laws and regulations may impair our product development efforts. In addition, we cannot entirely eliminate the risk of accidental injury or contamination from these materials or wastes. We do not carry specific biological or hazardous waste insurance coverage and our property and casualty, and general liability insurance policies specifically exclude coverage for damages and fines arising from biological or hazardous waste exposure or contamination. Accordingly, in the event of contamination or injury, we could be held liable for damages or penalized with fines in an amount exceeding our resources, and our clinical trials or regulatory approvals could be suspended.
 
Although we maintain workers’ compensation insurance to cover us for costs and expenses, we may incur due to injuries to our employees resulting from the use of hazardous materials, this insurance may not provide adequate coverage against potential liabilities. We do not maintain insurance for environmental liability or toxic tort claims that may be asserted against us in connection with our storage or disposal of biological or hazardous materials.
 
In addition, we may incur substantial costs in order to comply with current or future environmental, health and safety laws and regulations. These current or future laws and regulations may impair our research, development or production efforts. Failure to comply with these laws and regulations also may result in substantial fines, penalties or other sanctions.
 
If we or our partners are sued for infringing intellectual property rights of third parties, it will be costly and time consuming, and an unfavorable outcome in that litigation would have a material adverse effect on our business.
 
Our success also depends upon our ability and the ability of any of our future collaborators to develop, manufacture, market and sell our product candidates without infringing the proprietary rights of third parties. Numerous United States and foreign issued patents and pending patent applications, which are owned by third parties, exist in the fields in which we are developing products, some of which may be directed at claims that overlap with the subject matter of our intellectual property. Because patent applications can take many years to issue, there may be currently pending applications, unknown to us, which may later result in issued patents that our product candidates or proprietary technologies may infringe. Similarly, there may be issued patents relevant to our product candidates of which we are not aware.
 
There is a substantial amount of litigation involving patent and other intellectual property rights in the biotechnology and biopharmaceutical industries generally. If a third partythird-party claims that we or any of our licensors, suppliers or collaborators infringe the third party’s intellectual property rights, we may have to:
 
obtain licenses, which may not be available on commercially reasonable terms, if at all;
abandon an infringing product candidate or redesign our products or processes to avoid infringement;
pay substantial damages, including the possibility of treble damages and attorneys’ fees, if a court decides that the product or proprietary technology at issue infringes on or violates the third party’s rights;
pay substantial royalties, fees and/or grant cross licenses to our technology; and/or
defend litigation or administrative proceedings which may be costly whether we win or lose, and which could result in a substantial diversion of our financial and management resources.
obtain licenses, which may not be available on commercially reasonable terms, if at all;
abandon an infringing product candidate or redesign our products or processes to avoid infringement;
pay substantial damages, including the possibility of treble damages and attorneys’ fees, if a court decides that the product or proprietary technology at issue infringes on or violates the third party’s rights;
pay substantial royalties, fees and/or grant cross licenses to our technology; and/or
defend litigation or administrative proceedings which may be costly whether we win or lose, and which could result in a substantial diversion of our financial and management resources.
 
Healthcare reform and restrictions on reimbursements may limit our financial returns.
 
Our ability or the ability of our collaborators to commercialize any of our product candidates that we successfully develop may depend, in part, on the extent to which government health administration authorities, private health insurers and other organizations will reimburse consumers for the cost of these products. These third parties are increasingly challenging both the need for and the price of new drug products. Significant uncertainty exists as to the reimbursement status of newly approved therapeutics. Adequate third-party reimbursement may not be available for our product candidates to enable us or our collaborators to maintain price levels sufficient to realize an appropriate return on their and our investments in research and product development.
 
Changes in healthcare law and implementing regulations, including government restrictions on pricing and reimbursement, as well as healthcare policy and other healthcare payor cost-containment initiatives, may negatively impact our ability to generate revenues.
The potential pricing and reimbursement environment for MS1819, niclosamide and our other product candidates and any future products may change in the future and become more challenging due to, among other reasons, policies advanced by the current or any new presidential administration, federal agencies, healthcare legislation passed by Congress, or fiscal challenges faced by all levels of government health administration authorities.
If we or any of our independent contractors, consultants, collaborators, manufacturers, vendors or service providers fail to comply with healthcare laws and regulations, we or they could be subject to enforcement actions, which could result in penalties and affect our ability to develop, market and sell our product candidates and may harm our reputation.
 
We are subject to federal, state, and foreign healthcare laws and regulations pertaining to fraud and abuse and patients’ rights. These laws and regulations include:
 
the U.S. federal healthcare program anti-kickback law, which prohibits, among other things, persons and entities from soliciting, receiving or providing remuneration, directly or indirectly, to induce either the referral of an individual for a healthcare item or service, or the purchasing or ordering of an item or service, for which payment may be made under a federal healthcare program such as Medicare or Medicaid;
the U.S. federal healthcare program anti-kickback law, which prohibits, among other things, persons and entities from soliciting, receiving or providing remuneration, directly or indirectly, to induce either the referral of an individual for a healthcare item or service, or the purchasing or ordering of an item or service, for which payment may be made under a federal healthcare program such as Medicare or Medicaid;
 
the U.S. federal false claims and civil monetary penalties laws, which prohibit, among other things, individuals or entities from knowingly presenting or causing to be presented, claims for payment by government funded programs such as Medicare or Medicaid that are false or fraudulent, and which may apply to us by virtue of statements and representations made to customers or third parties;
the U.S. federal false claims and civil monetary penalties laws, which prohibit, among other things, individuals or entities from knowingly presenting or causing to be presented, claims for payment by government funded programs such as Medicare or Medicaid that are false or fraudulent, and which may apply to us by virtue of statements and representations made to customers or third parties;

the U.S. federal Health Insurance Portability and Accountability Act (“HIPAA”), which prohibits, among other things, executing a scheme to defraud healthcare programs;

HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or HITECH, imposes requirements relating to the privacy, security, and transmission of individually identifiable health information, and requires notification to affected individuals and regulatory authorities of certain breaches of security of individually identifiable health information;
the federal Physician Payment Sunshine Act, which requires certain manufacturers of drugs, devices, biologics and medical supplies to report annually to the Centers for Medicare & Medicaid Services, or CMS, information related to payments and other transfers of value to physicians, other healthcare providers and teaching hospitals, and ownership and investment interests held by physicians and other healthcare providers and their immediate family members, which is published in a searchable form on an annual basis; and
state laws comparable to each of the above federal laws, such as, for example, anti-kickback and false claims laws that may be broader in scope and also apply to commercial insurers and other non-federal payors, requirements for mandatory corporate regulatory compliance programs, and laws relating to patient data privacy and security.
the U.S. federal Health Insurance Portability and Accountability Act, or HIPAA, which prohibits, among other things, executing a scheme to defraud healthcare programs;
HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or HITECH, imposes requirements relating to the privacy, security, and transmission of individually identifiable health information, and requires notification to affected individuals and regulatory authorities of certain breaches of security of individually identifiable health information;
the federal Physician Payment Sunshine Act, which requires certain manufacturers of drugs, devices, biologics and medical supplies to report annually to the Centers for Medicare & Medicaid Services, or CMS, information related to payments and other transfers of value to physicians, other healthcare providers and teaching hospitals, and ownership and investment interests held by physicians and other healthcare providers and their immediate family members, which is published in a searchable form on an annual basis; and
state laws comparable to each of the above federal laws, such as, for example, anti-kickback and false claims laws that may be broader in scope and also apply to commercial insurers and other non-federal payors, requirements for mandatory corporate regulatory compliance programs, and laws relating to patient data privacy and security.
 
If our operations are found to be in violation of any such health care laws and regulations, we may be subject to penalties, including administrative, civil and criminal penalties, monetary damages, disgorgement, imprisonment, the curtailment or restructuring of our operations, loss of eligibility to obtain approvals from the FDA, or exclusion from participation in government contracting, healthcare reimbursement or other government programs, including Medicare and Medicaid, any of which could adversely affect our financial results. Although effective compliance programs can mitigate the risk of investigation and prosecution for violations of these laws, these risks cannot be entirely eliminated. Any action against us for an alleged or suspected violation could cause us to incur significant legal expenses and could divert our management’s attention from the operation of our business, even if our defense is successful. In addition, achieving and sustaining compliance with applicable laws and regulations may be costly to us in terms of money, time and resources.
 
We will need to grow the size of our organization, and we may experience difficulties in managing this growth.
 
As of MarchDecember 31, 2016,2020, we had twelveten employees. As our development and commercialization plans and strategies develop, and as we transition into operating as a public company, we expect to need additional managerial, operational, research and development, sales, marketing, financial and other personnel. Future growth would impose significant added responsibilities on members of management, including:
identifying, recruiting, integrating, maintaining and motivating additional employees;
 
managing our internal development efforts effectively, including the clinical, FDA and international regulatory review process for our product candidates, while complying with our contractual obligations to contractors and other third parties; and
improving our operational, financial and management controls, reporting systems and procedures.
identifying, recruiting, integrating, maintaining and motivating additional employees;
managing our internal development efforts effectively, including the clinical, FDA and international regulatory review process for our product candidates, while complying with our contractual obligations to contractors and other third parties; and
improving our operational, financial and management controls, reporting systems and procedures.
 
Our future financial performance and our ability to commercialize our product candidates will depend, in part, on our ability to effectively manage any future growth, and our management may also have to divert a disproportionate amount of its attention away from day-to-day activities in order to devote a substantial amount of time to managing these growth activities.

 
We currently rely, and for the foreseeable future will continue to rely, in substantial part on certain independent organizations, advisors and consultants to provide certain services, including substantially allcertain aspects of regulatory approval, clinical management and manufacturing. There can be no assurance that the services of independent organizations, advisors and consultants will continue to be available to us on a timely basis when needed, or that we can find qualified replacements. In addition, if we are unable to effectively manage our outsourced activities or if the quality or accuracy of the services provided by consultants is compromised for any reason, our clinical trials may be extended, delayed or terminated, and we may not be able to obtain regulatory approval of our product candidates or otherwise advance our business. There can be no assurance that we will be able to manage our existing consultants and contractors or find other competent outside contractors and consultants on economically reasonable terms, or at all.
 
If we are not able to effectively expand our organization by hiring new employees and expanding our groups of consultants and contractors, we may not be able to successfully implement the tasks necessary to further develop and commercialize our product candidates and, accordingly, may not achieve our research, development and commercialization goals.
 
We are subject to U.S. and foreign anti-corruption and anti-money laundering laws with respect to our operations and non-compliance with such laws can subject us to criminal and/or civil liability and harm our business. 
We are subject to the U.S. Foreign Corrupt Practices Act of 1977, as amended, or the FCPA, the U.S. domestic bribery statute contained in 18 U.S.C. § 201, the U.S. Travel Act, the USA PATRIOT Act, and possibly other state and national anti-bribery and anti-money laundering laws in countries in which we conduct activities. Anti-corruption laws are interpreted broadly and prohibit companies and their employees, agents, third-party intermediaries, joint venture partners and collaborators from authorizing, promising, offering, or providing, directly or indirectly, improper payments or benefits to recipients in the public or private sector. We engage third-party investigators, CROs, and other consultants to design and perform preclinical studies of our drug candidates and will do the same for any clinical trials. Also, once a drug candidate has been approved and commercialized, we may engage third-party intermediaries to promote and sell our products abroad and/or to obtain necessary permits, licenses, and other regulatory approvals. We or our third-party intermediaries may have direct or indirect interactions with officials and employees of government agencies or state-owned or affiliated entities. We can be held liable for the corrupt or other illegal activities of these third-party intermediaries, our employees, representatives, contractors, collaborators, partners, and agents, even if we do not explicitly authorize or have actual knowledge of such activities.
Noncompliance with anti-corruption and anti-money laundering laws could subject us to whistleblower complaints, investigations, sanctions, settlements, prosecution, other enforcement actions, disgorgement of profits, significant fines, damages, other civil and criminal penalties or injunctions, suspension and/or debarment from contracting with certain persons, the loss of export privileges, reputational harm, adverse media coverage, and other collateral consequences. If any subpoenas, investigations, or other enforcement actions are launched, or governmental or other sanctions are imposed, or if we do not prevail in any possible civil or criminal litigation, our business, results of operations and financial condition could be materially harmed. In addition, responding to any action will likely result in a materially significant diversion of management's attention and resources and significant defense and compliance costs and other professional fees. In certain cases, enforcement authorities may even cause us to appoint an independent compliance monitor which can result in added costs and administrative burdens.
Significant disruptions of information technology systems or breaches of data security could materially adversely affect our business, results of operations and financial condition.
We collect and maintain information in digital form that is necessary to conduct our business, and we are increasingly dependent on information technology systems and infrastructure to operate our business. In the ordinary course of our business, we collect, store and transmit large amounts of confidential information, including intellectual property, proprietary business information and personal information. It is critical that we do so in a secure manner to maintain the confidentiality and integrity of such confidential information. We have established physical, electronic and organizational measures to safeguard and secure our systems to prevent a data compromise, and rely on commercially available systems, software, tools, and monitoring to provide security for our information technology systems and the processing, transmission and storage of digital information. We have also outsourced elements of our information technology infrastructure, and as a result a number of third-party vendors may or could have access to our confidential information. Our internal information technology systems and infrastructure, and those of our current and any future collaborators, contractors and consultants and other third parties on which we rely, are vulnerable to damage from computer viruses, malware, natural disasters, terrorism, war, telecommunication and electrical failures, cyber-attacks or cyber-intrusions over the Internet, attachments to emails, persons inside our organization, or persons with access to systems inside our organization. 
The risk of a security breach or disruption, particularly through cyber-attacks or cyber-intrusion, including by computer hackers, foreign governments and cyber-terrorists, has generally increased as the number, intensity and sophistication of attempted attacks and intrusions from around the world have increased. In addition, the prevalent use of mobile devices that access confidential information increases the risk of data security breaches, which could lead to the loss of confidential information or other intellectual property. The costs to us to mitigate network security problems, bugs, viruses, worms, malicious software programs and security vulnerabilities could be significant, and while we have implemented security measures to protect our data security and information technology systems, our efforts to address these problems may not be successful, and these problems could result in unexpected interruptions, delays, cessation of service and other harm to our business and our competitive position. If such an event were to occur and cause interruptions in our operations, it could result in a material disruption of our product development programs. For example, the loss of clinical trial data from completed or ongoing or planned clinical trials could result in delays in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data. Moreover, if a computer security breach affects our systems or results in the unauthorized release of personally identifiable information, our reputation could be materially damaged. 
In addition, such a breach may require notification to governmental agencies, the media or individuals pursuant to various federal and state privacy and security laws, if applicable, including the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Clinical Health Act of 2009, and its implementing rules and regulations, as well as regulations promulgated by the Federal Trade Commission and state breach notification laws. 
Under the EU regulation and notably the General Data Protection Regulation, or GDPR, No. 2016/679, which entered into force on May 25, 2018 and is applicable personal data that we process in relation to our presence in the EU, the offering of products or services to individuals in the EU or the monitoring of the behavior of individuals in the EU, we have also a legal responsibility to report personal data breaches to the competent supervisory authority. The EU data protection regulation includes a broad definition and a short deadline for the notification of personal data breaches, which may be difficult to implement in practice and requires that we implement robust internal processes. Under this regulation, we have to report personal data breaches to the competent supervisory authority within 72 hours of the time we become aware of a breach "unless the personal data breach is unlikely to result in a risk to the right and freedoms of natural persons" (Article 33 of the GDPR). In addition, the GDPR requires that we communicate the breach to the Data Subject if the breach is "likely to result in a high risk to the rights and freedoms of natural persons" (Article 34 of the GDPR). In order to fulfil these requirements, we have to implement specific internal processes to be followed in case of a personal data breach, which will allow us to (a) contain and recover the breach, (b) assess the risk to the data subjects, (c) notify, and possibly communicate the breach to the data subjects, (d) investigate and respond to the breach. The performance of these processes implies substantial costs in resources and time. 
Moreover, as we may rely on third parties that will also process as processor the data for which we are a data controller—for example, in the context of the manufacturing of our drug candidates or for the conduct of clinical trials, we must contractually ensure that strict security measures, as well as appropriate obligations including an obligation to report in due delay any security incident are implemented, in order to allow us fulfilling our own regulatory requirements. 
We would also be exposed to a risk of loss or litigation and potential liability for any security breach on personal data for which we are data controller. The costs of above-mentioned processes together with legal penalties, possible compensation for damages and any resulting lawsuits arising from a breach may be extensive and may have a negative impact on reputation and materially adversely affect our business, results of operations and financial condition.
Our employees and independent contractors, including principal investigators, consultants, commercial collaborators, service providers and other vendors may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements, which could have an adverse effect on our results of operations. 
We are exposed to the risk that our employees and independent contractors, including principal investigators, consultants, any future commercial collaborators, service providers and other vendors may engage in misconduct or other illegal activity. Misconduct by these parties could include intentional, reckless and/or negligent conduct or other unauthorized activities that violate the laws and regulations of the FDA, EMA and other similar regulatory bodies, including those laws that require the reporting of true, complete and accurate information to such regulatory bodies; manufacturing standards; healthcare fraud and abuse, data privacy laws and other similar laws; or laws that require the true, complete and accurate reporting of financial information or data. Activities subject to these laws also involve the improper use or misrepresentation of information obtained in the course of clinical trials, the creation of fraudulent data in our preclinical studies or clinical trials, or illegal misappropriation of product, which could result in regulatory sanctions and cause serious harm to our reputation. It is not always possible to identify and deter misconduct by employees and other third parties, and the precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be in compliance with such laws or regulations. In addition, we are subject to the risk that a person or government could allege such fraud or other misconduct, even if none occurred. If any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions could have a significant impact on our business and financial results, including, without limitation, the imposition of significant civil, criminal and administrative penalties, damages, monetary fines, disgorgements, possible exclusion from participation in governmental healthcare programs, individual imprisonment, other sanctions, contractual damages, reputational harm, diminished profits and future earnings and curtailment of our operations, any of which could adversely affect our ability to operate our business and our results of operations.
Our Ability to Compete May Decline If We Do Not Adequately Protect Our Proprietary Rights.
Our success depends on obtaining and maintaining proprietary rights to our drug candidates for the treatment of age-related diseases, as well as successfully defending these rights against third-party challenges. We will only be able to protect our drug candidates, and their uses from unauthorized use by third parties to the extent that valid and enforceable patents, or effectively protected trade secrets, cover them. Our ability to obtain patent protection for our drug candidates is uncertain due to a number of factors, including:
we may not have been the first to make the inventions covered by pending patent applications or issued patent
we may not have been the first to file patent applications for our drug candidates or the compositions we developed or for their uses;
others may independently develop identical, similar or alternative products or compositions and uses thereof;
our disclosures in patent applications may not be sufficient to meet the statutory requirements for patentability;
any or all of our pending patent applications may not result in issued patents;
we may not seek or obtain patent protection in countries that may eventually provide us a significant business opportunity;
any patents issued to us may not provide a basis for commercially viable products, may not provide any competitive advantages, or may be successfully challenged by third parties;
our compositions and methods may not be patentable;
hers may design around our patent claims to produce competitive products which fall outside of the scope of our patents;
others may identify prior art or other bases which could invalidate our patents.
Even if we have or obtain patents covering our drug candidates or compositions, we may still be barred from making, using and selling our drug candidates or technologies because of the patent rights of others. Others may have filed, and in the future may file, patent applications covering compositions or products that are similar or identical to ours. There are many issued U.S. and foreign patents relating to chemical compounds and therapeutic products, and some of these relate to compounds we intend to commercialize. These could materially affect our ability to develop our drug candidates or sell our products if approved. Because patent applications can take many years to issue, there may be currently pending applications unknown to us that may later result in issued patents that our drug candidates or compositions may infringe. These patent applications may have priority over patent applications filed by us.
Obtaining and maintaining a patent portfolio entails significant expense and resources. Part of the expense includes periodic maintenance fees, renewal fees, annuity fees, various other governmental fees on patents and/or applications due in several stages over the lifetime of patents and/or applications, as well as the cost associated with complying with numerous procedural provisions during the patent application process. We may or may not choose to pursue or maintain protection for particular inventions. In addition, there are situations in which failure to make certain payments or noncompliance with certain requirements in the patent process can result in abandonment or lapse of a patent or patent application, resulting in partial or complete loss of patent rights in the relevant jurisdiction. If we choose to forgo patent protection or allow a patent application or patent to lapse purposefully or inadvertently, our competitive position could suffer. 
In addition, it is unclear at this time what Brexit's impact will have on our intellectual property rights and the process for obtaining and defending such rights. It is possible that certain intellectual property rights, such as trademarks, granted by the EU will cease being enforceable in the UK absent special arrangements to the contrary. With regard to existing patent rights, the effect of Brexit should be minimal considering enforceable patent rights are specific to the UK, whether arising out of the European Patent Office or directly through the UK patent office.
Legal actions to enforce our proprietary rights (including patents and trademarks) can be expensive and may involve the diversion of significant management time. In addition, these legal actions could be unsuccessful and could also result in the invalidation of our patents or trademarks or a finding that they are unenforceable. We may or may not choose to pursue litigation or other actions against those that have infringed on our patents or trademarks, or used them without authorization, due to the associated expense and time commitment of monitoring these activities. If we fail to protect or to enforce our intellectual property rights successfully, our competitive position could suffer, which could harm our results of operations.
Risks Relating to our Finances, Capital Requirements and Other Financial Matters
 
We are a developmentclinical stage biopharmaceutical company with a history of operating losses that are expected to continue and we are unable to predict the extent of future losses, whether we will generate significant revenues or whether we will achieve or sustain profitability.
 
We are a company in the clinical stage of pharmaceutical development stage and our prospects must be considered in light of the uncertainties, risks, expenses and difficulties frequently encountered by companies in their early stages of operations. We have generated operating losses since our inception, including losses of approximately $2,365,000,$15.2 million and $5,930,000$13.5 million for the years ended December 31, 20142019 and 2015,2018, respectively, and $1,991,000 inlosses of approximately $15.3 for the threenine months ended March 31, 2016. At March 31, 2016, we had an accumulated deficit of approximately $10,287,000.September 30, 2020. We expect to make substantial expenditures and incur increasing operating costs in the future and our accumulated deficit will increase significantly as we expand development and clinical trial activities for MS1819, niclosamide and our other product candidates. Our losses have had, and are expected to continue to have, an adverse impact on our working capital, total assets and stockholders’ equity. Because of the risks and uncertainties associated with product development, we are unable to predict the extent of any future losses, whether we will ever generate significant revenues or if we will ever achieve or sustain profitability.
 
We will need substantial additional funding and may be unable to raise capital when needed, which would force us to delay, curtail or eliminate one or more of our research and development programs or commercialization efforts.
Our operations have consumed substantial amounts of cash since inception. During the years ended December 31, 2014 and 2015 and the three months ended March 31, 2016, we incurred research and development expenses of approximately $670,000, $1,398,000 and $686,000, respectively. We expect to continue to spend substantial amounts on product development, including conducting clinical trials for our product candidates and purchasing clinical trial materials from our suppliers. We believe that our cash on hand and the net proceeds from this offering will sustain our operations until January 2018 and that we will require substantial additional funds to support our continued research and development activities, as well as the anticipated costs of preclinical studies and clinical trials, regulatory approvals and potential commercialization. We have based this estimate, however, on assumptions that may prove to be wrong, and we could spend our available financial resources much faster than we currently expect. Our current financial condition raises substantial doubt about our ability to continue as a going concern.
Until such time, if ever, as we can generate a sufficient amount of product revenue and achieve profitability, we expect to seek to finance future cash needs through equity or debt financings or corporate collaboration and licensing arrangements. Other than this offering, we currently have no other commitments or agreements relating to any of these types of transactions and we cannot be certain that additional funding will be available on acceptable terms, or at all. If we are unable to raise additional capital, we will have to delay, curtail or eliminate one or more of our research and development programs.
We received a report from our independent registered public accounting firm with an explanatory paragraph for the year ended December 31, 2015 and 2014 with respect to our ability to continue as a going concern.  The existence of such a report may adversely affect our stock price and our ability to raise capital.  
In their report dated June 15, 2016, our independent registered public accounting firm expressed substantial doubt about our ability to continue as a going concern.  We have incurred significant operating losses and negative cash flows from operations since inception, haveinception. As of September 30, 2020, we had an accumulated deficit of approximately $78.0 million. While we had positive working capital as of March 31, 2016September 30, 2020, based on our historical and require additional financinganticipated rate of cash expenditures, we do not anticipate our working capital will be sufficient to fund future operations. Our abilitysustain our business through the successful commercialization of our product candidates. Therefore, we are dependent on obtaining, and are continuing to continue as a going concern is subject to our ability to obtainpursue, the necessary funding from outside sources, including obtaining additional funding from the sale of securities, in order to continue our securities.
operations. Without adequate funding, we may not be able to meet our obligations. We believe these conditions raise substantial doubt about our ability to continue as a going concern.
 
Raising additional funds by issuing securities or through licensing or lending arrangements may cause dilution to our existing stockholders, restrict our operations or require us to relinquish proprietary rights.
 
To the extent that we raise additional capital by issuing equity securities, the share ownership of existing stockholders will be diluted. Any future debt financing may involve covenants that restrict our operations, including limitations on our ability to incur liens or additional debt, pay dividends, redeem our stock, make certain investments and engage in certain merger, consolidation or asset sale transactions, among other restrictions. In addition, if we raise additional funds through licensing arrangements, it may be necessary to relinquish potentially valuable rights to our product candidates or grant licenses on terms that are not favorable to us.
 
In the event we effect any issuance, or any of our subsidiaries, of Common Stock or Common Stock equivalents for cash consideration, or a combination of units thereof (a “Subsequent Financing”), each holder of our Series B Preferred Stock has the right, subject to certain exceptions set forth in the Series B Certificate of Designations, at its option, to exchange (in lieu of cash subscription payments) all or some of the Series B Preferred Stock then held (with a value per share of Series B Preferred Stock equal to the Liquidation Preference) for any securities or units issued in a Subsequent Financing on dollar-for-dollar basis.

We will need substantial additional capital and certain terms included in our financing transactions may prohibit us from raising capital when needed, which would force us to delay, curtail or eliminate one or more of our research and development programs or commercialization efforts.
Our operations have consumed substantial amounts of cash since inception. During the years ended December 31, 2019 and 2018, we incurred research and development expense of approximately $8.7 million and $5.8 million, respectively. We expect to continue to spend substantial amounts on product development, including conducting clinical trials for MS1819, niclosamide and our other product candidates and purchasing clinical trial materials from our suppliers. We will require substantial additional funds to support our continued research and development activities, as well as the anticipated costs of preclinical studies and clinical trials, regulatory approvals and potential commercialization. We could spend our available financial resources much faster than we currently expect.
Further, pursuant to the financing transaction documents we entered into in connection with the Offerings, we have agreed, not to issue, enter into any agreement to issue or announce the issuance or proposed issuance of any shares of common stock or common stock equivalents or file any registration statement other than as contemplated pursuant to the Registration Rights Agreement entered into in connection with the Private Placement until the later of 30 days after the effective date of such registration statement is declared effective or the day we obtain the Stockholder Approval. In addition, we have agreed, subject to certain exceptions, for the one-year period commencing on the signing of the Purchase Agreement, not to (i) issue or sell any debt or equity securities that are convertible into, exchangeable or exercisable for, or include the right to receive, additional common stock either (A) at a conversion price, exercise price or exchange rate or other price that is based upon, and/or varies with, the trading prices of or quotations for the common stock at any time after the initial issuance of such debt or equity securities or (B) with a conversion, exercise or exchange price that is subject to being reset at some future date after the initial issuance of such debt or equity security or upon the occurrence of specified or contingent events directly or indirectly related to our business or the market for the common stock or (ii) enter into, or effect a transaction under, any agreement, including, but not limited to, an equity line of credit, whereby we may issue securities at a future determined price. The Series C Purchase Agreement limits our ability to make sales of our Common Stock pursuant to our Equity Line Agreement (as defined below) with Lincoln Park Capital Fund, LLC until June 30, 2021.

Until such time, if ever, as we can generate a sufficient amount of product revenue and achieve profitability, we expect to seek to finance future cash needs through equity and/or debt financings or corporate collaboration and licensing arrangements. We currently have no other commitments or agreements relating to any of these types of transactions and we cannot be certain that additional funding will be available on acceptable terms, or at all. If we are unable to raise additional capital, we will have to delay, curtail or eliminate one or more of our research and development programs. If we are able to raise additional capital, our stockholders may experience additional dilution, and as a result, our stock price may decline. 
If we issue additional shares of Common Stock in the future, including issuances of shares upon conversion or exercise of our outstanding securities convertible and/or exercisable into shares of Common Stock, our existing stockholders will be diluted.
The conversion or exercise, as applicable, of outstanding securities will dilute the voting interest of the owners of presently outstanding shares of Common Stock by adding a substantial number of additional shares of our Common Stock. As of January 11, 2021, we had:
4,082,506 shares of Common Stock issuable upon the exercise of stock options, at a weighted average exercise price of $1.24 per share under our 2014 Plan;
387,000 shares of granted, but unissued restricted stock and restricted stock units under our 2014 Plan;
36,592,527 shares of Common Stock issuable upon exercise of outstanding warrants, with a weighted average exercise price of $1.09 per share;
316,185 shares of Common Stock issuable upon the exercise of stock options, at a weighted average exercise price of $0.95 per share under our 2020 Plan;
9,638,815 shares of Common Stock that are available for future issuance under our 2020 Plan;
25,535,473 shares of Common Stock issuable upon conversion of Series B Convertible Preferred Stock, including accrued and unpaid dividends of approximately $48,363 as of January 11, 2021;
up to 679,282 shares of Common Stock issuable upon conversion of Series C Preferred Stock that may be issued pursuant to the Exchange Right, in excess of amounts currently underlying the Series B Preferred Stock, the issuance of which is subject to the Stockholder Approval to the extent in excess of the Issuable Maximum;
up to 26,151,945 shares of Common Stock issuable upon exercise of Investor Warrants that may be issued pursuant to the Exchange Right, the issuance of which is subject to the Stockholder Approval;
3,260,869 shares of Common Stock issuable upon conversion of Series C Preferred Stock issued to First Wave pursuant to the First Wave License Agreement, the issuance of which is subject to the Stockholder Approval;
746,667 shares of Common Stock issuable upon exercise of Placement Agent Warrants, the issuance of which is subject to the Stockholder Approval;
5,333,334 shares of Common Stock issuable upon conversion of Series C Preferred Stock sold in the Private Placement, the issuance of which is subject to the Stockholder Approval to the extent in excess of the Issuable Maximum; and
10,666,668 shares of Common Stock issuable upon exercise of Investor Warrants sold in the Private Placement, the issuance of which is subject to the Stockholder Approval.
To the extent any of these convertible securities, warrants or options are converted or exercised and any additional options are granted and exercised, there will be further dilution to stockholders and investors.
Risks Associated with our Capital Stock and this Offering
 
WeOur failure to maintain compliance with Nasdaq’s continued listing requirements could result in the delisting of our Common Stock.
On March 23, 2020, we received a letter from the Listing Qualifications Department (the “Staff”) of The Nasdaq Stock Market LLC (“Nasdaq”) indicating that, based upon the closing bid price of our Common Stock for the prior 30 consecutive business days, we were not in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing on Nasdaq, as set forth in Nasdaq Listing Rule 5550(a)(2) (the “Minimum Bid Price Requirement”). The 180-day time period for us to regain compliance was subsequently extended to December 3, 2020, pursuant to certain COVID-19 related relief from price-based continued listing requirements issued by Nasdaq on April 16, 2020. On November 23, 2020, we submitted a request to Nasdaq for a 180-day extension to regain compliance with the Minimum Bid Price Requirement. On December 4, 2020, we received a letter from Nasdaq advising that we had been granted a 180-day extension to June 1, 2021 to regain compliance with the Minimum Bid Price Requirement, in accordance with Nasdaq Listing Rule 5810(c)(3)(A). If we do not know whether an active, liquidregain compliance within the allotted compliance periods, including any extensions that may be granted by Nasdaq, Nasdaq will provide notice that our Common Stock will be subject to delisting. We would then be entitled to appeal that determination to a Nasdaq hearings panel. We will continue to monitor the closing bid price of our Common Stock and orderly trading marketseek to regain compliance with the Minimum Bid Price Requirement within the allotted compliance period. If we do not regain compliance within the allotted compliance period, Nasdaq will develop forprovide notice that our common stockCommon Stock will be subject to delisting. We would then be entitled to appeal that determination to a Nasdaq hearings panel. There can be no assurance that we will regain compliance with the Minimum Bid Price Requirement during the 180-day extension.
While we intend to engage in efforts to regain compliance, and thus maintain our listing, there can be no assurance that we will be able to regain compliance during the applicable time periods set forth above. If we fail to continue to meet all applicable Nasdaq Capital Market requirements in the U.S.future and Nasdaq determines to delist our Common Stock, the delisting could substantially decrease trading in our Common Stock; adversely affect the market liquidity of our Common Stock as a result of the loss of market efficiencies associated with Nasdaq and the loss of federal preemption of state securities laws; adversely affect our ability to obtain financing on acceptable terms, if at all; and may result in the potential loss of confidence by investors, suppliers, customers, and employees and fewer business development opportunities. Additionally, the market price of our Common Stock may decline further and shareholders may lose some or all of their investment.
 
Prior to this offering, there has been noThe limited public market for our common stock. securities may adversely affect an investor’s ability to liquidate an investment in us.
Although we have applied for listingour Common Stock is currently listed on The NASDAQthe Nasdaq Capital Market, there is limited trading activity. We can give no assurance that an active trading market forwill develop, or if developed, that it will be sustained. If an investor acquires shares of our Common Stock, the investor may not be able to liquidate our shares may never developshould there be a need or be sustained. The lackdesire to do so.


The market price of our common stockCommon Stock may be volatile and may fluctuate in a way that is disproportionate to our operating performance.
 
Our stock price may experience substantial volatility as a result of a number of factors, includingincluding:
 
sales or potential sales of substantial amounts of our common stock;
delay or failure in initiating or completing pre-clinical or clinical trials or unsatisfactory results of these trials;
announcements about us or about our competitors, including clinical trial results, regulatory approvals or new product introductions;
developments concerning our licensors or product manufacturers;

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Tablesales or potential sales of Contentssubstantial amounts of our Common Stock;

delay or failure in initiating or completing pre-clinical or clinical trials or unsatisfactory results of these trials;
announcements about us or about our competitors, including clinical trial results, regulatory approvals or new product introductions;
developments concerning our licensors or product manufacturers;
litigation and other developments relating to our patents or other proprietary rights or those of our competitors;
conditions in the pharmaceutical or biotechnology industries;
governmental regulation and legislation;
variations in our anticipated or actual operating results;
change in securities analysts’ estimates of our performance, or our failure to meet analysts’ expectations; foreign currency values and fluctuations; and
overall economic conditions.
litigation and other developments relating to our patents or other proprietary rights or those of our competitors;
conditions in the pharmaceutical or biotechnology industries;
governmental regulation and legislation;
variations in our anticipated or actual operating results;
change in securities analysts’ estimates of our performance, or our failure to meet analysts’ expectations; foreign currency values and fluctuations; and
overall economic conditions.
 
Many of these factors are beyond our control. The stock markets in general, and the market for pharmaceutical and biotechnological companies in particular, have historically experienced extreme price and volume fluctuations. These fluctuations often have been unrelated or disproportionate to the operating performance of these companies. These broad market and industry factors could reduce the market price of our common stock,Common Stock, regardless of our actual operating performance.
 
Future sales of shares of our common stock by existing stockholders could depress the market price of our common stock.
Upon the closing of this offering, we will have an aggregate of 10,813,945 outstanding shares of common stock. The shares sold in this offering will be immediately tradable without restriction.  623,011 shares, or approximately 6% of our outstanding shares of common stock are currently restricted as a result of lock-up agreements. These shares will be available for sale into the public market 180 days following the date of this Prospectus, subject to certain exceptions and also to potential extensions under certain circumstances, and will be subject to volume and other sale restrictions. The representative of the underwriters may, in its sole discretion and at any time without notice, release all or any portion of the securities subject to lock-up agreements.
Also, in the future, we may issue additional securities in connection with investments and acquisitions. The amount of our common stock issued in connection with an investment or acquisition could constitute a material portion of our then outstanding stock. Due to these factors, sales of a substantial number of shares of our common stock in the public market could occur at any time. These sales, or the perception in the market that the holders of a large number of shares intend to sell shares, could reduce the market price of our common stock.
Holders of approximately 5,331,108 shares, or 48%, of our common stock have registration rights, subject to some conditions, to require us to file registration statements covering the sale of their shares or to include their shares in registration statements that we may file for ourselves or other stockholders in the future. Once we register the shares for the holders of registration rights, they can be freely sold in the public market upon issuance, subject to the restrictions contained in the lock-up agreements. If a large number of these shares are sold in the public market, the sales could reduce the trading price of our common stock. See “Shares Eligible for Future Sale” for a more detailed description of sales that may occur in the future.

We have never paid and do not intend to pay cash dividends. As a result, capital appreciation, if any, will be your sole source of gain.
 
We have never paid cash dividends on any of our capital stock and we currently intend to retain future earnings, if any, to fund the development and growth of our business. In addition, the terms of existing and future debt agreements may preclude us from paying dividends. As a result, capital appreciation, if any, of our common stockCommon Stock will be your sole source of gain for the foreseeable future.
 
Provisions in our restated certificate of incorporation, our restated by-laws and Delaware law might discourage, delay or prevent a change in control of our company or changes in our management and, therefore, depress the trading price of our common stock.Common Stock.
 
Provisions of our restated certificate of incorporation, our restated by-laws and Delaware law may have the effect of deterring unsolicited takeovers or delaying or preventing a change in control of our company or changes in our management, including transactions in which our stockholders might otherwise receive a premium for their shares over then current market prices. In addition, these provisions may limit the ability of stockholders to approve transactions that they may deem to be in their best interests. These provisions include:
 
the inability of stockholders to call special meetings; and
the inability of stockholders to call special meetings; and
the ability of our board of directors to designate the terms of and issue new series of preferred stock without stockholder approval, which could include the right to approve an acquisition or other change in our control or could be used to institute a rights plan, also known as a poison pill, that would work to dilute the stock ownership of a potential hostile acquirer, likely preventing acquisitions that have not been approved by our board of directors.
 
the ability of our board of directors (the “Board”) to designate the terms of and issue new series of preferred stock without stockholder approval, which could include the right to approve an acquisition or other change in our control or could be used to institute a rights plan, also known as a poison pill, that would work to dilute the stock ownership of a potential hostile acquirer, likely preventing acquisitions that have not been approved by our board of directors.


In addition, Section 203 of the Delaware General Corporation Law prohibits a publicly-held Delaware corporation from engaging in a business combination with an interested stockholder, generally a person which together with its affiliates owns, or within the last three years, has owned 15% of our voting stock, for a period of three years after the date of the transaction in which the person became an interested stockholder, unless the business combination is approved in a prescribed manner.
 
The existence of the foregoing provisions and anti-takeover measures could limit the price that investors might be willing to pay in the future for shares of our common stock.Common Stock. They could also deter potential acquirers of our company, thereby reducing the likelihood that you could receive a premium for your common stockCommon Stock in an acquisition.
We have broad discretion in the use of the net proceeds of this offering and may not use them effectively.
We intend to use the net proceeds from this offering for general corporate purposes and to continue preclinical and clinical development of our product candidates. However, our management will have broad discretion in the application of the net proceeds from this offering and could spend the proceeds in ways that do not improve our results of operations or enhance the value of our common stock. The failure by management to utilize these funds effectively could result in financial losses that could have a material adverse effect on our business, cause the price of our common stock to decline and delay the development of our product candidates. Pending their use, we may invest the net proceeds from this offering in a manner that does not produce income or that loses value.
You will experience immediate and substantial dilution in the net tangible book value per share of the common stock you purchase.
Because the public offering price per share of our common stock is substantially higher than the net tangible book value per share of our common stock, you will suffer substantial dilution in the net tangible book value of the common stock you purchase in this offering. Based on an assumed public offering price of $7.00 per share, if you purchase shares of common stock in this offering, you will suffer immediate and substantial dilution of approximately $5.81 per share in the net tangible book value of the common stock. See the section entitled “Dilution” in this prospectus for a more detailed discussion of the dilution you will incur if you purchase common stock in this offering.
 
We are eligible to be treated as an “emerging growth company,”company”, as defined in the JOBS Act, and we cannot be certain if the reduced disclosure requirements applicable to emerging growth companies will make our common stockCommon Stock less attractive to investors.
 
We are an “emerging growth company,”company”, as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act.Act”). For as long as we continue to be an emerging growth company, we may take advantage of exemptions from various reporting requirements that are applicable to other public companies that are not emerging growth companies, including (1)(i) not being required to comply with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act, (2)(ii) reduced disclosure obligations regarding executive compensation in this prospectus and our periodic reports and proxy statements, and (3)(iii) exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved. In addition, as an emerging growth company, we are only required to provide two years of audited financial statements and two years of selected financial data in this prospectus. We could be an emerging growth company for up to five years, although circumstances could cause us to lose that status earlier, including if the market value of our common stockCommon Stock held by non-affiliates exceeds $700.0 million as of any March 31June 30 before that time or if we have total annual gross revenue of $1.0 billion or more during any fiscal year before that time, after which, in each case, we would no longer be an emerging growth company as of the following December 31 or, if we issue more than $1.0 billion in non-convertible debt during any three-year period before that time, we would cease to be an emerging growth company immediately.
 
Under the JOBS Act, emerging growth companies can also delay adopting new or revised accounting standards until such time as those standards apply to private companies. We have irrevocably elected not to avail ourselves of this exemption from new or revised accounting standards and, therefore, will be subject to the same new or revised accounting standards as other public companies that are not emerging growth companies.
 
If securities or industry analysts do not publish research or reports about our business, if they adversely change their recommendations regarding our shares or if our results of operations do not meet their expectations, our share price and trading volume could decline.
 
The trading market for our shares will beis influenced by the research and reports that industry or securities analysts publish about us or our business. We do not have any control over these analysts. If one or more of these analysts cease coverage of our company or fail to publish reports on us regularly, we could lose visibility in the financial markets, which in turn could cause our share price or trading volume to decline. Moreover, if one or more of the analysts who cover us downgrade our stock, or if our results of operations do not meet their expectations, our share price could decline.


We currently have Series B Convertible Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”) and Series C Preferred Stock outstanding. Our certificate of incorporation authorizes our Board to create new series of preferred stock without further approval by our stockholders, which could adversely affect the rights of the holders of our Common Stock.
Our Board has the authority to fix and determine the relative rights and preferences of preferred stock. Our Board also has the authority to issue preferred stock without further stockholder approval.
We currently have 2,738.643867 shares of Series B Preferred Stock outstanding with a stated value of $7,700 per share, which are currently convertible at the holder’s option at any time, together with any accrued but unpaid dividends thereon, into an aggregate of 27,386,327 shares of Common Stock at a conversion price of $0.77, subject to certain adjustments.
Our Series B Preferred Stock gives its holders the preferred right to our assets upon liquidation and the right to receive dividend payments at 9.00% per annum before dividends are distributed to the holders of Common Stock, among other things. In addition, in the event we effect any issuance of Common Stock or Common Stock equivalents for cash consideration, or a combination of units thereof, the holders of the Series B Preferred Stock have the right, subject to certain exceptions, at their option, to exchange (in lieu of cash subscription payments) all or some of the Series B Preferred Stock then held (with a value per share of the Series B Preferred Stock equal to the Series B Stated Value plus accrued and unpaid dividends thereon) for any securities or units issued in such issuance on a dollar-for-dollar basis. The holders of the Series B Preferred Stock, voting as a separate class, also have customary consent rights with respect to certain corporate actions, including the issuance of an increased number of shares of Series B Preferred Stock, the establishment of any capital stock ranking senior to or on parity the Series B Preferred Stock as to dividends or upon liquidation, the incurrence of indebtedness, and certain changes to our Charter or Bylaws including other actions.
We currently have 5,333.3333 shares of Series C Preferred Stock outstanding, with a stated value of $750.00 (the “Series C Stated Value”) per share, which will be initially convertible, subject to the Beneficial Ownership Limitation and the Issuable Maximum (such Issuable Maximum applied collectively when any conversions of Series C Preferred Stock are aggregated together with all shares of Common Stock issuable in respect of certain Related Transactions described herein), at either the holder’s option or at our option at any time, into an aggregate of up to 5,333,334 shares of Common Stock at a conversion price of $0.75, subject to specified adjustments for stock splits, cash or stock dividends, reorganizations, reclassifications other similar events as set forth in the Series C Certificate of Designations. The Series C Preferred Stock contains limitations that prevent the holder thereof from acquiring shares of Common Stock upon conversion that would result in the number of shares beneficially owned by such holder and its affiliates exceeding the Beneficial Ownership Limitation. The Series C Certificate of Designations provides for the issuance of Pre-funded Warrants to the extent necessary to comply with the Beneficial Ownership Limitation. Any conversions of Series C Preferred Stock prior to obtaining the Stockholder Approval will be processed in the order in which we receive such conversion request from the holders of Series C Preferred Stock, and not on a pro rata basis. If we obtain the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-funded Warrants, as applicable).

Our Series C Preferred Stock gives its holders, subject to the preference and priority to the holders of our Series B Preferred Stock, the preferred right to receive dividends, commencing from the date of issuance of the Series C Preferred Stock. Such dividends may be paid only when, as and if declared by the Board, out of assets legally available therefore, quarterly in arrears on the last day of March, June, September and December in each year, commencing on the date of issuance, at the dividend rate of 9.0% per annum. Such dividends are cumulative and continue to accrue on a daily basis whether or not declared and whether or not we have assets legally available therefore.
Under the Series C Certificate of Designations, each share of Series C Preferred Stock carries a liquidation preference equal to the Series C Stated Value plus accrued and unpaid dividends thereon and any other fees or liquidated damages then due and owing thereon.
If we obtain the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-funded Warrants, as applicable).
Our obligations to the holders of the Series B Preferred Stock and Series C Preferred Stock could limit our ability to obtain additional financing or increase our borrowing costs, which could have an adverse effect on our financial condition and hinder the accomplishment of our corporate goals. 
In addition to the Series B Preferred Stock and Series C Preferred Stock, our Board could authorize the issuance of additional series of preferred stock with such rights preferential to the rights of our Common Stock, including the issuance of a series of preferred stock that has greater voting power than our Common Stock or that is convertible into our Common Stock, which could decrease the relative voting power of our Common Stock or result in dilution to our existing stockholders.
 
Conversion and exercise, as applicable, of all of the shares of Series C Preferred Stock and Investor Warrants are contingent upon stockholder approval.
We do not have a sufficient number of authorized shares of Common Stock to cover all of the shares of Common Stock issuable upon the exercise in full of all of the Investor Warrants issued in the concurrent Private Placement and potentially issuable to holders of Series B Preferred Stock in connection with their exercise of the Exchange Rights.
In addition, pursuant to Nasdaq Listing Rule 5635, stockholder approval is required for the issuance of any shares of Common Stock in excess of 6,186,966 shares of Common Stock in the aggregate, referred to herein as the “Issuable Maximum,” which amount is equal to 19.99% of the shares of Common Stock issued and outstanding on December 30, 2020. We will apply the Issuable Maximum collectively, with conversions processed in the order in which we receive them, aggregating shares of Common Stock issuable upon conversion of Series C Preferred Stock together with all shares of Common Stock issuable upon conversion or exchange of any securities issued in certain related transactions to this offering and Private Placement, including (i) any shares of preferred stock issuable to First Wave as consideration for the First Wave License Agreement, (ii) any warrants issued to the placement agent and (iii) any securities issuable to holders of the Exchange Right as a result of the offering and Private Placement, referred to herein as the “Related Transactions.” As a result of the conversion, immediately upon consummation of the Registered Direct Offering, of 5,333.3333 shares of Series C Preferred Stock into Common Stock and Pre-funded Warrants, 853,632 shares of Common Stock remained available for issuance below the Issuable Maximum as of January 11, 2021.
Upon receipt of the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-Funded Warrants, as applicable).
Accordingly, we are required pursuant to the purchase agreement relating to the Offerings to hold a meeting of our stockholders not later March 31, 2021 to seek approval (the “Stockholder Approval”) for (i) the issuance, upon conversion of the Series C Preferred Stock, of the number of shares of Common Stock which would exceed the Issuable Maximum, and (ii) an increase in the number of authorized shares of Common Stock above 150,000,000. If we obtain the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-funded Warrants, as applicable).
Our stockholders may reject such proposals, which could delay or prevent the ability of holders to convert all of their shares of Series C Preferred Stock into shares of Common Stock.
In the event the Stockholder Approval is not received on or prior to the Meeting Deadline, we must hold an additional meeting of our stockholders every three months thereafter until the Stockholder Approval is obtained.
We may be required to issue additional shares of Series C Preferred Stock and/or Investor Warrants to the investors who purchased shares of our Series B Preferred Stock and warrants to purchase shares of our Common Stock in a private placement in July 2020 as a result of the “most favored nation” provision in the securities purchase agreement entered into in such private placement.
On July 16, 2020, we consummated a private placement offering (the “Series B Offering”) in which we issued an aggregate of 2,912.583005 shares of Series B Preferred Stock, at a price of $7,700.00 per share, initially convertible into an aggregate of 29,125,756 shares of Common Stock at $0.77 per share, together with warrants (the “Series B Warrants”) to purchase an aggregate of 14,562,826 shares of Common Stock at an exercise price of $0.85 per share. The Series B Preferred Stock carries a cumulative dividend at a rate of 9.0% per annum, payable at our option either in cash or in kind in additional shares of Series B Preferred Stock.
Under the Certificate of Designations for the Series B Preferred Stock (the “Series B Certificate of Designations”), in the event we effect any issuance of Common Stock or Common Stock equivalents for cash consideration, or a combination of units thereof (a “Subsequent Financing”), each holder of the Series B Preferred Stock has the right to exchange the stated value, plus accrued and unpaid dividends, of the Series B Preferred Stock for any securities issued in the Subsequent Financing, in lieu of any cash subscription payments therefor (the “Exchange Right”). As a result, we may be required to issue up to 679,282 additional shares of Series C Preferred Stock and Investor Warrants to purchase up to an additional 26,151,945 shares of Common Stock to any holders of Series B Preferred Stock who elect to exercise their Exchange Rights.
In connection with any exercise of any Exchange Right, under Nasdaq Listing Rule 5635 and related guidance, prior to obtaining the Stockholder Approval, conversions of any Series C Preferred Stock received upon exercise of an Exchange Right into Common Stock at the reduced conversion price of $0.75 per share applicable to the Series C Preferred Stock will be counted against the Issuable Maximum, with any conversions of Series C Preferred Stock to be processed in the order in which we receive such conversion request from the holders of Series C Preferred Stock, and not on a pro rata basis, and such Issuable Maximum shall be applied collectively, aggregating together any conversions of Series C Preferred Stock with all shares of Common Stock issuable in respect of the Related Transactions, except to the extent such conversions do not exceed the amount previously issuable upon conversion of the Series B Preferred Stock at the prior conversion price of $0.77 per share, which was the applicable conversion price at the time of our stockholder approval for the Series B Preferred Stock obtained on September 11, 2020.
CAUTIONARY NOTE REGARDINGREGARDING FORWARD-LOOKING STATEMENTS
 
Some of the information
This prospectus, and any documents we incorporate by reference, contain certain forward-looking statements that involve substantial risks and uncertainties. All statements contained in this prospectus containsand any documents we incorporate by reference, other than statements of historical facts, are forward-looking statements withinincluding statements regarding our strategy, future operations, future financial position, future revenue, projected costs, prospects, plans, objectives of management and expected market growth. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the meaning of the federal securities laws.forward-looking statements.
The words “anticipate”, “believe”, “estimate”, “expect”, “intend”, “may”, “plan”, “predict”, “project”, “target”, “potential”, “will”, “would”, “could”, “should”, “continue” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. These forward-looking statements include, among others, the following:other things, statements about:
 
availability of capital to satisfy our working capital requirements;
our current and future capital requirements and our ability to raise additional funds to satisfy our capital needs;
accuracy of our estimates regarding expense, future revenue and capital requirements;
the results of research and development activities;
uncertainties relating to preclinical and clinical testing, financing and strategic agreements and relationships;
the early stage of products under development;
our need for substantial additional funds;
government regulation;
patent and intellectual property matters;
dependence on third party manufacturers;
competition; and
foreign currency fluctuations.
 
These statements may be found under “Prospectus Summary,
ability to continue operating as a going concern;
our plans to develop and commercialize our lead drug candidate, MS1819;
our ability to initiate and complete our clinical trials and to advance our principal product candidates into additional clinical trials, including pivotal clinical trials, and successfully complete such clinical trials;
regulatory developments in the U.S. and foreign countries;
the performance of our third-party contract manufacturer(s), contract research organization(s) and other third-party non-clinical and clinical development collaborators and regulatory service providers;
our ability to obtain and maintain intellectual property protection for our core assets;
the size of the potential markets for our product candidates and our ability to serve those markets;
the rate and degree of market acceptance of our product candidates for any indication once approved;
the success of competing products and product candidates in development by others that are or become available for the indications that we are pursuing;
the loss of key scientific, clinical and nonclinical development, and/or management personnel, internally or from one of our third-party collaborators;
the impact of the coronavirus (COVID-19) epidemic on our operations, and current and planned clinical trials, including, but not limited to delays in clinical trial recruitment and participation; and
other risks and uncertainties, including those listed in the “Risk Factors“Risk Factors,” “Management’s Discussionsection of this prospectus and Analysisthe documents incorporated by reference herein.

These forward-looking statements are expressed differently. Youonly predictions and we may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, so you should be aware thatnot place undue reliance on our actualforward-looking statements. Actual results or events could differ materially from those containedthe plans, intentions and expectations disclosed in the forward-looking statements duewe make. We have based these forward-looking statements largely on our current expectations and projections about future events and trends that we believe may affect our business, financial condition and operating results. We have included important factors in the cautionary statements included in this prospectus that could cause actual future results or events to differ materially from the factors referenced above.forward-looking statements that we make. Our forward-looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures or investments we may make.
  
You should also consider carefully the statements under “Risk Factors” and other sections ofread this prospectus which address additional factorswith the understanding that could cause our actual future results to differmay be materially different from those set forth in the forward-looking statements.what we expect. We expressly disclaimdo not assume any obligation or undertaking to release publicly any updates or revisions toupdate any forward-looking statements contained herein to reflect any change in our expectationswhether as a result of new information, future events or any changes in events, conditions or circumstances on which any such statement is based,otherwise, except as required by applicable law.
 
 
USE OF PRPROCEEDSOCEEDS

The common stock to be offered and sold using this prospectus will be offered and sold by the selling stockholders named in this prospectus. Accordingly, we will not receive any proceeds from any sale of shares of our Common Stock in this offering. A portion of the shares covered by this prospectus may be issued upon exercise of the warrants. Upon any cash exercise of the warrants, the selling stockholders will pay us the applicable exercise price. We anticipate that proceeds that we receive from the cash exercise of such warrants, if any, will be used for working capital and general corporate purposes, including, without limitation, development of our product candidates, and general and administrative expenses. We will pay all of the fees and expenses incurred by us in connection with this registration. We will not be responsible for fees and expenses incurred by the selling stockholders or any underwriting discounts or agent’s commissions. 
 
We estimate that we will receive net proceeds from this offering of approximately $12,850,000, based on an assumed initial public offering price of $7.00 per share, which is the midpoint of the price range set forth on the cover of this prospectus, and after deducting the underwriting discounts and commissions and estimated offering expenses payable by us. If the underwriters exercise their option to purchase additional shares, we estimate that we will receive an additional $2,092,500 million in net proceeds.MARKET PRICE OF OUR COMMON STOCK AND RELATED STOCKHOLDER MATTERS
 
A $1.00 increase (decrease) inOur Common Stock is listed on The Nasdaq Capital Market, under the assumed initial public offeringsymbol “AZRX”. On January 11, 2021, the closing price for our common stock as reported on The Nasdaq Capital Market was $0.9090 per share. As of $7.00 would increase (decrease) the net proceeds to us from this offering by $1,992,525.
January 11, 2021, we had 99 record holders of our common stock.
 
We currently intend to use the net proceeds from this offering as follows:
approximately $7,500,000 to continue clinical development and testing of MS1819;
approximately $1,500,000 to advance our preclinical AZX1101 program;
approximately $356,000 to repay convertible debt not being converted into shares of common stock in connection with this offering; and
the balance, if any, for working capital and other general corporate purposes.
We believe that the proceeds allocated to the MS1819 program will be sufficient to enable us to conduct the necessary drug product formulation work, validation and stabilization testing and conduct the program.  We expect that the proceeds allocated to AZX1101 will enable us to fund the additional preclinical studies and prepare the safety and toxicology data necessary to file an IND with the FDA; however, we will need to seek additional financing in order to pursue any clinical program.
 
The foregoing represents our best estimate of the allocation of the net proceeds of the offering during the next 12 to 18 months.  This estimate is based on certain assumptions, including that no events occur which would cause us to abandon any particular efforts, that our research, development and testing activities will occur as projected, and that we do not enter into collaborations to fund a project separately.  The amounts actually expended for each purpose may vary significantly in the event any of these assumptions prove inaccurate.  We reserve the right to change our use of proceeds as unanticipated events may cause us to redirect our priorities and reallocate the proceeds accordingly. Pending specific utilization of the net proceeds as described above, we intend to invest the net proceeds of the offering in short-term investment grade and U.S. government securities.
DIVIDEND POLICY
 
We have never declared or paid any cash dividends on any of our capital stock, and we do not currently intend to pay any cash dividends on our common stock for the foreseeable future. We expect to retain our future earnings, if any, to fund the development and growth of our business. Any future determination to pay dividends on our common stock will be at the discretion of our board of directors and will depend upon, among other factors, our results of operations, financial condition, capital requirements and any contractual restrictions.
 
The following table sets forth our capitalization as of March 31, 2016:
On an actual basis;
the conversion of our outstanding shares of preferred stock into 878,171 shares of common stock on April 4, 2016 that decreases Preferred stock by $1,764,000, increases Common stock by $88, and increases Additional paid-in capital by $1,763,912; (ii) the proceeds of $1,859,000 in additional OID convertible debt that increases Notes payable by that amount; (iii) the issuance of 2,642,160 shares of common stock immediately prior to the closing of this offering upon the mandatory conversion portion of OID convertible notes (based on the assumed initial public offering price of $7.00 per share, the midpoint of the price range set forth on the cover page of this prospectus) that decreases Notes payable by $9,791,501, increases Common stock by $264, increases Additional paid-in capital by $10,577,454 and increases Accumulated deficit by $786,217; and (iv) the OID convertible debt beneficial conversion  amount  of  $10,323,799 that increases Additional paid-in capital and Accumulated deficit by that amount;
the receipt by us of the estimated net proceeds from this offering, based on an assumed initial public offering price of $7.00 per share, the midpoint of the range set forth on the cover page of this prospectus, after deducting underwriting discounts and commissions and estimated offering expenses payable by us of $2,150,00 that increases Common stock by $214 and increases Additional paid-in capital by $12,849,786, (ii) the grant of 107,143 warrants with a five-year life to the underwriters at 120% of the price per share in this offering with an estimated value of $562,501 that has no effect on Total stockholders’ (deficit) equity; and (iii) retiring in cash $356,573 of OID convertible debt and accrued interest not mandatorily converted at time of this offering which decreases Notes payable by $329,499 and increases Accumulated deficit by $27,074.
You should read this table in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the financial statements and related notes included elsewhere in this prospectus.
  March 31, 2016 (unaudited) 
  Actual  Pro Forma  Pro forma As Adjusted 
           
Notes payable (inclusive of current portion)
 
$
7,460,503
 $  329,499 $  - 
Stockholders’ deficit:
          
Preferred stock, $.0001 par value, 1,000,000 shares authorized; 36 shares issued and outstanding; 0; and 0
  
1,764,000
    -    - 
Common stock, $.0001 par value, 9,000,000 shares authorized; 5,150,757 shares issued and outstanding; 8,671,088 shares issued and outstanding, proforma; 10,813,945 shares issued and outstanding, as adjusted (1)
  
515
    867    1,081 
Additional paid-in capital
  
4,254,151
  26,919,316  39,769,102 
Accumulated deficit
  
(10,286,705
)
 (21,396,721) (21,423,795)
Other comprehensive income
  
(1,151,468
   (1,151,468)   (1,151,468)
Total stockholders’ (deficit) equity
  
(5,419,507
)
 4,371,994  17,194,920 
        
Total capitalization
 
2,040,996
 $4,704,493 $17,194,920 
(1) The number of shares to be outstanding immediately after this offering is based on 6,028,928 shares outstanding on  August 4,  2016 , which excludes:
1,092,800 shares of common stock issuable upon the exercise of outstanding options and warrants at a weighted average exercise price of $5.75 per share; and,
1,081,395 shares reserved for issuance under our equity incentive plans.
“Net tangible book value” is total assets minus the sum of liabilities and intangible assets. “Net tangible book value per share” is net tangible book value divided by the total number of shares outstanding on March 31, 2016.  After giving pro forma effect to (i) the conversion of our outstanding shares of preferred stock into 878,171 shares of common stock, and (ii) the issuance of 2,642,160 shares of common stock immediately prior to the closing of this offering upon the conversion of OID convertible notes (based on the midpoint of the price range set forth on the cover page of this prospectus), our pro forma net tangible book value on March 31, 2016 was approximately ($49,524), or ($0.01) per share.
After giving effect to our issuance and sale of 2,142,857 shares of common stock in this offering at an assumed initial public offering price of $7.00 per share, the mid-point of the estimated price range shown on the cover of this prospectus, after deducting the estimated underwriting discounts and offering expenses payable by us, the pro forma as adjusted net tangible book value as of March 31, 2016 would have been approximately $13 million, or $1.18 per share. This represents an immediate increase in pro forma net tangible book value of $1.19 per share to our existing stockholders and an immediate dilution in pro forma net tangible book value of $5.81 per share to investors purchasing shares of common stock in this offering at the assumed public offering price.
The following table illustrates this dilution:
Assumed public offering price per share
    $7.00 
Pro forma net tangible book value per share as of March 31, 2016
  $(0.01)    
Increase in pro forma net tangible book value per share attributable to the offering
  1.18     
Pro forma as adjusted net tangible book value per share as of March 31, 2016 after the offering
      1.19 
Dilution per share to new investors in the offering
     $5.81 
A $1.00 increase (decrease) in the assumed initial public offering price of $7.00 per share would increase (decrease) the pro forma net tangible book value by approximately $2 million, the pro forma net tangible book value per share after this offering by $0.18 per share and the dilution in pro forma net tangible book value per share to investors in this offering by $0.18 per share, assuming that the number of shares offered by us, as set forth on the cover page of this prospectus, remains the same and after deducting the estimated underwriting discount and offering expenses payable by us.  If the underwriters exercise their over-allotment option in full, the pro forma as adjusted net tangible book value will increase to $1.50 per share, representing an immediate increase to existing stockholders of $1.50 per share and an immediate dilution of $5.50 per share to new investors. If any shares are issued in connection with outstanding options, you will experience further dilution.
The following table presents, on a pro forma basis as of March 31, 2016, the differences between the existing stockholders and the new investors purchasing our common stock in this offering with respect to the number of shares purchased from us, the total consideration paid or to be paid to us, which includes net proceeds received from the issuance of common stock, and the average price per share paid or to be paid to us at the public offering price of $7.00 per share, the midpoint of the price range set forth on the cover page of this prospectus, before deducting estimated underwriting discounts and commissions and estimated offering expenses:
 Shares Purchased  Total Consideration  
Average
Price Per
Share
 
 Number  Percent  Amount   Percent  
Existing stockholders
 8,671,088
  
 
  80
 
$
15,847,502
  
  
 
    51
 
$
1.83
  
New investors
 2,142,857
  
 
  20
 
$
15,000,000
  
  
 
    49
 
$
7.00
  
Total
10,813,945
  
 100
%
 
$
30,847,502
   
  100
%
    
Assuming the underwriters’ option to purchase additional shares is exercised in full, sales in this offering will reduce the percentage of shares held by existing stockholders to 78% and will increase the number of shares held by our new investors to 2,464,286 shares, or 22%, assuming no purchases of our common stock by existing stockholders in this offering.
SELECTED HISTORICAL FINANCIAL AND OPERATING DATA
The following table presents our selected historical financial data for the periods presented and should be read in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the financial statement and notes thereto included elsewhere in this prospectus.  The statements of operations data for the fiscal years ended December 31, 2014 and 2015 and the statements of financial condition data as of December 31, 2014 and 2015 are derived from our audited financial statements included elsewhere in this prospectus.  The statements of operations data for the three months ended March 31, 2015 and 2016 and the statements of financial condition data as of March 31, 2016 is derived from our unaudited financial statements included elsewhere in this prospectus.
  January 30, 2014 (Date of Inception) through December 31, 2014  Year Ending December 31, 2015  Three Months Ended March 31, 
      2015  2016 
        (unaudited)  (unaudited) 
Statements of Operations Data:            
Operating expenses $2,329,106  $4,728,808  $1,072,416  $1,347,216 
Loss from operations $(2,329,106) $(4,728,808) $(1,072,416) $(1,347,216)
Total other expense $(36,042) $(1,201,428) $(118,891) $(644,104)
Net loss $(2,365,148) $(5,930,236) $(1,191,307) $(1,991,320)
Net loss per share, basic and diluted $(0.67) $(1.63) $(0.33) $(0.42)
 
  As of December 31,As of March 31, 
   2014 2015  2016 
     (unaudited) 
Balance Sheet Data:         
Cash
 
$
94,836
  
$
581,668  
$
169,036
 
Total assets
 
$
6,575,753
  
$
6,685,682  
$
6,308,821
 
Total current liabilities
 
$
2,430,855
  
$
8,815,512  
$
10,228,328
 
Total liabilities
 
$
3,930,855
  
$
10,315,512  
$
11,728,328
 
Total stockholders’ equity (deficit)
 
$
2,644,898
  
$
(3,629,830 
$
(5,419,507
)
 
MANAGEMENT’S DIDISCUSSIONSCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
References in this report to “AzurRx,” “Company,” “we,” “us,” “our,” or similar references mean AzurRx BioPharma, Inc. and our subsidiaries on a consolidated basis. References to “AzurRx BioPharma” refer to AzurRx BioPharma, Inc. on an unconsolidated basis. References to “AzurRx SAS” refer to AzurRx BioPharma’s wholly owned subsidiary through which we conduct our European operations. References to the “SEC” refer to the U.S. Securities and Exchange Commission.
 
TheForward-Looking Statements
You should read the following discussion and analysis of our financial condition and results of operations should be read in conjunction with our auditedconsolidated financial statements and the related notes thereto and other financial information appearingincluded elsewhere in this prospectus.
Critical Accounting Policies and Estimates

This Management's Discussion and Analysis of Financial Condition and Results of Operations is based on ourinterim report. Our consolidated financial statements which have been prepared in accordance with accounting principles generally acceptedU.S. GAAP. The following discussion and analysis contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), including, without limitation, statements regarding our expectations, beliefs, intentions or future strategies that are signified by the words “expect,” “anticipate,” “intend,” “believe,” or similar language. Our business and financial performance are subject to substantial risks and uncertainties. Actual results, performance or achievements of the company and its clinical trials  may differ materially from those indicated by such forward-looking statements as a result of various important factors, including whether our cash resources will be sufficient to fund continuing operations for the periods and/or trials anticipated; whether results obtained in preclinical and nonclinical studies and clinical trials will be indicative of results obtained in future clinical trials; whether preliminary or interim results from a clinical trial such as the interim results presented will be indicative of the final results of the trial; whether our product candidates will advance through the clinical trial process on a timely basis, or at all; whether the results of such trials will warrant submission for approval from the United States Food and Drug Administration or equivalent foreign regulatory agencies; whether our product candidates will receive approval from regulatory agencies on a timely basis or at all; whether, if product candidates obtain approval, they will be successfully distributed and marketed; whether the coronavirus pandemic will have an impact on the timing of America (“U.S. GAAP”). The preparationour clinical development, clinical supply and our operations; and other factors discussed in the “Risk Factors” section of financialour annual report on Form 10-K for the period ended December 31, 2019, and risks described in other filings that we may make with the Securities and Exchange Commission. Readers are cautioned not to place undue reliance on these forward-looking statements. Any forward-looking statements contained in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amountsthis report speak only as of assets and liabilities and disclosure of contingent assets and liabilities at the date hereof, and we specifically disclaim any obligation to update any forward-looking statement, whether because of new information, future events or otherwise.
Overview
AzurRx BioPharma, Inc. (“AzurRx” or “Parent”) was incorporated on January 30, 2014 in the State of Delaware. In June 2014, AzurRx acquired 100% of the consolidated financial statementsissued and the reported amountoutstanding capital stock of revenues and expenses during the reporting period. In our consolidated financial statements, estimates are used for, but not limited to, valuation of financial instruments and intangible assets, fair value of long-lived assets, deferred taxes and valuation allowance, and the depreciable lives of long-lived assets.

On an ongoing basis, we evaluate these estimates and assumptions, including those described below. We base our estimates on historical experience and on various other assumptions that we believe to be reasonableAzurRx SAS (formerly “ProteaBio Europe SAS”), a company incorporated in October 2008 under the circumstances. These estimateslaws of France. AzurRx and assumptions formits wholly-owned subsidiary, AzurRx SAS (“ABS”), are collectively referred to as 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. Due to the estimation processes involved, the following summarized accounting policies and their application are considered to be critical to understanding our business operations, financial condition and operating results.Company.”

Intangible Assets
 
Our definite-lived intangible assets have a carrying value of approximately $2,513,000, $2,584,000, and $3,638,000 as of March 31, 2016, December 31, 2015 and 2014, respectively. These assets include in-processWe are engaged in the research and development of targeted, non-systemic therapies for the treatment of patients with GI diseases. Non-systemic therapies are non-absorbable drugs that act locally, i.e. the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation. We are currently focused on developing our lead drug candidates, MS1819 as well as launching clinical trials for niclosamide.
MS1819
MS1819 is a recombinant lipase enzyme for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with cystic fibrosis (“CF”) and license agreements. These intangible assets were recorded at historical costchronic pancreatitis (“CP”). MS1819, supplied as an oral non-systemic biologic capsule, is derived from the Yarrowia lipolytica yeast lipase and are stated netbreaks up fat molecules in the digestive tract of accumulated amortization.EPI patients so that they can be absorbed as nutrients. Unlike the standard of care, the MS1819 synthetic lipase does not contain any animal products.
EPI is a condition characterized by deficiency of the exocrine pancreatic enzymes, resulting in a patient’s inability to digest food properly, or maldigestion. The deficiency in process researchthis enzyme can be responsible for greasy diarrhea, fecal urge and developmentweight loss. There are more than 30,000 patients with EPI caused by CF according to the Cystic Fibrosis Foundation approximately and licensesapproximately 90,000 patients in the U.S. with EPI caused by CP according to the National Pancreas Foundation. Patients are amortizedcurrently treated with porcine pancreatic enzyme replacement pills.
MS1819 – Phase 2b OPTION 2 Cystic Fibrosis Monotherapy Studies
On October 17, 2019, we announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board (the “CFF DSMB”) completed its review of our final results of the OPTION Cross-Over Study and had found no safety concerns for MS1819, and that the CFF DSMB supported our plan to proceed to a higher 4.4 gram dose of MS1819 with enteric capsules in the multi-center dose escalation Phase 2b OPTION clinical trial (the “OPTION 2 Trial”). In December 2019, we submitted the clinical trial protocol to the existing IND at the FDA. The clinical trial protocol has been reviewed by the FDA with no comments. In April 2020, we received approval to conduct the OPTION 2 Trial in Therapeutics Development Network (“TDN”) clinical sites in the U.S. as well as Institutional Review Board (“IRB”) approval to commence the OPTION 2 Trial.
The OPTION 2 Trial is designed to investigate the safety, tolerability and efficacy of MS1819 (2.2 gram and 4.4 gram doses in enteric capsules) in a head-to-head manner versus the current standard of care, porcine pancreatic enzyme replacement therapy (PERT”) pills. The OPTION 2 Trial will be an open-label, crossover study, conducted in 15 sites in the U.S. and Europe. A total of 30 CF patients 18 years or older will be enrolled.  MS1819 will be administered in enteric capsules to provide gastric protection and allow optimal delivery of enzyme to the duodenum.  Patients will first be randomized into two cohorts: to either the MS1819 arm, where they receive a 2.2 gram daily oral dose of MS1819 for three weeks; or to the PERT arm, where they receive their pre-study dose of PERT pills for three weeks. After three weeks, stools will be collected for analysis of coefficient of fat absorption (CFA”). Patients will then be crossed over their remaining estimated useful lives, rangingfor another three weeks of the alternative treatment. After three weeks of cross-over therapy, stools will again be collected for analysis of CFA. A parallel group of patients will be randomized and studied in the same fashion, using a 4.4 gram daily dose of MS1819. All patients will be followed for an additional two weeks after completing both crossover treatments for post study safety observation. Patients will be assessed using descriptive methods for efficacy, comparing CFA between MS1819 and PERT arms, and for safety.
We initiated the OPTION 2 Trial in July 2020 with the first patient screened and three clinical trial sites activated in the U.S. In August 2020, we dosed the first patients and initiated the European arm of the OPTION 2 Trial. Topline data is anticipated in the first quarter of 2021; however, this timeline may be further delayed due to the COVID-19 pandemic.  
In November 2020, we submitted a protocol amendment for the OPTION 2 Trial to add a study arm that uses an immediate release MS1819 capsule to compare data from fivethe existing arm, that uses delayed-release enteric capsules with data from the new arm, that uses immediate release capsules, in order to 12 years, based ondetermine the straight-lineoptimal dose and delivery method. The estimated useful lives directly impactWe plan to initiate the amount of amortization expense recorded for these assets on a quarterly and annual basis.OPTION 2 study extension in early first quarter 2021.
MS1819 – Phase 2 Combination Therapy Study
 
In addition to the monotherapy studies, we testlaunched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Europe to investigate MS1819 in combination with PERT, for impairmentCF patients who suffer from severe EPI but continue to experience clinical symptoms of definite-lived intangible assets when events or circumstances indicate thatfat malabsorption despite taking the carrying valuemaximum daily dose of PERTs. The Combination Trial is designed to investigate the assets may not be recoverable. Judgmentsafety, tolerability and efficacy of escalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a stable dose of PERTs, in order to increase CFA and relieve abdominal symptoms in uncontrolled CF patients. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI.
We dosed the first patients in our Combination Trial in Hungary in October 2019. Planned enrollment is usedexpected to include approximately 24 CF patients with severe EPI, at clinical trial sites in determining when these eventsHungary and circumstances arise. If we determine that the carrying value of the assets may not be recoverable, judgment and estimates are used to assess the fair value of the assets and to determine the amount of any impairment loss. No events or circumstances aroseadditional countries in Europe, including Turkey. Topline data is currently expected in the three months ended March 31, 2016 and the years ended December 31, 2015 and 2014 that would indicate that the carrying valuefirst half of any of our definite-lived intangible assets2021; however, this timeline may not be recoverable.

Goodwill

Goodwill relatesfurther delayed due to the acquisition of ProteaBio Europe during 2014 and represents the excess of the total purchase consideration over the fair value of acquired assets and assumed liabilities, using the purchase method of accounting. Goodwill is not amortized, but is subject to periodic review for impairment. As a result, the amount of goodwill is directly impacted by the estimates of the fair values of the assets acquired and liabilities assumed.COVID-19 pandemic.

 
In addition, goodwill will be reviewed annually,We announced positive interim data on the first five patients in the Combination Trial in August 2020. The primary efficacy endpoint was met, with CFAs greater than 80% for all patients across all visits. For secondary efficacy endpoints, we observed that stool weight decreased, the number of stools per day decreased, steatorrhea improved, and wheneverbody weight increased. Additionally, no serious adverse events or changeswere reported.
We opened a total of five clinical sites for the Combination Trial in circumstances indicateTurkey in October 2020 and announced that the carrying amountits first patients were dosed in November 2020. We currently have a total of nine of the goodwill might not be recoverable. Judgment is usedexpected ten sites in determining when these eventsEurope active and circumstances arise. We perform our review of goodwill on our one reporting unit. If we determine that the carrying value of the assets may not be recoverable, judgment and estimates are used to assess the fair value of the assets and to determine the amount of any impairment loss.recruiting patients.
 
The carrying value of goodwill at March 31, 2016, December 31, 2015 and 2014 was approximately $1,908,000, $1,833,000, and $2,042,000, respectively.  If actual results areWe do not consistent with our estimates or assumptions, we may be exposedexpect to an impairment charge that could be material.
Income Taxes

We use the asset and liability method of accounting for income taxes. Deferred tax assets and liabilities are determined based on differences between the financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates and laws that are expected to be in effect when the differences are expected to reverse. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that such tax rate changes are enacted. The measurement of a deferred tax asset is reduced, if necessary, by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized.

We use a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more-likely-than-not to be sustained upon examination by taxing authorities. We have not identified any uncertain income tax positions that could have a material impact to the consolidated financial statements. We are subject to taxation in various U.S. and foreign jurisdictions and remain subject to examination by taxing jurisdictions for the calendar year 2013 and all subsequent periods due to the availability of net operating loss carryforwards. To the extent we prevail in matters for which a liability has been established, or are required to pay amounts in excess of our established liability, our effective income tax rate in a given financial statement period could be materially affected. An unfavorable tax settlement generally would require use of our cash and may result in an increase in our effective income tax rate in the period of resolution. A favorable tax settlement may reduce our effective income tax rate and would be recognized in the period of resolution.

Our effective income tax rate may be affected by changes in tax law, our level of earnings, and the results of tax audits.

Although we believe that the judgments and estimates discussed herein are reasonable, actual results could differ, and we may be exposed to losses or gains that could be material.
Jumpstart Our Business Startups Act of 2012
On April 5, 2012, the Jumpstart Our Business Startups Act of 2012 was enacted. Section 107 of the JOBS Act provides that an “emerging growth company” can take advantage of the extended transition period provided in Section 7(a)(2)(B) of the Securities Act for complying with new or revised accounting standards.
General
To date, we have not generated any revenues from operations and at March 31, 2016, we had an accumulated deficit of approximately $10,287,000, primarily as a result of research and development (“R&D”) expenses and general and administrative (“G&A”) expenses. While we may in the future generate revenue from a variety of sources, including license fees, research and development payments in connection with strategic partnerships and/or government grants, our productdrug candidates are at an early stage of development and may never be successfully developed or commercialized. Accordingly, we expect to continue to incur substantial losses from operations for the foreseeable future and there can be no assurance that we will ever generate significant revenues or net income.
R&D Expenses
Conducting R&D is central to our business. R&D expenses consist primarily of:
employee-related expenses, which include salaries and benefits, and rent expense;
license fees and annual payments related to in-licensed products and intellectual property;
expenses incurred under agreements with clinical research organizations, investigative sites and consultants that conduct or provide other services relating to our clinical trials and a substantial portion of our preclinical activities;
the cost of acquiring clinical trial materials from third party manufacturers; and
costs associated with non-clinical activities, patent filings and regulatory filings.
We expect to continue to incur substantial expenses related to our R&D activitiesdevelop until we obtain approval for the foreseeable future as we continue product development. Since product candidates in later stages of clinical development generally have higher development costs than those in earlier stages of clinical development, primarily due to the increased size and duration of later stage clinical trials, we expect that our R&D expenses will increase in the future. In addition, if our product development efforts are successful, we expect to incur substantial costs to prepare for potential commercialization of any late-stage product candidates and, in the event one or more of thesesuch drug candidates and commercialize our product candidates receive regulatory approval, to fundor enter into a collaborative agreement with a third party. We do not have any products approved for sale at the launch of the product.present and have never generated revenue from product sale. 
 
G&A Expenses
G&A expenses consist principally of personnel-related costs, professional fees for legal, consulting and audit services, rent and other general operating expenses not otherwise included in R&D. We anticipate G&A expenses will increase in future periods, reflecting continued and increasing costs associated with:
support of our expanded R&D activities;
an expanding infrastructure and increased professional fees and other costs associated with the compliance with the Exchange Act, the Sarbanes-Oxley Act and stock exchange regulatory requirements and compliance; and
business development and financing activities.
Liquidity and Capital Resources March 31, 2016 and 2015
 
We have experienced net losses and negative cash flows from operations since our inception. As of March 31, 2016,September 30, 2020, we had cash of approximately $11.4 million and had sustained cumulative losses attributable to common stockholdersCommon Stockholders of approximately $10,287,000.  At March 31, 2016,$78.0 million. We have not yet achieved profitability and anticipate that we had cashwill continue to incur net losses for the foreseeable future. We expect that our expenses will continue to grow and, marketableas a result, we will need to generate significant product revenues to achieve profitability. We may never achieve profitability. As such, we are dependent on obtaining, and are continuing to pursue, the necessary funding from outside sources, including obtaining additional funding from the sale of securities in order to continue our operations. Without adequate funding, we may not be able to meet our obligations. These conditions raise substantial doubt about our ability to continue as a going concern.
Our primary sources of approximately $213,000.liquidity come from capital raises through additional equity and/or debt financings. This may be impacted by the COVID-19 pandemic, which is evolving and could negatively impact our ability to raise additional capital in the future.
 
We have funded our operations to date primarily through the issuance of debt and convertible debt securities.  During the years ended December 31, 2015 and 2014 and the three months ended March 31, 2016, we funded our working capital requirements with the proceeds of short-term 8% promissory notes (the “Advance Notes”) and original issuance discount convertible notes (the “OID Notes”).
Through March 31, 2016, we had received aggregate gross proceeds of $896,000 fromsecurities, as well as the issuance of Advance Notes, $761,000 of which had been repaid, leaving a principal balance of $135,000 outstanding. Payment of $33,790 of accrued interest on the $761,000 principal amount of Advance Notes repaid was made through the issuance of an aggregate of 5,242 shares of common stock.

Through March 31, 2016, we had received aggregate gross proceeds of $7,303,529 from the issuance of $7,961,445 principal amount of OID Notes. Subsequent to March 31, 2016our Common Stock and through August 4, 2016, we received proceeds of $1,859,000convertible preferred equity securities in additional OID Notes. These notes are due on November 4, 2016, are discounted at 92% of their face amount, have a conversion price of $4.65 per share, automatically convert into shares of our common stock upon the consummation of avarious public offering equal to the quotient obtained by dividing the principal amount multiplied by 1.25 by the lesser of (a) $4.65 or (b) the price per share or price per unit issued in this offering.  The principal amount of the OID Notes, together with accrued interest, will convert into equity immediately prior to the consummation of this offering.
offerings and private placement transactions. We expect to incur substantial expenditures in the foreseeable future for the development of ourMS1819, niclosamide and any other product candidates. We will require additional financing to develop, prepare regulatory filings and obtain regulatory approvals, fund operating losses, and, if deemed appropriate, establish manufacturing, sales and marketing capabilities. We believe that
On June 4, 2019, we filed a universal shelf registration statement on Form S-3 with the Securities and Exchange Commission (the “SEC”) to register our current cash and marketablesale from time to time up to $50.0 million of Common Stock, preferred stock, warrants and/or units in one or more registered offerings (the “Shelf Registration Statement”). The Shelf Registration Statement was declared effective by the SEC on June 25, 2019. As of January 11, 2021, we have sold an aggregate of $14.6 million worth of securities are sufficient to fund operations until September 2016 without giving considerationpursuant to the Shelf Registration Statement. Current SEC rules limit the size of primary securities offerings conducted by issuers with a public float of less than $75 million to no more than one-third of a company’s public float in any 12-month period. Pursuant to these rules, as of January 11, 2021, the amount of such limitation was approximately $39.4 million, less any amounts allocable to our $4.0 million Registered Direct Offering of Series C Preferred Stock which was consummated on January 6, 2021.
On November 13, 2019, we entered into a purchase agreement (the “Equity Line Agreement”), together with a registration rights agreement (the “Lincoln Park Registration Rights Agreement”), with Lincoln Park Capital Fund, LLC (“Lincoln Park”). Under the terms of the Equity Line Agreement, Lincoln Park has committed to purchase up to $15,000,000 of our Common Stock (the “Equity Line”). During nine months ended September 30, 2020, we issued an aggregate of 1,495,199 shares of Common Stock in connection with the Equity Line Agreement, resulting in net proceeds to us of approximately $988,348. However, pursuant to the Securities Purchase Agreement entered into in connection with the Offerings, we may not effect any transactions under the Equity Line without first obtaining a waiver until after June 30, 2021.
On December 31, 2020, to finance our entry into the First Wave License Agreement with First Wave, we raised aggregate gross proceeds of this offering$8.0 million from the sale of shares of Series C Preferred Stock and the Investor Warrants. In consideration of the license and other rights granted by First Wave, we paid First Wave a $9.0 million upfront cash payment and an additional payment of $1.25 million due on June 30, 2021. In addition, we are obligated to pay potential milestone payments to First Wave totaling up to $37.0 million for each indication, based onupon the achievement of specified development and regulatory milestones. We are also obligated to pay First Wave royalties as a mid-single digit percentage of net sales of the Product, subject to specified reductions.
We expect to incur substantial expenditures in the foreseeable future for the development of MS1819, niclosamide and our current business plan.other product candidates. We will require additional financing to develop our product candidates, run clinical trials, prepare regulatory filings and obtain regulatory approvals, fund operating losses, and, if deemed appropriate, establish manufacturing, sales and marketing capabilities. Our current financial condition raises substantial doubt about our ability to continue as a going concern. Our failure to raise capital as and when needed would have a material adverse impact on our financial condition, our ability to meet our obligations, and our ability to pursue our business strategies. We will seek funds through additional equity and/or debt financings, collaborative or other arrangements with corporate sources, or through other sources of financing. Adequate
Although we are primarily focused on the development of MS1819 and niclosamide, we are also opportunely focused on expanding our product pipeline through collaborations, and also through acquisitions of products and companies. We are continually evaluating potential asset acquisitions and business combinations. To finance such acquisitions, we might raise additional fundingequity capital, incur additional debt, or both.
Series B Private Placement and Exchange
As described in Note 11 in the accompanying financial statements, on July 16, 2020, we consummated a private placement of our Series B Convertible Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”) and related warrants (the “Series B Private Placement”), resulting in aggregate gross proceeds of approximately $15.2 million and aggregate net proceeds of approximately $13.2 million, after deducting placement agent compensation and offering expenses.
In the private placement we issued an aggregate of 2,912.583005 shares of Series B Preferred Stock at a price of $7,700.00 per share, initially convertible into an aggregate of 29,125,756 shares of Common Stock at $0.77 per share, together with warrants (the “Series B Warrants”) to purchase an aggregate of 14,562,826 shares of Common Stock at an exercise price of $0.85 per share.
In connection with the Series B Private Placement, we issued an aggregate of 1,975.578828 shares of Series B Preferred Stock initially convertible into 19,755,748 shares of Common Stock and related 9,877,835 Series B Warrants for cash consideration. In addition, we issued the balance of an aggregate of 937.004177 shares of Series B Preferred Stock initially convertible into 9,370,008 shares of Common Stock and related Series B Warrants to purchase 4,684,991 shares of Common Stock to certain investors in exchange for approximately $6.9 million aggregate outstanding principal amount, together with accrued and unpaid interest thereon of approximately $0.3 million, of outstanding promissory notes previously issued between December 2019 and January 2020. As additional consideration to such investors, we also issued certain additional warrants to purchase an aggregate of 1,772,937 shares of Common Stock at an exercise price of $0.85 per share.
Following the Series B Private Placement, we prepaid the outstanding balance of $25,000 aggregate principal amount of outstanding promissory notes, together with accrued and unpaid interest thereon through the prepayment date, held by those holders who did not participate in such exchange. As a result, following the consummation of the Series B Private Placement, we no longer have any convertible debt outstanding.
Continued Nasdaq Listing
On March 23, 2020, we received a letter from the Listing Qualifications Department (the “Staff”) of The Nasdaq Stock Market LLC (“Nasdaq”) indicating that, based upon the closing bid price of our Common Stock for the prior 30 consecutive business days, we were not in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing on Nasdaq, as set forth in Nasdaq Listing Rule 5550(a)(2) (the “Minimum Bid Price Requirement”). The 180-day time period for us to regain compliance was subsequently extended to December 3, 2020, pursuant to certain COVID-19 related relief from price-based continued listing requirements issued by Nasdaq on April 16, 2020. On November 23, 2020, we submitted a request to Nasdaq for a 180-day extension to regain compliance with the Minimum Bid Price Requirement. On December 4, 2020, we received a letter from Nasdaq advising that we had been granted a 180-day extension to June 1, 2021 to regain compliance with the Minimum Bid Price Requirement, in accordance with Nasdaq Listing Rule 5810(c)(3)(A). If we do not regain compliance within the allotted compliance periods, including any extensions that may not be available to us on acceptable terms or at all. If adequate funds are not available to us, wegranted by Nasdaq, Nasdaq will provide notice that our Common Stock will be subject to delisting. We would then be entitled to appeal that determination to a Nasdaq hearings panel.

In addition, on August 20, 2020, we received a separate letter from the Listing Qualifications Staff of Nasdaq indicating that we were not in compliance with the minimum stockholders’ equity requirement for continued listing on the Nasdaq Capital Market, under Listing Rule 5550(b)(1 (the “Minimum Equity Requirement”), because our stockholders’ equity of approximately negative $0.8 million, as reported for the quarter ended June 30, 2020, was below the required minimum of $2.5 million, and because, as of August 19, 2020, we did not meet certain alternative compliance standards. Based on correspondence with the Listing Qualifications Staff of Nasdaq, we have been granted an extension of time to delay, curtailregain compliance with the Minimum Equity Requirement, provided that we file our Form 10-Q for the period ended September 30, 2020 on or eliminate one or morebefore November 16, 2020, demonstrating a minimum of our research and development programs.$2.5 million in stockholders’ equity.
 
As reflected in the accompanying financial statements, as of September 30, 2020, our stockholders’ equity was approximately $14.0 million. Accordingly, we believe we have evidenced compliance with the Minimum Equity Requirement, and we anticipate resolving this matter with Nasdaq promptly following the filing of this Form 10-Q with the Securities and Exchange Commission.
Cash Flows for the ThreeNine Months Ended March 31, 2016September 30, 2020 and 20152019
 
Net cash used in operating activities for the nine months ended September 30, 2020 was $5,331,557, which primarily reflected our net loss of $15,271,074 plus adjustments to reconcile net loss to net cash used in operating activities of depreciation and amortization expense of $422,217, non-cash stock-based compensation of $369,517, non-cash restricted stock granted to employees and directors of $27,292, non-cash Common Stock granted to members of our board of directors to settle accounts payable of $131,137, non-cash Common Stock granted to consultants of $109,605, non-cash accretion of debt discount of $4,580,167, non-cash interest on convertible debt of $234,334, loss on debt extinguishment of $609,998, gain on settlement of $211,430, and beneficial conversion feature related to the promissory note exchange of $798,413, and non-cash lease expense of $4,855. Changes in assets and liabilities are due to a decrease in other receivables of $2,121,336 due primarily to the payments of French research and development (“R&D”) tax credits, a decrease in prepaid expenses of $446,766 due primarily to the expensing of prepaid insurance, a decrease in other liabilities of $31,104, and a decrease of accounts payable and accrued expense of $90,147, offset by an increase in an increase in deposits of $4,180, and an increase in accrued dividends payable of $408,043.
Net cash used in operating activities for the threenine months ended March 31, 2016September 30, 2019 was $636,546,$10,807,517, which primarily reflected our net loss of $1,991,320$13,896,063 plus non-cashadjustments to reconcile net loss to net cash used in operating activities of depreciation and amortization expense of $182,842,$876,324, non-cash accretedstock-based compensation of $541,725 due primarily to achievement of certain performance-based milestones associated with previously issued equity awards, non-cash restricted stock granted to employees/directors of $556,888 due primarily to reaching certain performance-based milestones, non-cash restricted stock granted to a consultant in payment of accounts payable for $112,500, accrued interest on OID convertible debt of $124,932, and non-cash debt discount - warrants on convertible debt of $710,988,$147,461. Changes in assets and liabilities are due to an increase in accounts payable and accrued expensesother receivables of $511,274 due to our cash position, offset by an increase$261,981, a decrease in prepaid expenses of $36,353 consisting$420,218 due primarily to the expensing of finance and legal costs associated with the filingprepaid insurance, an increase in deposits of the S-1. Net cash used in operating activities for the three months ended March 31, 2015 was $1,025,900, which primarily reflected our net loss of $1,191,307 plus non-cash depreciation and amortization expense of $186,229, non-cash accreted interest on OID convertible debt and debt discount - warrants of $133,478, offset by$4,125, a decrease in accounts payable and accrued expenses of $135,283.$601,096 and a decrease in other liabilities of $23,274 primarily due to the adoption of new lease accounting standards.
 
Net cash used in investing activities for the threenine months ended March 31, 2016September 30, 2020, was $936$2,808, which consisted of the purchase of property and equipment.
Net cash used in investing activities for the threenine months ended March 31, 2015September 30, 2019 was $11,033,$17,243, which consisted of the purchase of property and equipment.
 
Net cash provided by financing activities for the threenine months ended March 31, 2016September 30, 2020 was $225,000, which consisted$16,493,726, compared to $11,298,574 for the nine months ended September 30, 2019, resulting in an increase of the gross proceeds in connection with the issuance of OID convertible debt. $5,195,152.
Net cash provided by financing activities for the threenine months ended March 31, 2015 was $1,160,000, whichSeptember 30, 2020 consisted of $13,197,740 from the from the issuance of promissory notesthe preferred stock in the Series B Private Placement, $3,227,002 from the issuance of $270,000the convertible debt in our offering of Senior Convertible Promissory Notes and warrants to purchase shares of Common Stock that occurred in December 2019, $988,348 from the gross proceeds of the Equity Line, and $179,408 from the issuance of a note payable in connection with the issuancePPP loan, offset by repayments of OID convertible debt of $1,140,000 offset by$475,000 plus accrued interest of $105,460 related to the issuance to ADEC Equity Investments, LLC of two Senior Convertible Notes (the “ADEC Notes”) and Senior Convertible Promissory Notes, and repayment of notes payable of $623,772, which included the repayment of promissory notes of $250,000.
the Paycheck Protection Program loan.
 
Net cash provided by financing activities for the nine months ended September 30, 2019 was $11,298,574, which consisted of $9,492,016 from the sale of Common Stock offered in our public offerings of Common Stock that occurred in April 2019 and in May 2019, $2,000,000 from the issuance of the ADEC Notes, and $61,590 received from a stockholder in relation to a warrant modification offset by repayment of a note payable of $255,032.
Consolidated Results of Operations for the Three Months Ended March 31, 2016September 30, 2020 and 20152019
 
Revenues. We have not yet achieved revenue-generating status from any of our product candidates. Since inception, we have devoted substantially all of our time and efforts to developing MS1819. As a result, we did not have any revenue during the three months ended September 30, 2020 and 2019, respectively.
Research and Development Expense. R&D expenses were $685,575expense was $1,795,684 for the three months ended September 30, 2020, as compared to $2,221,933 for the three months ended September 30, 2019. This represents a decrease of $426,249 or approximately 19% for the three months ended September 30, 2020 as compared to the three months ended September 30, 2019. Stock-based compensation for employees, depreciation and $308,834,amortization was $19,878, $4,881 and $131,887, respectively, for the three months ended March 31, 2016September 30, 2020, as compared to $0, $11,842 and 2015, an increase of $376,741. The increase in R&D is primarily due to costs associated with manufacturing additional batches of MS1819. We expect R&D expenses to increase in future periods as our product candidates continue through clinical trials and we seek strategic collaborations.
G&A expenses were $661,641 and $763,582,$131,887, respectively for the three months ended March 31, 2016 and 2015, a decrease of $101,941. The decrease was due primarilySeptember 30, 2019. Excluding non-cash expenses, total cash R&D expense decreased by $439,165, or approximately 21% to a decrease in consulting fees. We expect G&A expenses to increase going forward as we proceed to advance our product candidates through$1,639,038 for the development and regulatory process.three months ended September 30, 2020, from $2,078,203 for the three months ended September 30, 2019.
 
InterestThe decrease in R&D cash spending was primarily due to decreased clinical trial costs of $378,340 related to reduced clinical trial activity in connection with recruitment delays in the Combination Study due to COVID-19 as compared to the prior period when we were conducting the OPTION Trial, and decreased personnel costs of $104,484. We expect cash R&D expense to increase during the remainder of the fiscal year as we advance both the OPTION 2 Trial and the Combination Trial and increase chemistry, manufacturing, and controls (“CMC”) activities in connection with the continued development of MS1819.
General and Administrative Expense. General and administrative (“G&A”) expense was $713,680$1,916,250 for the three months ended September 30, 2020, as, as compared to $1,860,141 for the three months ended September 30, 2019. This represents an increase of $56,109, or approximately 3% for the three months ended September 30, 2020 as compared to the three months ended September 30, 2019. Stock-based compensation for employees and $144,746,depreciation was $148,303, and $3,307, respectively, for the three months ended March 31, 2016September 30, 2020, as compared to $93,824, and 2015, an increase of $568,934. The increase was due to the higher level of outstanding OID convertible debt. Fair value adjustment of our warrants was $69,576 and $25,855,$5,149, respectively for the three months ended March 31, 2016 and 2015, an increase of $43,721. This increase was dueSeptember 30, 2019. Excluding non-cash expenses, total cash G&A expense increased by $3,472, or approximately 0% to the higher level of warrant liability as a result of the higher level of outstanding OID convertible debt.
Net loss was $1,991,320 and $1,191,307$1,764,640 for the three months ended March 31, 2016September 30, 2020, from $1,761,169 for the three months ended September 30, 2019.
The slight increase in G&A cash spending was primarily due to increased legal expenses of $474,960, increased insurance of $69,368, increased personnel expenses of $57,443, and 2015, respectively. The higher netincreased information technology expenses of $23,459, offset by decreased other expenses of $315,442 primarily due to the fraud loss for the three months ended March 31, 2016 versus the same periodSeptember 30, 2019, cutbacks in 2015 ispublic company and corporate communications expense, including investor and public relations of $136,554, decreased taxes and licenses of $50,421, primarily due to the higherrefund of $42,190 in the three months ended September 30, 2020, for overpayments in prior years, elimination of directors fees of $35,000, decreased travel and entertainment of $32,136, decreased accounting and auditing fees of $27,399 and decreased consulting expenses noted above.of $22,237.
 
LiquidityWe expect cash G&A expense to increase during the remainder of this fiscal year primarily due to increases in public company and Capital Resources,corporate communications expenses, including investor relations, legal expenses, fees related to business development efforts, and information technology security expenses, among others.
Other Expense. Other expense for the three months ended September 30, 2020 was $1,601,972 as compared to $110,398 for the three months ended September 30, 2019. This represents an increase of $1,491,574 for the three months ended September 30, 2020 as compared to the three months ended September 30, 2019. This increase is primarily due to increased interest expense of $1,203,404 due to amortization of debt discount and accrued interest related to the convertible debt issued in between December 31, 20152019 and 2014January 2020, which was not present in the prior period, and a loss on debt extinguishment of $609,998, which was not present in the prior period, offset by gain on settlement of $211,430, which was not present in the prior period.
Net Loss. As a result of the factors above, our net loss increased by $1,121,434 to $5,313,906 for the three months ended September 30, 2020 as compared to $4,192,472 for the three months ended September 30, 2019.
 
Consolidated Results of Operations for the Nine Months Ended September 30, 2020 and 2019
Revenues.  We have experiencednot yet achieved revenue-generating status from any of our product candidates. Since inception, we have devoted substantially all of our time and efforts to developing MS1819. As a result, we did not have any revenue during the three months ended September 30, 2020 and 2019, respectively.
Research and Development Expense. R&D expense was $4,438,229 for the nine months ended September 30, 2020, as compared to $7,927,907 for the nine months ended September 30, 2019. This represents a decrease of $3,489,678, or approximately 49% for the nine months ended September 30, 2020 as compared to the nine months ended September 30, 2019. Stock-based compensation for employees, depreciation and amortization was $28,878, $14,372, and $395,661, respectively, for the nine months ended September 30, 2020, as compared to $0, $35,918 and $824,936, respectively for the nine months ended September 30, 2019. Excluding non-cash expenses, total cash R&D expense decreased by $3,068,074, or approximately 43% to $3,999,318 for the nine months ended September 30, 2020, from $7,067,392 for the nine months ended September 30, 2019.
The decrease in R&D cash spending was primarily due to decreased clinical trial costs of $2,608,858 related to reduced clinical trial activity in connection with recruitment delays in the Combination Study due to COVID-19 as compared to the prior period which included the OPTION trial, decreased personnel costs of $342,887, decreased supplies and materials expenses related to laboratory research of $57,097, and decreased consulting expenses of $53,966. We expect cash R&D expense to increase during the remainder of the fiscal year as we advance both the OPTION 2 Trial and the Combination Trial and increase CMC activities in connection with the continued development of MS1819.
General and Administrative Expense. G&A expense was $4,595,860 for the nine months ended September 30, 2020, as, as compared to $5,690,001 for the for the nine months ended September 30, 2019. This represents a decrease of $1,094,141, or approximately 19% for the nine months ended September 30, 2020 as compared to the nine months ended September 30, 2019. Stock-based compensation for employees and consultants, depreciation, and loss on asset disposal was $477,537, $12,184, and $1,998, respectively, for the nine months ended September 30, 2020, as compared to $1,098,613, $15,343 and $0, respectively for the nine months ended September 30, 2019. Excluding non-cash expenses, total cash G&A expense decreased by $471,904, or approximately 10% to $4,104,141 for the nine months ended September 30, 2020, from $4,576,045 for the nine months ended September 30, 2019.
The decrease in G&A cash spending was primarily due to the elimination of bonuses of $629,300 as compared to the prior period, cutbacks in public company and corporate communications expense, including investor and public relations of $280,153, directors fees of $105,000, and travel and entertainment expenses of $72,377, and decreased other expenses of $326,417 primarily due to the fraud loss for the three months ended September 30, 2019, offset by increases in legal expenses of $495,801, insurance of $203,080, consulting expenses of $136,976, increased insurance of $203,080, and increased information technology expenses of $72,028.
We expect cash G&A expense to increase during the remainder of this fiscal year primarily due to increases in public company and corporate communications expenses, including investor relations, legal expenses, fees related to business development efforts, and information technology security expenses, among others.
Other Expense. Other expense for the nine months ended September 30, 2020 was $6,236,985 as compared to $278,155 for the three months ended September 30, 2019. This represents an increase of $5,958,830 for the three months ended September 30, 2020 as compared to the three months ended September 30, 2019. This increase is primarily due to increased interest expense of $5,838,417 due to amortization of debt discount and accrued interest related to the convertible debt issued in between December 2019 and January 2020, as compared to $278,155 in the prior period, and a loss on debt extinguishment of $609,998, which was not present in the prior period, offset by gain on settlement of $211,430, which was not present in the prior period. 
Net Loss. As a result of the factors above, our net losses and negative cash flows from operations since our inception. We have cumulative losses attributableloss increased by $1,375,011 to common stockholders$15,271,074 for the nine months ended September 30, 2020 as compared to $13,896,063 for the nine months ended September 30, 2019.
Cash Flows for the Years Ended December 31, 20152019 and 2014. We have financed our operations through issuances of equity and the proceeds of debt instruments. From the date of inception through December 31, 2014, we received gross proceeds of $859,490 from the sale of our common stock to private investors. From the date of inception through December 31, 2015, we received gross proceeds of $896,000 from the issuance of promissory notes. During this same period, we also repaid $761,000 of these promissory notes. From the date of inception through December 31, 2015, we received cash proceeds of $5,995,000 plus Marketable Securities from a noteholder with a fair value of $150,000 at date of issuance for total proceeds of $6,145,000 from the issuance of original issue discounted convertible debt.2018
 
At December 31, 2015 and 2014,2019, we had $175,796 in cash and marketable securities of approximately $639,000 and $220,000, respectively. We have funded our operationscash equivalents, compared to date primarily through$1,114,343 at December 31, 2018.
Net cash used in operating activities for the issuance of debt and convertible debt securities. During the yearsyear ended December 31, 2015 and 2014, we funded our working capital requirements with the proceeds of Advance Notes and OID Notes.
We expect2019 was $14,033,496, as compared to incur substantial expenditures in the foreseeable future$10,869,320 for the developmentyear ended December 31, 2018, representing an increase in cash used of our product candidates. We will require additional financingapproximately $3,164,176. This increase was mainly due to develop, prepare regulatory filingsincreased operating expenses primarily related to clinical trials expense, a reduction in accounts payable and obtain regulatory approvals, fund operating losses,accrued expenses, increased stock-based compensation and if deemed appropriate, establish manufacturing, salesstock expense and marketing capabilities. We believe that our current cashthe elimination of warrant modification expense, offset by decreases in other receivables, amortization, accreted interest on convertible debt and marketable securities are sufficient to fund operations until September 2016 without giving consideration to the proceeds of this offering based on our current business plan. Our current financial condition raises substantial doubt about our ability to continue as a going concern. Our failure to raise capital asdebt discount and when needed would have a material adverse impact on our financial condition and our ability to pursue our business strategies. We will seek funds through additional equity or debt financings, collaborative or other arrangements with corporate sources, or through other sources of financing. Adequate additional funding may not be available to us on acceptable terms or at all. If adequate funds are not available to us, we will be required to delay, curtail or eliminate one or more of our research and development programs.
prepaid expenses.
 
Cash Flows for the Year Ended December 31, 2015 and the Period January 30, 2014 (Date of Inception) through December 31, 2014
Net cash used in operating activities for the year ended December 31, 20152019 primarily reflected our net loss of $15,177,686plus adjustments to reconcile net loss to net cash used in operating activities of depreciation and amortization expense of $1,020,046, non-cash stock-based compensation of $574,335, non-cash restricted stock granted to employees and directors of $607,597, non-cash Common Stock granted to consultants of $210,000, non-cash debt discount - warrants of $313,364, non-cash interest on convertible debt of $112,543, and the write off of fixed assets of $7,296. Changes in assets and liabilities are due to an increase in other receivables of $749,859 due primarily to the French R&D tax credit normally received in the following year not yet received for 2018 and to increased billings to Laboratories Mayoly Spinder (“Mayoly”), an decrease in prepaid expense of $85,681 due primarily to the expensing of prepaid insurance, a decrease in deposits of $3,900 due to the return of a refundable deposit, offset by an increase in accounts payable and accrued expense of $420,788 due primarily to increased R&D expenses.
Net cash used in operating activities for the year ended December 31, 2018 was $4,510,778,$10,869,320, which primarily reflected our net loss of $5,930,236, $13,533,617plus non-cash expensesadjustments to reconcile net loss to net cash used in operating activities of $733,599 for depreciation and amortization expense of $798,446, non-cash accreted interest expense duefair value adjustment of the contingent consideration of $210,000, non-cash stock-based compensation of $1,441,475, non-cash restricted stock granted to the OID convertible debtemployees and directors of $1,038,822, non-cash restricted stock granted/accrued to consultants of $360,771, non-cash debt discount - warrants on a 12% Senior Secured Original Issue Discount Convertible Debenture issued to Lincoln Park in April 2017 of $1,561,677,$97,837, and a non-cash warrant modification expense of $218,337,$428,748. Changes in assets and an increase of accounts payable and accrued expenses of $251,608liabilities are due to our limited cash position, offset by a non-cash fair value gain on warrant liability of $386,103, an increase in other receivables of $638,092$2,187,903 due primarily to the billings to our research partner Mayoly, an decrease in prepaid expense of $243,330 due primarily to the expensing of prepaid insurance, an increase in deposits of $15,001 due to a higher Frenchnew office space lease for the startup of U.S. R & D tax credit in 2015 versus 2014 and an increase in prepaid expenses of $340,524 consisting primarily of finance and legal costs associated with the filing of the S-1. Net cash used in operating activities from January 30, 2014 (Date of Inception) through December 31, 2014 was $1,005,993, which primarily reflected our net loss of $2,365,148, offset by a non-cash fair value gain on the warrant liability of $1,368, non-cash expenses of $429,935 for depreciation and amortization, non-cash accreted interest expense due to the OID convertible debt and debt discount - warrants of $59,029,&D, and a decrease in interest payable of working capital of $871,559 due primarily to a$7,192, offset by an decrease in accounts receivable of $356,252 as cash was collected from our European subsidiary’s prior billings, an increase of accounts payable and accrued expensesexpense of $563,089$741,624 due primarily to our limited cash position, offset by an increase in other receivables of $50,595. increased R&D expenses.

Net cash used in investing activities for the year ended December 31, 20152019 was $24,380 consisting$24,098, which consisted of purchasesthe purchase of property and equipment. Net cash used in investing activities from January 30, 2014 (Date of Inception) throughfor the year ended December 31, 20142018 was $751,955 consisting of $191,003 in purchases of property and equipment and $560,952$305,473, which consisted of the cash portion of the purchase of Protea Europe SAS.assets from bankruptcy of $250,000 and the purchase of property and equipment of $55,473.  
Net cash provided by financing activities for the year ended December 31, 2019 was $13,144,979, compared to $11,712,128 for the year December 31, 2018, representing an increase of $1,432,851.
 
Net cash provided by financing activities for the year ended December 31, 2015 was $5,021,353 consisting2019 consisted of gross$9,476,749 from the sale of Common Stock in our April, May, and July 2019 Public Offerings, $4,967,308 from the issuance of the convertible debt in the ADEC Note Offering and the December 2019 Promissory Note Offering, and $498,783 from the proceeds of $5,395,000a note payable related to the financing of our D&O insurance, and $61,590 received from a stockholder in relation to a warrant modification offset by issuance of Common Stock in connection with the issuanceexercise of OID convertible debt,certain repriced warrants in May 2018, offset by repayments of OID convertible debt of $117,947, gross proceeds from$1,550,000 related to the issuanceADEC Notes and repayment of promissory notesa note payable of $445,000, and the repayments of promissory notes of $701,000.$309,451.

Net cash provided by financing activities from January 30, 2014 (Date of Inception) throughfor the year ended December 31, 2014 was $1,850,491 consisting2018 consisted of gross proceeds$2,324,742 from the issuance of $859,491 for the sale of our common stock, gross proceeds of $600,000Common Stock in connection with the exercise of certain repriced warrants in January 2018, $9,578,063 from the sale of Common Stock offered in our May 2018 Public Offering, $286,203 from the proceeds of the issuance of OIDa note payable offset by repayments of convertible debt issuance of promissory notes$286,529 and repayment of $451,000 offset by the repaymentsa note payable of promissory notes of $60,000.$190,351.
 
Consolidated Results of Operations for the YearYears Ended December 31, 20152019 and 2018
Revenues.  We have not yet achieved revenue-generating status from any of our product candidates. Since inception, we have devoted substantially all of our time and efforts to developing MS1819. As a result, we did not have any revenue during the Period January 30, 2014 (Date of Inception) throughyears ended December 31, 2014 (“2019 and 2018, respectively.2014”)
 
Research and Development Expense.R&D expenses were $1,398,056expense was $8,680,669 for the year ended December 31, 2019, as compared to $5,771,405 for the year ended December 31, 2018. This represents an increase of $2,909,264, or approximately 50% for the year ended December 31, 2019 as compared to the year ended December 31, 2018. Stock-based compensation for stock options, stock expense for employees and $670,491,consultants and depreciation and amortization was $361,739, $475,259, and $956,169, respectively, for the year ended December 31, 20152019, as compared to $0, $0, and 2014, an increase of $727,565. The increase in R&D is primarily due to costs associated with manufacturing additional batches of MS1819 as well as increased R&D activities in France. We expect R&D expenses to increase in future periods as our product candidates continue through clinical trials and we seek strategic collaborations.
G&A expenses were $3,330,752 and $1,658,615,$736,243, respectively for the year ended December 31, 20152018. Excluding non-cash stock-based compensation, stock expense and 2014, an increase of $1,672,137. depreciation and amortization, cash R&D expenses increased by $2,214,078, or approximately 44% to $7,249,240 for the year ended December 31, 2019, from $5,035,163 for the year ended December 31, 2018.
The increase isin R&D cash spending was primarily due to increased G&Adirect clinical trial costs of $4,075,949 related to the OPTION Cross-Over Study and the Combination Study, increased consulting expenses of $317,613, increased personnel costs of $316,688, offset by a net decrease of $2,062,105 related to R&D expenses in the U.S. such as anrelation to Mayoly, decreased R&D tax credit of $418,038 and decreased licensing fees of $108,841. We expect cash R&D expense to increase in legal/investment banking/other professional consulting of $720,555, payroll expenses of $43,307, travel of $121,565, and warrant expense of $218,337 as well as an increase in amortization of $272,993. We expect G&A expenses to increase going forwardthe next fiscal year as we proceed to advance our product candidates throughprogress clinical trials and CMC activities in connection with the continued development and regulatory process.of MS1819.
 
InterestGeneral and Administrative Expense.G&A expense was $1,587,533$6,063,078 for the year ended December 31, 2019, as compared to $7,450,366 for the year ended December 31, 2018. This represents a decrease of $1,387,288, or approximately 19% for the year ended December 31, 2019 as compared to the year ended December 31, 2018. Stock-based compensation for stock options, stock expense for employees and $68,149,consultants, depreciation and amortization, and loss on disposal of assets was $212,596, $494,071, $20,813 and $7,296, respectively, for the year ended December 31, 20152019, as compared to $1,441,475, $1,234,542, $15,291 and 2014, an increase of $1,519,384. The increase was due to the higher level of outstanding OID convertible debt. Fair value adjustment of our warrants was $386,103 and $1,368,$0, respectively for the year ended December 31, 20152018. Excluding non-cash stock-based compensation, stock expense, depreciation and 2014, an increaseamortization, and loss on disposal of $384,735. This increase was dueassets, cash G&A expenses increased by $997,994, or approximately 23% to the valuation of the warrants liability at the end of each respective period as well as a higher level of warrant liability a result of the higher level of outstanding OID convertible debt.

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Other income was $0 and $30,739, respectively, for the year ended December 31, 2015 and 2014. The other income in 2014 was primarily2019, from Mayoly, our lipase development partner.  
Net loss$4,330,308 for the year ended December 31, 20152018.
The increase in G&A cash spending was $5,930,236primarily due to increased legal expenses of $523,400, the loss due to cyber-related fraud of $367,908 that was not present in the same period in 2018, increased public company and corporate communications, including investor relations of $167,632, increased insurance of $99,765, and increased directors fees of $35,000, offset by decreased personnel costs of $148,730, decreased office expenses of $37,468 and decreased travel and entertainment of $35,477. We expect cash G&A expense to remain relatively flat to slightly down in the next fiscal year as management instituted cost cutting measures related to public company and corporate communications, including investor relations, the termination of the TransChem Sublicense Agreement and related intellectual property legal expenses and one-time and transaction-related costs are expected to be offset by increases to D&O and corporate insurance, outside consulting fees related to business development efforts and information technology security expenses.
Fair value adjustment of our contingent consideration was $0 and $210,000, respectively, for the years ended December 31, 2019 and 2018. The difference in fair value adjustments in year ended December 31, 2019 as compared to a net lossthe same period in 2018 is due primarily to the contingent consideration being eliminated in 2018. 
Other Expense.Interest expense for the year ended December 31, 2019 was $433,939 as compared to $101,846 for the year ended December 31, 2018. The increased interest expense is due to amortization of $2,365,148 for 2014 asdebt discount and accrued interest related to the convertible debt issued in 2019.
Net Loss. As a result of the above.factors above, our net loss increased by $1,644,069 to $15,177,686 for the year ended December 31, 2019 as compared to $13,533,617 for the year ended December 31, 2018.
 
Off-Balance Sheet Arrangements
 
We have no significant off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that are material to our stockholders.


DESCRIPTION OF THE BUSINESS

As used in this prospectus, unless otherwise stated or the context otherwise requires, references to “AzurRx”, “Company”, “we”, “us”, “our” or similar references are to AzurRx BioPharma, Inc. and our subsidiaries on a consolidated basis. References to “AzurRx BioPharma” refer to AzurRx BioPharma, Inc. on an unconsolidated basis. References to “AzurRx SAS” refer to AzurRx SAS, AzurRx BioPharma’s wholly-owned subsidiary through which we conduct our European operations.
 
Overview
AzurRx BioPharma, Inc. (“AzurRx”) was incorporated on January 30, 2014 in the State of Delaware. In June 2014, we acquired 100% of the issued and outstanding capital stock of AzurRx SAS (formerly “ProteaBio Europe SAS”), a company incorporated in October 2008 under the laws of France. AzurRx and our wholly-owned subsidiary, AzurRx SAS (“ABS”) (collectively referred to herein as the “Company”).
 
We are engaged in the research and development of targeted, non-systemic biologicstherapies for the treatment of patients with gastrointestinal disorders.(GI) diseases. Non-systemic biologicstherapies are non-absorbable drugs that act locally, without reaching the systemic circulation, i.e. the intestinal lumen, skin or mucosa.  Our current product pipeline consists of two therapeutic proteins under development:mucosa, without reaching an individual’s systemic circulation. We are currently focused on developing our lead drug candidates, MS1819 as well as launching clinical trials for niclosamide.
 
We are currently focused on developing our pipeline of three gut-restricted GI clinical drug candidates. The lead therapeutic candidate is MS1819, a recombinant lipase for the treatment of exocrine pancreatic insufficiency (EPI) in patients with cystic fibrosis and chronic pancreatitis, currently in two Phase 2 clinical trials. We plan to launch two clinical programs using proprietary formulations of niclosamide, a pro-inflammatory pathway inhibitor; FW-420, for grade1 Immune Checkpoint Inhibitor Colitis (ICI-AC) and diarrhea in oncology patients and FW-1022, for COVID-19 gastrointestinal infections. Each drug candidate is described below:
MS1819 - an autologous yeast recombinant lipase for exocrine pancreatic insufficiency (EPI) associated with chronic pancreatitis (CP) and cystic fibrosis (CF).
AZX1101- a recombinant β-lactamase combination of bacterial origin for the prevention of hospital-acquired infections by resistant bacterial strains induced by parenteral administration of β-lactam antibiotics, as well as prevention of antibiotic-associated diarrhea (AAD).
 
Our initial product, MS1819 is intendeda recombinant lipase enzyme for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with cystic fibrosis (“CF”) and chronic pancreatitis (“CP”). MS1819, supplied as an oral non-systemic biologic capsule, is derived from the Yarrowia lipolytica yeast lipase and breaks up fat molecules in the digestive tract of EPI patients so that they can be absorbed as nutrients. Unlike the standard of care, the MS1819 synthetic lipase does not contain any animal products.
EPI is a condition characterized by deficiency of the exocrine pancreatic enzymes, resulting in a patient’s inability to treatdigest food properly, or maldigestion. The deficiency in this enzyme can be responsible for greasy diarrhea, fecal urge and weight loss. There are more than 30,000 patients suffering fromwith EPI whocaused by CF according to the Cystic Fibrosis Foundation approximately and approximately 90,000 patients in the U.S. with EPI caused by CP according to the National Pancreas Foundation. Patients are currently treated with porcine pancreatic extracts, or PPEs, which haveenzyme replacement pills.
MS1819 – Phase 2b OPTION 2 Cystic Fibrosis Monotherapy Studies
On October 17, 2019, we announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board (the “CFF DSMB”) completed its review of our final results of the OPTION Cross-Over Study and had found no safety concerns for MS1819, and that the CFF DSMB supported our plan to proceed to a higher 4.4 gram dose of MS1819 with enteric capsules in the multi-center dose escalation Phase 2b OPTION clinical trial (the “OPTION 2 Trial”). In December 2019, we submitted the clinical trial protocol to the existing IND at the FDA. The clinical trial protocol has been onreviewed by the market since 1938. The PPE market is well established and growingFDA with estimated sales of $no comments. In April 2020, we received approval to conduct the OPTION 2 Trial in Therapeutics Development Network (“TDN880”) million clinical sites in the U.S. in as well as Institutional Review Board 2015(“ (based on a 20% discountIRB”) approval to IMS Health’s 2015 prescription data) and has been growing forcommence the past five years at a compound annual growth rate of 22% according to IMS Health 2009-2014 data. In spite of their long-term use, however, PPEs suffer from poor stability, formulation problems, possible transmission of conventional and non-conventional infectious agents due to their animal origins, possible adverse events at high doses in patients with CF and limited effectiveness. We believe that MS1819, if successfully developed and approved for commercialization, can address these shortcomings associated with PPEs.OPTION 2 Trial.

Phase 1 testing of MS1819 was completed in March 2011 and we expect to initiate a Phase II clinical trial during the middle of 2016.  See “Product Programs-MS1819-Clinical Program” below. Our second non-systemic biologic product under preclinical development, AZX1101,The OPTION 2 Trial is designed to protectinvestigate the gut microbiome (gastrointestinal (GI) microflora)safety, tolerability and efficacy of MS1819 (2.2 gram and 4.4 gram doses in enteric capsules) in a head-to-head manner versus the current standard of care, porcine pancreatic enzyme replacement therapy (PERT”) pills. The OPTION 2 Trial will be an open-label, crossover study, conducted in 15 sites in the U.S. and Europe. A total of 30 CF patients 18 years or older will be enrolled.  MS1819 will be administered in enteric capsules to provide gastric protection and allow optimal delivery of enzyme to the duodenum.  Patients will first be randomized into two cohorts: to either the MS1819 arm, where they receive a 2.2 gram daily oral dose of MS1819 for three weeks; or to the PERT arm, where they receive their pre-study dose of PERT pills for three weeks. After three weeks, stools will be collected for analysis of coefficient of fat absorption (CFA”). Patients will then be crossed over for another three weeks of the alternative treatment. After three weeks of cross-over therapy, stools will again be collected for analysis of CFA. A parallel group of patients will be randomized and studied in the same fashion, using a 4.4 gram daily dose of MS1819. All patients will be followed for an additional two weeks after completing both crossover treatments for post study safety observation. Patients will be assessed using descriptive methods for efficacy, comparing CFA between MS1819 and PERT arms, and for safety.

We initiated the OPTION 2 Trial in July 2020 with the first patient screened and three clinical trial sites activated in the U.S. In August 2020, we dosed the first patients and initiated the European arm of the OPTION 2 Trial. Topline data is anticipated in the first quarter of 2021; however, this timeline may be further delayed due to the COVID-19 pandemic.  
In November 2020, we submitted a protocol amendment for the OPTION 2 Trial to add a study arm that uses an immediate release MS1819 capsule to allow us to compare data from that existing arm that uses enteric capsules with data from the effectsnew arm. We plan to initiate the OPTION 2 study extension in early first quarter 2021.
MS1819 – Phase 2 Combination Therapy Study
In addition to the monotherapy studies, we launched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Europe to investigate MS1819 in combination with PERT, for CF patients who suffer from severe EPI but continue to experience clinical symptoms of certain commonly used intravenous (IV) antibioticsfat malabsorption despite taking the maximum daily dose of PERTs. The Combination Trial is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a stable dose of PERTs, in order to increase CFA and relieve abdominal symptoms in uncontrolled CF patients. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI.
We dosed the first patients in our Combination Trial in Hungary in October 2019. Planned enrollment is expected to include approximately 24 CF patients with severe EPI, at clinical trial sites in Hungary and additional countries in Europe, including Turkey. Topline data is currently expected in the first half of 2021; however, this timeline may be further delayed due to the COVID-19 pandemic.
We announced positive interim data on the first five patients in the Combination Trial in August 2020. The primary efficacy endpoint was met, with CFAs greater than 80% for all patients across all visits. For secondary efficacy endpoints, we observed that stool weight decreased, the number of stools per day decreased, steatorrhea improved, and body weight increased. Additionally, no serious adverse events were reported.
We opened a total of five clinical sites for the preventionCombination Trial in Turkey in October 2020 and announced that its first patients were dosed in November 2020. We currently have a total of C. difficile infection (CDI)nine of the expected ten sites in Europe active and antibiotic-associated diarrhea (AAD).  CDIsrecruiting patients.
License Agreement with First Wave Bio, Inc.
On December 31, 2020, we entered into the First Wave License Agreement with First Wave. Pursuant to the First Wave License Agreement, First Wave granted us a worldwide, exclusive right to develop, manufacture, and commercialize First Wave’s proprietary immediate release and enema formulations of niclosamide for the fields of treating ICI-AC and COVID in GI. The Product uses First Wave’s proprietary formulations of niclosamide, a pro-inflammatory pathway inhibitor. We plan to commence in 2021 both a Phase 2 trial of the Product for COVID in GI and a Phase 1b/2a trial for ICI-AC.
In consideration of the license and other rights granted by First Wave, we will pay First Wave a $9.0 million upfront cash payment and an additional payment of $1.25 million due on June 30, 2021. In addition, we are obligated to pay potential milestone payments to First Wave totaling up to $37.0 million for each indication, based upon the achievement of specified development and regulatory milestones. We are also obligated to pay First Wave royalties as a leading typemid-single digit percentage of hospital acquired infection (HAI)net sales of the Product, subject to specified reductions.
We are now solely responsible, and have agreed to use commercially reasonable efforts, for all development, regulatory and commercial activities related to the Products in the ICI-AC and COVID fields. We may sublicense our rights under the First Wave License Agreement and, if we do so, we will be obligated to pay milestone payments and royalties to First Wave based on the sublicensee’s development and commercialization of the Products.
Pursuant to the First Wave License Agreement, First Wave retains rights to develop and commercialize the licensed niclosamide formulations outside the ICI-AC and COVID fields, and to develop and commercialize other niclosamide formulations that are frequently associatednot licensed to us. However, if prior to April 30, 2021, First Wave seeks to outlicense, sell to or otherwise grant rights to a third party related to any products containing niclosamide for use outside the ICI-AC or COVID fields to develop or commercialize a product containing niclosamide for use outside of the field then First Wave shall provide to us written notice of such proposal, in reasonable detail and we shall have the right and option to negotiate with IV antibiotic treatment. DesignedFirst Wave with respect to a definitive agreement for the acquisition of First Wave. Pursuant to the First Wave License Agreement, we grant First Wave a worldwide, non-exclusive, royalty-free, perpetual, irrevocable license for use outside the ICI-AC and COVID fields, with the right to grant sublicenses, under any program IP and other intellectual property owned by us and incorporated into the Product.
The First Wave License Agreement terminates on a country-by-country basis and product-by-product basis upon the expiration of the royalty term for such product in such country. Each royalty term begins on the date of the first commercial sale of the licensed product in the applicable country and ends on date of expiration of the last to expire royalty term with respect to the country. The First Wave License Agreement may be given orallyterminated earlier in specified situations, including termination for uncured material breach of the First Wave License Agreement by either party, termination by us in specified circumstances, termination by First Wave in specified circumstances, termination by us for convenience with advance notice, and co-administeredtermination upon a party’s insolvency or bankruptcy. After expiration of the royalty term, we shall have a non-exclusive, fully-paid, perpetual, royalty-free right and irrevocable license with respect to any Product in any country within the territory.
The First Wave License Agreement also contains customary representations, warranties and covenants by both parties, as well as customary provisions relating to indemnification, confidentiality and other matters.
We do not expect to generate revenue from drug candidates that we develop until we obtain approval for one or more of such drug candidates and commercialize our product or enter into a collaborative agreement with a broad range of IV beta-lactam antibiotics (e.g., penicillins, cephalosporinsthird party. We do not have any products approved for sale at the present and aminogycosides), AZX1101 is intended to protect the gut while the IV antibiotics fight the primary infection. AZX1101 is believed to have the potential to protect the gutnever generated revenue from a broad spectrum of IV beta-lactam antibiotics. Beta-lactam antibiotics are a mainstay in hospital infection management and include the commonly used penicillin and cephalosporin classes of antibiotics. AZX1101’s target market is significant and represented by annual U.S. hospitals purchases of approximately 118 million doses of IV beta-lactam antibiotics which are administered to approximately 14 million patients. Currently there are no approved treatments designed to protect the gut microbiome from the damaging effects of IV antibiotics. This worldwide market could represent a multi-billion-dollar opportunity for us. We intend to use a portion of the proceeds of this offering to fund the additional preclinical studies needed to file an Investigational New Drug Application, or IND, with the FDA.product sale. 

 
Corporate History
 
On May 21, 2014, we entered into a stock purchase agreement (the “SPA”SPA) with Protea Biosciences Group, Inc. (“Protea Group”Group) and its wholly-owned subsidiary, Protea Biosciences, Inc. (“Protea Sub”Sub and, together with Protea Group, “Protea”Protea), to acquire 100% of the outstanding capital stock of AzurRx BioPharma SAS (formerly ProteaBio Europe SAS), a wholly-owned subsidiary of Protea Sub. On June 13, 2014, we completed the acquisition in exchange for the payment of $300,000$600,000 and the issuance of shares of our Series A convertible preferred stock (the “SeriesConvertible Preferred Stock (“Series A Preferred”Preferred) convertible into 33% of our outstanding common stock. Under the SPA, we are obligatedCommon Stock and agreed to make certain milestone and royalty payments to Protea. See “AgreementsSubsequently, on December 14, 2018, we purchased from Protea Group and Collaborations” below.Protea Sub the rights to any milestone payments, royalty payments, and transaction value consideration (see “Agreements and Collaborations

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- Table of ContentsProtea Asset Sale and Purchase Agreement”
below).
 
Product Programs
 
WeOur current therapeutic product pipeline consists of three clinical-stage programs, each of which are currently engaged in research and development of two potential product candidates, MS1819 and AZX1101.described below.
 
MS1819
 
MS1819 is the active pharmaceutical ingredient, or API, derived from Yarrowia lipolytica, an aerobic yeast naturally found in various foods such as cheese and olive oil that is widely used as a biocatalyst in several industrial processes. MS1819 is an acid-resistant secreted lipase naturally produced by Yarrowia lipolytica,known as LIP2, that we are developing through recombinant DNA technology for the treatment of exocrine pancreatic insufficiency, or EPI associated with chronic pancreatitis (CP)CP and cystic fibrosis (CF).CF. We obtainedpreviously held the exclusive right to commercialize MS1819 in the U.S. and Canada, South America (excluding Brazil), Asia (excluding China and Japan), Australia, New Zealand and Israel pursuant to a sublicense from Laboratoires Mayoly Spindler SAS, or Mayoly under a joint development agreement thatthe JDLA (as defined below), which also grantsgranted us joint commercialization rights for Brazil, Italy, China and Japan. See “AgreementsAs disclosed under “License Agreements - Asset Purchase Agreement with Mayoly” below, on March 27, 2019, we purchased all rights, title and Collaborations.”interest in and to MS1819 from Mayoly.
 
Background
 
The pancreas is both an endocrine gland that produces several important hormones, including insulin, glucagon, and pancreatic polypeptide, as well as a digestive organ that secretes pancreatic juice containing digestive enzymes that assist the absorption of nutrients and digestion in the small intestine.
 
The targeted indication of MS1819 is the compensation of EPI, which is observed when the exocrine functions of the pancreas are below 10% of normal. The symptomatology of EPI is essentially due to the deficiency of pancreatic lipase, deficiency, an enzyme that hydrolyses triglycerides into monoglycerides and free fatty acids. The pancreatic lipase enzymatic activity is hardly compensated by extrapancreaticextra-pancreatic mechanisms, because gastric lipase has nearly no lipolytic activity in the pH range of the intestine. On the other hand, when they are impaired, the pancreatic amylase and proteases (enzymes that break up starches and protein, respectively) activities can be at least in part, compensated by the salivary amylase, the intestinal glycosidase, the gastric pepsin, and the intestinal peptidases, all of which are components of the gastric juice secreted by the stomach walls. In summary, lipidLipid maldigestion due to lipase deficiency is responsible for weight loss, steatorrhea featured by greasy diarrhea, and fat-soluble vitamin deficiencies (i.e. A, D, E and K vitamins). In addition, EPI caused by chronic pancreatic disorders is also frequently associated with endocrine pancreatic insufficiency, resulting in diabetes mellitus sometimes called type IIIc.
 
CP, the most common cause of EPI, is a long-standing inflammation of the pancreas that alters its normal structure and functions. In the United States, its prevalence rate is of 42 cases per 100,000 inhabitants, resulting in approximately 132,000 cases. Approximately 60% of patients affected with CP display EPI, resulting in approximately 80,000 patients requiring substitution therapy in the U.S. In Western societies, CP is caused by chronic alcoholic consumption in approximately 55-80% of cases. Other relatively frequent etiologies include the genetic form of the disease that is inherited as an autosomal dominant condition with variable penetrance, pancreatic trauma and idiopathic causes. CP is frequently associated with episodes of acute inflammation in a previously injured pancreas, or as chronic damage with persistent pain, diabetes mellitus due to endocrine pancreatic insufficiency, or malabsorption caused by EPI. In addition to EPI symptoms, weight loss due to malabsorption and/or reduction in food intake due to pain related to food intake, are frequent.
 
CF, another frequentdominant etiology of EPI, is a severe genetic disease associated with chronic morbidity and life-span decrease of most affected individuals. In most Caucasian populations, CF prevalence is of 7-8 cases per 100,000 inhabitants, but is less common in other populations, resulting in approximatelymore than 30,000 affected individuals in the U.S. and more than 70,000 affected individuals worldwide. CF is inherited as monogenic autosomal recessive disease due to the defect at a single gene locus that encodes the Cystic Fibrosis Transmembrane Regulator protein (CFTR)(“CFTR”), a regulated chloride channel. Mutation of both alleles of this chloride channel gene results in the production of thick mucus, which causes a multisystem disease of the upper and lower respiratory tracts, digestive system, and the reproductive tract. The progressive destruction of the pancreas results in EPI that is responsible for malnutrition and contributes to significant morbidity and mortality. About 80-90% of patients with CF develop EPI, resulting in approximately 25,000-27,000 patients in the U.S. that require substitution therapy.

EPI can be also observed following pancreatic and gastric surgeries due to insufficient enzyme production or asynchronism between the entry of food into the small intestine and pancreatic juice with bile secretion, respectively. Other uncommon etiologies of EPI include intestinal disorders (e.g. severe celiac disease, small bowel resection, enteral artificial nutrition), pancreatic diseases (e.g. pancreatic trauma, severe acute pancreatitis with pancreatic necrosis, and pancreatic cancer), and other uncommon etiologies (e.g. Zollinger-Ellison syndrome, Shwachman-Diamond syndrome). Idiopathic EPI has been also reported in the elderly.
 
Current treatments for EPI stemming from CP and CF rely on porcine (pig derived) pancreatic extracts, or PPEs,enzyme replacement therapies (PERTs), which have been on the market since 1938.the late 1800s. The PPEPERT market is well established and growing with estimated sales in the U.S. of $880 million$1.4 billion in 20152019 in the U.S. and has been growing for the past 5five years at a compound annual growth rate of 22%approximately 20%. In spite of their long-term use, however, PPEsPERTs suffer from poor stability, formulation problems, possible transmission of conventional and non-conventional infectious agents due to their animal origins, and possible adverse events at high doses in patients with CF and limited effectiveness.
We believe that MS1819 recombinant lipase is currently the only non-animal source product known to be in development for the treatment of CP and has the potential to address the shortcomings of PPEs.
 
History of the Program
 
In 1998, Mayoly, a European pharmaceutical company focusing primarily on gastroenterology disorders, launched a program for the discovery and characterization of novel lipases of non-animal origin that could be used in replacement therapy for EPI. The program was conducted in collaboration with INRA TRANSFERT, a subsidiary of the French academic laboratory, Institut National de la Recherche Agronomique (National Institute for Agricultural Research,Research), or INRA. In 2000, Mayoly and INRA discovered that the yeast Yarrowia lipolytica secreted a lipase which was named LIP2. During the ensuing years, Mayoly investigated the in vitro enzymatic activities of LIP2 in collaboration with the Laboratory of Enzymology at Interfaces and Physiology of Lipolysis or EIPL,("EIPL"), a French public-funded research laboratory at the French National Scientific Research Centre laboratory or CNR,("CNRS"), which focuses on the physiology and molecular aspects of lipid digestion.
 
Pre-clinicalPre-Clinical Program
 
The efficacy of MS1819 has been investigated in normal minipigs, which are generally considered as a relevant model for digestive drug development when considering their physiological similarities with humans and their omnivore diet. Experimental pancreatitis was induced by pancreatic duct ligation, resulting in severe EPI with baseline coefficient of fat absorption, or CFA around 60% post-ligature. CFA is a measurement obtained by quantifying the amount of fat ingested orally over a defined time period and subtracting the amount eliminated in the stool to ascertain the amount of fat absorbed by the body. Pigs were treated with either MS1819 or enteric-coated PPE,PERTs, both administered as a single-daily dose.
 
At doses ranging from 10.5 to 211mg,211 mg, MS1819 increasesincreased the CFA by +25 to +29% in comparison to baseline (p<0.05 at all doses), whereas the 2.5 mg dose had milder activity. Similar efficacy was observed in pigs receiving 100,000 U lipase of enteric-coated porcine pancreatic extract. These findings demonstrate the in vivo activity of MS1819 in a relevant in vivo model at a level similar to the PPEsPERTs at dosagedosages of 10.5mg or greater. The results of a clinical trial are statistically significant if they are unlikely to have occurred by chance. Statistical significance of the trial results areis typically based on widely used, conventional statistical methods that establishesestablish the p-value of the results. A p-value of 0.05 or less is required to demonstrate statistical significance. As such, these CFA levels are considered to be statistically significant.
 
To date, two non-clinical toxicology studies have been conducted. Both show that MS1819 lipase is clinically well tolerated at levels up to 1000mg/kg in rats and 250 mg/kg in minipigs up to 13 weeks. MS1819 is therefore considered non-toxic in both rodent and non-rodent species up to a maximum feasible dose (MFD)(“MFD”) of 10001,000 mg/kg/day in the rats over six months of administration.
 
Clinical Program
 
We believe that there are two principal therapeutic indications for EPI compensation by MS1819: (1)(i) adult patients with CP, or post-pancreatectomy and (2)(ii) children or youngand adults affected by cystic fibrosis.CF. Because of their radically different pathophysiology and clinical presentation, we intend to separately investigate each of these indications and have determined, based on market size and expected dose requirements, to pursue the indication for adults first.first in CF.


During 2010 and 2011, a phase I/IIaPhase 1/2a clinical trial of MS1819 was conducted in conjunction with Mayoly in a single center in France. The study was an exploratory study mainly designed to investigate the safety of MS1819-FD (freeze-dried) and was a randomized, double blind, placebo controlled, parallel clinical trial in 12 patients affected with CP or pancreatectomy and severe EPI. This study was not designed, nor did it aim, to demonstrate statistically significant changes of CFA or steatorrhea under MS1819-FD. The primary efficacy endpoint of the study was defined as the relative change in steatorrhea (an established surrogate biomarker of EPI correction) in comparison to baseline. The study found that MS1819 was well tolerated with no serious adverse events. Only two adverse events were observed: constipation (2(two patients out of 8eight with MS1819) and hypoglycemia (2(two patients out of 8eight with MS1819, and 1one patient out of 4four with placebo). A non-statistically significant difference of the primary endpoint, possibly due to the small group size, was found between the two groups both in intention-to-treat,, a group that included three patients who received the in-patient facility study diet but did not fulfill the protocol’s inclusion criteria, and per-protocol analysis. This study was not designed, nor did it aim, to demonstrate statistically significant changes of CFA or steatorrhea under MS1819-FD.
We received regulatory approval in Australia and New Zealand in 2016, with the addition of a 2018 regulatory approval in France, to conduct a Phase 2 multi-center dose escalation study of MS1819 in CP and pancreatectomy. The primary endpoint of this study was to evaluate the safety of escalating doses of MS1819 in 11 CP patients. The secondary endpoint was to investigate the efficacy of MS1819 in these patients by analysis of the CFA and its change from baseline. On September 24, 2018, we announced that in pre-planned analyses, both the study’s primary and secondary endpoints were reached with a statistically significant (p=0.002) improvement in the CFA of 21.8%, in a per protocol analysis, with the highest evaluated dose of 2,240 mg/day of MS1819. Statistical significance of the trial results is typically based on widely used, conventional statistical methods that establishes the p-value of the results. A p-value of 0.05 or less is required to demonstrate statistical significance. As such, these CFA levels are considered to be statistically significant.
In October 2018, the U.S. Food and Drug Administration (“FDA”) cleared our Investigational New Drug (“IND”) application for MS1819 in patients with EPI due to CF. On December 19, 2018, we announced that we initiated the Phase 2 OPTION Cross-Over Study to investigate MS1819 in CF patients with EPI and on February 20, 2019, we announced that we dosed the first patients. The Phase 2 multi-center study investigated the safety, tolerability and efficacy of MS1819 in a head-to-head comparison against the current PERT standard of care. Planned enrollment is expected to include approximately 30 CF patients, who are 18 years of age or older, with study completion anticipated in 2019. The OPTION Cross-Over Study employed a six-week non-inferiority CFA primary efficacy endpoint comparing MS1819 to PERTs. In June 2019, we reached our enrollment target.
On September 25, 2019, we announced positive results from the OPTION Cross-Over Study. Results showed that the primary efficacy endpoint of CFA was comparable to the CFA in a prior Phase 2 study in patients with CP, while using the same dosage of MS1819. The dosage used in the OPTION Cross-Over Study was 2.2 grams per day, which was determined in agreement with the FDA as a bridging dose from the highest safe dose used in the Phase 2 CP dose escalation study. Although the study was not powered for statistical significance, the data demonstrated meaningful efficacy results, with approximately 50% of the patients showing CFAs high enough to reach non-inferiority with standard PERTs. Additionally, the coefficient of nitrogen absorption (“CNA”) was comparable between the MS1819 and PERT arms, 93% vs. 97%, respectively, in the OPTION Cross-Over Study. This important finding confirms that protease supplementation is not likely to be required with MS1819 treatment. A total of 32 patients, ages 18 or older, completed the OPTION Cross-Over Study.
In addition to the OPTION Cross-Over Study, in July 2019 we launched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Hungary to investigate MS1819 in combination with PERT, for CF patients who suffer from severe EPI, but continue to experience clinical symptoms of fat malabsorption despite taking the maximum daily dose of PERTs. The Combination Trial is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819, in conjunction with a stable dose of PERTs, in order to increase CFA and relieve abdominal symptoms.
On October 15, 2019, we announced that we dosed the first patients in our Combination Trial. This study is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a stable dose of porcine PERTs, in order to increase the CFA and relieve abdominal symptoms. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI. Planned enrollment is expected to include approximately 24 CF patients with severe EPI, at clinical trial sites in Hungary and additional countries in Europe, including Spain, with study completion originally anticipated in the first half of 2021, however, this timeline may be delayed due to the COVID-19 epidemic.
On October 17, 2019, we announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board had completed its review of our final results of the OPTION Cross-Over Study and had found no safety concerns for MS1819, and that the group supported our plan to proceed to a higher four-gram dose of MS1819 in our next planned Phase 2 clinical trial.
Niclosamide
Niclosamide, a pro-inflammatory pathway inhibitor, is a prescription small molecule drug that has been safely used on millions of patients. Niclosamide is listed as an essential medicine by the World Health Organization (WHO). In the U.S., niclosamide was approved by the FDA in 1982 for the treatment of intestinal tapeworm infections. Niclosamide’s activity as an antihelminthic result from direct action in the intestinal lumen where it disrupts parasite oxidative metabolism, killing parasites. Niclosamide has been commercially available worldwide for more than 50 years as 500mg tablets intended for use in pediatric and adult populations, at a dose rate of 2g per adult or child over 6 years of age. No safety issues have ever been identified. In addition to its antihelminthic activity, niclosamide has novel anti-inflammatory and anti-viral properties.
We believe niclosamide, and more specifically the patented and proprietary micronized niclosamide formulation developed by First Wave, has the potential to be an ideal therapeutic to treat multiple GI indications due to the following favorable properties: (i) it has a reduced particle size (approximately 7lM ) as compared to regular non-micronized niclosamide (approximately 60lM) with greater surface to solvent ratio, (ii) low oral bio-availability with minimal systemic absorption / exposure, (iii) improved dissolution with broader distribution allowing for higher local GI concentrations (up to approximately 200 times based on preclinical study results), and (iv) it exhibits anti-inflammatory effects while avoiding steroid-related complications and adverse events.
Background
FW-1022: COVID-19 GI infections
The COVID-19 pandemic is a global public health emergency caused by the SARS-CoV-2 virus. An increasing volume of convergent evidence indicates that GI infection and fecal-oral transmission of SARS-CoV-2 are important factors in the clinical presentation, virology and epidemiology of COVID-19. There is currently no etiological treatment for COVID-19 GI effects. We believe our FW-1022 micronized niclosamide formulation will be the only one being tested in clinical trials for a COVID-19 GI indication. Given the potentially critical role of COVID GI infections we believe there is a clear unmet therapeutic need.
Drug repurposing and/or repositioning aimed at identifying new therapeutic applications for existing clinically approved drugs is a critical strategy to accelerate drug discovery for the COVID-19 pandemic. Multiple companies and laboratories have identified and validated niclosamide to have potent antiviral activity against SARS-CoV-2.
A recent study published in July 2020 inAntimicrobial Agents and Chemotherapy, an American Society for Microbiology journal (Jeonet. al, 2020) examined a small set (n=49) of FDA-approved drugs that were selected based on either having known activity against SARS-CoV or being recommended by infectious disease experts foractivity against the SARS-CoV-2 virus. Results from this study indicated that niclosamide was the most potent of all agents tested in a Vero cell cytopathic assay with an IC50 value of 0.28 lM. For comparison, in terms of potency, niclosamide out-performedreference compounds chloroquine, lopinavir, and remdesivir with IC50 values of 7.28, 9.12, and 11.41 lM, respectively. IC50 is a quantitative measure that indicates how much of a particular inhibitory substance (e.g.a drug) is needed to inhibit, in vitro, a given biological process or biological component by fifty percent. Thus, niclosamide is approximately 25-fold more potent in vitro than VEKLURY® (remdesivir), an antiviral drug marketed by Gilead Sciences Inc. that received FDA approval in October 2020 for use in adult and pediatric patients for the treatment of COVID-19 requiring hospitalization.


Following oral administration, niclosamide is poorly absorbed, which results in a majority of the administered dose remaining in the GI tract. We believe this basic property of niclosamide, when combined with FW-1022 the micronized niclosamide FW-1022 in the drug product developed by First Wave to accelerate dissolution, allows this drug product to achieve pharmacologically effective concentrations of niclosamide in the GI tract while having almost no bioavailability, potentially enhancing efficacy and safety. We believe these properties make our FW-1022 micronized niclosamide formulation an ideal and differentiated therapeutic for treating COVID-19 infections and GI symptoms.
There are multiple other late-stage clinical trials evaluating the standard (non-micronized) formulation of niclosamide in COVID-19. We believe this further indicates that available data on niclosamide’s antiviral properties against SARS-CoV-2 is considered by others to be sufficient to proceed with clinical testing.
 
We are currentlydeveloping FW-1022, a medicinal product containing micronized niclosamide in an immediate release tablet formulation as treatment for SARS-CoV-2 intestinal infection in patients presenting with gastrointestinal symptoms of COVID-19 disease. Evidence of niclosamide’s antiviral properties is sufficient to expect a clinical pharmacodynamic response against viral replication and clinical benefit, justifying the proposed clinical study in COVID-19 patients and favourable benefit -risk assessment.
FW-420: Immune Checkpoint Inhibitor Colitis (ICI-AC)
Immune checkpoint inhibitors (“ICIs”) are monoclonal antibodies that target down-regulators of the anti-cancer immune response and have gained increasing popularity and have revolutionized the treatment of a variety of malignancies. However, many immune-related adverse events, especially diarrhea and colitis, limit their use. A 2019 study titled, “Immune checkpoint inhibitor-induced colitis: A comprehensive review,” published inWorld Journal of Clinical Cases(Solet.al, 2019) estimated the incidence of immune-mediated colitis (“IMC“) ranges from 1%-25% depending on the type of ICI and whether they are used in combination. A 2017 study titled “Incidence of immune checkpoint inhibitor-related colitis in solid tumor patients: a systematic review and meta-analysis” published inOncoimmunology(Wang and Zhaoet.al, 2017) estimated that approximately 44%, or 260,000 patients with advanced and metastatic tumors were eligible to receive ICIs. Further, approximately 30% of ICI patients develop diarrhea, which can progress to colitis. The onset of diarrhea in ICI-AC patients occurs within six to seven weeks and progressively worsens, and the progression to colitis is rapid and unpredictable.
In patients taking Yervoy® (ipilimumab) marketed by Bristol Myers Squibb, between 25-30% developed diarrhea and approximately 8-12% developed colitis, as reported in a peer-reviewed article, “Immune-checkpoint inhibitor-induced diarrhea and colitis in patients with advanced malignancies: retrospective review at MD Anderson” published in the final stagesJournal for ImmunoTherapy of developingCancer(Wanget. al,, 2018). Moreover, there is a protocoltreatment trend towards the use of combination ICI therapies (for example combining Yervoy® and Opdivo®), which is believed to lead to a concomitant increase in both diarrhea and colitis.
We believe there currently is no approved treatment for grade-1colitis. The recommended treatment for grade two or more severe colitis is administration of corticosteroids, or treatment with certain immunosuppressive biologics, while withholding ICI therapy (National Cancer Institute 2020). The impact of this colitis complication and treatment may reduce the goal of progression free cancer survival. We believe there is an unmet medical need and an oral, non-absorbed therapeutic, such as our FW-420 micronized niclosamide, for grade-1 colitis (diarrhea) may prevent progression to grade-2 disease.
Clinical Development
Recent discoveries in immune cell metabolism have opened up the possibility of selectively targeting disease-causing immune cells to treat inflammatory diseases without unwanted side effects such as broad immunosuppression. Prior to entering into the First Wave License Agreement, First Wave had developed a phase II multi-center dose escalationsuite of product candidates, gut-restricted small molecules that target the metabolism of disease-causing Th17 cells. First Wave’s first clinical program, FW-424, had encouraging data from a study Phase 1b/2a study in CP and pancreatectomy. This clinicalpatients with mild-to-moderate ulcerative colitis. In addition, First Wave submitted an IND for FW-1022 micronized niclosamide for COVID-19 GI infections that was cleared by the FDA in September 2020.
In addition, First Wave submitted an IND for FW-1022 micronized niclosamide for COVID-19 GI infections that was cleared by the FDA in September 2020.
Following the entry into the First Wave License Agreement, we plan to commence both a Phase 2 trial is being designed to ascertain the active dose of MS1819 and to compare its efficacy with or in combination with PPEs and is expected to enroll approximately 15 patients.  We have allocated a substantial portion of the proceeds of this offering to conduct the necessary formulation work and validation and stabilization testing on the MS1819 capsules that will be used in the Phase II study,for COVID-19 GI infections as well as to sponsor and conduct the trial.  We have identified a principal investigator and have identified CRO and clinical sitesPhase 1b/2a trial for the study. We expect to file an IND for the study as a result of interactions with the FDA. We expect to submit a U.S. IND by the third quarter of 2016. The U.S. trial is expected to be a placebo-crossover study in 30-60 patients with chronic pancreatitis. In parallel with the IND preparation, we expect to mitigate the dose escalation work in Australia and New Zealand.
AZX1101
AZX1101 is a recombinant-lactamase combination of bacterial origin under development for the prevention of hospital-acquired infections by resistant bacterial strains induced by parenteral administration of β-lactam antibiotics (known as nosocomial infections), as well as the prevention of antibiotic-associated diarrhea, or AAD.  Nosocomial infections are a major health concern contributing to increased morbidity, mortality and cost. The Centers for Disease Control, or CDC has estimated that roughly 1.7 million hospital-associated infections (i.e. ~5% of the number of hospitalized patients), cause or contribute to 99,000 deaths each year in the U.S., with the annual cost ranging from $4.5 - $11 billion.
Our AZX1101 product candidate is at an early stage of preclinical development and will consist of a combination of two β-lactamases having complementary activity spectrum. We have selected two proteins from the screening of 22 candidate enzymes that show biochemical characteristics fitting with the application. The production processes of these two candidate proteins have been optimized and will be administrated to minipigs in order to evaluate efficacy. We intend to use a portion of the proceeds of this offering to conduct the first animal study and primary toxicology assessment of AZX1101 during the third quarter of 2016.  The offering proceeds will not be sufficient to fund this program past these initial steps and, accordingly, even if the findings warrant further study, we will need to seek additional financing in order to pursue the AZX1101 program, which may not be available on acceptable terms, if at all.ICI-AC.
 
Agreements and Collaborations
 
License Agreement with First Wave Bio, Inc.
On December 31, 2020, we entered into the First Wave License Agreement with First Wave. Pursuant to the First Wave License Agreement, First Wave granted the Company a worldwide, exclusive right to develop, manufacture, and commercialize First Wave’s proprietary immediate release and enema formulations of niclosamide for the fields of treating ICI-AC and COVID gastrointestinal infections in humans (the “Product”). The Product uses First Wave’s proprietary formulations of niclosamide, a pro-inflammatory pathway inhibitor. We plan to commence in 2021 both a Phase 2 trial of the Product for COVID in GI and a Phase 1b/2a trial for ICI-AC.
In consideration of the license and other rights granted by First Wave, we paid First Wave a $9.0 million upfront cash payment and will pay an additional payment of $1.25 million due on June 30, 2021. In addition, we are obligated to pay potential milestone payments to First Wave totaling up to $37.0 million for each indication, based upon the achievement of specified development and regulatory milestones. We are also obligated to pay First Wave royalties as a mid-single digit percentage of net sales of the Product, subject to specified reductions. We are also obligated to issue to First Wave junior convertible preferred stock, initially convertible into $3.0 million worth of Common Stock, based upon the volume weighted average price of our Common Stock for the five-day period immediately preceding the date of the First Wave License Agreement, or $0.9118 per share. The preferred stock will convert automatically into Common Stock upon the Stockholder Approval. The purchase agreement pursuant to which the preferred stock is issued will contain customary demand and piggyback registration rights with respect to the Common Stock issuable upon conversion.
We are now solely responsible, and have agreed to use commercially reasonable efforts, for all development, regulatory and commercial activities related to the Products in the ICI-AC and COVID fields. We may sublicense our rights under the First Wave License Agreement and, if we do so, we will be obligated to pay milestone payments and royalties to First Wave based on the sublicensee’s development and commercialization of the Products.
Pursuant to the First Wave License Agreement, First Wave retains rights to develop and commercialize the licensed niclosamide formulations outside the ICI-AC and COVID fields, and to develop and commercialize other niclosamide formulations that are not licensed to us. However, if prior to April 30, 2021, First Wave seeks to outlicense, sell to or otherwise grant rights to a third party related to any products containing niclosamide for use outside the ICI-AC or COVID fields to develop or commercialize a product containing niclosamide for use outside of the field then First Wave shall provide to us written notice of such proposal, in reasonable detail and we shall have the right and option to negotiate with First Wave with respect to a definitive agreement for the acquisition of First Wave. Pursuant to the First Wave License Agreement, we grant First Wave a worldwide, non-exclusive, royalty-free, perpetual, irrevocable license for use outside the ICI-AC and COVID fields, with the right to grant sublicenses, under any program IP and other intellectual property owned by us and incorporated into the Product.
The First Wave License Agreement terminates on a country-by-country basis and product-by-product basis upon the expiration of the royalty term for such product in such country. Each royalty term begins on the date of the first commercial sale of the licensed product in the applicable country and ends on date of expiration of the last to expire royalty term with respect to the country. The First Wave License Agreement may be terminated earlier in specified situations, including termination for uncured material breach of the First Wave License Agreement by either party, termination by us in specified circumstances, termination by First Wave in specified circumstances, termination by us for convenience with advance notice, and termination upon a party’s insolvency or bankruptcy. After expiration of the royalty term, we shall have a non-exclusive, fully-paid, perpetual, royalty-free right and irrevocable license with respect to any Product in any country within the territory.
The First Wave License Agreement also contains customary representations, warranties and covenants by both parties, as well as customary provisions relating to indemnification, confidentiality and other matters.
Protea Stock Purchase Agreement
 
On May 21, 2014, we entered into thea Stock Purchase Agreement (the “Protea SPA”) with Protea to acquire 100% of the outstanding capital stock of ProteaBio Europe (the “Acquisition”Protea Acquisition). On June 13, 2014, we completed the acquisitionProtea Acquisition in exchange for the payment to Protea of $600,000 and the issuance of shares of our Series A convertible preferred stock (the “Series A Preferred”)Preferred convertible into 33% of our outstanding common stock.Common Stock. Pursuant to the Protea SPA, Protea Sub assigned (i) to Protea Europe all of its rights, assets, know-how and intellectual property rights in connection with program PR1101 and those granted under that certain Joint Research and Development Agreement (the “JDLA”), by and among Protea Sub, Protea Europe and Mayoly, dated March 22, 20102010; and (ii) to us all amounts, together with any right of reimbursement, due to Protea Sub in connection with outstanding shareholderstockholder loans.

 
Pursuant to the Protea SPA, we arewere obligated to pay certain other contingent consideration upon the satisfaction of certain events, including (a) a one-time milestone payment of $2,000,000$2.0 million due within (10)ten days of receipt of the first approval by the FDA of an a New Drug Application (“NDA”) or Biological License Application (“BLA”) for a Business Product (as such term is defined in the Protea SPA); (b) royalty payments equal to 2.5% of net sales of Business Product up to $100,000,000$100.0 million and 1.5% of net sales of Business Product in excess of $100,000,000$100.0 million; and (c) ten percent (10%)10% of the Transaction Value (as defined in the Protea SPA) received in connection with a sale or transfer of the pharmaceutical development business of Protea Europe.
Protea Asset Sale and Purchase Agreement
 
UnderOn December 7, 2018, we entered into a purchase agreement (the “Protea Purchase Agreement”) with Protea Biosciences Group, Inc. and Protea, its wholly owned subsidiary, pursuant to which we agreed to purchase the rights to any milestone payments, royalty payments, and transaction value consideration due from us to Protea now or in the future, arising from the Protea SPA (the “Purchased Assets”).
Protea previously filed for Chapter 11 protection under the United States Bankruptcy Code on December 1, 2017. On November 27, 2018, we participated in a bankruptcy auction for the Purchased Assets and were chosen as the successful bidder at the conclusion of the auction. On December 10, 2018, the transaction was approved by Judge Patrick J. Flatley of the United States Bankruptcy Court for the Northern District of West Virginia.
On December 14, 2018, we closed the transactions contemplated by the Protea Purchase Agreement. In accordance with the terms of the SPA, Protea hasPurchase Agreement, we purchased the rightPurchased Assets from Protea for an aggregate purchase price of $1,550,000. We paid $250,000 of the purchase price in cash, and the remaining $1,300,000 was paid by the issuance of shares of Common Stock, at a price of $1.77 per share, resulting in the issuance of 734,463 shares of Common Stock to designate one member of our board of directors, which right terminates upon the completion of this offering. Protea has exercised this right and Mr. Maged Shenouda sits on our Board.Protea.
 
Mayoly JDLA and Subsequent Asset Purchase Agreement
 
Effective March 22, 2010, Protea and AzurRx SAS entered into a joint research and development agreement (the “2010 Agreement”)the JDLA with Mayoly pursuant to which Mayoly sublicensed certain of its exclusive rights to a genetically engineered yeast strain cell line on which our MS1819 is based that derive from a Usage and Cross-Licensing Agreement dated February 2, 2006 (the “INRA Agreement”INRA Agreement) between Mayoly and INRA, in charge of patent management acting for and on behalf of the National Centre of Scientific Research (“CNRS”CNRS) and INRA.
 
Effective January 1, 2014, Protea entered into an amended and restated joint research and development agreementJDLA with Mayoly (the “Mayoly Agreement”Mayoly Agreement), pursuant to which Protea acquired the exclusive right to Mayoly patents and technology, with the right to sublicense, to develop, manufacture and commercialize human pharmaceuticals based on the MS1819 lipase within the following territories: U.S. and Canada, South America (excluding Brazil), Asia (excluding China and Japan), Australia, New Zealand and Israel. The Mayoly AgreementJDLA further providesprovided Mayoly the exclusive right to Protea'sProtea’s patents and technology, with the right to sublicense, to develop, manufacture and commercialize human pharmaceuticals based on the MS1819 lipase within the following territories: Mexico, Europe (excluding Italy, Portugal and Spain) and any other country not granted to us alone, or jointly with Mayoly. RightsPrior to the execution of the Mayoly APA, rights to the following territories arewere held jointly with Mayoly: Brazil, Italy, Portugal, Spain, China and Japan. In addition, the Mayoly Agreement requiresrequired Protea to pay 70% of all development costs and requiresrequired each of the parties to use reasonable efforts to:
 
devote sufficient personnel and facilities required for the performance of its assigned tasks;
devote sufficient personnel and facilities required for the performance of its assigned tasks;
make available appropriately qualified personnel to supervise, analyze and report on the results obtained in the furtherance of the development program; and
deploy such scientific, technical, financial and other resources as is necessary to conduct the development program.
make available appropriately qualified personnel to supervise, analyze and report on the results obtained in the furtherance of the development program; and
deploy such scientific, technical, financial and other resources as is necessary to conduct the development program.
Asset Purchase Agreement with Mayoly
 
PursuantOn March 27, 2019, we entered into an Asset Purchase Agreement and associated Assignment Agreement and Delegation and Set-off Agreement with Mayoly (together, the “Mayoly APA”), pursuant to the Mayoly Agreement, if Protea obtains marketing authorization in the U.S. during the development program, Protea is obligated to make a one-time milestone payment and pay Mayoly royalties on net product sales in the low single digits. If Protea does not obtain marketing authorization in the U.S. during the development program, but obtains such authorization thereafter, then Mayoly has the option to either request a license from Protea and pay 30% of our development costs, less the shared costs incurred by Mayoly and a royalty on net sales in the mid-teens, or Protea will pay Mayoly royalties on net product sales in the low single digits. If Mayoly receives EU marketing authorization after the development program concludes, then Protea may license the product from Mayoly for 70% of Mayoly’s development costs, less the shared costs incurred by Protea and a royalty on net sales in the mid-teens. The agreement further provides that no royalties are payable by either party untilwhich we purchased all expenses incurred in connection with the development program since 2009 have been recovered. The Mayoly Agreement further grants Protea the right to cure any breach by Mayoly of its obligations under the INRA agreement. See “INRA Agreement” below.  Unless earlier terminated in accordance with its terms, the Mayoly Agreement will expire, on a country by country basis, on the latest of (i) the expiration of any patent covered by the license, (ii) the duration of the legal protection of any intellectual property licensed under the agreement or (iii) the expiration of any applicable data exclusivity period. The latest expiration date of the current series of issued patents covered by the Mayoly Agreement is September 2028. See “Intellectual Property.” Either party may terminate the agreement upon a material breach by the other party that remains uncured after 90 days’ notice without prejudicing the rights of the terminating party. If the development program or license is terminated due to a material breach that is not cured, then the non-breaching party is free to develop, manufacture and commercialize the product, or grant a license to a third party to carry out such activities in the breaching parties territories or the joint territories. Further, the non-breaching party’s net product sales will be subject to low single digit royalties. Finally, either party may terminate due to insolvency of the other party. In connection with the Acquisition, Protea, with the consent of INRA and CNRS, assigned all of its remaining rights, title and interest in and to MS1819. Upon execution of the Mayoly APA, the JDLA previously executed by AzurRx SAS and Mayoly was assigned to us. In addition, we executed a Patent License Agreement with Mayoly pursuant to AzurRx SAS.which we granted to Mayoly an exclusive, royalty-bearing right to revenue received from commercialization of MS1819 within France and Russia. We have exclusive rights to MS1819 in all other global territories.
 
In accordance with the Mayoly APA and related transaction documents, we provided to Mayoly the following consideration:
(i)
we assumed certain of Mayoly’s liabilities with respect to MS1819;
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(ii)
we assumed all amounts currently owed to AzurRx SAS by Mayoly under the JDLA;
(iii)
we agreed to pay, within 30 days after the execution of the Mayoly APA, all amounts incurred by Mayoly for the maintenance of patents related to MS1819 from January 1, 2019 through the date of the Mayoly APA;
(iv)
we made an initial payment to Mayoly of €800,000, which amount was paid by the issuance of 400,481 shares of Common Stock at a price of $2.29 per share (the “Closing Payment Shares”); and
(v)
we agreed to pay to Mayoly an additional €1,500,000, payable in a mix of cash and shares of Common Stock as follows (the “Milestone Payments”): (i) on December 31, 2019, a cash payment of €400,000 and 200,240 shares of Common Stock (the “2019 Escrow Shares”) and (ii) on December 31, 2020, a cash payment of €350,000 and 175,210 shares of Common Stock (the “2020 Escrow Shares” and, together with the 2019 Escrow Shares, the “Escrow Shares”).
The Closing Payment Shares and the Escrow Shares were all issued upon execution of the Mayoly APA;provided, however, per the terms of the Mayoly APA, the Escrow Shares will be held in escrow until the applicable Milestone Payment date, at which time the respective Escrow Shares will be vested and released to Mayoly (See Note 6 to the 2019 Consolidated Financial Statements).
INRA Agreement
 
In February 2006, INRA, acting on behalf of CNRS and Institut National de la Recherche Agronomique,INRA entered into a Usage and Cross-licensing Agreement with Mayoly to specify their respective rights to the use of (1)(i) French patent application no. FR9810900 (INRA(the "INRA CNRS patent application)Patent Application"), (2)(ii) international patent application no. WO2000FR0001148 (Mayoly patent application)(the "Mayoly Patent Application"), and (3)(iii) the technology and know-how associated with both patent applications.
 
The agreement covers extensions of both patent applications. Specifically, the INRA CNRS patent applicationPatent Application encompasses application no. FR9810900 as well as PCT/FR99/02079 with national phase entry in the U.S. (no. 09/786,048, now US patent 6,582,951), Canada (no. 2,341,776) and Europe (no. 99.940.267.0, now EP 1 108 043 B1). The Mayoly patent applicationPatent Application encompasses WO2000FR0001148 with the national phase entered in Europe (now EP 1 276 874 B1).
 
The agreement providesprovided Mayoly with the world-wide use in human therapy, nutraceuticals, and cosmetology and provides INRA with world-wide (a)(i) use of lipase as an enzymatic catalyst throughout this field, including the production of pharmaceuticals, and (b)(ii) treatment of the environment, food production processes, cleaning processes and other fields, excluding human therapies, neutraceuticalsnutraceuticals and cosmetology. The agreement provides for shared use in the production of lipase in the veterinary field (livestock and pets). As consideration for the agreement, Mayoly willagreed to pay INRA an annual lump sum of €5,000 until marketing. Upon marketing, Mayoly willagreed to pay INRA a lump sum of €100,000 and royalties on net sales of the product. Unless earlier terminated in accordance with its terms, the agreement with INRA expires upon the expiration of the patents in each country in which the license has been granted. The parties may terminate the agreement in the event the other party breaches its obligations therein, which termination shall become effective three months following written notice thereof to the breaching party. The breaching party shall have the right to cure such breach or default during such three monththree-month period. Upon execution of the Mayoly APA in March 2019, Mayoly transferred the INRA Agreement to us.
TransChem Sublicense
On August 7, 2017, we entered into the TransChem Sublicense Agreement with Transchem pursuant to which TransChem granted to us an exclusive license to certain patents (the “TransChem Licensed Patents”) relating to H. pylori 5’methylthioadenosine nucleosidase inhibitors. We may terminate the Sublicense Agreement and the licenses granted therein for any reason and without further liability on 60 days’ notice. Unless terminated earlier, the Sublicense Agreement will expire upon the expiration of the last Licensed Patents. Upon execution, we paid an upfront fee to TransChem and agreed to reimburse TransChem for certain expenses previously incurred in connection with the preparation, filing, and maintenance of the Licensed Patents. We also agreed to pay TransChem certain future periodic sublicense maintenance fees, which fees may be credited against future royalties. We may also be required to pay TransChem additional payments and royalties in the event certain performance-based milestones and commercial sales involving the Licensed Patents are achieved. The TransChem Licensed Patents will allow us to develop compounds for treating gastrointestinal, lung and other infections that are specific to individual bacterial species. H. pylori bacterial infections are a major cause of chronic gastritis, peptic ulcer disease, gastric cancer and other diseases.
On March 11, 2020, we provided TransChem with sixty (60) days prior written notice of our intent to terminate the TransChem Sublicense Agreement.
 
Intellectual Property
 
Our goal is to obtain, maintain and enforce patent protection for our product candidates, formulations, processes, methods and any other proprietary technologies, preserve our trade secrets, and operate without infringing on the proprietary rights of other parties, both in the United States and in other countries. Our policy is to actively seek to obtain, where appropriate, the broadest intellectual property protection possible for our current product candidates and any future product candidates, proprietary information and proprietary technology through a combination of contractual arrangements and patents, both in the United States and abroad. However, patent protection may not afford us with complete protection against competitors who seek to circumvent our patents.
 
We also depend upon the skills, knowledge, experience and know-how of our management and research and development personnel, as well as that of our advisors, consultants and other contractors. To help protect our proprietary know-how, which is not patentable, and for inventions for which patents may be difficult to enforce, we currently rely and will in the future rely on trade secret protection and confidentiality agreements to protect our interests. To this end, we require all of our employees, consultants, advisors and other contractors to enter into confidentiality agreements that prohibit the disclosure of confidential information and, where applicable, require disclosure and assignment to us of the ideas, developments, discoveries and inventions important to our business.
 
MS1819
 
The MS1819 program is protected by the following series of issued patents that we have licensed under the Mayoly Agreement covering the method for transformation of Yarrowia lipolytica, the sequence of the LIP2 enzyme and its production process:
 
PCT/FR99/02079 patent family (including the patents EP1108043 B1, and US6582951) “Method for non-homologous transformation of Yarrowia lipolytica”, concerns the integration of a gene of interest into the genome of a Yarrowia strain devoid of zeta sequences, by transforming said strain using a vector bearing zeta sequences. This modified strain is used for the current production process. This patent has been issued in the U.S., Canada, and validated in several European countries, including Austria, Belgium, Switzerland, Cyprus, Germany, Denmark, Spain, Finland, Great Britain, Greece, Ireland, France, Italy, Lithuania, Luxembourg, Netherlands, Portugal and Sweden. This patent expired September 1, 2019;
PCT/FR2000/001148 patent family (including the patent EP1276874 B1) “Cloning and expressing an acid-resistant extracellular lipase of Yarrowia lipolytica” describes the coding sequences of acid-resistant extracellular lipases, in particular Candida ernobii or Yarrowia lipolytica”, concerns the integration of a gene of interest into the genome of a Yarrowia strain devoid of zeta sequences, by transforming said strain using a vector bearing zeta sequences. This modified strain is used for the current production process.  This patent has been issued in the U.S., Canada, and validated in several European countries, including Austria, Belgium, Switzerland, Cyprus, Germany, Denmark, Spain, Finland, Great Britain, Greece, Ireland, France, Italy, Lithuania, Luxembourg, Netherlands, Portugal and Sweden. This patent expires September 1, 2019.


PCT/FR2000/001148 patent family (including the patent EP1276874 B1) “Cloning and expressing an acid-resistant extracellular lipase of Yarrowia lipolytica” describes the coding sequences of acid-resistant extracellular lipases, in particular Candida ernobii or Yarrowia lipolytica yeasts and the production of said lipases in their recombinant form. This patent has been validated in several European countries, including Italy, France and Great Britain. This patent expires April 28, 2020; and
PCT/FR2006/001352 patent family (including the patent EP2035556 and patent US8,334,130 and US8,834,867) “Method for producing lipase, transformed Yarrowia lipolytica cell capable of producing said lipase and their uses” describes a method for producing Yarrowia lipolytica acid-resistant recombinant lipase utilizing a culture medium without any products of animal origin or non-characterized mixtures such as tryptone, peptone or lactoserum, in addition to its uses. The European patents expire June 15, 2026, U.S. patent 8,334,130 expires September 11, 2028, and U.S. patent 8,834,867 expires September 15, 2026.
In addition, a provisional application was filed in 2020 directed to our proprietary formulation of MS1819. Any patent application claiming priority to this provisional application upon issuance will have an expected expiration in 2041.
Niclosamide
Our FW-420 and FW-1022 niclosamide programs are protected by patent filings licensed under the First Wave License Agreement that include the following:
US10,292,951; US10,772,854; US10,744,103; US10,799,468; US10,849,867; and U.S. Patent Application Publications US20200197339; US20200197340 and US20200276140 as well as corresponding worldwide patent filings all entitled “Methods and Compositions for Treating Conditions Associated with an Abnormal Inflammatory Process.” The expiration date of the issued patents is September 1, 2036.
 
PCT/FR2006/001352 patent family (includingA series of provisional and yet unpublished applications all filed in 2020, including U.S. Application Serial No. 16/835,307, directed to the patent EP2035556use of niclosamide for the treatment of COVID-19 gastrointestinal infections, which has been allowed and patent US8,334,130 and US8,834,867) “Method for producing lipase, transformed Yarrowia lipolytica cell capable of producing said lipase and their uses” describes a method for producing Yarrowia lipolytica acid-resistant recombinant lipase utilizing a culture medium without any products of animal origin or non-characterized mixtures such as tryptone, peptone or lactoserum,upon issuance will have an expiration date in addition to its uses. The European patents expire June 15, 2026, US patent 8,334,130 expires September 11, 2028, and US patent 8,834,867 expires September 15, 2026.
2040.
 
AZX1101
To date, we own one patent application covering different compositions which has been filed in France.   This application was filed internationally (PCT) on October 13, 2015 as PCT/FR2015/052756 claiming priority to French patent application 1459935 dated October 16, 2014.  This application was published as WO/2016/059341 titled “Hybrid Proteinaceous Molecule Capable Of Inhibiting At Least One Antibiotic And Pharmaceutical Composition Containing It.”    At present all PCT contracting states are designated.  The term of patent protection available is typically 20 years from the filing date of the earliest international (PCT) application.  Patents are territorial rights, meaning that the rights conferred are only applicable in the country or region in which a patent has been filed and granted, in accordance with the law of that country or region.  Patent enforcement is only possible after a patent is granted and before the expiration of the patent term. Any patent issuing from PCT/FR2015/052756 will expire on October 13, 2035, unless the patent term is extended pursuant to specific laws of the granting country. We expect to file additional patent applications covering the production process and formulation of AZX1101 following completion of this offering.
Manufacturing
 
MS1819 API is obtained by fermentation in bioreactors using theour engineered and proprietary Yarrowia lipolytica strain. MS1819 is currently manufactured at a contract facility located in Capua Italy owned by DSM. The proprietary yeast cell line from which the API is derived is kept at a storage facility maintained by Charles River. Because the manufacturing processMS1819 Drug Substance is fairly straightforward, wecurrently manufactured at a contract facility located in Capua, Italy owned by Olon. MS1819 Drug Product is currently manufactured at a contract facilities located in Reims, France and Craigavon, United Kingdom owned by Delpharm and Almac Pharma Services. We believe there are multiple alternative contract manufacturers capable of producing the product we need for clinical trials. We are in the process of establishing alternative manufacturers and manufacturing sites for the product; however, there is no guarantee that the processes are easily reproducible and transferrable. In December 2020, we entered into a master service agreement with Asymchem to initiate the transfer of the manufacturing process for both Drug Substance and Drug Product.
 
AZX1101Niclosamide API production is still under development in-house.  To date, the manufacturing process appears fairly straightforward with multiple options leading us toobtained by chemical synthesis and is currently manufactured by Olon at facility in Murcia, Spain. Niclosamide Drug Product is currently manufactured at a contract facility located in Milan, Italy owned by Monteresearch. We believe that there are multiple alternative contract manufacturers capable of producing the productsproduct we will need for clinical trials.trials; however, there is no guarantee that the processes are easily reproducible and transferrable.
 
Competition
 
The pharmaceutical and biotechnology industries are characterized by rapidly evolving technology and intense competition. Many companies of all sizes, including major pharmaceutical companies and specialized biotechnology companies, are engaged in the development and commercialization of therapeutic agents designed for the treatment of the same diseases and disorders that we target. Many of our competitors have substantially greater financial and other resources, larger research and development staff and more experience in the regulatory approval process. Moreover, potential competitors have or may have patents or other rights that conflict with patents covering our technologies.
 
MS1819
With respect to MS1819, we will compete with PPEs,PERTs (pancrelipase), a well-established market that is currently dominated by a few large pharmaceutical companies, including Abvie, Johnson & JohnsonCREON® marketed by AbbVie Inc., ZENPEP® sold to Nestlé S.A. by Allergan plc. in January 2020, PANCREAZE® marketed by VIVUS, Inc. and Actavis plc.PERTZYE® marketed by Chiesi Farmaceutici S.p.A. There are currently six PPEPERT products that have been approved by the FDA for sale in the U.S. We believe our ability to compete in this market, if we are successful in developing and obtaining regulatory approval to market MS1819, will depend on our ability (or that of a future corporate partner) to convince patients, their physicians, healthcare payors and the medical community of the benefits of using a non-animal basednon-animal-based product to treat EPI, as well as by addressing other shortcomings associated with PPEs.PERTs, including a large pill burden.
 
Niclosamide
With respect to AZX1101,FW-1022, micronized niclosamide for COVID-19 infections, if approved, we will compete with currently approved antivirals, including VEKLURY® (remdesivir) marketed by Gilead Sciences, Inc. and vaccines, including those marketed by Pfizer Inc. and BioNTech SE, Moderna, Inc. and AstraZeneca plc. There are also several therapeutic and vaccine candidates in various stages of development that may obtain regulatory approval for the treatment or prevention of COVID-19 infections. Additionally, there are currently ongoing clinical studies using niclosamide by ANA Therapeutics (acquired by NeuroBo Pharmaceuticals, Inc.), Daewoong Pharmaceuticals Co Ltd, and Union Therapeutics A/S at various stages of development. We believe our approach to target COVID-19 GI infections is differentiated. We believe our ability to compete in this market, if we are awaresuccessful in developing and obtaining regulatory approval to market FW-1022, will depend on our ability (or that of only one beta-lactamase under active development byfuture corporate partners) to convince patients, their physicians, healthcare agencies and payors and the medical community of the benefits of using a US specialty pharmaceutical companyGI restricted FW-1022 to treat COVID-19 infections with GI symptoms.
With respect to FW-420, micronized niclosamide for ICI-AC, we will compete with both oral and intravenous (“IV”) administered steroids as well as hospital-based infusions of biologics, including infliximab and vedolizumab. We believe our ability to compete in this market, if we are successful in developing and obtaining regulatory approval to market FW-420, will depend on our ability (or that of future corporate partners) to convince patients, their physicians, healthcare agencies and payors and the medical community of the benefits of using a non-steroidal, non-biologic therapeutic option for the treatment of c. difficile although the compounds being developed appear to have very limited efficacy to only specific classes of antibiotics rather than the large classes of antibiotics expected to be covered by our compound.

 
Government Regulation and Product Approval
 
Government authorities in the United States, at the federal, state and local level, and other countries extensively regulate, among other things, the research, development, testing, manufacture, quality control, approval, labeling, packaging, storage, record-keeping, promotion, advertising, distribution, post-approval monitoring and reporting, marketing and export and import of products such as those we are developing. To date, our internal research and development efforts have been conducted in France. We expect to continue to perform substantially all of our basic research activities in France in order to leverage our human capital expertise as well as to avail ourselves of tax credits (CIR) awarded by the French government to research companies.companies that perform research activities in France. We expect to continue to conduct early stage development work in both France, and the U.S. andwith late stage development work, including the MS1819 Phase II study2b and subsequent Phase 3 trialclinical trials for MS1819 in both the U.S.United States and Europe, as North America is our principal target market for MS1819 and any productsother product candidates that we may successfully develop.
 
FDA Approval ProcessU.S. Government Regulation 
 
In the United States, pharmaceutical products are subject to extensive regulation by the FDA. TheFDA regulates drugs under the Federal Food, Drug, and Cosmetic Act, or FDCA, and its implementing regulations, and biologics under the FDC Act, FDCA and the Public Health ServicesService Act, or PHSA, and its implementing regulations. FDA approval is required before any new unapproved drug or dosage form, including a new use of a previously approved drug, can be marketed in the PHS Act, United States. Drugs and biologics are also subject to other federal, state and statelocal statutes and regulations, govern, among other things, the research, development, testing, manufacture, storage, recordkeeping, approval, labeling, promotion and marketing, distribution, post-approval monitoring and reporting, sampling, and import and export of pharmaceutical products. Failureregulations. If we fail to comply with applicable U.S.FDA or other requirements at any time during the drug development process, clinical testing, the approval process or after approval, we may become subject a company to a variety of administrative or judicial sanctions. These sanctions such as FDAcould include the FDA's refusal to approve pending new drug applications, license suspension or NDAs, refusal to approve pending biologic license applications, or BLAs,revocation, withdrawal of an approval, warning letters, product recalls, product seizures, placement on Import Alerts, debarment of personnel, employees or officers, total or partial suspension of production or distribution, injunctions, fines, civil penalties andor criminal prosecution.
 
Pharmaceutical product developmentThe process required by the FDA before drug candidates may be marketed in the U.S. typicallyUnited States generally involves the following:
completion of extensive preclinical laboratory tests, preclinical animal studies, and animal tests,toxicity data, all performed in accordance with the good laboratory practices, or GLP, regulations;
submission to the FDA of either a notice of claimed investigational exemption or an investigational new drug application, or IND, which must become effective before human clinical testingstudies may commence, andbegin; 
approval by an independent IRB or ethics committee representing each clinical site before each clinical study may be initiated; 
performance of adequate and well-controlled human clinical trialsstudies to establish the safety and effectivenessefficacy, or in the case of a biologic, the safety, purity and potency, of the drug candidate for each indication for whichproposed indication; 
preparation of and submission to the FDA approval is sought. Satisfaction of FDA pre-market approval requirements typically takes many years and the actual time required may vary substantially based upon the type, complexity, and noveltya new drug application, or NDA, or biologics license application, or BLA, after completion of all pivotal clinical studies;
review of the product or disease.application by an FDA advisory committee, where appropriate and if applicable; 
 
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Preclinical tests include laboratory evaluationTable of product chemistry, formulation, and toxicity, as well as animal trialsContents
a determination by the FDA within 60 days of its receipt of an NDA or BLA to file the application for review; 
satisfactory completion of an FDA pre-approval inspection of the manufacturing facilities where the drug candidate is produced to assess the characteristicscompliance with cGMP; and potential safety
FDA review and efficacyapproval of an NDA or BLA prior to any commercial marketing or sale of the product. The conduct ofdrug or biologic in the preclinical tests must comply with federal regulations and requirements, including good laboratory practices. The results of preclinical testing are submitted toUnited States.
An IND is a request for authorization from the FDA as partto administer an investigational new drug product to humans. The central focus of an IND along with other information, including information about productsubmission is on the general investigational plan and the protocol(s) for human studies. The IND also includes results of animal and in vitro studies assessing the toxicology, pharmacokinetics, pharmacology and pharmacodynamic characteristics of the product; chemistry, manufacturing and controls information; and aany available human data or literature to support the use of the investigational new drug. An IND must become effective before human clinical studies may begin. An IND will automatically become effective 30 days after receipt by the FDA, unless before that time the FDA raises concerns or questions related to the proposed clinical trial protocol. Long term preclinical tests,studies. In such as animal tests of reproductive toxicity and carcinogenicity, may continue aftera case, the IND is submitted.may be placed on clinical hold and the IND sponsor and the FDA must resolve any outstanding concerns or questions before clinical studies can begin. Accordingly, submission of an IND may or may not result in the FDA allowing clinical studies to commence.
 
Clinical trialsStudies
Clinical studies involve the administration of the investigational new drug to healthy volunteers or patientshuman subjects under the supervision of a qualified investigator.investigators in accordance with GCPs, which include the requirement that all research subjects provide their informed consent for their participation in any clinical study. Clinical trials must be conducted: (i) in compliance with federal regulations; (ii) in compliance with good clinical practice, or GCP, an international standard meant to protect the rights and health of patients and to define the roles of clinical trial sponsors, administrators, and monitors; as well as (iii)studies are conducted under protocols detailing, among other things, the objectives of the trial,study, and the parameters to be used in monitoring safety and the effectivenessefficacy criteria to be evaluated. EachA protocol involving testing on U.S. patientsfor each clinical study and any subsequent protocol amendments must be submitted to the FDA as part of the IND. Additionally, approval must also be obtained from each clinical study site's IRB before the studies may be initiated, and the IRB must monitor the study until completed. There are also requirements governing the reporting of ongoing clinical studies and clinical study results to public registries, such as ClinicalTrials.gov.
 
The FDA may order the temporary, or permanent, discontinuationclinical investigation of a clinical trial at any time,drug or impose other sanctions if it believes that the clinical trial eitherbiologic is not being conducted in accordance with FDA requirementsgenerally divided into three or presents an unacceptable risk to the clinical trial patients. The study protocol and informed consent information for patients in clinical trials must also be submitted to an institutional review board, or IRB, for approval. An IRB may also require the clinical trial at the site to be halted, either temporarily or permanently, for failure to comply with the IRB’s requirements, or may impose other conditions.


Clinical trials to support NDAs or BLAs for marketing approval are typically conducted in three sequential phases, butfour phases. Although the phases are usually conducted sequentially, they may overlap. In overlap or be combined.
Phase 1, the initial introduction of the1. The drug or biologic is initially introduced into healthy human subjects or patients with the target disease or condition. These studies are designed to evaluate the safety, dosage tolerance, metabolism and pharmacologic actions of the investigational new drug is tested to assess metabolism, pharmacokinetics, pharmacological actions,in humans, the side effects associated with increasing doses, and if possible, to gain early evidence on effectiveness.
Phase 2 usually involves trials in2. The drug or biologic is administered to a limited patient population to determine the effectiveness of the drug for a particular indication,evaluate dosage tolerance and optimumoptimal dosage, and to identify commonpossible adverse side effects and safety risks. If a compound demonstrates evidence of effectivenessrisks and preliminarily evaluate efficacy.
Phase 3. The drug or biologic is administered to an acceptable safety profile in Phase 2 evaluations, Phase 3 trials are undertaken to obtain the additional information about clinical efficacy and safety in a larger number of patients, typicallyexpanded patient population, generally at geographically dispersed clinical trialstudy sites to permit FDAgenerate enough data to statistically evaluate dosage, clinical effectiveness and safety, to establish the overall benefit-risk relationship of the druginvestigational product and to provide an adequate basis for product approval.
Phase 4. In some cases, the FDA may condition approval of an NDA or BLA for a drug candidate on the sponsor's agreement to conduct additional clinical studies after approval. In other cases, a sponsor may commit to conducting or voluntarily conduct additional clinical studies after approval to gain more information about the drug. Such post-approval studies are typically referred to as Phase 4 clinical studies.
A confirmatory or pivotal study is a clinical study that adequately meets regulatory agency requirements for the labelingevaluation of a drug candidate's efficacy and safety such that it can be used to justify the approval of the drug.product. Generally, pivotal studies are Phase 3 studies, but the FDA may accept results from Phase 2 studies if the study design provides a well-controlled and reliable assessment of clinical benefit, particularly in situations where there is an unmet medical need and the results are sufficiently robust. In such cases, FDA may require post-market studies for safety and efficacy to be conducted for the drug candidate. The FDA may withdraw the approval if the results indicate that the approved drug is not safe or effective. 
 
AfterThe FDA, the IRB or the clinical study sponsor may suspend or terminate a clinical study at any time on various grounds, including a finding that the research subjects are being exposed to an unacceptable health risk. Additionally, some clinical studies are overseen by an independent group of qualified experts organized by the clinical study sponsor, known as a data safety monitoring board or committee. This group provides authorization for whether or not a study may move forward at designated check points based on access to certain data from the study. We may also suspend or terminate a clinical study based on evolving business objectives and/or competitive climate. 
Submission of an NDA or BLA to the FDA
Assuming successful completion of theall required clinical testing an NDAin accordance with all applicable regulatory requirements, detailed investigational new drug product information is prepared and submitted to the FDA for small molecule drugs, or a BLA is prepared and submitted for biologics. Section 351in the form of the PHS Act defines a biological product as a “virus, therapeutic serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, or analogous product, … applicable to the prevention, treatment, or cure of a disease or condition of human beings.” FDA regulations and policies have established that biological products include blood-derived products, vaccines, in vivo diagnostic allergenic products, immunoglobulin products, products containing cells or microorganisms, and most protein products (including cytokines and enzymes).  Biological products subject to the PHS Act also meet the definition of drugs under FDC Act and therefore are regulated under provisions of both statutes. FDA approval of thean NDA or BLA is required before marketing ofrequesting approval to market the product may begin infor one or more indications. Under federal law, the U.S. Thesubmission of most NDAs and BLAs is subject to a substantial application user fee. Applications for orphan drug products are exempted from the NDA and BLA application user fees. 
An NDA or BLA must include theall relevant data available from pertinent preclinical and clinical studies, including negative or ambiguous results of all preclinical, clinical, and other testing and a compilation of dataas well as positive findings, together with detailed information relating to the product’s pharmacology,product's chemistry, manufacture,manufacturing, controls and controls. The costproposed labeling, among other things. Data can come from company-sponsored clinical studies intended to test the safety and effectiveness of preparinga use of a product, or from a number of alternative sources, including studies initiated by investigators. To support marketing approval, the data submitted must be sufficient in quality and submittingquantity to establish the safety and effectiveness of the investigational product to the satisfaction of the FDA.
Once an NDA or BLA has been submitted, the FDA's goal is to review the application within ten months after it accepts the application for filing, or, if the application relates to an unmet medical need in a BLAserious or life-threatening indication, six months after the FDA accepts the application for filing. The review process is substantial.often significantly extended by FDA requests for additional information or clarification.
 
Once the submission is accepted for filing,Before approving an NDA or BLA, the FDA beginstypically will inspect the facility or facilities where the product is manufactured. The FDA will not approve an in-depth review. Priority review can be applied to drugsapplication unless it determines that the FDA determines offer major advancesmanufacturing processes and facilities are in treatment, or provide a treatment where nocompliance with cGMP requirements and adequate therapy exists. The FDA may refer applications for novel drug products, or drug products which present difficult questionsto assure consistent production of safety or efficacy, to an advisory committee — typically a panel that includes clinicians and other experts — for review, evaluation, and a recommendation as to whether the application should be approved. The FDA is not bound by the recommendation of an advisory committee, but it generally follows such recommendations. Beforeproduct within required specifications. Additionally, before approving an NDA or BLA, the FDA will typically inspect one or more clinical sites to assure compliance with GCP. Additionally,
The FDA is required to refer an application for an investigational drug or biologic to an advisory committee or explain why such referral was not made. An advisory committee is a panel of independent experts, including clinicians and other scientific experts, that reviews, evaluates and provides a recommendation as to whether the investigational product application should be approved and under what conditions. The FDA will inspectis not bound by the facility or the facilities at which the drug is manufactured. FDA will not approve the product unless compliance with current good manufacturing practices, or GMP — a quality system regulating manufacturing — is satisfactoryrecommendations of an advisory committee, but it considers such recommendations carefully when making decisions and thetypically follows such recommendations.
The FDA's Decision on an NDA or BLA contains data that provide substantial evidence that the drug is safe and effective in the indication studied. The issuance of a biologics license is a determination that the product, the manufacturing process, and the manufacturing facilities meet applicable requirements to ensure the continued safety, purity and potency of the biologic product.
 
After the FDA evaluates the NDA or BLA and theconducts inspections of manufacturing facilities, it issues eithermay issue an approval letter (with the US license number, in the case of a biologic license) or a complete response letter. A complete response letter generally outlines the deficiencies in the submission and may require substantial additional testing, or information, in order for the FDA to reconsider the application. If, or when, those deficiencies have been addressed to the FDA’s satisfaction in a resubmission of the NDA or BLA, the FDA will issue an approval letter.Complete Response Letter. An approval letter authorizes commercial marketing of the drug or biologic with specific prescribing information for specific indications. A Complete Response Letter indicates that the review cycle of the application is complete, and the application is not ready for approval. A Complete Response Letter may require additional clinical data and/or an additional pivotal Phase 3 clinical study(ies), and/or other significant, expensive and time-consuming requirements related to clinical studies, preclinical studies or manufacturing. Even if such additional information is submitted, the FDA may ultimately decide that the NDA or BLA does not satisfy the criteria for approval. The FDA could also approve the NDA or BLA with a REMS to mitigate risks, which could include medication guides, physician communication plans or elements to assure safe use, such as restricted distribution methods, patient registries and other risk minimization tools. The FDA also may condition approval on, among other things, changes to proposed labeling, development of adequate controls and specifications or a commitment to conduct one or more post-market studies or clinical studies. Such post-market testing may include Phase 4 clinical studies and surveillance to further assess and monitor the product's safety and effectiveness after commercialization. The FDA may have the authority to withdraw its approval if post-market testing fails to verify the approved drug's clinical benefit, if the applicant does not perform the required testing with due diligence, or if the any other evidence demonstrates the approved drug is not safe or effective, among other reasons. Also, new government requirements, including those resulting from new legislation, may be established, or the FDA's policies may change, which could delay or prevent regulatory approval of our products under development.
Expedited Review and Accelerated Approval Programs 
The FDA has various programs, including fast track designation, breakthrough therapy designation, accelerated approval, regenerative medicine advanced therapy and priority review, that are intended to expedite the development and approval of new drugs and biologics that address unmet medical needs in the treatment of serious or life-threatening diseases and conditions. To be eligible for a fast track designation, the FDA must determine, based on the request of a sponsor, that a product is intended to treat a serious or life-threatening disease or condition and demonstrates the potential to address an unmet medical need. The FDA may review sections of the NDA for a fast-track product on a rolling basis before the complete application is submitted, if the sponsor provides a schedule for the submission of the sections of the NDA, the FDA agrees to accept sections of the NDA and determines that the schedule is acceptable, and the sponsor pays any required user fees upon submission of the first section of the NDA. 
The FDA may give a priority review designation to drugs that offer major advances in treatment or provide a treatment where no adequate therapy exists. A priority review means that the goal for the FDA to review an application is six months, rather than the standard review of ten months under current. These six and ten-month review periods are measured from the "filing" date rather than the receipt date for NDAs for new molecular entities, which typically adds approximately two months to the timeline for review and decision from the date of submission. Most products that are eligible for fast-track designation are also likely to be considered appropriate to receive a priority review.
In addition, products studied for their safety and effectiveness in treating serious or life-threatening illnesses and that provide meaningful therapeutic benefit over existing treatments may be eligible for accelerated approval and may be approved on the basis of adequate and well-controlled clinical studies establishing that the product has an effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, or on a clinical endpoint that can be measured earlier than irreversible morbidity or mortality, that is reasonably likely to predict an effect on irreversible morbidity or mortality or other clinical benefit, taking into account the severity, rarity or prevalence of the condition and the availability or lack of alternative treatments. As a condition of NDA or BLA approval, the FDA may require a risk evaluationsponsor of a drug receiving accelerated approval to perform post-marketing studies to verify and mitigation strategy,describe the predicted effect on irreversible morbidity or REMS,mortality or other clinical endpoint, and the drug may be subject to help ensureaccelerated withdrawal procedures. 
Moreover, under the provisions of the FDA Safety and Innovation Act passed in July 2012, a sponsor can request designation of a drug candidate as a "breakthrough therapy." A breakthrough therapy is defined as a drug or biologic that is intended, alone or in combination with one or more other drugs or biologics, to treat a serious or life-threatening disease or condition, and preliminary clinical evidence indicates that the benefitsproduct may demonstrate substantial improvement over existing therapies on one or more clinically significant endpoints, such as substantial treatment effects observed early in clinical development. Drugs designated as breakthrough therapies are also eligible for the other expedited review and approval programs, including accelerated approval, priority review, regenerative medicine advanced therapy, and fast-track designation. The FDA must take certain actions, such as holding timely meetings and providing advice, intended to expedite the development and review of an application for approval of a breakthrough therapy. 
In addition, the 21st Century Cures Act in 2016 made the Regenerative Medicine Advanced Therapy, or RMAT, designation available for investigational drugs that are intended to treat, modify, reverse, or cure a serious condition, with preliminary clinical evidence indicating that the drug has the potential for addressing unmet medical needs for such condition. The RMAT designation is available for cell therapy, therapeutic tissue engineering products, human cell and tissue products, and combination products that use such therapies or products. The advantages of RMAT designation include those of breakthrough and fast track designations, such as early interactions with FDA and rolling review of applications, and the drug candidate with the RMAT designation may be eligible for accelerated approval. Requests for RMAT designations should be made with the IND application (if preliminary clinical evidence is available), but no later than the end-of-phase-2 meeting. 
Even if a product qualifies for one or more of these programs, the FDA may later decide that the product no longer meets the conditions for qualification or decide that the time period for FDA review or approval will not be shortened.
Post-Approval Requirements 
Drugs and biologics marketed pursuant to FDA approvals are subject to pervasive and continuing regulation by the FDA, including, among other things, requirements relating to recordkeeping, periodic reporting, product sampling and distribution, advertising and promotion and reporting of adverse experiences with the product. After approval, most changes to the approved product, such as adding new indications or other labeling claims are subject to prior FDA review and approval. There also are continuing, annual user fee requirements. 
Manufacturers are subject to periodic unannounced inspections by the FDA and state agencies for compliance with cGMP requirements. Changes to the manufacturing process are strictly regulated and, depending on the significance of the drug outweighchange, may require prior FDA approval before being implemented. FDA regulations also require investigation and correction of any deviations from cGMP and impose reporting and documentation requirements upon us and any third-party manufacturers that we may decide to use. Accordingly, manufacturers must continue to expend time, money and effort in the potential risks. REMS can include medication guides, communication plans for healthcare professionals,area of production and elementsquality control to assure safe use,maintain compliance with cGMP and other aspects of regulatory compliance. 
Discovery of previously unknown problems with a product or ETASU. ETASU can include, but are not limitedthe failure to special trainingcomply with applicable requirements may result in restrictions on a product, manufacturer or certification for prescribingholder of an approved NDA or dispensing, dispensing only under certain circumstances, special monitoring, and the use of patient registries. The requirement for a REMS can materially affect the potential market and profitabilityBLA, including withdrawal or recall of the drug. Moreover, product approval may require substantial post-approval testing and surveillance to monitorfrom the drug’s safetymarket or efficacy. Once granted, product approvalsother voluntary, FDA-initiated or judicial action that could delay or prohibit further marketing. Also, new government requirements, including those resulting from new legislation, may be withdrawnestablished, or the FDA's policies may change, which could delay or prevent regulatory approval of our products under development. 
The FDA may withdraw approval if compliance with regulatory requirements and standards is not maintained or if problems are identified following initial marketing.occur after the product reaches the market. Later discovery of previously unknown problems with a product, including adverse events of unanticipated severity or frequency, or with manufacturing processes, or failure to comply with regulatory requirements, may result in revisions to the approved labeling to add new safety information; imposition of post-market studies or clinical studies to assess new safety risks; or imposition of distribution restrictions or other restrictions under a REMS program. Other potential consequences include, among other things.
restrictions on the marketing or manufacturing of the product; 
complete withdrawal of the product from the market or product recalls; 
fines, warning letters or holds on post-approval clinical studies; 
refusal of the FDA to approve pending NDAs or BLAs or supplements to approved NDAs or BLAs, or suspension or revocation of product licenses or approvals; 
product seizure or detention, or refusal to permit the import or export of products; or 
injunctions or the imposition of civil or criminal penalties. 
 
The Hatch-Waxman ActFDA strictly regulates marketing, labeling, advertising and promotion of products that are placed on the market. Drugs may be promoted only for the approved indications and in accordance with the provisions of the approved label. The FDA and other agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses, and a company that is found to have improperly promoted off-label uses may be subject to significant liability. 
 
Orphan Designation and Exclusivity 
Under the Orphan Drug Act, the FDA may grant orphan designation to a drug or biologic intended to treat a rare disease or condition, defined as a disease or condition with a patient population of fewer than 200,000 individuals in the United States, or a patient population greater than 200,000 individuals in the United States and when there is no reasonable expectation that the cost of developing and making available the drug or biologic in the United States will be recovered from sales in the United States for that drug or biologic. Orphan drug designation must be requested before submitting a BLA or NDA. After the FDA grants orphan drug designation, the generic identity of the therapeutic agent and its potential orphan use are disclosed publicly by the FDA.
If a product that has orphan drug designation subsequently receives the first FDA approval for a particular active ingredient for the disease for which it has such designation, the product is entitled to orphan product marketing exclusivity, which means that the FDA may not approve any other applications, including a full BLA, to market the same biologic for the same use or indication for seven years, except in limited circumstances, such as a showing of clinical superiority to the product with orphan drug exclusivity or if FDA finds that the holder of the orphan drug exclusivity has not shown that it can assure the availability of sufficient quantities of the orphan drug to meet the needs of patients with the disease or condition for which the drug was designated. Orphan drug exclusivity does not prevent the FDA from approving a different drug or biologic for the same disease or condition, or the same drug or biologic for a different disease or condition. Among the other benefits of orphan drug designation are tax credits for certain research and a waiver of the BLA or NDA application user fee. 
A designated orphan drug many not receive orphan drug exclusivity if it is approved for a use that is broader than the indication for which it received orphan designation. In addition, orphan drug exclusive marketing rights in the United States may be lost if the FDA later determines that the request for designation was materially defective or, as noted above, if the second applicant demonstrates that its product is clinically superior to the approved product with orphan exclusivity or the manufacturer of the approved product is unable to assure sufficient quantities of the product to meet the needs of patients with the rare disease or condition. 
Biosimilars and Exclusivity 
The Affordable Care Act, signed into law in 2010, includes a subtitle called the Biologics Price Competition and Innovation Act of 2009, or BPCIA, which created an abbreviated approval pathway for biological products that are biosimilar to or interchangeable with an FDA-licensed reference biological product. To date, only a handful of biosimilars have been licensed under the BPCIA, although numerous biosimilars have been approved in Europe. The FDA has issued several guidance documents outlining an approach to review and approval of biosimilars.
Biosimilarity, which requires that there be no clinically meaningful differences between the biological product and the reference product in terms of safety, purity and potency, can be shown through analytical studies, human PK and PD studies, clinical immunogenicity assessments, animal studies and a clinical study or studies. Interchangeability requires that a product is biosimilar to the reference product and the product must demonstrate that it can be expected to produce the same clinical results as the reference product in any given patient and, for products that are administered multiple times to an individual, the biologic and the reference biologic may be alternated or switched after one has been previously administered without increasing safety risks or risks of diminished efficacy relative to exclusive use of the reference biologic. However, complexities associated with the larger, and often more complex, structures of biological products, as well as the processes by which such products are manufactured, pose significant hurdles to implementation of the abbreviated approval pathway that are still being worked out by the FDA. 
Under the BPCIA, an application for a biosimilar product may not be submitted to the FDA until four years following the date that the reference product was first licensed by the FDA. In addition, the approval of a biosimilar product may not be made effective by the FDA until 12 years from the date on which the reference product was first licensed. During this 12-year period of exclusivity, another company may still market a competing version of the reference product if the FDA approves a full BLA for the competing product containing that applicant's own preclinical data and data from adequate and well-controlled clinical studies to demonstrate the safety, purity and potency of its product. The BPCIA also created certain exclusivity periods for biosimilars approved as interchangeable products. At this juncture, it is unclear whether products deemed "interchangeable" by the FDA will, in fact, be readily substituted by pharmacies, which are governed by state pharmacy law. 
A biological product can also obtain pediatric market exclusivity in the United States. Pediatric exclusivity, if granted, adds six months to existing exclusivity periods and patent terms. This six-month exclusivity, which runs from the end of other exclusivity protection or patent term, may be granted based on the voluntary completion of a pediatric study in accordance with an FDA-issued "Written Request" for such a study. 
The BPCIA is complex and continues to be interpreted and implemented by the FDA. In addition, recent government proposals have sought to reduce the 12-year reference product exclusivity period. Other aspects of the BPCIA, some of which may impact the BPCIA exclusivity provisions, have also been the subject of recent litigation. As a result, the ultimate impact, implementation, and impact of the BPCIA is subject to significant uncertainty. 
Hatch-Waxman Amendments and Exclusivity 
Section 505 of the FDCA describes three types of marketing applications that may be submitted to the FDA to request marketing authorization for a new drug. A Section 505(b)(1) NDA is an application that contains full reports of investigations of safety and efficacy. A 505(b)(2) NDA is an application that contains full reports of investigations of safety and efficacy but where at least some of the information required for approval comes from investigations that were not conducted by or for the applicant and for which the applicant has not obtained a right of reference or use from the person by or for whom the investigations were conducted. This regulatory pathway enables the applicant to rely, in part, on the FDA's prior findings of safety and efficacy for an existing product, or published literature, in support of its application. Section 505(j) establishes an abbreviated approval process for a generic version of approved drug products through the submission of an ANDA. An ANDA provides for marketing of a generic drug product that has the same active ingredients, dosage form, strength, route of administration, labeling, performance characteristics and intended use, among other things, to a previously approved product. ANDAs are termed "abbreviated" because they are generally not required to include preclinical (animal) and clinical (human) data to establish safety and efficacy. Instead, generic applicants must scientifically demonstrate that their product is bioequivalent to, or performs in the same manner as, the innovator drug through in vitro, in vivo or other testing. The generic version must deliver the same amount of active ingredients into a subject's bloodstream in the same amount of time as the innovator drug and can often be substituted by pharmacists under prescriptions written for the reference listed drug. In seeking approval for a drug through an NDA, applicants are required to list with the FDA each patent whosewith claims that cover the applicant’s product.applicant's drug or a method of using the drug. Upon approval of a drug, each of the patents listed in the application for the drug is then published in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book. Drugs listed in the Orange Book can, in turn, be cited by potential competitors in support of approval of an abbreviated new drug application,ANDA or ANDA. An ANDA provides for marketing of a drug product that has the same active ingredients in the same strengths and dosage form as the listed drug and has been shown through bioequivalence testing to be therapeutically equivalent to the listed drug. Other than the requirement for bioequivalence testing, ANDA applicants are not required to conduct, or submit results of, pre-clinical or clinical tests to prove the safety or effectiveness of their drug product. Drugs approved in this way are commonly referred to as “generic equivalents” to the listed drug, and can often be substituted by pharmacists under prescriptions written for the original listed drug.505(b)(2) NDA. 

 
TheUpon submission of an ANDA or a 505(b)(2) NDA, an applicant is required tomust certify to the FDA concerning any patents listed for the approved product in the FDA’s Orange Book. Specifically, the applicant must certify that: (i) the requiredthat (1) no patent information on the drug product that is the subject of the application has not been filed; (ii)submitted to the listedFDA; (2) such patent has expired; (iii)(3) the listeddate on which such patent has not expired, but will expire on a particular date and approval is sought after patent expiration;expires; or (iv) the listed(4) such patent is invalid or will not be infringed upon by the new product. A certification thatmanufacture, use or sale of the newdrug product will not infringefor which the alreadyapplication is submitted. Generally, the ANDA or 505(b)(2) NDA cannot be approved product’suntil all listed patents have expired, except where the ANDA or that such patents are invalid, is called505(b)(2) NDA applicant challenges a Paragraphlisted patent through the last type of certification, also known as a paragraph IV certification. If the applicant does not challenge the listed patents, or indicates that it is not seeking approval of a patented method of use, the ANDA or 505(b)(2) NDA application will not be approved until all of the listed patents claiming the referenced product have expired. 
If the ANDA or 505(b)(2) NDA applicant has provided a Paragraph IV certification to the FDA, the applicant must send notice of the Paragraph IV certification to the NDA and patent holders once the application has been accepted for filing by the FDA. The NDA and patent holders may then initiate a patent infringement lawsuit in response to the notice of the paragraph IV certification. If the paragraph IV certification is challenged by an NDA holder or the patent owner(s) asserts a patent challenge to the paragraph IV certification, the FDA may not approve that application until the earlier of 30 months from the receipt of the notice of the paragraph IV certification, the expiration of the patent, when the infringement case concerning each such patent was favorably decided in the applicant's favor or settled, or such shorter or longer period as may be ordered by a court. This prohibition is generally referred to as the 30-month stay. In instances where an ANDA or 505(b)(2) NDA applicant files a paragraph IV certification, the NDA holder or patent owner(s) regularly take action to trigger the 30-month stay, recognizing that the related patent litigation may take many months or years to resolve. 
The FDA also cannot approve an ANDA or 505(b)(2) application also will not be approved until anyall applicable non-patent exclusivityexclusivities listed in the Orange Book for the referenced product hasbranded reference drug have expired. Federal law providesFor example, a period ofpharmaceutical manufacturer may obtain five years followingof non-patent exclusivity upon NDA approval of a new chemical entity, or NCE, which is a drug containing no previouslyan active moiety that has not been approved active ingredients during which ANDAsby FDA in any other NDA. An "active moiety" is defined as the molecule responsible for the drug substance's physiological or pharmacologic action. During that five-year exclusivity period, the FDA cannot accept for filing (and therefore cannot approve) any ANDA seeking approval of a generic versionsversion of those drugs cannot be submitted, unlessthat drug or any 505(b)(2) NDA that relies on the submission containsFDA's approval of the drug, provided that that the FDA may accept an ANDA four years into the NCE exclusivity period if the ANDA applicant also files a Paragraph IV challengecertification. 
A drug, including one approved under Section 505(b)(2), may obtain a three-year period of exclusivity for a particular condition of approval, or change to a listed patent —marketed product, such as a new formulation for a previously approved product, if one or more new clinical studies (other than bioavailability or bioequivalence studies) was essential to the approval of the application and was conducted/sponsored by the applicant. Should this occur, the FDA would be precluded from approving any ANDA or 505(b)(2) application for the protected modification until after that three-year exclusivity period has run. However, unlike NCE exclusivity, the FDA can accept an application and begin the review process during the exclusivity period. 
Other Healthcare Laws and Compliance Requirements 
Pharmaceutical companies are subject to additional healthcare regulation and enforcement by the federal government and by authorities in the states and foreign jurisdictions in which case the submissionthey conduct their business. Such laws include, without limitation, state and federal anti-kickback, fraud and abuse, false claims, privacy and security and physician sunshine laws and regulations. If their operations are found to be in violation of any of such laws or any other governmental regulations that apply, they may be subject to penalties, including, without limitation, civil and criminal penalties, damages, fines, the curtailment or restructuring of operations, exclusion from participation in federal and state healthcare programs and individual imprisonment. 
Coverage and Reimbursement
Sales of any product depend, in part, on the extent to which such product will be covered by third-party payors, such as federal, state and foreign government healthcare programs, commercial insurance and managed healthcare organizations and the level of reimbursement for such product by third-party payors. Decisions regarding the extent of coverage and amount of reimbursement to be provided are made fouron a plan-by-plan basis. These third-party payors are increasingly reducing reimbursements for medical products, drugs and services. In addition, the U.S. government, state legislatures and foreign governments have continued implementing cost-containment programs, including price controls, restrictions on coverage and reimbursement and requirements for substitution of generic products. Adoption of price controls and cost-containment measures, and adoption of more restrictive policies in jurisdictions with existing controls and measures, could further limit sales of any product. Decreases in third-party reimbursement for any product or a decision by a third-party payor not to cover a product could reduce physician usage and patient demand for the product and also have a material adverse effect on sales. Even after FDA approves a product, failure to have the product covered by third-party payors may have material adverse effect on sales. Federal and state governments continue to promulgate new policies and regulations; such policies and regulations may have material adverse effect on sales. These laws and regulations may restrict, prohibit, or preventing us from implementing a wide range of pricing, discounting, marketing, promotion, sales commission, incentive programs, and other business activities. No uniform policy of coverage and reimbursement among third-party payors exists in the United States. Such payors often rely upon Medicare coverage policy establishing their coverage and reimbursement policies. However, each payor makes independent and separate decisions regarding the extent of coverage and amount of reimbursement to be provided.
Healthcare Reform
In March 2010, former President Obama signed the Affordable Care Act, which substantially changed the way healthcare is financed by both governmental and private insurers in the United States, and significantly affected the pharmaceutical industry. The Affordable Care Act contains a number of provisions, including those governing enrollments in federal healthcare programs, reimbursement adjustments and fraud and abuse changes. Additionally, the Affordable Care Act increases the minimum level of Medicaid rebates payable by manufacturers of brand name drugs from 15.1% to 23.1%; requires collection of rebates for drugs paid by Medicaid managed care organizations; requires manufacturers to participate in a coverage gap discount program, under which they must agree to offer 50% point-of-sale discounts off negotiated prices of applicable brand drugs to eligible beneficiaries during their coverage gap period, as a condition for the manufacturer's outpatient drugs to be covered under Medicare Part D; and imposes a non-deductible annual fee on pharmaceutical manufacturers or importers who sell "branded prescription drugs" to specified federal government programs.
Since its enactment, there have been judicial and Congressional challenges to certain aspects of the Affordable Care Act, and we expect there will be additional challenges and amendments to the Affordable Care Act in the future. Other legislative changes have been proposed and adopted since the Affordable Care Act was enacted, including aggregate reductions of Medicare payments to providers of 2% per fiscal year and reduced payments to several types of Medicare providers. Moreover, there has recently been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed products, which has resulted in several Congressional inquiries and proposed bills designed to, among other things, bring more transparency to product pricing, review the relationship between pricing and manufacturer patient programs, and reform government program reimbursement methodologies for drug products. Individual states in the United States have also become increasingly active in implementing regulations designed to control pharmaceutical product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, proposing to encourage importation from other countries and bulk purchasing. 
Foreign Corrupt Practices Act
Our business activities may be subject to the Foreign Corrupt Practices Act, or FCPA, and similar anti-bribery or anti-corruption laws, regulations or rules of other countries in which we operate. The FCPA generally prohibits offering, promising, giving, or authorizing others to give anything of value, either directly or indirectly, to a non-U.S. government official in order to influence official action, or otherwise obtain or retain business. The FCPA also requires public companies to make and keep books and records that accurately and fairly reflect the transactions of the corporation and to devise and maintain an adequate system of internal accounting controls. Our business is heavily regulated and therefore involves significant interaction with public officials, including officials of non-U.S. governments. Additionally, in many other countries, the health care providers who prescribe pharmaceuticals are employed by their government, and the purchasers of pharmaceuticals are government entities; therefore, our dealings with these prescribers and purchasers are subject to regulation under the FCPA. There is no certainty that all of our employees, agents, suppliers, manufacturers, contractors, or collaborators, or those of our affiliates, will comply with all applicable laws and regulations, particularly given the high level of complexity of these laws. Violations of these laws and regulations could result in fines, criminal sanctions against us, our officers, or our employees, the closing down of facilities, including those of our suppliers and manufacturers, requirements to obtain export licenses, cessation of business activities in sanctioned countries, implementation of compliance programs, and prohibitions on the conduct of our business. Any such violations could include prohibitions on our ability to offer our products in one or more countries as well as difficulties in manufacturing or continuing to develop our products, and could materially damage our reputation, our brand, our international expansion efforts, our ability to attract and retain employees, and our business, prospects, operating results, and financial condition.
European Union Drug Development 
In the European Union, our drug candidates may also be subject to extensive regulatory requirements. As in the United States, medicinal products can only be marketed if a marketing authorization from the competent regulatory agencies has been obtained. 
Similar to the United States, the various phases of preclinical and clinical research in the European Union are subject to significant regulatory controls. Clinical trials of medicinal products in the European Union must be conducted in accordance with European Union, national regulations and international standards for good clinical practice, or GCP. 
Clinical trials are currently governed by EU Clinical Trials Directive 2001/20/EC that set out common rules for the control and authorization of clinical trials in the European Union. 
To improve the current system, Regulation (EU) No 536/2014 on clinical trials on medicinal products for human use was adopted in 2014. The Regulation aims at harmonizing and streamlining the clinical trials authorization process, simplifying adverse event reporting procedures, improving the supervision of clinical trials, and increasing their transparency, notably via a clinical trial information system set up by the EMA. The new Regulation expressly provides that it will not be applied before six months after the publication of a notice delivered by the European Commission on the European Union clinical trial portal and database. As such notice requires a successful (partial) audit of the database and as that database is still under development, there is no scheduled application date yet. Pursuant to the transitory provisions of the new regulation, the Clinical Trials Directive 2001/20/EC will still apply for three years followingafter the original product approval. Federal law providesimplementation of the European Union clinical trial portal and database. Thus, the sponsor has the possibility to choose between the requirements of the directive and the regulation for a period of three years from the entry into force of exclusivity during which the FDA cannot grant effective approvalregulation. 
European Union Drug Review and Approval 
In the EEA (which is comprised of an ANDAthe 28 Member States of the European Union plus Norway, Iceland and Liechtenstein), medicinal products can only be commercialized after obtaining a Marketing Authorization, or MA. MAs may be granted either centrally (Community MA) or nationally (National MA). 
The Community MA is issued centrally by the European Commission through the Centralized Procedure, based on the approvalopinion of the CHMP of the EMA and is valid throughout the entire territory of the EEA. The Centralized Procedure is mandatory for certain types of products such as orphan medicinal products and medicinal products containing a new active substance indicated for the treatment of neurodegenerative disorders. The Centralized Procedure is optional for products containing a new active substance not yet authorized in the EEA, or for products that constitute a significant therapeutic, scientific or technical innovation or which are in the interest of public health in the European Union. 
National MAs are issued nationally by the competent authorities of the Member States of the EEA and only cover their respective territory. National MAs are available for products not falling within the mandatory scope of the Centralized Procedure. We do not foresee that any of our current drug candidates will be suitable for a National MA as they fall within the mandatory criteria for the Centralized Procedure. Therefore, our drug candidates will be approved through Community MAs. 
Under the above-described procedures, before granting the MA, the EMA or the competent authorities of the Member States of the EEA make an assessment of the risk-benefit balance of the product on the basis of scientific criteria concerning its quality, safety and efficacy. 
The paediatric use marketing authorisation, or PUMA, is a dedicated marketing authorization for medicinal products indicated exclusively for use in the pediatric population, with, if necessary, an age-appropriate formulation. Pursuant to Regulation (EC) No. 1901/2006 (The “Paediatric Regulation”), all PUMA applications for marketing authorization for new medicines must include to be valid, in addition to the particulars and documents referred to in Directive 2001/83/EC, the results of all studies performed and details of all information collected in compliance with a pediatric investigation plan agreed between regulatory authorities and the applicant, unless the medicine is exempt because of a listed drugdeferral or waiver of the EMA.
Before the EMA is able to begin its assessment of a Community MA application, it will validate that contains previously approved active ingredients butthe applicant has complied with the agreed pediatric investigation plan. The applicant and the EMA may, where such a step is approvedadequately justified, agree to modify a pediatric investigation plan to assist validation. Modifications are not always possible; may take longer to agree than the period of validation permits; and may still require the applicant to withdraw its marketing authorization application and to conduct additional non-clinical and clinical studies. Products that are granted a MA on the basis of the pediatric clinical trials conducted in a new dosage form, route of administrationaccordance with the Pediatric Investigation Plan, or combination, orPIP, are eligible for a six-month extension of the protection under a supplementary protection certificate (if any is in effect at the time of approval) or, in the case of orphan medicinal products, a two-year extension of the orphan market exclusivity. This pediatric reward is subject to specific conditions and is not automatically available when data in compliance with the PIP are developed and submitted. 
Orphan Drugs 
In the European Union, Regulation (EC) No 141/2000 of the European Parliament and of the Council of December 16, 1999 on orphan medicinal products, as amended, states that a drug shall be designated as an orphan drug if its sponsor can establish that the three following cumulative conditions are met:
the product is intended for the diagnosis, prevention or treatment of a life-threatening or chronically debilitating condition; 
the prevalence of the conditions is not more than five in ten thousand persons in the European Union when the application is made, or that it is intended for the diagnosis, prevention or treatment of a life-threatening, seriously debilitating or serious and chronic condition in the European Union and that without incentives it is unlikely that the marketing of the drug in the European Union would generate sufficient return to justify the necessary investment; and 
that there is no satisfactory method of diagnosis, prevention or treatment of the condition in question that has been authorized in the European Union or, if such method exists, that the drug will be of significant benefit to those affected by that condition. 
Pursuant to Regulation (EC) No. 847/2000 of April 27, 2000 laying down the provisions for implementation of the criteria for designation of a medicinal product as an orphan medicinal product and definitions of the concepts "similar medicinal product" and "clinical superiority", an application for the designation of a drug as an orphan drug must be submitted at any stage of development of the drug before filing of a MA application. 
The European Union offers incentives to encourage the development of designated orphan medicines (protocol assistance, fee reductions, etc.) and provides opportunities for market exclusivity. Pursuant to abovementioned Regulation (EC) No. 141/2000, products receiving orphan designation in the European Union can obtain market exclusivity for a certain number of years in the European Union following the marketing approval. 
If a Community MA in respect of an orphan drug is granted, regulatory authorities will not, for a period of usually ten years, accept another application for a MA, or grant a MA or accept an application to extend an existing MA, for the same therapeutic indication, in respect of a similar drug. This period may however be reduced to six years if, at the end of the fifth year, it is established, in respect of the drug concerned, that the above-mentioned criteria for orphan drug designation are no longer met, in other words, when it is shown on the basis of available evidence that the product is sufficiently profitable not to justify maintenance of market exclusivity. 
Pursuant to Regulation No. 1901/2006, for orphan medicinal products, instead of an extension of the supplementary protection certificate, the ten-year period of orphan market exclusivity should be extended to 12 years if the requirement for data on use in the pediatric population is fully met (i.e. when the request contains the results of all studies carried out under the approved PIP and when the declaration attesting the conformity of the request to this PIP is included in the MA). 
Notwithstanding the foregoing, a MA may be granted, for the same therapeutic indication, to a similar drug if:
the holder of the MA for the original orphan drug has given its consent to the second applicant; 
the holder of the MA for the original orphan drug is unable to supply sufficient quantities of the drug; or 
the second applicant can establish in the application that the second drug, although similar to the orphan drug already authorized, is safer, more effective or otherwise clinically superior. 
The abovementioned Regulation (EC) No. 141/2000 provides for other incentives regarding orphan medicinal products. 
Post-Approval Controls
The holder of a MA must comply with EU requirements applicable to manufacturing, marketing, promotion and sale of medicinal products. In particular, the holder of the MA must establish and maintain a pharmacovigilance system and appoint an individual qualified person for pharmacovigilance, or QPPV, who is responsible for oversight of that system and who will reside and operate in the EU. Key obligations include safety expedited reporting of suspected serious adverse reactions and submission of periodic safety update reports, or PSURs. 
All new use;MAs must include a risk management plan, or RMP, to submit to the approvalEMA, describing the risk management system that we will put in place and documenting measures to prevent or minimize the risks associated with the product. The regulatory authorities may also impose specific obligations as a condition of the MA. Such risk-minimization measures or post-authorization obligations may include additional safety monitoring, more frequent submission of PSURs, or the conduct of additional clinical trials or post-authorization safety studies. RMPs and PSURs are routinely available to third parties requesting access, subject to limited redactions. All advertising and promotional activities for the product must be consistent with the approved summary of product characteristics, and therefore all off-label promotion is prohibited. Direct-to-consumer advertising of prescription medicines is also prohibited in the European Union. Although general requirements for advertising and promotion of medicinal products are established under EU directives, the details are governed by regulations in each EU Member State and can differ from one country to another.
Reimbursement
The European Union provides options for its Member States to restrict the range of medicinal products for which was requiredtheir national health insurance systems provide reimbursement and to control the prices of medicinal products for human use. A Member State may approve a specific price for the medicinal product, or it may instead adopt a system of direct or indirect controls on the profitability of the company placing the medicinal product on the market. For example, in France, effective market access will be supported by newagreements with hospitals and products may be reimbursed by the Social Security Fund. The price of medicines covered by national health insurance is negotiated with the Economic Committee for Health Products, or CEPS. There can be no assurance that any country that has price controls or reimbursement limitations for pharmaceutical products will allow favorable reimbursement and pricing arrangements for any of our drug candidates. Historically, products launched in the European Union do not follow price structures of the United States and generally prices tend to be significantly lower.
Other European Regulatory Matters 
French Regulatory Framework for Clinical Development
In France, Directive No. 2001/20/EC has been implemented in French national law, establishing a system of prior authorization and requiring a prior favorable opinion from an ethics committee. 
Parties to a clinical trial agreement, or CTA, must use a CTA template (“unique agreement” or convention unique) to organize the conduct of interventional clinical trials conductedwith commercial purpose, as well as specific template exhibits to this agreement. Once concluded, the CTA is communicated for information by orthe sponsor to the French national board of physicians (Ordre national des médecins) without delay. 
The processing of personal data collected during clinical trials has to comply with the Regulation (EU) 2016/679 of the European Parliament and of the Council of April 27, 2016 and Law No 2018-493 of June 20, 2018 on the protection of personal data, implementing the Regulation (EU) 2016/679 requirements. Regarding automatic processing operations for the applicant.purpose of research or clinical studies, formalities have to be completed before the French data protection authority, the Commission Nationale de l'Informatique et des Libertés, or CNIL, so as to obtain the authorization to process personal data. However, there are simplified standards.
 
The BPCIA
The Biologics Price CompetitionLaw No. 2011-2012 of December 29, 2011, or Loi Bertrand, aimed at strengthening the health safety of medicinal and Innovation Act (BPCIA) was enactedhealth products, as partamended (and its implementing decrees), introduced into French law provisions regarding transparency of fees received by some healthcare professionals from health product industries, i.e. companies manufacturing or marketing health products (Article L.1453-1 of the Affordable Care ActFrench Public Health Code). These provisions have been recently extended and redefined by Decree No. 2016-1939 of December 28, 2016, which clarified French "Sunshine" regulations. The decree notably provides that companies manufacturing or marketing health care products (medicinal products, medical devices, etc.) in France shall publicly disclose (mainly on March 23, 2010. The BPCIA creates an abbreviated licensure pathway for biological products showna specific public website available at: https://www.entreprises-transparence.sante.gouv.fr) the advantages and fees paid to be biosimilarhealthcare professionals amounting to €10 or interchangeable with, an FDA-licensed biological reference product. The objectives of the BPCIA are conceptually similar to those of the Hatch-Waxman Act, which established abbreviated pathways for the approval of small molecule drug products under the FDC Act. The implementation of an abbreviated licensure pathway for biological products can present challenges given the scientific and technical complexities that may be associated with the larger and typically more complex structure of biological products,above, as well as the processes by which such products are manufactured. Most biological products are produced in a living system such as a microorganism, or plant or animal cells, whereas small molecule drugs are typically manufactured through chemical synthesis.

A “biosimilar” product is a follow-on version of another biological product for which marketing approval is sought or has been obtained based on a demonstration that it is “biosimilar” toagreements concluded with the original reference product. Section 351(k)latter, along with detailed information about each agreement (the precise subject matter of the PHS Act, added by the BPCIA, sets forth the requirements for an application for a proposed biosimilar product and an application or a supplement for a proposed interchangeable product. Section 351(i) defines biosimilarity to mean “that the biological product is highly similar to the reference product notwithstanding minor differences in clinically inactive components” and that “there are no clinically meaningful differences between the biological product and the reference product in terms of the safety, purity, and potency of the product”. A 351(k) application must contain, among other things, information demonstrating that the biological product is biosimilar to a reference product based upon data derived from analytical studies, animal studies, and a clinical study or studies, unless the FDA determines, in its discretion, that certain studies are unnecessary. To meet the additional standard of “interchangeability,” an applicant must provide sufficient information to demonstrate biosimilarity, and also to demonstrate that the biological product can be expected to produce the same clinical result as the reference product in any given patient and, if the biological product is administered more than once to an individual, the risk in terms of safety or diminished efficacy of alternating or switching between the use of the biological product and the reference product is not greater than the risk of using the reference product without such alternation or switch. Biosimilar drugs are not generic drugs, which are shown to be the same as the reference product.  However, biosimilar products that are also determined to be interchangeable may be substituted for the reference product without the intervention of the prescribing healthcare provider.
In many cases, biosimilars may be brought to market without conducting the full suite of clinical trials typically required of originators. The law establishes a period of 12 years of data exclusivity for reference products in order to preserve incentives for future innovation and outlines statutory criteria for science-based biosimilar approval standards that take into account patient safety considerations. Under this framework, data exclusivity protects the data in the innovator's regulatory application by prohibiting others, for a period of 12 years, from gaining FDA approval based in part on reliance on or reference to the innovator's data in their application to the FDA. Moreover, a biosimilar applicant cannot file their application until 4 years after the reference biological product was first licensed.  The law does not change the duration of patents granted on biologic products, but does provide procedures for resolving patent disputes based on a biosimilar application.
The FDA maintains lists biological products, including any biosimilar and interchangeable biological products licensed by the FDA under the PHS Act in a book titled “Lists of Licensed Biological Products with Reference Product Exclusivity and Biosimilarity or Interchangeability Evaluations” (the “Purple Book”). The Purple Book includes the date a biological product was licensed under 351(a) of the PHS Act and whether the FDA evaluated the biological product for reference product exclusivity. If the FDA has determined that a biological product is protected by a period of reference product exclusivity, the list will identifyagreement, the date of first licensure and the date that reference product exclusivity (including any attached pediatric exclusivity) will expire. The list will not identify periods of orphan exclusivity and their expiration dates for biological products as those dates are available at the searchable database for Orphan Designated and/or Approved Products. The Purple Book also identifies whether a biological product licensed under section 351(k)signature of the PHS Act has been determined byagreement, its end date, the FDAtotal amount paid to the healthcare professional, etc.). Another declaration must also be biosimilarfiled to or interchangeable with a reference biological product. Biosimilarthe competent healthcare professional body. Law No. 2011-2012 also reinforced the French anti-gift rules and interchangeable biological products licensed under section 351(k)Order No. 2017-49 of January 19, 2017 amended the law and expanded the scope of the PHS Act are listedgeneral prohibition of payments from pharmaceutical and device manufacturers to healthcare professionals to broadly cover any company manufacturing or marketing health products, regardless of whether or not payment for the products is reimbursed under the reference productFrench social security system (new Articles L. 1453-3 et seq. of the French Public Health Code). It also changed the procedure related to which biosimilaritythe prior submission to the national or interchangeability was demonstrated.
Advertising and Promotion
Once an NDA or BLA is approved, a productdepartmental board of the relevant healthcare professional body. Moreover, the penalties incurred for non-compliance with the requirements of the Anti-Gift Law will be subjectdoubled to certain post-approval requirements. For instance, the FDA closely regulates the post-approval marketing and promotiona fine of drugs, including standards and regulations for direct-to-consumer advertising, off-label promotion, industry-sponsored scientific and educational activities and promotional activities involving the internet.
Drugs may be marketed only for the approved indications and in accordance with the provisionsup to €750,000. The changes of the approved labeling. Changes to someanti-gift rules will only enter into force after the publication of the conditions established in an approved application, including changes in indications, labeling, or manufacturing processes or facilities, require submission and FDA approval of a new NDA or BLA or supplement to same, before the change can be implemented. An NDA or BLA supplement for a new indication typically requires clinical data similar to that in the original application, and the FDA uses the same procedures and actions in reviewing NDA and BLA supplements as it does in reviewing NDAs and BLAs.implementing measures. 
 
Adverse Event Reporting and GMP Compliance
Adverse event reporting and submission of periodic reports is required following FDA approval of an NDA or BLA. The FDA also may require post-marketing testing, known as Phase 4 testing, risk minimization action plans, and surveillance to monitor the effects of an approved product, or the FDA may place conditions on an approval that could restrict the distribution or use of the product. In addition, quality-control, drug manufacture, packaging, and labeling procedures must continue to conform to current good manufacturing practices, or cGMPs, after approval. Drug manufacturers and certain of their subcontractors are required to register their establishments with FDA and certain state agencies. Registration with the FDA subjects entities to periodic unannounced inspections by the FDA, during which the agency inspects manufacturing facilities to assess compliance with cGMPs. Accordingly, manufacturers must continue to expend time, money, and effort in the areas of production and quality-control to maintain compliance with cGMPs. Regulatory authorities may withdraw product approvals or request product recalls if a company fails to comply with regulatory standards, if it encounters problems following initial marketing, or if previously unrecognized problems are subsequently discovered.


Pediatric Information
Under the Pediatric Research Equity Act, or PREA, NDAs, BLAs or supplements to same must contain data to assess the safety and effectiveness of the drug for the claimed indications in all relevant pediatric subpopulations and to support dosing and administration for each pediatric subpopulation for which the drug is safe and effective. The FDA may grant full or partial waivers, or deferrals, for submission of data. Unless otherwise required by regulation, PREA does not apply to any drug for an indication for which orphan designation has been granted.
The Best Pharmaceuticals for Children Act, or BPCA, provides NDA and BLA holders a six-month extension of any exclusivity — patent or non-patent — for a drug if certain conditions are met. Conditions for exclusivity include the FDA’s determination that information relating to the use of a new drug in the pediatric population may produce health benefits in that population, the FDA making a written request for pediatric studies, and the applicant agreeing to perform, and reporting on, the requested studies within the statutory timeframe. Applications under the BPCA are treated as priority applications, with all of the benefits that designation confers.
Physician Drug Samples
Employees
 
As part of the sales and marketing process, pharmaceutical companies frequently provide samples of approved drugs to physicians. The Prescription Drug Marketing Act, or the PDMA, imposes requirements and limitations upon the provision of drug samples to physicians, as well as prohibits states from licensing distributors of prescription drugs unless the state licensing program meets certain federal guidelines that include minimum standards for storage, handling, and record keeping. In addition, the PDMA sets forth civil and criminal penalties for violations.
Anti-Kickback, False Claims Laws & The Prescription Drug Marketing Act
In addition to FDA restrictions on marketing of pharmaceutical products, several other types of state and federal laws have been applied to restrict certain marketing practices in the pharmaceutical industry in recent years. These laws include anti-kickback statutes and false claims statutes. The federal healthcare program anti-kickback statute prohibits, among other things, knowingly and willfully offering, paying, soliciting or receiving remuneration to induce; or in return for; purchasing, leasing, ordering or arranging for the purchase, lease or order of any healthcare item or service reimbursable under Medicare, Medicaid, or other federally financed healthcare programs. This statute has been interpreted to apply to arrangements between pharmaceutical manufacturers on the one hand and prescribers, purchasers, and formulary managers on the other. Violations of the anti-kickback statute are punishable by imprisonment, criminal fines, civil monetary penalties, and exclusion from participation in federal healthcare programs. Although there are a number of statutory exemptions and regulatory safe harbors protecting certain common activities from prosecution or other regulatory sanctions, the exemptions and safe harbors are drawn narrowly, and practices that involve remuneration intended to induce prescribing, purchases, or recommendations may be subject to scrutiny if they do not qualify for an exemption or safe harbor.
Federal false claims laws prohibit any person from knowingly presenting, or causing to be presented, a false claim for payment to the federal government, or knowingly making, or causing to be made, a false statement to have a false claim paid. Recently, several pharmaceutical and other healthcare companies have been prosecuted under these laws for allegedly inflating drug prices they report to pricing services, which in turn were used by the government to set Medicare and Medicaid reimbursement rates, and for allegedly providing free product to customers with the expectation that the customers would bill federal programs for the product. In addition, certain marketing practices, including off-label promotion, may also violate false claims laws. The majority of states also have statutes or regulations similar to the federal anti-kickback law and false claims laws, which apply to items and services reimbursed under Medicaid and other state programs, or, in several states, apply regardless of the payor.
Foreign Regulatory Issues
Sales of pharmaceutical products outside the United States are subject to foreign regulatory requirements that vary widely from country to country. Whether or not FDA approval has been obtained, approval of a product by a comparable regulatory authority of a foreign country must generally be obtained prior to the commencement of marketing in that country. Although the time required to obtain such approval may be longer or shorter than that required for FDA approval, the requirements for FDA approval are among the most detailed in the world and FDA approval generally takes longer than foreign regulatory approvals.
Employees
As of  August 4, 2016 ,January 11, 2021, we had twelveten full-time employees, of whom ninefour were employed by AzurRx SAS and located in France and threesix were employed by us and located in our officeoffices in Brooklyn, New York.the United States.

 
Properties
Our executive offices are located in approximately 687 square feet of office space at 760 Parkside Avenue, Downstate Biotechnology Incubator, Suite 217, Brooklyn, NY 11226 that we occupy under a lease expiring on December 31, 2016 with the option for multiple year renewals.  The operations of AzurRx SAS are conducted at approximately 4,520 square feet of office space located at 290 chemin de Saint Dionisy, Jardin des Entreprises, 30980 Langlade, France, that we occupy under a 9-year lease expiring in December 24, 2020.
Legal Proceedings
As of the date hereof, we know of no material, existing or pending legal proceedings against us, nor are we the plaintiff in any material proceedings or pending litigation.  There are no proceedings in which any of our directors, executive officers or affiliates, or any registered or beneficial shareholder, is an adverse party or has a material interest adverse to our interest.  From time to time, we may be subject to various claims, legal actions and regulatory proceedings arising in the ordinary course of business.
Emerging Growth Company Status
We qualify as an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2012, which we refer to as the JOBS Act. As a result, we are permitted to, and intend to, rely on exemptions from certain disclosure requirements that are applicable to other companies that are not emerging growth companies. Accordingly, we have included detailed compensation information for only our three most highly compensated executive officers and have not included a compensation discussion and analysis (CD&A) of our executive compensation programs in this prospectus. In addition, for so long as we are an “emerging growth company,” we will not be required to:
engage an auditor to report on our internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes–Oxley Act of 2002 (the “Sarbanes–Oxley Act”);
comply with any requirement that may be adopted by the Public Company Accounting Oversight Board (the “PCAOB”) regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial statements (i.e., an auditor discussion and analysis);


submit certain executive compensation matters to shareholder advisory votes, such as “say-on-pay,” “say-on-frequency,” and “say-on-golden parachutes;” or
disclose certain executive compensation related items such as the correlation between executive compensation and performance and comparison of the chief executive officer’s compensation to median employee compensation.
In addition, the JOBS Act provides that an “emerging growth company” can use the extended transition period for complying with new or revised accounting standards.
We will remain an “emerging growth company” until the earliest to occur of:
our reporting $1 billion or more in annual gross revenues;
our issuance, in a three year period, of more than $1 billion in non-convertible debt;
the end of the fiscal year in which the market value of our common stock held by non-affiliates exceeds $700 million on the last business day of our second fiscal quarter; and
June 30, 2021


 
DIRECTORS, EXECUTIVE OFFICERS AND EXECUTIVE OFFICERSCORPORATE GOVERNANCE
 
The following tablesection sets forth certain information aboutregarding our executive officers, key employees and directors asdirectors. There are no family relationships between any of the date of this Registration Statement.directors and our Named Executive Officers.
 
Name
Director, Title
Age
Position
Johan M. (Thijs) SpoorEdward J. Borkowski – Chair and Independent Director 4460 
Charles J. Casamento – Independent Director75
Alastair Riddell, MSc., MBChB., DSc. – Independent Director71
Vern L. Schramm, Ph.D. – Independent Director79
James Sapirstein – President, Chief Executive Officer and Non-Independent Director59 
Daniel DupretGregory Oakes –Independent Director 60Chief Scientific Officer
Edward J. Borkowski (1)
 58Chairman of the Board of Directors
Alastair Riddell (1)
 67Director
Maged Shenouda (1)52Director
_____________
(1)Member of the Audit Committee, Compensation Committee and Nominating and Corporate Governance Committee
Johan M. (Thijs) Spooris our Chief Executive Officer since January 2016, President since April 2015, and Chairman from June 2014 to September 2015.  From September 2010 until December 2015, he was the chief executive officer of FluoroPharma Medical, Inc. (OTC.QB: FPMI). He has served as chairman of the board of such company from June 2012 until December 2015, and still serves as a member of its board of directors. From December 2008 until February 2010, he worked at Oliver Wyman as a consultant to pharmaceutical and medical device companies. Mr. Spoor was an equity research analyst at J.P. Morgan from July 2007 through October 2008 and at Credit Suisse from November 2005 through July 2007, covering the biotechnology and medical device industries.  Mr. Spoor also sits on the board of directors of MetaStat, Inc. (MTST).  He holds a Pharmacy degree from the University of Toronto as well as an M.B.A. from Columbia University.  We believe that Mr. Spoor’s background in pharmacy, finance and accounting and as a healthcare research analyst, as well as his experience at both large and small healthcare companies, provides him with a broad familiarity of the range of issues confronting our company, which makes him a qualified member of our board.

Daniel Dupret has served as President of AzurRx SAS since its formation in 2007 and as Chief Scientific Officer of our company since the Acquisition. Previously, Dr. Dupret founded Proteus SA in 1998 and served as its President and CEO from 1998 to 2007. He founded Appligene SA in 1985 and served as its CSO, then President and CEO until 1998. From 1982 to 1985, he served as Project leader at Transgene SA. In parallel to his biotechnology career, Daniel Dupret served as an advisor for the French government and the European commission in connection with grant commission and funding of early-stage biotechnology companies. From 2003 to 2007, he served as President of the Board of the University of Nîmes.
   
Edward J. Borkowski joined our board of directorswas appointed to the Board in May 2015, and was appointed Chairman ofcurrently serves as our board of directors in September 2015. In May 2015,Chair. Mr. Borkowski joined the board of Concordia Healthcare. In February 2016, he joined Concordiais a healthcare executive who currently serves as its Executive Vice President for Therapeutics MD. He served as Executive Vice President of MiMedx Group, Inc. (Nasdaq: MDGX) from April 2018 until December 2019. Mr. Borkowski also served as a director for Co-Diagnostics, Inc. (Nasdaq: CODX), from May 2017 until June 2019. Previously, he served as the Chief Financial Officer of Aceto Corporation (Nasdaq: ACET) from February 2018 to April 2018, and continues has held several executive positions with Concordia International, an international specialty pharmaceutical company, between May 2015 to serve on its board of directors. Between September 2013 and February 2016, Mr2018. Mr. Borkowski was thehas also served as Chief Financial Officer of Amerigen Pharmaceuticals, an early stage, private,a generic pharmaceutical company. From May 2012 to June 2013, Mr. Borkowski servedcompany with a focus on oral, controlled release products and as the Chief Financial Officer and Executive Vice President of ConvaTec Inc., a private global medical products and technologies company. From January 2011 to May 2012,Mylan N.V. In addition, Mr. Borkowski served as a consultant and advisor to several investment and private equity firms relating to investing inpreviously held the medical technology and generic pharmaceutical industry. From May 2009 to December 2010, Mr. Borkowski served as theposition of Chief Financial Officer of CareFusion Corporation,with Convatec, a global healthcaremedical device company focused on pharmaceutical dispensing equipment, infusion pumps, ventilatorswound care and surgical instruments. From 2002 through 2009,ostomy, and Carefusion, a global medical device company for which he helped lead its spin-out from Cardinal Health into an independent public company. Mr. Borkowski was the Chief Financial Officer of Mylan Labs, one of the largest generichas also served in senior financial positions at Pharmacia and specialty pharmaceutical companiesAmerican Home Products (Wyeth). He started his career with Arthur Andersen & Co. after receiving his MBA in the world. Mr. Borkowski received his M.B.A.accounting from Rutgers University subsequent to having earned his degree in Economics and his B.S.Political Science from Allegheny College. HeMr. Borkowski is alsocurrently a Certified Public AccountantTrustee and a member of the AICPA and NYSSCPA. We believe that Executive Committee of Allegheny College.
Mr. Borkowski’s industry specific extensive managementhealthcare and financial expertise, together with his public company experience provides himthe Board and management with a broad and deep understandingvaluable insight in the growth of our business plan. 
Charles J. Casamentowas appointed to the Board in March 2017. Since 2007, Mr. Casamento has been executive director and our competitors’ efforts,principal of The Sage Group, a health care advisory group. Prior to that, Mr. Casamento was president and Chief Executive Officer of Osteologix, a startup company which he oversaw going public, from October 2004 until April 2007. Mr. Casamento was the founder of Questcor Pharmaceuticals where he was President, Chief Executive Officer and Chair from 1999 through 2004. During his time at Questcor, the company acquired Acthar, a product with sales that would eventually exceed $1.0 billion. Mr. Casamento also served as President, Chief Executive Officer and Chair of RiboGene Inc. until 1999 when RiboGene was merged another company to form Questcor. He was also the Co-Founder, President and Chief Executive Officer of Indevus (formerly Interneuron Pharmaceuticals) and has held senior management positions at Genzyme Corporation, where he was Senior Vice President, American Hospital Supply, where he was Vice President of Business Development for the Critical Care division, Johnson & Johnson, Hoffmann-LaRoche and Sandoz. He currently serves as Chairman of the Board of Directors of Relmada Therapeutics (OTCQB: RLMD) and also serves on the Board of Directors of Eton Pharmaceuticals (Nasdaq: ETON), and was previously a Director and Vice Chair of the Catholic Medical Missions Board, a large not for profit international organization. Mr. Casamento holds a bachelor's degree in Pharmacy from Fordham University and an MBA from Iona College.
Mr. Casamento’s expertise and knowledge of the financial community combined with his experience in the healthcare sector makes him a qualifiedvalued member of our board.the Board
 
Dr. Alastair Riddelljoined our board of directors was appointed to the Board in September 2015. Since September 2012,June 2016, Dr. Riddell has served as Chair of Nemesis Biosciences Ltd and Chair of Feedback plc (LON: FDBK). He has also served as Chair of the ChairmanSouth West Academic Health Science network in the UK since January 2016. Since his appointment in December 2015, Dr. Riddell has served as Non-Executive Director of Cristal Therapeutics in The Netherlands. From September 2012 to February 2016, he served as Chair of Definigen Ltd., and has servedfrom November 2013 to September 2015 as the ChairmanChair of both Silence Therapeutics Ltd. since November 2013, and Procure Therapeutics from October 2009 to November 2012.  From2012 as Chair of Procure Therapeutics.  Between 2007 to 2009, heDr. Riddell served as the Chief Executive Officer of Stem Cell Sciences Inc.plc. and frombetween 2005 to 2007, he served at Paradigm Therapeutics Ltd. as the Chief Executive Officer of Paradigm Therapeutics. FromOfficer. Between 1998 to 2005, Dr. Riddell also served as the Chief Executive Officer of Pharmagene Laboratories Ltd. We believe thatplc. Dr. Riddell’s backgroundRiddell began his career as a medical doctor with experiencein general practice in a variety of hospital specialties and holds a Master of Science and a Bachelor of Medicine and Surgery degrees. He was recently awarded a Doctorate of Science, Honoris Causa by Aston University.
Dr. Riddell’s medical background coupled with his experienceexpertise in the life sciences industry, directing all phases of clinical trials, before moving to sales, marketing and general management, makes him a qualifiedwell-qualified member of our board.the Board.
 
Maged Shenouda Dr. Vern L. Schrammjoined our board of directors was appointed to the Board in October 2015.  Mr. Shenouda,2017. Dr. Schramm has served as Professor of the Albert Einstein College of Medicine since 1987 and Chair of the Department of Biochemistry from 1987 to 2015, and was awarded the Ruth Merns Endowed Chair in Biochemistry. His fields of interest include enzymatic transition state analysis, transition state inhibitor design, biological targets for inhibitor design, and mechanisms of N-ribosyltransferases. Dr. Schramm was elected to the National Academy of Sciences in 2007, and served as the Associate Editor for the Journal of the American Chemical Society between 2003 to 2012. A frequent lecturer and presenter in topics related to chemical biology, Dr. Schramm has been a financial professionalconsultant and advisor to Pico Pharmaceuticals, Metabolon Inc., Sirtris Pharmaceuticals, and BioCryst Pharmaceuticals. Dr. Schramm obtained his BS in Bacteriology with an emphasis in chemistry from South Dakota State College and holds a Master’s Degree in Nutrition with an emphasis in biochemistry from Harvard University, a Ph.D. in Mechanism of Enzyme Action from the Australian National University and completed his postdoctoral training at NASA Ames Research Center, Biological Sciences, with an NSF-NRC fellowship. 
Dr. Schramm’s substantial experience in biochemistry and expertise in the biotechnology industry,chemistry related to non-systemic biologics makes him a respected member of the Board and an asset to us specifically in the development of our product candidates.
James Sapirstein was appointed to the Board on October 8, 2019 and as our President and Chief Executive Officer effective that same day. Prior to joining us, Mr. Sapirstein served as Chief Executive Officer and as a director of ContraVir Pharmaceuticals, Inc. (now known as Hepion Pharmaceuticals, Inc.) from March 2014 to October 2018. Previously, Mr. Sapirstein was the headChief Executive Officer of Business Development at Retrofin, Inc.Alliqua Therapeutics from January 2014 until NovemberOctober 2012 to February 2014. From January 2012 until September 2013, heHe founded and served as HeadChief Executive Officer of East Coast OperationsTobira Therapeutics from October 2006 to April 2011 and served as Executive Vice President, Metabolic and Endocrinology for the Blueprint Life Science Group.  Prior thereto, Mr. Shenouda was a financial analyst, first at UBS from January 2004 until March 2010 and Stifel NicolausSerono Laboratories from June 2010 until November 2011.  He2002 to May 2005. Mr. Sapirstein’s earlier career included a number of senior level positions in the area of marketing and commercialization, including as Global Marketing Lead for Viread (tenofovir) while at Gilead Sciences and as Director of International Marketing of the Infectious Disease Division at Bristol Myers Squibb. Mr. Sapirstein is currently the Chair Emeritus of BioNJ, the New Jersey affiliate of the Biotechnology Innovation Organization, and also serves on the boardEmerging Companies and Health Section Boards of directorsthe Biotechnology Innovation Organization. Mr. Sapirstein received his bachelor’s degree in pharmacy from Rutgers University and holds an MBA degree in management from Fairleigh Dickinson University.
Mr. Sapirstein’s nearly 36 years of Proteapharmaceutical industry experience which spans areas such as drug development and was appointed to our board as Protea’s designee pursuantcommercialization, including participation in 23 product launches, six of which were global launches led by him makes him a valuable asset to the termsBoard and in his oversight and execution of the SPA.our business plan.
 
-75-
 
CORPORATE GOVERNANCEGregory Oakeswas appointed to the Board on April 13, 2020.  Mr. Oakes brings over 25 years of pharmaceutical industry and leadership experience and currently serves asPresident, North America, Relypsa, Inc, Executive Vice President, Vifor Pharma. Mr. Oakes previously served asCorporate Vice President, Global Integration Lead for Otezla® (apremilast) at Amgen, Inc. where he was responsible for the integration and continued success of the brand with $2 billion in assets. Prior to Amgen from 2017 - 2019, Mr. Oakes served as Corporate Vice President and U.S. General Manager at Celgene Corp., a global biopharmaceutical company which develops and commercializes medicines for cancer and inflammatory disorders. Mr. Oakes also served as the Global Commercial Integration Lead at Celgene where he helped steer the $74 billion acquisition by Bristol-Myers Squibb and the $13.4 billion divestiture of Otezla®. From 2010 to 2017, Mr. Oakes held several positions at Novartis AG, the most recent as Head of Sandoz Biopharmaceuticals, North America. He began his career at Schering-Plough (Merck) where he held executive roles in both the U.S. and Europe. Mr. Oakes holds a bachelor's degree in Marketing and Business Administration from Edinboro University and a M.B.A. from Clemson University. He currently sits on the Board of BioNJ and previously served on various Executive Committees at Celgene, Novartis, and Schering- Plough (Merck).
 
Mr. Oakes’ background of over 25 years of pharmaceutical industry and leadership experience combined with broad experience in pharmaceutical commercialization and acquisitions makes him a qualified member of the Board.
Non-Executive Director Compensation
On October 1, 2020, our Board adopted a Non-Executive Director Compensation Policy under which each of our non-executive directors is entitled to receive the following cash compensation for their service on the Board (paid quarterly): (i) an annual retainer of $35,000; (ii) the chairman of the Board is entitled to receive an annual retainer in the amount of $20,000, (iii) the chair of the Audit Committee is entitled to receive an annual retainer in the amount of $10,000, (iv) each non-chairperson member of the Audit Committee is entitled to receive an annual retainer in the amount of $5,000, (v) the chair of the Compensation Committee is entitled to receive an annual retainer in the amount of $7,500, (vi) each non-chairperson member of the Compensation Committee is entitled to receive an annual retainer in the amount of $3,500, (vii) the chair of the Corporate Governance and Nominating Committee is entitled to receive an annual retainer in the amount of $5,000, and (viii) each non-chairperson member of the Corporate Governance and Nominating Committee is entitled to receive an annual retainer in the amount of $2,500. Additionally, under this policy, each of our non-executive directors is entitled to receive an annual grant of 80,000 stock options for their service on the Board which will vest in equal quarterly installments.
The following table provides information regarding compensation paid to non-employee directors for the year ended December 31, 2020. Mr. Sapirstein did not receive compensation for his service on the Board as employee director for the year ended December 31, 2020. Information regarding executive compensation paid to Messrs. Sapirstein during 2020 is reflected in the Summary Compensation table under “Executive Compensation.”
Name
 
Fees Earned or
Paid in Cash
(2) 
 
 
Stock Awards
 
 
Option Awards
(3)
 
 
All Other
Compensation
 
 
Total
 
Edward J. Borkowski
 $19,375 
 $- 
 $35,968 
  - 
 $55,343 
Charles J. Casamento
 $11,500 
 $- 
 $35,968 
  - 
 $47,468 
Alastair Riddell
 $11,500 
 $- 
 $35,968 
  - 
 $47,468 
Vern L. Schramm
 $8,750 
 $- 
 $35,968 
  - 
 $44,718 
Gregory Oakes (1)
 $8,750 
 $- 
 $30,444 
  - 
 $39,194 
(1) 
Mr. Oakes was appointed to the board effective April 13, 2020.
(2) 
Represents amounts of accrued and unpaid cash compensation for board services through December 31, 2020.
(3) 
Represents the aggregate grant date fair value of 80,000 stock options issued to each of Messrs. Borkowski, Casamento, Riddell and Schramm on April 6, 2020, and 60,000 stock options issued to Mr. Oakes on April 13, 2020, our non-employee directors, calculated in accordance with ASC Topic 718.
Compensation Committee Interlocks and Insider Participation
None of our executive officers currently serves, or has served during the last three years, on the Compensation Committee of any other entity that has one or more officers serving as a member of our Board.

CORPORATE GOVERNANCE AND BOARD MATTERS
Board Leadership Structure
Currently, Mr. James Sapirstein serves as our President and Chief Executive Officer and Mr. Edward J. Borkowski serves as Chair of our Board. Our Board of Directors has determined that it is in the best interests of the Board and us to maintain separate the roles for the Chief Executive Officer and Chair of the Board. The Board believes this structure increases the Board’s independence from management and, in turn, leads to better monitoring and oversight of management. Although the Board believes we are currently best served by separating the role of Board Chairman and Chief Executive Officer, the Board of Directors will review and consider the continued appropriateness of this structure on an annual basis.
Director Independence
 
The board of directorsBoard has reviewed the independence of our directors based on the listing standards of the NASDAQ. Based on this review, the board of directors determined that eachall of Messrs. Borkowski, Shenoudaits members, other than Mr. Sapirstein, our President and RiddellChief Executive Officer are independent“independent” within the meaning of Nasdaq Listing Rule 5605(a)(2) under the NASDAQ rules. In making this determination, our boardrules of directors considered the relationships that each of these non-employee directors has with usNasdaq Stock Market (“Nasdaq”), and all other factsthe Securities and circumstances our board of directors deemed relevant in determining theirExchange Commission (“SEC”) rules regarding independence. As required under applicable NASDAQ rules, we anticipate that our independent directors will meet in regularly scheduled executive sessions at which only independent directors are present.
 
Board CommitteesDirector Nomination Process
 
Our board of directors has established the following three standing committees: audit committee; compensation committee;The Corporate Governance and nominating and governance committee, or nominating committee. Our board of directors has adopted written charters for each of these committees. Upon completion of this offering, copiesNominating Committee identifies director nominees by first considering those current members of the charters will be available onBoard who are willing to continue service. Current members of the Board with skills and experience that are relevant to our website. Our boardbusiness and are willing to continue their service as a director are considered for re-election, balancing the value of directors may establish other committeescontinuity of service by existing members of the Board with that of obtaining a new perspective. Nominees for director are selected by a majority of the members of the Board. Although we do not have a formal diversity policy, in considering the suitability of director nominees, the Corporate Governance and Nominating Committee considers such factors as it deems necessaryappropriate to develop a Board and its committees that are diverse in nature and comprised of experienced and seasoned advisors. Factors considered by the Corporate Governance and Nominating Committee include sound judgment, knowledge, skill, diversity, integrity, experience with businesses and other organizations of comparable size, including experience in the biopharma industry, clinical studies, U.S. Food and Drug Administration (“FDA”) compliance, intellectual property, business, finance, administration or appropriate from timepublic service, the relevance of a candidate’s experience to time.
Audit Committeeour needs and experience of other Board members, experience with accounting rules and practices, the desire to balance the considerable benefit of continuity with the periodic injection of the fresh perspective provided by new members, and the extent to which a director candidate would be a desirable addition to the Board and its committees.
 
The audit committee is responsibleBoard may consider suggestions for amongpersons to be nominated for director that are submitted by stockholders. The Corporate Governance and Nominating Committee will evaluate stockholder suggestions for director nominees in the same manner as it evaluates suggestions for director nominees made by management, then-current directors or other matters:
appointing, compensating, retaining, evaluating, terminating, and overseeing our independent registered public accounting firm;
discussing with our independent registered public accounting firm the independence of its members from its management;
reviewing with our independent registered public accounting firm the scope and results of their audit;
approving all audit and permissible non-audit services to be performed by our independent registered public accounting firm;
overseeing the financial reporting process and discussing with management and our independent registered public accounting firm the interim and annual financial statements that we file with the SEC;
reviewing and monitoring our accounting principles, accounting policies, financial and accounting controls, and compliance with legal and regulatory requirements;
coordinating the oversight by our board of directors of our code of business conduct and our disclosure controls and procedures
establishing procedures for the confidential and/or anonymous submission of concerns regarding accounting, internal controls or auditing matters; and
reviewing and approving related-person transactions.

Our audit committee consists of Messrs. Borkowski, Shenouda and Riddell, with Mr. Borkowski serving as the chairman. The NASDAQ rules require us to have one independent audit committee member upon the listing of our common stock, a majority of independent directors within 90 days of the date of this prospectus and all independent audit committee members within one year of the date of this prospectus. Our board of directors has affirmatively determined that Messrs. Borkowski and Riddell meet the definition of “independent director” for purposes of serving on an audit committee under Rule 10A-3 and NASDAQ rules. Our board of directors has determined that Mr. Borkowski qualifies as an “audit committee financial expert,” as such term is defined in Item 407(d)(5) of Regulation S-K.
Compensation Committeeappropriate sources.
 
The compensation committee is responsible for, among other matters:
reviewing key employee compensation goals, policies, plans and programs;
reviewing and approving the compensation of our directors and executive officers;
reviewing and approving employment agreements and other similar arrangements between us and our executive officers; and
appointing and overseeing any compensation consultants or advisors.
Our compensation committee consists of Messrs. Borkowski, Shenouda and Riddell, with Dr. Riddell serving as the chairman.
Nominating Committee
The purposeRole of the nominating committee is to assist the boardBoard in identifying qualified individuals to become board members, in determining the composition of the board and in monitoring the process to assess board effectiveness.  Our nominating committee consists of Messrs. Borkowski, Shenouda and Riddell, with Mr. Borkowski serving as the chairman.
Board Leadership Structure
Currently, our principal executive officer is Johan M. (Thijs) Spoor and our chairman of the board is Edward J. Borkowski.
Risk Oversight
 
Our board of directors will overseeBoard oversees a company-wide approach to risk management. Our board of directors will determine themanagement, determines our appropriate risk level for us generally, assessin general, assesses the specific risks faced by us and review thereviews steps taken by management to manage those risks. WhileAlthough our board of directors will haveBoard has ultimate oversight responsibility for the risk management process, itsspecific areas of risk are overseen by designation of such duties and responsibilities to certain committees will oversee risk in certain specified areas.of the Board.
 
Specifically, our compensation committee will bethe Board has designated certain fiduciary duties to its Compensation Committee, which is responsible for overseeing the management of risks relating to our executive compensation plans and arrangements, and the incentives created by the compensation awards it administers. Our audit committee will overseeThe Board has also designated specific fiduciary duties to its Audit Committee, which is responsible for overseeing the management of enterprise risks and financial risks, as well as potential conflicts of interests. Our board of directors will beThe Board is responsible for overseeing the management of risks associated with the independence of our board of directors.the Board.
 
Code of Business Conduct and EthicsNon-Executive Director Compensation
 
Our board of directorsOn October 1, 2020, our Board adopted a codeNon-Executive Director Compensation Policy under which each of business conduct and ethics that appliesour non-executive directors is entitled to our directors, officers and employees. Upon completionreceive the following cash compensation for their service on the Board (paid quarterly): (i) an annual retainer of this offering, a copy of this code will be available on our website. We intend to disclose on our website any amendments to$35,000; (ii) the Code of Business Conduct and Ethics and any waiverschairman of the CodeBoard is entitled to receive an annual retainer in the amount of Business Conduct$20,000, (iii) the chair of the Audit Committee is entitled to receive an annual retainer in the amount of $10,000, (iv) each non-chairperson member of the Audit Committee is entitled to receive an annual retainer in the amount of $5,000, (v) the chair of the Compensation Committee is entitled to receive an annual retainer in the amount of $7,500, (vi) each non-chairperson member of the Compensation Committee is entitled to receive an annual retainer in the amount of $3,500, (vii) the chair of the Corporate Governance and Ethics that applyNominating Committee is entitled to receive an annual retainer in the amount of $5,000, and (viii) each non-chairperson member of the Corporate Governance and Nominating Committee is entitled to receive an annual retainer in the amount of $2,500. Additionally, under this policy, each of our principal executive officer, principal financial officer, principal accounting officer, controller, or persons performing similar functions.

80,000 stock options for their service on the Board which will vest in equal quarterly installments.
 
EXECUTIVE COMPENSATION
Summary Compensation Table
The following table provides information regarding the compensation paid duringto non-employee directors for the yearsyear ended December 31, 2015 and 20142020. Mr. Sapirstein did not receive compensation for his service on the Board as employee director for the year ended December 31, 2020. Information regarding executive compensation paid to our principal executive officer, principal financial officer and certain of our other executive officers, who are collectively referred to as “named executive officers” elsewhereMessrs. Sapirstein during 2020 is reflected in this prospectus.
Name and Principal Position
Year 
Salary
  
Bonus
  
Equity
Awards
  
All Other
Compensation
  
Total
 
Johan M. (Thijs) Spoor, President and Chief Operating Officer2015 $478,400   -0-   -0-   -0-  $478,400 
 2014 $139,100   -0-   -0-   -0-  $139,100 
                      
Daniel Dupret, Chief Scientific Officer2015 $204,675   -0-   -0-   -0-  $204,675 
 2014 $229,174   -0-   -0-   -0-  $229,174 
the Summary Compensation table under “Executive Compensation.”
 
Potential Payments Upon Termination or Change in Control
Name
 
Fees Earned or
Paid in Cash
(2) 
 
 
Stock Awards
 
 
Option Awards
(3)
 
 
All Other
Compensation
 
 
Total
 
Edward J. Borkowski
 $19,375 
 $- 
 $35,968 
  - 
 $55,343 
Charles J. Casamento
 $11,500 
 $- 
 $35,968 
  - 
 $47,468 
Alastair Riddell
 $11,500 
 $- 
 $35,968 
  - 
 $47,468 
Vern L. Schramm
 $8,750 
 $- 
 $35,968 
  - 
 $44,718 
Gregory Oakes (1)
 $8,750 
 $- 
 $30,444 
  - 
 $39,194 
 
If we terminate
(1) 
Mr. Spoor’s employment other than for cause, we will pay him twelve (12) months of his base salary as severance. InOakes was appointed to the event of termination by us without cause or by Mr. Spoor for good reason in connection with a change of control, the Company will pay him eighteen (18) months of his base salary as severance.board effective April 13, 2020.

If we terminate Dr. Dupret’s employment other than for cause, the Company will pay him twelve (12) months of his base salary as severance.
Overview of Our Fiscal 2015 Executive Compensation
 
Elements
(2) 
Represents amounts of accrued and unpaid cash compensation for board services through December 31, 2020.
(3) 
Represents the aggregate grant date fair value of 80,000 stock options issued to each of Messrs. Borkowski, Casamento, Riddell and Schramm on April 6, 2020, and 60,000 stock options issued to Mr. Oakes on April 13, 2020, our non-employee directors, calculated in accordance with ASC Topic 718.
Compensation Committee Interlocks and Insider Participation
None of our executive officers currently serves, or has served during the last three years, on the Compensation Committee of any other entity that has one or more officers serving as a member of our Board.

CORPORATE GOVERNANCE AND BOARD MATTERS
Board Leadership Structure
Currently, Mr. James Sapirstein serves as our President and Chief Executive Officer and Mr. Edward J. Borkowski serves as Chair of our Board. Our Board of Directors has determined that it is in the best interests of the Board and us to maintain separate the roles for the Chief Executive Officer and Chair of the Board. The Board believes this structure increases the Board’s independence from management and, in turn, leads to better monitoring and oversight of management. Although the Board believes we are currently best served by separating the role of Board Chairman and Chief Executive Officer, the Board of Directors will review and consider the continued appropriateness of this structure on an annual basis.
Director Independence
The Board has determined that all of its members, other than Mr. Sapirstein, our President and Chief Executive Officer are “independent” within the meaning of Nasdaq Listing Rule 5605(a)(2) under the rules of the Nasdaq Stock Market (“Nasdaq”), and the Securities and Exchange Commission (“SEC”) rules regarding independence.
Director Nomination Process
The Corporate Governance and Nominating Committee identifies director nominees by first considering those current members of the Board who are willing to continue service. Current members of the Board with skills and experience that are relevant to our business and are willing to continue their service as a director are considered for re-election, balancing the value of continuity of service by existing members of the Board with that of obtaining a new perspective. Nominees for director are selected by a majority of the members of the Board. Although we do not have a formal diversity policy, in considering the suitability of director nominees, the Corporate Governance and Nominating Committee considers such factors as it deems appropriate to develop a Board and its committees that are diverse in nature and comprised of experienced and seasoned advisors. Factors considered by the Corporate Governance and Nominating Committee include sound judgment, knowledge, skill, diversity, integrity, experience with businesses and other organizations of comparable size, including experience in the biopharma industry, clinical studies, U.S. Food and Drug Administration (“FDA”) compliance, intellectual property, business, finance, administration or public service, the relevance of a candidate’s experience to our needs and experience of other Board members, experience with accounting rules and practices, the desire to balance the considerable benefit of continuity with the periodic injection of the fresh perspective provided by new members, and the extent to which a director candidate would be a desirable addition to the Board and its committees.
The Board may consider suggestions for persons to be nominated for director that are submitted by stockholders. The Corporate Governance and Nominating Committee will evaluate stockholder suggestions for director nominees in the same manner as it evaluates suggestions for director nominees made by management, then-current directors or other appropriate sources.
The Role of the Board in Risk Oversight
 
Our executive compensation program consisted ofBoard oversees a company-wide approach to risk management, determines our appropriate risk level in general, assesses the following components of compensation in 2014:
Base Salary. Each named executive officer receives a base salaryspecific risks faced by us and reviews steps taken by management to manage those risks. Although our Board has ultimate oversight responsibility for the expertise, skills, knowledgerisk management process, specific areas of risk are overseen by designation of such duties and experience he offersresponsibilities to our management team. Base salaries are periodically adjusted to reflect:
The nature, responsibilities, and duties of the officer’s position;
The officer’s expertise, demonstrated leadership ability, and prior performance;
The officer’s salary history and total compensation, including annual cash incentive awards and annual equity incentive awards; and
The competitiveness of the officer’s base salary.
Each named executive officer’s base salary for fiscal 2014 is listed in the 2014 Summary Compensation Table.
Employment Agreement
Effective as of January 1, 2016, we entered into an employment agreement with Mr. Spoor to serve as our president and chief executive officer for a term of three years. The employment agreement with Mr. Spoor provides for a base annual salary of $350,000, increasing to $425,000 upon completion of this offering and listing of our common stock on The NASDAQ Stock Market or NYSE MKT, and subject an annual milestone bonus, at the sole discretion of the board of directors based on his attainment of certain financial, clinical development, and/or business milestones to be established annually by our board of directors or compensation committee.  The employment agreement is terminable by either party at any time. In the event of termination by us without cause or by Mr. Spoor for good reason not in connection with a change of control, as those terms are defined in the agreement, he is entitled to twelve (12) months’ severance payable over such period. In the event of termination by us without cause or by Mr. Spoor for good reason in connection with a change of control, as those terms are defined in the agreement, he will receive his eighteen (18) months’ severance.
Subject to any required consents from third parties, on or as promptly as practicable following the effective date, Mr. Spoor shall be issued 100,000 shares of restricted stock that vest as follows: (i) 50,000 upon the first commercial sale in the United States of MS1819, and (ii) 50,000 upon our total market capitalization exceeding $1 billion dollars for 20 consecutive trading days, in each case subject to the earlier determination of a majoritycommittees of the Board.
 
In addition, subject to any required consents from third parties, on or as promptly as practicable following the effective date, Mr. Spoor shall also be granted ten-year options to be governed by the terms of the 2014 Incentive Plan to purchase 380,000 shares of common stock, which options will vest as follows: (i) 100,000 upon consummation of this offering, (ii) 50,000 upon initiation of a Phase II clinical trial in the United States for MS1819, (iii) 50,000 completion of a Phase II clinical trial in the United States for MS1819, (iv) 100,000 upon initiation of a Phase III clinical trial in the United States for MS1819, (v) 50,000 upon initiation of a Phase I clinical trial in the United States for any product other than MS1819, and (vi) 30,000 upon the determination of a majority of our board. The employment agreement contains standard confidential and proprietary information, and one-year non-competition and non-solicitation provisions.
On June 8, 2016, the Board clarified Mr. Spoor’s agreement as follows: the 380,000 options described have neither been granted nor priced, the options will be granted at a future date to be determined by the Board, and the options will be priced at that future date when they are granted.
-77-
Outstanding Equity Incentive Awards At Fiscal Year-End
There were no outstanding equity awards held by our named executive officers as of December 31, 2015 and 2014.

Warrant Exercises and Stock Vested
 
No officers or directors exercised warrantsSpecifically, the Board has designated certain fiduciary duties to its Compensation Committee, which is responsible for overseeing the management of risks relating to our executive compensation plans and no stock vested duringarrangements, and the years ended December 31, 2015incentives created by the compensation awards it administers. The Board has also designated specific fiduciary duties to its Audit Committee, which is responsible for overseeing the management of enterprise risks and 2014.
financial risks, as well as potential conflicts of interests. The Board is responsible for overseeing the management of risks associated with the independence of the Board.
 
Non-Executive Director Compensation
 
Edward BorkowskiOn October 1, 2020, our Board adopted a Non-Executive Director Compensation Policy under which each of our non-executive directors is entitled to receive the following cash compensation for their service on the Board (paid quarterly): (i) an annual retainer of $35,000; (ii) the chairman of the Board is entitled to receive an annual retainer in the amount of $20,000, (iii) the chair of the Audit Committee is entitled to receive an annual retainer in the amount of $10,000, (iv) each non-chairperson member of the Audit Committee is entitled to receive an annual retainer in the amount of $5,000, (v) the chair of the Compensation Committee is entitled to receive an annual retainer in the amount of $7,500, (vi) each non-chairperson member of the Compensation Committee is entitled to receive an annual retainer in the amount of $3,500, (vii) the chair of the Corporate Governance and Nominating Committee is entitled to receive an annual retainer in the amount of $5,000, and (viii) each non-chairperson member of the Corporate Governance and Nominating Committee is entitled to receive an annual retainer in the amount of $2,500. Additionally, under this policy, each of our non-executive directors is entitled to receive an annual grant of 80,000 stock options for their service on the Board which will vest in equal quarterly installments.
The following table provides information regarding compensation paid to non-employee directors for the year ended December 31, 2020. Mr. Sapirstein did not receive compensation for his service on the Board as employee director for the year ended December 31, 2020. Information regarding executive compensation paid to Messrs. Sapirstein during 2020 is reflected in the Summary Compensation table under “Executive Compensation.”
Name
 
Fees Earned or
Paid in Cash
(2) 
 
 
Stock Awards
 
 
Option Awards
(3)
 
 
All Other
Compensation
 
 
Total
 
Edward J. Borkowski
 $19,375 
 $- 
 $35,968 
  - 
 $55,343 
Charles J. Casamento
 $11,500 
 $- 
 $35,968 
  - 
 $47,468 
Alastair Riddell
 $11,500 
 $- 
 $35,968 
  - 
 $47,468 
Vern L. Schramm
 $8,750 
 $- 
 $35,968 
  - 
 $44,718 
Gregory Oakes (1)
 $8,750 
 $- 
 $30,444 
  - 
 $39,194 
(1) 
Mr. Oakes was paid $90,000 in 2015 as a financial consultant. In July 2016, weappointed to the board effective April 13, 2020.
(2) 
Represents amounts of accrued and unpaid cash compensation for board services through December 31, 2020.
(3) 
Represents the aggregate grant date fair value of 80,000 stock options issued 45,000 shares of restricted stock to Mr. Borkowski and 30,000 shares of restricted stock to each of Messrs. ShenoudaBorkowski, Casamento, Riddell and Riddell. The shares of restrictedSchramm on April 6, 2020, and 60,000 stock vest as follows: (i) 50% upon the first commercial saleoptions issued to Mr. Oakes on April 13, 2020, our non-employee directors, calculated in the United States of MS1819, and (ii) 50% upon our total market capitalization exceeding $1 billion dollars for 20 consecutive trading days, in each case subject to the earlier determination of a majority of the Board.accordance with ASC Topic 718.
 
Compensation Committee Interlocks and Insider Participation
 
None of our executive officers currently serves, or has served during the last completed fiscal year,three years, on the compensation committee or board of directorsCompensation Committee of any other entity that has one or more officers serving as a member of our board of directors.Board.
 

CORPORATE GOVERNANCE AND BOARD MATTERS
Board Leadership Structure
Currently, Mr. James Sapirstein serves as our President and Restated 2014 Omnibus Equity Incentive PlanChief Executive Officer and Mr. Edward J. Borkowski serves as Chair of our Board. Our Board of Directors has determined that it is in the best interests of the Board and us to maintain separate the roles for the Chief Executive Officer and Chair of the Board. The Board believes this structure increases the Board’s independence from management and, in turn, leads to better monitoring and oversight of management. Although the Board believes we are currently best served by separating the role of Board Chairman and Chief Executive Officer, the Board of Directors will review and consider the continued appropriateness of this structure on an annual basis.
Director Independence
The Board has determined that all of its members, other than Mr. Sapirstein, our President and Chief Executive Officer are “independent” within the meaning of Nasdaq Listing Rule 5605(a)(2) under the rules of the Nasdaq Stock Market (“Nasdaq”), and the Securities and Exchange Commission (“SEC”) rules regarding independence.
Director Nomination Process
The Corporate Governance and Nominating Committee identifies director nominees by first considering those current members of the Board who are willing to continue service. Current members of the Board with skills and experience that are relevant to our business and are willing to continue their service as a director are considered for re-election, balancing the value of continuity of service by existing members of the Board with that of obtaining a new perspective. Nominees for director are selected by a majority of the members of the Board. Although we do not have a formal diversity policy, in considering the suitability of director nominees, the Corporate Governance and Nominating Committee considers such factors as it deems appropriate to develop a Board and its committees that are diverse in nature and comprised of experienced and seasoned advisors. Factors considered by the Corporate Governance and Nominating Committee include sound judgment, knowledge, skill, diversity, integrity, experience with businesses and other organizations of comparable size, including experience in the biopharma industry, clinical studies, U.S. Food and Drug Administration (“FDA”) compliance, intellectual property, business, finance, administration or public service, the relevance of a candidate’s experience to our needs and experience of other Board members, experience with accounting rules and practices, the desire to balance the considerable benefit of continuity with the periodic injection of the fresh perspective provided by new members, and the extent to which a director candidate would be a desirable addition to the Board and its committees.
The Board may consider suggestions for persons to be nominated for director that are submitted by stockholders. The Corporate Governance and Nominating Committee will evaluate stockholder suggestions for director nominees in the same manner as it evaluates suggestions for director nominees made by management, then-current directors or other appropriate sources.
The Role of the Board in Risk Oversight
 
Our boardBoard oversees a company-wide approach to risk management, determines our appropriate risk level in general, assesses the specific risks faced by us and reviews steps taken by management to manage those risks. Although our Board has ultimate oversight responsibility for the risk management process, specific areas of risk are overseen by designation of such duties and responsibilities to certain committees of the Board.
Specifically, the Board has designated certain fiduciary duties to its Compensation Committee, which is responsible for overseeing the management of risks relating to our executive compensation plans and arrangements, and the incentives created by the compensation awards it administers. The Board has also designated specific fiduciary duties to its Audit Committee, which is responsible for overseeing the management of enterprise risks and financial risks, as well as potential conflicts of interests. The Board is responsible for overseeing the management of risks associated with the independence of the Board.
Code of Business Conduct and Ethics
The Board adopted a code of business conduct and ethics (the “Code”) that applies to our directors, officers and employees. A copy of this Code is available on our website at www.azurrx.com/investors. We intend to disclose on our website any amendments to and waivers of the Code that apply to our principal executive officer, principal financial officer, principal accounting officer, controller, or persons performing similar functions. 
Stockholder Communications
If you wish to communicate with the Board, you may send your communication in writing to AzurRx BioPharma, Inc., Attention: Chief Financial Officer – 1615 South Congress Avenue, Suite 103, Delray Beach, Florida 33445.
You must include your name and address in the written communication and indicate whether you are a stockholder of the Company. The Chief Financial Officer will review any communication received from a stockholder, and all material and appropriate communications from stockholders will be forwarded to the appropriate director or directors or committee of the Board based on the subject matter.
Meetings of the Board
Each of our directors who served during the year ended December 31, 2020 attended or participated in no less than 75% or more of the aggregate of (i) the total number of meetings of the Board; and (ii) the total number of meetings held by all committees of the Board on which such director served as a member during such year. Although directors are not required to attend our annual meeting of stockholders, they are encouraged to attend.
The following table represents the composition of each committee of the Board and meetings held as well as actions taken by unanimous written consent (“UWC”) in lieu of holding a meeting, during the fiscal year ended December 31, 2020:
    Committees
DirectorBoardAuditCompensationCorporate Governance and Nominating 
Edward J. BorkowskiCCCC 
Charles J. Casamento 
Alastair RiddellCC 
Vern L. Schramm             
James Sapirstein             
Gregory Oakes             
Meetings Held During 2020 
Actions Taken by UWC During 20201 
C – Chair of the Board
CC – Committee Chair
X – Member
                 
Board Committees
The standing committees of the Board consist of the Audit Committee, Compensation Committee, and Corporate Governance and Nominating Committee. Our Board has adopted written charters for each of these committees, copies of which are available on our website at www.azurrx.com/investors. Our Board may establish other committees as it deems necessary or appropriate from time to time.
Audit Committee
The duties and responsibilities of the Audit Committee include but are not limited to:
appointing, compensating, retaining, evaluating, terminating, and overseeing our independent registered public accounting firm;
discussing with our independent registered public accounting firm the independence of its members from its management;
reviewing with our independent registered public accounting firm the scope and results of their audit;
approving all audit and permissible non-audit services to be performed by our independent registered public accounting firm;
overseeing the financial reporting process and discussing with management and our independent registered public accounting firm the interim and annual financial statements that are filed with the SEC;
reviewing and monitoring our accounting principles, accounting policies, financial and accounting controls, and compliance with legal and regulatory requirements;
coordinating oversight of the Code and our disclosure controls and procedures on behalf of the Board;
establishing procedures for the confidential and/or anonymous submission of concerns regarding accounting, internal controls or auditing matters; and
reviewing and approving related-person transactions.
The rules of Nasdaq require our Audit Committee to consist of at least three directors, all of whom must be deemed to be independent directors under Nasdaq rules. The Board has affirmatively determined that Messrs. Borkowski and Casamento, and Dr. Riddell, each meet the definition of “independent director” for purposes of serving on an Audit Committee under Nasdaq rules. Additionally, the Board has determined that Messrs. Borkowski and Casamento each qualify as an “audit committee financial expert,” as such term is defined in Item 407(d)(5) of Regulation S-K. 
Compensation Committee
The duties and responsibilities of the Compensation Committee include but are not limited to:
reviewing key employee compensation goals, policies, plans and programs;
reviewing and approving the compensation of our directors and stockholdersexecutive officers;
reviewing and approving employment agreements and other similar arrangements between us and our executive officers; and
appointing and overseeing any compensation consultants or advisors to the Company.
The rules of Nasdaq require our Compensation Committee to consist entirely of independent directors. The Board has affirmatively determined that Mr. Borkowski and Dr. Riddell meet the definition of “independent director” for purposes of serving on the Compensation Committee under Nasdaq rules.
Corporate Governance and Nominating Committee
The duties and responsibilities of the Corporate Governance and Nominating Committee include but are not limited to:
assisting the Board in identifying qualified individuals to become members of the Board;
determining the composition of the Board and monitoring the activities of the Board to assess overall effectiveness; and
developing and recommending to our Board corporate governance guidelines applicable to the Company and advising our Board on corporate governance matters.
EXECUTIVE COMPENSATION

The following table sets forth information regarding our current executive officers as appointed by the Board, each to serve in such position until their respective successors have adoptedbeen duly appointed and qualified or until their earlier death, resignation or removal from office.
Executive Officer  AgeTitle
James Sapirstein  58 President, Chief Executive Officer and Director
Daniel Schneiderman  42 Chief Financial Officer
James E. Pennington  77 Chief Medical Officer
Our executive officers are appointed by and serve at the discretion of the Board, subject to the terms of any employment agreements they may have with us. The following is a brief description of the qualifications and business experience of each of our current executive officers.
James Sapirstein. Please see Mr. Sapirstein’s biography under the “Directors” section of this proxy statement.
Daniel Schneiderman was appointed as our Chief Financial Officer on January 2, 2020. Prior to joining us, from November 2018 through December 2019 Mr. Schneiderman served as Chief Financial Officer of Biophytis SA, (ENXTPA: ALBPS) and its U.S. subsidiary, Biophytis, Inc., a European-based, clinical-stage biotechnology company focused on the development of drug candidates for age-related diseases, with a primary focus on neuromuscular diseases. From February 2012 through August 2018, Mr. Schneiderman served as Vice President of Finance, Controller and Secretary of MetaStat, Inc. (OTCQB: MTST), a publicly traded biotechnology company with a focus on Rx/Dx precision medicine solutions to treat patients with aggressive (metastatic) cancer. From 2008 through February 2012, Mr. Schneiderman was Vice President of Investment Banking at Burnham Hill Partners LLC, a boutique investment bank providing capital raising, advisory and merchant banking services. From 2004 through 2008, Mr. Schneiderman served in various roles and increasing responsibilities, including as Vice President of Investment Banking at Burnham Hill Partners, a division of Pali Capital, Inc. Previously, Mr. Schneiderman worked at H.C. Wainwright & Co., Inc. in 2004 as an investment banking analyst. Mr. Schneiderman holds a bachelor’s degree in economics from Tulane University.
Dr. James E. Pennington was appointed as our Chief Medical Officer in May 2018. Prior to joining us, Dr. Pennington served as Senior Clinical Fellow from 2010 to 2018 and as Executive Vice President and Chief Medical Officer from 2007 to 2010 at Anthera Pharmaceuticals, Inc. (Nasdaq: ANTH). From 2004 to 2007, Dr. Pennington served as Executive Vice President and Chief Medical Officer at CoTherix, Inc., and has held various executive positions at a number of pharmaceutical companies, including InterMune Inc., Shaman Pharmaceuticals and Bayer Corporation. He has served on several editorial boards, and has authored numerous original research publications and reviews. Dr. Pennington is currently a Clinical Professor of Medicine with the University of California San Francisco, where he has taught since 1986. Prior to that, he was a professor at Harvard Medical School. Dr. Pennington received a Bachelor of Arts from the University of Oregon and a Doctor of Medicine from the University of Oregon School of Medicine, and is Board Certified in internal medicine and infectious diseases.
Summary Compensation
The table set forth below reflects certain information regarding the compensation paid or accrued during the years ended December 31, 2020 and 2019 to our Chief Executive Officer and our executive officers, other than our Chief Executive Officer, who were serving as an executive officer as of December 31, 2020, and whose annual compensation exceeded $100,000 during such year (collectively the “Named Executive Officers”).
As previously reported on our Current Report on Form 8-K filed on March 28, 2019, Dr. Dupret retired and resigned from his position as President of AzurRx SAS, a wholly owned French subsidiary of the Company effective July 1, 2019. Due to the resignation of Mr. Spoor as President and Chief Executive Officer effective October 8, 2019, Mr. Sapirstein was appointed as our President and Chief Executive Officer effective that same day. Compensation paid to Dr. Dupret and Mr. Spoor during the year ended December 31, 2019 is reflected in the table below.

Executive Compensation 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equity
 
 
 
All Other
 
 
 
 
 
Year
 
Salary
 
 
Bonus
 
 
 
Awards
 
 
 Compensation 
 
Total
 
Current Named Executive Officers

 
 
 
 
 
 
 
 
 
 
 
 
 
 
James Sapirstein2020
 $462,500 
 $159,505 
(2)
 837,840 
(3)
 
 
 
 $1,459,845 
President and Chief Executive Officer2019
  102,404 
  - 

  232,900 
(4)
  - 
  335,304 








James Pennington2020
  260,000 
  64,799 
(2)
  209,460 
(3)
  - 
  534,259 
Chief Medical Officer2019
  255,000 
  75,000 

  115,000 
(4)
  - 
  445,000 








Daniel Schneiderman2020
  285,000 
  71,029 
(2)
  451,352 
(3)
  - 
  807,381 
Chief Financial officer2019
  - 
  - 

  - 
(5)
  - 
  - 








Former Named Executive Officers (1)



John M. (Thijs) Spoor2020
  - 
  - 

  - 

  - 
  - 
Former President, Chief Executive Officer and Director (6)2019
  340,177 
  - 

  157,500 
(4)
  - 
  497,677 








Maged Shenouda2020
  - 
  - 

  - 

  - 
  - 
Former Chief Financial Officer (7)2019
  308,035 
  - 

  105,000 
(4)
  - 
  413,035 








Daniel Dupret2020
  - 
  - 

  - 

  - 
  - 
Former Chief Scientific Officer2019
  151,393 
  - 

  - 

  - 
  151,393 

(1)  Mr. Spoor’s employment with us as President and Chief Executive Officer terminated effective October 8, 2019 due to his resignation. In addition, Mr. Spoor resigned as a member of the Board on April 29, 2020.  
       Mr. Shenouda’s employment with us as Chief Financial Officer terminated effective November 30, 2019 due to his resignation.
       Dr. Dupret retired and resigned from his position as President of AzurRx SAS, a wholly owned French subsidiary of ours effective July 1, 2019.
(2)  Represents accrued and unpaid bonuses during 2020, as of December 31, 2020.
(3)  Represents the grant date fair value of restricted stock and stock options issued during the year ended December 31, 2020, calculated in accordance with ASC Topic 718. The assumptions used in the calculation of these amounts are included in Note 13 of the notes to the consolidated financial statements contained in our Annual Report, filed with the SEC on March 30, 2020.
(4)  Represents the grant date fair value of restricted stock and stock options issued during the year ended December 31, 2019, calculated in accordance with ASC Topic 718. The assumptions used in the calculation of these amounts are included in Note 13 of the notes to the consolidated financial statements contained in the Company’s Annual Report, filed with the SEC on March 30, 2020.
(5)  Mr. Schneiderman received no compensation during this period or prior to his appointments as our Chief Financial Officer, which became effective January 2, 2020.
(6)  On June 28, 2019, we accrued an incentive bonus in the amount of $255,000 payable to Mr. Spoor. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed to Mr. Spoor, which determination is currently being challenged by Mr. Spoor. As a result of the Board’s and management’s determination, we reversed the accrual in the quarter ended December 31, 2019. This bonus has been excluded from the table.
       In addition, all unvested shares of restricted stock and stock options subject to time and other performance-based vesting conditions have been forfeited in connection with Mr. Spoor's resignation as our President and Chief Executive Officer. Mr. Spoor also forfeited the right to receive 241,667 earned, but unissued shares of restricted stock in connection with his resignation from the Board on April 29, 2020.
       On July 9, 2020, we and Mr. Spoor entered into a settlement and general release (the “Spoor Settlement and Release”), effective July 9, 2020 (the “Spoor Settlement Date”), of certain claims relating to Mr. Spoor's separation from the Company on October 8, 2019. In connection with the Spoor Settlement and Release, on July 14, 2020, we granted Mr. Spoor warrants to purchase an aggregate of 150,000 shares of Common Stock, which had a grant date fair value of $85,770. In addition, Mr. Spoor legally released all claims to a discretionary bonus in the amount of $255,000, which we originally accrued in June 2019 but was subsequently reversed during the quarter ended December 31, 2019, legally released all claims relating to $348,400 due to JIST Consulting, a company controlled by Mr. Spoor and we also paid Mr. Spoor's legal expenses in the amount of $51,200.
(7)  On June 28, 2019, we accrued an incentive bonus in the amount of $100,000 payable to Mr. Shenouda. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed, and we reversed the accrual in the quarter ended December 31, 2019. This bonus has been excluded from the table.
      On July 2, 2020, we and Maged Shenouda, entered into a settlement and general release (the “Shenouda Settlement and Release”), of certain claims relating to Mr. Shenouda’s s separation from the Company effective November 30, 2019. In connection with the Shenouda Settlement and Release, we paid a total of $15,000 to Mr. Shenouda, which amount includes $10,000 of accounts payable of the Company due to Mr. Shenouda for services provided and $5,000 for legal expenses, and Mr. Shenouda legally released all claims relating to a discretionary bonus in the amount of $100,000 we originally accrued in June 2019, but was subsequently reversed during the quarter ended December 31, 2019
Employment Arrangements and Potential Payments upon Termination or Change of Control
Sapirstein Employment Agreement. Effective October 8, 2019, we entered into an employment agreement with Mr. Sapirstein to serve as our President and Chief Executive Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Sapirstein provides for a base salary of $450,000 per year. In addition to the base salary, Mr. Sapirstein is eligible to receive (i) a bonus of up to 40% of his base salary on an annual basis, based on certain milestones that are yet to be determined; (ii) 1% of net fees received by us upon entering into license agreements with any third-party with respect to any product current in development or upon the sale of all or substantially all of our assets; (iii) a grant of 200,000 restricted shares of our Common Stock which are subject to vest as follows (a) 100,000 upon the first commercial sale of MS1819 in the United States, and (b) 100,000 upon our total market capitalization exceeding $1.0 billion for 20 consecutive trading days; (iv) a grant of 300,000 10-year stock options to purchase shares of our Common Stock which are subject to vest as follows (a) 50,000 upon us initiating our next Phase 2 clinical trial in the United States for MS1819, (b) 50,000 upon us completing our next or subsequent Phase 2 clinical trial in the United States for MS1819, (c) 100,000 upon us initiating a Phase 2I clinical trial in the United States for MS1819, and (d) 100,000 upon us initiating a Phase I clinical trial in the United States for any product other than MS1819. Mr. Sapirstein is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his services to us.
In the event that Mr. Sapirstein’s employment is terminated by us for Cause, as defined in his employment agreement, or by Mr. Sapirstein voluntarily, then will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. In the event that Mr. Sapirstein’s employment is terminated as a result of an Involuntary Termination Other than for Cause, as defined in the Agreement, Mr. Sapirstein will be entitled to receive the following compensation: (i) severance in the form of continuation of his salary (at the Base Salary rate in effect at the time of termination, but prior to any reduction triggering Good Reason) for a period of 12 months following the termination date; (ii) payment of Executive’s premiums to cover COBRA for a period of 12 months following the termination date; and (iii) a prorated annual bonus.
Schneiderman Employment Agreement.Effective January 2, 2020, we entered into an employment agreement with Mr. Schneiderman to serve as our Chief Financial Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Schneiderman provides for a base salary of $285,000 per year. In addition to the base salary, Mr. Schneiderman is eligible to receive (a) an annual milestone cash bonus based on certain milestones that will be established by our Board or the Compensation Committee, (b) grants of stock options to purchase such number of shares equal to one and a quarter percent (1.25%) of the issued and outstanding Common Stock on January 2, 2020, or 335,006 shares of Common Stock with an exercise price of $1.03 per share, which shall vest in over a term of three years. Mr. Schneiderman is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his service to us. We may terminate Mr. Schneiderman’s employment agreement at any time, with or without Cause, as such term is defined in his employment agreement. Effective July 16, 2020, our Board approved an amended and restated option grant to Mr. Schneiderman, amending and restating the grant previously made on January 2, 2020, to reduce the amount of shares issuable upon exercise of such option to be the maximum number of shares Mr. Schneiderman was eligible to receive under the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”) on the original grant date (or 300,000 shares), due to the 2014 Plan provisions relating to Section 162(m) limitations. 
In the event that Mr. Schneiderman’s employment is terminated by us for Cause, as defined in Mr. Schneiderman’s employment agreement, or by Mr. Schneiderman voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. If we terminate his employment agreement without Cause, not in connection with a Change of Control, as such term is defined in Mr. Schneiderman’s employment agreement, he will be entitled to (i) all salary owed through the date of termination; (ii) any unpaid annual milestone bonus; (iii) severance in the form of continuation of his salary for the greater of a period of six months following the termination date or the remaining term of the employment agreement; (iv) payment of premiums to cover COBRA for a period of six months following the termination date; (v) a prorated annual bonus equal to the target annual milestone bonus, if any, for the year of termination multiplied by the formula set forth in the agreement. If we terminate Mr. Schneiderman’s employment agreement without Cause, in connection with a Change of Control, he will be entitled to the above and immediate accelerated vesting of any unvested options or other unvested awards.
Pennington Employment Agreement. Effective May 28, 2018, we entered into an employment agreement with Mr. Pennington to serve as our Chief Medical Officer. The employment agreement with Dr. Pennington provides for a base annual salary of $250,000. In addition to his salary, Dr. Pennington is eligible to receive an annual milestone bonus, awarded at the sole discretion of the Board based on his attainment of certain financial, clinical development, and/or business milestones established annually by the Board or Compensation Committee. The employment agreement is terminable by either party at any time. In the event of termination by us other than for cause, Dr. Pennington is entitled to three months’ severance payable over such period. In the event of termination by us other than for cause in connection with a Change of Control, Dr. Pennington will receive six months’ severance payable over such period.
Spoor Employment Agreement. On January 3, 2016, we entered into an employment agreement with our former President and Chief Executive Officer, Johan Spoor. The employment agreement provided for a term expiring January 2, 2019. Although Mr. Spoor’s employment agreement expired, he remained employed as our President and Chief Executive Officer under the terms of his prior employment agreement through his resignation as President and Chief Executive Officer on October 8, 2019. In addition, Mr. Spoor resigned as a member of the Board on April 29, 2020.
The employment agreement with Mr. Spoor provided for a base salary of $425,000 per year. At the sole discretion of the Board or the Compensation Committee of the Board, following each calendar year of employment, Mr. Spoor was eligible to receive an additional cash bonus based on his attainment of certain financial, clinical development, and/or business milestones to be established annually by the Board or the Compensation Committee. Mr. Spoor’s employment agreement was terminable by either party at any time. In the event of termination by us without Cause or by Mr. Spoor for Good Reason not in connection with a Change of Control, as those terms are defined in Mr. Spoor’s employment agreement, he was entitled to twelve months’ severance payable over such period. In the event of termination by us without Cause or by Mr. Spoor for Good Reason in connection with a Change of Control, as those terms are defined in Mr. Spoor’s employment agreement, he was eligible to receive eighteen months’ worth of his base salary in a lump sum as severance.
Mr. Spoor was originally entitled to 10-year stock options to purchase 380,000 shares of Common Stock, pursuant to the 2014 Plan. During the year ended December 31, 2017, stock options to purchase 100,000 shares of Common Stock with an exercise price of $4.48 per share with a grant date fair value of $386,900 were granted and vested. On September 29, 2017, Mr. Spoor was granted 100,000 shares of restricted Common Stock subject to milestone-based vesting, in satisfaction of our obligation to issue an additional 280,000 options to Mr. Spoor, with an estimated grant date fair value of $425,000. During the year ended December 31, 2018, all 100,000 shares of restricted Common Stock vested, but the separate stock options covering 100,000 shares of Common Stock were cancelled as a result of Mr. Spoor’s resignation as our President and Chief Executive Officer.
Mr. Spoor resigned from his position as our President and Chief Executive Office effective October 8, 2019. Mr. Spoor received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Spoor were cancelled as a result of Mr. Spoor’s resignation. Mr. Spoor has a period of twelve months following his resignation to exercise all vested stock options.
On June 29, 2019, we accrued an incentive bonus in the amount of $255,000. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed and we reversed the accrual in the quarter ended December 31, 2019, which determination was challenged by Mr. Spoor. As part of a settlement and general release effective July 9, 2020, Mr. Spoor waived all claims to the incentive bonus in the amount of $255,000 and also waived all claims to an amount of $348,000 due to JIST Consulting, a company controlled by Mr. Spoor. Also, in connection with the settlement and general release, Mr. Spoor received warrants to purchase an aggregate of 150,000 shares of Common Stock with an exercise price of $1.00 per share and an expiration term of five years and we agreed to pay Mr. Spoor’s legal expenses in the amount of $51,200.
Mr. Spoor received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Spoor were cancelled as a result of Mr. Spoor’s resignation. As of December 31, 2019, there were 241,667 earned but unissued shares of restricted Common Stock due to Mr. Spoor. However, Mr. Spoor forfeited the right to receive these shares on April 29, 2020 in connection with his resignation from the Board.
Shenouda Employment Agreement. On September 26, 2017, we entered into an employment agreement with Mr. Shenouda to serve as our Executive Vice-President of Corporate Development and Chief Financial Officer for a term of three years, during which time he received a base salary of $275,000. In addition to the base salary, Mr. Shenouda was eligible to receive an annual milestone cash bonus based on the achievement of certain financial, clinical development, and/or business milestones, which milestones were established annually at the sole discretion of our Board or the Compensation Committee. Mr. Shenouda’s employment agreement provided for the issuance of stock options to purchase 100,000 shares of Common Stock, pursuant to the 2014 Plan, with an exercise price of $4.39 per share and a term of ten years. These stock options vested upon the achievement of certain strategic milestones during the year ended December 31, 2018.
Mr. Shenouda’s employment agreement was terminable by us any time, with or without Cause, as such term is defined in the agreement. If we terminated the agreement without Cause, or if the agreement was terminated due to a Change of Control, as such term is defined in the agreement, Mr. Shenouda was entitled to (i) all salary owed through the date of termination; (ii) any unpaid annual milestone bonus; (iii) severance in the form of continuation of his salary for the greater of a period of 12 months following the termination date or the remaining term of his employment agreement; (iv) payment of premiums to cover COBRA for a period of 12 months following the termination date; (v) a prorated annual bonus equal to the target annual milestone bonus, if any, for the year of termination multiplied by the formula set forth in the agreement; and (vi) immediate accelerated vesting of any unvested options or other unvested awards.
Mr. Shenouda resigned from his position as our Chief Financial Officer effective November 30, 2019. Mr. Shenouda received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Shenouda were cancelled as a result of Mr. Shenouda’s resignation. Mr. Shenouda has a period of twelve months following his resignation to exercise all vested stock options.
On June 28, 2019, the Compensation Committee had approved the accrual of an incentive bonus in the amount of $100,000. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed, and we reversed the accrual in the quarter ended December 31, 2019. As part of a settlement and general release entered into on July 2, 2020, Mr. Shenouda waived all claims to the incentive bonus in the amount of $100,000 and we agreed to pay Mr. Shenouda a settlement sum of $15,000, which includes $10,000 due to Mr. Shenouda reflected in our accounts payable as of June 30, 2020.
Outstanding Equity Incentive Awards at Fiscal Year-End
The following table sets forth information regarding unexercised options, stock that has not vested and equity incentive awards held by each of the Named Executive Officers outstanding as of December 31, 2020 and 2019:
NameGrant Date
 
 Number of Securities underlying unexercised options (#) exercisable 
 
 
 Equity incentive plan awards: Number of underlying unexercised unearned options (#) 
 

 
 Option exercise price  ($) 
 
 
Option expiration date
 
 
 Number of Shares or units of stock that have  not vested (#) 
 
 
 Market value of shares  or units of stock that  have not vested ($) 
 
 
   Equity incentive plan  awards: Number of Unearned shares, units or other rights that have not vested (#) 
 
 
 Equity incentive plan awards: market or payout value of unearned shares, units or other rights that have not vested ($) 
 
Current Named Executive Officers
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
James Sapirstein10/8/2019
  - 
  300,000 
(1)
 $0.56 
 
10/7/2029
 
  - 
  - 
  - 
 $- 

10/8/2019
  - 
  - 

 $- 
  - 
  - 
  - 
  200,000(2)
 $112,000 

7/16/2020
  - 
  1,200,000 
(3)
 $0.85 
 
7/15/2030
 
  - 
  - 
    
 $- 










Daniel Schneiderman1/2/2020
  - 
  300,000 
(4)
 $1.03 
 
1/1/2030
 
  - 
  - 
    
 $- 

7/16/2020
  - 
  285,006 

 $0.85 
 
7/15/2030
 
  - 
  - 
    
 $- 

7/16/2020
    
  35,006 
(4)
 $0.85 
 
7/15/2030
 
    
    
    
    










James Pennington6/13/2019
  - 
  110,000 

 $1.75 
 
6/13/2024
 
  - 
  - 
  - 
 $- 

7/16/2020
  - 
  300,000 

 $0.85 
 
7/15/2030
 
  - 
  - 
  - 
 $- 

(1)Represents stock options issued to Mr. Sapirstein on October 8, 2019 under the terms of his employment agreement, which options will vest as follows: (i) as to 50,000 shares upon initiating our next U.S. Phase 2 clinical trial for MS1819, (ii) as to 50,000 shares upon completing the next U.S. Phase 2 clinical trial for MS1819, (iii) as to 100,000 shares upon our initiating a Phase 3 clinical trial in the U.S. for MS1819, and (iv) as to 100,000 shares upon initiating a U.S. Phase 1 clinical trial for any product other than MS1819.
(2)Represents the restricted stock unit (“RSU“) award issued to Mr. Sapirstein on October 8, 2019 under the terms of his employment agreement, which RSU will vest as follows: (i) as to 100,000 shares upon the first commercial sale in the U.S. of MS1819, and (ii) as to 100,000 shares upon our total market capitalization exceeding $1.0 billion for 20 consecutive trading days.
(3)Represents stock options issued to Mr. Sapirstein on July 16, 2020 under 2014 Plan, which options will vest as follows: (i) 50,000 upon initiating its next U.S. Phase 2 clinical trial MS1819, (ii) 50,000 upon completing the next U.S. Phase 2 clinical trial, (iii) 100,000 upon the Company initiating a Phase 3 clinical trial in the U.S. for MS1819, and (iv) 100,000 upon initiating a U.S. Phase I clinical trial for any product other than MS1819.
(4)During the three months ended September 30, 2020, the Board approved an amended and restated option grant to Mr. Schneiderman, amending and restating a grant previously made on January 2, 2020, to reduce the amount of shares issuable upon exercise of such option to be the maximum number of shares Mr. Schneiderman was eligible to receive under the 2014 Plan on the original grant date, or 300,000 shares, due to the 2014 Incentive Plan provisions relating to the Section 162(m) limitations described above. The Board also approved the issuance of a replacement option covering the balance of shares intended to be issued at that time, or 35,006 shares. The original stock option has an exercise price of $1.03, the closing sale price of Common Stock on January 2, 2020, which was the date of its original grant, and the replacement stock option has an exercise price of $0.85, the closing sale price of the Common Stock on its date of grant. Both the original stock option and the replacement stock option vest over a term of three years, in 36 equal monthly installments on each monthly anniversary of January 2, 2020.
Securities Authorized for Issuance Under Equity Compensation Plans
The following table provides information as of December 31, 2020 regarding equity compensation plans approved by our security holders and equity compensation plans that have not been approved by our security holders:
 
 
Number of securities to be issued upon exercise ofoutstanding options, warrants and 
 
 
Weighted-average exercise price of outstanding options, warrants and 
 
 
Number of securities remaining available for future issuance under equity compensation plans reflected in 
 
Plan category
 rights 
 rights 
  column (a)) 
 
 
(a)
 
 
(b)
 
 
(c )
 
Equity compensation plans approved by security holders (1) (2)
  4,298,691 
  1.23 
  9,783,815 
 
    
    
    
Equity compensation plans not approved by security holders
  - 
  - 
  - 
 
    
    
    
Total
  4,298,691 
  1.23 
  9,783,815 
(1)
Excludes 387,000 shares of Common Stock reserved under the 2014 Plan as of December 31, 2020, subject to the issuance of restricted stock and RSUs.

(2)
Represents outstanding stock options granted to our current or former employees, directors and consultants pursuant to the 2014 Omnibus Equity Incentive Plan (the “2014 Plan” and 2020 Omnibus Equity Incentive Plan (the “2020 Plan”).
Summary of Amended and Restated 2014 Omnibus Equity Incentive Plan
The Board and stockholders adopted and approved the 2014 Plan, which took effect on May 12, 2014, and the 2020 Plan, which took effect on September 11, 2020. From the effective date of the 2020 Plan, no new awards have been or will be made under the 2014 Plan.
Stock Options. The 2014 Plan permitted the grant of “incentive stock options” (“ISOs”), which are intended to meet the requirements for special federal income tax treatment under the Code, and “nonqualified stock options” (“NQSOs”) that do not meet the requirements of Section 422 of the Code. No stock option may be transferred other than by will or by the laws of descent and distribution, and during a recipient’s lifetime a stock option may be exercised only by the recipient. However, the Compensation Committee may permit the holder of a stock option, SAR or other award to transfer the stock option, right or other award to immediate family members or a family trust for estate planning purposes. The Compensation Committee will determine the extent to which a holder of a stock option may exercise the option following termination of service with us.
Restricted Stock Awards and Restricted Stock Unit Awards. A restricted stock award is a grant or sale of Common Stock to the participant, subject to our right to repurchase all or part of the shares at their purchase price (or to require forfeiture of such shares if issued to the participant at no cost) in the event that conditions specified by the Compensation Committee in the award are not satisfied prior to the end of the time period during which the shares subject to the award may be repurchased by or forfeited to us. A restricted stock unit entitles the participant to receive a cash payment equal to the fair market value of a share of Common Stock for each restricted stock unit subject to such restricted stock unit award, if the participant satisfies the applicable vesting requirement. The Compensation Committee will determine the restrictions and conditions applicable to each award of restricted stock award or restricted stock unit award, which may include performance-based conditions.
Unrestricted Stock Awards. An unrestricted stock award is a grant or sale of shares of our Common Stock to the participant that is not subject to transfer, forfeiture or other restrictions, in consideration for past services rendered to us or an affiliate or for other valid consideration.
Change-in-Control Provisions. In connection with the grant of an award, the Compensation Committee may provide that, in the event of a change in control, such award will become fully vested and immediately exercisable.


Potential Limitation on Company Deductions
Section 162(m) of the Code generally disallows a tax deduction for compensation in excess of $1 million paid in a taxable year by a publicly held corporation to its chief executive officer and certain other “covered employees.” Effective for taxable years beginning prior to January 1, 2018, an exception to this deduction limit applied to “performance-based compensation” that satisfied certain criteria. Under regulations issued by the Internal Revenue Service under Section 162(m), stock options and stock appreciation rights were treated as performance-based compensation if, among other things, an annual limit was placed on issuing such awards to a single individual. In order to comply with the foregoing exception to the $1 million deduction limit under Section 162(m), the 2014 Plan previously contained an annual limit on issuing awards of stock options and stock appreciation rights to a single individual, which was intended to allow us to deduct such awards granted as performance-based compensation. Pursuant to the Tax Cut and Jobs Act of 2017, however, the exception for performance-based compensation under Section 162(m) of the Code was repealed. As a result, the annual limit in the 2014 Plan was no longer effective to allow us to claim this deduction. Accordingly, effective July 16, 2020, our Board approved an amendment to the 2014 Plan that removed this annual limit.
Summary of the 2020 Omnibus Equity Incentive Plan
The Board and stockholders have adopted and approved the 2020 Plan, which is a comprehensive incentive compensation plan under which we can grant equity-based and other incentive awards to our officers, employees, directors, consultants and advisers. The purpose of the 20142020 Plan is to help us attract, motivate and retain such persons with awards under the 20142020 Plan and thereby enhance shareholderstockholder value.
 
Administration. The 20142020 Plan is administered by the board, and upon consummation of this offering will be administered by the compensation committeeCompensation Committee of the board,Board (the “Compensation Committee”), which shall consistconsists of three members of the board,Board, each of whom is a “non-employee director” within the meaning of Rule 16b-3 promulgated under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The Compensation Committee may grant stock options, stock appreciation rights (“SARs”), performance stock awards, performance unit awards, dividend equivalent right awards, restricted stock awards, restricted stock unit awards, unrestricted stock awards, incentive bonus awards and an “outside director” within the meaning of Code Section 162(m).other cash-based awards and other stock-based awards to our non-employee directors, officers, employees and nonemployee consultants or our affiliates. Among other things, the compensation committeeCompensation Committee has complete discretion, subject to the express limits of the 20142020 Plan, to determine the directors, employees and nonemployeeindividual consultants to be granted an award, the type of award to be granted, the terms and conditions of the award, the form of payment to be made and/or the number of shares of common stockCommon Stock subject to each award, the exercise price of each option and base price of each stock appreciation right (“SAR”),SAR, the term of each award, the vesting schedule for an award, whether to accelerate vesting, the value of the common stockCommon Stock underlying the award, and the required withholding, if any. The compensation committeeExcept as prohibited by applicable law or stock exchange rules, the Compensation Committee may delegate administrative functions under the 2020 Plan and may authorize a Reporting Person (as defined in the Exchange Act) to make certain awards under the 2020 Plan. Subject to the terms of the Plan, the Compensation Committee shall have the authority to amend modify or terminatethe terms of an award in any outstanding award,manner that is not inconsistent with the Plan (including to extend the post-termination exercisability period of options and SARs), provided that the participant’s consent tono such action is required if the(except an action wouldrelating to a change of control) shall materially and adversely impair the participant’s rights or entitlementsof an award recipient with respect to that award.such an outstanding award without the consent of the award recipient. The compensation committeeCompensation Committee is also authorized to construe the award agreements, and may prescribe rules relating to the 20142020 Plan. Notwithstanding
Eligibility. Employees, directors and individual consultants of the foregoing,Company or an affiliate as well as prospective employees, directors and individual consultants of the compensation committee does notCompany or an affiliate are eligible to participate in the 2020 Plan. The 2020 Plan allows for grants to employees, directors and individual consultants of the Company or an affiliate who are non-US persons. Currently, we have any authority to grant or modify an award under the 2014 Plan with terms or conditions that would cause the grant, vesting or exercise thereof to be considered nonqualified “deferred compensation” subject to Code Section 409A.nine employees (including one executive director), five non-executive directors and approximately ten non-employee consultants.


 
Grant of Awards; Shares Available for AwardsSubject to the 2020 Plan. The 2014 Plan provides for the grant of stock options, SARs, performance share awards, performance unit awards, distribution equivalent right awards, restricted stock awards, restricted stock unit awards and unrestricted stock awards to non-employee directors, officers, employees and nonemployee consultants of AzurRx or its affiliates. Themaximum aggregate number of shares of common stockCommon Stock that may be issued under the 20142020 Plan shall not exceed ten percent (10%be 10,000,000 shares. The 2020 Plan allows for 100,000,000 shares to be issued as “incentive stock options” (“ISOs”) of. In addition, the issued and outstanding2020 Plan contains an “evergreen provision” providing for an annual increase in the number of shares of common stock on an as converted basis (the “As Converted Shares”) on a rolling basis. For calculation purposes, the As Converted Shares shall include all shares of common stock and all shares of common stock issuable upon the conversion of outstanding preferred stock and other convertible securities, but shall not include any shares of common stock issuable upon the exercise of options, warrants and other convertible securities issued pursuant to the 2014 Plan. The number of authorized shares of common stock reservedour Common Stock available for issuance under the 2020 Plan shall automatically be increased concurrently with our issuanceon January 1 of fully paideach year for a period of ten years, commencing on January 1, 2021 and non-assessableending on (and including) January 1, 2030, in an amount equal to the lesser of (i) ten percent of the total number of shares of As Converted Shares.  Shares shall be deemed to have been issued underCommon Stock outstanding on December 31st of the 2014 Plan solely topreceding calendar year or (ii) such number of shares determined by the extent actually issued and delivered pursuant to an award. Board.
If any award expires, is cancelled, or terminates unexercised or is forfeited, the number of shares subject thereto is again available for grant under the 20142020 Plan. The maximum number of shares of Common Stock that may be subject to awards to outside directors, in the aggregate, during any calendar year is 250,000.
 
The number of shares of common stockauthorized for which awards may be grantedissuance under the 20142020 Plan and each of the preceding share limitations are subject to a participant who is an employee in any calendar year is limited to 300,000 shares. Future new hires and additional non-employee directors and/customary adjustments for stock splits, stock dividends, recapitalization, reorganization, merger, combination, exchange or consultants would be eligible to participate in the 2014 Plan as well. The number of stock options and/or shares of restricted stock to be granted to executives and directors cannot be determined at this time as the grant of stock options and/or shares of restricted stock is dependent upon various factors such as hiring requirements and job performance.similar transactions.
 
Stock Options. The 20142020 Plan provides for either “incentive stock options” (“ISOs”),ISOs, which are intended to meet the requirements for special federal income tax treatment under the United States of America Internal Revenue Code of 1986, as amended (the “Code”), or “nonqualified stock options” (“NQSOs”). that do not meet the requirements of Section 422 of the Code. Stock options may be granted on such terms and conditions as the compensation committeeCompensation Committee may determine; provided, however, that the per share exercise price under a stock option may not be less than the fair market value of a share of common stockCommon Stock on the date of grant and the term of the stock option may not exceed 10 years (110% of such value and five years in the case of an ISO granted to an employee who owns (or is deemed to own) more than 10% of the total combined voting power of all classes of our capital stock ofor our Company or a parent or subsidiary of our Company)subsidiary). ISOs may only be granted to employees. In addition, the aggregate fair market value of common stockCommon Stock covered by one or more ISOs (determined at the time of grant), which are exercisable for the first time by an employee during any calendar year may not exceed $100,000. Any excess is treated as a NQSO. Stock options granted under the 2020 Plan will be exercisable at such time or times as the Compensation Committee prescribes at the time of grant and recipients will be permitted to pay the exercise price as set forth by the Compensation Committee in the applicable option agreement. No stock option may be transferred other than by will or by the laws of descent and distribution, and during a recipient’s lifetime a stock option may be exercised only by the recipient. However, the Compensation Committee may permit the holder of a stock option, SAR or other award to transfer the stock option, right or other award to immediate family members or a family trust for estate planning purposes. The Compensation Committee will determine the extent to which a holder of a stock option may exercise the option following termination of service with us.
 
Stock Appreciation Rights. A SAR entitles the participant, upon exercise, to receive an amount, in cash or stock or a combination thereof, equal to the increase in the fair market value of the underlying common stockCommon Stock between the date of grant and the date of exercise. SARs may be granted in tandem with, or independently of, stock options granted under the 20142020 Plan. A SAR granted in tandem with a stock option (i) is exercisable only at such times, and to the extent, that the related stock option is exercisable in accordance with the procedure for exercise of the related stock option; (ii) terminates upon termination or exercise of the related stock option (likewise, the common stockCommon Stock option granted in tandem with a SAR terminates upon exercise of the SAR); (iii) is transferable only with the related stock option; and (iv) if the related stock option is an ISO, may be exercised only when the value of the stock subject to the stock option exceeds the exercise price of the stock option. A SAR that is not granted in tandem with a stock option is exercisable at such times as the compensation committeeCompensation Committee may specify. The Compensation Committee will determine the other terms applicable to SARs. The exercise price per share of a SAR will be determined by the Compensation Committee, but will not be less than 100% of the fair market value of a share of our Common Stock on the date of grant, as determined by the Compensation Committee. The maximum term of any SAR granted under the 2020 Plan is ten years from the date of grant. Generally, each SAR will entitle a participant upon exercise to an amount equal to: (i) the excess of the fair market value on the exercise date of one share of our Common Stock over the exercise price, multiplied by (ii) the number of shares of Common Stock covered by the SAR. Payment may be made in shares of our Common Stock, in cash, or partly in Common Stock and partly in cash, all as determined by the Compensation Committee.
 
Performance Shares and Performance Unit Awards. Performance share and performance unit awards entitle the participant to receive cash or shares of common stockCommon Stock upon the attainment of specified performance goals. In the case of performance units, the right to acquire the units is denominated in cash values.

 
DistributionDividend Equivalent Right Awards. A distributiondividend equivalent right award entitles the participant to receive bookkeeping credits, cash payments and/or common stockCommon Stock distributions equal in amount to the distributions that would have been made to the participant had the participant held a specified number of shares of common stockCommon Stock during the period the participant held the distributiondividend equivalent right. A distributiondividend equivalent right may be awarded as a component of another award under the 20142020 Plan, where, if so awarded, such distributiondividend equivalent right will expire or be forfeited by the participant under the same conditions as under such other award.
  
Restricted Stock Awards and Restricted Stock Unit Awards. A restricted stock award is a grant or sale of common stockCommon Stock to the participant, subject to our right to repurchase all or part of the shares at their purchase price (or to require forfeiture of such shares if issued to the participant at no cost) in the event that conditions specified by the compensation committeeCompensation Committee in the award are not satisfied prior to the end of the time period during which the shares subject to the award may be repurchased by or forfeited to us. Our restrictedRestricted stock unit entitlesunits entitle the participant to receive a cash payment equal to the fair market value of a share of common stockCommon Stock for each restricted stock unit subject to such restricted stock unit award, if the participant satisfies the applicable vesting requirement. The Compensation Committee will determine the restrictions and conditions applicable to each award of restricted stock award or restricted stock unit award, which may include performance-based conditions.
 
Unrestricted Stock Awards. An unrestricted stock award is a grant or sale of shares of our common stockCommon Stock to the participant that is not subject to transfer, forfeiture or other restrictions, in consideration for past services rendered to AzurRxus or an affiliate or for other valid consideration.
 
Change-in-ControlOther Cash-Based Awards and Other Stock-Based Awards. The Compensation Committee may award other types of cash-based or equity-based awards under the 2020 Plan, including the grant or offer for sale of shares of unrestricted shares and the right to receive one or more cash payments subject to satisfaction of such conditions as the Compensation Committee may impose.
Incentive Bonus Awards. Incentive bonus awards may be awarded to the participant based upon the attainment of specified levels of our performance as measured by pre-established, objective performance criteria determined at the discretion of the Compensation Committee.
Change-of-Control Provisions. In connection withThe Compensation Committee may, at the time of the grant of an award, provide for the compensation committee may provide that, in the eventeffect of a change of control (as defined in the 2020 Plan) on an award, including (i) accelerating or extending the time periods for exercising, vesting in, or realizing gain from any award, (ii) eliminating or modifying the performance or other conditions of an award, or (iii) providing for the cash settlement of an award for an equivalent cash value, as determined by the Compensation Committee. The Compensation Committee may, in its discretion and without the need for the consent of any recipient of an award, also take one or more of the following actions contingent upon the occurrence of a change of control: (a) cause any or all outstanding stock options and SARs to become immediately exercisable, in whole or in part; (b) cause any other awardsto become non-forfeitable, in whole or in part; (c) cancel any stock option or SAR in exchange for a substitute option; (d) cancel any award of restricted stock, restricted stock units, performance shares or performance units in exchange for a similar award of the capital stock of any successor corporation; (e) redeem any restricted stock, restricted stock unit, performance share or performance unit for cash and/or other substitute consideration with a value equal to the fair market value of an unrestricted share of our Common Stock on the date of the change of control; (f) cancel any stock option or SAR in exchange for cash and/or other substitute consideration based on the value of our Common Stock on the date of the change in control, and cancel any stock option or SAR without any payment if its exercise price exceeds the value of our Common Stock on the date of the change of control; or (g) make such award will become fully vested and immediately exercisable.other modifications, adjustments or amendments to outstanding awards as the Compensation Committee deems necessary or appropriate.
 

Amendment and Termination. The compensation committeeCompensation Committee may adopt, amend and rescind rules relating to the administration of the 20142020 Plan, and amend, suspend or terminate the 20142020 Plan, but no such amendmentprovided, that (a) to the extent necessary and desirable to comply with any applicable law, regulation, or termination will be made that materially and adversely impairs the rightsstock exchange rule, we shall obtain stockholder approval of any participant with respect2020 Plan amendment in such a manner and to such a degree as required, and (b) stockholder approval is required for any award received therebyamendment to the 2020 Plan that (i) increases the number of shares available for issuance under the 20142020 Plan, withoutor (ii) changes the participant’s consent, other than amendments that are necessarypersons or class of persons eligible to permit the granting of awards in compliance with applicable laws. We have attempted to structure the 2014 Plan so that remuneration attributable to stock options and other awards will not be subject to the deduction limitation contained in Code Section 162(m).receive awards.
 
 
CERTAIN RELATIRELATIONSHIPSONSHIPS AND RELATED-PARTYRELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
 
Johan (Thijs) Spoor
We were party to an agreement withDuring the year ended December 31, 2015, we employed the services of JIST Consulting (“JIST”), a company controlled by Johan M.(Thijs) Spoor, our CEO,former Chief Executive Officer and President, and member of our board of directors, to provide Mr. Spoor’s services as a consultant for business strategy, financial modeling, and fundraising. During the years ended December 31, 2015 and 2014, we incurred $478,400 and $139,100, respectively, of expenses to JIST. As of March 31, 2016, we had $508,300Included in accounts payable at December 31, 2019 and 2018, is $348,400 and $478,400, respectively, for JIST relating to JIST.Mr. Spoor’s services. The $348,400 included in the accounts payable at December 31, 2019 has since been waived by Mr. Spoor, pursuant to a settlement and general release, effective July 9, 2020. Mr. Spoor received no other compensation from us other than reimbursementas specified in his employment agreement. On October 8, 2019, Mr. Spoor resigned as our Chief Executive Officer and President, and on April 29, 2020, Mr. Spoor resigned as a member of related travel expenses.the Board.
 
We were partyOn June 28, 2019, we accrued an incentive bonus in the amount of $255,000 payable to an agreement with Rigby-Hutton Management Services (“RHMS”)Mr. Spoor. Subsequent to provide our former President, Christine Rigby-Hutton. DuringMr. Spoor’s resignation, the yearsCompensation Committee reviewed the accrued bonus and determined that such amount was not owed, which determination is being challenged by Mr. Spoor. As a result of management’s determination, we reversed the accrual in the quarter ended December 31, 20152019. As part of a settlement and 2014, we incurred $27,750general release effective July 9, 2020, Mr. Spoor waived all claims to the incentive bonus in the amount of $255,000 and $99,142, respectively,also waived all claims to the amount of expenses$348,000 due to RHMS. As of March 31, 2016, we had $38,453 in accounts payable to RHMS. Ms. Rigby-Hutton resigned effective April 20, 2015.
On May 21, 2014, we entered into the SPA with ProteaJIST Consulting, a company controlled by Mr. Spoor. Also in connection with the Acquisition.  Pursuantsettlement and general release, Mr. Spoor received warrants to the SPA, we issued to Protea 100purchase an aggregate of 150,000 shares of our Series A Preferred convertible into 33%Common Stock and we agreed to pay Mr. Spoor’s legal expenses in the amount of our outstanding common stock. See the section entitled “Description of the Business, Agreements” above.$51,200.
 
On AugustAs of December 31, 2014, January 31, 2015, February 28, 2015 and May 31, 2015, we issued promissory notes2019, Mr. Spoor was entitled to Matthew Balk and his affiliates inan aggregate of 241,667 shares of restricted Common Stock with an aggregate grant date fair value of $855,668 that have vested but not been issued.  Mr. Spoor forfeited the aggregate principal amount of $236,000. These notes have been repaid in full asright to $50,000 on November 11, 2014, $111,000receive these shares on April 3, 2015, and $75,000 on August 7, 2015.  Mr. Balk holds voting and dispositive power over29, 2020 in connection with his resignation from the shares held by Pelican Partners LLC, which owns 40%, 47%, and 64%, respectively, of the outstanding common stock of the Company as of March 31, 2016 and December 31, 2015 and 2014.
In July 2014, we issued promissory notes to Johan M. (Thijs) Spoor, our president, chief operating officer and chairman of the board, in the aggregate principal amount of $10,000. These notes were repaid in full as to $5,000 on October 17, 2014 and $5,000 on November 10, 2014.
Board.
 
Mr. Spoor received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Spoor were cancelled as a result of Mr. Spoor’s resignation.
Maged Shenouda
From October 1, 2015 through December 31, 2015, the Company used2016 until his appointment as our Chief Financial Officer on September 25, 2017, we employed the services of Edward Borkowski, a member of the Board of Directors and the Company’s audit committee chair,Maged Shenouda as a financial consultant. Expense recordedIncluded in generalaccounts payable at December 31, 2019 and administrative expense2018 is $10,000 and $50,000, respectively, for Mr. Shenouda’s services. On November 1, 2019, Mr. Shenouda submitted his resignation as our Chief Financial Officer, effective November 30, 2019.
On June 28, 2019, we accrued an incentive bonus in the accompanying statementsamount of operations related$100,000 payable to Mr. Borkowski forShenouda. Subsequent to Mr. Shenouda’s resignation, the yearCompensation Committee reviewed the accrued bonus and determined that such amount was not owed, and we reversed the accrual in the quarter ended December 31, 2015 was $90,000. 2019. As part of March 31, 2016,a settlement and general release entered into on July 2, 2020, Mr. Shenouda waived all claims to the incentive bonus in the amount of $100,000 and we had $90,000agreed to pay Mr. Shenouda a settlement sum of $15,000, which includes $10,000 due to Mr. Shenouda reflected in our accounts payable as of June 30, 2020.
Mr. Shenouda resigned from his position as our Chief Financial Officer effective November 30, 2019. Mr. Shenouda received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Borkowski.Shenouda were cancelled as a result of Mr. Shenouda’s resignation. Mr. Shenouda has a period of twelve months following his resignation to exercise all vested stock options.
Promissory Notes, Series B Private Placement and Series B Exchange
On December 20, 2019, Edward J. Borkowski, received no other compensation fromChairman of the Company other than reimbursement of related travel expenses. On October 14, 2014 and March 12, 2015, the Company issuedBoard, purchased a Promissory Note (the “Borkowski Promissory Note”) for an original issue discounted convertible notes to Edward Borkowski, a director and the Company’s audit committee chair, in the aggregate principal amount of $300,000.$100,000, together with related warrants exercisable for 51,547 shares of Common Stock at an exercise price of $1.07, pursuant to a Note Purchase Agreement by and between us and certain accredited investors. The notes will automatically convertBorkowski Promissory Note accrued interest at a rate of 9% per annum and was convertible at the option of the holder into shares of the Company’s common stock upon the consummation of this offeringCommon Stock at a conversion price equal toof $0.97 per share. On July 16, 2020, in connection with the Series B Private Placement and the Series B Exchange, Mr. Borkowski purchased $250,000 worth of Series B Preferred Stock and related Series B Warrants for cash, and Mr. Borkowski also exchanged the balance of his outstanding Borkowski Promissory Note of $105,128 (including outstanding principal amount divided by the lesserand accrued and unpaid interest thereon) for 13.653087 shares of $6.45 per share or the per shareSeries B Preferred Stock convertible into 136,531 shares of Common Stock, Series B Warrants for 68,266 shares of Common Stock and Exchange Warrants for 25,774 shares of Common Stock.
On January 3, 2020, Edmund Burke Ross, Jr., a stockholder that beneficially owns greater than 5% of our outstanding shares, purchased a Promissory Note for an original amount of $750,000, together with related warrants exercisable for 375,000 shares of Common Stock at an exercise price of $1.07, pursuant to a Note Purchase Agreement by and between us and certain accredited investors. The Promissory Note accrued interest at a rate of 9% per annum and was convertible at the Company’s common stockoption of the holder into shares of Common Stock at a price of $0.97 per share. On July 16, 2020, in this offering, multiplied by 80%.connection with the Private Placement and the Exchange, Mr. Borkowski has signed an exchange agreement related to these notes as detailed inRoss exchanged the balance of his outstanding Promissory Note 10 to our financial statements below.
-58-

$785,877 (including outstanding principal amount and accrued and unpaid interest thereon) for 102.06191 shares of Series B Preferred Stock convertible into 1,020,620 shares of Common Stock, Series B Warrants for 510,310 shares of Common Stock and Exchange Warrants for 193,299 shares of Common Stock.
 
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENTOn July 16, 2020, in connection with the Series B Private Placement and the Exchange, James Sapirstein, President, Chief Executive Officer and Director purchased $100,000 worth of Series B Preferred Stock and related Series B Warrants for cash. Mr. Sapirstein received 12.987013 shares of Series B Preferred Stock convertible into 129,871 shares of Common Stock and Series B Warrants for 64,936 shares of Common Stock.
 
The following table sets forth certain information regarding the beneficial ownership of our common stock as of  August 4, 2016 ,Policy and as adjusted to reflect the sale of common stock being offered in this offering by:
each person, or group of affiliated persons, known to us to own beneficially more than 5% of our common stock;
each of our current directors;
each of our named executive officers; and
all of our current directors and executive officers as a group.
Procedures Governing Related Party Transactions
 
The informationBoard is committed to upholding the highest legal and ethical conduct in fulfilling its responsibilities and recognizes that related party transactions can present a heightened risk of potential or actual conflicts of interest.
The SEC rules define a related party transaction to include any transaction, arrangement or relationship which: (i) we are a participant; (ii) the following table has been presented in accordance with the rules of the SEC.  Under such rules, beneficial ownership of a class of capital stock includesamount involved exceeds $120,000; and (iii) executive officer, director or director nominee, or any shares of such class as to which a person directly or indirectly, has or shares voting power or investment power and also any shares as to which a person has the right to acquire such voting or investment power within 60 days through the exercise of any stock option, warrant or other right.  If two or more persons share voting power or investment power with respect to specific securities, each such personwho is deemedknown to be the beneficial owner of more than 5% of our Common Stock, or any person who is an immediate family member of an executive officer, director or director nominee or beneficial owner of more than 5% of our Common Stock had or will have a direct or indirect material interest.
Although we do not maintain a formal written procedure for the review and approval of transactions with such securities.  Except as we otherwise indicate belowrelated persons, it is our policy for the disinterested members of our Board to review all related party transactions on a case-by-case basis. To receive approval, a related-party transaction must have a legitimate business purpose for us and under applicable community property laws, we believebe on terms that the beneficial owners of the common stock listed below, based on information they have furnishedare fair and reasonable to us have sole voting and investment powerour stockholders and as favorable to us and our stockholders as would be available from non-related entities in comparable transactions. 
All related party transactions must be disclosed in our applicable filings with respect to the shares shown.  ExceptSEC as otherwise indicated, each stockholder named in the table is assumed to have sole voting and investment power with respect to the number of shares listed opposite the stockholder’s name.required under SEC rules.
 
 
Name and Address of Beneficial Owner (1)
 
Shares Beneficially
Owned
  
Percentage Total
Voting Power Prior to Offering
 
Percentage Total
Voting Power
After This Offering
 
Daniel Dupret
  
0
   
*
   * 
Johan M. (Thijs) Spoor (2)
  
339,885
   
6
%
  3
Alastair Riddell
  
10,000
   
*
   * 
Edward J. Borkowski (3)
  
280,486
   
5
  3%
Maged Shenouda  20,000   *  * 
Pelican Partners LLC (4)   1,803,146    30%17%
Richard Melnick (5)
   911,962    15%8%
Jason Adelman (6)
   560,243    9%5%
Burke Ross (7)  1,804,866   2516 %
ADEC Private Equity Investment, LLC (8)
  1,304,866   18%11%
EBR Ventures, LLC (9)  500,000   8%5%
All directors and executive officers as a group (5 persons)  650,371   11%6%
___________________________
PRINCIPAL STOCKHOLDERS
The following table sets forth information regarding shares of our Common Stock beneficially owned as of January 11, 2021 by:
 
* Less than 1%.
each of our officers and directors;
 
all officers and directors as a group; and
each person known by us to beneficially own five percent or more of the outstanding shares of our Common Stock. Percentage of ownership is calculated based on 38,849,938 shares of Common Stock outstanding as of January 1, 2021.
Beneficial Ownership of Common Stock
 
 
Number 
 
 
Percent Ownership
 
Name and Address of Beneficial Owner (1)
 
of Shares (2)
 
 
of Class (3)
 
Current Named Executive Officers and Directors
 
 
 
 
 
 
James Sapirstein, President and Chief Executive Officer (4)
  341,883 
  * 
Daniel Schneiderman, Chief Financial Officer (5)
  150,862 
  * 
James E. Pennington, Chief Scientific Officer (6)
  120,833 
  * 
Edward J. Borkowski, Chair of the Board of Directors (7)
  1,380,274 
  3.6%
Charles J. Casamento, Director (8)
  226,998 
  * 
Alastair Riddell, Director (9)
  272,049 
  * 
Vern L. Schranmm, Director (10)
  200,498 
  * 
Gregory Oakes, Director (11)
  60,000 
  * 
All directors and executive officer as a group (8 persons)
  2,753,397 
  7.1
 
    
    
5% Stockholders
    
    
Edmund Burke Ross, Jr. (12)
  3,881,108 
  9.9
(1)
Unless otherwise indicated, the address of such individual is c/o AzurRx BioPharma, Inc., 760 Parkside1615 South Congress Avenue, Downstate Biotechnology Incubator, Suite 217, Brooklyn, NY 11226.103, Delray Beach, FL 33445.

 
(2) Includes 300,000
Beneficial ownership is determined in accordance with the rules of the SEC and generally includes voting or investment power with respect to securities. All entries exclude beneficial ownership of shares issuable pursuant to warrants, options grantedor other derivative securities that have not vested or that are not otherwise exercisable as of the date hereof or which will not become vested or exercisable within 60 days.

(3)
Percentages are rounded to nearest tenth of a percent. Percentages are based on 38,849,938 shares of Common Stock outstanding. Warrants, options or other derivative securities that are presently exercisable or exercisable within 60 days are deemed to be beneficially owned by third parties at an exercise price of $1.00 per share and 39,851 shares held in a trustthe person holding such securities for the benefitpurpose of Mr. Spoor’s minor children.computing the percentage ownership of that person, but are not treated as outstanding for the purpose of computing the percentage of any other person.

 
(3)
(4)
Includes 103,126(i) 141,667 shares of Common Stock issuable upon exercise of vested options, (ii) 135,281 shares of Common Stock issuable upon conversion of OID notes13.528196 shares of Series B Preferred Stock, which includes issued PIK dividends through December 31, 2020, and 27,360(iii) 64,935 shares of Common Stock issuable upon exercise of warrants. Excludes (i) 1,358,333 shares of Common Stock issuable upon exercise of unvested options, and (ii) 200,000 shares of Common Stock issuable upon unvested Restricted Stock Units (RSUs).Pursuant to the Exchange Right, Mr. Sapirstein has the right to exchange the stated value, plus accrued and unpaid dividends, of the shares of Series B Preferred Stock beneficially owned by him for shares of Series C Preferred Stock and Investor Warrants on a dollar-for-dollar basis. Any shares of Common Stock issuable upon conversion of the shares of Series C Preferred Stock issuable pursuant to the Exchange Right counts against the Issuable Maximum, and Investor Warrants issued pursuant to the Exchange Right may not be exercised until we have obtained Stockholder Approval.


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(5)
Includes (i) 1,000 shares of Common Stock and (ii) 149,862 shares of Common Stock issuable upon exercise of vested options. Excludes 435,144 shares of Common Stock issuable upon exercise of unvested options.

(6)
Includes 120,833 shares of Common Stock issuable upon exercise of vested options. Excludes 364,167 shares of Common Stock issuable upon exercise of unvested options.

(7)
Includes (i) 409,773 shares of Common Stock; (ii) 336,397 shares of Common Stock issuable upon the exercise of warrants.
(4) The addresswarrants; (iii) 140,000 shares of such individual is P.O. Box 2422, Westport, CT 06880.
(5) The addressCommon Stock issuable upon exercise of such individual is 28 Gothic Ave., Crested Butte, CO 81224.

(6) The addressvested options; (iv) 480,423 shares of such individual is 30 E. 72nd St., 5th Floor, New York, NY 10021. 
(7) Includes 1,031,268 sharesCommon Stock issuable upon conversion of OID notes48.042522 shares of Series B Preferred Stock, which includes issued PIK dividends through December 31, 2020, and 273,598(v) 13,680 shares of Common Stock held by Mr. Borkowski’s spouse. Excludes (i) 45,000 unvested and unissued restricted shares of Common Stock; and (ii) 41,237 shares of Common Stock issuable upon the exercise of unvested options. Pursuant to the Exchange Right, Mr. Borkowski has the right to exchange the stated value, plus accrued and unpaid dividends, of the shares of Series B Preferred Stock beneficially owned by him for shares of Series C Preferred Stock and Investor Warrants on a dollar-for-dollar basis. Any shares of Common Stock issuable upon conversion of the shares of Series C Preferred Stock issuable pursuant to the Exchange Right counts against the Issuable Maximum, and any Investor Warrants issued pursuant to the Exchange Right may not be exercised until we have obtained Stockholder Approval.

(8)
Includes (i) 107,998 shares of Common Stock; (ii) 110,000 shares of Common Stock issuable upon exercise of vested options; and (iii) 9,000 shares of Common Stock held by La Jolla Lenox Trust, a family trust of which the Trustee is someone other than Mr. Casamento. Mr. Casamento and members of his immediate family are the sole beneficiaries of the trust. Excludes 75,000 shares of Common Stock issuable upon exercise of unvested options. Excludes 41,237 shares of Common Stock issuable upon exercise of unvested options.

(9)
Includes (i) 132,049 shares of Common Stock and (ii) 140,000 shares of Common Stock issuable upon exercise of vested options. Excludes (i) 30,000 unvested restricted shares of Common Stock; and (ii) 41,237 shares of Common Stock issuable upon exercise of unvested options.

(10)
Includes (i) 90,498 shares of Common Stock and (ii) 110,000 shares of Common Stock issuable upon exercise of vested options. Excludes 41,237 shares of Common Stock issuable upon exercise of unvested options.

(11)
Includes 60,000 shares of Common Stock issuable upon exercise of vested options. Excludes 41,237 shares of Common Stock issuable upon exercise of unvested options.

(12)
Based upon information contained in a Schedule 13D filed by Edmund Burke Ross, Jr. on August 11, 2020 and records maintained by us.Includes warrants heldto purchase 1,970,297 shares of Common Stock beneficially owned by Mr. Ross, of which (i) 100,000 warrants to purchase 75,000 shares of Common Stock, warrants to purchase 386,598 shares of Common Stock, 510,309 Series B Warrants and 193,299 Exchange Warrants are owned by EBR Ventures, LLC and (ii) warrants to purchase 805,991 shares of Common Stock are owned by ADEC Private Equity Investment,Investments, LLC. The Series B Preferred Stock and the warrants include a beneficial ownership blocker that limits the conversion and/or exercise of the Series B Preferred Stock and the warrants at 9.99% of the outstanding Common Stock. Mr. Ross is the manager of EBR Ventures, LLC and 500,000ADEC Private Equity Investments, LLC and, accordingly, may be deemed to be the indirect beneficial owner (as that term is defined under Rule 13d-3 under the Securities Exchange Act) of the Common Stock that EBR Ventures, LLC and ADEC Private Equity Investments, LLC own. Mr. Ross has the sole power to vote or direct the vote or to dispose of 5,407,629 shares of common stock held byCommon Stock, subject to the 9.99% beneficial ownership blocker contained in the Series B Preferred Stock and the Warrants. None of EBR Ventures, LLC.
(8) Includes 1,031,268LLC and ADEC Private Equity Investments, LLC have power to vote or direct the vote or to dispose any shares issuable upon conversion of OID notes and 273,598 shares issuable upon the exercise of warrants. Burke Ross has voting and dispositive power over the shares held by such entity.Common Stock.. The address of Mr. Ross, Jr. and such entityentities is c/o SCS Financial, 919 Third Ave., 30th Floor, New York, NY 10022. JDJ Family Office Services, P.O. Box 962049, Boston, MA 02196.
(9) Burke Ross has voting and dispositive power over the shares held by such entity.  The address of such entity is 172 South Ocean Blvd., Palm Beach, FL 33480.


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DESCRIPTIDESCRIPTION ON OF SECURITIESCAPITAL STOCK
The following summary of the rights of our capital stock is not complete and is subject to and qualified in its entirety by reference to our certificate of incorporation and bylaws, copies of which are filed as exhibits to our Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on March 30, 2020, as amended on April 29, 2020, and the Certificate of Designations and forms of securities, copies of which are filed as exhibits to the registration statement of which this prospectus forms a part , which are incorporated by reference herein.   
 
General
 
Our certificate of incorporation, as amended and restated certificate of incorporationon December 20, 2019 (our “Charter”) authorizes the issuance of up to 100,000,000150,000,000 shares of common stock,Common Stock, par value $0.0001 per share, and 10,000,000 shares of preferred stock, par value $0.0001 per share.share (the “Preferred Stock”), of which a series of 5,194.805195 shares of Series B Preferred Stock and a series of 75,000 shares of Series C Preferred Stock are designated.
 
Common Stock
 
As of August 4, 2016 ,January 11, 2021, there were 6,028,928150,000,000 shares of common stock outstandingCommon Stock, par value $0.0001 per share, and 1,092,80010,000,000 shares of commonpreferred stock, par value $0.0001 per share (the “Preferred Stock”), of which a series of 5,194.805195 shares of Series B Preferred Stock and a series of 75,000 shares of Series C Preferred Stock have been designated.
As of January 11, 2021, there were 38,849,938 shares of Common Stock outstanding, 2,547.277158 shares of Series B Preferred Stock and 8,623.5293 of Series C Preferred Stock outstanding. As of January 11, 2021, we had:
4,082,506 shares of Common Stock issuable upon the exercise of stock options, at a weighted average exercise price of $1.24 per share under our 2014 Plan;
387,000 shares of granted, but unissued restricted stock and restricted stock units under our 2014 Plan;
36,592,527 shares of Common Stock issuable upon exercise of outstanding warrants, with a weighted average exercise price of $1.09 per share;
316,185 shares of Common Stock issuable upon the exercise of stock options, at a weighted average exercise price of $0.95 per share under our 2020 Plan;
9,638,815 shares of Common Stock that are available for future issuance under our 2020 Plan;
25,535,473 shares of Common Stock issuable upon conversion of Series B Convertible Preferred Stock, including accrued and unpaid dividends of approximately $48,363 as of January 11, 2021;
up to 679,282 shares of Common Stock issuable upon conversion of Series C Preferred Stock that may be issued pursuant to the Exchange Right, in excess of amounts currently underlying the Series B Preferred Stock, the issuance of which is subject to outstanding warrants. An additional 2,642,160the Stockholder Approval to the extent in excess of the Issuable Maximum;
up to 26,151,945 shares of common stock willCommon Stock issuable upon exercise of Investor Warrants that may be issued immediately priorpursuant to the closingExchange Right, the issuance of this offeringwhich is subject to the Stockholder Approval;
3,260,869 shares of Common Stock issuable upon the conversion of outstanding convertible notes. Each holderSeries C Preferred Stock issued to First Wave pursuant to the First Wave License Agreement, the issuance of common stockwhich is entitledsubject to one vote for each sharethe Stockholder Approval;
746,667 shares of common stock held on all matters submittedCommon Stock issuable upon exercise of Placement Agent Warrants, the issuance of which is subject to a votethe Stockholder Approval;
5,333,334 shares of Common Stock issuable upon conversion of Series C Preferred Stock sold in the Private Placement, the issuance of which is subject to the Stockholder Approval to the extent in excess of the stockholders, includingIssuable Maximum; and
10,666,668 shares of Common Stock issuable upon exercise of Investor Warrants sold in the electionPrivate Placement, the issuance of directors. which is subject to the Stockholder Approval.
Our certificate of incorporationCharter and bylawsAmended and Restated Bylaws (our “Bylaws”) do not provide for cumulative voting rights.
Subject to preferences that may be applicable to any then outstanding preferred stock, the holders of our outstanding shares of common stock are entitled to receive dividends, if any, as may be declared from time to time by our board of directors out of legally available funds. In the event of our liquidation, dissolution or winding up, holders of common stock will be entitled to share ratably in the net assets legally available for distribution to stockholders after the payment of all of our debts and other liabilities, subject to the satisfaction of any liquidation preference granted to the holders of any outstanding shares of preferred stock.
 
Holders of our common stockCommon Stock have no preemptive, conversion or subscription rights, and there are no redemption or sinking fund provisions applicable to the common stock.Common Stock. The rights, preferences and privileges of the holders of common stockCommon Stock are subject to, and may be adversely affected by, the rights of the holders of shares of any series of our preferred stock that are outstanding or that we may designate and issue in the future.
 
Preferred Stock
 
We currently have up to 10,000,000 shares of preferred stock, par value $0.0001 per share, authorized and available for issuance in one or more series. Our board of directors is empowered, without stockholder approval,authorized to issuedivide the preferred stock into any number of series, fix the designation and number of each such series, and determine or change the designation, relative rights, preferences, and limitations of any series of preferred stock. The board of may increase or decrease the number of shares initially fixed for any series, but no decrease may reduce the number below the shares then outstanding and duly reserved for issuance. As of January 11, 2021, 5,194.805195 shares were designated as Series B Preferred Stock, of which 2,738.643867 were issued and outstanding, and 75,000 were designated as Series C Preferred Stock, of which 5,333.3333 were issued and outstanding. This leaves 9,991,928.022833 shares of preferred stock authorized but unissued.

The shares of Common Stock being offered by the selling stockholder are those issuable to the selling stockholder upon conversion of the Series C Preferred Stock, exercise of the Investor Warrants, and to the extent any are issued to the selling stockholder upon conversion of the Series C Preferred Stock, the Pre-funded Warrants. On January 6, 2021, the Offerings closed and the investor converted all of its Series C Preferred Stock issued in the Registered Direct Offering, effective immediately upon the closing. Upon such conversion, the investor received an aggregate of 3,400,000 shares of Common Stock and Pre-funded Warrants to purchase up to 1,933,334 shares of Common Stock. Accordingly, following the closings, 853,632 shares of Common Stock currently remain available for issuance below the Issuable Maximum, as described further below, prior to obtaining the Stockholder Approval.
Except to the extent of effective Stockholder Approval, the Series C Preferred Stock will not be convertible into shares of Common Stock (or any Pre-funded Warrants exercisable into shares of Common Stock, as applicable) in excess of the Issuable Maximum.
Series C Preferred Stock
The following is a summary of the material terms and provisions of the Series C Preferred Stock. This summary is subject to and qualified in its entirety by the Series C Certificate of Designations.
On January 4, 2021, we designated 75,000 shares as Series C Preferred Stock and issued 5,333.3333 of such shares in the Registered Direct Offering and 5,333.3333 of such shares in the Private Placement. This leaves 64,333.3334 shares of authorized but unissued shares of Series C Preferred Stock.
Under the Series C Certificate of Designations, each share of Series C Preferred Stock will be convertible, subject to the Beneficial Ownership Limitation and the Issuable Maximum, at either the holder’s option or at our option at any time, into common stock at a conversion rate equal to the quotient of (i) the Series C Stated Value of $750 plus all accrued and accumulated and unpaid dividends on such share of Series C Preferred Stock divided by (ii) the initial conversion price of $0.75, subject to specified adjustments for stock splits, cash or stock dividends, reorganizations, reclassifications other similar events as set forth in the Certificate of Designations.
The Series C Preferred Stock is subject to the Beneficial Ownership Limitation, and the Certificate of Designations provides for the issuance of Pre-Funded Warrants to the extent necessary to comply with the Beneficial Ownership Limitation.
Until we have obtained the Stockholder Approval, we may not issue, upon conversion of the Series C Preferred Stock and certain related transactions, a number of shares of common stock which would exceed an aggregate of 6,186,966 shares of Common Stock, which we refer to as the Issuable Maximum. The Issuable Maximum shall be applied collectively, when any conversions of Series C Preferred Stock are aggregated together with all shares of Common Stock issuable upon conversion or exchange of any securities issued in certain related transactions to this offering and Private Placement, including (i) any shares of preferred stock issuable to First Wave as consideration for the First Wave License Agreement, (ii) any warrants issued to the placement agent and (iii) any securities issuable to holders of the Exchange Right as a result of the Offerings, which we refer, collectively, as the Related Transactions. Any conversions of Series C Preferred Stock will be processed in the order in which we receive such conversion request from the holders of Series C Preferred Stock, and not on a pro rata basis. As a result of the conversion, immediately upon consummation of the Registered Direct Offering, of 5,333.3333 shares of Series C Preferred Stock into Common Stock and Pre-funded Warrants, 853,632 shares of Common Stock remained available for issuance below the Issuable Maximum as of January 11, 2021.
Upon receipt of the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-Funded Warrants, as applicable).
Each holder of shares of Series C Preferred Stock, subject to the preference and priority to the holders of our Series B Preferred Stock, is entitled to receive dividends, commencing from the date of issuance of the Series C Preferred Stock. Such dividends may be paid only when, as and if declared by the Board, out of assets legally available therefore, quarterly in arrears on the last day of March, June, September and December in each year, commencing on the date of issuance, at the dividend rate of 9.0% per year. Such dividends are cumulative and continue to accrue on a daily basis whether or not declared and whether or not we have assets legally available therefore.
Under the Series C Certificate of Designations, each share of Series C Preferred Stock carries a liquidation preference equal to the Series C Stated Value plus accrued and unpaid dividends thereon and any other fees or liquidated damages then due and owing thereon.
The holders of the Series C Preferred Stock have no voting rights. We may not take the following actions without the prior consent of the holders of at least a majority of the Series C Preferred Stock then outstanding: (a) alter or change adversely the powers, preferences or rights given to the Series C Preferred Stock or alter or amend the Certificate of Designations, (b) authorize or create any class of stock ranking as to dividends, redemption votingor distribution of assets upon a Liquidation (as defined in the Certificate of Designations) senior to, or otherwise paripassu with, the Series C Preferred Stock, (c) amend our certificate of incorporation or other rights which couldcharter documents in any manner that adversely affect the voting power or otheraffects any rights of the holders of common stock. In addition, the preferred stock could be utilized as a methodSeries C Preferred Stock, (d) increase the number of discouraging, delaying or preventing a change in control of us. Although we do not currently intend to issue anyauthorized shares of preferred stock, we cannot assure you that we will not do so inSeries C Preferred Stock, or (e) enter into any agreement with respect to any of the future.foregoing.
Convertible Notes
 
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Commencing on October 10, 2014, throughTable of Contents

Series B Preferred Stock
On July 16, 2020, we designated 5,194.805195 shares as Series B Preferred Stock and issued 2,912.583005 of such shares.
Under the Series B Certificate of Designations, each share of Series B Preferred Stock will be convertible, at the holder’s option at any time, into Common Stock at a seriesconversion rate equal to the quotient of transactions, we issued original issue 15% discounted convertible notes(i) the $7,700 stated value (the “Series B Stated Value”) divided by (ii) the initial conversion price of $0.77, subject to various investors. On March 31, 2016,specified adjustments for stock splits, cash or stock dividends, reorganizations, reclassifications other similar events as set forth in the Series B Certificate of Designations. In addition, if at any time after the six month anniversary of the date of the Private Placement, the closing sale price per share of Common Stock exceeds 250% of the initial conversion price, or $1.925, for 20 consecutive trading days, then all of the outstanding shares of Series B Preferred Stock will automatically convert (the “Automatic Conversion”) into such number of shares of Common Stock as is obtained by multiplying the number of shares of Series B Preferred Stock to be so converted, plus the amount of any accrued and unpaid dividends thereon, by the Series B Stated Value per share and dividing the result by the then applicable conversion price.
The Series B Preferred Stock contains limitations that prevent the holder thereof from acquiring shares of Common Stock upon conversion (including pursuant to the Automatic Conversion) that would result in the number of shares beneficially owned by such holder and its affiliates exceeding 9.99% of the total number of shares of Common Stock outstanding immediately after giving effect to the conversion, which percentage may be increased or decreased at the holder’s election not to exceed 19.99%.
Each holder of shares of Series B Preferred Stock, in preference and priority to the holders of all but $300,000other classes or series of our stock, is entitled to receive dividends, commencing from the date of issuance. Such dividends may be paid by us only when, as and if declared by the Board, out of assets legally available therefore, semiannually in principal signed exchange agreements rollingarrears on the principal amount into new original issue 8% discounted convertible notes duelast day of June and December in each year, commencing December 31, 2020, at the dividend rate of 9.0% per year, which is cumulative and continues to accrue on November 4, 2016, modifyinga daily basis whether or not declared and whether or not we have assets legally available therefore. We may pay such dividends at our sole option either in cash or in kind in additional shares of Series B Preferred Stock (rounded down to the nearest whole share), provided we must pay in cash the fair value of any such fractional shares in excess of $100.00. Under the Series B Certificate of Designations, to the extent that applicable law or any of our existing contractual restrictions prohibit any required issuance of additional shares of Series B Convertible Preferred Stock as in-kind dividends or otherwise (“Additional Shares”), then appropriate adjustment to the conversion price to $4.65 per share. Theof the Series B Convertible Preferred Stock shall be made so that the resulting number of conversion shares includes the aggregate gross proceeds received in connection with these notes asnumber of August 4, 2016 was $9,042,529. The notes will automatically convert into shares of our common stock uponCommon Stock into which such Additional Shares would otherwise be convertible.
Under the consummationSeries B Certificate of this offeringDesignations, each share of Series B Preferred Stock carries a liquidation preference equal to the quotient obtained by dividingSeries B Stated Value (as adjusted thereunder) plus accrued and unpaid dividends thereon (the “Series B Liquidation Preference”).
In the principal amount, multiplied by 1.25, byevent we effect any issuance of common stock or common stock equivalents for cash consideration, or a combination of units thereof (a “Subsequent Financing”), each holder of the lesserSeries B Preferred Stock has the right, subject to certain exceptions set forth in the Series B Certificate of (a) $4.65Designations, at its option, to exchange (in lieu of cash subscription payments) all or (b)some of the priceSeries B Preferred Stock then held (with a value per share of Series B Preferred Stock equal to the Series B Liquidation Preference) for any securities or price per unitunits issued in this offering (2,642,160 shares).a Subsequent Financing on dollar-for-dollar basis.
 
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Options
The holders of the Series B Preferred Stock, voting as a separate class, will have customary consent rights with respect to certain corporate actions by us. We currently domay not have any outstanding options to purchasetake the following actions without the prior consent of the holders of at least a majority of the Series B Preferred Stock then outstanding: (a) authorize, create, designate, establish, issue or sell an increased number of shares of ourSeries B Preferred Stock or any other class or series of capital stock ranking senior to or on parity with the Series B Preferred Stock as to dividends or upon liquidation; (b) reclassify any shares of common stock or any other securities.class or series of capital stock into shares having any preference or priority as to dividends or upon liquidation superior to or on parity with any such preference or priority of Series B Preferred Stock; (c) amend, alter or repeal our Certificate of Incorporation or Bylaws and the powers, preferences, privileges, relative, participating, optional and other special rights and qualifications, limitations and restrictions thereof, which would adversely affect any right, preference, privilege or voting power of the Series B Preferred Stock; (d) issue any indebtedness or debt security, other than trade accounts payable, insurance premium financings and/or letters of credit, performance bonds or other similar credit support incurred in the ordinary course of business, or amend, renew, increase, or otherwise alter in any material respect the terms of any such indebtedness existing as of the date of first issuance of shares of Series B Preferred Stock; (e) redeem, purchase, or otherwise acquire or pay or declare any dividend or other distribution on (or pay into or set aside for a sinking fund for any such purpose) any of our capital stock; (f) declare bankruptcy, dissolve, liquidate, or wind up our affairs; (g) effect, or enter into any agreement to effect, a Change of Control (as defined in the Series B Certificate of Designations); or (h) materially modify or change the nature of our business.
 
Warrants
 
In connection with our private placement of our original issue discounted convertible notes, we issued five-year warrants (the “Warrants”) to purchase an aggregate of 950,360 shares of our common stock at exercise prices ranging from $5.58 to $7.37 per share. In addition, we issued warrants to purchase an aggregate of 142,440 shares of our common stock to placement agents in connection with this private placement.
Transfer AgentInvestor Warrants
 
The transfer agent for our common stockfollowing is Transhare Corporation, 4626 South Broadway, Englewood, Colorado 80113, Tel: (303) 662-1112.a summary of the material terms and provisions of the Investor Warrants that are being offered in the concurrent Private Placement. This summary is subject to and qualified in its entirety by the form of Investor Warrant.
 
ListingThe Investor Warrants will have an exercise price of $0.80 per share. The Investor Warrants will have a term of five and one-half years. The exercise price and number of shares of Common Stock issuable upon exercise are subject to appropriate adjustment in the event of share dividends, share splits, reorganizations or similar events affecting our shares of Common Stock. Investor Warrants will be issued in certificated form only. 
 
We have applied to have our common stock listed on The NASDAQ Capital Market underUntil the symbol “AZRX.”
Holders
As of August 4, 2016 , there were 6,028,928Stockholder Approval is obtained, the Company may not issue any shares of common stock outstanding, which were heldCommon Stock upon exercise of the Investor Warrants.
Following the Stockholder Approval, the Investor Warrants will be exercisable, at the option of each holder, in whole or in part, by approximately 46 stockholdersdelivering to us a duly executed exercise notice accompanied by payment in full for the number of record.
Registration Rights
Pursuantshares of Common Stock purchased upon such exercise (except in the case of a cashless exercise as discussed below). A holder (together with its affiliates) may not exercise any portion of such holder’s Investor Warrants to the SPA with Protea, we granted registration rights to Protea to includeextent that the shares of common stock issuable upon conversionholder would own more than 4.99% (or, at the election of the Series A Preferred in registration statements that we may file for ourselves or other stockholders in the future.  We also agreed with the holderspurchaser, 9.99%) of our outstanding OID notes and warrants issuedshares of Common Stock immediately after exercise, except that upon at least 61 days’ prior notice from the holder to us, the holder may increase the amount of ownership of outstanding shares of Common Stock after exercising the holder’s Investor Warrants up to 9.99% of the number of shares of Common Stock outstanding immediately after giving effect to the exercise, as such percentage ownership is determined in connection therewith that we file aaccordance with the terms of the Investor Warrants. 


If at the time of exercise of the Investor Warrant there is no effective registration statement providingregistering, or the prospectus contained therein is not available for the resale of the shares of common stock underlying such notes and warrants no later than sixty (60) days following the effective date of this offering (subject to any underwriter lock-ups).  In addition, we granted certain registration rights in connection with the issuanceCommon Stock issuable upon exercise of the warrants issuedInvestor Warrant, then the Investor Warrants will also be exercisable on a “cashless exercise” basis under which the holder will receive upon such exercise a net number of common shares determined according to our placement agenta formula set forth in connectionthe Investor Warrants.

In the event of any fundamental transaction, as described in the  Investor Warrants and generally including any merger with a previous private placement.  We will payor into another entity, sale of all or substantially all of our assets, tender offer or exchange offer, or reclassification of our shares of Common Stock, then upon any subsequent exercise of an Investor Warrant, the expenses associated withholder will have the right to receive as alternative consideration, for each share of Common Stock that would have been issuable upon such exercise immediately prior to the occurrence of such registrations.
Delaware Anti-Takeover Law
We are subject to the provisions of Section 203 of the DGCL regulating corporate takeovers upon consummation of this offering. This statute prevents certain Delaware corporations, under certain circumstances, from engaging in a “business combination” with:
a stockholder who owns 15% or more of our outstanding voting stock (otherwise known as an “interested stockholder”);
an affiliate of an interested stockholder; or
an associate of an interested stockholder, for three years following the date that the stockholder became an interested stockholder.
A “business combination” includes a merger or sale of more than 10% of our assets. However, the above provisions of Section 203 do not apply if:
our board of directors approves the transaction that made the stockholder an “interested stockholder,” prior to the date of the transaction;
after the completion of the transaction that resulted in the stockholder becoming an interested stockholder, that stockholder owned at least 85% of our voting stock outstanding at the time the transaction commenced, other than statutorily excluded shares of common stock; or
on or subsequent to the date of thefundamental transaction, the business combination is approved by our board of directors and authorized at a meeting of our stockholders, and not by written consent, by an affirmative vote of at least two-thirds of the outstanding voting stock not owned by the interested stockholder.
SHARES ELIGIBLE FOR FUTURE SALE
Prior to this offering, no public market for our common stock existed, and a liquid trading market for our common stock may not develop or be sustained after this offering. Future sales of substantial amounts of our common stock in the public market could adversely affect prevailing market prices of our common stock from time to time and could impair our future ability to raise equity capital in the future. Furthermore, because only a limited number of shares of our common stock will be available for sale shortly after this offering due to certain contractual and legal restrictions on resale described below, salesCommon Stock of substantial amountsthe successor or acquiring corporation or of our common stock incompany, if it is the public market after such restrictions lapse,surviving corporation, and any additional consideration receivable upon or the anticipationas a result of such sales, could adversely affect the prevailing market pricetransaction by a holder of our common stock and our ability to raise equity capital in the future.
Based upon the number of shares outstanding as of August 4, 2016,Common Stock for which the Investor Warrant is exercisable immediately prior to such event. In addition, in the event of a fundamental transaction which is approved by our board of directors, the holder has the right to require us or a successor entity to redeem the Investor Warrant for cash in the amount of the Black-Scholes value of the unexercised portion of the Investor Warrant on the date of the consummation of the fundamental transaction. In the event of a fundamental transaction which is not approved by our Board, the holders of the Investor Warrants have the right to require us or a successor entity to redeem the Investor Warrant for the consideration paid in the fundamental transaction in the amount of the Black Scholes value of the unexercised portion of the Investor Warrant on the date of the consummation of the fundamental transaction. 

In accordance with its terms and subject to applicable laws, an Investor Warrant may be transferred at the option of the holder upon surrender of the Investor Warrant to us together with the appropriate instruments of transfer and payment of funds sufficient to pay any transfer taxes (if applicable). 
No fractional shares of Common Stock will be issued upon the closing of this offering, we will have outstanding an aggregate of 10,813,945 shares of common stock, assuming no exercise of the underwriters’ over-allotment optionInvestor Warrants. Rather, the number of shares of Common Stock to be issued will, at our election, either be rounded up to the nearest whole number or we will pay a cash adjustment in respect of such final fraction in an amount equal to such fraction multiplied by the exercise price. 

There is no established trading market for the Investor Warrants, and nowe do not expect a market to develop. We do not intend to apply for a listing for the Investor Warrants on any securities exchange or other nationally recognized trading system. Without an active trading market, the liquidity of the Investor Warrants will be limited. 

Except as otherwise provided in the Investor Warrants or by virtue of the holders’ ownership of shares of Common Stock, the holders of Investor Warrants do not have the rights or privileges of holders of our shares of Common Stock, including any voting rights, until such Investor Warrant holders exercise their warrants.

An Investor Warrant may be modified or amended or the provisions thereof waived with the written consent of our company and the holder of the Investor Warrant.

Pre-funded Warrants
The following is a summary of the material terms and provisions of the Pre-funded Warrants. This summary is subject to and qualified in its entirety by the form of Pre-funded Warrant.
The Series C Certificate of Designations provides for the issuance of Pre-funded Warrants if necessary to comply with the Beneficial Ownership Limitation. The Pre-funded Warrants are exercisable at a price of $0.001 per share and are not subject to expiration. We are prohibited from effecting an exercise of any Pre-funded Warrants to the extent that such exercise would result in the number of shares of Common Stock beneficially owned by such holder and its affiliates exceeding 4.99% of the total number of shares of Common Stock outstanding options,immediately after giving effect to the conversionexercise, which percentage may be increased or decreased at the holder’s election not to exceed 9.99%.
Other Warrants
As of (i) all outstandingJanuary 11, 2021, we had warrants to purchase an aggregate of 36,592,527 shares of our preferred stock into 878,171Common Stock outstanding, with a weighted average exercise price of $1.04 per share.


Series B Exchange Right
Under the Series B Certificate of Designations, each holder of the Series B Preferred Stock has the right to exchange the stated value, plus accrued and unpaid dividends, of the Series B Preferred Stock for shares of common stockSeries C Preferred Stock and (ii)Investor Warrants on a dollar-for-dollar basis with investors in this offering, in lieu of any cash subscription payments therefor, referred to herein as the issuanceExchange Right.
In connection with any exercise of 2,642,160any Exchange Rights, under Nasdaq Listing Rule 5635 and related guidance, prior to obtaining the Stockholder Approval, conversions into Common Stock at the reduced conversion price of $0.75 per share applicable to the Series C Preferred Stock will not be permissible in excess of the 6,186,966 share Issuable Maximum, except to the extent such conversions do not exceed the amount previously issuable upon conversion of the Series B Preferred Stock at the prior conversion price of $0.77 per share, which was the applicable conversion price at the time of our stockholder approval for the Series B Preferred Stock obtained on September 11, 2020. Any such conversions of Series C Preferred Stock will be processed in the order in which we receive such conversion request from the holders of Series C Preferred Stock, and not on a pro rata basis, and the Issuable Maximum shall be applied collectively when any conversions of Series C Preferred Stock are aggregated together with all shares of common stockCommon Stock issuable in respect of the Related Transactions.As a result of the conversion, immediately upon consummation of the Registered Direct Offering, of 5,333.3333 shares of Series C Preferred Stock into Common Stock and Pre-funded Warrants, 853,632 shares of Common Stock remained available for issuance below the Issuable Maximum as of January 11, 2021.
Upon receipt of the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-Funded Warrants, as applicable).
Any Series C Preferred Stock and Investor Warrants issued pursuant to the Exchange Rights, and of the shares of Common Stock issuable upon the conversion of outstanding convertible notes immediately prioror exercise thereof (or any Pre-funded Warrants, as applicable), are not anticipated to the closing of this offering. All of the shares sold in this offering by us will be freely tradable without restrictions or further registrationregistered under the Securities Act unless heldand are anticipated to be made pursuant to the exemptions provided by our affiliates, as that term is defined under Rule 144Section 3(a)(9) under the Securities Act, or subject to lock-up agreements. The remaining shares of common stock outstanding upon the closing of this offering are restricted securities as defined in Rule 144. Restricted securities may be sold in the U.S. public market only if registered or if they qualify for ananother applicable exemption from registration, including by reason of Rule 144 or Rule 701 under the Securities Act, which rules are summarized below. These remaining shares will generally become available for sale in the public market as follows:
no shares will be eligible for sale in the public market on the date of this prospectus; and
approximately 10,813,945 shares will be eligible for sale in the public market upon expiration of lock-up agreements 181 days after the date of this prospectus, subject in certain circumstances to the volume, manner of sale and other limitations of Rule 144 and Rule 701.
As of August 4, 2016 , of the 1,092,800 shares of common stock issuable upon exercise of outstanding options and warrants, approximately 1,092,800 shares will be vested and eligible for sale 181 days after the date of this prospectus.
We may issue shares of common stock from time to time as consideration for future acquisitions, investments or other corporate purposes. In the event thattherefrom. Accordingly, any such acquisition, investment or other transaction is significant, the number of shares of common stock that we may issue may in turnsecurities are not anticipated to be significant. We may also grant registration rights covering those shares of common stock issued in connection with any such acquisition and investment.
In addition, the shares of common stock reserved for future issuance under our 2014 Plan will become eligible for sale in the public marketfreely transferable without restriction, pursuant to the extent permitted by the provisions of various vesting schedules, the lock-up agreements, a registration statement under the Securities Act or an exemption from registration, including Rule 144 and Rule 701.

Rule 144
In general, persons who have beneficially owned restricted shares of our common stock for at least six months, and any affiliate of the company who owns either restricted or unrestricted shares of our common stock, are entitled to sell their securities without registration with the SEC under an exemption from registration provided by Rule 144 under the Securities Act.Act, except following the expiration of an applicable holding period, as determined in accordance with Rule 144(d), which for our non-affiliates is generally six months from the date of the original investment.

Stockholder Approval
We do not have a sufficient number of authorized shares of Common Stock to cover all of the shares of Common Stock issuable upon the exercise in full of all of the Investor Warrants issued in the Private Placement and potentially issuable to holders of Series B Preferred Stock in connection with their exercise of the Exchange Rights.


 
In general, a person who has beneficially owned restrictedaddition, pursuant to Nasdaq Listing Rule 5635, stockholder approval is required for the issuance of any shares of our common stockCommon Stock in excess of the Issuable Maximum, or 6,186,966 shares of Common Stock in the aggregate, to be applied collectively, with conversions processed in the order in which we receive them, aggregating shares of Common Stock issuable upon conversion of Series C Preferred Stock together with all shares of Common Stock issuable upon conversion or exchange of any securities issued in certain related transactions to this offering and Private Placement, including (i) any shares of Series C Preferred Stock issuable to First Wave as consideration for at least six months would be entitledthe First Wave License Agreement, (ii) any Placement Agent Warrants and (iii) any securities issuable to sell their securities provided that (1) such person is not deemed to have been oneholders of our affiliates at the time of, or at any time during the 90 days preceding, a sale, (2) we have been subject to the Exchange Act periodic reporting requirements for at least 90 days before the sale and (3) we are current in our Exchange Act reporting at the time of sale.
Persons who have beneficially owned restricted shares of our common stock for at least six months, but who are our affiliates at the time of, or any time during the 90 days preceding, a sale, would be subject to additional restrictions, by which such person would be entitled to sell within any three-month period only a number of securities that does not exceed the greater of either of the following:
1% of the number of shares of our common stock then outstanding, which will equal approximately 108,139 shares immediately after the closing of this offering based on the number of common shares outstanding as of August 4, 2016 .
the average weekly trading volume of our common stock during the four calendar weeks preceding the filing of a notice on Form 144 with respect to the sale.
Such sales by affiliates must also comply with the manner of sale, current public information and notice provisions of Rule 144.
Rule 701
In general, under Rule 701, a person who purchased shares of our common stock pursuant to a written compensatory plan or contract and who is not deemed to have been one of our affiliates during the immediately preceding 90 days may sell these shares in reliance upon Rule 144, but without being required to comply with the notice, manner of sale, public information requirements or volume limitation provisions of Rule 144. Rule 701 also permits affiliates to sell their Rule 701 shares under Rule 144 without complying with the holding period requirements of Rule 144. All holders of Rule 701 shares, however, are required to wait until 90 days after the date of this prospectus before selling such shares pursuant to Rule 701. As of  August 4, 2016, no shares of our outstanding common stock had been issued in reliance on Rule 701Right as a result of exercises of stock optionsthe offering and issuance of restricted stock. However, substantially all Rule 701 shares are subjectPrivate Placement, referred to lock-up agreementsherein as described below and will become eligible for sale upon the expiration“Related Transactions.” As a result of the restrictions set forth in those agreements.conversion, immediately upon consummation of the Registered Direct Offering, of 5,333.3333 shares of Series C Preferred Stock into Common Stock and Pre-funded Warrants, 853,632 shares of Common Stock remained available for issuance below the Issuable Maximum as of January 11, 2021.
 
Form S-8 Registration StatementsUpon receipt of the Stockholder Approval, we anticipate to convert immediately all shares of Series C Preferred Stock into shares of Common Stock (or Pre-Funded Warrants, as applicable).
 
Following this offering,Pursuant to the Series C Purchase Agreement, we intendmust hold a meeting of our stockholders not later than March 31, 2021 (the “Meeting Deadline”) to fileseek Stockholder Approval, in accordance with applicable law, the SEC a registration statement on Form S-8 underapplicable rules and regulations of the Securities ActNasdaq Stock Market, our certificate of incorporation and bylaws and the General Corporate Law of the State of Delaware with respect to register the offer and saleissuance of shares of our common stock that are issuable pursuant to our 2014 Plan. Shares covered by this registration statement will then be eligible for saleCommon Stock upon conversion or exercise of the Series C Preferred Stock and the Warrants sold in the public markets, subjectPrivate Placement and the related transactions described herein, including (x) an increase in the number of authorized shares of Common Stock above 150,000,000 and (y) the potential issuance of shares of Common Stock in excess of the Issuable Maximum, which amount equals 19.99% of the shares of Common Stock outstanding as of December 30, 2020, the date prior to vesting restrictions, any applicable lock-up agreements described below and Rule 144 limitations applicable to affiliates.

-63-

entering into the Series C Purchase Agreement.
 
Lock-Up ArrangementsUntil we receive the Stockholder Approval, the Investor Warrants and the Placement Agent Warrants will not be exercisable. 
 
We, all of our directors and executive officers have agreed with the underwriters that, for a period of 180 days following the date of this prospectus, subject to certain exceptions, we and they will not, directly or indirectly, offer, sell, contract to sell, pledge, grant any option to purchase, make any short sale, or otherwise dispose of or hedge any of our shares of common stock, any options, or any securities convertible into, or exchangeable for or that represent the right to receive shares of our common stock.  These agreements are described in the section of this prospectus titled “Underwriting.”
Registration Rights
 
PursuantWithin 30 calendar days of the closing of the Offerings, pursuant to the SPARegistration Rights Agreement we entered into with Protea,the selling stockholder named herein, we grantedare required to file a registration rightsstatement to Protea to includeregister the shares of commonCommon Stock issuable upon: (i) the conversion of the Series C Preferred Stock sold in the Private Placement, (ii) the exercise of the Investor Warrants and (iii) the exercise of any Pre-funded Warrants issued upon the conversion of the Series C Preferred Stock sold in the Private Placement; and to cause such and to cause such registration statement to be declared effective under the Securities Act as promptly as possible after the filing thereof, but in any event no later than 120 days following the closing date of the Offering, and shall use our best efforts to keep such registration statement continuously effective under the Securities Act until the date that all Registrable Securities covered by such registration statement have been sold or are otherwise able to be sold pursuant to Rule 144. We are filing the registration statement of which this prospectus forms a part to register the resale of the Registerable Securities by the selling stockholder named herein in compliance with our obligations under the Registration Rights Agreement.

Listing
Our Common Stock is listed on The Nasdaq Capital Market under the symbol “AZRX”.
Transfer Agent
The transfer agent and registrar for our Common Stock is Colonial Stock Transfer, 66 Exchange Place, 1st Floor, Salt Lake City, Utah 84111, Tel: (801) 355-5740.

Anti-Takeover Effects of Certain Provisions of Delaware Law and of Our Certificate of Incorporation and Bylaws
Certain provisions of Delaware law, our Charter and Bylaws discussed below may have the effect of making more difficult or discouraging a tender offer, proxy contest or other takeover attempt. These provisions are expected to encourage persons seeking to acquire control of our company to first negotiate with our Board of Directors. We believe that the benefits of increasing our ability to negotiate with the proponent of an unfriendly or unsolicited proposal to acquire or restructure our company outweigh the disadvantages of discouraging these proposals because negotiation of these proposals could result in an improvement of their terms.
Delaware Anti-Takeover Law.
We are subject to Section 203 of the Delaware General Corporation Law. Section 203 generally prohibits a public Delaware corporation from engaging in a “business combination” with an “interested stockholder” for a period of three years after the date of the transaction in which the person became an interested stockholder, unless:
prior to the date of the transaction, the Board of Directors of the corporation approved either the business combination or the transaction which resulted in the stockholder becoming an interested stockholder;
upon consummation of the transaction that resulted in the stockholder becoming an interested stockholder, the interested stockholder owned at least 85% of the voting stock of the corporation outstanding at the time the transaction commenced, excluding specified shares; or
at or subsequent to the date of the transaction, the business combination is approved by the Board of Directors and authorized at an annual or special meeting of stockholders, and not by written consent, by the affirmative vote of at least 66 2/3% of the outstanding voting stock which is not owned by the interested stockholder.
Section 203 defines a “business combination” to include:
any merger or consolidation involving the corporation and the interested stockholder;
any sale, lease, exchange, mortgage, pledge, transfer or other disposition of 10% or more of the assets of the corporation to or with the interested stockholder;
subject to exceptions, any transaction that results in the issuance or transfer by the corporation of any stock of the corporation to the interested stockholder;
subject to exceptions, any transaction involving the corporation that has the effect of increasing the proportionate share of the stock of any class or series of the corporation beneficially owned by the interested stockholder; or
the receipt by the interested stockholder of the benefit of any loans, advances, guarantees, pledges or other financial benefits provided by or through the corporation.
In general, Section 203 defines an “interested stockholder” as any person that is:
the owner of 15% or more of the outstanding voting stock of the corporation;
an affiliate or associate of the corporation who was the owner of 15% or more of the outstanding voting stock of the corporation at any time within three years immediately prior to the relevant date; or
the affiliates and associates of the above.

Under specific circumstances, Section 203 makes it more difficult for an “interested stockholder” to effect various business combinations with a corporation for a three-year period, although the stockholders may, by adopting an amendment to the corporation’s certificate of incorporation or bylaws, elect not to be governed by this section, effective 12 months after adoption.
Our Charter and Bylaws do not exclude us from the restrictions of Section 203. We anticipate that the provisions of Section 203 might encourage companies interested in acquiring us to negotiate in advance with our Board of Directors since the stockholder approval requirement would be avoided if a majority of the directors then in office approve either the business combination or the transaction that resulted in the stockholder becoming an interested stockholder.
Charter and Bylaws.
Provisions of our Charter and Bylaws may delay or discourage transactions involving an actual or potential change of control or change in our management, including transactions in which stockholders might otherwise receive a premium for their shares, or transactions that our stockholders might otherwise deem to be in their best interests. Therefore, these provisions could adversely affect the price of our Common Stock.
SELLING STOCKHOLDER

The Common Stock being offered by the selling stockholder are those previously issued to the selling stockholder, and those issuable to the selling stockholder, upon conversion of the Series A PreferredC preferred stock or exercise of the warrants. For additional information regarding the issuances of those shares of Common Stock and warrants, see “Prospectus Summary— Registered Direct Offering and Private Placement” above. We are registering the shares of Common Stock in registration statementsorder to permit the selling stockholder to offer the shares for resale from time to time. Except for the ownership of the shares of Common Stock and the warrants, the selling stockholder has not had any material relationship with us within the past three years.
The table below lists the selling stockholder and other information regarding the beneficial ownership of the shares of Common Stock by the selling stockholder. The second column lists the number of shares of Common Stock beneficially owned by the selling stockholder, based on its ownership of the shares of Common Stock, shares of Series C preferred Stock, Pre-funded Warrants and Investor Warrants, as of January 11, 2021, assuming exercise of the warrants held by the selling stockholder on that we may file for ourselves or other stockholders indate, without regard to any limitations on exercises.
The third column lists the future. We also agreedshares of Common Stock being offered by this prospectus by the selling stockholder.
In accordance with the holdersterms of our outstanding OID notes and warrants issued in connection therewith that we file a registration statement providing forthe Registration Rights Agreement with the selling stockholder, this prospectus generally covers the resale of the sum of the maximum number of shares of common stock underlyingCommon Stock issued or issuable to the selling stockholder upon conversion of the Series C Preferred Stock or exercise of the Pre-funded warrants, the Investor Warrants, in each case as described in the “Prospectus Summary— Registered Direct Offering and Private Placement” above, determined as if such notes and warrants no later than sixty (60) days followingsecurities were converted or exercised in full, each as of the effectivetrading day immediately preceding the applicable date of this offering (subjectdetermination, and all subject to adjustment as provided in the Registration Rights Agreement, without regard to any underwriter lock-ups)limitations on the conversion or exercise thereof.The fourth column assumes the sale of all of the shares offered by the selling stockholder pursuant to this prospectus.
The terms of the Series C Preferred Stock prevent the holder thereof from acquiring shares of Common Stock upon conversion that would result in the number of shares beneficially owned by such holder and its affiliates exceeding 9.99% of the total number of shares of Common Stock outstanding immediately after giving effect to the conversion. Further, holders of the Investor Warrants may not exercise any portion of such holder’s Investor Warrants to the extent that the holder would own more than 4.99% (or, at the election of the holder, 9.99%) of our outstanding shares of Common Stock immediately after giving effect to the exercise. The numbers of shares reported below do not reflect these limitations. The selling stockholder may sell all, some or none of its shares in this offering. See "Plan of Distribution."

 
 
Number of Shares of Common Stock Owned Prior to Offering
 
 
Maximum Number of shares of Common Stock to be Sold Pursuant to this Prospectus
 
 
Number of Shares of Common Stock  Owned After Offering
 
Name of Selling Stockholder
 
Number
 
 
Offered(1)
 
 
Number
 
Armistice Capital Master Fund Ltd. (1)
  16,000,002 
  16,000,002 
  0 
(1)
Consists of (i) 5,333,334 shares issuable upon conversion of shares of Series C Preferred Stock (including Pre-funded Warrants, if any), and (ii) 10,666,668 shares issuable upon exercise of Investor Warrants. Armistice Capital, LLC, the investment manager of Armistice and Steven Boyd, the managing member of Armistice Capital, LLC, hold shared voting and dispositive power over the shares held by Armistice. Each of Armistice Capital, LLC and Steven Boyd disclaims beneficial ownership of the securities listed except to the extent of their pecuniary interest therein. The address of Armistice Capital Master Fund Ltd. is c/o Armistice Capital, LLC, 510 Madison Avenue, 7th Floor, New York, NY 10022.
PLAN OF DISTRIBUTION

The selling stockholders of the securities and any of their pledgees, assignees and successors-in-interest may, from time to time, sell any or all of their securities covered hereby on The Nasdaq Capital Market or any other stock exchange, market or trading facility on which the securities are traded or in private transactions. These sales may be at fixed or negotiated prices. A selling stockholder may use any one or more of the following methods when selling securities:
ordinary brokerage transactions and transactions in which the broker-dealer solicits purchasers;
block trades in which the broker-dealer will attempt to sell the securities as agent but may position and resell a portion of the block as principal to facilitate the transaction;
purchases by a broker-dealer as principal and resale by the broker-dealer for its account;
an exchange distribution in accordance with the rules of the applicable exchange;
privately negotiated transactions;
settlement of short sales;
in transactions through broker-dealers that agree with the selling stockholders to sell a specified number of such securities at a stipulated price per security;
through the writing or settlement of options or other hedging transactions, whether through an options exchange or otherwise;
a combination of any such methods of sale; or
any other method permitted pursuant to applicable law.
The selling stockholders may also sell securities under Rule 144 or any other exemption from registration under the Securities Act, if available, rather than under this prospectus.
Broker-dealers engaged by the selling stockholders may arrange for other brokers-dealers to participate in sales. Broker-dealers may receive commissions or discounts from the selling stockholders (or, if any broker-dealer acts as agent for the purchaser of securities, from the purchaser) in amounts to be negotiated, but, except as set forth in a supplement to this Prospectus, in the case of an agency transaction not in excess of a customary brokerage commission in compliance with FINRA Rule 2440; and in the case of a principal transaction a markup or markdown in compliance with FINRA IM-2440.
In connection with the sale of the securities or interests therein, the selling stockholders may enter into hedging transactions with broker-dealers or other financial institutions, which may in turn engage in short sales of the securities in the course of hedging the positions they assume. The selling stockholders may also sell securities short and deliver these securities to close out their short positions, or loan or pledge the securities to broker-dealers that in turn may sell these securities. The selling stockholders may also enter into option or other transactions with broker-dealers or other financial institutions or create one or more derivative securities which require the delivery to such broker-dealer or other financial institution of securities offered by this prospectus, which securities such broker-dealer or other financial institution may resell pursuant to this prospectus (as supplemented or amended to reflect such transaction)In addition, we granted certain registration rights


The selling stockholders and any broker-dealers or agents that are involved in selling the securities may be deemed to be “underwriters” within the meaning of the Securities Act in connection with such sales. In such event, any commissions received by such broker-dealers or agents and any profit on the issuanceresale of the warrants issuedsecurities purchased by them may be deemed to our placement agentbe underwriting commissions or discounts under the Securities Act. Each Selling Stockholder has informed us that it does not have any written or oral agreement or understanding, directly or indirectly, with any person to distribute the securities.
We are required to pay certain fees and expenses incurred by us incident to the registration of the securities. We have agreed to indemnify the selling stockholders against certain losses, claims, damages and liabilities, including liabilities under the Securities Act.
We agreed to keep this prospectus effective until the earlier of (i) the date on which the securities may be resold by the selling stockholders without registration and without regard to any volume or manner-of-sale limitations by reason of Rule 144, without the requirement for us to be in connectioncompliance with a previous private placement. We will paythe current public information under Rule 144 under the Securities Act or any other rule of similar effect or (ii) all of the expenses associatedsecurities have been sold pursuant to this prospectus or Rule 144 under the Securities Act or any other rule of similar effect. The resale securities will be sold only through registered or licensed brokers or dealers if required under applicable state securities laws. In addition, in certain states, the resale securities covered hereby may not be sold unless they have been registered or qualified for sale in the applicable state or an exemption from the registration or qualification requirement is available and is complied with.
Under applicable rules and regulations under the Exchange Act, any person engaged in the distribution of the resale securities may not simultaneously engage in market making activities with respect to the common stock for the applicable restricted period, as defined in Regulation M, prior to the commencement of the distribution. In addition, the selling stockholders will be subject to applicable provisions of the Exchange Act and the rules and regulations thereunder, including Regulation M, which may limit the timing of purchases and sales of the common stock by the selling stockholders or any other person. We will make copies of this prospectus available to the selling stockholders and have informed them of the need to deliver a copy of this prospectus to each purchaser at or prior to the time of such registrations.  See the section titled “Descriptionsale (including by compliance with Rule 172 under the Securities Act).
 
The selling stockholder may sell all, some or none of the shares of Common Stock registered pursuant to the registration statement of which this prospectus forms a part. If sold under the registration statement of which this prospectus forms a part, the shares of Common Stock registered hereunder will be freely tradable in the hands of persons other than our affiliates that acquire such shares.
We have advised the selling stockholder that the anti-manipulation rules of Regulation M under the Exchange Act may apply to sales of shares of Common Stock in the market and to the activities of the selling stockholder and its affiliates. In addition, to the extent applicable, we will make copies of this prospectus (as it may be supplemented or amended from time to time) available to the selling stockholder for the purpose of satisfying the prospectus delivery requirements of the Securities Act. The selling stockholder may indemnify any broker-dealer that participates in transactions involving the sale of the shares of Common Stock against certain liabilities, including liabilities arising under the Securities Act.
LEGAL MATTERS
The validity of the securities offered hereby will be passed upon for us by Lowenstein Sandler LLP, New York, New York.
EXPERTS
The audited financial statements in this prospectus and elsewhere in the registration statement have been included in reliance upon the report of Mazars USA LLP, independent registered public accounting firm, upon the authority of said firm as experts in accounting and auditing. The 2019 and 2018 audited annual consolidated financial statements of AzurRx BioPharma, Inc., as of and for the years ended December 31, 2019 and 2018, have been audited by Mazars USA LLP, independent registered public accounting firm. The audit report dated March 30, 2020 for the 2019 audited annual consolidated financial statements includes an explanatory paragraph which states that certain circumstances raise substantial doubt about our ability to continue as a going concern.
DISCLOSURE OF COMMISSION POSITION ON INDEMNIFICATION FOR SECURITIES ACT LIABILITIES

Our Restated Certificate of Incorporationdirectors and Amended and Restated Bylaws, subjectofficers are indemnified to the provisions offullest extent permitted under Delaware Law, contain provisionslaw. We also maintain insurance which allow the corporation to indemnifyprotects our officers and directors against any person against liabilities and other expenses incurred as the result of defending or administering any pending or anticipated legal issue in connection with their service to us if it is determined that person acted in good faith and insuch a manner which he reasonably believed was in the best interest of the corporation.capacity. Insofar as indemnification for liabilities arising under the Securities Act may be permitted to our directors, officers and controlling persons pursuant to the foregoing, or otherwise, we have been advised that in the opinion of the SEC such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable.


WallachBeth Capital, LLC and Network 1 Securities, Inc. are acting as In the co-book-running managers ofevent that a claim for indemnification against such liabilities (other than the offering, and we have entered into an underwriting agreement, dated July 13, 2016, with them as underwriters.  Subject to the terms and conditions of the underwriting agreement, we have agreed to sell to the underwriters and the underwriters have agreed to purchase from us, at the public offering price per share less the underwriting discounts set forth on the cover page of this prospectus.
The underwriters are committed to purchase all the shares of common stock offeredpayment by us other than those coveredof expenses incurred or paid by a director, officer or controlling person of ours in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, we will, unless in the opinion of our counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act and will be governed by the option to purchase additional shares described below, if they purchase any shares.  The obligationsfinal adjudication of the underwriters may be terminated upon the occurrence of certain events specified in the underwriting agreement.  Furthermore, pursuant to the underwriting agreement, the underwriters’ obligations are subject to customary conditions, representations and warranties contained in the underwriting agreement, such as receipt by the underwriters of officers’ certificates and legal opinions.issue.
 
WHERE YOU CAN FIND MORE INFORMATION

We have agreed to indemnifyfiled a registration statement on Form S-1 with the underwriters against specified liabilities, including liabilitiesSEC under the Securities Act of 1933, and to contribute to payments the underwriters may be required to make in respect thereof.
The underwriters are offering the shares, subject to prior sale, when, as and if issued to and accepted by them, subject to approval of legal matters by their counsel and other conditions specified in the underwriting agreement.  The underwriters reserve the right to withdraw, cancel or modify offers to the public and to reject orders in whole or in part.
Over-allotment Option
We have granted the underwriters an over-allotment option.  This option, which is exercisable for up to 45 days after the date of this prospectus, permits the underwriters to purchase a maximum of 321,429 additional shares (15% of the shares sold in this offering) from us to cover over-allotments, if any.  If the underwriters exercise all or part of this option, it will purchase shares covered by the option at the public offering price per share that appears on the cover page of this prospectus, less the underwriting discount.  If this option is exercised in full, the total offering price to the public will be $17,250,000 and the total net proceeds, before expenses, to us will be $16,042,500.
Discount
The following table shows the public offering price, underwriting discount and proceeds, before expenses, to us.  The information assumes either no exercise or full exercise by the underwriters of their over-allotment option.
  Per Share  Total Without Over-Allotment Option  Total With Over-Allotment Option 
Public offering price
 
$
  7.00
  
$
  15,000,000
  
$
17,250,000
 
Underwriting discount (7%)
 
$
  0.49
  
$
  1,050,000
  
$
  1,207,500
 
Proceeds, before expenses, to us
 
$
  6.51
  
$
13,950,000
  
$
16,042,500
 
The underwriters propose to offer the shares offered by us to the public at the public offering price per share set forth on the cover of this prospectus.  In addition, the underwriters may offer some of the shares to other securities dealers at such price less a concession of $[_____] per share.  If all of the shares offered by us are not sold at the public offering price per share, the underwriters may change the offering price per share and other selling terms by means of a supplement to this prospectus.


We will pay the out-of-pocket accountable expenses of the underwriters in connection with this offering.  The underwriting agreement, however, provides that in the event the offering is terminated, any advance expense deposits paid to the underwriters will be returned to the extent that offering expenses are not actually incurred in accordance with FINRA Rule 5110(f)(2)(C).
We have agreed to pay the underwriters’ non-accountable expenses allowance equal to 1% of the public offering price of the shares (excluding shares that we may sell to the underwriters to cover over-allotments).  We have also agreed to pay the underwriters’ expenses relating to the offering, including (a) all filing fees incurred in clearing this offering with FINRA; (b) up to $5,000 of fees, expenses and disbursements relating to background checks of our officers and directors; (c) all fees, expenses and disbursements relating to the registration, qualification or exemption of securities offered under the securities laws of foreign jurisdictions designated by the underwriters; (d) stock transfer and/or stamp taxes, if any, payable upon the transfer of shares of our common stock to the underwriters; (e) $21,775 for the underwriters’ use of Ipreo’s book-building, prospectus tracking and compliance software for this offering; (f) up to $20,000 of the underwriters’ actual accountable road show expenses for the offering; and (g) up to $100,000 for the fees of the underwriters’ counsel.
We estimate that the total expenses of the offering payable by us, excluding underwriting discounts and commissions, will be approximately $750,000.
Discretionary Accounts
The underwriters do not intend to confirm sales of the securities offered hereby to any accounts over which they have discretionary authority.
Lock-Up Agreements
Pursuant to certain “lock-up” agreements, we, our executive officers and directors have agreed, subject to certain exceptions, not to offer, sell, assign, transfer, pledge, contract to sell, or otherwise dispose of or announce the intention to otherwise dispose of, or enter into any swap, hedge or similar agreement or arrangement that transfers, in whole or in part, the economic risk of ownership of, directly or indirectly, engage in any short selling of any common stock or securities convertible into or exchangeable or exercisable for any common stock, whether currently owned or subsequently acquired, without the prior written consent of the underwriters, for a period of 180 days from the date of effectiveness of the offering.
The lock-up period described in the preceding paragraph will be automatically extended if: (1) during the last 17 days of the restricted period, we issue an earnings release or announce material news or a material event; or (2) prior to the expiration of the lock-up period, we announce that we will release earnings results during the 16-day period beginning on the last day of the lock-up period, in which case the restrictions described in the preceding paragraph will continue to apply until the expiration of the 18-day period beginning on the date of the earnings release, unless the underwriters waive this extension in writing; provided, however, that this lock-up period extension shall not apply to the extent that FINRA has amended or repealed NASD Rule 2711(f)(4), or has otherwise provided written interpretive guidance regarding such rule, in each case, so as to eliminate the prohibition of any broker, dealer, or member of a national securities association from publishing or distributing any research report, with respect to the securities of an emerging growth company (as defined in the JOBS Act) prior to or after the expiration of any agreement between the broker, dealer, or member of a national securities association and the emerging growth company or its stockholders that restricts or prohibits the sale of securities held by the emerging growth company or its stockholders after the initial public offering date.


Underwriter Warrants
We have agreed to issue to the underwriters warrants to purchase up to a total of 107,143 shares of common stock.  The warrants are exercisable at $8.40 per share (120% of the public offering price) commencing on a date which is one year from the effective date of the offering under this prospectus supplement and expiring on a date which is no more than five (5) years from the effective date of the offering in compliance with FINRA Rule 5110(f)(2)(G).  The warrants have been deemed compensation by FINRA and are therefore subject to a 180-day lock-up pursuant to Rule 5110(g)(1) of FINRA.  The underwriters (or their permitted assignees under the Rule) will not sell, transfer, assign, pledge, or hypothecate these warrants or the securities underlying these warrants, nor will it engage in any hedging, short sale, derivative, put, or call transaction that would result in the effective economic disposition of the warrants or the underlying securities for a period of 180 days from effectiveness.  In addition, the warrants provide for registration rights upon request, in certain cases.  We will bear all fees and expenses attendant to registering the securities issuable on exercise of the warrants other than underwriting commissions incurred and payable by the holders.  The exercise price and number of shares issuable upon exercise of the warrants may be adjusted in certain circumstances including in the event of a stock dividend, extraordinary cash dividend or our recapitalization, reorganization, merger or consolidation.  However, the warrant exercise price or underlying shares will not be adjusted for issuances of shares of common stock at a price below the warrant exercise price.
Electronic Offer, Sale and Distribution of Shares
A prospectus in electronic format may be made available on the websites maintained by the underwriters, if any, participating in this offering and the underwriters participating in this offering may distribute prospectuses electronically.  The underwriters may agree to allocate a number of shares for sale to its online brokerage account holders.  Internet distributions will be allocated by the underwriters that will make internet distributions on the same basis as other allocations.  Other than the prospectus in electronic format, the information on these websites is not part of, nor incorporated by reference into, this prospectus or the registration statement of which this prospectus forms a part, has not been approved or endorsed by us or the underwriters in their capacity as underwriters, and should not be relied upon by investors.
Stabilization
In connection with this offering, the underwriters may engage in stabilizing transactions, over-allotment transactions, syndicate-covering transactions, penalty bids and purchases to cover positions created by short sales.
Stabilizing transactions permit bids to purchase shares so long as the stabilizing bids do not exceed a specified maximum, and are engaged in for the purpose of preventing or retarding a decline in the market price of the shares while the offering is in progress.
Over-allotment transactions involve sales by the underwriters of shares in excess of the number of shares the underwriters are obligated to purchase.  This creates a syndicate short position which may be either a covered short position or a naked short position.  In a covered short position, the number of shares over-allotted by the underwriters is not greater than the number of shares that they may purchase in the over-allotment option.  In a naked short position, the number of shares involved is greater than the number of shares in the over-allotment option.  The underwriters may close out any short position by exercising their over-allotment option and/or purchasing shares in the open market.
Syndicate covering transactions involve purchases of shares in the open market after the distribution has been completed in order to cover syndicate short positions.  In determining the source of shares to close out the short position, the underwriters will consider, among other things, the price of shares available for purchase in the open market as compared with the price at which they may purchase shares through exercise of the over- allotment option.  If the underwriters sell more shares than could be covered by exercise of the over-allotment option and, therefore, have a naked short position, the position can be closed out only by buying shares in the open market.  A naked short position is more likely to be created if the underwriters are concerned that after pricing there could be downward pressure on the price of the shares in the open market that could adversely affect investors who purchase in the offering.
Penalty bids permits the underwriters to reclaim a selling concession from a syndicate member when the shares originally sold by that syndicate member are purchased in stabilizing or syndicate covering transactions to cover syndicate short positions.
These stabilizing transactions, syndicate covering transactions and penalty bids may have the effect of raising or maintaining the market price of our shares of common stock or preventing or retarding a decline in the market price of our shares of common stock.  As a result, the price of our common stock or warrants in the open market may be higher than it would otherwise be in the absence of these transactions.  Neither we nor the underwriters make any representation or prediction as to the effect that the transactions described above may have on the price of our common stock.  These transactions may be effected on The NASDAQ Capital Market, in the over-the-counter market or otherwise and, if commenced, may be discontinued at any time.
Passive Market Making
In connection with this offering, the underwriters may engage in passive market making transactions in our common stock on The NASDAQ Capital Market in accordance with Rule 103 of Regulation M under the Exchange Act, during a period before the commencement of offers or sales of the shares and extending through the completion of the distribution.  A passive market maker must display its bid at a price not in excess of the highest independent bid of that security.  However, if all independent bids are lowered below the passive market maker’s bid, then that bid must then be lowered when specified purchase limits are exceeded.
Other Relationships
The underwriters and their respective affiliates may, in the future provide various investment banking, commercial banking and other financial services for us and our affiliates for which they have received, and may in the future receive, customary fees.  However, except as disclosed in this prospectus, we have no present arrangements with the underwriters for any further services.
Offer Restrictions Outside the United States
Other than in the United States, no action has been taken by us or the underwriters that would permit a public offering of the securities offered by this prospectus in any jurisdiction where action for that purpose is required.  The securities offered by this prospectus may not be offered or sold, directly or indirectly, nor may this prospectus or any other offering material or advertisements in connection with the offer and sale of any such securities be distributed or published in any jurisdiction, except under circumstances that will result in compliance with the applicable rules and regulations of that jurisdiction.  Persons into whose possession this prospectus comes are advised to inform themselves about and to observe any restrictions relating to the offering and the distribution of this prospectus.amended. This prospectus does not constitute an offer to sell or a solicitation of an offer to buy any securities offered by this prospectus in any jurisdiction in which such an offer or a solicitation is unlawful.


LEGAL MATTERS
The validity of the shares of our common stock offered hereby has been passed upon for us by Loeb & Loeb LLP, New York, NY.  Cozen O’Connor, New York, NY, is acting as counsel to the underwriters.

EXPERTS
WeiserMazars LLP, an independent registered public accounting firm, has audited the financial statements of AzurRx BioPharma, Inc. as of December 31, 2015 and 2014 and for the year ended December 31, 2015 and the period from January 30, 2014 (date of inception) through December 31, 2014 and the statements of operations and comprehensive loss and cash flows for the period from January 1, 2014 through May 31, 2014 for Protea Europe SAS (predecessor) included in this prospectus and registration statement as set forth in its reports, which are included in this prospectus and registration statement.  The report for AzurRx BioPharma, Inc. includes an explanatory paragraph about the existence of substantial doubt concerning its ability to continue as a going concern.  Such financial statements have been so included in reliance on the reports of WeiserMazars, LLP, upon the authority of said firm as experts in accounting and auditing.
WHERE YOU CAN FIND MORE INFORMATION
We have filed with the SEC a registration statement on Form S-1, which includes amendments and exhibits, under the Securities Act and the rules and regulations under the Securities Act for the registration of common stock being offered by this prospectus.  This prospectus, which constitutes a part of the registration statement, does not contain all the information that is inbut the registration statement and its exhibits and schedules.  Certain portions of the registration statement have been omitted as allowed by the rules and regulations of the SEC.  Statements in this prospectus that summarize documents are not necessarily complete, and in each case you should refer to the copy of the document filed as an exhibit to the registration statement.  You may read and copy the registration statement, including exhibits and schedules filed with it, and reports or other information we may file with the SEC at the public reference facilities of the SEC at 100 F Street, N.E., Room 1580, Washington, D.C. 20549.  You may call the SEC at 1-800-SEC-0330 for further information on the operation of the public reference rooms.  In addition, the registration statement and other public filings can be obtained from the SEC’s internet site at www.sec.gov.
Upon completion of this offering, we will become subject toincludes additional information and periodic reporting requirements of the Exchange Act and we willexhibits. We file annual, quarterly and current reports, proxy statements and other information with the SEC. The SEC maintains a web site that contains reports, proxy and information statements and other information regarding companies, such as ours, that file documents electronically with the SEC. The website address is 

www.sec.gov. The information on the SEC’s website is not part of this prospectus, and any references to this website or any other website are inactive textual references only. Additionally, you may access our filings with the SEC through our website at http://azurrx.com/. The information on our website is not part of this prospectus.

AzurRx BioPharma, Inc.INDEX TO FINANCIAL STATEMENTS
 
Index to Consolidated Financial Statements

 Page
Unaudited Consolidated Financial Statements – September 30, 2020: 
Consolidated Balance Sheets as of September 30, 2020 and December 31, 2019F-2
Consolidated Statements of Loss and Comprehensive Loss for the three and nine months ended September 30, 2020 and 2019 F-3 
Consolidated Statements of Changes in Stockholders’ Equity for the nine months ended September 30, 2020 and 2019 F-4
Consolidated Statements of Cash Flows for the nine months ended September 30, 2020 and 2019
 F-5
Notes to Consolidated Financial Statements F-6
Consolidated Financial Statements – December 31, 2019 and 2018:



AZURRX BIOPHARMA, INC.
Consolidated Balance Sheets (unaudited)
 
 
September 30,
 
 
December 31,
 
 
 
2020
 
 
2019
 
ASSETS
 
 
 
 
 
 
 
 
 
 
 
 
 
Current Assets:
 
 
 
 
 
 
Cash
 $11,368,680 
 $175,796 
Other receivables
  20,688 
  2,637,303 
Prepaid expenses
  148,604 
  595,187 
Total Current Assets
  11,537,972 
  3,408,286 
 
    
    
Property, equipment, and leasehold improvements, net
  54,070 
  77,391 
 
    
    
Other Assets:
    
    
 Patents, net
  3,011,423 
  3,407,084 
 Goodwill
  1,968,519 
  1,886,686 
 Operating lease right-of-use assets
  104,196 
  82,386 
 Deposits
  45,841 
  41,047 
Total Other Assets
  5,129,979 
  5,417,203 
Total Assets
 $16,722,021 
 $8,902,880 
 
    
    
 
LIABILITIES AND STOCKHOLDERS' EQUITY
 
 
    
    
Current Liabilities:
    
    
Accounts payable and accrued expenses
 $1,686,003 
 $1,754,682 
Accounts payable and accrued expenses - related party
  38,453 
  533,428 
Note payable
  - 
  444,364 
Accrued Dividends Payable
  408,043 
  - 
Convertible debt
  - 
  1,076,938 
Other current liabilities
  492,815 
  476,224 
Total Current Liabilities
  2,625,314 
  4,285,636 
 
    
    
Other liabilities
  31,469 
  - 
Total Liabilities
  2,656,783 
  4,285,636 
 
    
    
Stockholders' Equity:
    
    
Common stock - Par value $0.0001 per share; 150,000,000 shares authorized; 28,881,984 and 26,800,519 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively.
  2,888 
  2,680 
Series B preferred stock- Par value $0.0001 per share; 5,194.805195 shares authorized; 2,878.455557 and 0 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively.
  - 
  - 
Additional paid-in capital
  93,239,704 
  68,575,851 
Accumulated deficit
  (77,965,806)
  (62,694,732)
Accumulated other comprehensive loss
  (1,211,548)
  (1,266,555)
Total Stockholders' Equity
  14,065,238 
  4,617,244 
Total Liabilities and Stockholders' Equity
 $16,722,021 
 $8,902,880 

See accompanying notes to consolidated financial statements

AZURRXBIOPHARMA, INC.
Consolidated Statements of Operations and Comprehensive Loss (unaudited)
 
 
Three Months
 
 
Three Months
 
 
Nine Months
 
 
Nine Months
 
 
 
Ended
 
 
Ended
 
 
Ended
 
 
Ended
 
 
 
09/30/20
 
 
09/30/19
 
 
09/30/20
 
 
09/30/19
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Research and development expenses
 $1,795,684 
 $2,221,933 
 $4,438,229 
 $7,927,907 
General and administrative expenses
  1,916,250 
  1,860,141 
  4,595,860 
  5,690,001 
 
    
    
    
    
Loss from operations
  (3,711,934)
  (4,082,074)
  (9,034,089)
  (13,617,908)
 
    
    
    
    
Other:
    
    
    
    
   Interest expense
  (1,203,404)
  (110,398)
  (5,838,417)
  (278,155)
   Gain (Loss) on Settlement
  211,430 
    
  211,430 
    
   Gain (Loss) on Debt Extinguishment
  (609,998)
    
  (609,998)
    
Total other
  (1,601,972)
  (110,398)
  (6,236,985)
  (278,155)
 
    
    
    
    
Loss before income taxes
  (5,313,906)
  (4,192,472)
  (15,271,074)
  (13,896,063)
 
    
    
    
    
Income taxes
  - 
  - 
  - 
  - 
 
    
    
    
    
Net loss
  (5,313,906)
  (4,192,472)
  (15,271,074)
  (13,896,063)
 
    
    
    
    
Other comprehensive loss:
    
    
    
    
  Foreign currency translation adjustment
  108,712 
  (138,241)
  (55,007)
  (207,034)
Total comprehensive loss
 $(5,205,194)
 $(4,330,713)
 $(15,326,081)
 $(14,103,097)
 
    
    
    
    
Net loss
 $(5,313,906)
 $(4,192,472)
 $(15,271,074)
 $(13,896,063)
  Deemed dividend of preferred stock
  (8,155,212)
  - 
  (8,155,212)
  - 
Net loss applicable to common stockholders
  (13,469,118)
  (4,192,472)
  (23,426,286)
  (13,896,063)
 
    
    
    
    
Basic and diluted weighted average shares outstanding
  28,518,835 
  24,962,691 
  27,828,235 
  21,080,701 
 
    
    
    
    
Net loss per share - basic and diluted
 $(0.47)
 $(0.17)
 $(0.84)
 $(0.66)

See accompanying notes to consolidated financial statements

AZURRX BIOPHARMA, INC.
Consolidated Statements of Changes in Stockholders' Equity (unaudited)
 
 
 Convertible
 
 
 
 
 
 
 
 
Additional
 
 
 
 
 
Other
 
 
 
 
 
 
 Preferred Stock
 
 
 Common Stock
 
 
Paid In
 
 
Accumulated
 
 
Comprehensive
 
 
 
 
 
 
Shares
 
 
Amount
 
 
Shares
 
 
Amount
 
 
Capital
 
 
Deficit
 
 
Loss
 
 
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balance, January 1, 2019
  - 
 $- 
  17,704,925 
 $1,771 
 $53,139,259 
 $(47,517,046)
 $(1,150,112)
 $4,473,872 
 
    
    
    
    
    
    
    
    
Common stock issued from public offerings
    
    
  7,522,097 
  752 
  9,491,265 
    
    
  9,492,017 
Common stock issued to consultants
    
    
  62,158 
  6 
  112,494 
    
    
  112,500 
Common stock issued to Mayoly for patents
    
    
  775,931 
  77 
  1,740,882 
    
    
  1,740,959 
Stock-based compensation
    
    
    
    
  541,725 
    
    
  541,725 
Restricted stock granted to employees/directors
    
    
  90,000 
  9 
  556,879 
    
    
  556,888 
Warrant modification
    
    
    
    
  325,320 
    
    
  325,320 
Received from stockholder in relation to warrant modification
    
    
    
    
  61,590 
    
    
  61,590 
Foreign currency translation adjustment
    
    
    
    
    
    
  (207,034)
  (207,034)
Net loss
    
    
    
    
    
  (13,896,063)
    
  (13,896,063)
Balance, September 30, 2019
  - 
 $- 
  26,155,111 
 $2,615 
 $65,969,414 
 $(61,413,109)
 $(1,357,146)
 $3,201,774 

Balance, January 1, 2020
  - 
 $- 
  26,800,519 
 $2,680 
 $68,575,851 
 $(62,694,732)
 $(1,266,555)
 $4,617,244 
Issuance of Series B preferred stock and warrants for cash, conversion of promissory notes, net of offering costs
  2,912 
  - 
    
    
  14,460,155 
    
    
  14,460,155 
Warrants issued in connection with Series B convertible preferred stock private placement
    
    
    
    
  5,952,516 
    
    
  5,952,516 
Warrants issued as inducement to exchange promissory notes into Series B convertible preferred stock private placement
    
    
    
    
  986,526 
    
    
  986,526 
Beneficial conversion feature of Series B preferred stock
    
    
    
    
  8,155,212 
    
    
  8,155,212 
Deemed dividend of preferred stock
    
    
    
    
  (8,155,212)
    
    
  (8,155,212)
Accrued dividends on Series B preferred stock
    
    
    
    
  (412,829)
    
    
  (412,829)
Deemed dividend related to exchange of promissory notes into Series B preferred stock
    
    
    
    
  (1,129,742)
    
    
  (1,129,742)
Conversion of Series B preferred shares into common stock
  (34)
  - 
  341,274 
  34 
  (34)
    
    
  - 
Issuance of common stock for accrued dividends upon conversion of Series B preferred stock
    
    
  6,214 
  1 
  4,785 
    
    
  4,786 
Common stock issued to settle accounts payable
    
    
  105,937 
  11 
  131,126 
    
    
  131,137 
Common stock issued to Lincoln Park for Equity Purchase agreement
    
    
  1,495,199 
  149 
  988,199 
    
    
  988,348 
Warrants issued in association with convertible debt issuance
    
    
    
    
  1,252,558 
    
    
  1,252,558 
Beneficial conversion feature on convertible debt issuances
    
    
    
    
  1,838,422 
    
    
  1,838,422 
Common stock issued to consultants
    
    
  132,841 
  13 
  109,592 
    
    
  109,605 
Settlement with former chief executive officer
    
    
    
    
  85,770 
    
    
  85,770 
Stock-based compensation
    
    
    
    
  396,809 
    
    
  396,809 
Foreign currency translation adjustment
    
    
    
    
  - 
    
  55,007 
  55,007 
Net loss
    
    
    
    
    
  (15,271,074)
    
  (15,271,074)
Balance, September 30, 2020
  2,878 
 $- 
  28,881,984 
 $2,888 
 $93,239,704 
 $(77,965,806)
 $(1,211,548)
 $14,065,238 

  See accompanying notes to consolidated financial statements

AZURRX BIOPHARMA, INC.
Consolidated Statements of Cash Flows (unaudited)
 
 
Nine Months
 
 
Nine Months
 
 
 
Ended
 
 
Ended
 
 
 
09/30/20
 
 
09/30/19
 
Cash flows from operating activities:
 
 
 
 
 
 
   Net loss
 $(15,271,074)
 $(13,896,063)
   Adjustments to reconcile net loss to net cash used in operating activities:
    
    
         Depreciation
  26,556 
  51,261 
         Amortization
  395,661 
  825,063 
         Non-cash lease expense
  (4,855)
  (3,218)
         Common stock issued to settle accounts payable for board fees
  131,137 
  - 
         Stock-based compensation
  369,517 
  541,725 
         Restricted stock granted to employees/directors
  27,292 
  556,888 
         Common stock granted to consultants
  109,605 
  112,500 
         Accreted interest on convertible debt
  234,334 
  124,932 
         Accretion of debt discount
  4,580,167 
  147,461 
         Loss on debt extinguishment
  609,998 
  - 
         Gain on settlement
  (211,430)
  - 
         Beneficial conversion feature related to promissory note exchange
  798,413 
  - 
     Changes in assets and liabilities:
    
    
         Accounts receivables
  (220,094)
  - 
         Other receivables
  2,121,336 
  (261,981)
         Prepaid expenses
  446,766 
  420,218 
         Deposits
  (4,180)
  (4,125)
         Accounts payable and accrued expenses
  90,147 
  601,096 
         Accrued dividends payable
  408,043 
  - 
         Other liabilities
  31,104 
  (23,274)
Net cash used in operating activities
  (5,331,557)
  (10,807,517)
 
    
    
Cash flows from investing activities:
    
    
     Purchase of property and equipment
  (2,808)
  (17,243)
Net cash used in investing activities
  (2,808)
  (17,243)
 
    
    
Cash flows from financing activities:
    
    
     Proceeds from issuance of notes payable, net
  179,408 
  - 
     Proceeds from issuance of common stock, net
  988,348 
  9,492,016 
     Proceeds from issuance of convertible debt, net
  3,227,002 
  2,000,000 
     Proceeds from issuance of preferred stock, net
  13,197,740 
  - 
     Received from stockholder in relation to warrant modification
  - 
  61,590 
     Repayments of convertible debt
  (475,000)
  - 
     Repayments of note payable
  (623,772)
  (255,032)
Net cash provided by financing activities
  16,493,726 
  11,298,574 
 
    
    
Increase in cash
  11,159,361 
  473,814 
 
    
    
Effect of exchange rate changes on cash
  33,523 
  (38,332)
 
    
    
Cash, beginning balance
  175,796 
  1,114,343 
 
    
    
Cash, ending balance
 $11,368,680 
 $1,549,825 
 
    
    
 
    
    
Supplemental disclosures of cash flow information:
    
    
     Cash paid for interest
 $105,460 
 $5,762 
 
    
    
Non-cash investing and financing activities:
    
    
 
    
    
   Common stock issued for patents purchased from Mayoly
 $- 
 $1,740,959 
   Warrant modification related to convertible debt issuance
 $- 
 $325,320 
   Deemed dividend on preferred stock
 $8,155,212 
 $- 
   Accrued dividends on preferred stock
 $408,043 
 $- 
   Exchange of promissory notes into preferred stock and warrants
 $609,998 
 $- 

See accompanying notes to consolidated financial statements

Note 1 - The Company and Basis of Presentation
Description of Business
AzurRx BioPharma, Inc. (“AzurRx” or “Parent”) was incorporated on January 30, 2014 in the State of Delaware. In June 2014, AzurRx acquired 100% of the issued and outstanding capital stock of AzurRx SAS (formerly, ProteaBio Europe SAS), a company incorporated in October 2008 under the laws of France. AzurRx and its wholly-owned subsidiary, AzurRx SAS (“ABS”), are collectively referred to as the “Company.”
The Company is engaged in the research and development of non-systemic biologics for the treatment of patients with gastrointestinal disorders. Non-systemic biologics are non-absorbable drugs that act locally, i.e. the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation.
The Company is currently focused on developing its lead drug candidate, MS1819, a yeast derived recombinant lipase for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with cystic fibrosis (“CF”) and chronic pancreatitis (“CP”). MS1819, supplied as an oral non-systemic biologic capsule, is derived from the Yarrowia lipolytica yeast lipase and breaks up fat molecules in the digestive tract of EPI patients so that they can be absorbed as nutrients. Unlike the standard of care, the MS1819 synthetic lipase does not contain any animal products.
The Company is currently conducting two Phase 2 clinical trials of MS1819: the OPTION 2 monotherapy trial in the U.S. and Europe, and the Combination therapy trial in Europe, consisting of MS1819 in conjunction with porcine-derived pancreatic enzyme replacement therapy, the current standard of care.
Basis of Presentation and Principles of Consolidation
The accompanying unaudited interim consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). In our opinion, the accompanying unaudited interim consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to present fairly our financial position, results of operations, and cash flows. The consolidated balance sheet at December 31, 2019, has been derived from audited financial statements of that date. The unaudited interim consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain information and footnote disclosure normally included in financial statements prepared in accordance with U.S. GAAP have been omitted pursuant to instructions, rules, and regulations prescribed by the Securities and Exchange Commission(“SEC”). The Company believes that the disclosures provided herein are adequate to make the information presented not misleading when these unaudited interim consolidated financial statements are read in conjunction with the audited financial statements and notes previously distributed in our Annual Report Form 10-K for the year ended December 31, 2019, filed with the SEC on March 30, 2020.
The unaudited interim consolidated financial statements include the accounts of AzurRx and its wholly-owned subsidiary, AzurRx SAS. Intercompany transactions and balances have been eliminated upon consolidation.
Going Concern Uncertainty
The accompanying unaudited interim consolidated financial statements have been prepared as if the Company will continue as a going concern. The Company has incurred significant operating losses and negative cash flows from operations since inception and had an accumulated deficit of approximately $78.0 million at September 30, 2020. The Company is dependent on obtaining, and continues to pursue, additional working capital funding from the sale of securities and debt in order to continue to execute its development plan and continue operations. Without adequate working capital, the Company may not be able to meet its obligations and continue as a going concern. These conditions raise substantial doubt about our ability to continue as a going concern. The financial statements do not include any adjustments that might result from the outcome of this uncertainty.
Our primary sources of liquidity come from capital raises through additional equity and/or debt financings. This may be impacted by the novel coronavirus ("COVID-19") pandemic, which is evolving and could negatively impact our ability to raise additional capital in the future.
Note 2 - Significant Accounting Policies and Recent Accounting Pronouncements
Use of Estimates
The accompanying unaudited consolidated financial statements are prepared in conformity with U.S. GAAP and include certain estimates and assumptions which affect the reported amounts of assets and liabilities at the date of the financial statements (including goodwill, intangible assets and contingent consideration), and the reported amounts of revenues and expenses during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates.

Cash and Cash Equivalents
The Company considers all highly liquid investments with maturities of three months or less from date of purchase to be cash equivalents. All cash balances were highly liquid at September 30, 2020 and December 31, 2019, respectively.
Concentrations of Credit Risk
Financial instruments that potentially expose the Company to concentrations of credit risk consist of cash. The Company primarily maintains its cash balances with financial institutions in federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. At September 30, 2020 and December 31, 2019, the Company had approximately $11.1 million and $0, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice. The Company mitigates its risk by maintaining the majority of its cash and cash equivalents with high quality financial institutions.
The Company also has exposure to foreign currency risk as its subsidiary in France has a functional currency in Euros.
Debt Instruments
Detachable warrants issued in conjunction with debt are measured at their relative fair value, if they are determined to be equity instrument, or their fair value, if they are determined to be liability instruments, and recorded as a debt discount.  Conversion features that are in the money at the commitment date constitute a beneficial conversion feature that is measured at its intrinsic value and recognized as debt discount. Debt discount is amortized as interest expense over the maturity period of the debt using the effective interest method. Contingent beneficial conversion features are recognized when the contingency has been resolved.
Debt Issuance Costs
Debt issuance costs are recorded as a direct reduction of the carrying amount of the related debt. Debt issuance costs are amortized over the maturity period of the related debt instrument using the effective interest method.
Equity-Based Payments to Non-Employees
Equity-based payments to non-employees are measured at fair value on the grant date per ASU No. 2018-07, Improvements to Nonemployee Share-Based Payment Accounting.
Fair Value Measurements
The Company follows Accounting Standards Codification (“ASC”) Topic 820-10, Fair Value Measurements and Disclosures (“ASC 820”), which among other things, defines fair value, establishes a consistent framework for measuring fair value and expands disclosure for each major asset and liability category measured at fair value on either a recurring or nonrecurring basis. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability.
As a basis for considering such assumptions, a three-tier fair value hierarchy has been established, which prioritizes the inputs used in measuring fair value as follows:
Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities;
Level 2: Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and
Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions, which reflect those that a market participant would use.
In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.
The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.

Foreign Currency Translation
For foreign subsidiaries with operations denominated in a foreign currency, assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.
Goodwill and Intangible Assets
Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through September 30, 2020.
Intangible assets subject to amortization consist of in process research and development, license agreements, and patents reported at the fair value at date of the acquisition less accumulated amortization. Amortization expense is provided using the straight-line method over the estimated useful lives of the assets as follows:
Patents                                                           7.2 years
In Process Research & Development            12 years
License Agreements                                        5 years
Impairment of Long-Lived Assets
The Company periodically evaluates its long-lived assets for potential impairment in accordance with ASC Topic 360, Property, Plant and Equipment (“ASC 360”). Potential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. The Company has not recognized any impairment charges through September 30, 2020.
Income Taxes
Income taxes are recorded in accordance with ASC 740, Accounting for Income Taxes (“ASC 740”), which provides for deferred taxes using an asset and liability approach. The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements or tax returns. The Company determines its deferred tax assets and liabilities based on differences between financial reporting and tax bases of assets and liabilities, which are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. Valuation allowances are provided if, based upon the weight of available evidence, it is more likely than not that some or all of the deferred tax assets will not be realized.
The Company accounts for uncertain tax positions in accordance with the provisions of ASC 740. When uncertain tax positions exist, the Company recognizes the tax benefit of tax positions to the extent that the benefit will more likely than not be realized. The determination as to whether the tax benefit will more likely than not be realized is based upon the technical merits of the tax position as well as consideration of the available facts and circumstances. At September 30, 2020 and December 31, 2019, the Company does not have any significant uncertain tax positions. All tax years are still open for audit.
Leases
Effective January 1, 2019, the Company adopted Accounting Standards Update (“ASU”) No. 2016-02, “Leases.” This ASU requires substantially all leases be recorded on the balance sheet as right of use assets and lease obligations. The Company adopted the ASU using a modified retrospective adoption method at January 1, 2019, as outlined in ASU No. 2018-11, “Leases - Targeted Improvements.” Under this method of adoption, there is no impact to the comparative condensed consolidated statements of operations and condensed consolidated balance sheets. The Company determined that there was no cumulative-effect adjustment to beginning retained earnings on the consolidated balance sheet. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allowed carryforward of historical lease classifications. Adoption of this standard did not materially impact the Company’s results of operations and had no impact on the consolidated statements of cash flows.

Research and Development
Research and development (“R&D”) costs are charged to operations when incurred and are included in operating expense. R&D costs consist principally of compensation of employees and consultants that perform the Company’s research and development and clinical activities, the fees paid to maintain the Company’s licenses, and the payments to third parties for manufacturing drug supply and clinical trials, laboratory and other supply expenses and amortization of intangible assets.
Stock-Based Compensation
The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”) which took effect on May 12, 2014, and the 2020 Omnibus Equity Incentive Plan, which took effect on September 11, 2020 (the “2020 Plan”). From the effective date of the 2020 Plan, no new awards have been or will be made under the 2014 Plan. The Company accounts for its stock-based compensation awards to employees and Board members in accordance with ASC Topic 718, Compensation—Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees and Board members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.
For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when vesting becomes probable.
The Company estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.
Sublicense Agreement
As more fully discussed in Note 14, the Company entered into a sublicense agreement with TransChem, Inc. (“TransChem”), pursuant to which TransChem granted the Company an exclusive license to certain patents and patent applications. Any payments made to TransChem in connection with this sublicense agreement are recorded as R&D expense.
Subsequent Events
The Company considered events or transactions occurring after the balance sheet date but prior to the date the consolidated financial statements are available to be issued for potential recognition or disclosure in its consolidated financial statements.
Recent Accounting Pronouncements
In January 2017, the FASB issued ASU 2017-04, Intangibles - Goodwill and Other, Simplifying the Accounting for Goodwill Impairment. ASU 2017-04 removes Step 2 of the goodwill impairment test, which requires a hypothetical purchase price allocation. A goodwill impairment will now be the amount by which a reporting unit’s carrying value exceeds its fair value, not to exceed the carrying amount of goodwill. All other goodwill impairment guidance will remain largely unchanged. Entities will continue to have the option to perform a qualitative assessment to determine if a quantitative impairment test is necessary. This new guidance will be applied prospectively and is effective for annual or any interim goodwill impairment tests in fiscal years beginning after December 15, 2019. This ASU, which the Company adopted as of January 1, 2020, did not have a material effect on the Company’s consolidated financial statements.
In August 2020, the Financial Accounting Standards Board (“FASB”) issued an accounting pronouncement (ASU 2020-06) related to the measurement and disclosure requirements for convertible instruments and contracts in an entity's own equity. The pronouncement simplifies and adds disclosure requirements for the accounting and measurement of convertible instruments and the settlement assessment for contracts in an entity's own equity. As a smaller reporting company, as defined by the SEC, this pronouncement is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2023. The Company is currently evaluating the impact of this ASU on the financial statements.

Note 3 - Fair Value Disclosures
Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. U.S. GAAP establishes a hierarchical disclosure framework that prioritizes and ranks the level of observability of inputs used in measuring fair value.
The fair value of the Company's financial instruments are as follows:
 
 
 
 
 
Fair Value Measured at
Reporting Date Using
 
 
 
 
 
 
Carrying Amount
 
 
Level 1
 
 
Level 2
 
 
Level 3
 
 
Fair Value
 
At September 30, 2020:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash
 $11,368,680 
$
 
 
 $11,368,680 
$
 
 
 $11,368,680 
Other receivables
 $20,688 
 
 
 
 $  
 $20,688 
 $20,688 
 
    
 
 
 
    
    
    
At December 31, 2019:
    
 
 
 
    
    
    
Cash
 $175,796 
 $- 
 $175,796 
 $- 
 $175,796 
Other receivables
 $2,637,303 
 $- 
 $- 
 $2,637,303 
 $2,637,303 
Note payable
 $444,364 
 $- 
 $- 
 $444,364 
 $444,364 
Convertible debt
 $1,076,938 
 $- 
 $- 
 $1,076,938 
 $1,076,938 
At September 30, 2020, the fair value of other receivables approximates carrying value as these consist primarily of refundable tax credits.
At December 31, 2019, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year.
The fair value of the note payable in connection with the financing of directors and officer’s liability insurance approximates carrying value due to the terms of such instruments and applicable interest rates.
The convertible debt is based on its fair value less unamortized debt discount plus accrued interest through the date of reporting (see Note 9).
Note 4 - Other Receivables
Other receivables consisted of the following:
 
 
September 30,
 
 
December 31,
 
 
 
2020
 
 
2019
 
R&D tax credits
 $- 
 $2,566,281 
Other
  20,688 
  71,022 
Total other receivables
 $20,688 
 $2,637,303 
At September 30, 2020, the R&D tax credits were comprised of a portion of the 2019 refundable tax credits for research conducted in France.
At December 31, 2019, the R&D tax credits were comprised of the 2017, 2018, and 2019 refundable tax credits for research conducted in France. In the nine months ended September 30, 2020, the Company received both the 2017 and 2018 and partial 2019 refundable tax credits totaling approximately $2,289,096. At December 31, 2019, Other consisted of amounts due from U.S. R&D tax credits.



Note 5 - Property, Equipment and Leasehold Improvements
Property, equipment and leasehold improvements consisted of the following:
 
 
September 30,
 
 
December 31,
 
 
 
2020
 
 
2019
 
Laboratory equipment
 $193,661 
 $193,661 
Computer equipment
  77,850 
  74,836 
Office equipment
  36,703 
  36,703 
Leasehold improvements
  29,162 
  35,711 
Total property, plant and equipment
  337,376 
  340,911 
Less accumulated depreciation
  (283,306)
  (263,520)
Property, plant and equipment, net
 $54,070 
 $77,391 
Depreciation expense for the three months ended September 30, 2020 and 2019 was $8,188 and $17,220, respectively. Depreciation expense for the nine months ended September 30, 2020 and 2019 was $26,556 and $51,261, respectively.
For the three months ended September 30, 2020, $4,881 of depreciation is included in R&D expense and $3,307 of depreciation is included in G&A expense. For the nine months ended September 30, 2020, $14,372 of depreciation is included in R&D expense and $12,184 of depreciation is included in G&A expense.
For the three months ended September 30, 2019, $11,842 of depreciation has been reclassified to R&D expense and $5,149 of depreciation remains in G&A expense. For the nine months ended September 30, 2019, $35,442 of depreciation is included in R&D expense and $15,343 of depreciation is included in G&A expense.
Note 6 - Intangible Assets and Goodwill
Patents
Pursuant to the Mayoly APA entered into on March 27, 2019, in which the Company purchased all rights, title and interest in and to MS1819 (see Note 14), the Company recorded Patents in the amount of $3,802,745 as follows:
Common stock issued at signing to Mayoly
$1,740,959
Due to Mayoly at 12/31/19 - €400,000
449,280
Due to Mayoly at 12/31/20 - €350,000
393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt
1,219,386
$3,802,745
Intangible assets are as follows:
 
 
September 30,
 
 
December 31,
 
 
 
2020
 
 
2019
 
Patents
 $3,802,745 
 $3,802,745 
Less accumulated amortization
  (791,322)
  (395,661)
Patents, net
 $3,011,423 
 $3,407,084 
Amortization expense for the three months ended September 30, 2020 and 2019 was $131,887 and $131,887, respectively. Amortization expense for the nine months ended September 30, 2020 and 2019 was $395,661 and $825,063, respectively.
Amortization expense for the nine months ended September 30, 2019 included $384,234 from In process research and development and License agreements written off as a result of the Mayoly APA.

As of September 30, 2020, amortization expense related to patents is expected to be as follows for the next five years (2020 through 2025):
2020 (balance of year)
 $395,661 
2021
  527,548 
2022
  527,548 
2023
  527,548 
2024
  527,548 
2025
  527,548 
Goodwill is as follows:
Goodwill
Balance at January 1, 2015 through2019
$1,924,830
Foreign currency translation
(38,144)
Balance at December 31, 2015,2019
1,886,686
Foreign currency translation
81,833
Balance at September 30, 2020
$1,968,519
Note 7 - Accounts Payable and Accrued Expenses
Accounts payable and accrued expenses consisted of the following:
 
 
September 30,
 
 
December 31,
 
 
 
2020
 
 
2019
 
Trade payables
 $1,422,066 
 $1,683,505 
Accrued expenses
  263,937 
  71,177 
Total accounts payable and accrued expenses
 $1,686,003 
 $1,754,682 
At September 30, 2020, and December 31, 2019, trade payables included $0, and $1,683,505, respectively, due to related parties.
Note 8 - Notes Payable
Directors and Officer’s Liability Insurance
On December 5, 2019, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $498,783 that bears interest at an annual rate of 5.461%. Monthly payments, including principal and interest, are $56,689 per month. The balance due under this financing agreement at September 30, 2020 was $0.
CARES ACT PPP Loan
In April 2020, the Company applied for and received a CARES Act Paycheck Protection Program (“PPP”) loan of $179,418 through the Small Business Administration (SBA). In May 2020, the Company returned the loan of $179,418 after analysis of the updated guidance from the U.S. Department of Treasury and the SBA regarding the eligibility for such loans.
Note 9 – Convertible Notes
ADEC Notes
On February 14, 2019, the Company entered into a Note Purchase Agreement (the “ADEC NPA”) with ADEC Private Equity Investments, LLC (“ADEC”), pursuant to which the Company issued to ADEC two Senior Convertible Notes (“Note A” and “Note B,” respectively, each an “ADEC Note,” and together, the “ADEC Notes”), in the principal amount of $1,000,000 per ADEC Note, resulting in gross proceeds to the Company of $2,000,000 (the “ADEC Note Offering”). ADEC is controlled by a significant stockholder of the Company.

The ADEC Notes accrued interest at a rate of 10% per annum; provided, however, that in the event the Company should elect to repay the full balance due under the terms of both ADEC Notes prior to December 31, 2019, then the interest rate would be reduced to 6% per annum. Interest would be payable at the time all outstanding principal amounts owed under each ADEC Note were repaid. The ADEC Notes were scheduled to mature on the earlier to occur of (i) the tenth business day following the receipt by ABS of certain tax credits that the Company expects to receive prior to July 2019 in the case of Note A (the “2019 Tax Credit”) and July 2020 in the case of Note B (the “2020 Tax Credit”), respectively, or (ii) December 31, 2019 in the case of Note A and December 31, 2020 in the Case of Note B (the “Maturity Dates”). As a condition to entering into the ADEC NPA, ABS and ADEC also entered into a Pledge Agreement, pursuant to which ABS agreed to pledge an interest in each of the 2019 Tax Credit and 2020 Tax Credit to ADEC in order to guarantee payment of all amounts due under the terms of the ADEC Notes.
Each of the ADEC Notes was convertible, at ADEC’s option, into shares of Common Stock, at a conversion price equal to $2.50 per share; provided, however, that pursuant to the term of the ADEC Notes, ADEC could not convert all or a portion of the ADEC Notes if such conversion would result in the significant stockholder and/or entities affiliated with him beneficially owning in excess of 19.99% of the shares of Common Stock issued and outstanding immediately after giving effect to the issuance of the shares issuable upon conversion of the ADEC Notes (the “ADEC Note Conversion Shares”).
As additional consideration for entering into the ADEC NPA, the Company entered into a warrant amendment agreement, whereby the Company agreed to reduce the exercise price of 1,009,565 outstanding warrants previously issued by the Company to ADEC and its affiliates (the “ADEC Warrants”) to $1.50 per share (the “ADEC Warrant Amendment”). The ADEC Warrant Amendment did not alter any other terms of the ADEC Warrants. The ADEC Warrant Amendment resulted in a debt discount of $325,320 that was accreted to additional interest expense over the lives of the ADEC Notes.
In December 2019, the Company repaid $1,550,000 principal amount of the ADEC Notes and on January 2, 2020 repaid the remaining principal balance of $450,000 plus outstanding accrued interest of $104,153. As of September 30, 2020, no ADEC Notes were outstanding.
Senior Convertible Promissory Note Offering
On December 20, 2019, the Company began an offering of (i) Senior Convertible Promissory Notes (each a “Promissory Note,” and together, the “Promissory Notes”) in the principal amount of up to $8.0 million to certain accredited investors (the “Note Investors”), and (ii) warrants (“Note Warrants”) to purchase shares of Common Stock, each pursuant to Note Purchase Agreements entered into by and between the Company and each of the Note Investors (the “Promissory NPAs”) (the “Promissory Note Offering”).
In December 2019, the Company issued Promissory Notes to the Note Investors in the aggregate principal amount of $3,386,300. The Promissory Notes were scheduled to mature on September 20, 2020, accrue interest at a rate of 9% per annum, and were convertible, at the sole option of the holder, into shares of Common Stock (the “Promissory Note Conversion Shares”) at a price of $0.97 per share (the “Conversion Option”). The Promissory Notes could be prepaid by the Company at any time prior to the maturity date in cash without penalty or premium (the “Prepayment Option”).
On January 2, 2020, January 3, 2020, and January 9, 2020, the Company issued Promissory Notes to the Note Investors in the aggregate principal amount of $3,517,700.
As additional consideration for the execution of the Promissory NPA, each Note Investor also received Note Warrants to purchase that number of shares of Common Stock equal to one-half (50%) of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes (the “Note Warrant Shares”). The Note Warrants have an exercise price of $1.07 per share and expire five years from the date of issuance. In addition, all of the Note Warrants, other than those issued in the December 20, 2019 closing (covering an aggregate of 2,374,345 shares of Common Stock) contain a provision prohibiting exercise until the expiration of six months from the date of issuance. The Company and each Note Investor executed a Registration Rights Agreement (the “RRA”), pursuant to which the Company agreed to file a registration statement. The Company filed a registration statement with the SEC on February 7, 2020 covering the Promissory Note Conversion Shares and Note Warrant Shares, but that registration statement was not declared effective and was subsequently withdrawn by the Company. On July 27, 2020, the Company filed a separate registration statement in connection with the Series B Private Placement and the Exchange described in Note 11, which also covers the Note Warrant Shares. That registration statement was declared effective on September 21, 2020.

In connection with the four closings in December 2019 of the Promissory Note Offering, the Company paid aggregate placement agent fees of $338,630, which fees were based on (i) 9% of the aggregate principal amount of the Promissory Notes issued to the Note Investors introduced by the placement agent, and (ii) a non-accountable expense allowance of 1% of the gross proceeds from the Promissory Note Offering. In addition, the placement agent was issued warrants, containing substantially the same terms and conditions as the Note Warrants, to purchase an aggregate of 244,372 shares of Common Stock (the “January Placement Agent Warrants”), representing 7% of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes issued to the Note Investors. The January Placement Agent Warrants expire five years from the date of issuance. The January Placement Agent Warrants in connection with the December 2019 closings have an exercise price of $1.21 per share.
In connection with the three closings in January 2020 of the Promissory Note Offering, the Company paid aggregate placement agent fees of $276,770, which fees were based on (i) 9% of the aggregate principal amount of the Promissory Notes issued to the Note Investors introduced by the placement agent, and (ii) a non-accountable expense allowance of 1% of the gross proceeds from the Promissory Note Offering. In addition, the placement agent was issued January Placement Agent Warrants, to purchase an aggregate of 199,732 shares of Common Stock. 41,495 of these January Placement Agent Warrants have an exercise price of $1.21 per share and 158,237 of these January Placement Agent Warrants have an exercise price of $1.42 per share.
The Company determined the Prepayment Option feature represents a contingent call option. The Company evaluated the Prepayment Option in accordance with ASC 815-15-25. The Company determined that the Prepayment Option feature is clearly and closely related to the debt host instrument and is not an embedded derivative requiring bifurcation. Additionally, the Company determined the Conversion Option represents an embedded call option. The Company evaluated the Conversion Option in accordance with ASC 815-15-25. The Company determined that the Conversion Option feature meets the scope exception from ASC 815 and is not an embedded derivative requiring bifurcation.
The Company evaluated the Promissory Notes for a beneficial conversion feature in accordance with ASC 470-20. The Company determined that at each commitment date the effective conversion price was below the closing stock price (market value), and the Convertible Notes contained a beneficial conversion feature.
Pursuant to the December 2019 closings of the Promissory Note Offering, the principal amount of $3,386,300 was first allocated based on the relative fair value of the Promissory Notes and the Note Warrants. The fair value of the Note Warrants amounted to $912,648. Then the beneficial conversion feature was calculated, which amounted to $1,359,284. The Company incurred debt issuance costs of $588,017 related to the offering. The initial carrying value of the Promissory Notes issued amounted to $526,351.
Pursuant to the January 2020 closings of the Promissory Note Offering, the principal amount of $3,517,700 was first allocated based on the relative fair value of the Promissory Notes and the Note Warrants. The fair value of the Note Warrants amounted to $2,439,272. Then the beneficial conversion feature was calculated, which amounted to $1,838,422. The Company incurred debt issuance costs of $472,326 related to the offering. The initial carrying value of the Promissory Notes issued amounted to $128,524.
On June 1, 2020, the Company entered into an amendment to a certain Promissory Note in the principal amount of $100,000 issued on December 20, 2019 to Edward J. Borkowski, the chairman of the Board, to increase the Conversion Price to $1.07 per share (the “Note Amendment”). The Company evaluated the Note Amendment transaction in accordance with ASC 470-50 and determined the Note Amendment did not constitute a substantive modification of the Promissory Note and that the transaction should be accounted for as a debt modification with no accounting treatment required.
During the three months ended September 30, 2020, the Company recognized $404,222 of interest expense related to these Promissory Notes, including amortization of debt discount related to the value of the Note Warrants of $120,165, amortization of the beneficial conversion feature of $193,555, amortization of debt discount related to debt issuance costs of $63,264, and accrued interest expense of $27,238.
During the nine months ended September 30, 2020, the Company recognized $4,912,396 of interest expense related to these Promissory Notes, including amortization of debt discount related to the value of the Note Warrants of $1,461,728, amortization of the beneficial conversion feature of $2,347,763, amortization of debt discount related to debt issuance costs of $771,675, and accrued interest expense of $332,230.

Exchange of Promissory Notes into Series B Convertible Preferred Stock
As more fully discussed in Note 11, on July 16, 2020, in connection with the Series B Private Placement, 937.004177 shares of Series B Preferred Stock, Series B Warrants to purchase 4,684,991 shares of Common Stock, and Exchange Warrants to purchase 1,772,937 shares of Common Stock were issued to certain holders of the Promissory Notes in exchange for such Promissory Notes for aggregate consideration of approximately $7.2 million consisting of approximately $6.9 million aggregate outstanding principal amount, together with accrued and unpaid interest thereon through the date of the Series B Private Placement of approximately $0.3 million.
The Company prepaid the remaining outstanding balance of $25,000 aggregate principal amount of Promissory Notes, together with accrued and unpaid interest thereon through the prepayment date of $1,307, held by those holders who did not participate in the Exchange. Following these transactions, no Promissory Notes remain outstanding.
Accounting for the Exchange of Promissory Notes into Series B Private Placement
The Company determined the Exchange of the Promissory Notes into Series B Preferred Stock and related warrants should be recognized as an extinguishment of the Promissory Notes,which resulted in a loss on extinguishment of approximately $0.6 million. Additionally, the Company recorded interest expense of approximately $0.8 million related to the remaining unamortized discount resulting from initial beneficial conversion feature of the Promissory Notes on closing date of the Exchange.
Convertible Debt consisted of:
 
 
Total
 
 
Promissory Notes
 
 
ADEC Notes
 
 
Total
 
 
 
September 30,
 
 
September 30,
 
 
September 30,
 
 
December 31,
 
 
 
2020
 
 
2020
 
 
2020
 
 
2019
 
Convertible debt
 $- 
 $- 
 $- 
 $3,836,300 
Unamortized debt discount - revalued warrants
  - 
  - 
  - 
  (118,356)
Unamortized debt discount - warrants
  - 
  - 
  - 
  (878,979)
Unamortized debt discount - BCF
  - 
  - 
  - 
  (1,307,755)
Unamortized debt discount - debt issuance costs
  - 
  - 
  - 
  (566,815)
Accrued interest
  - 
  - 
  - 
  112,543 
Total convertible debt
 $- 
 $- 
 $- 
 $1,076,938 
Note 10 – Other Liabilities
Other liabilities consisted of the following:
 
 
September 30,
 
 
December 31,
 
Current
 
2020
 
 
2019
 
Due to Mayoly
 $410,026 
 $392,989 
Lease liabilities
  74,156 
  83,235 
Other liabilities
  8,633 
  - 
 
 $492,815 
 $476,224 
 
    
    
 
 
September 30,
 
 
December 31,
 
Long-term
 
2020
 
 
2019
 
Lease liabilities
  31,469 
  - 
 
 $31,469 
 $- 
Note 11 – Equity
Our certificate of incorporation, as amended and restated on December 20, 2019 (the “Charter”) authorizes the issuance of up to 150,000,000 shares of Common Stock, par value $0.0001 per share, and 10,000,000 shares of preferred stock, par value $0.0001 per share.
On December 19, 2019, the Company held its Annual Meeting of Stockholders (the “2019 Annual Meeting”), whereby, the shareholders approved, among others, amending the Company’s Charter to authorize the Board to effect a reverse stock split of both the issued and outstanding and authorized shares of Common Stock, at a specific ratio, ranging from one-for-two (1:2) to one-for-five (1:5), any time prior to the one-year anniversary date of the 2019 Annual Meeting, with the exact ratio to be determined by the Board (the “Reverse Split”). As of September 30, 2020, the Board had not elected to effect a Reverse Split. The authorization for the Reverse Split will expire on December 19, 2020.

Common Stock 
The Company had 28,881,984 and 26,800,519 shares of its Common Stock issued and outstanding at September 30, 2020 and December 31, 2019, respectively.
Each holder of Common Stock is entitled to one vote for each share of Common Stock held on all matters submitted to a vote of the stockholders. Our Charter and Amended and Restated Bylaws (the “Bylaws”) do not provide for cumulative voting rights.
In addition, the holders of our Common Stock will be entitled to receive ratably such dividends, if any, as may be declared by the Board out of legally available funds; however, the current policy of our Board is to retain earnings, if any, for operations and growth. Upon liquidation, dissolution or winding-up, the holders of our Common Stock will be entitled to share ratably in all assets that are legally available for distribution.
Holders of our Common Stock have no preemptive, conversion or subscription rights, and there are no redemption or sinking fund provisions applicable to the Common Stock. The rights, preferences and privileges of the holders of Common Stock are subject to, and may be adversely affected by, the rights of the holders of shares of any series of our preferred stock that we may designate and issue in the future.
Preferred Stock
We have 10,000,000 shares of preferred stock, par value $0.0001 per share, authorized and available for issuance in one or more series. The Board is authorized to divide the preferred stock into any number of series, fix the designation and number of each such series, and determine or change the designation, relative rights, preferences, and limitations of any series of preferred stock. The Board of may increase or decrease the number of shares initially fixed for any series, but no decrease may reduce the number below the shares then outstanding and duly reserved for issuance.
On July 16, 2020, we authorized 5,194.805195 shares as Series B Preferred Stock and issued 2,912.583005 shares of Series B Preferred Stock, with 2,282.222190 shares of Series B Preferred Stock remaining authorized but unissued. Following such transactions, we currently have 2,912.583005 shares of preferred stock issued and outstanding with 9,997,087.416995 shares of preferred stock remaining authorized but unissued.
Series B Convertible Preferred Stock
Pursuant to the Certificate of Designation of Rights and Preferences of the Series B Preferred Stock (the “Series B Certificate of Designation”), the terms of the Series B Preferred Stock are as follows:
Ranking
The Series B Preferred Stock will rank senior to the Common Stock with respect to distributions of assets upon the liquidation, dissolution or winding up of the Company.
Stated Value
Each share of Series B Preferred Stock has a stated value of $7,700, subject to adjustment for stock splits, combinations and similar events (the “Series B Stated Value”).
Dividends
Each holder of shares of Series B Preferred Stock, in preference and priority to the holders of all other classes or series of stock of the Company, is entitled to receive dividends, commencing from the date of issuance. Such dividends may be paid by the Company only when, as and if declared by the Board, out of assets legally available therefor, semiannually in arrears on the last day of June and December in each year, commencing December 31, 2020, at the dividend rate of 9.0% per year, which is cumulative and continues to accrue on a daily basis whether or not declared and whether or not the Company has assets legally available therefor. The Company may pay such dividends at its option either in cash or in kind in additional shares of Series B Preferred Stock (rounded down to the nearest whole share), provided the Company must pay in cash the fair value of any such fractional shares in excess of $100.00. At September 30, 2020 the dividend payable to the holders of the Series B Preferred Stock aggregated to approximately $408,043.

Liquidation Preference; Liquidation Rights
Under the Certificate of Designations, each share of Series B Preferred Stock carries a liquidation preference equal to the Series B Stated Value (as adjusted thereunder) plus accrued and unpaid dividends thereon (the “Liquidation Preference”).
If the Company voluntarily or involuntarily liquidates, dissolves or winds up its affairs, each holder of the Series B Preferred Stock will be entitled to receive out of the Company’s assets available for distribution to stockholders, after satisfaction of liabilities to creditors, if any, but before any distribution of assets is made on the Common Stock or any of the Company’s shares of stock ranking junior as to such a distribution to the Series B Preferred Stock, a liquidating distribution in the amount of the Stated Value of all such holder’s Series B Preferred Stock plus all accrued and unpaid dividends thereon. At September 30, 2020, the value of the liquidation preference of the Series B Preferred stocks aggregated to approximately $22.6 million.
Conversion
Each share of Series B Preferred Stock will be convertible at the holder’s option at any time, into Common Stock at a conversion rate equal to the quotient of (i) the Series B Stated Value divided by (ii) the initial conversion price of $0.77, subject to specified adjustments for stock splits, cash or stock dividends, reorganizations, reclassifications other similar events as set forth in the Series B Certificate of Designations. In addition, at any time after the six month anniversary of the Series B Closing Date, if the closing sale price per share of Common Stock exceeds 250% of the initial conversion price, or $1.925, for 20 consecutive trading days, then all of the outstanding shares of Series B Preferred Stock will automatically convert (the “Automatic Conversion”) into such number of shares of Common Stock as is obtained by multiplying the number of shares of Series B Preferred Stock to be so converted, plus the amount of any accrued and unpaid dividends thereon, by the Series B Stated Value per share and dividing the result by the then applicable conversion price. The Series B Preferred Stock contains limitations that prevent the holder thereof from acquiring shares of Common Stock upon conversion (including pursuant to the Automatic Conversion) that would result in the number of shares beneficially owned by such holder and its affiliates exceeding 9.99% of the total number of shares of Common Stock outstanding immediately after giving effect to the conversion, which percentage may be increased or decreased at the holder’s election not to exceed 19.99%.
Most Favored Nations Exchange Right
In the event the Company effects any issuance by the Company or any of its subsidiaries of Common Stock or Common Stock equivalents for cash consideration, or a combination of units thereof (a “Subsequent Financing”), each holder of the Series B Preferred Stock has the right, subject to certain exceptions set forth in the Series B Certificate of Designations, at its option, to exchange (in lieu of cash subscription payments) all or some of the Series B Preferred Stock then held (with a value per share of Series B Preferred Stock equal to the Liquidation Preference) for any securities or units issued in a Subsequent Financing on dollar-for-dollar basis.
Voting
The holders of the Series B Preferred Stock, voting as a separate class, will have customary consent rights with respect to certain corporate actions of the Company. The Company may not take the following actions without the prior consent of the holders of at least a majority of the Series B Preferred Stock then outstanding: (a) authorize, create, designate, establish, issue or sell an increased number of shares of Series B Preferred Stock or any other class or series of capital stock ranking senior to or on parity with the Series B Preferred Stock as to dividends or upon liquidation; (b) reclassify any shares of Common Stock or any other class or series of capital stock into shares having any preference or priority as to dividends or upon liquidation superior to or on parity with any such preference or priority of Series B Preferred Stock; (c) amend, alter or repeal the Certificate of Incorporation or Bylaws of the Company and the powers, preferences, privileges, relative, participating, optional and other special rights and qualifications, limitations and restrictions thereof, which would adversely affect any right, preference, privilege or voting power of the Series B Preferred Stock; (d) issue any indebtedness or debt security, other than trade accounts payable, insurance premium financings and/or letters of credit, performance bonds or other similar credit support incurred in the ordinary course of business, or amend, renew, increase, or otherwise alter in any material respect the terms of any such indebtedness existing as of the date of first issuance of shares of Series B Preferred Stock; (e) redeem, purchase, or otherwise acquire or pay or declare any dividend or other distribution on (or pay into or set aside for a sinking fund for any such purpose) any capital stock of the Company; (f) declare bankruptcy, dissolve, liquidate, or wind up the affairs of the Company; (g) effect, or enter into any agreement to effect, a Change of Control (as defined in the Certificate of Designations); or (h) materially modify or change the nature of the Company’s business.

2014 Equity Incentive Plan
The Company’s Board and stockholders adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”), which took effect on May 12, 2014. From the adoption and approval of the 2020 Plan on September 11, 2020, no new awards have been or will be made under the 2014 Plan.
The 2014 Plan allowed for the issuance of securities, including stock options to employees, Board members and consultants. The number of shares of Common Stock reserved for issuance under the 2014 Plan could not exceed ten percent (10%) of the issued and outstanding shares of Common Stock on an as converted basis (the “As Converted Shares”) on a rolling basis. For calculation purposes, the As Converted Shares included all shares of Common Stock and all shares of Common Stock issuable upon the conversion of outstanding preferred stock and other convertible securities but did not include any shares of Common Stock issuable upon the exercise of options, or other convertible securities issued pursuant to the 2014 Plan. The number of authorized shares of Common Stock reserved for issuance under the 2014 Plan was automatically be increased concurrently with the Company’s issuance of fully paid and non- assessable shares of As Converted Shares. Shares were deemed to have been issued under the 2014 Plan solely to the extent actually issued and delivered pursuant to an award.
On July 16, 2020, the Board approved an amendment to the 2014 Plan. The amendment eliminates individual grant limits under the 2014 Plan that were intended to comply with the exemption for “performance-based compensation” under Section 162(m) of the Internal Revenue Code, which section has been repealed.
The Company issued an aggregate of 795,006 and 0 stock options, during the nine months ended September 30, 2020 and 2019, respectively, under the 2014 Plan (see Note 13). Upon adoption of the 2020 Omnibus Equity Incentive Plan on September 11, 2020, the Company will no longer make grants under the 2014 Plan.
2020 Equity Incentive Plan
The Company’s Board and stockholders adopted and approved the 2020 Omnibus Equity Incentive Plan (the “2020 Plan”), which took effect on September 11 ,2020. The 2020 Plan allows for the issuance of securities, including stock options to employees, Board members and consultants. The initial number of shares of Common Stock available for issuance under the 2020 Plan is 10,000,000 shares, which will, on January 1 of each calendar year, unless the Board decides otherwise, automatically increase to equal ten percent (10%) of the total number of shares of Common Stock outstanding on December 31 of the immediately preceding calendar year, calculated on an As Converted Basis. As Converted Shares include all outstanding shares of Common Stock and all shares of Common Stock issuable upon the conversion of outstanding preferred stock, warrants and other convertible securities, but will not include any shares of Common Stock issuable upon the exercise of options and other convertible securities issued pursuant to either the 2014 Plan or the 2020 Plan. The number of shares permitted to be issued as “incentive stock options” (“ISOs”) from is 15,000,000 under the 2020 Plan.
As of September 30, 2020, no grants were issued under the 2020 Plan and an aggregate of 10,000,000 total shares are available under the 2020 Plan.
Equity Line with Lincoln Park
On November 13, 2019, the Company entered into a purchase agreement (the “Equity Line Agreement”), together with a registration rights agreement (the “Lincoln Park Registration Rights Agreement”), with Lincoln Park. Under the terms of the Equity Line Agreement, Lincoln Park has committed to purchase up to $15,000,000 of our Common Stock (the “Equity Line”). Upon execution of the Equity Line Agreement, the Company issued Lincoln Park 487,168 shares of Common Stock (the “Commitment Shares”) as a fee for its commitment to purchase shares of our Common Stock under the Equity Line Agreement. The remaining shares of our Common Stock that may be issued under the Equity Line Agreement may be sold by the Company to Lincoln Park at our discretion from time-to-time over a 30-month period commencing after the satisfaction of certain conditions set forth in the Equity Line Agreement, subject to the continued effectiveness of a registration statement covering such shares of Common Stock sold to Lincoln Park by the Company. The registration statement was filed with the SEC on December 31, 2019 and was declared effective on January 14, 2020.
Under the Equity Line Agreement, on any business day over the term of the Equity Line Agreement, the Company has the right, in its sole discretion, to present Lincoln Park with a purchase notice (each, a “Purchase Notice”) directing Lincoln Park to purchase up to 150,000 shares of Common Stock per business day (the “Regular Purchase”). In each case, Lincoln Park’s maximum commitment in any single Regular Purchase may not exceed $1,000,000. The Equity Line Agreement provides for a purchase price per Purchase Share (the “Purchase Price”) equal to the lesser of:
 the three months ended March 31, 2016 and 2015
F-7
lowest sale price of Common Stock on the purchase date; and;
  
 the Financial Statementsaverage of the three lowest closing sale prices for the Common Stock during the ten consecutive business days ending on the business day immediately preceding the purchase date of such shares;

In addition, on any date on which the Company submits a Purchase Notice to Lincoln Park, the Company also has the right, in its sole discretion, to present Lincoln Park with an accelerated purchase notice (each, an “Accelerated Purchase Notice”) directing Lincoln Park to purchase an amount of stock (the “Accelerated Purchase”) equal to up to the lesser of (i) three times the number of shares purchased pursuant to such Regular Purchase; and (ii) 30% of the aggregate shares of Common Stock traded during all or, if certain trading volume or market price thresholds specified in the Equity Line Agreement are crossed on the applicable Accelerated Purchase date, the portion of the normal trading hours on the applicable Accelerated Purchase date prior to such time that any one of such thresholds is crossed (such period of time on the applicable Accelerated Purchase Date, the “Accelerated Purchase Measurement Period”), provided that Lincoln Park will not be required to buy shares pursuant to an Accelerated Purchase Notice that was received by Lincoln Park on any business day on which the last closing trade price of Common Stock on the Nasdaq Capital Market (or alternative national exchange) is below $0.25 per share. The purchase price per share for each such Accelerated Purchase will be equal to the lesser of:
 97% of the volume weighted average price of the Company’s common stock during the applicable Accelerated Purchase Measurement Period on the applicable Accelerated Purchase date; and
 the closing sale price of Common Stock on the applicable Accelerated Purchase Date.
The Company may also direct Lincoln Park on any business day on which an Accelerated Purchase has been completed and all of the shares to be purchased thereunder have been properly delivered to Lincoln Park in accordance with the Equity Line Agreement, to purchase an amount of stock (the “Additional Accelerated Purchase”) equal to up to the lesser of (i) three times the number of shares purchased pursuant to such Regular Purchase; and (ii) 30% of the aggregate number of shares of Common Stock traded during a certain portion of the normal trading hours on the applicable Additional Accelerated Purchase date as determined in accordance with the Purchase Agreement (such period of time on the applicable Additional Accelerated Purchase date, the “Additional Accelerated Purchase Measurement Period”), provided that the closing price of the Company’s common stock on the business day immediately preceding such business day is not below $0.25 per share. Additional Accelerated Purchases will be equal to the lower of:
 97% of the volume weighted average price of the Company’s common stock during the applicable Additional Accelerated Purchase Measurement Period on the applicable Additional Accelerated Purchase date; and
 the closing sale price of Common Stock on the applicable Additional Accelerated Purchase.
During the three and nine months ended September 30, 2020, the Company issued an aggregate of 0, and 1,495,199 shares of Common Stock, respectively, in connection with the Equity Line Agreement, resulting in net proceeds to the Company of approximately $0, and $988,348, respectively.
Pursuant to the terms of the Equity Line Agreement, without first obtaining stockholder approval, the aggregate number of shares that the Company is permitted to sell to Lincoln Park thereunder, when aggregated with certain other private offerings of Common Stock, as applicable, may not exceed 19.99% of the Common Stock outstanding immediately prior to the execution of the Equity Line Agreement on November 13, 2019, unless the average price of all applicable sales thereunder exceeds $0.70 per share calculated by reference to the “Minimum Price” under Nasdaq Listing Rule 5635(d). On September 11, 2020, the Company received stockholder approval for the issuances of the full $15 million available under the Equity Line Agreement. Generally, there is approximately $14 million of availability left for issuance pursuant to the Equity Line Agreement.
Common Stock Issuances
During the three months ended September 30, 2020, holders of shares of Series B Preferred Stock converted 34.127448 shares of Series B Preferred Stock into an aggregate of 341,274 shares of Common Stock at the stated conversion price of $0.77 per share, plus the issuance of 4,610 shares of Common Stock for accrued dividends of $3,551 through such conversion dates.
During the three months ended September 30, 2020, the Company issued an aggregate of 31,646 shares of its Common Stock to consultants with a total grant date fair value of approximately $25,000 for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.
During the nine months ended September 30, 2020, the Company issued an aggregate of 132,841 shares of its Common Stock to consultants with a total grant date fair value of approximately $112,105 for investor relations services provided, which was recorded was recorded as stock-based compensation and included as part of general and administrative expense.

During the nine months ended September 30, 2020, the Company issued an aggregate of 105,937 shares of its Common Stock to outside Board members as payment of Board fees with an aggregate grant date fair value of approximately $131,137 that was recorded as stock-based compensation, included as part of general and administrative expense. The aggregate effective settlement price was $1.24 per share, and each individual stock issuance was based on the closing stock price of the Common Stock on the initial date the payable was accrued.
During the three and nine months ended September 30, 2019, the Company issued 21,677 and 62,518 shares of Common Stock, respectively, to a consultant as payment of $22,500 and $112,500, respectively, of accounts payable related to investor relations services.
During the three and nine months ended September 30, 2019, the Company issued an aggregate of 0 and 60,000 shares of its Common Stock, respectively, to outside Board members as payment of Board fees with an aggregate grant date fair value of approximately $0 and $123,000, respectively that was recorded as stock-based compensation, included as part of general and administrative expense.
During the period from April 6, 2020 through May 22, 2020, the Company sold an aggregate of 1,345,199 shares of Common Stock pursuant to the Equity Line, from which the Company derived approximately $869,000 in net proceeds. The sales of these shares were exempt from registration under the Securities Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder).
Restricted Stock and Restricted Stock Units
Restricted stock refers to shares of Common Stock subject to vesting based on certain service, performance, and market conditions. Restricted stock unit awards (“RSUs”) refer to an award under the 2014 Plan, which constitutes a promise to grant shares of Common Stock at the end of a specified restriction period.
During the three months ended September 30, 2020, an aggregate of 1,746 unvested restricted shares of Common Stock, subject to service conditions, vested with a total grant date fair value of approximately $6,289 and was recorded as stock-based compensation, included as part of general and administrative expense.
During the nine months ended September 30, 2020, an aggregate of 10,080 unvested restricted shares of Common Stock, subject to service conditions, vested with a total grant date fair value of approximately $36,289 and was recorded as stock-based compensation, included as part of general and administrative expense.
During the three and nine months ended September 30, 2020, an aggregate of 0, and 4,000 unvested restricted shares of Common Stock were forfeited, respectively.
During the three months ended September 30, 2019, the Company issued 21,677 restricted shares of Common Stock to a consultant as payment of $22,500 of accounts payable for investor relations services. During the nine months ended September 30, 2019, the Company issued 62,518 shares of Common Stock to a consultant as payment of $112,500 of accounts payable for investor relations services.
During the three months ended September 30, 2019, an aggregate of 43,750 unvested restricted shares of Common Stock vested with a total grant date fair value of approximately $63,434. 13,750 of these restricted shares vested during the three months ended September 30, 2019 due to the terms of such grants with a total grant date fair value of approximately $44,834. 30,000 of these restricted shares were issued during the three months ended September 30, 2019 to our directors as a part of Board compensation with a total grant date fair value of approximately $18,600.
During the nine months ended September 30, 2019, an aggregate of 223,417 unvested restricted shares of Common Stock vested with a total grant date fair value of approximately $556,888. 33,334 of these restricted shares with a total grant date fair value of approximately $101,335 vested during the nine months ended September 30, 2019 due to the Company achieving certain clinical milestones. 41,250 of these restricted shares with a total grant date fair value of approximately $134,501 vested during the nine months ended September 30, 2019 due to the satisfaction of service conditions 30,000 of these restricted shares were issued during the three months ended September 30, 2019 to our directors as a part of Board compensation with a total grant date fair value of approximately $142,200.
As of September 30, 2020, the Company had unrecognized restricted common stock expense of approximately $393,250. Approximately $196,625 of this unrecognized expense vests upon the first commercial sale in the United States of MS1819 and approximately $196,625 of this unrecognized expense vests upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days. These milestones were not considered probable at September 30, 2020.

Series B Private Placement
The Series B Private Placement and the Exchange
On July 16, 2020 (the “Series B Closing Date”), the Company consummated a private placement offering (the “Series B Private Placement”) whereby the Company entered into a Convertible Preferred Stock and Warrant Securities Purchase Agreement (the “Series B Purchase Agreement”) with certain accredited and institutional investors (the “Series B Investors”). Pursuant to the Series B Purchase Agreement, the Company issued an aggregate of 2,912.583005 shares of Series B Convertible Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”), at a price of $7,700.00 per share, initially convertible into an aggregate of 29,125,756 shares of Common Stock at $0.77 per share, together with warrants (the “Series B Warrants”) to purchase an aggregate of 14,562,826 shares of Common Stock at an exercise price of $0.85 per share. The amount of the Series B Warrants is equal to 50% of the shares of Common Stock into which the Series B Preferred Stock is initially convertible.
In connection with the Series B Private Placement, an aggregate of 1,975.578828 shares of Series B Preferred Stock initially convertible into 19,755,748 shares of Common Stock and related 9,877,835 Series B Warrants were issued for cash consideration, resulting in aggregate gross proceeds of approximately $15.2 million and aggregate net proceeds to the Company of approximately $13.2 million after deducting placement agent compensation and offering expenses.
An aggregate of 937.004177 shares of Series B Preferred Stock initially convertible into 9,370,008 shares of Common Stock and related Series B Warrants to purchase 4,684,991 shares of Common Stock were issued to certain Series B Investors (the “Exchange Investors”) in exchange for consideration consisting of approximately $6.9 million aggregate outstanding principal amount, together with accrued and unpaid interest thereon through the Series B Closing Date of approximately $0.3 million, of certain Senior Convertible Promissory Notes (the “Promissory Notes”) issued between December 20, 2019 and January 9, 2020 (the “Exchange”), pursuant to an Exchange Addendum (the “Exchange Addendum”) executed by the Company and the Exchange Investors. As additional consideration to the Exchange Investors, the Company also issued certain additional warrants (the “Exchange Warrants”) to purchase an aggregate of 1,772,937 shares of Common Stock at an exercise price of $0.85 per share. The amount of the Exchange Warrants is equal to 25% of the shares of Common Stock into which such Promissory Notes were originally convertible upon the initial issuance thereof.
Pursuant to the Series B Private Placement and the Series B Purchase Agreement, for purposes of complying with Nasdaq Listing Rule 5635(c) and 5635(d), the Company was required to hold a meeting of its stockholders not later than 60 days following the Series B Closing Date to seek approval (the “Stockholder Approval”) for, among other things, the issuance of shares of Common Stock upon (i) full conversion of the Series B Preferred Stock; and (ii) full exercise of the Series B Warrants and the Exchange Warrants. In the event the Stockholder Approval was not received on or prior to the 90th day following the Series B Closing Date, subject to extension upon the prior written approval of the holders of at least a majority of the Series B Preferred Stock then outstanding, the Company would have been required to repurchase all of the then outstanding shares of Series B Preferred Stock at a price equal to 150% of the stated value thereof plus accrued and unpaid dividends thereon, in cash. On September 11, 2020, the Company received Stockholder Approval.
The Company prepaid the remaining outstanding balance of $25,000 aggregate principal amount of Promissory Notes, together with accrued and unpaid interest thereon through the prepayment date of $1,307, held by those holders who did not participate in the Exchange. Following these transactions, no Promissory Notes remain outstanding.
In connection with the Series B Private Placement, the Company paid the placement agent 9.0% of the gross cash proceeds received by the Company from investors introduced by the placement agent and 4.0% of the gross cash proceeds received by the Company for all other investors, or approximately $1.3 million. The Company also paid the placement agent a non-accountable cash fee equal to 1.0% of the gross cash proceeds and a cash financial advisory fee equal to 3.0% of the outstanding principal balance of the Promissory Notes that were submitted in the Exchange, or approximately $0.3 million in additional cash fees in the aggregate. In addition, the Company issued to the placement agent warrants to purchase up to 1,377,458 shares of Common Stock (the “July Placement Agent Warrants”). The July Placement Agent Warrants have substantially the same terms as the Series B Warrants, except the July Placement Agent Warrants have an exercise price of $0.96 per share, are not callable, provide for cashless exercise and are not exercisable until the earlier of stockholder approval of the Series B Private Placement and the date that is six months following the issuance thereof.

Accounting for the Series B Private Placement
Upon receiving Shareholder Approval on September 11, 2020, the Company classified the Series B Preferred Stock as permanent equity because no features provide for redemption by the holders of the Series B Preferred Stock or conditional redemption, which is not solely within the Company’s control, and there are no unconditional obligations in that (1) the Company must or may settle in a variable number of its equity shares and (2) the monetary value is predominantly fixed, varying with something other than the fair value of the Company’s equity shares or varying inversely in relation to the Company’s equity shares.
Because the Series B Preferred Stock contain certain embedded features that could affect the ultimate settlement of the Series B Preferred Stock, the Company analyzed the instrument for embedded derivatives that require bifurcation. The Company’s analysis began with determining whether the Series B Preferred Stock is more akin to equity or debt.  The Company evaluated the following criteria/features in this determination: redemption, voting rights, collateral requirements, covenant provisions, creditor and liquidation rights, dividends, conversion rights and exchange rights. The Company determined that the Series B Preferred Stock was more akin to equity than to debt when evaluating the economic characteristics and risks of the entire Series B Preferred Stock, including the embedded features. The Company then evaluated the embedded features to determine whether their economic characteristics and risks were clearly and closely related to the economic characteristics and risks of the Series B Preferred Stock. Since the Series B Preferred Stock was determined to be more akin to equity than debt, and the underlying that causes the value of the embedded features to fluctuate would be the value of the Company’s common stock, the embedded features were considered clearly and closely related to the Series B Preferred Stock. As a result, the embedded features would not need to be bifurcated from the Series B Preferred Stock.
Any beneficial conversion features related to the exercise of the Most Favored Nation exchange right or the application of the Mandatory Conversion provision will be recognized upon the occurrence of the contingent events based on its intrinsic value at the commitment date.
The Company concluded the freestanding Series B Warrants did not contain any provision that would require liability classification and therefore should be classified in stockholder’s equity, based on their relative fair value.
The proceeds from the Series B Private Placement were allocated to the Series B Preferred Stock and Series B Warrants based on their relative fair values. Thetotal proceeds of approximately $22,426,890 were allocated as follows: $16,474,374 to the Series B Preferred Stock, and $5,952,515 to the Series B Warrants.After allocation of the proceeds, the effective conversion price of the Series B Preferred Stock was determined to be beneficial and, as a result, the Company recorded a deemed dividend of $8,155,212 equal to the intrinsic value of the beneficial conversion feature and recognized on the closing date and recorded as a reduction of income available to common stockholders in computing basic and diluted loss per share.
The total offering costs of approximately $2,014,218 were recognized in equity.

Note 12 – Warrants
For the nine months ended September 30, 2020, in connection with the January 2020 closings of the Promissory Note Offering, the Company issued Note Warrants to investors to purchase an aggregate of 1,813,257 shares of Common Stock with the issuance of the Promissory Notes as referenced in Note 9. These Note Warrants were issued between January 2, 2020 and January 9, 2020, are exercisable commencing six (6) months following the issuance date at $1.07 per share and expire five years from issuance. The total grant date fair value of these warrants was determined to be approximately $1,574,886, as calculated using the Black-Scholes model, and were recorded as a debt discount based on their relative fair value.
For the nine months ended September 30, 2020, in connection with the January 2020 closings of the Promissory Note Offering, the Company issued the January Placement Agent Warrants to purchase an aggregate of 199,732 shares of Common Stock to the placement agent and/or their designees. The January Placement Agent Warrants were issued between January 2, 2020 and January 9, 2020, vested immediately, and expire five years from issuance. 41,495 of these January Placement Agent Warrants are exercisable at $1.21 per share and 158,237 are exercisable at $1.42 per share. The total grant date fair value of the January Placement Agent Warrants was determined to be approximately $174,130, as calculated using the Black-Scholes model, and was charged to debt discount that will be amortized over the life of the debt.
For the three and nine months ended September 30, 2020, in connection with the closing of the Series B Private Placement, the Company issued Series B Warrants to investors to purchase an aggregate of 14,562,826 shares of Common Stock with the issuance of the Series B Preferred Stock as referenced in Note 11. These Series B Warrants were issued on July 16, 2020, are exercisable commencing six (6) months following the issuance date at $0.85 per share and expire five years from issuance. The total grant date fair value of the Series B Warrants was determined to be approximately $8,103,277, as calculated using the Black-Scholes model, and were recorded as equity based on their relative fair value (See Note 11).
For the three and nine months ended September 30, 2020, in connection with the closing of the Exchange (See Note 11), the Company issued Exchange Warrants to certain investors to purchase an aggregate of 1,772,937 shares of Common Stock with the issuance of the Series B Preferred Stock as referenced in Note 11. These Exchange Warrants were issued on July 16, 2020, are exercisable commencing six (6) months following the issuance date at $0.85 per share and expire five years from issuance. The total grant date fair value of the Exchange warrants was determined to be approximately $986,526, as calculated using the Black-Scholes model, and were recorded as part of the loss on extinguishment (See Note 9).
For the three and nine months ended September 30, 2020, in connection with the closing of the Series B Private Placement, the Company issued the July Placement Agent Warrants to purchase an aggregate of 1,377,458 shares of Common Stock to the placement agent and/or their designees as referenced in Note 11. The July Placement Agent Warrants were issued on July 16, 2020, are exercisable commencing six (6) months following the issuance date at $0.96 per share and expire five years from issuance. The total grant date fair value of the July Placement Agent Warrants was determined to be approximately $744,378, as calculated using the Black-Scholes model, and were recorded as equity (See Note 11).
For the three and nine months ended September 30, 2020, in connection with the Spoor Settlement and Release (See Note 18), on July 14, 2020 the Company granted Mr. Spoor warrants to purchase an aggregate of 150,000 shares of Common Stock. The warrants were immediately exercisable, have an exercise price equal to $1.00 per share, a five-year term and may be exercised pursuant to a cashless exercise provision commencing six months from the issuance date. The total grant date fair value of these warrants was determined to be approximately $85,770, as calculated using the Black-Scholes model, and were included in the gain on settlement (See Note 18).
During the nine months ended September 30, 2020, warrants to purchase an aggregate of 59,774 shares of Common Stock expired with exercise prices ranging between $3.25 and $7.37 per share.

Warrant transactions for the nine months ended September 30, 2020 and 2019 were as follows:
 
 
 
 
 
Exercise
 
 
 Weighted
 
 
 
 
 
 
Price Per
 
 
Average
 
 
 
Warrants
 
 
Share
 
 
Exercise Price
 
 
 
 
 
 
 
 
 
 
 
Warrants outstanding and exercisable at January 1, 2019
  3,112,715 
 $2.55 - 7.37 
 $4.83 
 
    
    
    
Granted during the period
  275,663 
 $2.55 – 2.82 
 $2.68 
Expired during the period
  - 
  - 
  - 
Exercised during the period
  - 
  - 
  - 
Warrants outstanding and exercisable at September 30, 2019
  3,388,378 
 $1.50 - 7.37 
 $3.51 
 
    
    
    
 
    
    
    
Warrants outstanding and exercisable at January 1, 2020
  5,378,288 
 $1.07 - 7.37 
 $2.53 
 
    
    
    
Granted during the period
  19,881,654 
 $0.85 - 1.42 
 $0.88 
Expired during the period
  (59,774)
 $3.25 - 7.37 
 $5.15 
Exercised during the period
  - 
  - 
  - 
Warrants outstanding and exercisable at September 30, 2020
  25,200,168 
 $0.85 - 7.37 
 $1.22 
 
 
 
 
 
Number of
 
 
Weighted Average
 
Weighted
 
 
 
 
 
Shares Under
 
 
Remaining Contract
 
Average
 
 
Exercise Price
 
 
Warrants
 
 
Life in Years
 
 
Exercise Price
 
  $0.00 - 0.99   17,718,665   4.79  
  $1.00 - 1.99   5,362,464   3.65  
  $2.00 - 2.99   320,063   2.82  
  $3.00 - 3.99   635,019   1.57  
  $4.00 - 4.99   164,256   1.53  
  $5.00 - 5.99   783,132   1.42  
  $6.00 - 6.99   187,750   1.01  
  $7.00 - 7.37   28,819   0.28  
Totals      25,200,168   4.28 $1.22
The weighted average fair value of warrants granted during the nine months ended September 30, 2020 was $0.88 per share. The fair value was estimated on the grant dates using the Black-Scholes option-pricing model with the following weighted average assumptions:
F-8September 30,
2020
Expected life (in years)
5
Volatility
84.7%
Risk-free interest rate
0.28-1.67%
Dividend yield
-%
 
 
Note 13 - Stock Options
Under the 2014 Plan and the 2020 Plan, the fair value of options granted is estimated on the grant date using the Black-Scholes option valuation model. This valuation model for stock-based compensation expense requires the Company to make assumptions and judgments about the variables used in the calculation, including the expected term (weighted-average period of time that the options granted are expected to be outstanding), the volatility of the common stock price and the assumed risk-free interest rate. The Company recognizes stock-based compensation expense for only those shares expected to vest over the requisite service period of the award. No compensation cost is recorded for options that do not vest and the compensation cost from vested options, whether forfeited or not, is not reversed.
During the three months ended September 30, 2020, the Company issued stock options to purchase an aggregate of 2,040,000 shares of Common Stock with a strike price of $0.85 per share and a term of ten years to its employees. These options had a total grant date fair value of approximately $1,449,130, as calculated using the Black-Scholes model.
During the three months ended September 30, 2020, the Board approved an amended and restated option grant to its chief financial officer, amending and restating a grant previously made on January 2, 2020, to reduce the amount of shares issuable upon exercise of such option to be the maximum number of shares Mr. Schneiderman was eligible to receive under the 2014 Incentive Plan on the original grant date, or 300,000 shares, due to the 2014 Incentive Plan provisions relating to the Section 162(m) limitations described above. The Board also approved the issuance of a replacement option covering the balance of shares intended to be issued at that time, or 35,006 shares. The original stock option has an exercise price of $1.03, the closing sale price of Common Stock on January 2, 2020, which was the date of its original grant, and the replacement stock option has an exercise price of $0.85, the closing sale price of the Common Stock on its date of grant. Both the original stock option and the replacement stock option vest over a term of three years, in 36 equal monthly installments on each monthly anniversary of January 2, 2020. On the issuance date, 6,336 shares had vested, and 28,670 shares were unvested with $24,102 of unrecognized expense. The Company determined the cancellation and reissue of these stock options resulted in an effective repricing of the stock options and modification accounting should be applied under ASC 718. The fair value of the original stock options immediately prior to the modification was $23,454 and the grant date fair value of the replacement stock options was $24,154. The Company will recognize a total of $24,802 over the remaining requisite service period through January 1, 2023.
During the nine months ended September 30, 2020, the Company issued stock options to purchase an aggregate of 335,006 shares of Common Stock with a strike price of $1.03 per share and a term of ten years to its chief financial officer that vest quarterly over three years. These options had a total grant date fair value of approximately $281,405, as calculated using the Black-Scholes model.
During the nine months ended September 30, 2020, the Company issued stock options to purchase an aggregate of 460,000 shares of Common Stock with a strike price of $0.97 per share and a term of ten years to its non-executive directors. These options had a total grant date fair value of approximately $210,284, as calculated using the Black-Scholes model.
During the nine months ended September 30, 2020, stock options to purchase an aggregate of 235,006 shares of Common Stock were cancelled with strike prices ranging between $0.97 and $3.60 per share.
During the three months ended September 30, 2020, stock options to purchase an aggregate of 234,252 shares of Common Stock, subject to service conditions, vested with a total grant date fair value of approximately $139,392 and recorded as stock-based compensation, of which $119,514 was included as part of general and administrative expense and $19,878 was included as part of research and development expense.
During the nine months ended September 30, 2020, stock options to purchase an aggregate of 600,086 shares of Common Stock, subject to service conditions, vested with a total grant date fair value of approximately $360,519 and recorded as stock-based compensation, of which $340,640 was included as part of general and administrative expense and $19,878 was included as part of research and development expense.
During the nine months ended September 30, 2020, stock options to purchase an aggregate of 50,000 shares of Common Stock, subject to performance conditions vesting, vested with a total grant date fair value of approximately $20,150 and were recorded as stock-based compensation, and included as part of general and administrative expense due to the Company initiating the Option 2 Clinical Trial.

During the three and nine months ended September 30, 2020, stock options to purchase an aggregate of 35,006, and 235,006 shares of Common Stock were cancelled, respectively, with strike prices ranging between $0.97 and $3.60 per share.
During the three and nine months ended September 30, 2019, stock options to purchase an aggregate of 893,500 shares of Common Stock were granted with an exercise price of $1.75 and a term of five years. During the three months ended September 30, 2019, no options vested. During the nine months ended September 30, 2019, stock options to purchase an aggregate 244,500 shares of Common Stock vested with a total grant date fair value of approximately $511,335. stock options to purchase an aggregate 242,000 shares of Common Stock with a total grant date fair value of approximately $501,666 vested due to the Company achieving certain clinical milestones.
The fair values were estimated on the grant dates using the Black-Scholes option-pricing model with the following weighted-average assumptions:
September 30,
2020
Expected life (in years)
10
Volatility
84.0%
Risk-free interest rate
0.62- 1.88%
Dividend yield
-%
The expected term of the options is based on expected future employee exercise behavior. Volatility is based on the historical volatility of the Company’s Common Stock if available or of several public entities that are similar to the Company. The Company bases volatility this way because it may not have sufficient historical transactions in its own shares on which to solely base expected volatility. The risk-free interest rate is based on the U.S. Treasury rates at the date of grant with maturity dates approximately equal to the expected term at the grant date. The Company has not historically declared any dividends and does not expect to in the future.

Since the adoption of the 2020 Plan on September 11, 2020, no awards have yet been made thereunder. During the nine months ended September 30, 2020 and 2019, stock option activity under the 2014 Plan was as follows:
 
 
Number
 
 
Average
 
 
Remaining Contract
 
 
Intrinsic
 
 
 
of Shares
 
 
Exercise Price
 
 
Life in Years
 
 
Value
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Stock options outstanding at January 1, 2019
  994,000 
 $3.58 
  5.42 
 $- 
 
    
    
    
    
Granted during the period
  893,500 
 $1.70 
  4.96 
  - 
Expired during the period
  - 
  - 
  - 
  - 
Canceled during the period
  - 
  - 
  - 
  - 
Exercised during the period
  - 
  - 
  - 
  - 
Stock options outstanding at September 30, 2019
  1,887,500 
 $2.58 
  4.69 
 $- 
 
    
    
    
    
Exercisable at September 30, 2019
  994,000 
 $3.58 
  5.17 
 $- 
 
    
    
    
    
Non-vested stock options outstanding at January 1, 2019
  244,500 
 $3.05 
  4.53 
 $- 
 
    
    
    
    
Granted during the period
  893,500 
 $1.70 
  4.96 
  - 
Vested during the period
  (274,500)
 $2.91 
  3.88 
  - 
Expired during the period
  - 
  - 
  - 
  - 
Canceled during the period
  - 
  - 
  - 
  - 
Exercised during the period
  - 
  - 
  - 
  - 
Non-vested stock options outstanding at September 30, 2019
  863,500 
 $1.70 
  4.77 
 $- 
Stock options outstanding at January 1, 2020
  1,677,5000 
 $2.17 
  5.37 
 $- 
 
    
    
    
    
Granted during the period
  2,870,012 
 $0.89 
  9.79 
 $- 
Expired during the period
  - 
  - 
    
    
Canceled during the period
  (235,006)
 $1.94 
  3.28 
 $- 
Exercised during the period
  - 
  - 
    
    
Stock options outstanding at September 30, 2020
  4,312,506 
 $1.38 
  7.94 
 $- 
 
    
    
    
    
Exercisable at September 30, 2020
  1,084,834 
 $2.59 
  5.60 
 $- 
Non-vested stock options outstanding at January 1, 2020
  883,500 
 $1.33 
  6.26 
 $- 
 
    
    
    
    
Granted during the period
  2,870,012 
 $0.98 
  10.00 
 $- 
Vested during the period
  (593,750)
 $2.59 
  6.88 
 $- 
Expired during the period
  - 
  - 
  - 
    
Canceled during the period
  (160,006)
 $1.30 
  7.10 
 $- 
Exercised during the period
  - 
  - 
  - 
    
Non-vested stock options outstanding at September 30, 2020
  2,999,756 
 $0.98 
  8.75 
 $- 
As of September 30, 2020, the Company had unrecognized stock-based compensation expense of approximately $2,190,131. Approximately $1,189,036 of this unrecognized expense will be recognized over the average remaining vesting term of the options of.8.75 years. Approximately $440,213 of this unrecognized expense will vest upon enrollment completion of the next MS1819 Phase II clinical trial in the U.S. for CF (the OPTION 2 Trial). Approximately $41,213 of this unrecognized expense will vest upon enrollment completion of the ongoing Combination Trial in Europe. Approximately $20,150 of this unrecognized expense will vest upon trial completion of the next MS1819 Phase II clinical trial in the U.S. for CF (the OPTION 2 Trial). Approximately $40,300 of this unrecognized expense vests upon the Company initiating a Phase III clinical trial in the U.S. for MS1819.
Approximately $40,300 of this unrecognized expense vests upon initiating a U.S. Phase I clinical trial for any product other than MS1819. Approximately, $139,640 of this unrecognized expense vests upon the public release of topline data of the complete Combination Trial results. Approximately, $139,640 of this unrecognized expense vests upon the public release of topline data of the complete OPTION 2 Trial results. Approximately, $139,640 of this unrecognized expense vests upon signing of a definitive term sheet with Board approval for either (i) a strategic licensing, distribution or commercialization agreement for MS1819 with a bona fide partner, or (ii) the substantial sale of the Company or the MS1819 asset, on or before December 31, 2021. The Company will recognize the expense related to these milestones when the milestones become probable.

Note 14 - Agreements
Mayoly Agreement
On March 27, 2019, the Company and Laboratories Mayoly Spinder (“Mayoly”) entered into an Asset Purchase Agreement (the “Mayoly APA”), pursuant to which the Company purchased all rights, title and interest in and to MS1819. Upon execution of the Mayoly APA, the Joint Development and License Agreement (the “JDLA”) previously executed by AzurRx SAS and Mayoly was terminated. In addition, the Company granted to Mayoly an exclusive, royalty-bearing right to revenue received from commercialization of MS1819 within certain territories.
During the three and nine months ended September 30, 2019, the Company charged $0 and $403,020, respectively, to Mayoly under the JDLA that was in effect during both periods.
TransChem Sublicense
On August 7, 2017, the Company and TransChem entered into the TransChem Sublicense Agreement pursuant to which TransChem granted to us an exclusive license to certain patents (the“TransChem Licensed Patents”) relating to H. pylori 5’methylthioadenosine nucleosidase inhibitors. We may terminate the Sublicense Agreement and the licenses granted therein for any reason and without further liability on 60 days’ notice. Unless terminated earlier, the Sublicense Agreement will expire upon the expiration of the last Licensed Patents. Upon execution, we paid an upfront fee to TransChem and agreed to reimburse TransChem for certain expenses previously incurred in connection with the preparation, filing, and maintenance of the Licensed Patents. We also agreed to pay TransChem certain future periodic sublicense maintenance fees, which fees may be credited against future royalties. We may also be required to pay TransChem additional payments and royalties in the event certain performance-based milestones and commercial sales involving the Licensed Patents are achieved. The TransChem Licensed Patents will allow us to develop compounds for treating gastrointestinal, lung and other infections that are specific to individual bacterial species. H. pylori bacterial infections are a major cause of chronic gastritis, peptic ulcer disease, gastric cancer and other diseases.
On March 11, 2020, the Company provided TransChem with sixty (60) days prior written notice of its intent to terminate the TransChem Sublicense Agreement.
No payments were made under this Sublicense Agreement during in the three and nine months ended September 30, 2020 and 2019, respectively.
Employment Agreements
James Sapirstein
Effective October 8, 2019, the Company entered into an employment agreement with Mr. Sapirstein to serve as its President and Chief Executive Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Sapirstein provides for a base salary of $450,000 per year. In addition to the base salary, Mr. Sapirstein is eligible to receive (i) a cash bonus of up to 40% of his base salary on an annual basis, based on certain milestones that are yet to be determined; (ii) 1% of net fees received by the Company upon entering into license agreements with any third-party with respect to any product current in development or upon the sale of all or substantially all assets of the Company; (iii) an award grant of 200,000 restricted stock units (“RSUs”) which are scheduled to vest as follows (a) 100,000 shares upon the first commercial sale of MS1819 in the U.S. and (b) 100,000 shares upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days; (iv) a grant of 300,000 10-year stock options to purchase shares of common stock with an exercise price equal to $0.56 per share, which are scheduled to vest as follows (a) 50,000 shares upon the Company initiating its next Phase II clinical trial in the U.S. for MS1819, (b) 50,000 shares upon the Company completing its next or subsequent Phase II clinical trial in the U.S. for MS1819, (c) 100,000 shares upon the Company initiating a Phase III clinical trial in the U.S. for MS1819, and (d) 100,000 shares upon the Company initiating a Phase I clinical trial in the U.S. for any product other than MS1819. Mr. Sapirstein is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his services to the Company.
In the event that Mr. Sapirstein’s employment is terminated by the Company for Cause, as defined in his employment agreement, or by Mr. Sapirstein voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. In the event that Mr. Sapirstein’s employment is terminated as a result of an Involuntary Termination Other than for Cause, as defined in his employment agreement, Mr. Sapirstein will be entitled to receive the following compensation: (i) severance in the form of continuation of his salary (at the base salary rate in effect at the time of termination, but prior to any reduction triggering Good Reason (as such term is defined in Mr. Sapirstein’s employment agreement) for a period of twelve months following the termination date; (ii) payment of Mr. Sapirstein’s premiums to cover COBRA for a period of twelve months following the termination date; and (iii) a prorated annual bonus.

Daniel Schneiderman
Effective January 2, 2020, the Company entered into an employment agreement with Mr. Schneiderman to serve as the Company’s Chief Financial Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Schneiderman provides for a base salary of $285,000 per year. In addition to the base salary, Mr. Schneiderman is eligible to receive (a) an annual milestone cash bonus based on certain milestones that will be established by the Company’s Board or the Compensation Committee, and (b) a grant of stock options to purchase 335,006 shares of common stock with an exercise price of $1.03 per share, which shall vest in three equal portions on each anniversary date of the execution of Mr. Schneiderman’s employment agreement, commencing on January 2, 2021, the first anniversary date of the agreement. Mr. Schneiderman is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his service to the Company. The Company may terminate Mr. Schneiderman’s employment agreement at any time, with or without Cause, as such term is defined in his employment agreement.
In the event that Mr. Schneiderman’s employment is terminated by the Company for Cause, as defined in Mr. Schneiderman’s employment agreement, or by Mr. Schneiderman voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. If the Company terminates his employment agreement without Cause, not in connection with a Change of Control, as such term is defined in Mr. Schneiderman’s employment agreement, he will be entitled to (i) all salary owed through the date of termination; (ii) any unpaid annual milestone bonus; (iii) severance in the form of continuation of his salary for the greater of a period of six months following the termination date or the remaining term of the employment agreement; (iv) payment of premiums to cover COBRA for a period of six months following the termination date; (v) a prorated annual bonus equal to the target annual milestone bonus, if any, for the year of termination multiplied by the formula set forth in the agreement. If the Company terminates Mr. Schneiderman’s employment agreement without Cause, in connection with a Change of Control, he will be entitled to the above and immediate accelerated vesting of any unvested options or other unvested awards.
Dr. James E. Pennington
Effective May 28, 2018, the Company entered into an employment agreement with Dr. Pennington to serve as its Chief Medical Officer. The employment agreement with Dr. Pennington provides for a base annual salary of $250,000. In addition to his salary, Dr. Pennington is eligible to receive an annual milestone bonus, awarded at the sole discretion of the Board based on his attainment of certain financial, clinical development, and/or business milestones established annually by the Board or Compensation Committee. The Company may terminate Dr. Pennington’s employment agreement at any time, with or without Cause, as such term is defined in Dr. Pennington’s employment agreement. In the event of termination by the Company other than for Cause, Dr. Pennington is entitled to three months’ severance payable over such period. In the event of termination by the Company other than for Cause in connection with a Change of Control as such term is defined in Dr. Pennington’s employment agreement, Dr. Pennington will receive six months’ severance payable over such period.
Note 15 - Leases
The Company adopted ASU 2016-02, Leases, as of January 1, 2019, using the modified retrospective approach. Prior year financial statements were not recast under the new standard.
The Company leases its office and research facilities under operating leases which are subject to various rent provisions and escalation clauses.
During the three months ended September 30, 2020, the Company entered into a month-to-month lease for office space in Delray Beach, FL and one-year residential lease in Delray Beach, FL.
During the nine months ended September 30, 2020, the Company entered into a two-year lease extension (amendment) to is Hayward, CA office. The Company determined that the lease modification did not grant an additional right of use and concluded that the modification was not a separate new lease, but rather that it should reassess and remeasure the entire modified lease on the effective date of the modification. The Company accounted for the lease amendment prospectively.
The Company’s leases expire at various dates through 2022. The escalation clauses are indeterminable and considered not material and have been excluded from minimum future annual rental payments.

Lease expense amounted to $55,418 and $52,057, respectively, in the three months ended September 30, 2020 and 2019.
Lease expense amounted to $128,663 and $153,723, respectively, in the nine months ended September 30, 2020 and 2019.
The weighted-average remaining lease term and weighted-average discount rate under operating leases at September 30, 2020 are:
September 30,
2020
Lease term and discount rate
Weighted-average remaining lease term
1.16 years 
Weighted-average discount rate
6.0%
Maturities of operating lease liabilities at September 30, 2020 are as follows:
2020
 $30,565 
2021
  55,420 
2022
  23,375 
Total lease payments
  109,360 
Less imputed interest
  (3,736)
Present value of lease liabilities
 $105,624 
Note 16 - Income Taxes
The Company is subject to taxation at the federal level in both the United States and France and at the state level in the United States. At September 30, 2020 and December 31, 2019, the Company had no tax provision for either jurisdiction.
At September 30, 2020 and December 31, 2019, the Company had gross deferred tax assets of approximately $20,059,000 and $16,372,000, respectively. As the Company cannot determine that it is more likely than not that the Company will realize the benefit of the deferred tax asset, a valuation allowance of approximately $20,059,000 and $16,372,000, respectively, has been established at September 30, 2020 and December 31, 2019. The change in the valuation allowance in the nine months ended September 30, 2020 and 2019 was $3,687,000 and $2,108,000, respectively.
At September 30, 2020, the Company has gross net operating loss (“NOL”) carryforwards for U.S. federal and state income tax purposes of approximately $35,077,000 and $26,572,000, respectively. The Company’s ability to use its NOL carryforwards may be limited if it experiences an “ownership change” as defined in Section 382 (“Section 382”) of the Internal Revenue Code of 1986, as amended. An ownership change generally occurs if certain stockholders increase their aggregate percentage ownership of a corporation’s stock by more than 50 percentage points over their lowest percentage ownership at any time during the testing period, which is generally the three-year period preceding any potential ownership change.
At September 30, 2020 and December 31, 2019, the Company had approximately $22,120,000 and $19,425,000, respectively, in net operating losses which it can carryforward indefinitely to offset against future French income.
At September 30, 2020 and December 31, 2019, the Company had taken no uncertain tax positions that would require disclosure under ASC 740, Accounting for Income Taxes.
Note 17 - Net Loss per Common Share
Basic net loss per share is computed by dividing net loss available to common stockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per share reflect, in periods in which they have a dilutive effect, the impact of common shares issuable upon exercise of stock options and warrants and conversion of convertible debt that are not deemed to be anti-dilutive. The dilutive effect of the outstanding stock options and warrants is computed using the treasury stock method.

At September 30, 2020, diluted net loss per share did not include the effect of 29,314,408 shares of Common Stock issuable upon the conversion of Series B Preferred Stock including accrued and unpaid dividends, 25,200,168 shares of Common Stock issuable upon the exercise of outstanding warrants, 387,000 shares of Common Stock pursuant to unearned and unissued restricted stock and RSUs, and 4,312,506 shares of Common Stock issuable upon the exercise of outstanding options as their effect would be antidilutive during the periods prior to conversion.
At September 30, 2019, diluted net loss per share did not include the effect of 3,388,378 shares of Common Stock issuable upon the exercise of outstanding warrants, 416,000 shares of restricted Common Stock not yet issued, and 1,887,500 shares of Common Stock issuable upon the exercise of outstanding options as their effect would be antidilutive during the periods prior to conversion.
Note 18 - Related Party Transactions
Johan (Thijs) Spoor
During the year ended December 31, 2015, the Company employed the services of JIST Consulting (“JIST”), a company controlled by Johan (Thijs) Spoor, the Company’s former Chief Executive Officer and President, as a consultant for business strategy, financial modeling, and fundraising. Included in accounts payable at December 31, 2019 and 2018, is $348,400 and $478,400, respectively, for JIST relating to Mr. Spoor’s services. Mr. Spoor received no other compensation from the Company other than as specified in his employment agreement. On October 8, 2019, Mr. Spoor resigned as Chief Executive Officer and President of the Company. In addition, Mr. Spoor resigned as a member of the Board on April 29, 2020.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $255,000 payable to Mr. Spoor. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed by the Company, which determination is being challenged by Mr. Spoor. As a result of management’s determination, the Company reversed the accrual in the quarter ended December 31, 2019.
All unvested shares of restricted stock and stock options subject to time and other performance-based vesting conditions have been forfeited in connection with Mr. Spoor's resignation as the Company’s President and Chief Executive Officer.  Mr. Spoor also declined the right to receive 241,667 earned, but unissued shares of restricted stock on April 29, 2020 in connection with his resignation from the Board.
On July 9, 2020, the Company and Johan (Thijs) Spoor, its former Chief Executive Officer, entered into a settlement and general release (the “Spoor Settlement and Release”), effective July 9, 2020 (the “Spoor Settlement Date”), of certain claims relating to Mr. Spoor's separation from the Company on October 8, 2019. In connection with the Spoor Settlement and Release, on July 14, 2020 the Company granted Mr. Spoor warrants to purchase an aggregate of 150,000 shares of Common Stock, which had a grant date fair value of $85,770 (See Note 12). In addition, Mr. Spoor legally released all claims to a discretionary bonus in the amount of $255,000, which was originally accrued by the Company in June 2019 but was subsequently reversed during the quarter ended December 31, 2019, legally released all claims to $348,400 due to JIST Consulting, a company controlled by Mr. Spoor and the Company also paid Mr. Spoor's legal expenses in the amount of $51,200. During the three and nine months ended September 30, 2020, the Company recognized a gain on settlement of $211,430 in connection with the Spoor Settlement and Release.
Maged Shenouda
From October 1, 2016 until his appointment as the Company’s Chief Financial Officer on September 25, 2017, the Company employed the services of Maged Shenouda as a financial consultant. Included in accounts payable at September 30, 2020 and 2019 is $10,000 and $50,000, respectively, for Mr. Shenouda’s services. On November 1, 2019, Mr. Shenouda submitted his resignation as Chief Financial Officer of the Company, effective November 30, 2019.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $100,000 payable to Mr. Shenouda. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount should not be paid, and the Company reversed the accrual in the quarter ended December 31, 2019.
On July 2, 2020, the Company and Maged Shenouda, its former Chief Financial Officer also entered into a settlement and general release (the “Shenouda Settlement and Release”), of certain claims relating to Mr. Shenouda’s s separation from the Company effective November 30, 2019. In connection with the Shenouda Settlement and Release, the Company paid a total of $15,000 to Mr. Shenouda, which amount includes $10,000 of accounts payable of the Company due to Mr. Shenouda for services provided and $5,000 for legal expenses, and Mr. Shenouda legally released all claims to a discretionary bonus in the amount of $100,000 originally accrued by the Company in June 2019, but was subsequently reversed during the quarter ended December 31, 2019.


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
 
To the Stockholders and the Board of Directors and Stockholders of AzurRx BioPharma, Inc.
 
Opinion on the Consolidated Financial Statements
We have audited the accompanying consolidated balance sheets of AzurRx BioPharma, Inc. (the “Company”“Company”) as of December 31, 20152019 and 2014,2018, and the related consolidated statements of operations and comprehensive loss, changes in stockholders’ equity, (deficit), and cash flows for the yearyears then ended, December 31, 2015 and for the period January 30, 2014 (date of inception) through December 31, 2014. These consolidatedrelated notes (collectively referred to as the “consolidated financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States)statements”). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. We were not engaged to perform an audit of the Company's internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of the Company as of December 31, 20152019 and 2014,2018, and the consolidated results of their operations and their consolidated cash flows for the yearyears then ended, December 31, 2015 and for the period January 30, 2014 (date of inception) through December 31, 2014, in conformity with U.S.accounting principles generally accepted accounting principles.in the United States of America.
Emphasis of a Matter
 
The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 1 to the consolidated financial statements, the Company has incurred significant operating losses and negative cash flows from operations since inception. The Company also had a working capital deficiency of $6,748,152 and an accumulated deficit of $8,295,384approximately $62.7 million at December 31, 2015.2019. The Company is dependent on obtaining necessary funding from outside sources, including obtaining additional funding from the sale of securities in order to continue their operations. These conditions raise substantial doubt about its ability to continue as a going concern. Management’s plans regarding those matters also are described in Note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty. Our opinion is not modified with respect to that matter.
 
As described in Note 1, the consolidated balance sheet as of December 31, 2014 and the related consolidated statements of operations and comprehensive loss, changes in stockholders' equity, and cash flowsBasis for the period January 30, 2014 (date of inception) through December 31, 2014 have been restated to correct a misstatement.
Opinion
 
/s/ WeiserMazars LLP
Edison, New Jersey
June 15, 2016
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors and
Stockholders of AzurRx BioPharma, Inc.
We have audited the accompanying statements of operations and comprehensive loss and cash flows of Protea Europe SAS (the “Company”) (Predecessor to AzurRx BioPharma SAS) for the period from January 1, 2014 through May 31, 2014.  These consolidated financial statements are the responsibility of the Company'sCompany’s management. Our responsibility is to express an opinion on thesethe Company’s consolidated financial statements based on our audit.audits. We are a public accounting firm registered with the Public Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
 
We conducted our auditaudits in accordance with the standards of the Public Company Accounting Oversight Board (United States).PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. Wemisstatement, whether due to error or fraud. The Company is not required to have, nor were notwe engaged to perform an audit of the Company’sCompany's internal control over financial reporting. Our audit included considerationAs part of our audits we are required to obtain an understanding of internal control over financial reporting, as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’sCompany's internal control over financial reporting. Accordingly, we express no such opinion. An audit includes
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence supportingregarding the amounts and disclosures in the consolidated financial statements. An auditOur audits also includes assessingincluded evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statement presentation.statements. We believe that our audit providesaudits provide a reasonable basis for our opinion.
 
In our opinion, the financial statements of the Company referred to above present fairly, in all material respects, the results of its operations and its cash flows for the period from January 1, 2014 through May 31, 2014, in conformity with U.S. generally accepted accounting principles.
/s/ WeiserMazarsMazars USA LLP
Edison, New Jersey
June 15, 2016
 
We have served as the Company’s auditor since 2015.
AZURRX BIOPHARMA, INC.         
Consolidated Balance Sheets         
  
12/31/14
(Restated)
  12/31/15  
03/31/16 
(Unaudited)
 
ASSETS         
          
Current Assets:         
Cash $94,836  $581,668  $169,036 
Marketable securities  125,070   56,850   44,343 
Other receivables  428,752   1,074,858   1,084,043 
Prepaid expenses  14,796   353,984   390,715 
Total Current Assets  663,454   2,067,360   1,688,137 
             
Property, equipment, and leasehold improvements, net  211,725   176,319   172,958 
             
Other Assets:            
 In process research & development, net  422,104   345,678   351,337 
 License agreements, net  3,215,701   2,238,105   2,161,986 
 Goodwill  2,042,454   1,832,579   1,908,195 
 Deposits  20,315   25,641   26,208 
Total Other Assets  5,700,574   4,442,003   4,447,726 
Total Assets $6,575,753  $6,685,682  $6,308,821 
             
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)         
             
Current Liabilities:            
Accounts payable and accrued expenses $1,003,544  $781,985  $1,325,697 
Accounts payable and accrued expenses - related party  219,530   636,753   636,753 
Convertible promissory notes  391,000   135,000   135,000 
Convertible debt  661,285   6,442,372   7,325,503 
Warrant liability  146,376   818,216   801,497 
Interest payable  9,120   1,186   3,878 
Total Current Liabilities  2,430,855   8,815,512   10,228,328 
             
Contingent consideration  1,500,000   1,500,000   1,500,000 
Total Liabilities  3,930,855   10,315,512   11,728,328 
             
Stockholders' Equity (Deficit):            
Convertible preferred stock - Par value $0.0001 per share; 1,000,000 shares authorized; 36 shares outstanding as of March 31, 2016; 71 shares outstanding as of December 31, 2015; 100 shares outstanding as of December 31, 2014; liquidation preference approximates par value at March 31, 2016, December 31, 2015 and 2014  4,900,000   3,479,000   1,764,000 
Common stock - Par value $0.0001 per share; 9,000,000 shares authorized; 5,150,757 shares outstanding as of March 31, 2016; 4,296,979 shares outstanding as of December 31, 2015; 3,584,321 shares outstanding as of December 31, 2014  358   430   515 
Additional paid in capital  859,133   2,532,188   4,254,151 
Accumulated deficit  (2,365,148)  (8,295,384)  (10,286,705)
Accumulated other comprehensive (loss) income  (749,445)  (1,346,064)  (1,151,468)
Total Stockholders' Equity (Deficit)  2,644,898   (3,629,830)  (5,419,507)
Total Liabilities and Stockholders' Equity (Deficit) $6,575,753  $6,685,682  $6,308,821 
             
See accompanying notes to consolidated financial statements         
 
New York, New York
March 30, 2020


AZURRX BIOPHARMA, INC.
Consolidated Balance Sheets

 
 
December 31, 2019
 
 
December 31, 2018
 
ASSETS
 
 
 
 
 
 
Current Assets:
 
 
 
 
 
 
Cash and cash equivalents
 $175,796 
 $1,114,343 
Other receivables
  2,637,303 
  3,172,676 
Prepaid expense
  595,187 
  512,982 
Total Current Assets
  3,408,286 
  4,800,001 
 
    
    
Property, equipment, and leasehold improvements, net
  77,391 
  128,854 
 
    
    
Other Assets:
    
    
In process research & development, net
  - 
  258,929 
License agreements, net
  - 
  311,548 
Patents, net
  3,407,084 
  - 
Goodwill
  1,886,686 
  1,924,830 
Operating lease right-of-use assets
  82,386 
  - 
Deposits
  41,047 
  45,233 
Total Other Assets
  5,417,203 
  2,540,540 
 
    
    
TOTAL ASSETS
 $8,902,880 
 $7,469,395 
 
    
    
LIABILITIES AND STOCKHOLDERS' DEFICIT
    
    
 
    
    
LIABILITIES
    
    
Current Liabilities:
    
    
Accounts payable and accrued expense
 $1,754,682 
 $2,070,396 
Accounts payable and accrued expense - related party
  533,428 
  670,095 
Note payable
  444,364 
  255,032 
Convertible debt
  1,076,938 
  - 
Other current liabilities
  476,224 
  - 
Total Current Liabilities
  4,285,636 
  2,995,523 
 
    
    
 
    
    
STOCKHOLDERS' DEFICIT
    
    
 
    
    
Convertible preferred stock - Par value $0.0001 per share; 10,000,000 shares authorized, and 0 shares issued and outstanding at December 31, 2019 and 2018, respectively; liquidation preference approximates par value
  - 
  - 
Common stock - Par value $0.0001 per share; 150,000,000 and 100,000,000 shares authorized at December 31, 2019 and 2018, respectively; 26,800,519 and 17,704,925 shares issued and outstanding at December 31, 2019 and December 31, 2018, respectively.
  2,680 
  1,771 
Additional paid-in-capital
  68,575,851 
  53,139,259 
Accumulated deficit
  (62,694,732)
  (47,517,046)
Accumulated other comprehensive loss
  (1,266,555)
  (1,150,112)
Total stockholders' deficit
  4,617,244 
  4,473,872 
 
    
    
TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIT
 $8,902,880 
 $7,469,395 
 
See accompanying notes to consolidated financial statements
 
 
F-33
F-4
DRAFT

 
AZURRX BIOPHARMA, INC.
AZURRX BIOPHARMA, INC.
Consolidated Statements of Operations and Comprehensive Loss
 
 
01/01/14
through 05/31/14 Protea Europe SAS (Predecessor)
 
01/30/14
(Date of
Inception)
through
12/31/14 (1) Consolidated
(Restated)
  Year Ended 12/31/15 Consolidated  
3 Months Ended 03/31/16 Consolidated 
(Unaudited)
  
3 Months Ended 03/31/15 Consolidated 
(Unaudited)
 
               
Research and development expenses$380,132  $670,491  $1,398,056  $685,575  $308,834 
General & administrative expenses 207,074   1,658,615   3,330,752   661,641   763,582 
                    
Loss from operations (587,206)  (2,329,106)  (4,728,808)  (1,347,216)  (1,072,416)
                    
Other:                   
   Interest expense -   (68,149)  (1,587,533)  (713,680)  (144,746)
   Fair value adjustment, warrants -   1,368   386,105   69,576   25,855 
   Other income -   30,739   -   -   - 
Total other -   (36,042)  (1,201,428)  (644,104)  (118,891)
                    
Loss before income taxes (587,206)  (2,365,148)  (5,930,236)  (1,991,320)  (1,191,307)
                    
Income taxes -   -   -   -   - 
                    
Net loss$(587,206) $(2,365,148) $(5,930,236) $(1,991,320) $(1,191,307)
                    
Other comprehensive income (loss):                   
  Foreign currency translation adjustment$2,179  $(749,445) $(596,619) $194,596  $(675,857)
Total comprehensive loss$(585,027) $(3,114,593) $(6,526,855) $(1,796,724) $(1,867,164)
                    
Basic and diluted weighted average shares outstanding 4,000 (2)  3,540,196   3,627,133   4,725,879   3,584,321 
                    
Loss per share - basic and diluted$(146.80) $(0.67) $(1.63) $(0.42) $(0.33)
                    
(1) - Includes Protea Europe SAS from date of acquisition, see Note 2      
(2) - All shares owned by former parent      
 
 
Year ended    
 
 
 
December 31, 2019
 
 
December 31, 2018
 
 
 
 
 
 
 
 
Revenue
 $- 
 $- 
Total Revenue
  - 
  - 
 
    
    
Operating Expense
    
    
Research & development
  8,680,669 
  5,771,405 
General & administrative
  6,063,078 
  7,450,366 
Fair value adjustment, contingent consideration
  - 
  210,000 
Total Operating Expense
  14,743,747 
  13,431,771 
 
    
    
Other Expenses (income)
    
    
Interest expense
  433,939 
  101,846 
Total Other Expense (Income)
  433,939 
  101,846 
 
    
    
Net Loss
 $(15,177,686)
 $(13,533,617)
 
    
    
Other comprehensive (loss):
    
    
Foreign currency translation adjustment
  (116,443)
  (194,397)
Total comprehensive loss
 $(15,294,129)
 $(13,728,014)
 
    
    
Net loss per share, basic and diluted
 $(0.68)
 $(0.88)
Weighted average of shares outstanding, basic and diluted
  22,425,564 
  15,439,310 
 
See accompanying notes to consolidated financial statements

 
 
F-34
F-5

DRAFT
 
 
AZURRX BIOPHARMA, INC.
Consolidated Statements of Changes in Stockholders' Equity (Deficit)

 
 
Convertible Preferred Stock
 
 
Common Stock
 
 
Paid-in
 
 
Subscription
 
 
Accumulated
 
 
Accumulated Other Comprehensive
 
 
Total
 
 
 
Shares
 
 
Amount
 
 
Shares
 
 
Amount
 
 
Capital
 
 
Receivable
 
 
Deficit
 
 
Loss
 
 
Deficit
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balance at January 1, 2018
  - 
 $- 
  12,042,574 
 $1,205 
 $37,669,601 
 $(1,071,070)
 $(33,983,429)
 $(955,715)
 $1,660,592 
 
    
    
    
    
    
    
    
    
    
Common stock issued from public offering
  - 
  - 
  4,160,000 
  416 
  9,577,647 
  - 
  - 
  - 
  9,578,063 
Common stock issued to consultants
  - 
  - 
  118,818 
  12 
  360,759 
  - 
  - 
  - 
  360,771 
Common stock issued for warrant exercises
  - 
  - 
  503,070 
  50 
  1,253,623 
  1,071,070 
  - 
  - 
  2,324,743 
Common stock issued for purchase of Protea assets from bankruptcy
  - 
  - 
  734,463 
  73 
  1,299,926 
  - 
  - 
  - 
  1,299,999 
Stock-based compensation
  - 
  - 
  - 
  - 
  1,441,475 
  - 
  - 
  - 
  1,441,475 
Restricted common stock granted to employees and directors
  - 
  - 
  120,000 
  12 
  1,038,810 
  - 
  - 
  - 
  1,038,822 
Convertible debt converted into common stock
  - 
  - 
  26,000 
  3 
  68,670 
  - 
  - 
  - 
  68,673 
Warrant modification
  - 
  - 
  - 
  - 
  428,748 
  - 
  - 
  - 
  428,748 
Foreign currency translation adjustment
  - 
  - 
  - 
  - 
  - 
  - 
  - 
  (194,397)
  (194,397)
Net loss
  - 
  - 
    
  - 
  - 
  - 
  (13,533,617)
  - 
  (13,533,617)
Balance at December 31, 2018
  - 
 $- 
  17,704,925 
 $1,771 
 $53,139,259 
 $- 
 $(47,517,046)
 $(1,150,112)
 $4,473,872 
 
    
    
    
    
    
    
    
    
    
Common stock issued from public offerings
  - 
  - 
  7,522,097 
  752 
  9,475,997 
  - 
  - 
  - 
  9,476,749 
Common stock issued to consultants
  - 
  - 
  190,398 
  19 
  209,981 
  - 
  - 
  - 
  210,000 
Common stock issued to Mayoly for patents
  - 
  - 
  775,931 
  77 
  1,740,882 
  - 
  - 
  - 
  1,740,959 
Common stock issued to Lincoln Park for Equity Purchase agreement
  - 
  - 
  487,168 
  49 
  (49)
  - 
  - 
  - 
  - 
Warrants issued in association with convertible debt issuances
  - 
  - 
  - 
  - 
  1,081,673 
  - 
  - 
  - 
  1,081,673 
Beneficial conversion feature on convertible debt issuances
  - 
  - 
  - 
  - 
  1,359,284 
  - 
  - 
  - 
  1,359,284 
Stock-based compensation
  - 
  - 
  - 
  - 
  574,335 
  - 
  - 
  - 
  574,335 
Restricted common stock granted to employees and directors
  - 
  - 
  120,000 
  12 
  607,579 
  - 
  - 
  - 
  607,591 
Warrant modification
  - 
  - 
  - 
  - 
  325,320 
  - 
  - 
  - 
  325,320 
Received from stockholder in relation to warrant modification
  - 
  - 
  - 
  - 
  61,590 
  - 
  - 
  - 
  61,590 
Foreign currency translation adjustment
  - 
  - 
  - 
  - 
  - 
  - 
  - 
  (116,443)
  (116,443)
Net loss
  - 
  - 
  - 
  - 
  - 
  - 
  (15,177,686)
  - 
  (15,177,686)
Balance at December 31, 2019
  - 
 $- 
  26,800,519 
 $2,680 
 $68,575,851 
 $- 
 $(62,694,732)
 $(1,266,555)
 $4,617,244 
 
  
Convertible
Preferred Stock
  Common Stock  
Additional
Paid In
  Accumulated  
Accumulated
Other
Comprehensive
    
  Shares  Amount  Shares  Amount  Capital  Deficit  (Loss) Income  Total 
Balance, January 30, 2014 (Date of Inception), AzurRx  -  $-   -  $-  $-  $-  $-  $- 
Common stock issued          3,584,321   358   859,133           859,491 
Acquisition of Protea Europe SAS  100   4,900,000                       4,900,000 
Foreign currency translation adjustment                          (749,445)  (749,445)
Net loss                      (2,365,148)      (2,365,148)
Balance, December 31, 2014 (Restated)  100   4,900,000   3,584,321   358   859,133   (2,365,148)  (749,445)  2,644,898 
                                 
Common stock issued          5,242   1   33,789           33,790 
Preferred stock converted into common stock  (29)  (1,421,000)  707,416   71   1,420,929           - 
Warrants issued to investment bankers                  218,337           218,337 
Foreign currency translation adjustment                          (596,619)  (596,619)
Net loss                      (5,930,236)      (5,930,236)
Balance, December 31, 2015  71  $3,479,000   4,296,979  $430  $2,532,188  $(8,295,384) $(1,346,064) $(3,629,830)
                                 
(unaudited)                                
Preferred stock converted into common stock  (35)  (1,715,000)  853,778   85   1,714,915           - 
Warrants issued to investment bankers                  7,048           7,048 
Foreign currency translation adjustment                          194,596   194,596 
Net loss                      (1,991,320)      (1,991,320)
Balance, March 31, 2016  36  $1,764,000   5,150,757  $515  $4,254,151  $(10,286,705) $(1,151,468) $(5,419,507)
See accompanying notes to consolidated financial statements
 
 
F-35
F-6

DRAFT
 
 
AZURRX BIOPHARMA, INC.
AZURRX BIOPHARMA, INC.               
Consolidated Statements of Cash Flows               
                
  01/01/14 through 05/31/14 Protea Europe SAS (Predecessor)  
01/30/14 (Date of Inception) through 12/31/14 (1) Consolidated
(Restated)
  Year Ended 12/31/15 Consolidated  
3 Months Ended 03/31/16 Consolidated 
(Unaudited)
  
3 Months Ended 03/31/15 Consolidated 
(Unaudited)
 
Cash flows from operating activities:               
Net loss $(587,206) $(2,365,148) $(5,930,236) $(1,991,320) $(1,191,307)
Adjustments to reconcile net loss to net cash used in operating activities:                    
Depreciation  4,153   11,113   41,784   10,845   10,902 
Amortization  -   418,822   691,815   171,997   175,327 
Fair value adjustment, warrants  -   (1,368)  (386,103)  (69,576)  (25,855)
Warrant expense  -   -   218,337   7,048   - 
Interest expense settled with issuances of common stock  -   -   33,790   -   - 
Accreted interest on convertible debt  -   27,893   749,262   348,610   63,167 
Accreted interest on debt discount - warrants  -   31,136   812,415   362,378   70,311 
Changes in assets and liabilities, net of effects of acquisition:                    
Accounts receivable  -   356,252   -   -   - 
Other receivables  6,204   (50,595)  (638,092)  45,859   (5,092)
Prepaid expenses  (10,696)  (1,307)  (340,524)  (36,353)  662 
Deposits  -   (5,000)  (6,900)  -   - 
Accounts payable and accrued expenses  31,839   563,089   251,608   511,274   (135,283)
Interest payable  -   9,120   (7,934)  2,692   11,268 
Due to related party  549,307   -   -   -   - 
Net cash used in operating activities  (6,399)  (1,005,993)  (4,510,778)  (636,546)  (1,025,900)
                     
Cash flows from investing activities:                    
Purchase of property and equipment  -   (191,003)  (24,380)  (936)  (11,033)
Acquisition of Protea Europe SAS, net of cash acquired  -   (560,952)  -   -   - 
Net cash used in investing activities  -   (751,955)  (24,380)  (936)  (11,033)
                     
Cash flows from financing activities:                    
Issuances of common stock  -   859,491   -   -   - 
Issuances of convertible promissory notes  -   451,000   445,000   -   270,000 
Repayments of convertible promissory notes  -   (60,000)  (701,000)  -   (250,000)
Issuances of convertible debt  -   600,000   5,395,000   225,000   1,140,000 
Repayments of convertible debt  -   -   (117,647)  -   - 
Net cash provided by financing activities  -   1,850,491   5,021,353   225,000   1,160,000 
                     
Effect of exchange rate changes on cash  (2,788)  2,293   637   (150)  (9,702)
                     
(Decrease) increase in cash  (6,399)  92,543   486,195   (412,482)  123,067 
                     
Cash, beginning balance  48,235   -   94,836   581,668   94,836 
                     
Cash, ending balance $39,048  $94,836  $581,668  $169,036  $208,201 
                     
Supplemental disclosures of cash flow information:                    
Cash paid for interest $-  $-  $-  $-  $- 
                     
Cash paid for income taxes $-  $-  $-  $-  $- 
                     
Non-cash investing and financing activities:                    
Shares issued for purchase of Protea Europe SAS $-  $4,900,000  $-  $-  $- 
                     
Contingent consideration related to purchase of Protea Europe SAS acquisition $-  $1,500,000  $-  $-  $- 
                     
Receipt of marketable securities in exchange for issuance of convertible debt to investor $-  $150,000  $-  $-  $- 
                     
Issuance of 5,242 shares of common stock as payment of interest on convertible promissory notes $-  $-  $33,790  $-  $- 
                     
Conversion of preferred shares into common shares by Protea $-  $-  $1,421,000  $1,715,000  $- 
Consolidated Statements of Cash Flows
 
(1) - Includes Protea Europe SAS from date of acquisition, see Note 2
 
 
Year ended
 
 
 
December 31, 2019
 
 
December 31, 2018
 
 
 
 
 
 
 
 
Cash Flows from Operating Activities:
 
 
 
 
 
 
Net loss
 $(15,177,686)
 $(13,533,617)
Adjustments to reconcile net loss to net
    
    
   cash used in operating activities:
    
    
Depreciation
  63,096 
  61,909 
Amortization
  956,950 
  736,537 
Fixed assets written off
  7,296 
  - 
Fair value adjustment, contingent consideration
  - 
  210,000 
Stock-based compensation
  574,335 
  1,441,475 
Restricted common stock granted to employees and directors
  607,591 
  1,038,822 
Common stock granted to consultants
  210,000 
  360,771 
Accreted interest on convertible debt
  112,543 
  - 
Accreted interest on debt discount - warrants
  313,364 
  97,837 
Warrant modification
  - 
  428,748 
Net changes in assets and liabilities:
    
    
         Other receivables
  (749,859)
  (2,187,903)
         Prepaid expense
  (85,681)
  (243,330)
         Right of use assets
  (82,234)
  - 
         Deposits
  3,900 
  (15,001)
         Accounts payable and accrued expense
  (420,788)
  741,624 
         Interest payable
  - 
  (7,192)
         Other liabilities
  (366,329)
  - 
Net Cash used in Operating Activities
  (14,033,502)
  (10,869,320)
 
    
    
Cash Flows from Investing Activities:
    
    
Purchase of property and equipment
  (24,098)
  (55,473)
Purchase of Protea assets from bankruptcy
  - 
  (250,000)
Net Cash used in Investing Activities
  (24,098)
  (305,473)
 
    
    
Cash Flows from Financing Activities:
    
    
Proceeds from issuances of common stock, net
  9,476,749 
  11,902,805 
Proceeds from issuances of convertible debt, net
  4,967,308 
  - 
Repayments of convertible debt
  (1,550,000)
  (286,529)
Received from stockholder in relation to warrant modification
  61,590 
  - 
Proceeds of note payable
  498,783 
  286,203 
Repayments of note payable
  (309,451)
  (190,351)
Net Cash provided by Financing Activities
  13,144,979 
  11,712,128 
 
    
    
Net (decrease) increase in cash and cash equivalents
  (921,621)
  537,335 
 
    
    
Effect of exchange rate changes on cash
  (25,926)
  3,537 
 
    
    
Cash and cash equivalents:
    
    
Cash at the beginning of the year
  1,114,343 
  573,471 
Cash at the end of the year
 $175,796 
 $1,114,343 
 
    
    
Supplemental Disclosure of Cash Flow Activities:
    
    
Cash paid for interest
 $8,032 
 $4,010 
 
    
    
Supplemental Disclosure of Non-cash Financing Activities:
    
    
Common stock issued for purchase of Protea assets from bankruptcy that extinguished contingent consideration
 $- 
 $1,300,000 
Common stock issued for patents purchased from Mayoly
 $1,740,959 
 $- 
Warrant modification related to convertible debt issuance
 $325,320 
 $- 
 
See accompanying notes to consolidated financial statements
 
F-36
DRAFT
 
F-7

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

Note 1 - The Company and Basis of Presentation and Significant Accounting Policies

The Company

AzurRx Biopharma,BioPharma, Inc. (“AzurRx”, the “Company”,AzurRx or “Parent”Parent) was incorporated on January 30, 2014 in the State of Delaware. In June 2014, the Company acquired 100% of the issued and outstanding capital stock of AzurRx BioPharma SAS (formerly ProteaBio Europe SAS)SAS”), a company incorporated in October 2008 under the laws of France that had been aFrance. Parent and its wholly-owned subsidiary, of Protea Biosciences, Inc.AzurRx SAS (“ABS”), or Protea Sub, in turn a wholly-owned subsidiary of Protea Biosciences Group, Inc., a publicly-traded company.are collectively referred to as the “Company”.

AzurRx, through its AzurRx Europe SAS subsidiary,The Company is engaged in the research and development of non-systemic biologics for the treatment of patients with gastrointestinal disorders. Non-systemic biologics are non-absorbable drugs that act locally, without reaching the systemic circulation, i.e. the intestinal lumen, skin or mucosa.mucosa, without reaching an individual’s systemic circulation. The Company is focused on the development of its lead product candidate, MS1819 for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with chronic pancreatitis (“CP”) and cystic fibrosis (“CF”).
MS1819 – Phase 2a Chronic Pancreatitis Study
In June 2018, the Company completed an open-label, dose escalation Phase 2a trial of MS1819 in France, Australia, and New Zealand to investigate both the safety of escalating doses of MS1819, and the efficacy of MS1819 through the analysis of each patient’s coefficient of fat absorption (“CFA”) and its change from baseline. A total of 11 CP patients with EPI were enrolled in the study and final data indicated a strong safety and efficacy profile. Although the study was not powered for efficacy, in a pre-planned analysis, the highest dose (2.2 grams per day) cohort of MS1819 showed statistically significant and clinically meaningful increases in CFA compared to baseline with a mean increase of 21.8% and a p-value of p=0.002 on a per protocol basis. Maximal absolute CFA response to treatment was up to 62%.
MS1819 – Phase 2 and Phase 2b Cystic Fibrosis Monotherapy Studies
In October 2018, the FDA cleared the Company’s current product pipeline consistsInvestigational New Drug (“IND”) application for MS1819 in patients with EPI due to CF. In connection with the FDA’s clearance of the IND, the Company initiated a multi-center Phase 2 OPTION bridging dose safety study in the fourth quarter of 2018 in the United States and Europe (the “OPTION Cross-Over Study”). The Company targeted enrollment of 30 to 35 patients for the OPTION Cross-Over Study and dosed the first patients in February 2019. In June 2019, the Company reached its enrollment target for the study.
On September 25, 2019, the Company announced positive results from the OPTION Cross-Over Study. Results showed that the primary efficacy endpoint of CFA was comparable to the CFA in a prior phase two therapeutic proteinsstudy in patients with CP, while using the same dosage of MS1819. The dosage used in the OPTION Cross-Over Study was 2.2 grams per day, which was determined in agreement with the FDA as a bridging dose from the highest safe dose used in the Phase 2a CP dose escalation study. Although the study was not powered for statistical significance, the data demonstrated meaningful efficacy results, with approximately 50% of the patients showing CFAs high enough to reach non-inferiority with standard porcine enzyme replacement therapy (“PERT”). Additionally, the coefficient of nitrogen absorption (“CNA”) was comparable between the MS1819 and PERT arms, 93% vs. 97%, respectively, in the OPTION Cross-Over Study. This important finding confirms that protease supplementation is not likely to be required with MS1819 treatment. A total of 32 patients, ages 18 or older, completed the OPTION Cross-Over Study.
On October 17, 2019, the Company announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board (the “CFF DSMB”) completed its review of the Company’s final results of the OPTION Cross-Over Study and has found no safety concerns for MS1819, and that the CFF DSMB supports the Company’s plan to proceed to a higher 4.4 gram dose of MS1819 with enteric capsules in its next planned multi-center dose escalation Phase 2 OPTION clinical trial (the “OPTION 2 Trial”). In December 2019, the Company submitted the clinical trial protocol to the existing IND at the FDA.
The OPTION 2 Trial design will explore the use of 2.2 gram and 4.4 gram doses using enteric capsules to ensure higher levels of MS1819 release in the duodenum. The new protocol is currently under development:review by the FDA and a response is anticipated in March 2020. The Company expects to launch the OPTION 2 Trial as early as the second quarter of 2020, subject to regulatory approval, with completion originally anticipated by the end of 2020, however, these timelines may be delayed due to the COVID-19 epidemic.

MS1819 – Phase 2 Combination Therapy Study
In addition to the OPTION Cross-Over Study, the Company launched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Hungary to investigate MS1819 in combination with PERT, for CF patients who suffer from severe EPI, but continue to experience clinical symptoms of fat malabsorption despite taking the maximum daily dose of PERTs. The Combination Trial is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819, in conjunction with a stable dose of PERTs, in order to increase CFA and relieve abdominal symptoms in uncontrolled CF patients.
On October 15, 2019, the Company announced that it dosed the first patients in its Combination Trial. This study is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a stable dose of porcine PERTs, in order to increase the CFA and relieve abdominal symptoms. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI. Planned enrollment is expected to include approximately 24 CF patients with severe EPI, at clinical trial sites in Hungary and additional countries in Europe, including Spain, with study completion originally anticipated by the end of 2020, however, this timeline may be delayed due to the COVID-19 epidemic.
F-37
·MS1819 - a recombinant (synthetic) lipase, an enzyme derived from a specialized yeast, which breaks apart fats. Lipases are required to treat patients whose pancreases don’t work anymore in a condition known as exocrine pancreatic insufficiency (EPI) which usually arises from chronic pancreatitis (CP) or cystic fibrosis (CF).DRAFT

·
AZ1101- a recombinant (synthetic) enzyme which is being developed to prevent hospital-acquired infections which come from resistant bacterial strains caused by parenteral (intra-venous) administration of β-lactam antibiotics, as well as prevention of antibiotic-associated diarrhea (AAD).

Basis of Presentation and Principles of Consolidation
 
The accompanying consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”).
The financial statements for the period January 1, 2014 through May 31, 2014 include only the accounts of Protea Europe SAS (“Predecessor”). There were no material transactions between June 1, 2014 and June 13, 2014 on the accounts of the Predecessor so the Company assumed May 31, 2014 as the acquisition date for financial statement presentation purposes. For the period January 30, 2014 (date of inception) through May 31, 2014, general & administrative expenses and net loss for the U.S. parent company were $176,456. The financial statements for the periods January 30, 2014 (date of inception) throughyears ended December 31, 2014; January 1 through December 31, 2015;2019 and January 1, 2016 through March 31, 2016 and 20152018 include the accounts of AzurRx and its wholly-owned subsidiary, AzurRx Europe SAS (collectively, the “Company”).SAS. Intercompany transactions and balances have been eliminated upon consolidation.
 
At December 31, 2014 and the year then ended, the Company has recorded a prior period adjustment relating to their property, equipment and leasehold improvements, intangible assets, and goodwill in regards to its consolidation of its French acquired subsidiary. The impact of these adjustments are as follows:

Financial Statement Item As Previously Reported  As Adjusted  Change 
          
Consolidated Balance Sheet         
Property, equipment, and leasehold improvements, net $222,662  $211,725  $10,937 
Total Other assets $6,391,503  $5,700,574  $690,929 
Total Assets $7,277,619  $6,575,753  $701,866 
Accumulated deficit $(2,406,922) $(2,365,148) $(41,774)
Accumulated other comprehensive loss $(5,805) $(749,445) $743,640 
Total Stockholders’ Equity (Deficit) $3,346,764  $2,644,898  $701,866 
             
Consolidated Statement of Operations and Comprehensive Loss         
Loss from operations $(2,370,880) $(2,329,106) $(41,774)
Net loss $(2,406,922) $(2,365,148) $(41,774)
Foreign currency translation adjustment $(9,343) $(749,445) $740,102 
Total comprehensive loss $(2,416,265) $(3,114,593) $698,328 
Loss per share - basic and diluted $(0.68) $(0.67) $(0.01)
             
Consolidated Statement of Cash Flows            
Net loss $(2,406,922) $(2,365,148) $(41,774)
Amortization $460,596  $418,822  $41,774 
The accompanying consolidated financial statements have been prepared assuming thatas if the Company will continue as a going concern. The Company has incurred significant operating losses and negative cash flows from operations since inception, had anegative working capital deficiency at March 31, 2016 and December 31, 20152019 of approximately $8,540,000 and $6,748,000, respectively,$877,000, and had an accumulated deficit of approximately $62.7 million at March 31, 2016 and December 31, 2015 of approximately $10,287,000 and $8,295,000, respectively.2019. The Company is dependent on obtaining, necessary funding from outside sources, including obtainingand continues to pursue, additional working capital funding from the sale of securities and debt in order to continue theirto execute its development plan and continue operations. Without adequate working capital, the Company may not be able to meet its obligations and continue as a going concern. These conditions raise substantial doubt about itsthe Company’s ability to continue as a going concern. Management plans to raise additional capital through additional equity and/or debt financings, including the LPC Equity Line of Credit (see Note 11). The financial statements do not include any adjustments that might result from the outcome of this uncertainty.

 
F-8

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

Note 2 - Significant Accounting Policies and Recent Accounting Pronouncements

Use of Estimates
The accompanying consolidated financial statements are prepared in conformity with accounting principles generally accepted in the United States of America,GAAP and include certain estimates and assumptions whichthat affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements (including goodwill, intangible assets and contingent consideration), and the reported amounts of revenuesrevenue and expensesexpense during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates.estimates

ConcentrationCash and Cash Equivalents
The Company considers all highly liquid investments with maturities of Risksthree months or less from date of purchase to be cash equivalents. All cash balances were highly liquid at December 31, 2019 and 2018, respectively.
F-38
DRAFT
Concentrations of Credit Risk
Financial instruments that potentially expose the Company to concentrations of credit risk consist primarily of cash and available for sale marketable securities.cash. The Company primarily maintains its cash balances with financial institutions in federally-insured accounts.federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. At December 31, 2019 and 2018, the Company had $0 and $754,261, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice. The Company’s investmentsCompany mitigates its risk by maintaining the majority of its cash and equivalents with high quality financial institutions.
The Company also has exposure to foreign currency risk as its subsidiary in Marketable Securities are comprisedFrance has a functional currency in Euros.
Cyber-Related Fraud
On August 8, 2019, management was advised that it was a victim of a single investment incyber-related fraud whereby a publicly traded stock received as payment from an investor for his $150,000 investment in the Company's Original Issue Convertible Debt. The investor has agreed to make up any shortfall from sales of these securities while any gain is for the accounthacker impersonated one of the Company.Company’s key vendors to redirect payments, totaling $418,765. The Company, including the Audit Committee, completed its investigation and is reviewing all available avenues of recovery, including from the Company’s financial institution to recover the payments. As of March 31, 2016,September 30, 2019, the market valueCompany had recovered $50,858 from its financial institution but management is unable to determine the probability of these Marketable Securities are $44,343 and an associated Other Receivable of $105,657 was recorded. Asrecovering anything further from the cyber-related fraud. Therefore, as of December 31, 2015,2019, the marketCompany recorded a loss of $367,908 which is included in general and administrative (“G&A”) expense. As a result of the cyber-related fraud, the Company has instituted additional controls and procedures and all employees have now undergone cybersecurity training.
Debt Instruments
Detachable warrants issued in conjunction with debt are measured at their relative fair value, of these Marketable Securitiesif they are $56,850determined to be equity instrument, or their fair value, if they are determined to be liability instruments, and an associated Other Receivable of $93,150 was recorded. As of December 31, 2014,recorded as a debt discount.  Conversion features that are in the marketmoney at the commitment date constitute a beneficial conversion feature that is measured at its intrinsic value of these Marketable Securities are $125,070 and an associated Other Receivable of $24,930 was recorded. See Note 3 below.

Property, Equipment, and Leasehold Improvements
Property, equipment and leasehold improvements are carried on the cost basis and depreciatedrecognized as debt discount. Debt discount is amortized as interest expense over the estimated useful livesmaturity period of the debt using the effective interest method. Contingent beneficial conversion features are recognized when the contingency has been resolved.
Debt Issuance Costs
Debt issuance costs are recorded as a direct reduction of the carrying amount of the related assetsdebt. Debt issuance costs are amortized over the maturity period of the related debt instrument using the straight-lineeffective interest method. For financial statement purposes, depreciation expense is provided using the straight-line method over the estimated useful lives of the assets as follows:
 
LaboratoryEquipment 5 years
ComputerEquipment 5 years
OfficeEquipment 7-8 years
LeaseholdImprovements Term of lease or estimated useful life of the assets; whichever is shorter
Equity-Based Payments to Non-Employees
 
Expenditures for maintenance and repairsEquity-based payments to non-employees are charged to operations as incurred while renewals and betterments are capitalized.

Goodwill and Intangible Assets
Goodwill represents the excess of the purchase price of the acquired business over themeasured at fair value of amounts assignedon the grant date per ASU No. 2018-07, Improvements to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations.Nonemployee Share-Based Payment Accounting.

Intangible assets subject to amortization consist of in process research and development and license agreements reported at the fair value at date of the acquisition less accumulated amortization. Amortization expense is provided using the straight-line method over the estimated useful lives of the assets as follows:

InProcess Research & Development      12 years
LicenseAgreements                                   5 years

Research and Development
Research and development costs are charged to operations when incurred and are included in operating expenses. Research and development costs consist principally of compensation of employees and consultants that perform the Company’s research activities, the fees paid to maintain the Company’s licenses, and the payments to third parties for clinical trial and additional product development and testing.

F-9

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

Fair Value Measurements
The Company follows Accounting Standards Codification (“ASC”) Topic 820-10, Fair Value Measurements and Disclosures (“(“ASC 820”), which among other things, defines fair value, establishes a consistent framework for measuring fair value and expands disclosure for each major asset and liability category measured at fair value on either a recurring or nonrecurring basis. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability.

F-39
DRAFT
As a basis for considering such assumptions, a three-tier fair value hierarchy has been established, which prioritizes the inputs used in measuring fair value as follows:

Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities;

Level 2: Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions, which reflect those that a market participant would use.

At March 31, 2016,In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.
The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.
Foreign Currency Translation
For foreign subsidiaries with operations denominated in a foreign currency, assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.
Goodwill and Intangible Assets
Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through December 31, 20152019.
Intangible assets subject to amortization consist of in process research and 2014,development, license agreements, and patents reported at the Company had Level 2 instruments consisting of marketable securities of common stock in a thinly-traded public company received as payment from an investor for $150,000fair value at date of the Company’s Original Issue Discounted Convertible Note, see Notes 3 and 10 below.

At March 31, 2016, December 31, 2015 and 2014,acquisition less accumulated amortization. Amortization expense is provided using the Company had Level 3 instruments consistingstraight-line method over the estimated useful lives of the Company’s common stock warrant liability related to the Company’s convertible debt, see Note 10 and contingent consideration in connection with the Protea Europe SAS acquisition, see Note 6.assets as follows:
Patents                                                          7.2 years
In Process Research & Development            12 years
License Agreements                                        5 years
Impairment of Long-Lived Assets
 
The carrying amounts of the Company’s financial instruments, including accounts payable, and accrued liabilities, approximate fair value due to their short maturities.

F-10

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

The following tables summarize the Company’s financial instruments measured at fair value on a recurring basis:

  Fair Value Measurements at Reporting Date Using 
  Total  Level 1  Level 2  Level 3 
As of March 31, 2016 (Unaudited):            
Marketable Securities $44,343  $-  $44,343  $- 
Warrant Liability $801,497  $-  $-  $801,497 
Contingent Consideration $1,500,000  $-  $-  $1,500,000 
                 
As of December 31, 2015:                
Marketable Securities $56,850  $-  $56,850  $- 
Warrant Liability $818,216  $-  $-  $818,216 
Contingent Consideration $1,500,000  $-  $-  $1,500,000 
                 
As of December 31, 2014:                
Marketable Securities $125,070  $-  $125,070  $- 
Warrant Liability $146,376  $-  $-  $146,376 
Contingent Consideration $1,500,000  $-  $-  $1,500,000 
   
The following table provides a reconciliation of the fair value of liabilities using Level 3 significant unobservable inputs:

  Warrant  Contingent 
  Liability  Consideration 
Date of Inception (January 30, 2014) $-  $- 
Protea Europe SAS acquisition  -   1,500,000 
Issuance of warrants  147,744   - 
Change in fair value  (1,368)  - 
Balance at December 31, 2014  146,376   1,500,000 
Issuance of warrants  1,057,943   - 
Change in fair value  (386,105)  - 
Balance at December 31, 2015  818,214   1,500,000 
Issuance of warrants  52,859   - 
Change in fair value  (69,576)  - 
Balance at March 31, 2016 $801,497  $1,500,000 
The warrant liability above relates to the Company’s original issued discounted convertible notes, see Note 10 below.
The fair values of the outstanding warrants were measured by the Company using a Binomial Option Pricing model. Inputs used to determine estimated fair value of the warrant liabilities at March 31, 2016, December 31, 2015 and 2014 include the estimated fair value of the underlying stock at the valuation date ($1.77, $2.16 and $3.09, respectively), the estimated term in years of the warrants (5.49, 4.90 and 5.34, respectively), risk-free interest rates (1.28%, 1.72% and 1.69%, respectively), expected dividends (zero) and the expected volatility (117.5%, 98% and 93%, respectively) of the underlying stock. The significant unobservable inputs used in the fair value measurement of the warrant liabilities are the fair value of the underlying stock at the valuation date and the estimated term of the warrants. Generally, increases (decreases) in the fair value of the underlying stock and estimated term would result in a directionally similar impact to the fair value measurement.
The contingent consideration was valued by the Company using a series of Black-Scholes Option Pricing Models (“BSM”). Significant unobservable inputs used in the calculations included projected net sales over a 9-year period discounted by the Company’s weighted average cost of capital of 33.7%, the contractual hurdle amount of $100 million that replaces the strike price input in the traditional BSM, an asset volatility of 90% that replaces the equity volatility in the traditional BSM, risk-free rates ranging from 1.5% to 2.7%, and an option-adjusted spread of 0.5% that is applied to these payments to accountperiodically evaluates its long-lived assets for the payer’s risk and arrive at a present value of the expected payment.  As the next sales forecast becomes less uncertain, liability may lower in value.  If the volatility increases, then the liability value may increase.

F-11

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
The fair value of the Company's other receivables, convertible debt, and loans payable are as follows:
     Fair Value Measured at Reporting Date Using    
  Carrying Amount  Level 1  Level 2  Level 3  Fair Value 
As of March 31, 2016 (Unaudited).:             
Other Receivables $1,084,043  $-  $-  $1,084,043  $1,084,043 
Convertible Debt $7,325,503          $7,325,503  $7,325,503 
Convertible Promissory Notes $135,000  $-  $-  $135,000  $135,000 
                     
As of December 31, 2015:                    
Other Receivables $1,074,858  $-  $-  $1,074,858  $1,074,858 
Convertible Debt $6,442,372          $6,442,372  $6,442,372 
Convertible Promissory Notes $135,000  $-  $-  $135,000  $135,000 
                     
As of December 31, 2014:                    
Other Receivables $428,752  $-  $-  $428,752  $428,752 
Convertible Debt $661,285  $-  $-  $661,285  $661,285 
Convertible Promissory Notes $391,000  $-  $-  $391,000  $391,000 
The fair value of Other Receivables approximates carrying value as these consist primarily of French R & D tax credits that are normally received within 9 months of year end.

The fair value of Convertible Debt and Loans Payable approximates carrying value due to the terms of such instruments and applicable interest rates.

Stock-based Compensation
The Company’s board of directors and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan which took effect on May 12, 2014. Although the Company did not grant any stock options under the Plan during the three months ended March 31, 2016 and the years ended December 31, 2015 and 2014, the Company will account for its stock-based compensation awardspotential impairment in accordance with ASC Topic 718, Compensation—Stock Compensation ("360, Property, Plant and Equipment (“ASC 718"360”). ASC 718 requires all stock-based payments to employees, including grantsPotential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of employee stock options, toan asset may not be recognized in the statementsrecovered. Recoverability of operationsthese assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their grant dateestimated fair values. For stock options granted to employees and to members of the board of directors for their services on the board of directors, thevalue. The Company estimates the grant date fair value of each option award using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the common stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the common stock. For awards subject to service-based vesting conditions, the Company recognizes stock-based compensation expense, net of estimated forfeitures, equal to the grant date fair value of stock options on a straight-line basis over the requisite service period.has not recognized any impairment charges through December 31, 2019.

F-40
DRAFT
Income Taxes
Income taxes are recorded in accordance with ASC 740, Accounting for Income Taxes ("(“ASC 740"740”), which provides for deferred taxes using an asset and liability approach. The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements or tax returns. The Company determines its deferred tax assets and liabilities based on differences between financial reporting and tax bases of assets and liabilities, which are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. Valuation allowances are provided if, based upon the weight of available evidence, it is more likely than not that some or all of the deferred tax assets will not be realized.

The Company accounts for uncertain tax positions in accordance with the provisions of ASC 740. When uncertain tax positions exist, the Company recognizes the tax benefit of tax positions to the extent that the benefit will more likely than not be realized. The determination as to whether the tax benefit will more likely than not be realized is based upon the technical merits of the tax position as well as consideration of the available facts and circumstances. As of March 31, 2016,At December 31, 20152019 and 2014,2018, the Company does not have any significant uncertain tax positions. All tax years are still open for audit.

F-12

 
Leases
Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015
Effective January 1, 2019, the Company adopted Accounting Standards Update (“ASU”) No. 2016-02, “Leases”. This ASU requires substantially all leases be recorded on the balance sheet as right of use assets and 2014 (Information pertaininglease obligations. The Company adopted the ASU using a modified retrospective adoption method at January 1, 2019, as outlined in ASU No. 2018-11, “Leases - Targeted Improvements”. Under this method of adoption, there is no impact to the three month periods ended March 31, 2016comparative consolidated statement of operations and 2015 are unaudited)

Impairment of Long-lived Assets
consolidated balance sheet. The Company periodically evaluatesdetermined that there was no cumulative-effect adjustment to beginning retained earnings on the consolidated balance sheet. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allowed carryforward of historical lease classifications. Adoption of this standard did not materially impact the Company’s results of operations and had no impact on the consolidated statement of cash flows.
Research and Development
Research and development (“R&D”) costs are charged to operations when incurred and are included in operating expense. R&D costs consist principally of compensation of employees and consultants that perform the Company’s research activities, the fees paid to maintain the Company’s licenses, and the payments to third parties for manufacturing drug supply and clinical trials, and amortization of intangible assets.
Stock-Based Compensation
The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan which took effect on May 12, 2014. The Company accounts for its long-lived assets for potential impairmentstock-based compensation awards to employees and Board members in accordance with ASC Topic 360, Property, Plant718, Compensation—Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees and Equipment (“ASC 360”). Potential impairment is assessedBoard members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.
For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. vesting becomes probable.
F-41
DRAFT
The Company has not recognized any impairment charges through March 31, 2016.estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.

Foreign Currency TranslationSublicense Agreement
For foreign subsidiaries with operations denominated in a foreign currency, assets and liabilities are translated to U.S. dollars, which is the functional currency, at year-end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the year. Gains and losses from translation adjustments are accumulated in a separate component of shareholders’ equity (deficit).

Collaboration Agreements
As more fully discussed in Note 14,15, the Company has joint research collaboration agreementsentered into a sublicense agreement with Laboratoires Mayoly Spindler SASTransChem, Inc. (“TransChem”), pursuant to which TransChem granted the Company an exclusive license to certain patents and INRA TRANSFERT.patent applications. Any payments due from our collaboration partners ismade to TransChem in connection with this sublicence agreement are recorded as a reduction in research and development expenses.expense.

Subsequent Events
The Company considered events or transactions occurring after the balance sheet date but prior to the date the consolidated financial statements are available to be issued for potential recognition or disclosure in its consolidated financial statements.

Recent Accounting Pronouncements
In January 2017, the FASB issued guidance to simplify the subsequent measurement of goodwill impairment. The new guidance eliminates the two-step process that required identification of potential impairment and a separate measure of the actual impairment. Goodwill impairment charges, if any, would be determined by reducing the goodwill balance by the difference between the carrying value and the reporting unit’s fair value (impairment loss is limited to the carrying value). This standard is effective for annual or any interim goodwill impairment tests beginning after December 15, 2019.
Note 3 - Marketable SecuritiesFair Value Disclosures

At March 31, 2016,Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. GAAP establishes a hierarchical disclosure framework that prioritizes and ranks the level of observability of inputs used in measuring fair value.
As of December 31, 20152019, and 2014,2018, the Company had $44,343, $56,850 and $125,070, respectively, of common stock in a public company. These available for sale securities are recorded at fair value and were received as payment from an investor for $150,000 of the Company’s Original Issue Discounted Convertible Notes. The investor has agreed to make up any shortfall between the value of the Marketable Securities when converted to cashCompany's financial instruments were as follows:
 
 
 
 
 
Fair Value Measured at Reporting Date Using
 
 
 
 
 
 
Carrying Amount
 
 
Level 1
 
 
Level 2
 
 
Level 3
 
 
Fair Value
 
At December 31, 2019:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash
 $175,796 
 $- 
 $175,796 
 $- 
 $175,796 
Other receivables
 $2,637,303 
 $- 
 $- 
 $2,637,303 
 $2,637,303 
Note payable
 $444,364 
 $- 
 $- 
 $444,364 
 $444,364 
Convertible debt
 $1,076,938 
 $- 
 $- 
 $1,076,938 
 $1,076,938 
 
    
    
    
    
    
At December 31, 2018:
    
    
    
    
    
Cash
 $1,114,343 
 $- 
 $1,114,343 
 $- 
 $1,114,343 
Other receivables
 $3,172,676 
 $- 
 $- 
 $3,172,676 
 $3,172,676 
Note payable
 $255,032 
 $- 
 $- 
 $255,032 
 $255,032 
F-42
DRAFT
At December 31, 2019, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year.
At December 31, 2018, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year and amounts due from the face amount of his Convertible Note.Company’s former collaboration partner, Mayoly (see Note 14).

The Marketable Securities fair value wasof the note payable in connection with the financing of directors and officer’s liability insurance approximates carrying value due to the terms of such instruments and applicable interest rates.
The convertible debt is based on Level 2 inputs.its fair value less unamortized debt discount plus accrued interest through the date of reporting (see Note 9).

Note 4 - Other Receivables
 
Other ReceivablesAs of December 31, 2019, and 2018, other receivables consisted of the following:
 
  March 31,       
  2016  December 31,  December 31, 
  (Unaudited)  2015  2014 
Research & development tax credits $950,482  $912,818  $380,247 
Investor subscription  105,657   93,150   24,930 
Other  27,904   68,880   23,575 
  $1,084,043  $1,074,848  $428,752 
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
R&D tax credits
 $2,566,281 
 $2,162,373 
Other
  71,022 
  1,010,303 
Total other receivables
 $2,637,303 
 $3,172,676 
 
TheAt December 31, 2019, the research &and development (“R&D”) tax credits arewere comprised of the 2017, 2018, and 2019 refundable tax credits for research conducted in France. At December 31, 2018, the R&D tax credits were comprised of the 2017 and 2018 refundable tax credits for research conducted in France. The Investor subscriptionFrench tax authorities have examined the tax credits for the years 2016 through 2018, which is related to an investor’s agreement to make up any shortfall betweenin the Marketable Securities given for his Convertible Debt, see Note 3. The make-whole provision is a deemed “put” measured at fair value due to its relationship in connection withnormal course of business. In February 2020, the Marketable Securities. The Company followsreceived the guidance in ASC 815-25-35-6 and records the change in fair values2018 refundable tax credit of both the Marketable Securities and the “put” in earnings. Due to the correlationapproximately $1,130,000.
At December 31, 2019, Other consisted of these instruments, the change in fair values completely offset and net to zero. Other is primarily amounts due from U.S. R&D tax credits. At December 31, 2018, Other consisted primarily of amounts due from the Company’s former collaboration partner, Mayoly, see Note 14.Mayoly.
 
F-13

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

Note 5 - Property, Equipment and Leasehold Improvements

Property,As of December 31, 2019, and 2018, property, equipment and leasehold improvements consisted of the following:
  March 31,       
  2016  December 31,  December 31, 
  (Unaudited)  2015  2014 
Laboratory Equipment $154,709  $148,578  $155,703 
Computer Equipment  17,986   16,733   11,105 
Office Equipment  29,906   29,057   22,048 
Leasehold Improvements  29,163   28,008   31,215 
   231,764   222,376   220,071 
Less accumulated depreciation  (58,806)  (46,057)  (8,346)
             
  $172,958  $176,319  $211,725 
 
Depreciation expense for the three months ended March 31, 2016 and 2015 was $10,845 and $10,902, respectively.
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Laboratory equipment
 $193,661 
 $190,406 
Computer equipment
  74,836 
  75,417 
Office equipment
  36,703 
  37,262 
Leasehold improvements
  35,711 
  29,163 
Total property, plant and equipment
  340,911 
  332,248 
Less accumulated depreciation
  (263,520)
  (203,394)
Property, plant and equipment, net
 $77,391 
 $128,854 
Depreciation expense for the years ended December 31, 20152019 and 20142018 was $41,784$63,096 and $11,113,$61,909, respectively. Depreciation expense
For the year ended December 31, 2019, $42,283 of depreciation is included in Generalresearch and Administrativedevelopment (“G & A”R&D) expenses.

expense and $20,813 of depreciation is included in general and administrative (“   Note 6 - AcquisitionG&A”) expense.
 
On March 19, 2014, AzurRx entered into a Memo of Understanding with Protea Biosciences Group, Inc. (“Protea Group”) and its wholly-owned subsidiary, Protea Biosciences, Inc. (“Protea Sub” and, together with Protea Group, “Protea”) to acquire 100% ofFor the outstanding capital stock of AzurRx BioPharma SAS (formerly ProteaBio Europe SAS), a wholly-owned subsidiary of Protea Sub, a company engaged in the research and development of non-systemic biologics for the treatment of patients with gastrointestinal disorders in exchange for a non-refundable deposit of $300,000. On May 21, 2014, the Company entered into a stock purchase agreement (the “SPA”) with Protea for this acquisition. On June 13, 2014, the Company completed the acquisition in exchange for a payment of $300,000 and the issuance of shares of its Series A convertible preferred stock (the “Series A Preferred”). Pursuant to the SPA, the Company is obligated to pay Protea certain other Contingent Consideration in U.S. dollars upon the satisfaction of certain events, including (a) a one-time milestone payment of $2,000,000 due within (10) days of receipt of the first approval by the Food and Drug Administration (“FDA”) of a New Drug Application (“NDA”) or Biologic License Application (“BLA”) for a Business Product (as such term is defined in the SPA); (b) royalty payments equal to 2.5% of net sales of Business Product up to $100,000,000 and 1.5% of net sales of Business Product in excess of $100,000,000 and (c) ten percent (10%) of the Transaction Value (as defined in the SPA) received in connection with a sale or transfer of the pharmaceutical development business of Protea Europe. The total consideration was $7,000,000, which consisted of $600,000 cash, the fair value of the 100 shares of Class A Preferred stock issued to Protea, and the fair value of the Contingent Consideration described above.

The estimated useful lives of the intangible assets acquired are described in Note 2, “Significant Accounting Policies, Goodwill and Intangible Assets”.

Goodwill related to this acquisition is 100% deductible for U.S. federal income tax purposes.

Acquisition costs in connection with this acquisition were approximately $118,000 and are included in operating expenses.

The acquisition was accounted for as a business combination and, accordingly, the purchase price was allocated to the identified tangible and intangible assets acquired less the liabilities assumed, based on fair value.

F-14

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016,year ended December 31, 20152018, $49,316 of depreciation has been reclassified to R&D expense and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

The purchase price was determined as following:$12,593 of depreciation remains in G&A expense.
 
Purchase price:   
Fair value of Class A preferred stock issued to seller $4,900,000 
Cash  600,000 
Fair value of the contingent consideration  1,500,000 
Total purchase price $7,000,000 
F-43
DRAFT
 
The Class A Preferred Stock was valued using the Option Pricing Method. Significant unobservable inputs used in this calculation included the Company’s total equity value at June 13, 2014 of $34.8 million, the exercise price of $0.01 for the first breakpoint, for each closed form option model an expected term of four years, volatility of 90%, and an interpolated risk-free rate of 1.32%.

See Note 2, Fair Value Measurements above for the explanation of the valuation method and significant inputs used to value the Contingent Consideration.

The following table summarizes the allocation of the purchase price to the estimated fair value of the assets acquired and the liabilities assumed as of the date of the acquisition:
Net assets acquired were allocated as follows:    
      Cash $39,045 
      Accounts receivable  291,740 
      Other receivable  424,384 
      Prepaid expenses and other current assets  15,202 
      Property and equipment  45,381 
      Other long-term assets  17,157 
      In process research and development  495,829 
      License agreements  4,045,064 
      Goodwill  2,290,892 
      Accounts payable and accrued expenses  (664,694)
     
            Total purchase price $7,000,000 

F-15

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

The following is the proforma income statement as if both companies had been consolidated for the full applicable periods presented (unaudited):

  Year Ended 
  12/31/14 
Research and development expenses $1,050,623 
General & administrative expenses  1,865,689 
     
Loss from operations  (2,916,312)
     
Interest expense  (68,149)
Fair value adjustment, warrants  1,368 
Other income  30,739 
Total other  (36,042)
     
Loss before income taxes  (2,952,354)
     
Income taxes  - 
     
Net loss $(2,952,354)
     
Basic and diluted weighted average shares outstanding  3,540,196 
     
Loss per share - basic and diluted $(0.83)
 
Note 76 - Intangible Assets and Goodwill
Patents
 
Intangible assets arePursuant to the Mayoly APA entered into on March 27, 2019, in which the Company purchased all remaining rights, title and interest in and to MS1819 (see Note 14) from Mayoly, the Company recorded Patents in the amount of $3,802,745 as follows:
  March 31,       
  2016  December 31,  December 31, 
  (Unaudited)  2015  2014 
In Process Research & Development $413,000  $396,634  $442,058 
Less accumulated amortization  (61,663)  (50,956)  (19,954)
             
  $351,337  $345,678  $422,104 
             
License Agreements $3,369,329  $3,235,814  $3,606,394 
Less accumulated amortization  (1,207,343)  (997,709)  (390,693)
             
  $2,161,986  $2,238,105  $3,215,701 
 
Amortization expense for the three months ended March
Common stock issued at signing to Mayoly, subject to vesting
$1,740,959
Due to Mayoly at 12/31/19 - €400,000
449,280
Due to Mayoly at 12/31/20 - €350,000
393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt
1,219,386
$3,802,745

As of December 31, 20162019, and 2015 was $171,997 and $175,327, respectively. 2018, intangible assets were as follows:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
In process research and development
 $- 
 $416,600 
Less accumulated amortization
  - 
  (157,671)
In process research and development, net
 $- 
 $258,929 
 
    
    
License agreements
 $- 
 $3,398,702 
Less accumulated amortization
  - 
  (3,087,154)
License agreements, net
 $- 
 $311,548 
 
    
    
Patents
 $3,802,745 
 $- 
Less accumulated amortization
  (395,661)
  - 
Patents, net
 $3,407,084 
 $- 

Amortization expense for the years ended December 31, 20152019, and 20142018 was $691,815$779,895 and $418,822,$736,537, respectively. Amortization
For the year ended December 31, 2019, $779,895 of amortization is included R&D expense and $0 of amortization is included in G & A expenses.&A expense. Amortization expense for the year ended December 31, 2019 included $384,234 from in process research and development and license agreements written off as a result of the Mayoly APA.
For the year ended December 31, 2018, $785,852 of amortization has been reclassified to R&D expense and $0 of amortization remains in G&A expense. Amortization expense for the year ended December 31, 2018 included $736,537 from in process research and development and license agreements written off as a result of the Mayoly APA.
 
As of MarchDecember 31, 2016,2019, amortization expense related to patents is expected to be $708,282 per yearapproximately $527,548 for each of the next threefive years and two months and $34,417 per year for the next year and 10 months after that.(2020 through 2024).
 
Goodwill is
F-44
DRAFT
As of December 31, 2019, and 2018, goodwill was as follows:
 
Goodwill
Balance at January 1, 2018
$2,016,240
Foreign currency translation
(91,410)
Balance at December 31, 2018
1,924,830
Foreign currency translation
(38,144)
Balance at December 31, 2019
$1,886,686
  Goodwill 
Date of Inception (January 30, 2014) $- 
Protea Europe SAS acquisition  2,290,892 
Foreign currency translation  (248,438)
Balance at December 31, 2014  2,042,454 
Foreign currency translation  (209,875)
Balance at December 31, 2015  1,832,579 
Foreign currency translation  75,616 
Balance at March 31, 2016 (unaudited) $1,908,195 
F-16

 
Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

Note 87 - Accounts Payable and Accrued Expense
 
AccountsAs of December 31, 2019, and 2018, accounts payable and accrued expensesexpense consisted of the following:

 March 31,       
 2016  December 31,  December 31, 
 
December 31,
 
 (Unaudited)  2015  2014 
 
2019
 
 
2018
 
Trade payables $916,563  $409,407  $825,574 
 $1,683,505 
 $1,532,110 
Accrued expenses  139,721   174,210   4,197 
Accrued expense
  71,177 
  285,061 
Accrued payroll  269,413   198,368   173,773 
  - 
  253,225 
 $1,325,697  $781,985  $1,003,544 
Total accounts payable and accrued expense
 $1,754,682 
 $2,070,396 
Note 8 - Note Payable
On December 5, 2019, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $498,783 that bears interest at an annual rate of 5.461%. Monthly payments, including principal and interest, are $56,689 per month. The balance due under this financing agreement at December 31, 2019 was $444,364.
On December 14, 2018, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $286,203 that bears interest at an annual rate of 5.99%. Monthly payments, including principal and interest, are $32,599 per month. The balance due under this financing agreement at December 31, 2018 was $255,032.
 
Note 9 - Convertible Promissory NotesDebt
 
Commencing on July 22, 2014 and through April 3, 2015, the Company, through a series of transactions with various investors, raised $896,000 through the sale of its convertible promissory notes with various maturity dates that can be extended by the Company. The maturity dates ranged from August 31, 2014 through May 31, 2015. All maturity dates have been extended by the Company. Through December 31, 2015,ADEC Note Offering
 On February 14, 2019, the Company entered into transactions ina Note Purchase Agreement (the “ADEC NPA”) with ADEC Private Equity Investments, LLC (“ADEC”), pursuant to which noteholders were voluntarily repaid $761,000 and shares werethe Company issued to such noteholders in lieu of interest payments. As of December 31, 2014, the Company raised $451,000 through the sale of these convertible promissory notes and repaid $60,000 of these notes. The notes bear interest at 8% per annum and are convertible into Common Stock of the Company at $6.45 per share at the investors’ discretion as long as the notes are outstanding. As of March 31, 2016, December 31, 2015 and 2014, the Company had $135,000, $135,000 and $391,000, respectively, of these notes outstanding.
Interest expense for the three months ended March 31, 2016 and 2015 incurred in connection with the promissory notes was $2,693 and $11,268, respectively. Interest expense for the years ended December 31, 2015 and 2014 incurred in connection with the promissory notes was $25,856 and $9,120, respectively. On August 7, 2015, 5,242 shares of the Company’s common stock were issued in payment of $33,790 of accrued interest payable on these notes. Interest payable at March, 31, 2016, December 31, 2015 and 2014 in connection with these notes was $3,878, $1,186 and $9,120, respectively.

Note 10 - Original Issue DiscountedADEC two Senior Convertible Notes

(Commencing on October 10, 2014,“Note A” and “Note B,” respectively, each an “ADEC Note,” and together, the Company, through a series of transactions, issued original issue discounted convertible notes to several investors at 85% of“ADEC Notes”), in the principal amount of $1,000,000 per ADEC Note, resulting in gross proceeds to the notes. Company of $2,000,000 (the “ADEC Note Offering”). ADEC is controlled by a significant stockholder of the Company.
The notes do not otherwise bear interest.ADEC Notes accrue interest at a rate of 10% per annum; provided, however, that in the event the Company elects to repay the full balance due under the terms of both ADEC Notes prior to December 31, 2019, then the interest rate will be reduced to 6% per annum. Interest is payable at the time all outstanding principal amounts owed under each ADEC Note is repaid. The notes areADEC Notes mature on the earlier to occur of (i) the tenth business day following the receipt by ABS of certain tax credits that the Company expects to receive prior to July 2019 in the case of Note A (the “2019 Tax Credit”) and July 2020 in the case of Note B (the “2020 Tax Credit”), respectively, or (ii) December 31, 2019 in the case of Note A and December 31, 2020 in the Case of Note B (the “Maturity Dates”). As a condition to entering into the ADEC NPA, ABS and ADEC also entered into a Pledge Agreement, pursuant to which ABS agreed to pledge an interest in each of the 2019 Tax Credit and 2020 Tax Credit to ADEC in order to guarantee payment of all amounts due under the terms of the ADEC Notes.
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Each of the ADEC Notes is convertible, at ADEC’s option, into shares of Common Stock, at a conversion price equal to $2.50 per share; provided, however, that pursuant to the Company’s common stock at the principal amount divided by the lesser of $6.45 per share or the per share priceterm of the ADEC Notes, ADEC may not convert all or a portion of the ADEC Notes if such conversion would result in the significant stockholder and/or entities affiliated with him beneficially owning in excess of 19.99% of the shares of Common Stock representing the pre-money valuationissued and outstanding immediately priorafter giving effect to any shares sold in the Company’s initial public offering (“IPO”), multiplied by 80% (the “Convertible Shares”). Additionally, separate warrants to purchase shares of the Company’s common stock equal to 50% of the number of Convertible Shares at the lesser of $7.37 per share or at a 20% discount to the pre-money IPO valuation of the Company were issued in conjunction with these notes. The warrants are exercisable for five years beginning six months after the issue date. If the pre-money IPO valuation of the Company is less than $43,750,000, then the number of Warrant Shares (herein defined as the underlying common stock shares) will be recalculated as follows: New Number of Warrant Shares = Existing Warrant Shares * [43,750,000/(IPO valuation*80%)]. The Company did not recognize any amounts associated with the beneficial conversion feature at the dates of issuances of such notes due to the unsatisfied condition associated with the pre-money valuation. If, and when, the pre-money valuation is determined, the Company may be required to recognize the value of the beneficial conversion feature, if any, in earnings.

F-17

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)

The notes had nine-month terms with principal and interest due starting July 10, 2015. The holders of the notes may demand payment in cash before the maturity date within thirty (30) trading days of the Company’s initial public offering. If, on the maturity date, the principal amount of any note remains unpaid, the Company shall pay to the note holder a one-time default penalty of 5% of the total amount unpaid on the maturity date. The Company, however, shall still be required to repay the note holder the principal balance and interest on the principal balance, which shall accrue at the default interest rate equal to the lesser of 18% per annum or the maximum rate permitted under applicable law. As of December 31, 2015, $2,105,882 in principal amount of these notes are in default due to being past their maturity dates.

On March 31, 2016, the holders of all but $300,000 in principal signed exchange agreements nullifying the default provisions and rolling the principal amount into new original issue discounted convertible notes at 92% of the principal amount of the notes due on November 4, 2016, modifying the conversion price to $4.65 per share, and modifying the strike price of the warrants down to the lesser of (i) $5.58 or (ii) a 15% premium to the price per share or unit issued in the IPO or in connection with a public listing. As a result of these exchange agreements, as of December 31, 2015, the Company has not recorded any of the default provisions for all but $300,000 in principal of these notes. The aggregate gross proceeds received in connection with these notes through March 31, 2016, December 31, 2015 and 2014 was $7,303,529, $6,145,000 and $750,000, respectively. Through June 13, 2016, gross proceeds of $700,000 were received from the issuance of additional original issue discounted convertible notes.the shares issuable upon conversion of the ADEC Notes (the “ADEC Note Conversion Shares”).
 
As additional consideration for entering into the ADEC NPA, the Company entered into a warrant amendment agreement, whereby the Company agreed to reduce the exercise price of 1,009,565 outstanding warrants previously issued by the Company to ADEC and its affiliates (the “ADEC Warrants”) to $1.50 per share (the “ADEC Warrant Amendment”). The Company accounted for the warrant featureADEC Warrant Amendment does not alter any other terms of the notes based uponADEC Warrants. The ADEC Warrant Amendment resulted in a debt discount of $325,320 that is accreted to additional interest expense over the fair valuelives of the warrants on the date of issuance. The effect of the warrant modifications is reflected in the fair value adjustment at March 31, 2016 noted below. The Company recorded a warrant liability related to the warrants at March 31, 2016, December 31, 2015 and December 31, 2014 of $1,251,066, $1,205,687, and $147,744, respectively. The warrant liability was adjusted to the fair value at March 31, 2016 of $801,497 by recording a fair value adjustment of $69,576 at March 31, 2016. The warrant liability was adjusted to the fair value at December 31, 2015 of $818,216 by recording a fair value adjustment of $386,105 at December 31, 2015 and the warrant liability was adjusted to the fair value at December 31, 2014 of $146,376 by recording a fair value adjustment of $1,368 at December 31, 2014.ADEC Notes.
 
ForIn connection with the three month periods ended March 31, 2016 and 2015,above transaction, the Company recorded $710,988also entered into a registration rights agreement with ADEC. The registration statement was filed with the Securities and $133,479, respectively,Exchange Commission (“SEC”) on April 25, 2019.
During the year ended December 31, 2019, the Company recognized $311,116 of interest expense related to the original issueADEC Notes, including amortization of debt discount of $206,963 related to the ADEC Warrant Amendment.
In December 2019, the Company repaid $1,550,000 principal amount of the ADEC Notes and warrant featuresin January 2020 repaid the remaining principal balance of $450,000 plus outstanding accrued interest of $104,153.
December 2019 Senior Convertible Promissory Note Offering
On December 20, 2019, the Company began an offering of (i) Senior Convertible Promissory Notes (each a “Promissory Note,” and together, the “Promissory Notes”) in the principal amount of up to $8.0 million to certain accredited investors (the “Note Investors”), and (ii) warrants (“Note Warrants”) to purchase shares of Common Stock, each pursuant to Note Purchase Agreements entered into by and between the Company and each of the Investors (the “Promissory NPAs”) (the “Promissory Note Offering”).
On December 20, 2019, December 24, 2019, December 30, 2019, and December 31, 2019, the Company issued Promissory Notes to the Note Investors in the aggregate principal amount of $3,386,300. The Promissory Notes mature on September 20, 2020, accrue interest at a rate of 9% per annum, and are convertible, at the sole option of the holder, into shares of Common Stock (the “Promissory Note Conversion Shares”) at a price of $0.97 per share (the “Conversion Option”). The Promissory Notes may be prepaid by the Company at any time prior to the maturity date in cash without penalty or premium (the “Prepayment Option”).
As additional consideration for the execution of the Promissory NPA, each Note Investor also received Note Warrants to purchase that number of shares of Common Stock equal to one-half (50%) of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes (the “Warrant Shares”). The Note Warrants have an exercise price of $1.07 per share and expire five years from the date of issuance. The Company and each Note Investor executed a Registration Rights Agreement (the “RRA”), pursuant to which the Company agreed to file a registration statement. The Company filed a registration statement with the SEC on February 7, 2020 covering the Promissory Note Conversion Shares and Warrant Shares.
In connection with the four closings in December 2019 of the Promissory Note Offering, the Company paid aggregate placement agent fees of $338,630, which fees were based on (i) 9% of the aggregate principal amount of the Promissory Notes issued to the Note Investors introduced by the placement agent, and (ii) a non-accountable expense allowance of 1% of the gross proceeds from the Promissory Note Offering. In addition, the placement agent was issued warrants, containing substantially the same terms and conditions as the Note Warrants, to purchase an aggregate of 244,372 shares of Common Stock (the “Placement Agent Warrants”), representing 7% of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes issued to the Note Investors. The Placement Agent Warrants have an exercise price of $1.21 per share and expire five years from the date of issuance.
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The Company determined the Prepayment Option feature represents a contingent call option. The Company evaluated the Prepayment Option in accordance with ASC 815-15-25. The Company determined that the Prepayment Option feature is clearly and closely related to the debt host instrument and is not an embedded derivative requiring bifurcation. Additionally, the Company determined the Conversion Option represents an embedded call option. The Company evaluated the Conversion Option in accordance with ASC 815-15-25. The Company determined that the Conversion Option feature meets the scope exception from ASC 815 and is not an embedded derivative requiring bifurcation.
The Company evaluated the Promissory Notes for a beneficial conversion feature in accordance with ASC 470-20. The Company determined that at each commitment date the effective conversion price was below the closing stock price (market value), and the Convertible Notes contained a beneficial conversion feature.
Pursuant to the December 2019 closings of the Promissory Note Offering, the principal amount of $3,386,300 was first allocated based on the relative fair value of the Promissory Notes and the Note Warrants. The fair value of the Note Warrants amounted to $912,648. Then the beneficial conversion feature was calculated, which amounted to $1,359,284. The Company incurred debt issuance costs of $588,017 related to the offering. The initial carrying value of the Promissory Notes issued amounted to $526,351.
During the year ended December 31, 2019, the Company recognized $114,791 of interest expense related to these notes. Promissory Notes, including amortization of debt discount related to the value of the Note Warrants of $33,669, amortization of the beneficial conversion feature of $51,529, amortization of debt discount related to debt issuance costs of $21,203, and accrued interest expense of $8,390.
As of December 31, 2019, and 2018, convertible debt consisted of the following:
 
 
Total
 
 
Promissory Notes
 
 
ADEC Notes
 
 
Total
 
 
 
December 31,
 
 
December 31,
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2019
 
 
2019
 
 
2018
 
Convertible debt
 $3,836,300 
 $3,386,300 
 $450,000 
 $- 
Unamortized debt discount - revalued warrants
  (118,356)
  - 
  (118,356)
  - 
Unamortized debt discount - warrants
  (878,979)
  (878,979)
  - 
  - 
Unamortized debt discount - BCF
  (1,307,755)
  (1,307,755)
  - 
  - 
Unamortized debt discount - debt issuance costs
  (566,815)
  (566,815)
  - 
  - 
Accrued interest
  112,543 
  8,390 
  104,153 
  - 
Total convertible debt
 $1,076,938 
 $641,141 
 $435,797 
 $- 
LPC OID Debenture
On April 11, 2017, the Company entered into a Note Purchase Agreement with Lincoln Park Capital Fund, LLC (“LPC”), pursuant to which the Company issued a 12% Senior Secured Original Issue Discount Convertible Debenture (the “OID Debenture”) to LPC.
On July 11, 2018, the Company paid off the remaining amount of $286,529 due under the terms of this OID Debenture.
For the three monthsyear ended MarchDecember 31, 2016 and 2015, $348,610 and $63,167, respectively,2018, the Company recorded $97,837 of these amounts were accreted interest expense related to the original issue discount feature of the notes that also increased the outstanding balance of the convertible debt by the same amount. For the three months ended March 31, 2016 and 2015, $362,378 and $70,311, respectively, of these amounts were amortization of the debt discount and beneficial conversion feature related to the warrant features of the convertible debt.OID Debenture.
 
For the years ended December 31, 2015 and 2014, the Company recorded $1,561,677 and $59,029, respectively, of interest expense related to the original issue discount and warrant features of these notes. For the years ended December 31, 2015 and 2014, $749,262 and $27,893, respectively, of these amounts were accreted interest expense related to the original issue discount feature of the notes that also increased the outstanding balance of the convertible debt by the same amount. For the years ended December 31, 2015 and 2014, $812,415 and $31,136, respectively, of these amounts were amortization of the debt discount related to the warrant features of the convertible debt.
 
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F-18

 
Note 10 – Other Liabilities
Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016,
As of December 31, 20152019, and 2014 (Information pertaining to2018, other liabilities consisted of the three month periods ended March 31, 2016 and 2015 are unaudited)
following: 

Convertible Debt consisted of:
  March 31,       
  2016  December 31,  December 31, 
  (Unaudited)  2015  2014 
Convertible Debt $7,303,529  $6,145,000  $750,000 
Accreted Interest  74,589   659,508   27,893 
Debt Discount - Warrants  (52,615)  (362,136)  (116,608)
             
  $7,325,503  $6,442,372  $661,285 
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Due to Mayoly
 $392,989 
 $- 
Lease liabilities
  83,235 
  - 
 
 $476,224 
 $- 
 
Note 11 - Equity, Common Stock and Incentive Plan
On December 19, 2019, the Company held its Annual Meeting of Stockholders (the “Annual Meeting”), whereby, the shareholders approved, among others, the following proposals: (i) amending the Company’s Certificate of Incorporation to increase the authorized shares of its Common Stock to 150,000,000 shares from 100,000,000 shares, and (ii) amending the Company’s Charter to authorize the Board to effect a reverse stock split of both the issued and outstanding and authorized shares of Common Stock, at a specific ratio, ranging from one-for-two (1:2) to one-for-five (1:5), any time prior to the one-year anniversary date of the Annual Meeting, with the exact ratio to be determined by the Board (the “Reverse Split”). As of December 31, 2019, the Board had not elected to effect a Reverse Split.
Common Stock
 
The Company has authorized 9,000,000had 26,800,519 and 17,704,925 shares of its common stock, $0.0001 par value and 1,000,000 shares of preferred stock, $0.0001 par value.

Common Stock
At March 31, 2016, December 31, 2015 and 2014, the Company had issued and outstanding 5,150,757, 4,296,979at December 31, 2019 and 3,584,321, respectively, shares of its common stock.2018, respectively.
 
Voting
Each holderThe holders of common stock hasour Common Stock are entitled to one vote per share. In addition, the holders of our Common Stock will be entitled to receive ratably such dividends, if any, as may be declared by our Board out of legally available funds; however, the current policy of our Board is to retain earnings, if any, for eachoperations and growth. Upon liquidation, dissolution or winding-up, the holders of our Common Stock will be entitled to share held.ratably in all assets that are legally available for distribution.

Stock Option2014 Equity Incentive Plan
The Company’s board of directorsBoard and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”2014 Plan), which took effect on May 12, 2014. The 2014 Plan permitsallows for the Company to awardissuance of securities, including stock options (both incentive stock optionsto employees, Board members and non-qualified stock options), stock appreciation rights, restricted stock, restricted stock units, performance stock awards, performance unit awards, unrestricted stock awards, distribution equivalent rights to the Company’s officers, employees, directors, consultants and advisers.consultants. The maximum number of shares of common stock that may be issued pursuant to awardsCommon Stock reserved for issuance under the 2014 Plan isshall not exceed ten percent (10%) of the issued and outstanding shares of the Company’s common stockCommon Stock on an “as converted”as converted basis (the “As Converted Shares”) on a rolling basis. The “as converted” sharesFor calculation purposes, the As Converted Shares shall include all shares of the Company’s common stockCommon Stock and all shares of the Company’s common stockCommon Stock issuable upon the conversion of outstanding preferred stock and other convertible securities but doshall not include any shares of common stockCommon Stock issuable upon the exercise of options, andor other convertible securities issued pursuant to the 2014 Plan. DuringThe number of authorized shares of Common Stock reserved for issuance under the three months ended March 31, 20162014 Plan shall automatically be increased concurrently with the Company’s issuance of fully paid and non- assessable shares of As Converted Shares. Shares shall be deemed to have been issued under the 2014 Plan solely to the extent actually issued and delivered pursuant to an award.
The Company issued an aggregate of 1,193,500 and 539,000 stock options, during the years ended December 31, 20152019 and 2014, the Company did not grant any stock options2018, respectively, under the 2014 Plan (see Note 13). As of December 31, 2019, there were an aggregate of 3,584,986 total shares available under the 2014 Plan, of which 1,677,500 are issued and outstanding, 632,667 shares are reserved subject to issuance of restricted stock and RSUs and 1,274,819 shares are available for potential issuances. The Company may issue securities outside of the 2014 Plan.

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Series A Convertible Preferred StockNote 14 - Agreements
Pursuant
Mayoly Agreement
On March 27, 2019, the Company and Laboratories Mayoly Spinder (“Mayoly”) entered into an Asset Purchase Agreement (the “Mayoly APA”), pursuant to which the Company purchased all rights, title and interest in and to MS1819. Upon execution of the Mayoly APA, the Joint Development and License Agreement (the “JDLA”) previously executed by AzurRx SAS and Mayoly was terminated. In addition, the Company granted to Mayoly an exclusive, royalty-bearing right to revenue received from commercialization of MS1819 within certain territories.
During the three and nine months ended September 30, 2019, the Company charged $0 and $403,020, respectively, to Mayoly under the JDLA that was in effect during both periods.
TransChem Sublicense
On August 7, 2017, the Company and TransChem entered into the TransChem Sublicense Agreement pursuant to which TransChem granted to us an exclusive license to certain patents (the“TransChem Licensed Patents”) relating to H. pylori 5’methylthioadenosine nucleosidase inhibitors. We may terminate the Sublicense Agreement and the licenses granted therein for any reason and without further liability on 60 days’ notice. Unless terminated earlier, the Sublicense Agreement will expire upon the expiration of the last Licensed Patents. Upon execution, we paid an upfront fee to TransChem and agreed to reimburse TransChem for certain expenses previously incurred in connection with the preparation, filing, and maintenance of the Licensed Patents. We also agreed to pay TransChem certain future periodic sublicense maintenance fees, which fees may be credited against future royalties. We may also be required to pay TransChem additional payments and royalties in the event certain performance-based milestones and commercial sales involving the Licensed Patents are achieved. The TransChem Licensed Patents will allow us to develop compounds for treating gastrointestinal, lung and other infections that are specific to individual bacterial species. H. pylori bacterial infections are a major cause of chronic gastritis, peptic ulcer disease, gastric cancer and other diseases.
On March 11, 2020, the Company provided TransChem with sixty (60) days prior written notice of its intent to terminate the TransChem Sublicense Agreement.
No payments were made under this Sublicense Agreement during in the three and nine months ended September 30, 2020 and 2019, respectively.
Employment Agreements
James Sapirstein
Effective October 8, 2019, the Company entered into an employment agreement with Mr. Sapirstein to serve as its President and Chief Executive Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Sapirstein provides for a base salary of $450,000 per year. In addition to the SPA with the Protea Group,base salary, Mr. Sapirstein is eligible to receive (i) a cash bonus of up to 40% of his base salary on June 13, 2014,an annual basis, based on certain milestones that are yet to be determined; (ii) 1% of net fees received by the Company issued 100 sharesupon entering into license agreements with any third-party with respect to any product current in development or upon the sale of Series A Convertible Preferred Stock (“Series A”).

The termsall or substantially all assets of the Series ACompany; (iii) an award grant of 200,000 restricted stock units (“RSUs”) which are described below:

Voting
The Series A preferred stock holders are entitledscheduled to vote, together withvest as follows (a) 100,000 shares upon the holdersfirst commercial sale of common stock as one class, on all matters to which holders of common stock shall be entitled to vote,MS1819 in the same mannerU.S. and with(b) 100,000 shares upon the same effect astotal market capitalization of the commonCompany exceeding $1.0 billion for 20 consecutive trading days; (iv) a grant of 300,000 10-year stock holders with the same number of votes per share that equals the number ofoptions to purchase shares of common stock intowith an exercise price equal to $0.56 per share, which are scheduled to vest as follows (a) 50,000 shares upon the Series A preferred stockCompany initiating its next Phase II clinical trial in the U.S. for MS1819, (b) 50,000 shares upon the Company completing its next or subsequent Phase II clinical trial in the U.S. for MS1819, (c) 100,000 shares upon the Company initiating a Phase III clinical trial in the U.S. for MS1819, and (d) 100,000 shares upon the Company initiating a Phase I clinical trial in the U.S. for any product other than MS1819. Mr. Sapirstein is convertibleentitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his services to the Company.
In the event that Mr. Sapirstein’s employment is terminated by the Company for Cause, as defined in his employment agreement, or by Mr. Sapirstein voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. In the event that Mr. Sapirstein’s employment is terminated as a result of an Involuntary Termination Other than for Cause, as defined in his employment agreement, Mr. Sapirstein will be entitled to receive the following compensation: (i) severance in the form of continuation of his salary (at the base salary rate in effect at the time of termination, but prior to any reduction triggering Good Reason (as such vote.term is defined in Mr. Sapirstein’s employment agreement) for a period of twelve months following the termination date; (ii) payment of Mr. Sapirstein’s premiums to cover COBRA for a period of twelve months following the termination date; and (iii) a prorated annual bonus.

Dividends
The holdersDaniel Schneiderman
Effective January 2, 2020, the Company entered into an employment agreement with Mr. Schneiderman to serve as the Company’s Chief Financial Officer for a term of three years, subject to further renewal upon agreement of the Series A Preferredparties. The employment agreement with Mr. Schneiderman provides for a base salary of $285,000 per year. In addition to the base salary, Mr. Schneiderman is eligible to receive (a) an annual milestone cash bonus based on certain milestones that will be established by the Company’s Board or the Compensation Committee, and (b) a grant of stock options to purchase 335,006 shares of common stock with an exercise price of $1.03 per share, which shall vest in three equal portions on each anniversary date of the execution of Mr. Schneiderman’s employment agreement, commencing on January 2, 2021, the first anniversary date of the agreement. Mr. Schneiderman is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his service to the Company. The Company may terminate Mr. Schneiderman’s employment agreement at any time, with or without Cause, as such term is defined in his employment agreement.
In the event that Mr. Schneiderman’s employment is terminated by the Company for Cause, as defined in Mr. Schneiderman’s employment agreement, or by Mr. Schneiderman voluntarily, then he will not be entitled to receive dividends, when,any payments beyond amounts already earned, and any unvested equity awards will terminate. If the Company terminates his employment agreement without Cause, not in connection with a Change of Control, as such term is defined in Mr. Schneiderman’s employment agreement, he will be entitled to (i) all salary owed through the date of termination; (ii) any unpaid annual milestone bonus; (iii) severance in the form of continuation of his salary for the greater of a period of six months following the termination date or the remaining term of the employment agreement; (iv) payment of premiums to cover COBRA for a period of six months following the termination date; (v) a prorated annual bonus equal to the target annual milestone bonus, if any, for the year of termination multiplied by the formula set forth in the agreement. If the Company terminates Mr. Schneiderman’s employment agreement without Cause, in connection with a Change of Control, he will be entitled to the above and if declaredimmediate accelerated vesting of any unvested options or other unvested awards.
Dr. James E. Pennington
Effective May 28, 2018, the Company entered into an employment agreement with Dr. Pennington to serve as its Chief Medical Officer. The employment agreement with Dr. Pennington provides for a base annual salary of $250,000. In addition to his salary, Dr. Pennington is eligible to receive an annual milestone bonus, awarded at the sole discretion of the Board based on his attainment of certain financial, clinical development, and/or business milestones established annually by the Board ratablyor Compensation Committee. The Company may terminate Dr. Pennington’s employment agreement at any time, with any declaration or paymentwithout Cause, as such term is defined in Dr. Pennington’s employment agreement. In the event of any dividend on common stock. To date there have been no dividends declared or paidtermination by the BoardCompany other than for Cause, Dr. Pennington is entitled to three months’ severance payable over such period. In the event of Directors.
termination by the Company other than for Cause in connection with a Change of Control as such term is defined in Dr. Pennington’s employment agreement, Dr. Pennington will receive six months’ severance payable over such period.

F-19

 
Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
Note 15 - Leases

Liquidation
The holders of the Series A shall be entitled to receive, before and in preference to, any distribution of any assets of the Company to the holders of common stock, an amount equal to $0.0001 per share, plus any declared but unpaid dividends. The liquidation preferenceadopted ASU 2016-02, Leases, as of March 31, 2016, December 31, 2015 and 2014 approximates par value.January 1, 2019, using the modified retrospective approach. Prior year financial statements were not recast under the new standard.

Conversion
The Series A is convertible into 33% of the issuedCompany leases its office and outstanding shares of common stock on a fully diluted basis, assuming the conversion, exercise, or exchange for shares of common stock of all convertible securities issued and outstanding immediately prior to such conversion, including the Series A Preferred stock, all outstanding warrants and options, and all outstanding convertible debt, notes, debentures, or any other securitiesresearch facilities under operating leases which are convertible, exercisable, or exchangeable for shares of common stock. The Series A Convertible Preferred Stock is subject to mandatory conversion upon the occurrence of certain triggering events including a public offering coupled with an equity-linked financing with an offering price that values the Company prior to consummation of such financing at not less than $12,000,000various rent provisions and the aggregate gross proceeds to the Company (before deduction of underwriting discounts and registration expenses) are not less than $6,000,000. The Company did not recognize any amounts associated with the beneficial conversion feature at the date of issuance of such convertible preferred shares due to the unsatisfied condition associated with the pre-money valuation. If, and when, the pre-money valuation is determined, the Company may be required to recognize the value of the beneficial conversion feature, if any, in earnings.escalation clauses.

During the three months ended March 31, 2016, Protea Group converted 35 shares of Series A Convertible Preferred StockSeptember 30, 2020, the Company entered into 853,778 shares of commons stock. a month-to-month lease for office space in Delray Beach, FL and one-year residential lease in Delray Beach, FL.
During the yearnine months ended December 31, 2015, Protea Group converted 29 sharesSeptember 30, 2020, the Company entered into a two-year lease extension (amendment) to is Hayward, CA office. The Company determined that the lease modification did not grant an additional right of Series A Convertible Preferred Stock into 707,416 sharesuse and concluded that the modification was not a separate new lease, but rather that it should reassess and remeasure the entire modified lease on the effective date of commons stock. During the year ended December 31, 2014, no shares were converted. In April 2016, Protea Group convertedmodification. The Company accounted for the balance of 36 shares of Series A Convertible Preferred Stock into 878,171 shares of common stock.lease amendment prospectively.
The Company’s leases expire at various dates through 2022. The escalation clauses are indeterminable and considered not material and have been excluded from minimum future annual rental payments.

Note 12 - Warrants

Lease expense amounted to $55,418 and $52,057, respectively, in the three months ended September 30, 2020 and 2019.
Stock warrant transactions for
Lease expense amounted to $128,663 and $153,723, respectively, in the period from Januarynine months ended September 30, 2014 (date2020 and 2019.
The weighted-average remaining lease term and weighted-average discount rate under operating leases at September 30, 2020 are:
September 30,
2020
Lease term and discount rate
Weighted-average remaining lease term
1.16 years 
Weighted-average discount rate
6.0%
Maturities of inception) through March 31, 2016 wereoperating lease liabilities at September 30, 2020 are as follows:
 
     Exercise  Weighted 
     Price Per  Average 
  Warrants  Share  Exercise Price 
          
Warrants issued and exercisable at January 30, 2014  -   -   - 
             
Granted during the year  68,400  $7.37  $7.37 
Expired during the year  -   -   - 
Exercised during the year  -   -   - 
Warrants issued and exercisable at December 31, 2014  68,400  $7.37  $7.37 
             
Granted during the year  594,074  $7.37  $7.37 
Expired during the year  -   -   - 
Exercised during the year  -   -   - 
Warrants issued and exercisable at December 31, 2015  662,474  $7.37  $7.37 
             
Granted during the year  44,705  $5.58  $5.58 
Expired during the year  -   -   - 
Exercised during the year  -   -   - 
Warrants issued and exercisable at March 31, 2016 (unaudited)  707,179  $5.58 - $7.37  $5.84 

F-20

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
2020
 $30,565 
2021
  55,420 
2022
  23,375 
Total lease payments
  109,360 
Less imputed interest
  (3,736)
Present value of lease liabilities
 $105,624 
 
      Weighted Average    
   Number of Shares  Remaining Contract  Weighted Average 
Exercise Price  Under Warrants  Life in Years  Exercise Price 
$5.58   605,127   4.72  $5.58 
$7.37   102,052   4.70  $7.37 
               
Total warrants   707,179   4.72  $5.84 
Note 16 - Income Taxes
 
The Company is subject to taxation at the federal level in both the United States and France and at the state level in the United States. At September 30, 2020 and December 31, 2019, the Company had no tax provision for either jurisdiction.
Per
At September 30, 2020 and December 31, 2019, the termsCompany had gross deferred tax assets of exchange agreements executed on March 31, 2016 with certain holdersapproximately $20,059,000 and $16,372,000, respectively. As the Company cannot determine that it is more likely than not that the Company will realize the benefit of the Company’s Original Issue Discounted Convertible Notes,deferred tax asset, a valuation allowance of approximately $20,059,000 and $16,372,000, respectively, has been established at September 30, 2020 and December 31, 2019. The change in the associated warrants had their exercise price adjusted to $5.58 per share with no other adjustments made tovaluation allowance in the warrants, see Note 10 above.nine months ended September 30, 2020 and 2019 was $3,687,000 and $2,108,000, respectively.
 
DuringAt September 30, 2020, the three months ended March 31, 2016, 5,259 immediately vesting warrants were issuedCompany has gross net operating loss (“NOL”) carryforwards for U.S. federal and state income tax purposes of approximately $35,077,000 and $26,572,000, respectively. The Company’s ability to investment bankersuse its NOL carryforwards may be limited if it experiences an “ownership change” as defined in association withSection 382 (“Section 382”) of the placementInternal Revenue Code of original issue discounted convertible notes with1986, as amended. An ownership change generally occurs if certain stockholders increase their aggregate percentage ownership of a value of $7,048, usingcorporation’s stock by more than 50 percentage points over their lowest percentage ownership at any time during the same valuation used to valuetesting period, which is generally the warrants issued in connection with the original issue discounted convertible notes, see Note 10 above. This amount was included in G & A expenses.three-year period preceding any potential ownership change.
 
At September 30, 2020 and December 31, 2019, the Company had approximately $22,120,000 and $19,425,000, respectively, in net operating losses which it can carryforward indefinitely to offset against future French income.
At September 30, 2020 and December 31, 2019, the Company had taken no uncertain tax positions that would require disclosure under ASC 740, Accounting for Income Taxes.
Note 17 - Net Loss per Common Share
Basic net loss per share is computed by dividing net loss available to common stockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per share reflect, in periods in which they have a dilutive effect, the impact of common shares issuable upon exercise of stock options and warrants and conversion of convertible debt that are not deemed to be anti-dilutive. The dilutive effect of the outstanding stock options and warrants is computed using the treasury stock method.

At September 30, 2020, diluted net loss per share did not include the effect of 29,314,408 shares of Common Stock issuable upon the conversion of Series B Preferred Stock including accrued and unpaid dividends, 25,200,168 shares of Common Stock issuable upon the exercise of outstanding warrants, 387,000 shares of Common Stock pursuant to unearned and unissued restricted stock and RSUs, and 4,312,506 shares of Common Stock issuable upon the exercise of outstanding options as their effect would be antidilutive during the periods prior to conversion.
At September 30, 2019, diluted net loss per share did not include the effect of 3,388,378 shares of Common Stock issuable upon the exercise of outstanding warrants, 416,000 shares of restricted Common Stock not yet issued, and 1,887,500 shares of Common Stock issuable upon the exercise of outstanding options as their effect would be antidilutive during the periods prior to conversion.
Note 18 - Related Party Transactions
Johan (Thijs) Spoor
During the year ended December 31, 2015, 102,052 immediatelythe Company employed the services of JIST Consulting (“JIST”), a company controlled by Johan (Thijs) Spoor, the Company’s former Chief Executive Officer and President, as a consultant for business strategy, financial modeling, and fundraising. Included in accounts payable at December 31, 2019 and 2018, is $348,400 and $478,400, respectively, for JIST relating to Mr. Spoor’s services. Mr. Spoor received no other compensation from the Company other than as specified in his employment agreement. On October 8, 2019, Mr. Spoor resigned as Chief Executive Officer and President of the Company. In addition, Mr. Spoor resigned as a member of the Board on April 29, 2020.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $255,000 payable to Mr. Spoor. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed by the Company, which determination is being challenged by Mr. Spoor. As a result of management’s determination, the Company reversed the accrual in the quarter ended December 31, 2019.
All unvested shares of restricted stock and stock options subject to time and other performance-based vesting warrants were issuedconditions have been forfeited in connection with Mr. Spoor's resignation as the Company’s President and Chief Executive Officer.  Mr. Spoor also declined the right to investment bankersreceive 241,667 earned, but unissued shares of restricted stock on April 29, 2020 in associationconnection with his resignation from the Board.
On July 9, 2020, the Company and Johan (Thijs) Spoor, its former Chief Executive Officer, entered into a settlement and general release (the “Spoor Settlement and Release”), effective July 9, 2020 (the “Spoor Settlement Date”), of certain claims relating to Mr. Spoor's separation from the Company on October 8, 2019. In connection with the placementSpoor Settlement and Release, on July 14, 2020 the Company granted Mr. Spoor warrants to purchase an aggregate of original issue discounted convertible notes with150,000 shares of Common Stock, which had a grant date fair value of $218,337, using$85,770 (See Note 12). In addition, Mr. Spoor legally released all claims to a discretionary bonus in the same valuation usedamount of $255,000, which was originally accrued by the Company in June 2019 but was subsequently reversed during the quarter ended December 31, 2019, legally released all claims to value$348,400 due to JIST Consulting, a company controlled by Mr. Spoor and the warrants issuedCompany also paid Mr. Spoor's legal expenses in the amount of $51,200. During the three and nine months ended September 30, 2020, the Company recognized a gain on settlement of $211,430 in connection with the original issue discounted convertibleSpoor Settlement and Release.
Maged Shenouda
From October 1, 2016 until his appointment as the Company’s Chief Financial Officer on September 25, 2017, the Company employed the services of Maged Shenouda as a financial consultant. Included in accounts payable at September 30, 2020 and 2019 is $10,000 and $50,000, respectively, for Mr. Shenouda’s services. On November 1, 2019, Mr. Shenouda submitted his resignation as Chief Financial Officer of the Company, effective November 30, 2019.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $100,000 payable to Mr. Shenouda. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount should not be paid, and the Company reversed the accrual in the quarter ended December 31, 2019.
On July 2, 2020, the Company and Maged Shenouda, its former Chief Financial Officer also entered into a settlement and general release (the “Shenouda Settlement and Release”), of certain claims relating to Mr. Shenouda’s s separation from the Company effective November 30, 2019. In connection with the Shenouda Settlement and Release, the Company paid a total of $15,000 to Mr. Shenouda, which amount includes $10,000 of accounts payable of the Company due to Mr. Shenouda for services provided and $5,000 for legal expenses, and Mr. Shenouda legally released all claims to a discretionary bonus in the amount of $100,000 originally accrued by the Company in June 2019, but was subsequently reversed during the quarter ended December 31, 2019.


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Stockholders and the Board of Directors of AzurRx BioPharma, Inc.
Opinion on the Consolidated Financial Statements
We have audited the accompanying consolidated balance sheets of AzurRx BioPharma, Inc. (the “Company”) as of December 31, 2019 and 2018, and the related consolidated statements of operations and comprehensive loss, changes in stockholders’ equity, and cash flows for the years then ended, and the related notes see(collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2019 and 2018, and the results of their operations and their cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America.
Emphasis of a Matter
The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 10 above.1 to the consolidated financial statements, the Company has incurred significant operating losses and negative cash flows from operations since inception. The Company also had an accumulated deficit of approximately $62.7 million at December 31, 2019. The Company is dependent on obtaining necessary funding from outside sources, including obtaining additional funding from the sale of securities in order to continue their operations. These conditions raise substantial doubt about its ability to continue as a going concern. Management’s plans regarding those matters also are described in Note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.
Basis for Opinion
These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform an audit of the Company's internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion.
/s/ Mazars USA LLP
We have served as the Company’s auditor since 2015.
New York, New York
March 30, 2020


AZURRX BIOPHARMA, INC.
Consolidated Balance Sheets

 
 
December 31, 2019
 
 
December 31, 2018
 
ASSETS
 
 
 
 
 
 
Current Assets:
 
 
 
 
 
 
Cash and cash equivalents
 $175,796 
 $1,114,343 
Other receivables
  2,637,303 
  3,172,676 
Prepaid expense
  595,187 
  512,982 
Total Current Assets
  3,408,286 
  4,800,001 
 
    
    
Property, equipment, and leasehold improvements, net
  77,391 
  128,854 
 
    
    
Other Assets:
    
    
In process research & development, net
  - 
  258,929 
License agreements, net
  - 
  311,548 
Patents, net
  3,407,084 
  - 
Goodwill
  1,886,686 
  1,924,830 
Operating lease right-of-use assets
  82,386 
  - 
Deposits
  41,047 
  45,233 
Total Other Assets
  5,417,203 
  2,540,540 
 
    
    
TOTAL ASSETS
 $8,902,880 
 $7,469,395 
 
    
    
LIABILITIES AND STOCKHOLDERS' DEFICIT
    
    
 
    
    
LIABILITIES
    
    
Current Liabilities:
    
    
Accounts payable and accrued expense
 $1,754,682 
 $2,070,396 
Accounts payable and accrued expense - related party
  533,428 
  670,095 
Note payable
  444,364 
  255,032 
Convertible debt
  1,076,938 
  - 
Other current liabilities
  476,224 
  - 
Total Current Liabilities
  4,285,636 
  2,995,523 
 
    
    
 
    
    
STOCKHOLDERS' DEFICIT
    
    
 
    
    
Convertible preferred stock - Par value $0.0001 per share; 10,000,000 shares authorized, and 0 shares issued and outstanding at December 31, 2019 and 2018, respectively; liquidation preference approximates par value
  - 
  - 
Common stock - Par value $0.0001 per share; 150,000,000 and 100,000,000 shares authorized at December 31, 2019 and 2018, respectively; 26,800,519 and 17,704,925 shares issued and outstanding at December 31, 2019 and December 31, 2018, respectively.
  2,680 
  1,771 
Additional paid-in-capital
  68,575,851 
  53,139,259 
Accumulated deficit
  (62,694,732)
  (47,517,046)
Accumulated other comprehensive loss
  (1,266,555)
  (1,150,112)
Total stockholders' deficit
  4,617,244 
  4,473,872 
 
    
    
TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIT
 $8,902,880 
 $7,469,395 
See accompanying notes to consolidated financial statements

F-33
DRAFT
AZURRX BIOPHARMA, INC.
Consolidated Statements of Operations and Comprehensive Loss
 
 
Year ended    
 
 
 
December 31, 2019
 
 
December 31, 2018
 
 
 
 
 
 
 
 
Revenue
 $- 
 $- 
Total Revenue
  - 
  - 
 
    
    
Operating Expense
    
    
Research & development
  8,680,669 
  5,771,405 
General & administrative
  6,063,078 
  7,450,366 
Fair value adjustment, contingent consideration
  - 
  210,000 
Total Operating Expense
  14,743,747 
  13,431,771 
 
    
    
Other Expenses (income)
    
    
Interest expense
  433,939 
  101,846 
Total Other Expense (Income)
  433,939 
  101,846 
 
    
    
Net Loss
 $(15,177,686)
 $(13,533,617)
 
    
    
Other comprehensive (loss):
    
    
Foreign currency translation adjustment
  (116,443)
  (194,397)
Total comprehensive loss
 $(15,294,129)
 $(13,728,014)
 
    
    
Net loss per share, basic and diluted
 $(0.68)
 $(0.88)
Weighted average of shares outstanding, basic and diluted
  22,425,564 
  15,439,310 
See accompanying notes to consolidated financial statements

F-34
DRAFT
AZURRX BIOPHARMA, INC.
Consolidated Statements of Changes in Stockholders' Equity

 
 
Convertible Preferred Stock
 
 
Common Stock
 
 
Paid-in
 
 
Subscription
 
 
Accumulated
 
 
Accumulated Other Comprehensive
 
 
Total
 
 
 
Shares
 
 
Amount
 
 
Shares
 
 
Amount
 
 
Capital
 
 
Receivable
 
 
Deficit
 
 
Loss
 
 
Deficit
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balance at January 1, 2018
  - 
 $- 
  12,042,574 
 $1,205 
 $37,669,601 
 $(1,071,070)
 $(33,983,429)
 $(955,715)
 $1,660,592 
 
    
    
    
    
    
    
    
    
    
Common stock issued from public offering
  - 
  - 
  4,160,000 
  416 
  9,577,647 
  - 
  - 
  - 
  9,578,063 
Common stock issued to consultants
  - 
  - 
  118,818 
  12 
  360,759 
  - 
  - 
  - 
  360,771 
Common stock issued for warrant exercises
  - 
  - 
  503,070 
  50 
  1,253,623 
  1,071,070 
  - 
  - 
  2,324,743 
Common stock issued for purchase of Protea assets from bankruptcy
  - 
  - 
  734,463 
  73 
  1,299,926 
  - 
  - 
  - 
  1,299,999 
Stock-based compensation
  - 
  - 
  - 
  - 
  1,441,475 
  - 
  - 
  - 
  1,441,475 
Restricted common stock granted to employees and directors
  - 
  - 
  120,000 
  12 
  1,038,810 
  - 
  - 
  - 
  1,038,822 
Convertible debt converted into common stock
  - 
  - 
  26,000 
  3 
  68,670 
  - 
  - 
  - 
  68,673 
Warrant modification
  - 
  - 
  - 
  - 
  428,748 
  - 
  - 
  - 
  428,748 
Foreign currency translation adjustment
  - 
  - 
  - 
  - 
  - 
  - 
  - 
  (194,397)
  (194,397)
Net loss
  - 
  - 
    
  - 
  - 
  - 
  (13,533,617)
  - 
  (13,533,617)
Balance at December 31, 2018
  - 
 $- 
  17,704,925 
 $1,771 
 $53,139,259 
 $- 
 $(47,517,046)
 $(1,150,112)
 $4,473,872 
 
    
    
    
    
    
    
    
    
    
Common stock issued from public offerings
  - 
  - 
  7,522,097 
  752 
  9,475,997 
  - 
  - 
  - 
  9,476,749 
Common stock issued to consultants
  - 
  - 
  190,398 
  19 
  209,981 
  - 
  - 
  - 
  210,000 
Common stock issued to Mayoly for patents
  - 
  - 
  775,931 
  77 
  1,740,882 
  - 
  - 
  - 
  1,740,959 
Common stock issued to Lincoln Park for Equity Purchase agreement
  - 
  - 
  487,168 
  49 
  (49)
  - 
  - 
  - 
  - 
Warrants issued in association with convertible debt issuances
  - 
  - 
  - 
  - 
  1,081,673 
  - 
  - 
  - 
  1,081,673 
Beneficial conversion feature on convertible debt issuances
  - 
  - 
  - 
  - 
  1,359,284 
  - 
  - 
  - 
  1,359,284 
Stock-based compensation
  - 
  - 
  - 
  - 
  574,335 
  - 
  - 
  - 
  574,335 
Restricted common stock granted to employees and directors
  - 
  - 
  120,000 
  12 
  607,579 
  - 
  - 
  - 
  607,591 
Warrant modification
  - 
  - 
  - 
  - 
  325,320 
  - 
  - 
  - 
  325,320 
Received from stockholder in relation to warrant modification
  - 
  - 
  - 
  - 
  61,590 
  - 
  - 
  - 
  61,590 
Foreign currency translation adjustment
  - 
  - 
  - 
  - 
  - 
  - 
  - 
  (116,443)
  (116,443)
Net loss
  - 
  - 
  - 
  - 
  - 
  - 
  (15,177,686)
  - 
  (15,177,686)
Balance at December 31, 2019
  - 
 $- 
  26,800,519 
 $2,680 
 $68,575,851 
 $- 
 $(62,694,732)
 $(1,266,555)
 $4,617,244 
See accompanying notes to consolidated financial statements
F-35
DRAFT
AZURRX BIOPHARMA, INC.
Consolidated Statements of Cash Flows
 
 
Year ended
 
 
 
December 31, 2019
 
 
December 31, 2018
 
 
 
 
 
 
 
 
Cash Flows from Operating Activities:
 
 
 
 
 
 
Net loss
 $(15,177,686)
 $(13,533,617)
Adjustments to reconcile net loss to net
    
    
   cash used in operating activities:
    
    
Depreciation
  63,096 
  61,909 
Amortization
  956,950 
  736,537 
Fixed assets written off
  7,296 
  - 
Fair value adjustment, contingent consideration
  - 
  210,000 
Stock-based compensation
  574,335 
  1,441,475 
Restricted common stock granted to employees and directors
  607,591 
  1,038,822 
Common stock granted to consultants
  210,000 
  360,771 
Accreted interest on convertible debt
  112,543 
  - 
Accreted interest on debt discount - warrants
  313,364 
  97,837 
Warrant modification
  - 
  428,748 
Net changes in assets and liabilities:
    
    
         Other receivables
  (749,859)
  (2,187,903)
         Prepaid expense
  (85,681)
  (243,330)
         Right of use assets
  (82,234)
  - 
         Deposits
  3,900 
  (15,001)
         Accounts payable and accrued expense
  (420,788)
  741,624 
         Interest payable
  - 
  (7,192)
         Other liabilities
  (366,329)
  - 
Net Cash used in Operating Activities
  (14,033,502)
  (10,869,320)
 
    
    
Cash Flows from Investing Activities:
    
    
Purchase of property and equipment
  (24,098)
  (55,473)
Purchase of Protea assets from bankruptcy
  - 
  (250,000)
Net Cash used in Investing Activities
  (24,098)
  (305,473)
 
    
    
Cash Flows from Financing Activities:
    
    
Proceeds from issuances of common stock, net
  9,476,749 
  11,902,805 
Proceeds from issuances of convertible debt, net
  4,967,308 
  - 
Repayments of convertible debt
  (1,550,000)
  (286,529)
Received from stockholder in relation to warrant modification
  61,590 
  - 
Proceeds of note payable
  498,783 
  286,203 
Repayments of note payable
  (309,451)
  (190,351)
Net Cash provided by Financing Activities
  13,144,979 
  11,712,128 
 
    
    
Net (decrease) increase in cash and cash equivalents
  (921,621)
  537,335 
 
    
    
Effect of exchange rate changes on cash
  (25,926)
  3,537 
 
    
    
Cash and cash equivalents:
    
    
Cash at the beginning of the year
  1,114,343 
  573,471 
Cash at the end of the year
 $175,796 
 $1,114,343 
 
    
    
Supplemental Disclosure of Cash Flow Activities:
    
    
Cash paid for interest
 $8,032 
 $4,010 
 
    
    
Supplemental Disclosure of Non-cash Financing Activities:
    
    
Common stock issued for purchase of Protea assets from bankruptcy that extinguished contingent consideration
 $- 
 $1,300,000 
Common stock issued for patents purchased from Mayoly
 $1,740,959 
 $- 
Warrant modification related to convertible debt issuance
 $325,320 
 $- 
See accompanying notes to consolidated financial statements
F-36
DRAFT
Note 1 - The Company and Basis of Presentation
The Company
AzurRx BioPharma, Inc. (“AzurRx” or “Parent”) was incorporated on January 30, 2014 in the State of Delaware. In June 2014, the Company acquired 100% of the issued and outstanding capital stock of AzurRx SAS (formerly “ProteaBio Europe SAS”), a company incorporated in October 2008 under the laws of France. Parent and its wholly-owned subsidiary, AzurRx SAS (“ABS”), are collectively referred to as the “Company”.
The Company is engaged in the research and development of non-systemic biologics for the treatment of patients with gastrointestinal disorders. Non-systemic biologics are non-absorbable drugs that act locally, i.e. the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation. The Company is focused on the development of its lead product candidate, MS1819 for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with chronic pancreatitis (“CP”) and cystic fibrosis (“CF”).
MS1819 – Phase 2a Chronic Pancreatitis Study
In June 2018, the Company completed an open-label, dose escalation Phase 2a trial of MS1819 in France, Australia, and New Zealand to investigate both the safety of escalating doses of MS1819, and the efficacy of MS1819 through the analysis of each patient’s coefficient of fat absorption (“CFA”) and its change from baseline. A total of 11 CP patients with EPI were enrolled in the study and final data indicated a strong safety and efficacy profile. Although the study was not powered for efficacy, in a pre-planned analysis, the highest dose (2.2 grams per day) cohort of MS1819 showed statistically significant and clinically meaningful increases in CFA compared to baseline with a mean increase of 21.8% and a p-value of p=0.002 on a per protocol basis. Maximal absolute CFA response to treatment was up to 62%.
MS1819 – Phase 2 and Phase 2b Cystic Fibrosis Monotherapy Studies
In October 2018, the FDA cleared the Company’s Investigational New Drug (“IND”) application for MS1819 in patients with EPI due to CF. In connection with the FDA’s clearance of the IND, the Company initiated a multi-center Phase 2 OPTION bridging dose safety study in the fourth quarter of 2018 in the United States and Europe (the “OPTION Cross-Over Study”). The Company targeted enrollment of 30 to 35 patients for the OPTION Cross-Over Study and dosed the first patients in February 2019. In June 2019, the Company reached its enrollment target for the study.
On September 25, 2019, the Company announced positive results from the OPTION Cross-Over Study. Results showed that the primary efficacy endpoint of CFA was comparable to the CFA in a prior phase two study in patients with CP, while using the same dosage of MS1819. The dosage used in the OPTION Cross-Over Study was 2.2 grams per day, which was determined in agreement with the FDA as a bridging dose from the highest safe dose used in the Phase 2a CP dose escalation study. Although the study was not powered for statistical significance, the data demonstrated meaningful efficacy results, with approximately 50% of the patients showing CFAs high enough to reach non-inferiority with standard porcine enzyme replacement therapy (“PERT”). Additionally, the coefficient of nitrogen absorption (“CNA”) was comparable between the MS1819 and PERT arms, 93% vs. 97%, respectively, in the OPTION Cross-Over Study. This amountimportant finding confirms that protease supplementation is not likely to be required with MS1819 treatment. A total of 32 patients, ages 18 or older, completed the OPTION Cross-Over Study.
On October 17, 2019, the Company announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board (the “CFF DSMB”) completed its review of the Company’s final results of the OPTION Cross-Over Study and has found no safety concerns for MS1819, and that the CFF DSMB supports the Company’s plan to proceed to a higher 4.4 gram dose of MS1819 with enteric capsules in its next planned multi-center dose escalation Phase 2 OPTION clinical trial (the “OPTION 2 Trial”). In December 2019, the Company submitted the clinical trial protocol to the existing IND at the FDA.
The OPTION 2 Trial design will explore the use of 2.2 gram and 4.4 gram doses using enteric capsules to ensure higher levels of MS1819 release in the duodenum. The new protocol is currently under review by the FDA and a response is anticipated in March 2020. The Company expects to launch the OPTION 2 Trial as early as the second quarter of 2020, subject to regulatory approval, with completion originally anticipated by the end of 2020, however, these timelines may be delayed due to the COVID-19 epidemic.
MS1819 – Phase 2 Combination Therapy Study
In addition to the OPTION Cross-Over Study, the Company launched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Hungary to investigate MS1819 in combination with PERT, for CF patients who suffer from severe EPI, but continue to experience clinical symptoms of fat malabsorption despite taking the maximum daily dose of PERTs. The Combination Trial is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819, in conjunction with a stable dose of PERTs, in order to increase CFA and relieve abdominal symptoms in uncontrolled CF patients.
On October 15, 2019, the Company announced that it dosed the first patients in its Combination Trial. This study is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a stable dose of porcine PERTs, in order to increase the CFA and relieve abdominal symptoms. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI. Planned enrollment is expected to include approximately 24 CF patients with severe EPI, at clinical trial sites in Hungary and additional countries in Europe, including Spain, with study completion originally anticipated by the end of 2020, however, this timeline may be delayed due to the COVID-19 epidemic.
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Basis of Presentation and Principles of Consolidation
The accompanying consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”).
The financial statements for the years ended December 31, 2019 and 2018 include the accounts of AzurRx and its wholly-owned subsidiary, AzurRx SAS. Intercompany transactions and balances have been eliminated upon consolidation.
The accompanying consolidated financial statements have been prepared as if the Company will continue as a going concern. The Company has incurred significant operating losses and negative cash flows from operations since inception, had negative working capital at December 31, 2019 of approximately $877,000, and had an accumulated deficit of approximately $62.7 million at December 31, 2019. The Company is dependent on obtaining, and continues to pursue, additional working capital funding from the sale of securities and debt in order to continue to execute its development plan and continue operations. Without adequate working capital, the Company may not be able to meet its obligations and continue as a going concern. These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management plans to raise additional capital through additional equity and/or debt financings, including the LPC Equity Line of Credit (see Note 11). The financial statements do not include any adjustments that might result from the outcome of this uncertainty.
Note 2 - Significant Accounting Policies and Recent Accounting Pronouncements
Use of Estimates
            The accompanying consolidated financial statements are prepared in conformity with GAAP and include certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements (including goodwill, intangible assets and contingent consideration), and the reported amounts of revenue and expense during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates
Cash and Cash Equivalents
The Company considers all highly liquid investments with maturities of three months or less from date of purchase to be cash equivalents. All cash balances were highly liquid at December 31, 2019 and 2018, respectively.
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Concentrations of Credit Risk
Financial instruments that potentially expose the Company to concentrations of credit risk consist of cash. The Company primarily maintains its cash balances with financial institutions in federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. At December 31, 2019 and 2018, the Company had $0 and $754,261, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice. The Company mitigates its risk by maintaining the majority of its cash and equivalents with high quality financial institutions.
The Company also has exposure to foreign currency risk as its subsidiary in France has a functional currency in Euros.
Cyber-Related Fraud
On August 8, 2019, management was advised that it was a victim of a cyber-related fraud whereby a hacker impersonated one of the Company’s key vendors to redirect payments, totaling $418,765. The Company, including the Audit Committee, completed its investigation and is reviewing all available avenues of recovery, including from the Company’s financial institution to recover the payments. As of September 30, 2019, the Company had recovered $50,858 from its financial institution but management is unable to determine the probability of recovering anything further from the cyber-related fraud. Therefore, as of December 31, 2019, the Company recorded a loss of $367,908 which is included in general and administrative (“G&A”) expense. As a result of the cyber-related fraud, the Company has instituted additional controls and procedures and all employees have now undergone cybersecurity training.
Debt Instruments
Detachable warrants issued in conjunction with debt are measured at their relative fair value, if they are determined to be equity instrument, or their fair value, if they are determined to be liability instruments, and recorded as a debt discount.  Conversion features that are in the money at the commitment date constitute a beneficial conversion feature that is measured at its intrinsic value and recognized as debt discount. Debt discount is amortized as interest expense over the maturity period of the debt using the effective interest method. Contingent beneficial conversion features are recognized when the contingency has been resolved.
Debt Issuance Costs
Debt issuance costs are recorded as a direct reduction of the carrying amount of the related debt. Debt issuance costs are amortized over the maturity period of the related debt instrument using the effective interest method.
Equity-Based Payments to Non-Employees
Equity-based payments to non-employees are measured at fair value on the grant date per ASU No. 2018-07, Improvements to Nonemployee Share-Based Payment Accounting.
Fair Value Measurements
The Company follows Accounting Standards Codification (“ASC”) Topic 820-10, Fair Value Measurements and Disclosures (“ASC 820”), which among other things, defines fair value, establishes a consistent framework for measuring fair value and expands disclosure for each major asset and liability category measured at fair value on either a recurring or nonrecurring basis. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability.
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As a basis for considering such assumptions, a three-tier fair value hierarchy has been established, which prioritizes the inputs used in measuring fair value as follows:
Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities;
Level 2: Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and
Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions, which reflect those that a market participant would use.
In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.
The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.
Foreign Currency Translation
For foreign subsidiaries with operations denominated in a foreign currency, assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.
Goodwill and Intangible Assets
Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through December 31, 2019.
Intangible assets subject to amortization consist of in process research and development, license agreements, and patents reported at the fair value at date of the acquisition less accumulated amortization. Amortization expense is provided using the straight-line method over the estimated useful lives of the assets as follows:
Patents                                                          7.2 years
In Process Research & Development            12 years
License Agreements                                        5 years
Impairment of Long-Lived Assets
The Company periodically evaluates its long-lived assets for potential impairment in accordance with ASC Topic 360, Property, Plant and Equipment (“ASC 360”). Potential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. The Company has not recognized any impairment charges through December 31, 2019.
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Income Taxes
Income taxes are recorded in accordance with ASC 740, Accounting for Income Taxes (“ASC 740”), which provides for deferred taxes using an asset and liability approach. The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements or tax returns. The Company determines its deferred tax assets and liabilities based on differences between financial reporting and tax bases of assets and liabilities, which are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. Valuation allowances are provided if, based upon the weight of available evidence, it is more likely than not that some or all of the deferred tax assets will not be realized.
The Company accounts for uncertain tax positions in accordance with the provisions of ASC 740. When uncertain tax positions exist, the Company recognizes the tax benefit of tax positions to the extent that the benefit will more likely than not be realized. The determination as to whether the tax benefit will more likely than not be realized is based upon the technical merits of the tax position as well as consideration of the available facts and circumstances. At December 31, 2019 and 2018, the Company does not have any significant uncertain tax positions. All tax years are still open for audit.
Leases
Effective January 1, 2019, the Company adopted Accounting Standards Update (“ASU”) No. 2016-02, “Leases”. This ASU requires substantially all leases be recorded on the balance sheet as right of use assets and lease obligations. The Company adopted the ASU using a modified retrospective adoption method at January 1, 2019, as outlined in ASU No. 2018-11, “Leases - Targeted Improvements”. Under this method of adoption, there is no impact to the comparative consolidated statement of operations and consolidated balance sheet. The Company determined that there was no cumulative-effect adjustment to beginning retained earnings on the consolidated balance sheet. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allowed carryforward of historical lease classifications. Adoption of this standard did not materially impact the Company’s results of operations and had no impact on the consolidated statement of cash flows.
Research and Development
Research and development (“R&D”) costs are charged to operations when incurred and are included in operating expense. R&D costs consist principally of compensation of employees and consultants that perform the Company’s research activities, the fees paid to maintain the Company’s licenses, and the payments to third parties for manufacturing drug supply and clinical trials, and amortization of intangible assets.
Stock-Based Compensation
The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan which took effect on May 12, 2014. The Company accounts for its stock-based compensation awards to employees and Board members in accordance with ASC Topic 718, Compensation—Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees and Board members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.
For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when vesting becomes probable.
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The Company estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.
Sublicense Agreement
As more fully discussed in Note 15, the Company entered into a sublicense agreement with TransChem, Inc. (“TransChem”), pursuant to which TransChem granted the Company an exclusive license to certain patents and patent applications. Any payments made to TransChem in connection with this sublicence agreement are recorded as research and development expense.
Subsequent Events
The Company considered events or transactions occurring after the balance sheet date but prior to the date the consolidated financial statements are available to be issued for potential recognition or disclosure in its consolidated financial statements.
Recent Accounting Pronouncements
In January 2017, the FASB issued guidance to simplify the subsequent measurement of goodwill impairment. The new guidance eliminates the two-step process that required identification of potential impairment and a separate measure of the actual impairment. Goodwill impairment charges, if any, would be determined by reducing the goodwill balance by the difference between the carrying value and the reporting unit’s fair value (impairment loss is limited to the carrying value). This standard is effective for annual or any interim goodwill impairment tests beginning after December 15, 2019.
Note 3 - Fair Value Disclosures
Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. GAAP establishes a hierarchical disclosure framework that prioritizes and ranks the level of observability of inputs used in measuring fair value.
As of December 31, 2019, and 2018, the fair value of the Company's financial instruments were as follows:
 
 
 
 
 
Fair Value Measured at Reporting Date Using
 
 
 
 
 
 
Carrying Amount
 
 
Level 1
 
 
Level 2
 
 
Level 3
 
 
Fair Value
 
At December 31, 2019:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash
 $175,796 
 $- 
 $175,796 
 $- 
 $175,796 
Other receivables
 $2,637,303 
 $- 
 $- 
 $2,637,303 
 $2,637,303 
Note payable
 $444,364 
 $- 
 $- 
 $444,364 
 $444,364 
Convertible debt
 $1,076,938 
 $- 
 $- 
 $1,076,938 
 $1,076,938 
 
    
    
    
    
    
At December 31, 2018:
    
    
    
    
    
Cash
 $1,114,343 
 $- 
 $1,114,343 
 $- 
 $1,114,343 
Other receivables
 $3,172,676 
 $- 
 $- 
 $3,172,676 
 $3,172,676 
Note payable
 $255,032 
 $- 
 $- 
 $255,032 
 $255,032 
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DRAFT
At December 31, 2019, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year.
At December 31, 2018, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year and amounts due from the Company’s former collaboration partner, Mayoly (see Note 14).
The fair value of the note payable in connection with the financing of directors and officer’s liability insurance approximates carrying value due to the terms of such instruments and applicable interest rates.
The convertible debt is based on its fair value less unamortized debt discount plus accrued interest through the date of reporting (see Note 9).
Note 4 - Other Receivables
As of December 31, 2019, and 2018, other receivables consisted of the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
R&D tax credits
 $2,566,281 
 $2,162,373 
Other
  71,022 
  1,010,303 
Total other receivables
 $2,637,303 
 $3,172,676 
At December 31, 2019, the research and development (“R&D”) tax credits were comprised of the 2017, 2018, and 2019 refundable tax credits for research conducted in France. At December 31, 2018, the R&D tax credits were comprised of the 2017 and 2018 refundable tax credits for research conducted in France. The French tax authorities have examined the tax credits for the years 2016 through 2018, which is in the normal course of business. In February 2020, the Company received the 2018 refundable tax credit of approximately $1,130,000.
At December 31, 2019, Other consisted of amounts due from U.S. R&D tax credits. At December 31, 2018, Other consisted primarily of amounts due from the Company’s former collaboration partner, Mayoly.
Note 5 - Property, Equipment and Leasehold Improvements
As of December 31, 2019, and 2018, property, equipment and leasehold improvements consisted of the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Laboratory equipment
 $193,661 
 $190,406 
Computer equipment
  74,836 
  75,417 
Office equipment
  36,703 
  37,262 
Leasehold improvements
  35,711 
  29,163 
Total property, plant and equipment
  340,911 
  332,248 
Less accumulated depreciation
  (263,520)
  (203,394)
Property, plant and equipment, net
 $77,391 
 $128,854 
Depreciation expense for the years ended December 31, 2019 and 2018 was $63,096 and $61,909, respectively.
For the year ended December 31, 2019, $42,283 of depreciation is included in research and development (“R&D”) expense and $20,813 of depreciation is included in general and administrative (“G&A”) expense.
For the year ended December 31, 2018, $49,316 of depreciation has been reclassified to R&D expense and $12,593 of depreciation remains in G&A expense.
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DRAFT
Note 6 - Intangible Assets and Goodwill
Patents
Pursuant to the Mayoly APA entered into on March 27, 2019, in which the Company purchased all remaining rights, title and interest in and to MS1819 (see Note 14) from Mayoly, the Company recorded Patents in the amount of $3,802,745 as follows:
Common stock issued at signing to Mayoly, subject to vesting
$1,740,959
Due to Mayoly at 12/31/19 - €400,000
449,280
Due to Mayoly at 12/31/20 - €350,000
393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt
1,219,386
$3,802,745

As of December 31, 2019, and 2018, intangible assets were as follows:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
In process research and development
 $- 
 $416,600 
Less accumulated amortization
  - 
  (157,671)
In process research and development, net
 $- 
 $258,929 
 
    
    
License agreements
 $- 
 $3,398,702 
Less accumulated amortization
  - 
  (3,087,154)
License agreements, net
 $- 
 $311,548 
 
    
    
Patents
 $3,802,745 
 $- 
Less accumulated amortization
  (395,661)
  - 
Patents, net
 $3,407,084 
 $- 

Amortization expense for the years ended December 31, 2019, and 2018 was $779,895 and $736,537, respectively.
For the year ended December 31, 2019, $779,895 of amortization is included R&D expense and $0 of amortization is included in G&A expense. Amortization expense for the year ended December 31, 2019 included $384,234 from in process research and development and license agreements written off as a result of the Mayoly APA.
For the year ended December 31, 2018, $785,852 of amortization has been reclassified to R&D expense and $0 of amortization remains in G&A expense. Amortization expense for the year ended December 31, 2018 included $736,537 from in process research and development and license agreements written off as a result of the Mayoly APA.
As of December 31, 2019, amortization expense related to patents is expected to be approximately $527,548 for each of the next five years (2020 through 2024).
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DRAFT
As of December 31, 2019, and 2018, goodwill was as follows:
Goodwill
Balance at January 1, 2018
$2,016,240
Foreign currency translation
(91,410)
Balance at December 31, 2018
1,924,830
Foreign currency translation
(38,144)
Balance at December 31, 2019
$1,886,686
Note 7 - Accounts Payable and Accrued Expense
As of December 31, 2019, and 2018, accounts payable and accrued expense consisted of the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Trade payables
 $1,683,505 
 $1,532,110 
Accrued expense
  71,177 
  285,061 
Accrued payroll
  - 
  253,225 
Total accounts payable and accrued expense
 $1,754,682 
 $2,070,396 
Note 8 - Note Payable
On December 5, 2019, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $498,783 that bears interest at an annual rate of 5.461%. Monthly payments, including principal and interest, are $56,689 per month. The balance due under this financing agreement at December 31, 2019 was $444,364.
On December 14, 2018, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $286,203 that bears interest at an annual rate of 5.99%. Monthly payments, including principal and interest, are $32,599 per month. The balance due under this financing agreement at December 31, 2018 was $255,032.
Note 9 – Convertible Debt
The ADEC Note Offering
 On February 14, 2019, the Company entered into a Note Purchase Agreement (the “ADEC NPA”) with ADEC Private Equity Investments, LLC (“ADEC”), pursuant to which the Company issued to ADEC two Senior Convertible Notes (“Note A” and “Note B,” respectively, each an “ADEC Note,” and together, the “ADEC Notes”), in the principal amount of $1,000,000 per ADEC Note, resulting in gross proceeds to the Company of $2,000,000 (the “ADEC Note Offering”). ADEC is controlled by a significant stockholder of the Company.
The ADEC Notes accrue interest at a rate of 10% per annum; provided, however, that in the event the Company elects to repay the full balance due under the terms of both ADEC Notes prior to December 31, 2019, then the interest rate will be reduced to 6% per annum. Interest is payable at the time all outstanding principal amounts owed under each ADEC Note is repaid. The ADEC Notes mature on the earlier to occur of (i) the tenth business day following the receipt by ABS of certain tax credits that the Company expects to receive prior to July 2019 in the case of Note A expenses.(the “2019 Tax Credit”) and July 2020 in the case of Note B (the “2020 Tax Credit”), respectively, or (ii) December 31, 2019 in the case of Note A and December 31, 2020 in the Case of Note B (the “Maturity Dates”). As a condition to entering into the ADEC NPA, ABS and ADEC also entered into a Pledge Agreement, pursuant to which ABS agreed to pledge an interest in each of the 2019 Tax Credit and 2020 Tax Credit to ADEC in order to guarantee payment of all amounts due under the terms of the ADEC Notes.
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DRAFT
Each of the ADEC Notes is convertible, at ADEC’s option, into shares of Common Stock, at a conversion price equal to $2.50 per share; provided, however, that pursuant to the term of the ADEC Notes, ADEC may not convert all or a portion of the ADEC Notes if such conversion would result in the significant stockholder and/or entities affiliated with him beneficially owning in excess of 19.99% of the shares of Common Stock issued and outstanding immediately after giving effect to the issuance of the shares issuable upon conversion of the ADEC Notes (the “ADEC Note Conversion Shares”).
As additional consideration for entering into the ADEC NPA, the Company entered into a warrant amendment agreement, whereby the Company agreed to reduce the exercise price of 1,009,565 outstanding warrants previously issued by the Company to ADEC and its affiliates (the “ADEC Warrants”) to $1.50 per share (the “ADEC Warrant Amendment”). The ADEC Warrant Amendment does not alter any other terms of the ADEC Warrants. The ADEC Warrant Amendment resulted in a debt discount of $325,320 that is accreted to additional interest expense over the lives of the ADEC Notes.
In connection with the above transaction, the Company also entered into a registration rights agreement with ADEC. The registration statement was filed with the Securities and Exchange Commission (“SEC”) on April 25, 2019.
 
During the year ended December 31, 2014, no such2019, the Company recognized $311,116 of interest expense related to the ADEC Notes, including amortization of debt discount of $206,963 related to the ADEC Warrant Amendment.
In December 2019, the Company repaid $1,550,000 principal amount of the ADEC Notes and in January 2020 repaid the remaining principal balance of $450,000 plus outstanding accrued interest of $104,153.
December 2019 Senior Convertible Promissory Note Offering
On December 20, 2019, the Company began an offering of (i) Senior Convertible Promissory Notes (each a “Promissory Note,” and together, the “Promissory Notes”) in the principal amount of up to $8.0 million to certain accredited investors (the “Note Investors”), and (ii) warrants were issued.(“Note Warrants”) to purchase shares of Common Stock, each pursuant to Note Purchase Agreements entered into by and between the Company and each of the Investors (the “Promissory NPAs”) (the “Promissory Note Offering”).

Through On December 20, 2019, December 24, 2019, December 30, 2019, and December 31, 2019, the Company issued Promissory Notes to the Note Investors in the aggregate principal amount of $3,386,300. The Promissory Notes mature on September 20, 2020, accrue interest at a rate of 9% per annum, and are convertible, at the sole option of the holder, into shares of Common Stock (the “Promissory Note Conversion Shares”) at a price of $0.97 per share (the “June 13, 2016Conversion Option”). The Promissory Notes may be prepaid by the Company at any time prior to the maturity date in cash without penalty or premium (the “Prepayment Option”).
As additional consideration for the execution of the Promissory NPA, each Note Investor also received Note Warrants to purchase that number of shares of Common Stock equal to one-half (50%) of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes (the “Warrant Shares”). The Note Warrants have an exercise price of $1.07 per share and expire five years from the date of issuance. The Company and each Note Investor executed a Registration Rights Agreement (the “RRA”), 122,721 warrants were issuedpursuant to investorswhich the Company agreed to file a registration statement. The Company filed a registration statement with the SEC on February 7, 2020 covering the Promissory Note Conversion Shares and 11,688 warrants were issued to placement agents inWarrant Shares.
In connection with the issuancefour closings in December 2019 of $700,000the Promissory Note Offering, the Company paid aggregate placement agent fees of additional original issue discounted convertible notes.$338,630, which fees were based on (i) 9% of the aggregate principal amount of the Promissory Notes issued to the Note Investors introduced by the placement agent, and (ii) a non-accountable expense allowance of 1% of the gross proceeds from the Promissory Note Offering. In addition, the placement agent was issued warrants, containing substantially the same terms and conditions as the Note Warrants, to purchase an aggregate of 244,372 shares of Common Stock (the “Placement Agent Warrants”), representing 7% of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes issued to the Note Investors. The Placement Agent Warrants have an exercise price of $1.21 per share and expire five years from the date of issuance.
 
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The Company determined the Prepayment Option feature represents a contingent call option. The Company evaluated the Prepayment Option in accordance with ASC 815-15-25. The Company determined that the Prepayment Option feature is clearly and closely related to the debt host instrument and is not an embedded derivative requiring bifurcation. Additionally, the Company determined the Conversion Option represents an embedded call option. The Company evaluated the Conversion Option in accordance with ASC 815-15-25. The Company determined that the Conversion Option feature meets the scope exception from ASC 815 and is not an embedded derivative requiring bifurcation.
The Company evaluated the Promissory Notes for a beneficial conversion feature in accordance with ASC 470-20. The Company determined that at each commitment date the effective conversion price was below the closing stock price (market value), and the Convertible Notes contained a beneficial conversion feature.
Pursuant to the December 2019 closings of the Promissory Note 13 - Interest ExpenseOffering, the principal amount of $3,386,300 was first allocated based on the relative fair value of the Promissory Notes and the Note Warrants. The fair value of the Note Warrants amounted to $912,648. Then the beneficial conversion feature was calculated, which amounted to $1,359,284. The Company incurred debt issuance costs of $588,017 related to the offering. The initial carrying value of the Promissory Notes issued amounted to $526,351.

During the three monthsyear ended MarchDecember 31, 2016 and 2015,2019, the Company incurred $713,680 and $144,746, respectively,recognized $114,791 of interest expense. Duringexpense related to these Promissory Notes, including amortization of debt discount related to the three months ended Marchvalue of the Note Warrants of $33,669, amortization of the beneficial conversion feature of $51,529, amortization of debt discount related to debt issuance costs of $21,203, and accrued interest expense of $8,390.
As of December 31, 20162019, and 2015, $710,988 and $133,479, respectively,2018, convertible debt consisted of the following:
 
 
Total
 
 
Promissory Notes
 
 
ADEC Notes
 
 
Total
 
 
 
December 31,
 
 
December 31,
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2019
 
 
2019
 
 
2018
 
Convertible debt
 $3,836,300 
 $3,386,300 
 $450,000 
 $- 
Unamortized debt discount - revalued warrants
  (118,356)
  - 
  (118,356)
  - 
Unamortized debt discount - warrants
  (878,979)
  (878,979)
  - 
  - 
Unamortized debt discount - BCF
  (1,307,755)
  (1,307,755)
  - 
  - 
Unamortized debt discount - debt issuance costs
  (566,815)
  (566,815)
  - 
  - 
Accrued interest
  112,543 
  8,390 
  104,153 
  - 
Total convertible debt
 $1,076,938 
 $641,141 
 $435,797 
 $- 
LPC OID Debenture
On April 11, 2017, the Company entered into a Note Purchase Agreement with Lincoln Park Capital Fund, LLC (“LPC”), pursuant to which the Company issued a 12% Senior Secured Original Issue Discount Convertible Debenture (the “OID Debenture”) to LPC.
On July 11, 2018, the Company paid off the remaining amount of $286,529 due under the terms of this amount was in connection withOID Debenture.
For the Convertible Notes issued byyear ended December 31, 2018, the Company inrecorded $97,837 of interest expense related to the form of accretion of original issue debt discount and amortization of the debt discount and beneficial conversion feature related to the warrants. Duringwarrant features of the three months ended MarchOID Debenture.
F-47
DRAFT
Note 10 – Other Liabilities
As of December 31, 20162019, and 2015,2018, other liabilities consisted of the following: 
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Due to Mayoly
 $392,989 
 $- 
Lease liabilities
  83,235 
  - 
 
 $476,224 
 $- 
Note 11 – Equity, Common Stock and Incentive Plan
On December 19, 2019, the Company also incurred $2,693held its Annual Meeting of Stockholders (the “Annual Meeting”), whereby, the shareholders approved, among others, the following proposals: (i) amending the Company’s Certificate of Incorporation to increase the authorized shares of its Common Stock to 150,000,000 shares from 100,000,000 shares, and $11,268, respectively,(ii) amending the Company’s Charter to authorize the Board to effect a reverse stock split of interest expense in connectionboth the issued and outstanding and authorized shares of Common Stock, at a specific ratio, ranging from one-for-two (1:2) to one-for-five (1:5), any time prior to the one-year anniversary date of the Annual Meeting, with the promissory notes issuedexact ratio to be determined by the Company.Board (the “Reverse Split”). As of December 31, 2019, the Board had not elected to effect a Reverse Split.

DuringCommon Stock
The Company had 26,800,519 and 17,704,925 shares of its Common Stock issued and outstanding at December 31, 2019 and 2018, respectively.
The holders of our Common Stock are entitled to one vote per share. In addition, the holders of our Common Stock will be entitled to receive ratably such dividends, if any, as may be declared by our Board out of legally available funds; however, the current policy of our Board is to retain earnings, if any, for operations and growth. Upon liquidation, dissolution or winding-up, the holders of our Common Stock will be entitled to share ratably in all assets that are legally available for distribution.
2014 Equity Incentive Plan
The Company’s Board and stockholders adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”), which took effect on May 12, 2014. The 2014 Plan allows for the issuance of securities, including stock options to employees, Board members and consultants. The number of shares of Common Stock reserved for issuance under the 2014 Plan shall not exceed ten percent (10%) of the issued and outstanding shares of Common Stock on an as converted basis (the “As Converted Shares”) on a rolling basis. For calculation purposes, the As Converted Shares shall include all shares of Common Stock and all shares of Common Stock issuable upon the conversion of outstanding preferred stock and other convertible securities but shall not include any shares of Common Stock issuable upon the exercise of options, or other convertible securities issued pursuant to the 2014 Plan. The number of authorized shares of Common Stock reserved for issuance under the 2014 Plan shall automatically be increased concurrently with the Company’s issuance of fully paid and non- assessable shares of As Converted Shares. Shares shall be deemed to have been issued under the 2014 Plan solely to the extent actually issued and delivered pursuant to an award.
The Company issued an aggregate of 1,193,500 and 539,000 stock options, during the years ended December 31, 20152019 and 2018, respectively, under the 2014 the Company incurred $1,587,533 and $68,149, respectively,Plan (see Note 13). As of interest expense. During the years ended December 31, 20152019, there were an aggregate of 3,584,986 total shares available under the 2014 Plan, of which 1,677,500 are issued and 2014, $1,561,677outstanding, 632,667 shares are reserved subject to issuance of restricted stock and $59,029, respectively, of this amount was in connection with the Convertible Notes issued by theRSUs and 1,274,819 shares are available for potential issuances. The Company in the form of accretion of originalmay issue debt discount and amortizationsecurities outside of the debt discount related to the warrants. During the years ended December 31, 2015 and 2014 the Company also incurred $25,856 and $9,120, respectively, of interest expense in connection with the promissory notes issued by the Company.Plan.

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DRAFT
Note 14 - Agreements
 
Mayoly Agreement
On March 22, 2010,27, 2019, the Predecessor entered into a joint researchCompany and development agreement (the “2010 Agreement”) with Laboratoires Laboratories Mayoly Spindler SAS (“Mayoly”Spinder (“Mayoly) with no consideration exchanged, pursuant to which Mayoly sublicensed certain of its exclusive rights to a genetically engineered yeast strain cell line on which MS1819 is based that derive from a Usage and Cross-Licensing Agreement dated February 2, 2006 (the “INRA Agreement”) between Mayoly and  INRA TRANSFERT, a subsidiary of the National Institute for Agricultural Research (“INRA”) in charge of patent management acting for and on behalf of the National Centre of Scientific Research (“CNRS”) and INRA.

Effective January 1, 2014, the Predecessor entered into an amended and restated joint research and development agreement with Asset Purchase Agreement (the “Mayoly (the “Mayoly Agreement”APA) with no consideration exchanged,, pursuant to which the Predecessor acquired the exclusive right, with the right to sublicense, to commercialize human pharmaceuticals based on the MS1819 lipase within the following territories: U.S. and Canada, South America (excluding Brazil), Asia (excluding China and Japan), Australia, New Zealand and Israel.  Rights to the following territories are held jointly with Mayoly: Brazil, Italy, Portugal, Spain, China and Japan.  The Mayoly Agreement requires the Predecessor to pay 70% ofCompany purchased all development costs and requires each of the parties to use reasonable efforts to:

F-21

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
· devote sufficient personnel and facilities required for the performance of its assigned tasks;
· make available appropriately qualified personnel to supervise, analyze and report on the results obtained in the furtherance of the development program; and
· deploy such scientific, technical, financial and other resources as is necessary to conduct the development program.

The Agreement grants the Predecessor the right to cure any breach by Mayoly of its obligations under the INRA agreement. In connection with the Acquisition, the Predecessor, with the consent of INRA and CNRS, assigned all of it rights, title and interest in and to MS1819. Upon execution of the 2014Mayoly APA, the Joint Development and License Agreement to(the “JDLA”) previously executed by AzurRx SAS and Mayoly was terminated. In addition, the AzurRx Europe SAS.

The Agreement includes a €1,000,000 payment dueCompany granted to Mayoly an exclusive, royalty-bearing right to revenue received from commercialization of MS1819 within certain territories.
During the three and nine months ended September 30, 2019, the Company charged $0 and $403,020, respectively, to Mayoly under the JDLA that was in effect during both periods.
TransChem Sublicense
On August 7, 2017, the Company and TransChem entered into the TransChem Sublicense Agreement pursuant to which TransChem granted to us an exclusive license to certain patents (the“TransChem Licensed Patents”) relating to H. pylori 5’methylthioadenosine nucleosidase inhibitors. We may terminate the Sublicense Agreement and the licenses granted therein for any reason and without further liability on 60 days’ notice. Unless terminated earlier, the Sublicense Agreement will expire upon the U.S. FDA approvalexpiration of MS1819.

INRA Agreement
In February 2006, Mayolythe last Licensed Patents. Upon execution, we paid an upfront fee to TransChem and INRA TRANSFERT, on behalfagreed to reimburse TransChem for certain expenses previously incurred in connection with the preparation, filing, and maintenance of INRAthe Licensed Patents. We also agreed to pay TransChem certain future periodic sublicense maintenance fees, which fees may be credited against future royalties. We may also be required to pay TransChem additional payments and CNRS, entered into a Usageroyalties in the event certain performance-based milestones and Cross-Licensing Agreement granting Mayoly exclusive worldwide rightscommercial sales involving the Licensed Patents are achieved. The TransChem Licensed Patents will allow us to exploit Yarrowia lipolyticadevelop compounds for treating gastrointestinal, lung and other lipase proteins based on their patents for use in humans. The INRA Agreement provides forinfections that are specific to individual bacterial species. H. pylori bacterial infections are a major cause of chronic gastritis, peptic ulcer disease, gastric cancer and other diseases.
On March 11, 2020, the payment by MayolyCompany provided TransChem with sixty (60) days prior written notice of royalties on net sales, subject to Mayoly’s rightits intent to terminate such obligation upon the payment of a lump sum specified TransChem Sublicense Agreement.
No payments were made under this Sublicense Agreement during in the agreement.three and nine months ended September 30, 2020 and 2019, respectively.

Employment AgreementAgreements
James Sapirstein
On January 3, 2016,Effective October 8, 2019, the Company entered into an employment agreement with Mr. Sapirstein to serve as its President and Chief Executive Officer Johan Spoor.for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Sapirstein provides for a term expiring January 2, 2019. The Company may terminate Mr. Spoor’s employment at any time and for any reason, or for no reason. Mr. Spoor may terminate his employment at any time and for any reason, or for no reason. During the term and for a period of twelve (12) months thereafter, Mr. Spoor shall not engage in competition with the Company either directly or indirectly, in any manner or capacity.
The Company will pay Mr. Spoor a base salary of $350,000$450,000 per year, which shall  automatically  increaseyear. In addition to $425,000 uponthe base salary, Mr. Sapirstein is eligible to receive (i) consummationa cash bonus of the Company’s initial public offering which results in the listingup to 40% of the Company’s common stockhis base salary on The NASDAQ Stock Market or NYSE MKT, oran annual basis, based on certain milestones that are yet to be determined; (ii) consummation1% of a merger or consolidation ofnet fees received by the Company upon entering into license agreements with any third-party with respect to any product current in development or into any other corporation or corporations, or aupon the sale of all or substantially all of the assets of the Company; (iii) an award grant of 200,000 restricted stock units (“RSUs”) which are scheduled to vest as follows (a) 100,000 shares upon the first commercial sale of MS1819 in the U.S. and (b) 100,000 shares upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days; (iv) a grant of 300,000 10-year stock options to purchase shares of common stock with an exercise price equal to $0.56 per share, which are scheduled to vest as follows (a) 50,000 shares upon the Company initiating its next Phase II clinical trial in the U.S. for MS1819, (b) 50,000 shares upon the Company completing its next or subsequent Phase II clinical trial in the effectuationU.S. for MS1819, (c) 100,000 shares upon the Company initiating a Phase III clinical trial in the U.S. for MS1819, and (d) 100,000 shares upon the Company initiating a Phase I clinical trial in the U.S. for any product other than MS1819. Mr. Sapirstein is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his services to the Company.
In the event that Mr. Sapirstein’s employment is terminated by the Company for Cause, as defined in his employment agreement, or by Mr. Sapirstein voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. In the event that Mr. Sapirstein’s employment is terminated as a result of an Involuntary Termination Other than for Cause, as defined in his employment agreement, Mr. Sapirstein will be entitled to receive the following compensation: (i) severance in the form of continuation of his salary (at the base salary rate in effect at the time of termination, but prior to any reduction triggering Good Reason (as such term is defined in Mr. Sapirstein’s employment agreement) for a period of twelve months following the termination date; (ii) payment of Mr. Sapirstein’s premiums to cover COBRA for a period of twelve months following the termination date; and (iii) a prorated annual bonus.

Daniel Schneiderman
Effective January 2, 2020, the Company entered into an employment agreement with Mr. Schneiderman to serve as the Company’s Chief Financial Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Schneiderman provides for a base salary of $285,000 per year. In addition to the base salary, Mr. Schneiderman is eligible to receive (a) an annual milestone cash bonus based on certain milestones that will be established by the Company’s Board or the Compensation Committee, and (b) a grant of stock options to purchase 335,006 shares of common stock with an exercise price of $1.03 per share, which shall vest in three equal portions on each anniversary date of the execution of Mr. Schneiderman’s employment agreement, commencing on January 2, 2021, the first anniversary date of the agreement. Mr. Schneiderman is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his service to the Company. The Company may terminate Mr. Schneiderman’s employment agreement at any time, with or without Cause, as such term is defined in his employment agreement.
In the event that Mr. Schneiderman’s employment is terminated by the Company for Cause, as defined in Mr. Schneiderman’s employment agreement, or by Mr. Schneiderman voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. If the Company terminates his employment agreement without Cause, not in connection with a Change of Control, as such term is defined in Mr. Schneiderman’s employment agreement, he will be entitled to (i) all salary owed through the date of termination; (ii) any unpaid annual milestone bonus; (iii) severance in the form of continuation of his salary for the greater of a transactionperiod of six months following the termination date or series of related transactions in which more than 50%the remaining term of the voting sharesemployment agreement; (iv) payment of premiums to cover COBRA for a period of six months following the termination date; (v) a prorated annual bonus equal to the target annual milestone bonus, if any, for the year of termination multiplied by the formula set forth in the agreement. If the Company is disposedterminates Mr. Schneiderman’s employment agreement without Cause, in connection with a Change of Control, he will be entitled to the above and immediate accelerated vesting of any unvested options or conveyed, and in each such caseother unvested awards.
Dr. James E. Pennington
Effective May 28, 2018, the Company becomesentered into an employment agreement with Dr. Pennington to serve as its Chief Medical Officer. The employment agreement with Dr. Pennington provides for a public  reporting  company which  results  in  the  listingbase annual salary of the  Company’s shares (or shares of the Company’s parent company) on The NASDAQ Stock Market or NYSE MKT (the “Public Event”). At$250,000. In addition to his salary, Dr. Pennington is eligible to receive an annual milestone bonus, awarded at the sole discretion of the Board or the Compensation Committee of the Board, following each calendar year of employment, Mr. Spoor shall be eligible to receive an additional cash bonus based on his attainment of certain financial, clinical development, and/or business milestones to be established annually by the Board or the Compensation Committee.
In addition, Mr. Spoor shall be issued 100,000 shares of common stock, which vest The Company may terminate Dr. Pennington’s employment agreement at any time, with or without Cause, as follows: (i) 50,000 Restricted Shares upon the first commercial salesuch term is defined in the United States of MS1819, and (ii) 50,000 Restricted Shares upon the total market capitalization of the Company exceeding $1 billion dollars for 20 consecutive trading days, in each case subject to the earlier determination of a majority of the Board.Dr. Pennington’s employment agreement. In the event of a Change of Control (defined), all of the Restricted Shares shall vest in full.  The estimated fair value at the date of grant was $216,000.  Mr. Spoor shall also be issued 380,000 10-year stock options pursuant to the Company’s Amended and Restated Stock Option Plan, which options shall vest as follows so long as the Executive is serving as Chief Executive Officer or President at such  time: (i) 100,000 of such stock options shall vest upon consummation of the Public Event, (ii)  50,000 of such stock options shall vest upon the Company initiating a Phase II clinical trial in the United States for MS1819 (i.e., upon the first individual enrolled in the trial),  (iii)  50,000 of such stock options shall  vest upon the Company completing a Phase II clinical trial in the United States for MS1819, (iv) 100,000 of such stock options shall vest upon the Company initiating a Phase III clinical trial in the United States for MS1819, (v) 50,000 of such stock options shall vest upon the Company initiating a Phase  I clinical trial in  the United States for any product other than MS1819, and (vi) 30,000 of such stock options shall vest upon the determination of a majority of the Board.
On June 8, 2016, the Board clarified Mr. Spoor’s agreement as follows: the 380,000 options described have neither been granted nor priced since certain key provisions, particularly the underlying strike price, have not been determined.  The options will be granted at a future date to be determinedtermination by the Board, and the options will be priced at that future date when they are granted.
F-22

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
If the Company terminates Mr. Spoor’s employment other than for cause, or he terminates for good reason, as both terms are defined inCause, Dr. Pennington is entitled to three months’ severance payable over such period. In the agreement,event of termination by the Company will pay him twelve (12) months of his base salary as severance. If the Company terminates Mr. Spoor’s employment other than for cause, or he terminates for good reason,Cause in connection with a Change of Control the Companyas such term is defined in Dr. Pennington’s employment agreement, Dr. Pennington will pay him eighteen (18) months of his base salary in lump sum as severance. Upon termination of Mr. Spoor’s employment, the Company may impose a restrictive covenant on him for up to twelve (12) months, provided that the Company must continue hisreceive six months’ severance payments to continue the covenant beyond nine (9) months.payable over such period.
 
Note 15 - Leases
The Company adopted ASU 2016-02, Leases, as of January 1, 2019, using the modified retrospective approach. Prior year financial statements were not recast under the new standard.
The Company leases its office and research facilities under operating leases which are subject to various rent provisions and escalation clauses.
During the three months ended September 30, 2020, the Company entered into a month-to-month lease for office space in Delray Beach, FL and one-year residential lease in Delray Beach, FL.
During the nine months ended September 30, 2020, the Company entered into a two-year lease extension (amendment) to is Hayward, CA office. The Company determined that the lease modification did not grant an additional right of use and concluded that the modification was not a separate new lease, but rather that it should reassess and remeasure the entire modified lease on the effective date of the modification. The Company accounted for the lease amendment prospectively.
The Company’s leases expire at various dates through 2022. The escalation clauses are indeterminable and considered not material and have been excluded from minimum future annual rental payments.

Lease expense amounted to $55,418 and $52,057, respectively, in the three months ended September 30, 2020 and 2019.
Lease expense amounted to $128,663 and $153,723, respectively, in the nine months ended September 30, 2020 and 2019.
The weighted-average remaining lease term and weighted-average discount rate under operating leases at September 30, 2020 are:
September 30,
2020
Lease term and discount rate
Weighted-average remaining lease term
1.16 years 
Weighted-average discount rate
6.0%
Maturities of operating lease liabilities at September 30, 2020 are as follows:
2020
 $30,565 
2021
  55,420 
2022
  23,375 
Total lease payments
  109,360 
Less imputed interest
  (3,736)
Present value of lease liabilities
 $105,624 
Note 16 - Income Taxes
 
The Company is subject to taxation at the federal level in both the United States and France and at the state level in the United States. At March 31, 2016,September 30, 2020 and December 31, 20152019, the Company had no tax provision for either jurisdiction.
At September 30, 2020 and 2014,December 31, 2019, the Company had gross deferred tax assets of approximately $2,901,000, $2,412,000$20,059,000 and $645,000,$16,372,000, respectively. As the Company cannot determine that it is more likely than not that the Company will realize the benefit of the deferred tax asset, a valuation allowance of approximately $2,901,000, $2,412,000$20,059,000 and $645,000,$16,372,000, respectively, has been established at March 31, 2016,September 30, 2020 and December 31, 20152019. The change in the valuation allowance in the nine months ended September 30, 2020 and 2014.

The significant components of the Company’s net deferred tax assets (liabilities) consisted of:

  March 31,       
  2016  December 31,  December 31, 
  (Unaudited)  2015  2014 
Gross deferred tax assets:         
   Net operating loss carry-forwards $2,901,000  $2,412,000  $645,000 
   Deferred tax asset valuation allowance  (2,901,000)  (2,412,000)  (645,000)
Net deferred tax asset $-  $-  $- 
2019 was $3,687,000 and $2,108,000, respectively.
 
Income taxes computed using the federal statutory income tax rate differs from the Company’s effective tax rate primarily due to the following:

  March 31,       
  2016  December 31,  December 31, 
  (Unaudited)  2015  2014 
Income taxes benefit (expense) at statutory rate  34%  34%  34%
State income tax, net of federal benefit  11%  11%  11%
Change in valuation allowance  (45%)  (45%)  (45%)
   0%  0%  0%
At March 31, 2016,September 30, 2020, the Company has gross net operating loss carry-forwards(“NOL”) carryforwards for U.S. federal and state income tax purposes of approximately $6,405,000$35,077,000 and $6,402,000, respectively,$26,572,000, respectively. The Company’s ability to use its NOL carryforwards may be limited if it experiences an “ownership change” as defined in Section 382 (“Section 382”) of the Internal Revenue Code of 1986, as amended. An ownership change generally occurs if certain stockholders increase their aggregate percentage ownership of a corporation’s stock by more than 50 percentage points over their lowest percentage ownership at any time during the testing period, which expire inis generally the year 2036. The net increase in the valuation allowance for the three months ended March 31, 2016 was approximately $489,000.three-year period preceding any potential ownership change.
 
At September 30, 2020 and December 31, 2015,2019, the Company has gross net operating loss carry-forwards for U.S. federalhad approximately $22,120,000 and state income tax purposes of approximately $5,325,000 and $5,322,000, respectively, which expire in the year 2035. The net increase in the valuation allowance for the year ended December 31, 2015 was approximately $1,767,000.
At December 31, 2014, the Company has gross net operating loss carry-forwards for U.S. federal and state income tax purposes of approximately $1,425,000 and $1,422,000, respectively, which expire in the year 2034. The net increase in the valuation allowance for the year ended December 31, 2014 was approximately $645,000.
The Company acquired a French subsidiary during 2014. The operations of the subsidiary are not taxed in the United States and this is not considered in the tax provision. At December 31, 2015 and 2014, the Company has approximately $5,052,000 and $2,722,000,$19,425,000, respectively, in net operating losses which it can carryforward indefinitely to offset against future French income.
F-23

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
 
ASC 740 prescribes recognition thresholdAt September 30, 2020 and measurement attributes for the financial statement recognition and measurement of uncertain tax positions taken or expected to be taken in a tax return. ASC 740 also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. At March 31, 2016, December 31, 2015 and 2014,2019, the Company had taken no uncertain tax positions that would require disclosure under ASC 740.740, Accounting for Income Taxes.

Note 1617 - Net Loss per Common Share

Basic net loss per share is computed by dividing net loss available to common shareholdersstockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per share reflect, in periods in which they have a dilutive effect, the impact of common shares issuable upon exercise of stock options and warrants and conversion of convertible debt that are not deemed to be anti-dilutive. The dilutive effect of the outstanding stock options and warrants is computed using the treasury stock method.

For the three months ended March 31, 2016,
At September 30, 2020, diluted net loss per share did not include the effect of 707,17929,314,408 shares of common stockCommon Stock issuable upon the conversion of Series B Preferred Stock including accrued and unpaid dividends, 25,200,168 shares of Common Stock issuable upon the exercise of outstanding warrants; 1,194,364warrants, 387,000 shares of commonCommon Stock pursuant to unearned and unissued restricted stock and RSUs, and 4,312,506 shares of Common Stock issuable upon the conversionexercise of promissory notes and convertible debt; and 878,171 shares of common stock issuable upon the conversion of the Series A preferred stock,outstanding options as their effect would be anti-dilutive.antidilutive during the periods prior to conversion.

For the three months ended March 31, 2015,At September 30, 2019, diluted net loss per share did not include the effect of 172,3673,388,378 shares of common stock issuable upon the exercise of outstanding warrants; 408,454 shares of common stock issuable upon the conversion of promissory notes and convertible debt; and 2,439,365 shares of common stock issuable upon the conversion of the Series A preferred stock, as their effect would be anti-dilutive.

For the year ended December 31, 2015, diluted net loss per share did not include the effect of 662,474 shares of common stock issuable upon the exercise of outstanding warrants; 1,141,769 shares of common stock issuable upon the conversion of promissory notes and convertible debt; and 1,731,949 shares of common stock issuable upon the conversion of the Series A preferred stock, as their effect would be anti-dilutive.

For the period of inception (January 30, 2014) through December 31, 2014, diluted net loss per share did not include the effect of 68,400 shares of common stockCommon Stock issuable upon the exercise of outstanding warrants, 197,419416,000 shares of common stockrestricted Common Stock not yet issued, and 1,887,500 shares of Common Stock issuable upon the conversionexercise of promissory notes and convertible debt, and 1,896,620 shares of common stock issuable upon the conversion of the Series A preferred stock,outstanding options as their effect would be anti-dilutive.antidilutive during the periods prior to conversion.

Note 1718 - Related Party Transactions

Johan (Thijs) Spoor
During the yearsyear ended December 31, 2015, and 2014, the Company employed the services of JIST Consulting (“JIST”JIST), a company controlled by Johan M.(Thijs) Spoor, the Company’s Presidentformer Chief Executive Officer and a Director,President, as a consultant for business strategy, financial modeling, and fundraising. Expense recorded in general and administrative expense in the accompanying statements of operations related to JIST for the years ended December 31, 2015 and 2014 was $478,400 and $139,100, respectively. Included in accounts payable at March 31, 2016, December 31, 20152019 and 2018, is $508,300, $508,300,$348,400 and $139,100,$478,400, respectively, for JIST relating to Mr. Spoor’s services. Mr. Spoor received no other compensation from the Company other than reimbursementas specified in his employment agreement. On October 8, 2019, Mr. Spoor resigned as Chief Executive Officer and President of related travel expenses.the Company. In addition, Mr. Spoor resigned as a member of the Board on April 29, 2020.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $255,000 payable to Mr. Spoor. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed by the Company, which determination is being challenged by Mr. Spoor. As a result of management’s determination, the Company reversed the accrual in the quarter ended December 31, 2019.
All unvested shares of restricted stock and stock options subject to time and other performance-based vesting conditions have been forfeited in connection with Mr. Spoor's resignation as the Company’s President and Chief Executive Officer.  Mr. Spoor also declined the right to receive 241,667 earned, but unissued shares of restricted stock on April 29, 2020 in connection with his resignation from the Board.
On July 9, 2020, the Company and Johan (Thijs) Spoor, its former Chief Executive Officer, entered into a settlement and general release (the “Spoor Settlement and Release”), effective July 9, 2020 (the “Spoor Settlement Date”), of certain claims relating to Mr. Spoor's separation from the Company on October 8, 2019. In connection with the Spoor Settlement and Release, on July 14, 2020 the Company granted Mr. Spoor warrants to purchase an aggregate of 150,000 shares of Common Stock, which had a grant date fair value of $85,770 (See Note 12). In addition, Mr. Spoor legally released all claims to a discretionary bonus in the amount of $255,000, which was originally accrued by the Company in June 2019 but was subsequently reversed during the quarter ended December 31, 2019, legally released all claims to $348,400 due to JIST Consulting, a company controlled by Mr. Spoor and the Company also paid Mr. Spoor's legal expenses in the amount of $51,200. During the three and nine months ended September 30, 2020, the Company recognized a gain on settlement of $211,430 in connection with the Spoor Settlement and Release.
Maged Shenouda
From October 1, 2016 until his appointment as the Company’s Chief Financial Officer on September 25, 2017, the Company employed the services of Maged Shenouda as a financial consultant. Included in accounts payable at September 30, 2020 and 2019 is $10,000 and $50,000, respectively, for Mr. Shenouda’s services. On November 1, 2019, Mr. Shenouda submitted his resignation as Chief Financial Officer of the Company, effective November 30, 2019.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $100,000 payable to Mr. Shenouda. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount should not be paid, and the Company reversed the accrual in the quarter ended December 31, 2019.
On July 2, 2020, the Company and Maged Shenouda, its former Chief Financial Officer also entered into a settlement and general release (the “Shenouda Settlement and Release”), of certain claims relating to Mr. Shenouda’s s separation from the Company effective November 30, 2019. In connection with the Shenouda Settlement and Release, the Company paid a total of $15,000 to Mr. Shenouda, which amount includes $10,000 of accounts payable of the Company due to Mr. Shenouda for services provided and $5,000 for legal expenses, and Mr. Shenouda legally released all claims to a discretionary bonus in the amount of $100,000 originally accrued by the Company in June 2019, but was subsequently reversed during the quarter ended December 31, 2019.


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Stockholders and the Board of Directors of AzurRx BioPharma, Inc.
Opinion on the Consolidated Financial Statements
We have audited the accompanying consolidated balance sheets of AzurRx BioPharma, Inc. (the “Company”) as of December 31, 2019 and 2018, and the related consolidated statements of operations and comprehensive loss, changes in stockholders’ equity, and cash flows for the years then ended, and the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2019 and 2018, and the results of their operations and their cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America.
Emphasis of a Matter
The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 1 to the consolidated financial statements, the Company has incurred significant operating losses and negative cash flows from operations since inception. The Company also had an accumulated deficit of approximately $62.7 million at December 31, 2019. The Company is dependent on obtaining necessary funding from outside sources, including obtaining additional funding from the sale of securities in order to continue their operations. These conditions raise substantial doubt about its ability to continue as a going concern. Management’s plans regarding those matters also are described in Note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.
Basis for Opinion
These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform an audit of the Company's internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion.
/s/ Mazars USA LLP
We have served as the Company’s auditor since 2015.
New York, New York
March 30, 2020


AZURRX BIOPHARMA, INC.
Consolidated Balance Sheets

 
 
December 31, 2019
 
 
December 31, 2018
 
ASSETS
 
 
 
 
 
 
Current Assets:
 
 
 
 
 
 
Cash and cash equivalents
 $175,796 
 $1,114,343 
Other receivables
  2,637,303 
  3,172,676 
Prepaid expense
  595,187 
  512,982 
Total Current Assets
  3,408,286 
  4,800,001 
 
    
    
Property, equipment, and leasehold improvements, net
  77,391 
  128,854 
 
    
    
Other Assets:
    
    
In process research & development, net
  - 
  258,929 
License agreements, net
  - 
  311,548 
Patents, net
  3,407,084 
  - 
Goodwill
  1,886,686 
  1,924,830 
Operating lease right-of-use assets
  82,386 
  - 
Deposits
  41,047 
  45,233 
Total Other Assets
  5,417,203 
  2,540,540 
 
    
    
TOTAL ASSETS
 $8,902,880 
 $7,469,395 
 
    
    
LIABILITIES AND STOCKHOLDERS' DEFICIT
    
    
 
    
    
LIABILITIES
    
    
Current Liabilities:
    
    
Accounts payable and accrued expense
 $1,754,682 
 $2,070,396 
Accounts payable and accrued expense - related party
  533,428 
  670,095 
Note payable
  444,364 
  255,032 
Convertible debt
  1,076,938 
  - 
Other current liabilities
  476,224 
  - 
Total Current Liabilities
  4,285,636 
  2,995,523 
 
    
    
 
    
    
STOCKHOLDERS' DEFICIT
    
    
 
    
    
Convertible preferred stock - Par value $0.0001 per share; 10,000,000 shares authorized, and 0 shares issued and outstanding at December 31, 2019 and 2018, respectively; liquidation preference approximates par value
  - 
  - 
Common stock - Par value $0.0001 per share; 150,000,000 and 100,000,000 shares authorized at December 31, 2019 and 2018, respectively; 26,800,519 and 17,704,925 shares issued and outstanding at December 31, 2019 and December 31, 2018, respectively.
  2,680 
  1,771 
Additional paid-in-capital
  68,575,851 
  53,139,259 
Accumulated deficit
  (62,694,732)
  (47,517,046)
Accumulated other comprehensive loss
  (1,266,555)
  (1,150,112)
Total stockholders' deficit
  4,617,244 
  4,473,872 
 
    
    
TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIT
 $8,902,880 
 $7,469,395 
See accompanying notes to consolidated financial statements

F-33
DRAFT
AZURRX BIOPHARMA, INC.
Consolidated Statements of Operations and Comprehensive Loss
 
 
Year ended    
 
 
 
December 31, 2019
 
 
December 31, 2018
 
 
 
 
 
 
 
 
Revenue
 $- 
 $- 
Total Revenue
  - 
  - 
 
    
    
Operating Expense
    
    
Research & development
  8,680,669 
  5,771,405 
General & administrative
  6,063,078 
  7,450,366 
Fair value adjustment, contingent consideration
  - 
  210,000 
Total Operating Expense
  14,743,747 
  13,431,771 
 
    
    
Other Expenses (income)
    
    
Interest expense
  433,939 
  101,846 
Total Other Expense (Income)
  433,939 
  101,846 
 
    
    
Net Loss
 $(15,177,686)
 $(13,533,617)
 
    
    
Other comprehensive (loss):
    
    
Foreign currency translation adjustment
  (116,443)
  (194,397)
Total comprehensive loss
 $(15,294,129)
 $(13,728,014)
 
    
    
Net loss per share, basic and diluted
 $(0.68)
 $(0.88)
Weighted average of shares outstanding, basic and diluted
  22,425,564 
  15,439,310 
See accompanying notes to consolidated financial statements

F-34
DRAFT
AZURRX BIOPHARMA, INC.
Consolidated Statements of Changes in Stockholders' Equity

 
 
Convertible Preferred Stock
 
 
Common Stock
 
 
Paid-in
 
 
Subscription
 
 
Accumulated
 
 
Accumulated Other Comprehensive
 
 
Total
 
 
 
Shares
 
 
Amount
 
 
Shares
 
 
Amount
 
 
Capital
 
 
Receivable
 
 
Deficit
 
 
Loss
 
 
Deficit
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balance at January 1, 2018
  - 
 $- 
  12,042,574 
 $1,205 
 $37,669,601 
 $(1,071,070)
 $(33,983,429)
 $(955,715)
 $1,660,592 
 
    
    
    
    
    
    
    
    
    
Common stock issued from public offering
  - 
  - 
  4,160,000 
  416 
  9,577,647 
  - 
  - 
  - 
  9,578,063 
Common stock issued to consultants
  - 
  - 
  118,818 
  12 
  360,759 
  - 
  - 
  - 
  360,771 
Common stock issued for warrant exercises
  - 
  - 
  503,070 
  50 
  1,253,623 
  1,071,070 
  - 
  - 
  2,324,743 
Common stock issued for purchase of Protea assets from bankruptcy
  - 
  - 
  734,463 
  73 
  1,299,926 
  - 
  - 
  - 
  1,299,999 
Stock-based compensation
  - 
  - 
  - 
  - 
  1,441,475 
  - 
  - 
  - 
  1,441,475 
Restricted common stock granted to employees and directors
  - 
  - 
  120,000 
  12 
  1,038,810 
  - 
  - 
  - 
  1,038,822 
Convertible debt converted into common stock
  - 
  - 
  26,000 
  3 
  68,670 
  - 
  - 
  - 
  68,673 
Warrant modification
  - 
  - 
  - 
  - 
  428,748 
  - 
  - 
  - 
  428,748 
Foreign currency translation adjustment
  - 
  - 
  - 
  - 
  - 
  - 
  - 
  (194,397)
  (194,397)
Net loss
  - 
  - 
    
  - 
  - 
  - 
  (13,533,617)
  - 
  (13,533,617)
Balance at December 31, 2018
  - 
 $- 
  17,704,925 
 $1,771 
 $53,139,259 
 $- 
 $(47,517,046)
 $(1,150,112)
 $4,473,872 
 
    
    
    
    
    
    
    
    
    
Common stock issued from public offerings
  - 
  - 
  7,522,097 
  752 
  9,475,997 
  - 
  - 
  - 
  9,476,749 
Common stock issued to consultants
  - 
  - 
  190,398 
  19 
  209,981 
  - 
  - 
  - 
  210,000 
Common stock issued to Mayoly for patents
  - 
  - 
  775,931 
  77 
  1,740,882 
  - 
  - 
  - 
  1,740,959 
Common stock issued to Lincoln Park for Equity Purchase agreement
  - 
  - 
  487,168 
  49 
  (49)
  - 
  - 
  - 
  - 
Warrants issued in association with convertible debt issuances
  - 
  - 
  - 
  - 
  1,081,673 
  - 
  - 
  - 
  1,081,673 
Beneficial conversion feature on convertible debt issuances
  - 
  - 
  - 
  - 
  1,359,284 
  - 
  - 
  - 
  1,359,284 
Stock-based compensation
  - 
  - 
  - 
  - 
  574,335 
  - 
  - 
  - 
  574,335 
Restricted common stock granted to employees and directors
  - 
  - 
  120,000 
  12 
  607,579 
  - 
  - 
  - 
  607,591 
Warrant modification
  - 
  - 
  - 
  - 
  325,320 
  - 
  - 
  - 
  325,320 
Received from stockholder in relation to warrant modification
  - 
  - 
  - 
  - 
  61,590 
  - 
  - 
  - 
  61,590 
Foreign currency translation adjustment
  - 
  - 
  - 
  - 
  - 
  - 
  - 
  (116,443)
  (116,443)
Net loss
  - 
  - 
  - 
  - 
  - 
  - 
  (15,177,686)
  - 
  (15,177,686)
Balance at December 31, 2019
  - 
 $- 
  26,800,519 
 $2,680 
 $68,575,851 
 $- 
 $(62,694,732)
 $(1,266,555)
 $4,617,244 
See accompanying notes to consolidated financial statements
F-35
DRAFT
AZURRX BIOPHARMA, INC.
Consolidated Statements of Cash Flows
 
 
Year ended
 
 
 
December 31, 2019
 
 
December 31, 2018
 
 
 
 
 
 
 
 
Cash Flows from Operating Activities:
 
 
 
 
 
 
Net loss
 $(15,177,686)
 $(13,533,617)
Adjustments to reconcile net loss to net
    
    
   cash used in operating activities:
    
    
Depreciation
  63,096 
  61,909 
Amortization
  956,950 
  736,537 
Fixed assets written off
  7,296 
  - 
Fair value adjustment, contingent consideration
  - 
  210,000 
Stock-based compensation
  574,335 
  1,441,475 
Restricted common stock granted to employees and directors
  607,591 
  1,038,822 
Common stock granted to consultants
  210,000 
  360,771 
Accreted interest on convertible debt
  112,543 
  - 
Accreted interest on debt discount - warrants
  313,364 
  97,837 
Warrant modification
  - 
  428,748 
Net changes in assets and liabilities:
    
    
         Other receivables
  (749,859)
  (2,187,903)
         Prepaid expense
  (85,681)
  (243,330)
         Right of use assets
  (82,234)
  - 
         Deposits
  3,900 
  (15,001)
         Accounts payable and accrued expense
  (420,788)
  741,624 
         Interest payable
  - 
  (7,192)
         Other liabilities
  (366,329)
  - 
Net Cash used in Operating Activities
  (14,033,502)
  (10,869,320)
 
    
    
Cash Flows from Investing Activities:
    
    
Purchase of property and equipment
  (24,098)
  (55,473)
Purchase of Protea assets from bankruptcy
  - 
  (250,000)
Net Cash used in Investing Activities
  (24,098)
  (305,473)
 
    
    
Cash Flows from Financing Activities:
    
    
Proceeds from issuances of common stock, net
  9,476,749 
  11,902,805 
Proceeds from issuances of convertible debt, net
  4,967,308 
  - 
Repayments of convertible debt
  (1,550,000)
  (286,529)
Received from stockholder in relation to warrant modification
  61,590 
  - 
Proceeds of note payable
  498,783 
  286,203 
Repayments of note payable
  (309,451)
  (190,351)
Net Cash provided by Financing Activities
  13,144,979 
  11,712,128 
 
    
    
Net (decrease) increase in cash and cash equivalents
  (921,621)
  537,335 
 
    
    
Effect of exchange rate changes on cash
  (25,926)
  3,537 
 
    
    
Cash and cash equivalents:
    
    
Cash at the beginning of the year
  1,114,343 
  573,471 
Cash at the end of the year
 $175,796 
 $1,114,343 
 
    
    
Supplemental Disclosure of Cash Flow Activities:
    
    
Cash paid for interest
 $8,032 
 $4,010 
 
    
    
Supplemental Disclosure of Non-cash Financing Activities:
    
    
Common stock issued for purchase of Protea assets from bankruptcy that extinguished contingent consideration
 $- 
 $1,300,000 
Common stock issued for patents purchased from Mayoly
 $1,740,959 
 $- 
Warrant modification related to convertible debt issuance
 $325,320 
 $- 
See accompanying notes to consolidated financial statements
F-36
DRAFT
Note 1 - The Company and Basis of Presentation
The Company
AzurRx BioPharma, Inc. (“AzurRx” or “Parent”) was incorporated on January 30, 2014 in the State of Delaware. In June 2014, the Company acquired 100% of the issued and outstanding capital stock of AzurRx SAS (formerly “ProteaBio Europe SAS”), a company incorporated in October 2008 under the laws of France. Parent and its wholly-owned subsidiary, AzurRx SAS (“ABS”), are collectively referred to as the “Company”.
The Company is engaged in the research and development of non-systemic biologics for the treatment of patients with gastrointestinal disorders. Non-systemic biologics are non-absorbable drugs that act locally, i.e. the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation. The Company is focused on the development of its lead product candidate, MS1819 for the treatment of exocrine pancreatic insufficiency (“EPI”) associated with chronic pancreatitis (“CP”) and cystic fibrosis (“CF”).
MS1819 – Phase 2a Chronic Pancreatitis Study
In June 2018, the Company completed an open-label, dose escalation Phase 2a trial of MS1819 in France, Australia, and New Zealand to investigate both the safety of escalating doses of MS1819, and the efficacy of MS1819 through the analysis of each patient’s coefficient of fat absorption (“CFA”) and its change from baseline. A total of 11 CP patients with EPI were enrolled in the study and final data indicated a strong safety and efficacy profile. Although the study was not powered for efficacy, in a pre-planned analysis, the highest dose (2.2 grams per day) cohort of MS1819 showed statistically significant and clinically meaningful increases in CFA compared to baseline with a mean increase of 21.8% and a p-value of p=0.002 on a per protocol basis. Maximal absolute CFA response to treatment was up to 62%.
MS1819 – Phase 2 and Phase 2b Cystic Fibrosis Monotherapy Studies
In October 2018, the FDA cleared the Company’s Investigational New Drug (“IND”) application for MS1819 in patients with EPI due to CF. In connection with the FDA’s clearance of the IND, the Company initiated a multi-center Phase 2 OPTION bridging dose safety study in the fourth quarter of 2018 in the United States and Europe (the “OPTION Cross-Over Study”). The Company targeted enrollment of 30 to 35 patients for the OPTION Cross-Over Study and dosed the first patients in February 2019. In June 2019, the Company reached its enrollment target for the study.
On September 25, 2019, the Company announced positive results from the OPTION Cross-Over Study. Results showed that the primary efficacy endpoint of CFA was comparable to the CFA in a prior phase two study in patients with CP, while using the same dosage of MS1819. The dosage used in the OPTION Cross-Over Study was 2.2 grams per day, which was determined in agreement with the FDA as a bridging dose from the highest safe dose used in the Phase 2a CP dose escalation study. Although the study was not powered for statistical significance, the data demonstrated meaningful efficacy results, with approximately 50% of the patients showing CFAs high enough to reach non-inferiority with standard porcine enzyme replacement therapy (“PERT”). Additionally, the coefficient of nitrogen absorption (“CNA”) was comparable between the MS1819 and PERT arms, 93% vs. 97%, respectively, in the OPTION Cross-Over Study. This important finding confirms that protease supplementation is not likely to be required with MS1819 treatment. A total of 32 patients, ages 18 or older, completed the OPTION Cross-Over Study.
On October 17, 2019, the Company announced that the Cystic Fibrosis Foundation Data Safety Monitoring Board (the “CFF DSMB”) completed its review of the Company’s final results of the OPTION Cross-Over Study and has found no safety concerns for MS1819, and that the CFF DSMB supports the Company’s plan to proceed to a higher 4.4 gram dose of MS1819 with enteric capsules in its next planned multi-center dose escalation Phase 2 OPTION clinical trial (the “OPTION 2 Trial”). In December 2019, the Company submitted the clinical trial protocol to the existing IND at the FDA.
The OPTION 2 Trial design will explore the use of 2.2 gram and 4.4 gram doses using enteric capsules to ensure higher levels of MS1819 release in the duodenum. The new protocol is currently under review by the FDA and a response is anticipated in March 2020. The Company expects to launch the OPTION 2 Trial as early as the second quarter of 2020, subject to regulatory approval, with completion originally anticipated by the end of 2020, however, these timelines may be delayed due to the COVID-19 epidemic.
MS1819 – Phase 2 Combination Therapy Study
In addition to the OPTION Cross-Over Study, the Company launched a Phase 2 multi-center clinical trial (the “Combination Trial”) in Hungary to investigate MS1819 in combination with PERT, for CF patients who suffer from severe EPI, but continue to experience clinical symptoms of fat malabsorption despite taking the maximum daily dose of PERTs. The Combination Trial is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819, in conjunction with a stable dose of PERTs, in order to increase CFA and relieve abdominal symptoms in uncontrolled CF patients.
On October 15, 2019, the Company announced that it dosed the first patients in its Combination Trial. This study is designed to investigate the safety, tolerability and efficacy of escalating doses of MS1819 (700 mg, 1120 mg and 2240 mg per day, respectively), in conjunction with a stable dose of porcine PERTs, in order to increase the CFA and relieve abdominal symptoms. A combination therapy of PERT and MS1819 has the potential to: (i) correct macronutrient and micronutrient maldigestion; (ii) eliminate abdominal symptoms attributable to maldigestion; and (iii) sustain optimal nutritional status on a normal diet in CF patients with severe EPI. Planned enrollment is expected to include approximately 24 CF patients with severe EPI, at clinical trial sites in Hungary and additional countries in Europe, including Spain, with study completion originally anticipated by the end of 2020, however, this timeline may be delayed due to the COVID-19 epidemic.
F-37
DRAFT
Basis of Presentation and Principles of Consolidation
The accompanying consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”).
The financial statements for the years ended December 31, 2019 and 2018 include the accounts of AzurRx and its wholly-owned subsidiary, AzurRx SAS. Intercompany transactions and balances have been eliminated upon consolidation.
The accompanying consolidated financial statements have been prepared as if the Company will continue as a going concern. The Company has incurred significant operating losses and negative cash flows from operations since inception, had negative working capital at December 31, 2019 of approximately $877,000, and had an accumulated deficit of approximately $62.7 million at December 31, 2019. The Company is dependent on obtaining, and continues to pursue, additional working capital funding from the sale of securities and debt in order to continue to execute its development plan and continue operations. Without adequate working capital, the Company may not be able to meet its obligations and continue as a going concern. These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management plans to raise additional capital through additional equity and/or debt financings, including the LPC Equity Line of Credit (see Note 11). The financial statements do not include any adjustments that might result from the outcome of this uncertainty.
Note 2 - Significant Accounting Policies and Recent Accounting Pronouncements
Use of Estimates
            The accompanying consolidated financial statements are prepared in conformity with GAAP and include certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements (including goodwill, intangible assets and contingent consideration), and the reported amounts of revenue and expense during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates
Cash and Cash Equivalents
The Company considers all highly liquid investments with maturities of three months or less from date of purchase to be cash equivalents. All cash balances were highly liquid at December 31, 2019 and 2018, respectively.
F-38
DRAFT
Concentrations of Credit Risk
Financial instruments that potentially expose the Company to concentrations of credit risk consist of cash. The Company primarily maintains its cash balances with financial institutions in federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. At December 31, 2019 and 2018, the Company had $0 and $754,261, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice. The Company mitigates its risk by maintaining the majority of its cash and equivalents with high quality financial institutions.
The Company also has exposure to foreign currency risk as its subsidiary in France has a functional currency in Euros.
Cyber-Related Fraud
On August 8, 2019, management was advised that it was a victim of a cyber-related fraud whereby a hacker impersonated one of the Company’s key vendors to redirect payments, totaling $418,765. The Company, including the Audit Committee, completed its investigation and is reviewing all available avenues of recovery, including from the Company’s financial institution to recover the payments. As of September 30, 2019, the Company had recovered $50,858 from its financial institution but management is unable to determine the probability of recovering anything further from the cyber-related fraud. Therefore, as of December 31, 2019, the Company recorded a loss of $367,908 which is included in general and administrative (“G&A”) expense. As a result of the cyber-related fraud, the Company has instituted additional controls and procedures and all employees have now undergone cybersecurity training.
Debt Instruments
Detachable warrants issued in conjunction with debt are measured at their relative fair value, if they are determined to be equity instrument, or their fair value, if they are determined to be liability instruments, and recorded as a debt discount.  Conversion features that are in the money at the commitment date constitute a beneficial conversion feature that is measured at its intrinsic value and recognized as debt discount. Debt discount is amortized as interest expense over the maturity period of the debt using the effective interest method. Contingent beneficial conversion features are recognized when the contingency has been resolved.
Debt Issuance Costs
Debt issuance costs are recorded as a direct reduction of the carrying amount of the related debt. Debt issuance costs are amortized over the maturity period of the related debt instrument using the effective interest method.
Equity-Based Payments to Non-Employees
Equity-based payments to non-employees are measured at fair value on the grant date per ASU No. 2018-07, Improvements to Nonemployee Share-Based Payment Accounting.
Fair Value Measurements
The Company follows Accounting Standards Codification (“ASC”) Topic 820-10, Fair Value Measurements and Disclosures (“ASC 820”), which among other things, defines fair value, establishes a consistent framework for measuring fair value and expands disclosure for each major asset and liability category measured at fair value on either a recurring or nonrecurring basis. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability.
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As a basis for considering such assumptions, a three-tier fair value hierarchy has been established, which prioritizes the inputs used in measuring fair value as follows:
Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities;
Level 2: Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and
Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions, which reflect those that a market participant would use.
In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.
The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.
Foreign Currency Translation
For foreign subsidiaries with operations denominated in a foreign currency, assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.
Goodwill and Intangible Assets
Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through December 31, 2019.
Intangible assets subject to amortization consist of in process research and development, license agreements, and patents reported at the fair value at date of the acquisition less accumulated amortization. Amortization expense is provided using the straight-line method over the estimated useful lives of the assets as follows:
Patents                                                          7.2 years
In Process Research & Development            12 years
License Agreements                                        5 years
Impairment of Long-Lived Assets
The Company periodically evaluates its long-lived assets for potential impairment in accordance with ASC Topic 360, Property, Plant and Equipment (“ASC 360”). Potential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. The Company has not recognized any impairment charges through December 31, 2019.
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Income Taxes
Income taxes are recorded in accordance with ASC 740, Accounting for Income Taxes (“ASC 740”), which provides for deferred taxes using an asset and liability approach. The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements or tax returns. The Company determines its deferred tax assets and liabilities based on differences between financial reporting and tax bases of assets and liabilities, which are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. Valuation allowances are provided if, based upon the weight of available evidence, it is more likely than not that some or all of the deferred tax assets will not be realized.
The Company accounts for uncertain tax positions in accordance with the provisions of ASC 740. When uncertain tax positions exist, the Company recognizes the tax benefit of tax positions to the extent that the benefit will more likely than not be realized. The determination as to whether the tax benefit will more likely than not be realized is based upon the technical merits of the tax position as well as consideration of the available facts and circumstances. At December 31, 2019 and 2018, the Company does not have any significant uncertain tax positions. All tax years are still open for audit.
Leases
Effective January 1, 2019, the Company adopted Accounting Standards Update (“ASU”) No. 2016-02, “Leases”. This ASU requires substantially all leases be recorded on the balance sheet as right of use assets and lease obligations. The Company adopted the ASU using a modified retrospective adoption method at January 1, 2019, as outlined in ASU No. 2018-11, “Leases - Targeted Improvements”. Under this method of adoption, there is no impact to the comparative consolidated statement of operations and consolidated balance sheet. The Company determined that there was no cumulative-effect adjustment to beginning retained earnings on the consolidated balance sheet. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allowed carryforward of historical lease classifications. Adoption of this standard did not materially impact the Company’s results of operations and had no impact on the consolidated statement of cash flows.
Research and Development
Research and development (“R&D”) costs are charged to operations when incurred and are included in operating expense. R&D costs consist principally of compensation of employees and consultants that perform the Company’s research activities, the fees paid to maintain the Company’s licenses, and the payments to third parties for manufacturing drug supply and clinical trials, and amortization of intangible assets.
Stock-Based Compensation
The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan which took effect on May 12, 2014. The Company accounts for its stock-based compensation awards to employees and Board members in accordance with ASC Topic 718, Compensation—Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees and Board members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.
For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when vesting becomes probable.
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The Company estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.
Sublicense Agreement
As more fully discussed in Note 15, the Company entered into a sublicense agreement with TransChem, Inc. (“TransChem”), pursuant to which TransChem granted the Company an exclusive license to certain patents and patent applications. Any payments made to TransChem in connection with this sublicence agreement are recorded as research and development expense.
Subsequent Events
The Company considered events or transactions occurring after the balance sheet date but prior to the date the consolidated financial statements are available to be issued for potential recognition or disclosure in its consolidated financial statements.
Recent Accounting Pronouncements
In January 2017, the FASB issued guidance to simplify the subsequent measurement of goodwill impairment. The new guidance eliminates the two-step process that required identification of potential impairment and a separate measure of the actual impairment. Goodwill impairment charges, if any, would be determined by reducing the goodwill balance by the difference between the carrying value and the reporting unit’s fair value (impairment loss is limited to the carrying value). This standard is effective for annual or any interim goodwill impairment tests beginning after December 15, 2019.
Note 3 - Fair Value Disclosures
Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. GAAP establishes a hierarchical disclosure framework that prioritizes and ranks the level of observability of inputs used in measuring fair value.
As of December 31, 2019, and 2018, the fair value of the Company's financial instruments were as follows:
 
 
 
 
 
Fair Value Measured at Reporting Date Using
 
 
 
 
 
 
Carrying Amount
 
 
Level 1
 
 
Level 2
 
 
Level 3
 
 
Fair Value
 
At December 31, 2019:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash
 $175,796 
 $- 
 $175,796 
 $- 
 $175,796 
Other receivables
 $2,637,303 
 $- 
 $- 
 $2,637,303 
 $2,637,303 
Note payable
 $444,364 
 $- 
 $- 
 $444,364 
 $444,364 
Convertible debt
 $1,076,938 
 $- 
 $- 
 $1,076,938 
 $1,076,938 
 
    
    
    
    
    
At December 31, 2018:
    
    
    
    
    
Cash
 $1,114,343 
 $- 
 $1,114,343 
 $- 
 $1,114,343 
Other receivables
 $3,172,676 
 $- 
 $- 
 $3,172,676 
 $3,172,676 
Note payable
 $255,032 
 $- 
 $- 
 $255,032 
 $255,032 
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DRAFT
At December 31, 2019, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year.
At December 31, 2018, the fair value of other receivables approximates carrying value as these consist primarily of French R&D tax credits that are normally received the following year and amounts due from the Company’s former collaboration partner, Mayoly (see Note 14).
The fair value of the note payable in connection with the financing of directors and officer’s liability insurance approximates carrying value due to the terms of such instruments and applicable interest rates.
The convertible debt is based on its fair value less unamortized debt discount plus accrued interest through the date of reporting (see Note 9).
Note 4 - Other Receivables
As of December 31, 2019, and 2018, other receivables consisted of the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
R&D tax credits
 $2,566,281 
 $2,162,373 
Other
  71,022 
  1,010,303 
Total other receivables
 $2,637,303 
 $3,172,676 
At December 31, 2019, the research and development (“R&D”) tax credits were comprised of the 2017, 2018, and 2019 refundable tax credits for research conducted in France. At December 31, 2018, the R&D tax credits were comprised of the 2017 and 2018 refundable tax credits for research conducted in France. The French tax authorities have examined the tax credits for the years 2016 through 2018, which is in the normal course of business. In February 2020, the Company received the 2018 refundable tax credit of approximately $1,130,000.
At December 31, 2019, Other consisted of amounts due from U.S. R&D tax credits. At December 31, 2018, Other consisted primarily of amounts due from the Company’s former collaboration partner, Mayoly.
Note 5 - Property, Equipment and Leasehold Improvements
As of December 31, 2019, and 2018, property, equipment and leasehold improvements consisted of the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Laboratory equipment
 $193,661 
 $190,406 
Computer equipment
  74,836 
  75,417 
Office equipment
  36,703 
  37,262 
Leasehold improvements
  35,711 
  29,163 
Total property, plant and equipment
  340,911 
  332,248 
Less accumulated depreciation
  (263,520)
  (203,394)
Property, plant and equipment, net
 $77,391 
 $128,854 
Depreciation expense for the years ended December 31, 2019 and 2018 was $63,096 and $61,909, respectively.
For the year ended December 31, 2019, $42,283 of depreciation is included in research and development (“R&D”) expense and $20,813 of depreciation is included in general and administrative (“G&A”) expense.
For the year ended December 31, 2018, $49,316 of depreciation has been reclassified to R&D expense and $12,593 of depreciation remains in G&A expense.
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Note 6 - Intangible Assets and Goodwill
Patents
Pursuant to the Mayoly APA entered into on March 27, 2019, in which the Company purchased all remaining rights, title and interest in and to MS1819 (see Note 14) from Mayoly, the Company recorded Patents in the amount of $3,802,745 as follows:
Common stock issued at signing to Mayoly, subject to vesting
$1,740,959
Due to Mayoly at 12/31/19 - €400,000
449,280
Due to Mayoly at 12/31/20 - €350,000
393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt
1,219,386
$3,802,745

As of December 31, 2019, and 2018, intangible assets were as follows:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
In process research and development
 $- 
 $416,600 
Less accumulated amortization
  - 
  (157,671)
In process research and development, net
 $- 
 $258,929 
 
    
    
License agreements
 $- 
 $3,398,702 
Less accumulated amortization
  - 
  (3,087,154)
License agreements, net
 $- 
 $311,548 
 
    
    
Patents
 $3,802,745 
 $- 
Less accumulated amortization
  (395,661)
  - 
Patents, net
 $3,407,084 
 $- 

Amortization expense for the years ended December 31, 2019, and 2018 was $779,895 and $736,537, respectively.
For the year ended December 31, 2019, $779,895 of amortization is included R&D expense and $0 of amortization is included in G&A expense. Amortization expense for the year ended December 31, 2019 included $384,234 from in process research and development and license agreements written off as a result of the Mayoly APA.
For the year ended December 31, 2018, $785,852 of amortization has been reclassified to R&D expense and $0 of amortization remains in G&A expense. Amortization expense for the year ended December 31, 2018 included $736,537 from in process research and development and license agreements written off as a result of the Mayoly APA.
As of December 31, 2019, amortization expense related to patents is expected to be approximately $527,548 for each of the next five years (2020 through 2024).
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DRAFT
As of December 31, 2019, and 2018, goodwill was as follows:
Goodwill
Balance at January 1, 2018
$2,016,240
Foreign currency translation
(91,410)
Balance at December 31, 2018
1,924,830
Foreign currency translation
(38,144)
Balance at December 31, 2019
$1,886,686
Note 7 - Accounts Payable and Accrued Expense
As of December 31, 2019, and 2018, accounts payable and accrued expense consisted of the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Trade payables
 $1,683,505 
 $1,532,110 
Accrued expense
  71,177 
  285,061 
Accrued payroll
  - 
  253,225 
Total accounts payable and accrued expense
 $1,754,682 
 $2,070,396 
Note 8 - Note Payable
On December 5, 2019, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $498,783 that bears interest at an annual rate of 5.461%. Monthly payments, including principal and interest, are $56,689 per month. The balance due under this financing agreement at December 31, 2019 was $444,364.
On December 14, 2018, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of $286,203 that bears interest at an annual rate of 5.99%. Monthly payments, including principal and interest, are $32,599 per month. The balance due under this financing agreement at December 31, 2018 was $255,032.
Note 9 – Convertible Debt
The ADEC Note Offering
 On February 14, 2019, the Company entered into a Note Purchase Agreement (the “ADEC NPA”) with ADEC Private Equity Investments, LLC (“ADEC”), pursuant to which the Company issued to ADEC two Senior Convertible Notes (“Note A” and “Note B,” respectively, each an “ADEC Note,” and together, the “ADEC Notes”), in the principal amount of $1,000,000 per ADEC Note, resulting in gross proceeds to the Company of $2,000,000 (the “ADEC Note Offering”). ADEC is controlled by a significant stockholder of the Company.
The ADEC Notes accrue interest at a rate of 10% per annum; provided, however, that in the event the Company elects to repay the full balance due under the terms of both ADEC Notes prior to December 31, 2019, then the interest rate will be reduced to 6% per annum. Interest is payable at the time all outstanding principal amounts owed under each ADEC Note is repaid. The ADEC Notes mature on the earlier to occur of (i) the tenth business day following the receipt by ABS of certain tax credits that the Company expects to receive prior to July 2019 in the case of Note A (the “2019 Tax Credit”) and July 2020 in the case of Note B (the “2020 Tax Credit”), respectively, or (ii) December 31, 2019 in the case of Note A and December 31, 2020 in the Case of Note B (the “Maturity Dates”). As a condition to entering into the ADEC NPA, ABS and ADEC also entered into a Pledge Agreement, pursuant to which ABS agreed to pledge an interest in each of the 2019 Tax Credit and 2020 Tax Credit to ADEC in order to guarantee payment of all amounts due under the terms of the ADEC Notes.
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Each of the ADEC Notes is convertible, at ADEC’s option, into shares of Common Stock, at a conversion price equal to $2.50 per share; provided, however, that pursuant to the term of the ADEC Notes, ADEC may not convert all or a portion of the ADEC Notes if such conversion would result in the significant stockholder and/or entities affiliated with him beneficially owning in excess of 19.99% of the shares of Common Stock issued and outstanding immediately after giving effect to the issuance of the shares issuable upon conversion of the ADEC Notes (the “ADEC Note Conversion Shares”).
As additional consideration for entering into the ADEC NPA, the Company entered into a warrant amendment agreement, whereby the Company agreed to reduce the exercise price of 1,009,565 outstanding warrants previously issued by the Company to ADEC and its affiliates (the “ADEC Warrants”) to $1.50 per share (the “ADEC Warrant Amendment”). The ADEC Warrant Amendment does not alter any other terms of the ADEC Warrants. The ADEC Warrant Amendment resulted in a debt discount of $325,320 that is accreted to additional interest expense over the lives of the ADEC Notes.
In connection with the above transaction, the Company also entered into a registration rights agreement with ADEC. The registration statement was filed with the Securities and Exchange Commission (“SEC”) on April 25, 2019.
During the year ended December 31, 2019, the Company recognized $311,116 of interest expense related to the ADEC Notes, including amortization of debt discount of $206,963 related to the ADEC Warrant Amendment.
In December 2019, the Company repaid $1,550,000 principal amount of the ADEC Notes and in January 2020 repaid the remaining principal balance of $450,000 plus outstanding accrued interest of $104,153.
December 2019 Senior Convertible Promissory Note Offering
On December 20, 2019, the Company began an offering of (i) Senior Convertible Promissory Notes (each a “Promissory Note,” and together, the “Promissory Notes”) in the principal amount of up to $8.0 million to certain accredited investors (the “Note Investors”), and (ii) warrants (“Note Warrants”) to purchase shares of Common Stock, each pursuant to Note Purchase Agreements entered into by and between the Company and each of the Investors (the “Promissory NPAs”) (the “Promissory Note Offering”).
On December 20, 2019, December 24, 2019, December 30, 2019, and December 31, 2019, the Company issued Promissory Notes to the Note Investors in the aggregate principal amount of $3,386,300. The Promissory Notes mature on September 20, 2020, accrue interest at a rate of 9% per annum, and are convertible, at the sole option of the holder, into shares of Common Stock (the “Promissory Note Conversion Shares”) at a price of $0.97 per share (the “Conversion Option”). The Promissory Notes may be prepaid by the Company at any time prior to the maturity date in cash without penalty or premium (the “Prepayment Option”).
As additional consideration for the execution of the Promissory NPA, each Note Investor also received Note Warrants to purchase that number of shares of Common Stock equal to one-half (50%) of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes (the “Warrant Shares”). The Note Warrants have an exercise price of $1.07 per share and expire five years from the date of issuance. The Company and each Note Investor executed a Registration Rights Agreement (the “RRA”), pursuant to which the Company agreed to file a registration statement. The Company filed a registration statement with the SEC on February 7, 2020 covering the Promissory Note Conversion Shares and Warrant Shares.
In connection with the four closings in December 2019 of the Promissory Note Offering, the Company paid aggregate placement agent fees of $338,630, which fees were based on (i) 9% of the aggregate principal amount of the Promissory Notes issued to the Note Investors introduced by the placement agent, and (ii) a non-accountable expense allowance of 1% of the gross proceeds from the Promissory Note Offering. In addition, the placement agent was issued warrants, containing substantially the same terms and conditions as the Note Warrants, to purchase an aggregate of 244,372 shares of Common Stock (the “Placement Agent Warrants”), representing 7% of the Promissory Note Conversion Shares issuable upon conversion of the Promissory Notes issued to the Note Investors. The Placement Agent Warrants have an exercise price of $1.21 per share and expire five years from the date of issuance.
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The Company determined the Prepayment Option feature represents a contingent call option. The Company evaluated the Prepayment Option in accordance with ASC 815-15-25. The Company determined that the Prepayment Option feature is clearly and closely related to the debt host instrument and is not an embedded derivative requiring bifurcation. Additionally, the Company determined the Conversion Option represents an embedded call option. The Company evaluated the Conversion Option in accordance with ASC 815-15-25. The Company determined that the Conversion Option feature meets the scope exception from ASC 815 and is not an embedded derivative requiring bifurcation.
The Company evaluated the Promissory Notes for a beneficial conversion feature in accordance with ASC 470-20. The Company determined that at each commitment date the effective conversion price was below the closing stock price (market value), and the Convertible Notes contained a beneficial conversion feature.
Pursuant to the December 2019 closings of the Promissory Note Offering, the principal amount of $3,386,300 was first allocated based on the relative fair value of the Promissory Notes and the Note Warrants. The fair value of the Note Warrants amounted to $912,648. Then the beneficial conversion feature was calculated, which amounted to $1,359,284. The Company incurred debt issuance costs of $588,017 related to the offering. The initial carrying value of the Promissory Notes issued amounted to $526,351.
During the year ended December 31, 2019, the Company recognized $114,791 of interest expense related to these Promissory Notes, including amortization of debt discount related to the value of the Note Warrants of $33,669, amortization of the beneficial conversion feature of $51,529, amortization of debt discount related to debt issuance costs of $21,203, and accrued interest expense of $8,390.
As of December 31, 2019, and 2018, convertible debt consisted of the following:
 
 
Total
 
 
Promissory Notes
 
 
ADEC Notes
 
 
Total
 
 
 
December 31,
 
 
December 31,
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2019
 
 
2019
 
 
2018
 
Convertible debt
 $3,836,300 
 $3,386,300 
 $450,000 
 $- 
Unamortized debt discount - revalued warrants
  (118,356)
  - 
  (118,356)
  - 
Unamortized debt discount - warrants
  (878,979)
  (878,979)
  - 
  - 
Unamortized debt discount - BCF
  (1,307,755)
  (1,307,755)
  - 
  - 
Unamortized debt discount - debt issuance costs
  (566,815)
  (566,815)
  - 
  - 
Accrued interest
  112,543 
  8,390 
  104,153 
  - 
Total convertible debt
 $1,076,938 
 $641,141 
 $435,797 
 $- 
LPC OID Debenture
On April 11, 2017, the Company entered into a Note Purchase Agreement with Lincoln Park Capital Fund, LLC (“LPC”), pursuant to which the Company issued a 12% Senior Secured Original Issue Discount Convertible Debenture (the “OID Debenture”) to LPC.
On July 11, 2018, the Company paid off the remaining amount of $286,529 due under the terms of this OID Debenture.
For the year ended December 31, 2018, the Company recorded $97,837 of interest expense related to the amortization of the debt discount and beneficial conversion feature related to the warrant features of the OID Debenture.
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Note 10 – Other Liabilities
As of December 31, 2019, and 2018, other liabilities consisted of the following: 
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Due to Mayoly
 $392,989 
 $- 
Lease liabilities
  83,235 
  - 
 
 $476,224 
 $- 
Note 11 – Equity, Common Stock and Incentive Plan
On December 19, 2019, the Company held its Annual Meeting of Stockholders (the “Annual Meeting”), whereby, the shareholders approved, among others, the following proposals: (i) amending the Company’s Certificate of Incorporation to increase the authorized shares of its Common Stock to 150,000,000 shares from 100,000,000 shares, and (ii) amending the Company’s Charter to authorize the Board to effect a reverse stock split of both the issued and outstanding and authorized shares of Common Stock, at a specific ratio, ranging from one-for-two (1:2) to one-for-five (1:5), any time prior to the one-year anniversary date of the Annual Meeting, with the exact ratio to be determined by the Board (the “Reverse Split”). As of December 31, 2019, the Board had not elected to effect a Reverse Split.
Common Stock
The Company had 26,800,519 and 17,704,925 shares of its Common Stock issued and outstanding at December 31, 2019 and 2018, respectively.
The holders of our Common Stock are entitled to one vote per share. In addition, the holders of our Common Stock will be entitled to receive ratably such dividends, if any, as may be declared by our Board out of legally available funds; however, the current policy of our Board is to retain earnings, if any, for operations and growth. Upon liquidation, dissolution or winding-up, the holders of our Common Stock will be entitled to share ratably in all assets that are legally available for distribution.
2014 Equity Incentive Plan
The Company’s Board and stockholders adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”), which took effect on May 12, 2014. The 2014 Plan allows for the issuance of securities, including stock options to employees, Board members and consultants. The number of shares of Common Stock reserved for issuance under the 2014 Plan shall not exceed ten percent (10%) of the issued and outstanding shares of Common Stock on an as converted basis (the “As Converted Shares”) on a rolling basis. For calculation purposes, the As Converted Shares shall include all shares of Common Stock and all shares of Common Stock issuable upon the conversion of outstanding preferred stock and other convertible securities but shall not include any shares of Common Stock issuable upon the exercise of options, or other convertible securities issued pursuant to the 2014 Plan. The number of authorized shares of Common Stock reserved for issuance under the 2014 Plan shall automatically be increased concurrently with the Company’s issuance of fully paid and non- assessable shares of As Converted Shares. Shares shall be deemed to have been issued under the 2014 Plan solely to the extent actually issued and delivered pursuant to an award.
The Company issued an aggregate of 1,193,500 and 539,000 stock options, during the years ended December 31, 2019 and 2018, respectively, under the 2014 Plan (see Note 13). As of December 31, 2019, there were an aggregate of 3,584,986 total shares available under the 2014 Plan, of which 1,677,500 are issued and outstanding, 632,667 shares are reserved subject to issuance of restricted stock and RSUs and 1,274,819 shares are available for potential issuances. The Company may issue securities outside of the 2014 Plan.
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Series A Convertible Preferred Stock
Pursuant to a stock purchase agreement with the Protea Group, on June 13, 2014, the Company issued 100 shares of Series A Convertible Preferred Stock (“Series A Preferred”). At December 31, 2019 and 2018, there were no Series A Preferred outstanding and all terms of the Series A Preferred are still in effect.
The terms of the Series A Preferred are described below:
Voting
The Series A Preferred holders are entitled to vote, together with the holders of Common Stock as one class, on all matters to which holders of Common Stock shall be entitled to vote, in the same manner and with the same effect as the Common Stock holders with the same number of votes per share that equals the number of shares of Common Stock into which the Series A Preferred is convertible at the time of such vote.
Dividends
The holders of the Series A Preferred shall be entitled to receive dividends, when, as, and if declared by the board of directors, ratably with any declaration or payment of any dividend on Common Stock. To date there have been no dividends declared or paid by the board of directors.
Liquidation
The holders of the Series A Preferred shall be entitled to receive, before and in preference to, any distribution of any assets of the Company to the holders of Common Stock, an amount equal to $0.0001 per share, plus any declared but unpaid dividends. The liquidation preference approximates par value as of December 31, 2019 and 2018, respectively.
Conversion
The Series A Preferred was initially convertible into 33% of the issued and outstanding shares of Common Stock on a fully diluted basis, assuming the conversion, exercise, or exchange for shares of Common Stock of all convertible securities issued and outstanding immediately prior to such conversion, including the Series A Preferred stock, all outstanding warrants and options, and all outstanding convertible debt, notes, debentures, or any other securities which are convertible, exercisable, or exchangeable for shares of Common Stock. The Series A Preferred was convertible at the holder’s option any time commencing on the one-year anniversary of the initial issuance date. The Series A Preferred was subject to mandatory conversion at any time commencing on the one-year anniversary of the initial issuance date upon the vote or written consent by the holders of a majority of the Series A Preferred then outstanding or upon the occurrence of certain triggering events, including a public offering coupled with an equity-linked financing with an offering price that values the Company prior to consummation of such financing at not less than $12,000,000 and the aggregate gross proceeds to the Company (before deduction of underwriting discounts and registration expense) are not less than $6,000,000. On November 11, 2015, the Company and the Protea Group agreed that the Series A Preferred would be convertible into 2,439,365 shares of Common Stock. During the year ended December 31, 2016, Protea Group converted all shares of Series A Preferred into Common Stock.
LPC Equity Line of Credit
On November 13, 2019, the Company entered into a purchase agreement (the “LPC Purchase Agreement”), together with a registration rights agreement (the “LPC Registration Rights Agreement”), with LPC. Under the terms of the LPC Purchase Agreement, LPC has committed to purchase up to $15,000,000 of our Common Stock (the “LPC Equity Line of Credit”). Upon execution of the LPC Purchase Agreement, the Company issued LPC 487,168 shares of Common Stock (the “Commitment Shares”) as a fee for its commitment to purchase shares of our Common Stock under the LPC Purchase Agreement. The remaining shares of our Common Stock that may be issued under the LPC Purchase Agreement may be sold by the Company to LPC at our discretion from time-to-time over a 30-month period commencing after the satisfaction of certain conditions set forth in the Purchase Agreement, subject to the continued effectiveness of a registration statement covering such shares of Common Stock sold to LPC by the Company (see “Recent Developments” above). The registration statement was filed with the SEC on December 31, 2019 and was declared effective on January 14, 2020.
Under the LPC Purchase Agreement, on any business day over the term of the LPC Purchase Agreement, the Company has the right, in its sole discretion, to present LPC with a purchase notice (each, a “Purchase Notice”) directing LPC to purchase up to 150,000 shares of Common Stock per business day (the “Regular Purchase”). In each case, LPC’s maximum commitment in any single Regular Purchase may not exceed $1,000,000. The LPC Purchase Agreement provides for a purchase price per Purchase Share (the “Purchase Price”) equal to the lesser of:
the lowest sale price of Common Stock on the purchase date; and;
the average of the three lowest closing sale prices for the Common Stock during the ten consecutive business days ending on the business day immediately preceding the purchase date of such shares;
F-49
DRAFT
In addition, on any date on which the Company submits a Purchase Notice to LPC, the Company also has the right, in its sole discretion, to present LPC with an accelerated purchase notice (each, an “Accelerated Purchase Notice”) directing LPC to purchase an amount of stock (the “Accelerated Purchase”) equal to up to the lesser of (i) three times the number of shares purchased pursuant to such Regular Purchase; and (ii) 30% of the aggregate shares of Common Stock traded during all or, if certain trading volume or market price thresholds specified in the LPC Purchase Agreement are crossed on the applicable Accelerated Purchase date, the portion of the normal trading hours on the applicable Accelerated Purchase date prior to such time that any one of such thresholds is crossed (such period of time on the applicable Accelerated Purchase Date, the “Accelerated Purchase Measurement Period”), provided that LPC will not be required to buy shares pursuant to an Accelerated Purchase Notice that was received by LPC on any business day on which the last closing trade price of Common Stock on the Nasdaq Capital Market (or alternative national exchange) is below $0.25 per share. The purchase price per share for each such Accelerated Purchase will be equal to the lesser of:
97% of the volume weighted average price of the Company’s common stock during the applicable Accelerated Purchase Measurement Period on the applicable Accelerated Purchase date; and
the closing sale price of Common Stock on the applicable Accelerated Purchase Date.
The Company may also direct LPC on any business day on which an Accelerated Purchase has been completed and all of the shares to be purchased thereunder have been properly delivered to LPC in accordance with the LPC Purchase Agreement, to purchase an amount of stock (the “Additional Accelerated Purchase”) equal to up to the lesser of (i) three times the number of shares purchased pursuant to such Regular Purchase; and (ii) 30% of the aggregate number of shares of Common Stock traded during a certain portion of the normal trading hours on the applicable Additional Accelerated Purchase date as determined in accordance with the Purchase Agreement (such period of time on the applicable Additional Accelerated Purchase date, the “Additional Accelerated Purchase Measurement Period”), provided that the closing price of the Company’s common stock on the business day immediately preceding such business day is not below $0.25 per share. Additional Accelerated Purchases will be equal to the lower of:
97% of the volume weighted average price of the Company’s common stock during the applicable Additional Accelerated Purchase Measurement Period on the applicable Additional Accelerated Purchase date; and
the closing sale price of Common Stock on the applicable Additional Accelerated Purchase.
Common Stock Issuances
2019 Issuances 
During the year ended December 31, 2019, pursuant to the Mayoly APA, the Company issued Mayoly 400,481 shares of Common Stock (the “Closing Payment Shares”) as part of the closing payment on March 27, 2019 with a grant date fair value of $917,101, that was recognized as part of stockholders’ equity.
During the year ended December 31, 2019, the Company issued an aggregate of 92,995 shares of its Common Stock to consultants as payment of $135,000 of accounts payable and 97,403 shares of its Common Stock to a consultant with a grant date fair value of $75,000 for services provided.
During the year ended December 31, 2019, the Company issued an aggregate of 120,000 shares of its Common Stock to outside members of its Board as payment of Board fees with an aggregate grant date fair value of $173,400, that was recorded as part of G&A expense.

April 2019 Registered Direct Public Offering
In April 2019, the Company completed a public offering of 1,294,930 shares of Common Stock at a public offering price of $2.13 per share, resulting in net proceeds of approximately $2,500,000, after deducting the selling agent fees and other offering expense payable by the Company (the “April 2019 Public Offering”). The April 2019 Public Offering was completed pursuant to our effective shelf registration statement on Form S-3 (File No. 333-226065) and the prospectus supplement filed on April 2, 2019.
In connection with the April 2019 Public Offering, the Company entered into a selling agent agreement, pursuant to which the Company paid (i) a cash fee equal to 7% of the aggregate gross proceeds of the April 2019 Public Offering, and (ii) issued warrants to purchase an aggregate of 38,848 shares of Common Stock (the “April 2019 Selling Agent Warrants”), an amount equal to 3% of the aggregate number of shares of Common Stock sold in the April 2019 Public Offering (see Note 12).
May 2019 Registered Direct Public Offering
In May 2019, the Company completed a second public offering of 1,227,167 shares of Common Stock at a public offering price of $2.35 per share, resulting in net proceeds of approximately $2,550,000, after deducting the selling agent fees and other offering expense payable by the Company (the “May 2019 Public Offering”). The May 2019 Public Offering was completed pursuant to our effective shelf registration statement on Form S-3 (File No. 333-226065) and the prospectus supplement filed on May 9, 2019.
In connection with the May 2019 Public Offering, the Company entered into a selling agent agreement, pursuant to which the Company (i) paid a cash fee equal to 7.0% of the aggregate gross proceeds of the May 2019 Public Offering, and (ii) issued warrants to purchase up to an aggregate of 36,815 shares of Common Stock (the “May 2019 Selling Agent Warrants”), an amount equal to 3.0% of the aggregate number of shares of Common Stock sold in the May 2019 Public Offering (see Note 12).
F-50
DRAFT
July 2019 Underwritten Public Offering
In July 2019, the Company completed an underwriting public offering of 5,000,000 shares of Common Stock at a public offering price of $1.00 per share, resulting in net proceeds of approximately $4,500,000, after deducting the underwriting discount, and other offering expense payable by the Company (the “July 2019 Public Offering”). The July 2019 Public Offering was conducted pursuant to our effective shelf registration statement on Form S-3 (File No. 333-231954), filed with the Securities and Exchange Commission (the “SEC”) on June 5, 2019, and declared effective on June 25, 2019, including the base prospectus dated June 4, 2019 included therein and the related prospectus supplement filed on July 19, 2019.
In connection with the July 2019 Public Offering, the Company entered into an underwriting agreement, pursuant to which the Company (i) paid an cash fee equal to 7.0% of the aggregate gross proceeds of the July 2019 Public Offering, and (ii) issued warrants to purchase up to an aggregate of 200,000 shares of Common Stock (the “May 2019 Underwriting Warrants”), an amount equal to 3.0% of the aggregate number of shares of Common Stock sold in the July 2019 Public Offering (see Note 12).
Purchase Agreement with Lincoln Park Capital Fund, LLC
In connection with entering into the LPC Purchase Agreement on November 13, 2019, the Company issued LPC 487,168 shares of Common Stock (the “Commitment Shares”) as a fee for its commitment to purchase shares of our Common Stock under the LPC Purchase Agreement. The Commitment Shares had a grant date fair value of $297,172 and had no effect on expenses or stockholders’ equity.
2018 Issuances

During the year ended December 31, 2018, the Company issued an aggregate of 120,000 shares of its Common Stock to outside members of its Board as payment of Board fees with an aggregate grant date fair value of $306,300, that was recorded as part of G&A expense.
Restricted Stock and Restricted Stock Units
During the year ended December 31, 2019, pursuant to the Mayoly APA, the Company issued Mayoly 200,240 shares of restricted Common Stock that vested on December 31, 2019 and 175,210 shares of restricted Common Stock that vest on December 31, 2020. During the year ended December 31, 2019, the Company recognized $823,858 as part of stockholders’ equity.
During the year ended December 31, 2019, the Company issued James Sapirstein, its new Chief Executive Officer a restricted stock unit (“RSU”) for 200,000 shares of Common Stock subject to milestone-based vesting with a grant date fair value of $104,000. These RSUs will vest as follows: (i) 100,000 shares upon the first commercial sale in the United States of MS1819, and (ii) 100,000 shares upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days. The Company will recognize the expense related to these milestones when the milestones become probable.
During the year ended December 31, 2019, an aggregate of 188,333 unvested shares of restricted Common Stock that were issued to former executives were canceled with a total grant date fair value of approximately $499,832 due to their resignations from the Company.
During the year ended December 31, 2019, an aggregate of 92,167 unvested shares of restricted Common Stock, subject to milestone-based vesting, vested with a total grant date fair value of $280,187. 58,833 of these 92,167 restricted shares of Common Stock with a total grant date fair value of $178,852 vested during the year ended December 31, 2019 due to the Company dosing the first patients in the OPTION Cross-Over Study for MS1819 in CF patients. 33,334 of these 138,835 restricted shares of Common Stock having a total grant date fair value of $101,335 vested during the year ended December 31, 2019 due to the Company completing enrollment in the OPTION Cross-Over Study for MS1819 in CF patients. The Company recognized $280,187 as stock expense during the year ended December 31, 2019 for the vesting of these shares of restricted Common Stock.
During the year ended December 31, 2019, an aggregate of 48,668 unvested shares of restricted Common Stock, subject to time-based vesting, vested with a total grant date fair value of $154,004. The Company recognized $154,004 as stock expense during the year ended December 31, 2019 for the vesting of these shares of restricted Common Stock.
As of December 31, 2019, the Company had an aggregate unrecognized restricted Common Stock expense of $154,689, of which $50,689 will be recognized over the average remaining vesting term of 0.65 years and $104,000 will be recognized when vesting of certain milestones will be probable.
During the year ended December 31, 2018, an aggregate of 51,000 shares of restricted Common Stock were granted and accrued to employees with a total grant date fair value of $155,040.
During the year ended December 31, 2018, 100,000 shares of restricted Common Stock were granted and accrued to Johan (Thijs) Spoor, the former Chief Executive Officer, subject to milestone-based vesting with a total grant date fair value of $304,000.
During the year ended December 31, 2018, 100,000 shares of restricted Common Stock were granted and accrued to Johan (Thijs) Spoor, the former Chief Executive Officer, subject to time-based vesting over three years with a grant date fair value of $304,000.
During the year ended December 31, 2018, The Company issued an aggregate of 192,067 shares of restricted Common Stock were granted or accrued to employees and consultants with a total grant date fair value of $682,271.
F-51
DRAFT
During the year ended December 31, 2018, 5,000 shares of restricted Common Stock were canceled with a grant date fair value of $15,200.
During the year ended December 31, 2018, an aggregate of 315,235 shares of restricted Common Stock vested with a total grant date fair value of $1,093,293. An aggregate of 158,833 of these shares of restricted Common Stock with a total grant date fair value of $603,852 vested due to the Company achieving certain clinical milestones for MS1819.
Note 12 - Warrants
For the year ended December 31, 2019, in connection with the December 2019 closings of the Promissory Note Offering, the Company issued Note Warrants to investors to purchase an aggregate of 1,745,538 shares of Common Stock with the issuance of the Promissory Notes as referenced in Note 9. These Note Warrants were issued between December 20, 2019 and December 31, 2019, are exercisable commencing six (6) months following the issuance date at $1.07 per share and expire five years from issuance. The total grant date fair value of these warrants was determined to be approximately $1,250,398, as calculated using the Black-Scholes model, and were recorded as a debt discount based on their relative fair value.
For the year ended December 31, 2019, in connection with the December 2019 closings of the Promissory Note Offering, the Company issued placement agent warrants to purchase an aggregate of 244,372 shares of Common Stock. These placement agent warrants were issued between December 20, 2019 and December 31, 2019, vested immediately, are exercisable at $1.21 per share and expire five years from issuance. The total grant date fair value of these placement agent warrants was determined to be approximately $169,025, as calculated using the Black-Scholes model, and was charged to debt discount that will be amortized over the life of the debt.
During the year ended December 31, 2019, in connection with the April 2019 Public Offerings, the Company issued the April 2019 Selling Agent Warrants to purchase an aggregate of 38,848 shares of Common Stock. The April 2019 Selling Agent Warrants will become exercisable April 2, 2020, expire on April 2, 2024 and have an exercise price of $2.55 per share. The total grant date fair value of these investment banking warrants was determined to be approximately $60,991, as calculated using the Black-Scholes model, and had no effect on expenses or stockholders’ equity.
During the year ended December 31, 2019, in connection with the May 2019 Public Offerings, the Company issued the May 2019 Selling Agent Warrants to purchase an aggregate of 36,815 shares of Common Stock. The May 2019 Selling Agent Warrants will become exercisable on May 9, 2020, expire on May 9, 2024 and have an exercise price of $2.82 per share. The total grant date fair value of these investment banking warrants was determined to be approximately $55,591, as calculated using the Black-Scholes model, and had no effect on expenses or stockholders’ equity.
During the year ended December 31, 2019, in connection with the July 2019 Public Offerings, the Company issued the July 2019 Underwriting Warrants to purchase an aggregate of 200,000 shares of Common Stock. The July 2019 Underwriting Warrants are exercisable immediately, expire on July 17, 2024 and have an exercise price of $1.25 per share. The total grant date fair value of these investment banking warrants was determined to be approximately $116,600, as calculated using the Black-Scholes model, and had no effect on expenses or stockholders’ equity.
In February 2019, as additional consideration for issuing the ADEC Notes and pursuant to the ADEC Warrant Amendment, the Company agreed to reduce the exercise price of certain outstanding warrants previously issued by the Company to ADEC and its affiliates (see Note 9).
During the year ended December 31, 2018, warrants to purchase an aggregate of 244,400 shares of Common Stock were issued to investment bankers in connection with the May 2018 Public Offering. These investment banking warrants were issued on May 3, 2018, vested immediately, are exercisable at prices ranging from $2.25 to $2.75 per share and expire five years from issuance. The grant date fair value of these investment banking warrants was determined to be approximately $416,426, as calculated using the Black-Scholes model, and had no effect on expenses or stockholders’ equity.
F-52
DRAFT
In January 2018, the Company offered certain warrant holders the opportunity to exercise their warrants at a reduced strike price of $2.50, and if so elected, would also have the opportunity to reprice other warrants that they continued to hold unexercised to $3.25. The offer, which was effective on January 12, 2018, was for the repricing only and did not modify the life of the warrants. Warrant holders of approximately 503,000 shares of Common Stock exercised their warrants and had other warrants modified on approximately 197,000 shares of Common Stock, which resulted in a charge of approximately $429,000 in the year ended December 31, 2018.
Warrant transactions for the years ending December 31, 2019 and 2018 were as follows:
 
 
 
 
 
Exercise
 
 
 Weighted
 
 
 
 
 
 
Price Per
 
 
Average
 
 
 
Warrants
 
 
Share
 
 
Exercise Price
 
 
 
 
 
 
 
 
 
 
 
Warrants outstanding and exercisable at January 1, 2018
  3,371,385 
 $3.17 - $7.37 
 $5.28 
 
    
    
    
Granted during the period
  244,400 
 $2.55 - $2.75 
 $2.58 
Expired during the period
  - 
  - 
  - 
Exercised during the period
  (503,070)
 $2.50 
 $2.50 
Warrants outstanding and exercisable at December 31, 2018
  3,112,715 
 $2.55 - $7.37 
 $4.83 
 
    
    
    
 
    
    
    
Warrants outstanding and exercisable at January 1, 2019
  3,112,715 
 $2.55 - $7.37 
 $4.83 
 
    
    
    
Granted during the period
  2,265,573 
 $1.07 - $2.82 
 $1.15 
Expired during the period
  - 
  - 
  - 
Exercised during the period
  - 
  - 
  - 
Warrants outstanding and exercisable at December 31, 2019
  5,378,288 
 $1.25 - $7.37 
 $2.53 
Warrants exercisable at December 31, 2019 were as follows:
 
 
 
 
Number of
 
 
Weighted Average
 
 
Weighted
 
 
 
 
 
Shares Under
 
 
Remaining Contract
 
 
Average
 
 
Exercise Price
 
 
Warrants
 
 
Life in Years
 
 
Exercise Price
 
 $1.07 - $1.99   3,199,475   3.95  
 $2.00 - $2.99   320,063   3.57  
 $3.00 - $3.99   636,972   2.31  
 $4.00 - $4.99   196,632   2.01  
 $5.00 - $5.99   805,476   2.13  
 $6.00 - $6.99   187,750   1.76  
 $7.00 - $7.37   31,920   0.96  
 
Total
 
  5,378,288   3.30  $2.53 
The weighted average fair value of warrants granted during the years ended December 31, 2019 and 2018, was $0.71 and $1.70 per share, respectively. The grant date fair values were calculated using the Black-Scholes model with the following weighted average assumptions:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Expected life (in years)  5   5 
Volatility  71 - 80%  84%
Risk-free interest rate  1.64 - 2.37%  2.70%
Dividend yield  -%  -%
F-53
DRAFT
Note 13 – Stock Options
Under the 2014 Plan, the fair value of stock options granted is estimated on the grant date using the Black-Scholes model. This valuation model for stock-based compensation expense requires the Company to make assumptions and judgments about the variables used in the calculation, including the expected term (weighted-average period of time that the options granted are expected to be outstanding), the volatility of the Common Stock price and the assumed risk-free interest rate. The Company recognizes stock-based compensation expense for only those shares expected to vest over the requisite service period of the award. No compensation cost is recorded for options that do not vest and the compensation cost from vested options, whether forfeited or not, is not reversed.
During the year ended December 31, 2019, the Company issued stock options to purchase an aggregate of 120,000 shares of Common Stock with a strike price of $1.75 per share and a term of five years to certain Board members that vest quarterly over one (1) year. These options had a total fair value of approximately $126,000, as calculated using the Black-Scholes model and were recorded as stock-based compensation.
During the year ended December 31, 2019, the Company issued stock options to purchase 150,000 shares of Common Stock with a strike price of $1.75 per share and a term of five years to Johan (Thijs) Spoor, the former Chief Executive Officer that vest upon the completion of enrollment of the next trial of MS1819 in the U.S. These stock options had a grant date fair value of approximately $151,950, as calculated using the Black-Scholes model. These unvested stock options were cancelled as a result of Mr. Spoor’s resignation.
During the year ended December 31, 2019, the Company issued stock options to purchase 100,000 shares of Common Stock with a strike price of $1.75 per share and a term of five years to Maged Shenouda, the former Chief Financial Officer that vest upon the completion of enrollment of the next trial of MS1819 in the U.S. These stock options had a grant date fair value of approximately $101,300, as calculated using the Black-Scholes model. These unvested stock options were cancelled as a result of Mr. Shenouda’s resignation.
During the year ended December 31, 2019, the Company issued stock options to purchase an aggregate of 523,500 shares of Common Stock with a strike price of $1.75 per share and a term of five years to certain employees with milestone-based vesting based on certain clinical milestones for MS1819. These options had a total grant date fair value of approximately $549,675, as calculated using the Black-Scholes model. 454,250 of these stock options will vest upon enrollment completion of the next MS1819 clinical trial in the U.S. for CF (the OPTION 2 Trial), and 69,250 of these stock options will vest upon enrollment completion of the ongoing Combination Trial in Europe. The Company will recognize the expense related to these milestones when the milestones become probable.
The weighted average fair value of stock options granted to employees during the year ended December 31, 2019 was $0.89 per share.
During the year ended December 31, 2019, stock options to purchase an aggregate of 304,500 shares of Common Stock vested having a fair value of $574,335. 242,000 of these stock options with a fair value of $501,666 vested due to the Company achieving certain clinical milestones for MS1819.
During the year ended December 31, 2019, stock options to purchase an aggregate of 510,000 shares of Common Stock were canceled with strike prices ranging from of $1.75 to $4.48 per share.
During the year ended December 31, 2018, stock options to purchase an aggregate of 539,000 shares of Common Stock were granted with a strike price of $3.04 per share and a term of five years.
During the year ended December 31, 2018, stock options to purchase an aggregate of 600,750 shares of Common Stock vested having a fair value of $1,441,475. Stock options to purchase an aggregate of 570,750 shares of Common Stock with a fair value of $1,325,404 vested due to the Company achieving certain clinical milestones for MS1819.
F-54
DRAFT
During the year ended December 31, 2018, 90,000 stock options were canceled with exercise prices ranging from of $3.04 to $3.60.
The weighted average fair value of stock options granted to employees during the year ended December 31, 2018 was $2.07 per share.
The fair values were estimated on the grant dates using the Black-Scholes option-pricing model with the following weighted-average assumptions:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Contractual term (in years)  5 - 10   5 
Volatility  72% - 75%  85%
Risk-free interest rate  1.54% - 1.84%  2.82%
Dividend yield  -%  -%
The expected term of the options is based on expected future employee exercise behavior. Volatility is based on the historical volatility of the Company’s Common Stock if available or of several public entities that are similar to the Company. The Company bases volatility this way because it may not have sufficient historical transactions in its own shares on which to solely base expected volatility. The risk-free interest rate is based on the U.S. Treasury rates at the date of grant with maturity dates approximately equal to the expected term at the grant date. The Company has not historically declared any dividends and does not expect to in the future.
The Company realized no income tax benefit from stock option exercises in each of the periods presented due to recurring losses and valuation allowances.
During the years ended December 31, 2019 and 2018, stock option activity under the 2014 Plan was as follows:
 
 
Number
 
 
Average
 
 
Remaining Contract
 
 
Intrinsic
 
 
 
of Shares
 
 
Exercise Price
 
 
Life in Years
 
 
Value
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Stock options outstanding at January 1, 2018
  545,000 
 $4.05 
  7.13 
 $- 
 
    
    
    
    
Granted during the period
  539,000 
 $3.04 
  5.00 
 $- 
Expired during the period
  - 
  - 
    
    
Canceled during the period
  (90,000)
 $3.26 
  4.41 
 $- 
Exercised during the period
  - 
  - 
    
    
Stock options outstanding at December 31, 2018
  994,000 
 $3.58 
  5.42 
 $- 
 
    
    
    
    
Exercisable at December 31, 2018
  749,500 
 $3.74 
  5.71 
 $- 
 
    
    
    
    
Non-vested stock options outstanding at January 1, 2018
  387,500 
 $3.89 
  6.39 
 $- 
 
    
    
    
    
Granted during the period
  539,000 
 $3.04 
  5.00 
 $- 
Vested during the period
  (600,750)
 $3.50 
  5.00 
 $- 
Expired during the period
  - 
  - 
    
    
Canceled during the period
  (81,250)
 $3.26 
  4.41 
 $- 
Exercised during the period
  - 
  - 
    
    
Non-vested stock options outstanding at December 31, 2018
  244,500 
 $3.05 
  4.53 
 $- 

F-55
DRAFT
Stock options outstanding at January 1, 2019
  994,000 
 $3.58 
  5.42 
 $- 
 
    
    
    
    
Granted during the period
  1,193,500 
 $1.44 
  5.79 
 $- 
Expired during the period
  - 
  - 
    
    
Canceled during the period
  (510,000)
 $2.80 
  4.50 
 $- 
Exercised during the period
  - 
  - 
    
    
Stock options outstanding at December 31, 2019
  1,677,500 
 $2.17 
  5.37 
 $- 
 
    
    
    
    
Exercisable at December 31, 2019
  794,000 
 $3.36 
  4.04 
 $- 
 
    
    
    
    
Non-vested stock options outstanding at January 1, 2019
  244,500 
 $3.05 
  4.53 
 $- 
 
    
    
    
    
Granted during the period
  1,193,500 
 $1.44 
  5.79 
 $- 
Vested during the period
  (304,500)
 $2.79 
  3.72 
 $- 
Expired during the period
  - 
  - 
    
    
Canceled during the period
  (250,000)
 $1.75 
  4.45 
 $- 
Exercised during the period
  - 
  - 
    
    
Non-vested stock options outstanding at December 31, 2019
  883,500 
 $1.33 
  6.26 
 $- 
As of December 31, 2019, the Company had unrecognized stock-based compensation expense of $733,575. $63,000 of this unrecognized expense will be recognized over the average remaining vesting term of the options of 0.50 years. $517,262 of this unrecognized expense will vest upon enrollment completion next MS1819 clinical trial in the U.S. for CF (the OPTION 2 Trial). $72,713 of this unrecognized expense will vest upon enrollment completion of the ongoing Combination Trial in Europe. $40,300 of this unrecognized expense vests upon the Company initiating a Phase 3 clinical trial in the U.S. for MS1819. $40,300 of this unrecognized expense vests upon initiating a U.S. Phase I clinical trial for any product other than MS1819. The Company will recognize the expense related to these milestones when the milestones become probable.
Note 14 - Interest Expense
During the years ended December 31, 2019, the Company incurred $433,939 of interest expense, including amortization of debt discount of $425,907 and miscellaneous interest expense of $8,032.
During the years ended December 31, 2018, the Company incurred $101,846 of interest expense, including amortization of debt discount of $97,837 and miscellaneous interest expense of $4,010.
Note 15 - Agreements
Mayoly Agreement
During the years ended December 31, 2019 and 2018, the Company charged $403,020 and $621,724, respectively, to Mayoly under the JDLA that was in effect during both periods.
On March 27, 2019, the Company entered into the Mayoly APA pursuant to which the Company assumed the JDLA and purchased substantially all remaining rights, title and interest in and to MS1819 (see “Recent Developments” above).
INRA Agreement
In February 2006, Mayoly and INRA TRANSFERT, on behalf of INRA and CNRS (French government research centers), entered into a Usage and Cross-Licensing Agreement granting Mayoly exclusive worldwide rights to exploit Yarrowia lipolytica and other lipase proteins based on their patents for use in humans. The INRA Agreement provides for the payment by Mayoly of royalties on net sales, subject to Mayoly’s right to terminate such obligation upon the payment of a lump sum specified in the agreement. Upon execution of the Mayoly APA, all rights, obligations and interests under the INRA Agreement were transferred to the Company.
F-56
DRAFT
TransChem Sublicense
On August 7, 2017, the Company entered into a sublicense agreement with TransChem, pursuant to which TransChem granted the Company an exclusive license to patents and patent applications relating to Helicobacter pylori 5’methylthioadenosine nucleosidase inhibitors (the “TransChem Licensed Patents”) currently held by TransChem (the “TransChem Sublicense Agreement”). The Company may terminate the TransChem Sublicense Agreement and the licenses granted therein for any reason and without further liability on 60 days’ notice. Unless terminated earlier, the TransChem Sublicense Agreement will expire upon the expiration of the last TransChem Licensed Patents. Upon execution, the Company paid an upfront fee to TransChem and agreed to reimburse TransChem for certain expenses previously incurred in connection with the preparation, filing, and maintenance of the TransChem Licensed Patents. The Company also agreed to pay TransChem certain future periodic sublicense maintenance fees, which fees may be credited against future royalties. The Company may also be required to pay TransChem additional payments and royalties in the event certain performance-based milestones and commercial sales involving the TransChem Licensed Patents are achieved. The TransChem Licensed Patents will allow the Company to develop compounds for treating gastrointestinal and other infections which are specific to individual bacterial species. H. pylori bacterial infections are a major cause of chronic gastritis, peptic ulcer disease, gastric cancer and other diseases. Amounts paid under the TransChem Sublicense Agreement during the years ended December 31, 2019 and 2018 were $50,000 and $136,880, respectively, and are included in R&D expense.
On March 11, 2020, the Company provided TransChem with 60 days’ notice of its intent to terminate the TransChem Sublicense Agreement.
Employment Agreements
James Sapirstein
Effective October 8, 2019, the Company entered into an employment agreement with Mr. Sapirstein to serve as its President and Chief Executive Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Sapirstein provides for a base salary of $450,000 per year. In addition to the base salary, Mr. Sapirstein is eligible to receive (i) a cash bonus of up to 40% of his base salary on an annual basis, based on certain milestones that are yet to be determined; (ii) 1% of net fees received by the Company upon entering into license agreements with any third-party with respect to any product current in development or upon the sale of all or substantially all assets of the Company; (iii) a grant of 200,000 restricted shares (RSUs) of Common Stock which are subject to vest as follows (a) 100,000 shares upon the first commercial sale of MS1819 in the U.S., and (b) 100,000 shares upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days; (iv) a grant of 300,000 10-year stock options to purchase shares of Common Stock with a strike price equal to $0.52 per share, which are subject to vest as follows (a) 50,000 shares upon the Company initiating its next Phase II clinical trial in the U.S. for MS1819, (b) 50,000 shares upon the Company completing its next or subsequent Phase II clinical trial in the U.S. for MS1819, (c) 100,000 shares upon the Company initiating a Phase III clinical trial in the U.S. for MS1819, and (d) 100,000 shares upon the Company initiating a Phase I clinical trial in the U.S. for any product other than MS1819. Mr. Sapirstein is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his services to the Company.
In the event that Mr. Sapirstein’s employment is terminated by the Company for Cause, as defined in his employment agreement, or by Mr. Sapirstein voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. In the event that Mr. Sapirstein’s employment is terminated as a result of an Involuntary Termination Other than for Cause, as defined in his employment agreement, Mr. Sapirstein will be entitled to receive the following compensation: (i) severance in the form of continuation of his salary (at the Base Salary rate in effect at the time of termination, but prior to any reduction triggering Good Reason) for a period of 12 months following the termination date; (ii) payment of Executive’s premiums to cover COBRA for a period of 12 months following the termination date; and (iii) a prorated annual bonus.
F-57
DRAFT
Daniel Schneiderman
Effective January 2, 2020, the Company entered into an employment agreement with Mr. Schneiderman to serve as the Company’s Chief Financial Officer for a term of three years, subject to further renewal upon agreement of the parties. The employment agreement with Mr. Schneiderman provides for a base salary of $285,000 per year. In addition to the base salary, Mr. Schneiderman is eligible to receive (a) an annual milestone cash bonus based on certain milestones that will be established by the Company’s Board or the Compensation Committee, and (b) a grant of stock options to purchase 335,006 shares of Common Stock with a strike price of $1.03 per share, which shall vest in three equal portions on each anniversary date of the Effective Date commencing on the first anniversary date of the agreement. Mr. Schneiderman is entitled to receive 20 days of paid vacation, participate in full employee health benefits and receive reimbursement for all reasonable expenses incurred in connection with his service to the Company. The Company may terminate Mr. Schneiderman’s employment agreement at any time, with or without Cause, as such term is defined in his employment agreement.
In the event that Mr. Schneiderman’s employment is terminated by the Company for Cause, as defined in his employment agreement, or by Mr. Schneiderman voluntarily, then he will not be entitled to receive any payments beyond amounts already earned, and any unvested equity awards will terminate. If the Company terminates his employment agreement without Cause, not in connection with a Change of Control, as such term is defined in his employment agreement, Mr. Schneiderman will be entitled to (i) all salary owed through the date of termination; (ii) any unpaid annual milestone bonus; (iii) severance in the form of continuation of his salary for the greater of a period of 6 months following the termination date or the remaining term of the employment agreement; (iv) payment of premiums to cover COBRA for a period of 6 months following the termination date; (v) a prorated annual bonus equal to the target annual milestone bonus, if any, for the year of termination multiplied by the formula set forth in the agreement. If the Company terminates his employment agreement without Cause, in connection with a Change of Control, as such term is defined in his employment agreement, Mr. Schneiderman will be entitled to the above and immediate accelerated vesting of any unvested options or other unvested awards.
Dr. James E. Pennington
Effective May 28, 2018, the Company entered into an employment agreement with Mr. Pennington to serve as its Chief Medical Officer. The employment agreement with Dr. Pennington provides for a base annual salary of $250,000. In addition to his salary, Dr. Pennington is eligible to receive an annual milestone bonus, awarded at the sole discretion of the Board based on his attainment of certain financial, clinical development, and/or business milestones established annually by the Board or Compensation Committee. The Company may terminate Mr. Pennington’s employment agreement at any time, with or without Cause, as such term is defined in his employment agreement. In the event of termination by the Company other than for Cause, Dr. Pennington is entitled to three months’ severance payable over such period. In the event of termination by the Company other than for Cause in connection with a Change of Control as such term is defined in his employment agreement, Dr. Pennington will receive six months’ severance payable over such period.
On June 28, 2018, Mr. Pennington was granted stock options to purchase 75,000 shares of Common Stock with a strike price equal to $3.04 per share, issuable pursuant to the 2014 Plan, subject to vesting conditions as follows: (i) 50% upon U.S. acceptance of an IND for MS1819, and (ii) 50% upon the first CF patient dosed with MS1819 anywhere in the world.
On June 13, 2019, Mr. Pennington was granted stock options to purchase 110,000 shares of Common Stock with a strike price equal to $1.75 per share, issuable pursuant to the 2014 Plan, that vest upon the completion of enrollment of the next MS1819 clinical trial in the U.S. for CF (the OPTION 2 Trial).
On June 13, 2019, the Board approved and accrued an incentive bonus in the amount of $75,000, which was paid during the year ended December 31, 2019.
F-58
DRAFT
Johan (Thijs) Spoor
On January 3, 2016, the Company entered into an employment agreement with its former President and Chief Executive Officer, Johan Spoor. The employment agreement provided for a term expiring January 2, 2019. Although Mr. Spoor’s employment agreement has expired, he remained employed as the Company’s President and Chief Executive Officer under the terms of his prior employment agreement through his resignation as the Company’s President and Chief Executive Officer effective October 8, 2019. Mr. Spoor continues to serve as a director on the Board of the Company.
The employment agreement with Mr. Spoor provided for a base salary of $425,000 per year. At the sole discretion of the Board or the Compensation Committee of the Board, following each calendar year of employment, Mr. Spoor was eligible to receive an additional cash bonus based on his attainment of certain financial, clinical development, and/or business milestones to be established annually by the Board or the Compensation Committee.
Mr. Spoor was originally entitled to 10-year stock options to purchase 380,000 shares of Common Stock, pursuant to the 2014 Plan. During the year ended December 31, 2017, stock options to purchase 100,000 shares of Common Stock with a strike price of $4.48 per share with a grant date fair value of $386,900 were granted and vested.
On September 29, 2017, Mr. Spoor was granted 100,000 shares of restricted Common Stock subject to milestone-based vesting, in satisfaction of the Company’s obligation to issue the additional 280,000 options to Mr. Spoor described above, with an estimated grant date fair value of $425,000. During the year ended December 31, 2018, all 100,000 shares of restricted Common Stock vested. These stock options were cancelled as a result of Mr. Spoor’s resignation.
On June 28, 2018, Mr. Spoor was granted and accrued 100,000 shares of restricted Common Stock subject to milestone-based vesting. During the year ended December 31, 2018, 33,333 of these shares of restricted Common Stock vested. During the year ended December 31, 2019, 66,667 of these shares of restricted Common Stock vested.
On June 28, 2018, Mr. Spoor was granted 100,000 shares of restricted Common Stock subject to time-based vesting over three years. During the year ended December 31, 2018, 8,333 shares of restricted Common Stock vested. During the year ended December 31, 2019, 33,334 shares of restricted Common Stock vested. The 58,333 unvested shares of restricted Common Stock were forfeited upon Mr. Spoor’s resignation.
On June 28, 2018, the Board approved and accrued an incentive bonus in the amount of $212,500, which was paid during the year ended December 31, 2018.
On June 13, 2019, Mr. Spoor was granted stock options to purchase 150,000 shares of Common Stock, subject to milestone-based vesting, with a strike price of $1.75 per share. These unvested stock options were cancelled as a result of Mr. Spoor’s resignation.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $255,000. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed by the Company, which determination is being challenged by Mr. Spoor.
Mr. Spoor received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Spoor were cancelled as a result of Mr. Spoor’s resignation. There are 241,667 earned and unissued shares of restricted Common Stock due to Mr. Spoor.
F-59
DRAFT
Maged Shenouda
On September 26, 2017, the Company entered into an employment agreement with Maged Shenouda, pursuant to which Mr. Shenouda served as the Company’s Chief Financial Officer.
Mr. Shenouda’s employment agreement provided for the issuance of stock options to purchase 100,000 shares of Common Stock, pursuant to the 2014 Plan, with a strike price of $4.39 per share and a term of ten years. These stock options vested as follows so long as Mr. Shenouda served as either Executive Vice-President of Corporate Development or as Chief Financial Officer: (i) 75% upon FDA acceptance of a U.S. IND application for MS1819, and (ii) 25% upon the Company completing a Phase IIa clinical trial for MS1819. During the year ended December 31, 2018, these stock options vested.
On June 28, 2018, Mr. Shenouda was granted stock options to purchase 100,000 shares of Common Stock, pursuant to the 2014 Plan, with a strike price of $3.04 per share and a term of five years, subject to vesting conditions as follows: (i) 50% upon U.S. acceptance of an IND for MS1819, and (ii) 50% upon the first CF patient doses with MS1819 anywhere in the world.
During the year ended December 31, 2018, stock options to purchase 50,000 shares of Common Stock, pursuant to the 2014 Plan, vested and approximately $103,650 was recognized and expensed as stock-based compensation. During the year ended December 31, 2019, stock options to purchase 50,000 shares of Common Stock vested due to the first dosing of CF patients with MS1819 anywhere in the world and approximately $103,650 was recognized and expensed as stock-based compensation.
On June 28, 2018, the Board approved and accrued an incentive bonus in the amount of $82,500, which was paid during the year ended December 31, 2018.
On June 13, 2019, Mr. Shenouda was granted stock options to purchase 100,000 shares of Common Stock, pursuant to the 2014 Plan, with a strike price of $1.75 per share and a term of five years, that vest upon the completion of enrollment of the next trial of MS 1819 in the U.S. These unvested stock options were cancelled as a result of Mr. Shenouda’s resignation.
On June 28, 2019, the Compensation Committee approved the accrual of an incentive bonus in the amount of $100,000. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed, and the Company reversed the accrual in the quarter ended December 31, 2019.
Mr. Shenouda resigned from his position as the Company’s Chief Financial Officer effective November 30, 2019. Mr. Shenouda received no additional or severance compensation and all unvested stock options and shares of restricted Common Stock granted to Mr. Shenouda were cancelled as a result of Mr. Shenouda’s resignation. Mr. Shenouda has a period of twelve months following his resignation to exercise all vested stock options.
Note 16 - Leases
The Company adopted ASU 2016-02, Leases, as of January 1, 2019, using the modified retrospective approach. Prior year financial statements were not recast under the new standard.
The Company leases its office and research facilities under operating leases which are subject to various rent provisions and escalation clauses expiring at various dates through 2020. The escalation clauses are indeterminable and considered not material and have been excluded from minimum future annual rental payments.
For the years ended December 31, 2019 and 2018, lease expense amounted to $198,061 and $147,051, respectively.
F-60
DRAFT
The weighted-average remaining lease term and weighted-average discount rate under operating leases at December 31, 2019 were:
December 31,
2019
Lease term and discount rate
Weighted-average remaining lease term
 0.85 years
Weighted-average discount rate
6.0%
Maturities of operating lease liabilities at December 31, 2019 were as follows:
2020
  87,008 
Total lease payments
  87,008 
Less imputed interest
  (3,773)
Present value of lease liabilities
 $83,235 
Note 17 - Income Taxes
The Company is subject to taxation at the federal level in both the United States and France and at the state level in the United States. At December 31, 2019 and 2018, the Company had no tax provision for either jurisdictions.
At December 31, 2019 and 2018, the Company had gross deferred tax assets of approximately $16,372,000 and $12,490,000, respectively. As the Company cannot determine that it is more likely than not that the Company will realize the benefit of the deferred tax asset, a valuation allowance of approximately $16,372,000 and $12,490,000, respectively, has been established at December 31, 2019 and 2018. The change in the valuation allowance in 2019 and 2018 was $3,882,000 and $2,572,000, respectively.
As of December 31, 2019, and 2018, the significant components of the Company’s net deferred tax assets consisted of:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Gross deferred tax assets:
 
 
 
 
 
 
   Net operating loss carry-forwards
 $16,197,000 
 $12,019,000 
   Temporary differences:
    
    
        Stock compensation
  199,000 
  303,000 
        Accruals
  136,000 
  124,000 
        Other
  131,000 
  44,000 
        Amortization
  (291,000)
  - 
   Deferred tax asset valuation allowance
  (16,372,000)
  (12,490,000)
Net deferred tax asset
 $- 
 $- 
F-61
DRAFT
Income taxes computed using the federal statutory income tax rate differs from the Company’s effective tax rate primarily due to the following:
 
 
December 31,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Income taxes benefit (expense) at statutory rate
  21%
  21%
State income tax
  14%
  14%
Non-deductible expense
  (5%)
  (6%)
Change in valuation allowance
  (30%)
  (29%)
 
  0%
  0%
At December 31, 2019, the Company has gross net operating loss (“NOL”) carryforwards for U.S. federal and state income tax purposes of approximately $29,320,000 and $27,764,000, respectively. The NOL’s expire between the years 2034 and 2039. The Company’s ability to use its NOL carryforwards may be limited if it experiences an “ownership change” as defined in Section 382 (“Section 382”) of the Internal Revenue Code of 1986, as amended. An ownership change generally occurs if certain stockholders increase their aggregate percentage ownership of a corporation’s stock by more than 50 percentage points over their lowest percentage ownership at any time during the testing period, which is generally the three-year period preceding any potential ownership change.
At December 31, 2019 and 2018, the Company had approximately $19,475,000 and $15,406,000, respectively, in net operating losses which it can carryforward indefinitely to offset against future French income.
At December 31, 2019 and 2018, the Company had taken no uncertain tax positions that would require disclosure under ASC 740, Accounting for Income Taxes.
Note 18 - Net Loss per Common Share
Basic net loss per share is computed by dividing net loss available to Common Stockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per share reflect, in periods in which they have a dilutive effect, the impact of common shares issuable upon exercise of stock options and warrants and conversion of convertible debt that are not deemed to be anti-dilutive. The dilutive effect of the outstanding stock options and warrants is computed using the treasury stock method.
At December 31, 2019, diluted net loss per share did not include the effect of 3,671,055 shares of Common Stock issuable upon the conversion of convertible debt, 5,378,288 shares of Common Stock issuable upon the exercise of outstanding warrants, 632,667 shares of restricted stock not yet issued, and 1,677,500 shares of Common Stock issuable upon the exercise of outstanding options as their effect would be antidilutive during the periods prior to conversion.
At December 31, 2018, diluted net loss per share did not include the effect of 3,112,715 shares of Common Stock issuable upon the exercise of outstanding warrants, 416,000 shares of restricted stock not yet issued, and 994,000 shares of Common Stock issuable upon the exercise of outstanding options as their effect would be antidilutive during the periods prior to conversion.
F-62
DRAFT
Note 19 - Related Party Transactions

Johan (Thijs) Spoor
During the year ended December 31, 2015, the Company employed the services of JIST Consulting (“JIST”), a company controlled by Johan (Thijs) Spoor, the Company’s former Chief Executive Officer and 2014,President, as a consultant for business strategy, financial modeling, and fundraising. Included in accounts payable at December 31, 2019 and 2018, is $348,400 and $478,400, respectively, for JIST relating to Mr. Spoor’s services. Mr. Spoor received no other compensation from the Company other than as specified in his employment agreement. On October 8, 2019, Mr. Spoor resigned as Chief Executive Officer and President of the Company.

On June 29, 2019, the Company accrued an incentive bonus in the amount of $255,000 payable to Mr. Spoor. Subsequent to Mr. Spoor’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount was not owed, which determination is being challenged by Mr. Spoor. As a result of management’s determination, the Company reversed the accrual in the quarter ended December 31, 2019.
In addition, Mr. Spoor is entitled to 241,667 shares of restricted Common Stock with a grant date fair value of $855,668 that have not been issued.  Management is currently negotiating with Mr. Spoor regarding the amounts, if any, that should be paid to Mr. Spoor relating to payments due to JIST, any bonus payable, as well as the equity awards due to Mr. Spoor.
Maged Shenouda
From October 1, 2016 until his appointment as the Company’s Chief Financial Officer on September 25, 2017, the Company employed the services of Maged Shenouda as a financial consultant. Included in accounts payable at December 31, 2019 and 2018 is $10,000 and $50,000, respectively, for Mr. Shenouda’s services. On November 1, 2019, Mr. Shenouda submitted his resignation as Chief Financial Officer of the Company, effective November 30, 2019.
On June 29, 2019, the Company accrued an incentive bonus in the amount of $100,000 payable to Mr. Shenouda. Subsequent to Mr. Shenouda’s resignation, the Compensation Committee reviewed the accrued bonus and determined that such amount should not be paid, and the Company reversed the accrual in the quarter ended December 31, 2019.
Christine Rigby-Hutton
During the year ended December 31, 2015, the Company's President, Christine Rigby-Hutton, was employed through Rigby-Hutton Management Services (“RHMS”RHMS). Expense recorded in general and administrative expense in the accompanying statements of operations related to RHMS for the years ended December 31, 2015 and 2014 was $27,750 and $99,142, respectively. Included in accounts payable at March 31, 2016, December 31, 2015 and 2014 is $38,453, $38,453 and $80,430, respectively, for RHMS for Ms. Rigby-Hutton’s services. Ms. Rigby-Hutton received no other compensation from the Company other than reimbursement of related travel expenses. Ms. Rigby-Hutton resigned from the Company effective April 20, 2015.

F-24

Notes to Consolidated Financial Statements, AzurRx Biopharma Inc., March 31, 2016, December 31, 2015 and 2014 (Information pertaining to the three month periods ended March 31, 2016 and 2015 are unaudited)
From October 1, 2015 through December 31, 2015, the Company used the services of Edward Borkowski, a member of the Board of Directors and the Company’s audit committee chair, as a financial consultant. Expense recorded in general and administrative expense in the accompanying statements of operations related to Mr. Borkowski for the year ended December 31, 2015 was $90,000. Included in accounts payable at March 31, 2016 andboth December 31, 20152019 and 2018 is $90,000$38,453 for Mr. Borkowski’sRHMS for Ms. Rigby-Hutton’s services. Mr. Borkowski received no other
Note 20 - Employee Benefit Plans
401(k) Plan
The Company sponsors a multiple employer defined contribution benefit plan, which complies with Section 401(k) of the Internal Revenue Code covering substantially all employees of the Company.
All employees are eligible to participate in the plan. Employees may contribute from 1% to 100% of their compensation fromand the Company other than reimbursementmatches an amount equal to 100% on the first 6% of the employee contribution and may also make discretionary profit-sharing contributions.
Employer contributions under this 401(k) plan amounted to $63,109 and $40,901 for the years ended December 31, 2019 and 2018, respectively.
Note 21 – Subsequent Events
Coronavirus Disease (COVID-19)
Beginning around January 2020, the COVID-19 outbreak originating in Wuhan, China has spread globally and may impact the Company’s operations and delay current and planned clinical trial operations in Europe and the U.S., including, but not limited to clinical trial recruitment and participation. Given the uncertainty of the situation, the duration of the business disruption and related travel expenses. financial impact cannot be reasonably estimated at this time. The impact of COVID-19 is evolving rapidly and its future effects are uncertain, management is responding to this crisis and anticipates the need to secure additional financing in response to any potential disruptions or delays due to the COVID-19 outbreak.
Termination of TransChem License Agreement
On October 14, 2014March 11, 2020, the Company provided TransChem with sixty (60) days prior written notice of its intent to terminate the TransChem Sublicense Agreement and the licenses granted thereunder.
Issuance of shares of Common Stock to Settle Accounts Payable
Effective March 12, 2015,11, 2020, The Company issued its outside Board members an aggregate of 105,937 shares of Common Stock for the settlement of accounts payable in the aggregate amount of $131,149. The aggregate effective settlement price was $1.24 per share, and each individual stock issuance was based on the closing stock price of the Common Stock on the initial date the payable was accrued.


F-63
DRAFT
Benefit of French Tax Credit Received
On March 2, 2020, the Company announced that it has benefited from certain tax credits applicable to French technology companies through its wholly-owned subsidiary, AzurRx SAS resulting in a credit of over 1 million Euros in the French Crédit d’impôt Recherche ("CIR"), a French tax credit aimed at stimulating research activities.
LPC Equity Line of Credit
In February 2020, the Company issued original issue discounted convertible notes150,000 shares of Common Stock in connection with the LPC Purchase Agreement, resulting in gross proceeds to Edward Borkowski,the Company of $144,000.
Continued Nasdaq Listing
On March 23, 2020, the Company received a directorletter from the Listing Qualifications Staff of The Nasdaq Stock Market, LLC ("Nasdaq") indicating that, based upon the closing bid price of the Company's Common Stock for the last 30 consecutive business days, the Company is not currently in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing on the Nasdaq Capital Market, as set forth in Nasdaq Listing Rule 5550(a)(2) (the "Notice").
The Notice has no immediate effect on the continued listing status of the Company's Common Stock on the Nasdaq Capital Market, and, therefore, the Company’s audit committee chair,Company's listing remains fully effective.
The Company will continue to monitor the closing bid price of its Common Stock and seek to regain compliance with all applicable Nasdaq requirements within the allotted compliance periods. To regain compliance, the closing bid price of the Company's Common Stock must be at least $1.00 per share for 10 consecutive business days at some point during the period of 180 calendar days from the date of the Notice, or until September 21, 2020. If the Company does not regain compliance with the minimum bid price requirement by September 21, 2020, Nasdaq may grant the Company a second period of 180 calendar days to regain compliance. To qualify for this additional compliance period, the Company would be required to meet the continued listing requirement for market value of publicly held shares and all other initial listing standards for the Nasdaq Capital Market, other than the minimum bid price requirement. In addition, the Company would also be required to notify Nasdaq of its intent to cure the minimum bid price deficiency. If the Company does not regain compliance within the allotted compliance periods, including any extensions that may be granted by Nasdaq, Nasdaq will provide notice that the Company's Common Stock will be subject to delisting. The Company would then be entitled to appeal that determination to a Nasdaq hearings panel. There can be no assurance that the Company will regain compliance with the minimum bid price requirement during the 180-day compliance period, secure a second period of 180 days to regain compliance, or maintain compliance with the other Nasdaq listing requirements.
 F-64

January 2020 Closings of the Promissory Note Offering
On January 2, 2020, January 3, 2020, and January 9, 2020, the Company issued the Note Investors Promissory Notes in the aggregate principal amount of $300,000. The notes will automatically convert into$3,517,700 and Note Warrants to purchase an aggregate of 1,813,257 shares of Common Stock for total net proceeds of $3,240,930.
In connection with the Company’s common stock uponthree closings in January 2020 of the consummationPromissory Note Offering, the Company paid aggregate placement agent fees of this offering at a conversion price equal$276,770, which fees were based on (i) 9% of the aggregate principal amount of the Promissory Notes issued to the principal amount dividedNote Investors introduced by the lesserplacement agent, and (ii) a non-accountable expense allowance of $6.45 per share or the per share price1% of the Company’s common stock in this offering, multiplied by 80%. Mr. Borkowski has signedgross proceeds from the Promissory Note Offering. In addition, the Company issued Placement Agent Warrants to purchase an exchange agreement related to these notes as detailed in Note 10 above.aggregate of 199,732 shares of Common Stock.
 
On August 31, 2014, January 31, 2015, February 28, 2015 and May 31, 2015,9, 2020, the Company concluded the Promissory Note Offering. In aggregate, the Company issued promissory notes to Matthew Balk and his affiliatesthe Note Investors Promissory Notes in the aggregate principal amount of $236,000. These notes have been repaid in full as$6,904,000 and Note Warrants to $50,000 on November 11, 2014, $111,000 on April 3, 2015, and $75,000 on August 7, 2015.  Mr. Balk holds voting and dispositive power over thepurchase an aggregate of 3,558,795 shares held by Pelican Partners LLC, which owns 40%, 47%, and 64%, respectively, of the outstanding common stockCommon Stock for total net proceeds of the Company as of March 31, 2016 and December 31, 2015 and 2014.
In July 2014,$6,234,600. Additionally, the Company issued promissory notesPlacement Agent Warrants to Johan M. (Thijs) Spoor, the Company’s President, Chief Operating Officer and Chairmanpurchase an aggregate of the Board, in the aggregate principal amount444,108 shares of $10,000. These notes were repaid in full as to $5,000 on October 17, 2014 and $5,000 on November 10, 2014.


Common Stock.
 
AZURRX BIOPHARMA, INC.On January 2, 2020, the Company repaid the remaining principal balance of $450,000 plus outstanding accrued interest of $104,153 on the ADEC Notes.
 
 

  
 2,142,857   Shares
Common Stock


PROSPECTUS
WallachBeth Capital, LLC                              Network 1 Financial Securities, Inc.

Through and including        , 2016 (the 25th day after the date of this prospectus), all dealers effecting transactions in these securities, whether or not participating in this offering, may be required to deliver a prospectus. This requirement is in addition to a dealers’ obligation to deliver a prospectus when acting as an underwriter and with respect to an unsold allotment or membership.PART II
 

PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
 
Item 13. Other Expenses of Issuance and Distribution
 
The following table sets forth the variouscosts and expenses, all of which will be borneother than placement agent fees, paid or payable by the registrant,Registrant, in connection with the sale and distribution of the securities being registered, other than the underwriting discounts and commissions.registered. All amounts shown are estimatesestimated except for the SEC registration fee and the FINRA filing fee.
 
SEC registration fee $1,510.50 
FINRA fees $3,950.00 
Printing and engraving expenses $5,000.00 
Accounting fees and expenses $425,000.00 
Legal fees and expenses $
300,000.00
 
Miscellaneous $14,579.50 
Total $750,000.00 
Item
Amount
SEC registration fee
$1,427.02
Legal fees and expenses
274,000
Accounting fees and expenses
15,000
Printing and engraving expenses
2,000
Transfer agent and registrar fees and expenses
2,000
Miscellaneous fees and expenses
3,572.98
Total
$298,000
 
Item 14. Indemnification of Directors and Officers.Officers
 
Amended and Restated Bylaws
 
Pursuant to our bylaws, our directors and officers will be indemnified to the fullest extent allowed under the laws of the State of Delaware for their actions in their capacity as our directors and officers.
 
We must indemnify any person made a party to any threatened, pending, or completed action, suit, or proceeding, whether civil, criminal, administrative, or investigative (“Proceeding”) by reason of the fact that he is or was a director, against judgments, penalties, fines, settlements and reasonable expenses (including attorney’s fees) (“Expenses”) actually and reasonably incurred by him in connection with such Proceeding if: (a) he conducted himself in good faith, and: (i) in the case of conduct in his own official capacity with us, he reasonably believed his conduct to be in our best interests, or (ii) in all other cases, he reasonably believes his conduct to be at least not opposed to our best interests; and (b) in the case of any criminal Proceeding, he had no reasonable cause to believe his conduct was unlawful.
 
We must indemnify any person made a party to any Proceeding by or in the right of us, by reason of the fact that he is or was a director, against reasonable expenses actually incurred by him in connection with such proceeding if he conducted himself in good faith, and: (a) in the case of conduct in his official capacity with us, he reasonably believed his conduct to be in our best interests; or (b) in all other cases, he reasonably believed his conduct to be at least not opposed to our best interests; provided that no such indemnification may be made in respect of any proceeding in which such person shall have been adjudged to be liable to us.
 
No indemnification will be made by unless authorized in the specific case after a determination that indemnification of the director is permissible in the circumstances because he has met the applicable standard of conduct.
 
Reasonable expenses incurred by a director who is party to a proceeding may be paid or reimbursed by us in advance of the final disposition of such Proceeding in certain cases.
 
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We have the power to purchase and maintain insurance on behalf of any person who is or was our director, officer, employee, or agent or is or was serving at our request as an officer, employee or agent of another corporation, partnership, joint venture, trust, other enterprise, or employee benefit plan against any liability asserted against him and incurred by him in any such capacity or arising out of his status as such, whether or not we would have the power to indemnify him against such liability under the provisions of the amended and restated bylaws.


Delaware Law
 
We are incorporated under the laws of the State of Delaware. Section 145 of the Delaware General Corporation Law provides that a Delaware corporation may indemnify any persons who are, or are threatened to be made, parties to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative (other than an action by or in the right of such corporation), by reason of the fact that such person was an officer, director, employee or agent of such corporation, or is or was serving at the request of such person as an officer, director, employee or agent of another corporation or enterprise. The indemnity may include expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such action, suit or proceeding, provided that such person acted in good faith and in a manner he or she reasonably believed to be in or not opposed to the corporation’s best interests and, with respect to any criminal action or proceeding, had no reasonable cause to believe that his or her conduct was illegal. A Delaware corporation may indemnify any persons who are, or are threatened to be made, a party to any threatened, pending or completed action or suit by or in the right of the corporation by reason of the fact that such person was a director, officer, employee or agent of such corporation, or is or was serving at the request of such corporation as a director, officer, employee or agent of another corporation or enterprise. The indemnity may include expenses (including attorneys’ fees) actually and reasonably incurred by such person in connection with the defense or settlement of such action or suit provided such person acted in good faith and in a manner he or she reasonably believed to be in or not opposed to the corporation’s best interests except that no indemnification is permitted without judicial approval if the officer or director is adjudged to be liable to the corporation. Where an officer or director is successful on the merits or otherwise in the defense of any action referred to above, the corporation must indemnify him or her against the expenses which such officer or director has actually and reasonably incurred. Our amended and restated certificate of incorporation and amended and restated bylaws provide for the indemnification of our directors and officers to the fullest extent permitted under the Delaware General Corporation Law.
 
Section 102(b)(7) of the Delaware General Corporation Law permits a corporation to provide in its certificate of incorporation that a director of the corporation shall not be personally liable to the corporation or its stockholders for monetary damages for breach of fiduciary duties as a director, except for liability for any:
 
transaction from which the director derives an improper personal benefit;
act or omission not in good faith or that involves intentional misconduct or a knowing violation of law;
unlawful payment of dividends or redemption of shares; or
breach of a director’s duty of loyalty to the corporation or its stockholders.
transaction from which the director derives an improper personal benefit;
act or omission not in good faith or that involves intentional misconduct or a knowing violation of law;
unlawful payment of dividends or redemption of shares; or
breach of a director’s duty of loyalty to the corporation or its stockholders.
 
Our amended and restated certificate of incorporation and amended and restated bylaws include such a provision. Expenses incurred by any officer or director in defending any such action, suit or proceeding in advance of its final disposition shall be paid by us upon delivery to us of an undertaking, by or on behalf of such director or officer, to repay all amounts so advanced if it shall ultimately be determined that such director or officer is not entitled to be indemnified by us.
 
Section 174 of the Delaware General Corporation Law provides, among other things, that a director who willfully or negligently approves of an unlawful payment of dividends or an unlawful stock purchase or redemption may be held liable for such actions. A director who was either absent when the unlawful actions were approved, or dissented at the time, may avoid liability by causing his or her dissent to such actions to be entered in the books containing minutes of the meetings of the board of directors at the time such action occurred or immediately after such absent director receives notice of the unlawful acts.


Indemnification Agreements
 
As permitted by the Delaware General Corporation Law, we have entered, and intend to continue to enter, into separate indemnification agreements with each of our directors and executive officers, that require us to indemnify such persons against any and all expenses (including attorneys’ fees), witness fees, damages, judgments, fines, settlements and other amounts incurred (including expenses of a derivative action) in connection with any action, suit or proceeding, whether actual or threatened, to which any such person may be made a party by reason of the fact that such person is or was a director, an officer or an employee of us or any of our affiliated enterprises, provided that such person acted in good faith and in a manner such person reasonably believed to be in or not opposed to our best interests and, with respect to any criminal proceeding, had no reasonable cause to believe his or her conduct was unlawful. The indemnification agreements also set forth certain procedures that will apply in the event of a claim for indemnification thereunder.
 
At present, there is no pending litigation or proceeding involving any of our directors or executive officers as to which indemnification is required or permitted, and we are not aware of any threatened litigation or preceding that may result in a claim for indemnification.
 
We have an insurance policy covering itsour officers and directors with respect to certain liabilities, including liabilities arising under the Securities Act or otherwise.
 
Insofar as indemnification for liabilities arising under the Securities Act may be permitted to our directors, officers or controlling persons, we have been advised that in the opinion of the SEC this indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable.
 
Item 15. Recent SalesResales of Unregistered Securities.Securities
 
On December 7, 2018, we entered into an asset sale and purchase agreement (the “Protea Purchase Agreement”) with Protea Biosciences Group, Inc. and its wholly owned subsidiary, Protea Biosciences, Inc. (“Protea”), pursuant to which we agreed to purchase the rights to any milestone payments, royalty payments, and transaction value consideration due from us to the Protea now or in the future. Pursuant to the Protea Purchase Agreement, the purchase price was $1,550,000, of which $250,000 was paid by us in cash and the remaining $1,300,000 was paid by the issuance of restricted shares of Common Stock at a price of $1.77 per share. The information below lists allissuance of the securities sold by us during the past three years which were not registeredshares of Common Stock to Protea was exempt from registration under the Securities Act:Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder).
On February 14, 2019, we entered into a Note Purchase Agreement (the “NPA”), with ADEC Private Equity Investments, LLC (“ADEC”), pursuant to which we issued to ADEC two Senior Convertible Promissory Notes in the principal amount of $1.0 million per note, resulting in gross proceeds to the Company of $2.0 million.
On April 2, 2019, in connection with a public offering of our Common Stock and pursuant to a Selling Agent Agreement, we issued warrants to the selling agent to purchase up to 38,848 shares of Common Stock. The warrants expire on April 2, 2024 and have an exercise price of $2.55 per share. The sale of the warrants was exempt from registration under the Securities Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder).
On May 13, 2019, in connection with a public offering of our Common Stock and pursuant to a Selling Agent Agreement, we issued warrants to the selling agent to purchase up to 36,815 shares of Common Stock. The warrants expire on May 9, 2024 and have an exercise price of $2.82 per share. The sale of the warrants was exempt from registration under the Securities Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder).

On July 22, 2019, in connection with a public offering of our Common Stock and pursuant to an Underwriting Agreement, issued unregistered warrants to the underwriter to purchase up to 200,000 shares of common stock. The warrants expire on July 17, 2024 and have an exercise price of $1.25 per share. The sale of the warrants was exempt from registration under the Securities Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder).
On November 13, 2019, we issued to an investor 487,168 shares of Common Stock as commitment shares in consideration for entering into an equity line agreement with us.
 
Between December 20, 2019 and January 30, 2014 and September 2015,9, 2020, we sold 100 sharessenior convertible promissory notes to investors in the aggregate principal amount of Series A Convertible Preferred Stock and 3,584,321 shares of common stock.
Commencing on July 22, 2014, the Company, through a series of transactions with various investors, raised $896,000 through the issuance and sale of its promissory notes.
Commencing on October 10, 2014, the Company, through a series of transactions with various investors, raised $9,162,526 through the issuance and sale of its original issue discounted convertible notes$2,942,700 and warrants to purchase an aggregate of 2,128,683up to 1,516,888 shares of common stock.Common Stock. We issued to the placement agent in the offering warrants to purchase an aggregate of 498,229 shares of Common Stock. The sale of the warrants was exempt from registration under the Securities Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder).
 
InOn July 2016, the Company16, 2020, we issued an aggregate of 105,0002,912.583124 shares of restricted stockSeries B Convertible Preferred Stock, at a price of $7,700.00 per share, initially convertible into an aggregate of 29,125,833 shares of our Common Stock at $0.77 per share, together with Series B Warrants to purchase an aggregate of 14,562,957 shares of Common Stock at an exercise price of $0.85 per share. An aggregate of 1,975.578900 shares of Series B Preferred Stock initially convertible into 19,755,795 shares of Common Stock and related 7,379,790 Series B Warrants were issued for cash consideration, resulting in aggregate gross proceeds to us of approximately $15.2 million. In addition, the balance of an aggregate of 937.004221 shares of Series B Preferred Stock initially convertible into 9,370,039 shares of Common Stock and related Series B Warrants to purchase 4,685,040 shares of Common Stock was issued to certain investors in exchange for consideration consisting of approximately $6.9 million aggregate outstanding principal amount, together with accrued and unpaid interest thereon of approximately $0.3 million, of certain Senior Convertible Promissory Notes issued between December 20, 2019 and January 9, 2020. As additional consideration to the Company’s non-executive membersExchange Investors, we also issued certain additional warrants to purchase an aggregate of its board1,772,972 shares of directors.Common Stock at an exercise price of $0.85 per share. We issued to the placement agent in the offerings warrants to purchase up to 7.0% of the aggregate number of shares of Common Stock underlying the Series B Preferred Stock sold for cash consideration in the Private Placement, or 1,377,458 shares. The issuance of these securities was made pursuant to Section 4(2) of the Securities Act, and the rules promulgated thereunder, to accredited investors.
 
During the period from April 6, 2020 through May 22, 2020, we sold an aggregate of 1,345,199 shares of Common Stock pursuant to an equity line agreement, from which we derived approximately $869,000 in net proceeds. The sales of these shares under the equity line agreement was exempt from registration under the Securities Act of 1933, as amended, in reliance upon Section 4(a)(2) (or Regulation D promulgated thereunder). 
These
On January 5, 2021, in a private placement offering we sold to an investor 5,333.3333 shares of Series C Preferred Stock, which shares are convertible into an aggregate of 5,333,334 shares of Common Stock, together with warrants to purchase up to an aggregate of 10,666,668 shares of Common Stock, with an exercise price of $0.80 per share and an expiration term of five and one-half years from the date of issuance. The aggregate gross proceeds from the offering, excluding the net proceeds, if any, from the exercise of the Private Placement Warrants will be approximately $8.0 million. The issuance of these securities was made pursuant to Section 4(2) of the Securities Act, and the rules promulgated thereunder, to accredited investors.
On January 8, 2021, in connection with entering into a license agreement with a third party, we entered into a securities purchase agreement where we issued 3,290.1960 shares of Series C Preferred Stock, initially convertible into an aggregate of 3,290,196 shares of Common Stock, at an initial stated value of $750.00 per share and a conversion price of $0.75 per share. The Series C Preferred Stock issued, together with any Common Stock issuable upon conversion, were issued pursuant towithout registration under the exemption from registrationSecurities Act in reliance on the exemptions provided by Section 4(a)(2) of the Securities Act of 1933, as amended, and Rule 506 of Regulation D promulgated thereunder, in reliance on the recipient’s status as an “accredited investor” as defined in Rule 501(a) of Regulation D, except for the restricted stock grants which were issued pursuant to Rule 701 or Rule 506.
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transactions not involving a public offering.
 
Item 16. Exhibits and Financial Statement Schedules.
 
(a)            The following exhibits are filed as part of
Exhibits
See the Exhibit Index attached to this Registration Statement:Statement, which is incorporated by reference herein.
 
1.1
Form of Underwriting Agreement**(b)            
Financial Statement Schedules
3.1
Amended and Restated Certificate of Incorporation of the Registrant**
3.2
Amended and Restated Bylaws of the Registrant**
4.1
Form of Common Stock Certificate**
4.2
Form of Investor Warrant**
4.3
Form of Underwriter Warrant
5.1
Opinion of Loeb & Loeb LLP regarding legality**
10.1
Stock Purchase Agreement dated May 21, 2014 between the Registrant, Protea Biosciences Group, Inc. and its wholly-owned subsidiary, Protea Biosciences, Inc.**
10.2
Amended and Restated Joint Research and Development Agreement dated January 1, 2014 between the Registrant and Mayoly+**
10.3
Amended and Restated AzurRx BioPharma, Inc. 2014 Omnibus Equity Incentive Plan**
10.4
Employment Agreement between the Registrant and Mr. Spoor**
14.1
Code of Ethics of AzurRx BioPharma, Inc. Applicable To Directors, Officers And Employees**
21.1
Subsidiaries of the Registrant**
23.1
Consent of WeiserMazars LLP, independent registered public accounting firm
23.2
Consent of Loeb & Loeb LLP (included in Exhibit 5.1)**
24.1
Power of Attorney (included on signature page)**
 
**   Previously filed.
No financial statement schedules are provided because the information called for is not required or is shown either in the financial statements or the notes thereto.
 
+   Confidential treatment has been granted with respect to portions of this exhibit.
 
 
Item 17. Undertakings.Undertakings
 
The undersigned registrant hereby undertakesundertakes:
1. To file, during any period in which offers or sales are being made, a post-effective amendment to providethis registration statement:
i. 
To include any prospectus required by section 10(a)(3) of the Securities Act of 1933;
ii. 
To reflect in the prospectus any facts or events arising after the effective date of the registration statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the registration statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the Securities and Exchange Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than 20% change in the maximum aggregate offering price set forth in the “Calculation of Registration Fee” table in the effective registration statement.
iii. 
To include any material information with respect to the underwritersplan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement, provided, however, that paragraphs (1)(i), (1)(ii) and (1)(iii) do not apply if the information required to be included in a post-effective amendment by those paragraphs is contained in reports filed with or furnished to the Commission by the registrant pursuant to Section 13 or 15(d) of the Exchange Act that are incorporated by reference in the registration statement.
2. That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
3. To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the closing specifiedtermination of the offering.
4. That, for the purpose of determining liability under the Securities Act of 1933 to any purchaser, each prospectus filed pursuant to Rule 424(b) as part of a registration statement relating to an offering, other than registration statements relying on Rule 430B or other than prospectuses filed in reliance on Rule 430A, shall be deemed to be part of and included in the registration statement as of the date it is first used after effectiveness. Provided, however, that no statement made in a registration statement or prospectus that is part of the registration statement or made in a document incorporated or deemed incorporated by reference into the registration statement or prospectus that is part of the registration statement will, as to a purchaser with a time of contract of sale prior to such first use, supersede or modify any statement that was made in the registration statement or prospectus that was part of the registration statement or made in any such document immediately prior to such date of first use.
5. That, for the purpose of determining liability of the registrant under the Securities Act of 1933 to any purchaser in the initial distribution of the securities, regardless of the underwriting agreement, certificates inmethod used to sell the securities to the purchaser, if the securities are offered or sold to such denominationspurchaser by means of any of the following communications, the registrant will be a seller to the purchaser and registered inwill be considered to offer or sell such names as requiredsecurities to such purchaser:
(i) 
any preliminary prospectus or prospectus of the registrant relating to the offering filed pursuant to Rule 424;
(ii) 
any free writing prospectus relating to the offering prepared by or on behalf of the registrant or used or referred to by the underwriters to permit prompt delivery to each purchaser.registrant;
 
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(iii) 
the portion of any other free writing prospectus relating to the offering containing material information about the registrant or its securities provided by or on behalf of the registrant; and
(iv) 
any other communication that is an offer in the offering made by the registrant to the purchaser.
6. That, for purposes of determining any liability under the Securities Act of 1933, each filing of the registrant’s annual report pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (and, where applicable, each filing of an employee benefit plan’s annual report pursuant to Section 15(d) of the Securities Exchange Act of 1934) that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
7. Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
 
The undersigned registrant hereby undertakes that:
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    (1) For purposes of determining any liability under the Securities Act of 1933, the information omitted from the form of prospectus filed as part of this registration statement in reliance upon Rule 430A and contained in a form of prospectus filed by the registrant pursuant to Rule 424(b)(1) or (4) or 497(h) under the Securities Act shall be deemed to be part of this registration statement as of the time it was declared effective.EXHIBITS

Amended and Restated Certificate of Incorporation of the Registrant (Incorporated by reference to Exhibit 3.1 of the Company's Registration Statement on Form S-1, filed July 13, 2016).
Amended and Restated Bylaws of the Registrant (Incorporated by reference to Exhibit 3.2 of the Company's Registration Statement on Form S-1, filed with the SEC July 13, 2016).
Certificate of Amendment to Certificate of Incorporation of the Registrant (Incorporated by reference to Exhibit 3.1 of the Company's Current Report on Form 8-K, filed with the SEC December 30, 2019).

Certificate of the Designations, Powers, Preferences and Rights of Series B Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 of the Company's Current Report on Form 8-K filed with the SEC on July 20, 2020.)

Amended and Restated Bylaws (incorporated by reference to Exhibit 3.1 of the Company's Current Report on Form 8-K filed with the SEC on August 5, 2020.)

Certificate of the Designations, Powers, Preferences and Rights of Series C 9.00% Convertible Junior Preferred Stock (incorporated by reference to Exhibit 3.1 of the Company’s Current Report on Form 8-K filed with the SEC on January 8, 2021).
Form of Common Stock Certificate (Incorporated by reference to Exhibit 4.1 of the Company's Registration Statement on Form S-1, filed with the SEC on July 29, 2016).
Form of Investor Warrant (incorporated by reference to Exhibit 4.2 of the Company’s Registration Statement on Form S-1 filed with the SEC on July 13, 2016).
Form of Underwriter Warrant (Incorporated by reference to Exhibit 4.3 to the Company's Registration Statement on Form S-1, filed with the SEC on July 29, 2016).
Form of Series A Warrant, dated April 11, 2017 between the Company and Lincoln Park Capital Fund, LLC (incorporated by reference to Exhibit 10.3 filed with the Company’s Current Report on Form 8-K filed with the SEC on April 12, 2017).
Form of Series A Warrant, dated June 5, 2017 (incorporated by reference to Exhibit 10.3 filed with the Company’s Current Report on Form 8-K filed with the SEC on June 9, 2017).
Form of Series A-1 Warrant, dated June 5, 2017 (incorporated by reference to Exhibit 10.4 filed with the Company’s Current Report on Form 8-K filed with the SEC on June 9, 2017).
Form of Underwriter Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on May 4, 2018).
Form of Selling Agent Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on April 3, 2019).
Form of Selling Agent Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on May 14, 2019).
Form of Wainwright Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on July 22, 2019).
Form of Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on July 20, 2020).
Form of Warrant for Convertible Notes Offering (incorporated by reference to Exhibit 4.2 of the Company’s Registration Statement on Form S-3 filed with the SEC on July 27, 2020).
Form of Pre-funded Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on January 4, 2021).
Form of Private Placement Warrant (incorporated by reference to Exhibit 4.2 of the Company’s Current Report on Form 8-K filed with the SEC on January 4, 2021).
Form of Wainwright Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on January 8, 2021).
Opinion of Lowenstein Sandler LLP.
Stock Purchase Agreement dated May 21, 2014 between the Registrant, Protea Biosciences Group, Inc. and its wholly-owned subsidiary, Protea Biosciences, Inc (incorporated by reference to Exhibit 10.1 of the Company’s Registration Statement on Form S-1 filed with the SEC on July 13, 2016).
Amended  and Restated AzurRx BioPharma, Inc. 2014 Omnibus Equity Incentive Plan (incorporated by reference to Exhibit 10.3 of the Company’s Registration Statement on Form S-1 filed with the SEC on July 13, 2016).
 

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Securities Purchase Agreement dated April 11, 2017 between the Registrant and Lincoln Park Capital Fund, LLC (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on April 12, 2017).
Registration Rights Agreement dated April 11, 2017 between the Registrant and Lincoln Park Capital Fund, LLC (incorporated by reference to Exhibit 10.4 of the Company’s Current Report on Form 8-K filed with the SEC on April 12, 2017).
Form of Securities Purchase Agreement dated June 5, 2017 (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on June 9, 2017).
Form of Registration Rights Agreement dated June 5, 2017 (incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K filed with the SEC on April 12, 2017).
Sublicense Agreement dated August 7, 2017 by and between the Registrant and TransChem, Inc. (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on August 11, 2017).
Asset Sale and Purchase Agreement, dated December 7, 2018, by and between Protea Biosciences Group, Inc., Protea Biosciences, Inc. and AzurRx Biopharma, Inc. (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on December 13, 2018).
Registration Rights Agreement, dated February 14, 2019 (incorporated by reference to Exhibit 10.6 of the Company’s Current Report on Form 8-K filed with the SEC on February 20, 2019).
Asset Purchase Agreement, by and between AzurRx BioPharma, Inc., AzurRx BioPharma SAS and Laboratoires Mayoly Spindler SAS, dated March 27, 2019 (incorporated by reference to Exhibit 10.25 of the Company’s Annual Report on Form 10-K filed with the SEC on April 1, 2019).
Patent License Agreement, by and between AzurRx BioPharma, Inc. and Laboratoires Mayoly Spindler SAS, dated March 27, 2019 (incorporated by reference to Exhibit 10.26 of the Company’s Annual Report on Form 10-K filed with the SEC on April 1, 2019).
Employment Agreement by and between AzurRx BioPharma, Inc. and James Sapirstein, dated October 8, 2019 (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on October 11, 2019).
Securities Purchase Agreement, dated November 13, 2019 (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on November 14, 2019).
Registration Rights Agreement, dated November 13, 2019 (incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K filed with the SEC on November 14, 2019).
Form of Note Purchase Agreement (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on December 30, 2019).
Form of Warrant (incorporated by reference to Exhibit 10.3 of the Company’s Current Report on Form 8-K filed with the SEC on December 30, 2019).
Form of Registration Rights Agreement (incorporated by reference to Exhibit 10.4 of the Company’s Current Report on Form 8-K filed with the SEC on December 30, 2019).
Employment Agreement by and between AzurRx BioPharma, Inc. and Daniel Schneiderman, dated January 1, 2020 (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on January 6, 2020).

II-7
Form of Purchase Agreement, by and among the Company and the investors set forth on the signature pages thereto, including the form of Exchange Addendum (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on July 20, 2020).
Form of Registration Rights Agreement, by and among the Company and the investors set forth on the signature page thereto (incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K filed with the SEC on July 20, 2020).
First Amendment to 2014 Omnibus Equity Incentive Plan (incorporated by reference as Exhibit 10.3 of the Company’s Current Report on Form 8-K filed with the SEC on July 20, 2020).
2020 Omnibus Equity Incentive Plan (incorporated by reference to Exhibit 10.4 of the Company’s Quarterly Report on Form 10-Q filed with the SEC on November 16, 2020).
Form of Purchase Agreement (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on January 4, 2021).
Form of Registration Rights Agreement (incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K filed with the SEC on January 4, 2021).
First Wave Purchase Agreement (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on January 8, 2021).
10.26#
First Wave License Agreement (incorporated by reference to Exhibit 10.1 filed with the Company’s Current Report on Form 8-K filed with the SEC on January 13, 2021).
Subsidiaries of the Registrant (incorporated by reference to Exhibit 21.1 filed with the Company’s Registration Statement on Form S-1 filed with the SEC on July 13, 2016).
Consent of Mazars USA LLP. 
Consent of Lowenstein Sandler LLP (included in Exhibit 5.1).
Power of Attorney (included on the signature page of this registration statement).
101.INS*XBRL Instance Document
101.SCH*XBRL Taxonomy Extension Schema
101.CAL*XBRL Taxonomy Extension Calculation Linkbase
101.DEF*XBRL Taxonomy Extension Definition Linkbase
101.LAB*XBRL Taxonomy Extension Label Linkbase
101.PRE*XBRL Taxonomy Extension Presentation Linkbase

*
    (2) For the purpose of determining any liability under the Securities Act of 1933, each post-effective amendment that contains a form of prospectus shall be deemed to be a new registration statement relatingFiled as an exhibit to the securities offered therein, andForm 10-K filed with the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

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Table of ContentsSEC on March 30, 2020.
 
SIGNATURES
Certain portions of this exhibit (indicated by “[*****]”) have been omitted as we have determined (1) it is not material and (2) is the type that the Company treats as private or confidential.

 
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SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, the Registrantregistrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-1 and has duly caused this registration statement or amendment thereto to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Brooklyn, New York,Del Ray Beach, Florida on August 5, 2016 .
this 13th day of January, 2021.
 
 
 
AZURRX BIOPHARMA, INC.

 
By:   /s/  Johan M. (Thijs) SpoorJames Sapirstein
        Name: Johan M. (Thijs) SpoorJames Sapirstein
        Title:   President and Chief Executive Officer
                   (Principal Executive Officer) 
KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints James Sapirstein and Daniel Schneiderman, and each of them, each with full power to act without the other, his true and lawful attorneys-in-fact and agents, each with full power of substitution and resubstitution, for such person and in his name, place and stead, in any and all capacities, to sign any amendments to this registration statement, and to sign any registration statement for the same offering covered by this registration statement, including post-effective amendments or registration statements filed pursuant to Rule 462(b) under the Securities Act of 1933, and to file the same, with all exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming that each of said such attorneys-in-fact and agents or his substitute or substitutes, may do or cause to be done by virtue hereof.
 
Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities heldand on the dates indicated.

Signature Title Date
     
/s/ Johan M. (Thijs) Spoor    James Sapirstein President, Chief Executive Officer and Director August 5, 2016January 13, 2021
Johan M. (Thijs) SpoorJames Sapirstein (principal executive officer and principal financial and accounting officer)  (Principal Executive Officer)  
     
/s/ Daniel Schneiderman
*Chief Financial Officer 
 Chairman January 13, 2021
Daniel Schneiderman
(Principal Financial Officer and Principal Accounting Officer)
/s/ Edward J. BorkowskiChair of the Board of Directors 
August 5, 2016
January 13, 2021
Edward J. Borkowski    
     
*                                                /s/ Charles Casamento Director 
August 5, 2016
January 13, 2021
Charles Casamento
/s/ Alastair RiddellDirectorJanuary 13, 2021
Alastair Riddell    
     
 *                                               
/s/ Gregory Oaks
 Director 
August 5, 2016
January 13, 2021
Maged ShenoudaGregory Oaks
/s/ Vern Lee SchrammDirectorJanuary 13, 2021
Vern Lee Schramm    
  
 
* /s/ Johan M. (Thijs) Spoor
Attorney-in-fact
 
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