Cover Page
Cover Page - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Mar. 27, 2024 | Jun. 30, 2023 | |
Cover [Abstract] | |||
Document Type | 10-K | ||
Document Annual Report | true | ||
Document Period End Date | Dec. 31, 2023 | ||
Current Fiscal Year End Date | --12-31 | ||
Document Transition Report | false | ||
Entity File Number | 001-36395 | ||
Entity Registrant Name | DARÉ BIOSCIENCE, INC. | ||
Entity Incorporation, State or Country Code | DE | ||
Entity Tax Identification Number | 20-4139823 | ||
Entity Address, Address Line One | 3655 Nobel Drive | ||
Entity Address, Address Line Two | Suite 260 | ||
Entity Address, City or Town | San Diego | ||
Entity Address, State or Province | CA | ||
Entity Address, Postal Zip Code | 92122 | ||
City Area Code | 858 | ||
Local Phone Number | 926-7655 | ||
Title of 12(b) Security | Common Stock, Par Value $0.0001 Per Share | ||
Trading Symbol | DARE | ||
Entity Well-known Seasoned Issuer | No | ||
Entity Voluntary Filers | No | ||
Entity Current Reporting Status | Yes | ||
Entity Interactive Data Current | Yes | ||
Entity Filer Category | Non-accelerated Filer | ||
Entity Small Business | true | ||
Entity Emerging Growth Company | false | ||
ICFR Auditor Attestation Flag | false | ||
Document Financial Statement Error Correction [Flag] | false | ||
Entity Shell Company | false | ||
Entity Public Float | $ 77,323 | ||
Entity Common Stock, Shares Outstanding | 100,581,900 | ||
Documents Incorporated by Reference | DOCUMENTS INCORPORATED BY REFERENCE Portions of the registrant’s definitive proxy statement relating to its 2024 annual meeting of shareholders (the “2024 Proxy Statement”) are incorporated by reference into Part III of this Annual Report on Form 10-K where indicated. The 2024 Proxy Statement will be filed with the U.S. Securities and Exchange Commission within 120 days after the end of the fiscal year to which this report relates. | ||
Amendment Flag | false | ||
Document Fiscal Year Focus | 2023 | ||
Document Fiscal Period Focus | FY | ||
Entity Central Index Key | 0001401914 |
Audit Information
Audit Information | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Audit Information [Abstract] | ||
Auditor Firm ID | 200 | 199 |
Auditor Name | Haskell & White LLPHASKELL & WHITE LLP | Mayer Hoffman McCann P.C. |
Auditor Location | Irvine, California | San Diego, California |
Consolidated Balance Sheets
Consolidated Balance Sheets - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 |
Current Assets | ||
Cash and cash equivalents | $ 10,476,056 | $ 34,669,605 |
Other receivables | 949,211 | 1,703,160 |
Prepaid expenses | 6,118,272 | 6,665,988 |
Total current assets | 17,543,539 | 43,038,753 |
Property and equipment, net | 655,975 | 64,908 |
Deposits | 1,163,477 | 10,502 |
Operating lease right-of-use assets | 1,319,630 | 457,925 |
Other non-current assets | 599,594 | 254,295 |
Total assets | 21,282,215 | 43,826,383 |
Current Liabilities | ||
Accounts payable | 3,385,551 | 2,027,953 |
Accrued expenses | 2,889,005 | 10,894,016 |
Deferred grant funding | 13,737,154 | 18,303,567 |
Current portion of lease liabilities | 468,726 | 398,391 |
Total current liabilities | 20,480,436 | 31,623,927 |
Deferred revenue, non-current | 1,000,000 | 1,000,000 |
Liability related to the sale of future royalties, net | 3,913,676 | 0 |
Lease liabilities long-term | 935,743 | 90,346 |
Total liabilities | 26,329,855 | 32,714,273 |
Commitments and contingencies (Note 12) | ||
Stockholders' equity (deficit) | ||
Preferred stock issued | 0 | 0 |
Common stock, $0.0001 par value, 240,000,000 shares authorized, 99,973,932 and 84,825,481 shares issued and outstanding at December 31, 2023 and December 31, 2022, respectively | 9,997 | 8,482 |
Additional paid-in capital | 166,539,290 | 152,529,579 |
Accumulated other comprehensive loss | (360,896) | (351,311) |
Accumulated deficit | (171,236,031) | (141,074,640) |
Total stockholders' equity (deficit) | (5,047,640) | 11,112,110 |
Total liabilities and stockholders' equity (deficit) | $ 21,282,215 | $ 43,826,383 |
Common stock, shares authorized (in shares) | 240,000,000 | 240,000,000 |
Consolidated Balance Sheets (Pa
Consolidated Balance Sheets (Parenthetical) - $ / shares | Dec. 31, 2023 | Dec. 31, 2022 |
Statement of Financial Position [Abstract] | ||
Preferred stock, par value (in usd per share) | $ 0.01 | $ 0.01 |
Preferred stock, shares authorized (in shares) | 5,000,000 | 5,000,000 |
Preferred stock, shares issued (in shares) | 0 | 0 |
Preferred stock, shares outstanding (in shares) | 0 | 0 |
Common stock, par value (in usd per share) | $ 0.0001 | $ 0.0001 |
Common stock, shares authorized (in shares) | 240,000,000 | 240,000,000 |
Common stock, shares issued (in shares) | 99,973,932 | 84,825,481 |
Common stock, shares outstanding (in shares) | 99,973,932 | 84,825,481 |
Consolidated Statements of Oper
Consolidated Statements of Operations and Comprehensive Loss - USD ($) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Revenue | ||
Total revenue | $ 2,807,885 | $ 10,000,000 |
Operating expenses | ||
General and administrative | 12,109,691 | 11,243,271 |
Research and development | 21,538,074 | 30,042,217 |
License fee expense | 100,000 | 100,000 |
Total operating expenses | 33,747,765 | 41,385,488 |
Loss from operations | (30,939,880) | (31,385,488) |
Other income | 778,489 | 437,750 |
Net loss | (30,161,391) | (30,947,738) |
Net loss to common stockholders | (30,161,391) | (30,947,738) |
Foreign currency translation adjustments | (9,585) | (196,338) |
Comprehensive loss | $ (30,170,976) | $ (31,144,076) |
Loss per common share - basic (in usd per share) | $ (0.35) | $ (0.37) |
Loss per common share - diluted (in usd per share) | $ (0.35) | $ (0.37) |
Weighted average number of common shares outstanding: | ||
Basic (in shares) | 87,303,701 | 84,571,805 |
Diluted (in shares) | 87,303,701 | 84,571,805 |
License fee revenue | ||
Revenue | ||
Total revenue | $ 1,000,000 | $ 10,000,000 |
Milestone revenue | ||
Revenue | ||
Total revenue | 1,800,000 | 0 |
Royalty revenue | ||
Revenue | ||
Total revenue | $ 7,885 | $ 0 |
Consolidated Statements of Stoc
Consolidated Statements of Stockholders' Equity (Deficit) - USD ($) | Total | Common stock | Additional Paid-in Capital | Accumulated Other Comprehensive Loss | Accumulated Deficit |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||
Beginning balance (in shares) | 83,944,119 | ||||
Beginning balance | $ 38,754,321 | $ 8,394 | $ 149,027,802 | $ (154,973) | $ (110,126,902) |
Stock-based compensation | 2,158,511 | 2,158,511 | |||
Issuance of common stock from the exercise of warrants (in shares) | 751,040 | ||||
Exercised | 130,322 | ||||
Stock options exercised | 124,604 | $ 13 | 124,591 | ||
Issuance of common stock warrants, net of issuance costs | 1,218,750 | $ 75 | 1,218,675 | ||
Net loss | (30,947,738) | (30,947,738) | |||
Foreign currency translation adjustments | $ (196,338) | (196,338) | |||
Ending balance (in shares) at Dec. 31, 2022 | 84,825,481 | 84,825,481 | |||
Ending balance at Dec. 31, 2022 | $ 11,112,110 | $ 8,482 | 152,529,579 | (351,311) | (141,074,640) |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||
Beginning balance (in shares) | 84,825,481 | 84,825,481 | |||
Beginning balance | $ 11,112,110 | $ 8,482 | 152,529,579 | (351,311) | (141,074,640) |
Stock-based compensation | 2,530,684 | 2,530,684 | |||
Issuance of common stock from the exercise of warrants (in shares) | 1,353,515 | ||||
Issuance of common stock from the exercise of warrants | 1,299,376 | $ 136 | 1,299,240 | ||
Issuance of common stock and warrants, net of issuance costs (in shares) | 13,794,936 | ||||
Issuance of common stock and warrants, net of issuance costs | 9,346,656 | $ 1,379 | 9,345,277 | ||
Issuance of common stock warrants, net of issuance costs | 834,510 | 834,510 | |||
Net loss | (30,161,391) | (30,161,391) | |||
Foreign currency translation adjustments | $ (9,585) | (9,585) | |||
Ending balance (in shares) at Dec. 31, 2023 | 99,973,932 | 99,973,932 | |||
Ending balance at Dec. 31, 2023 | $ (5,047,640) | $ 9,997 | 166,539,290 | (360,896) | (171,236,031) |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||
Beginning balance (in shares) | 99,973,932 | 99,973,932 | |||
Beginning balance | $ (5,047,640) | $ 9,997 | $ 166,539,290 | $ (360,896) | $ (171,236,031) |
Consolidated Statements of Cash
Consolidated Statements of Cash Flows - USD ($) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Cash flows from operating activities | ||
Net loss | $ (30,161,391) | $ (30,947,738) |
Adjustments to reconcile net loss to net cash used in operating activities: | ||
Depreciation expense | 38,363 | 24,202 |
Stock-based compensation expense | 2,530,684 | 2,158,511 |
Non-cash operating lease cost | 54,027 | 23,415 |
Gain on early termination of lease | 0 | (46,477) |
Non-cash interest expense on liability related to sale of future royalties | 24,289 | 0 |
Changes in operating assets and liabilities: | ||
Other receivables | 753,948 | (557,842) |
Prepaid expenses | 547,714 | (4,189,376) |
Deposits | (1,152,974) | 0 |
Other non-current assets | (10,300) | 3,650 |
Accounts payable | 1,357,600 | (75,132) |
Accrued expenses | (8,272,201) | 7,757,774 |
Deferred grant funding | (4,566,413) | 7,760,584 |
Net cash used in operating activities | (38,856,654) | (18,088,429) |
Cash flows from investing activities | ||
Purchases of property and equipment | (629,430) | (63,069) |
Net cash used in investing activities | (629,430) | (63,069) |
Cash flows from financing activities | ||
Net proceeds from issuance of common stock | 9,346,656 | 1,218,750 |
Proceeds from the exercise of stock options | 0 | 124,604 |
Proceeds from the exercise of common stock warrants | 1,299,376 | 0 |
Proceeds from the sale of future royalties, net | 4,723,899 | 0 |
Issuance of note payable | 601,174 | 0 |
Payments on note payable | (333,985) | 0 |
Net cash provided by financing activities | 15,637,120 | 1,343,354 |
Effect of exchange rate changes on cash and cash equivalents and restricted cash | (9,585) | (196,338) |
Net change in cash, cash equivalents and restricted cash | (23,858,549) | (17,004,482) |
Cash, cash equivalents and restricted cash, beginning of year | 34,669,605 | 51,674,087 |
Cash, cash equivalents and restricted cash, end of year | 10,811,056 | 34,669,605 |
Reconciliation of cash, cash equivalents and restricted cash to amounts reported in the consolidated balance sheets: | ||
Cash and cash equivalents | 10,476,056 | 34,669,605 |
Restricted cash included in other non-current assets | 335,000 | 0 |
Total cash, cash equivalents and restricted cash | 10,811,056 | 34,669,605 |
Supplemental disclosure of non-cash investing and financing activities: | ||
Operating right-of-use assets obtained in exchange for new operating lease liabilities | 1,291,425 | 585,942 |
Issuance cost recorded under additional-paid-in-capital | $ 834,510 | $ 0 |
Organization and Description of
Organization and Description of Business | 12 Months Ended |
Dec. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Organization and Description of Business | ORGANIZATION AND DESCRIPTION OF BUSINESS Organization and business Daré Bioscience, Inc. is a biopharmaceutical company committed to advancing innovative products for women’s health. Daré Bioscience, Inc. and its wholly-owned subsidiaries operate one segment. In this report, the “Company” refers collectively to Daré Bioscience, Inc. and its wholly-owned subsidiaries, unless otherwise stated or the context otherwise requires. The Company began assembling its diverse portfolio in 2017 through acquisitions, exclusive in-licenses and other collaborations. The Company's programs target unmet needs in women's health in the areas of contraception, vaginal health, reproductive health, menopause, sexual health, and fertility, and aim to expand treatment options, enhance outcomes and improve ease of use for women. The Company’s primary operations have consisted of, and are expected to continue to consist primarily of, research and development activities to advance its product candidates through clinical development and regulatory approval. The Company's portfolio includes drug and drug/device product candidates and potential product candidates in various stages of development. The first U.S. Food and Drug Administration (FDA)-approved product to emerge from the Company's portfolio of women's health product candidates is XACIATO™ (clindamycin phosphate) vaginal gel 2%, or XACIATO. In March 2022, the Company entered into an exclusive global license agreement with an affiliate of Organon & Co., Organon International GmbH, or Organon, to commercialize XACIATO, which became fully effective in June 2022. Under the license agreement, Organon (and/or its affiliates, agents or sublicensees) is solely responsible for the marketing, distribution and sale of XACIATO in the United States (and outside the U.S. if approved in non-U.S. jurisdictions in the future). |
Basis of Presentation and Summa
Basis of Presentation and Summary of Significant Accounting Policies | 12 Months Ended |
Dec. 31, 2023 | |
Accounting Policies [Abstract] | |
Basis of Presentation and Summary of Significant Accounting Policies | BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation The consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States, or U.S. GAAP, as defined by the Financial Accounting Standards Board, or FASB. Cash, Cash Equivalents and Restricted Cash The Company considers cash and all highly liquid investments with an original maturity of three months or less to be cash and cash equivalents. The Company has an aggregate of approximately $0.3 million in restricted cash as of December 31, 2023, related to (i) letters of credit established under real property leases for the Company's wholly-owned subsidiary, Dare MB Inc., that serve as security for potential future default of lease payments, and (ii) collateralized cash for the Company's credit cards. The restricted cash is unavailable for withdrawal or for general obligations and is included in other non-current assets on the Company's consolidated balance sheet. Going Concern The Company prepared its consolidated financial statements on a going concern basis, which assumes that the Company will realize its assets and satisfy its liabilities in the normal course of business. The Company has a history of losses from operations, expects negative cash flows from its operations to continue for the foreseeable future, and expects that its net losses will continue for at least the next several years as it develops and seeks to bring to market its existing product candidates and seeks to potentially acquire, license and develop additional product candidates. These circumstances raise substantial doubt about the Company's ability to continue as a going concern. The accompanying financial statements do not include any adjustments to reflect the possible future effects on the recoverability and reclassification of assets or the amounts and classifications of liabilities that may result from the outcome of the uncertainty of the Company's ability to continue as a going concern. At December 31, 2023, the Company had an accumulated deficit of approximately $171.2 million, cash and cash equivalents of approximately $10.5 million, deferred grant funding liabilities under the Company's grant agreements related to DARE-LARC1 and DARE-LBT of approximately $13.7 million, and a working capital deficit of approximately $2.9 million. The Company's cash and cash equivalents at December 31, 2023 represented grant funds received under such grant agreements that may be applied solely toward direct costs for the development of DARE-LARC1 and DARE-LBT, other than approximately 10% of such funds, which may be applied toward general overhead and administration expenses that support the entire operations of the Company. For the year ended December 31, 2023, the Company incurred a net loss of $30.2 million and had negative cash flow from operations of approximately $38.9 million. Based on the Company's current operating plan estimates, the Company does not have sufficient cash to satisfy its working capital needs and other liquidity requirements over at least the next 12 months from the date of issuance of the accompanying financial statements. The Company will need to raise substantial additional capital to continue to fund its operations and to successfully execute its current strategy. There can be no assurance that capital will be available when needed or that, if available, it will be obtained on terms favorable to the Company and its stockholders. If the Company cannot raise capital when needed, on favorable terms or at all, the Company will not be able to continue development of its product candidates, will need to reevaluate its planned operations and may need to delay, scale back or eliminate some or all of its development programs, reduce expenses, file for bankruptcy, reorganize, merge with another entity, or cease operations. If the Company becomes unable to continue as a going concern, the Company may have to liquidate its assets, and might realize significantly less than the values at which they are carried on its consolidated financial statements, and stockholders may lose all or part of their investment in the Company's common stock. The Company's consolidated financial statements do not include any adjustments that might result from the outcome of these uncertainties. Principles of Consolidation The consolidated financial statements of the Company are stated in U.S. dollars. These consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. One wholly-owned subsidiary, Daré Bioscience Australia Pty LTD, operates primarily in Australia. The financial statements of the Company’s wholly-owned subsidiaries are recorded in their functional currency and translated into the reporting currency. The cumulative effect of changes in exchange rates between the foreign entity’s functional currency and the reporting currency is reported in Accumulated Other Comprehensive Loss. All intercompany transactions and accounts have been eliminated in consolidation. Reclassification of Prior Year Presentation Certain prior year amounts have been reclassified for consistency with the current year presentation. These reclassifications had no effect on the reported results of operations. Grant Funding The Company receives certain research and development funding through grants issued by a division of the National Institutes of Health and the Bill & Melinda Gates Foundation, or the Foundation. Under the Foundation grant, which the Company considers to be a research and development contract under FASB Accounting Standards Codification, or ASC, Topic 730 Research and Development , the Company granted the Foundation a Humanitarian License which gives the Foundation the right to make the funded developments accessible at an affordable price to people within developing countries. Grants received by the Company that do not require the transfer of goods or services to a customer are accounted for by analogy to International Accounting Standards 20, Accounting for Grants and Disclosure of Government Assistance , or IAS 20. Under IAS 20, the Company recognizes grant funding in the statements of operations as a reduction to research and development expense as the related costs are incurred to meet those obligations over the grant period. The Company adopted this policy in 2018. For the years ended December 31, 2023 and December 31, 2022, the Company recognized approximately $9.3 million and $5.6 million, respectively, in the statements of operations as a reduction to research and development expense. Grant funding payments received in advance of research and development expenses incurred are recorded as deferred grant funding liability in the Company's consolidated balance sheets. Use of Estimates The preparation of the consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Significant estimates and assumptions reflected in these consolidated financial statements include, but are not limited to, management's judgments with respect to its revenue arrangement, liability related to the sale of future royalties, valuation of stock-based awards and the accrual of research and development expenses. Estimates are periodically reviewed in light of changes in circumstances, facts and experience. Actual results could differ from those estimates and could materially affect the reported amounts of assets, liabilities and future operating results. Liability Related to the Sale of Future Royalties In December 2023, the Company entered into a royalty interest financing agreement with United in Endeavor, or United, pursuant to which the Company sold to United an interest in royalty and milestone payments the Company receives based on net sales of XACIATO. The Company received $5.0 million from United in connection with entering into the royalty interest financing agreement. The Company evaluated the terms of the royalty interest financing agreement and concluded that its features were similar to those of a debt instrument. The Company recognized the $5.0 million it received as a liability on its consolidated balance sheet because the Company agreed to make payments to United until such time that United has received aggregate payments equaling a 12% internal rate of return on the $5.0 million. Interest expense for the liability related to the sale of future royalties is recognized using the effective interest rate method over the expected term of the royalty interest financing agreement. The liability related to the sale of future royalties and related interest expense are based on current estimates of future royalties, which estimates are based on forecasts of XACIATO net sales. The Company periodically assesses the forecasted net sales and to the extent the amount or timing of estimated royalty payments are materially different than previous estimates, the Company will account for any such change by adjusting the liability related to the sale of future royalties and prospectively recognizing the related non-cash interest expense. In connection with the royalty investment financing agreement the Company entered into, the Company issued a warrant to purchase up to an aggregate of 5.0 million shares of the Company's common stock. The warrant was allocated a relative fair value of approximately $0.8 million using a Black-Scholes option pricing model. The $0.8 million relative fair value of the warrant was recorded as a debt discount with an offset to additional paid in capital on the 2023 consolidated balance sheet as the warrants were deemed to be equity classified. Risks and Uncertainties The Company will require approvals from the FDA, or foreign regulatory agencies prior to being able to sell any products. The Company received approval from the FDA for XACIATO in December 2021. There can be no assurance that the Company’s current or future product candidates will receive the necessary approvals. If the Company is denied regulatory approval of its product candidates, or if approval is delayed, it may have a material adverse impact on the Company’s business, results of operations and its financial position. The Company is subject to a number of risks similar to other life science companies, including, but not limited to, risks related to the ability to license product candidates, successfully develop product candidates, successfully commercialize approved products or enter into strategic relationships with third parties who are able to successfully commercialize approved products, raise additional capital, compete with other products, and protect proprietary technology. As a result of these and other factors and the related uncertainties, there can be no assurance of the Company’s future success. Concentration of Credit Risk The Company maintains cash balances at various financial institutions and such balances commonly exceed the $250,000 amount insured by the Federal Deposit Insurance Corporation. The Company also maintains money market funds at various financial institutions which are not federally insured although are invested primarily in the U.S. The Company has not experienced any losses in such accounts and management believes that the Company does not have significant risk with respect to such cash and cash equivalents. Fair Value of Financial Instruments GAAP defines fair value as the price that would be received for an asset or the exit price that would be paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants on the measurement date, and also establishes a fair value hierarchy which requires an entity to maximize the use of observable inputs, where available. The three-level hierarchy of valuation techniques established to measure fair value is defined as follows: • Level 1: inputs are unadjusted quoted prices in active markets for identical assets or liabilities. • Level 2: inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices in active markets for similar assets and liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of assets or liabilities. • Level 3: unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. The following tables present the classification within the fair value hierarchy of financial assets and liabilities that are remeasured on a recurring basis as of December 31, 2023 and December 31, 2022. There were no financial assets or liabilities that were remeasured using a quoted price in active markets for identical assets (Level 2) as of December 31, 2023 . Fair Value Measurements Level 1 Level 2 Level 3 Total Balance at December 31, 2023 Current assets: Cash equivalents (1) $ 9,982,079 $ — $ — $ 9,982,079 Balance at December 31, 2022 Current assets: Cash equivalents (1) $ 33,238,658 $ — $ — $ 33,238,658 (1) Represents cash held in money market funds. Revenue Recognition Under Accounting Standards Codification Topic 606, or ASC 606, the Company recognizes revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which it expects to be entitled in exchange for those goods or services. To determine revenue recognition for contracts with customers, the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the Company satisfies its performance obligations. At contract inception, the Company assesses the goods or services agreed upon within each contract, assesses whether each good or service is distinct, and determines those that are performance obligations. The Company then recognizes as revenue the amount of the transaction price allocated to the respective performance obligation when (or as) the performance obligation is satisfied. In a contract with multiple performance obligations, the Company develops estimates and assumptions that require judgment to determine the underlying stand-alone selling price for each performance obligation, which determines how the transaction price is allocated among the performance obligations. The estimation of the stand-alone selling price(s) may include estimates regarding forecasted revenues or costs, development timelines, discount rates, and probabilities of technical and regulatory success. The Company evaluates each performance obligation to determine if it can be satisfied at a point in time or over time. Any change made to estimated progress towards completion of a performance obligation and, therefore, revenue recognized will be recorded as a change in estimate. In addition, variable consideration must be evaluated to determine if it is constrained and, therefore, excluded from the transaction price. Collaboration Revenues . The Company enters into collaboration and licensing agreements under which it out-licenses certain rights to its products or product candidates to third parties. The terms of these arrangements typically include payment of one or more of the following to the Company: non-refundable, up-front license fees; development, regulatory and/or commercial milestone payments; and royalties on net sales of licensed products. To date, the Company has not recognized any collaboration revenues. License Fee Revenue. If the license to the Company’s intellectual property is determined to be distinct from the other performance obligations identified in a contract, the Company recognizes revenues from non-refundable, upfront fees allocated to the license when the license is transferred to the customer and the customer is able to use and benefit from the license. For licenses bundled with other promises, the Company utilizes judgment to assess the nature of the combined performance obligation to determine whether the combined performance obligation is satisfied over time or at a point in time and, if over time, the appropriate method of measuring progress for purposes of recognizing revenue from non-refundable, upfront fees. The Company evaluates the measure of progress each reporting period and, if necessary, adjusts the measure of performance and related revenue recognition. To date, the Company has recognized $11.0 million in license fee revenue, $10.0 million of which represents the upfront payment under its license agreement for XACIATO and $1.0 million of which represents the payment required by the first amendment to such license agreement entered into in July 2023. Royalties. For arrangements that include sales-based royalties, including milestone payments based on the level of sales, and for which the license is deemed to be the predominant item to which the royalties relate, the Company recognizes revenue at the later of (i) when the related sales occur, or (ii) when the performance obligation to which some or all of the royalty has been allocated has been satisfied (or partially satisfied). To date, the Company has recognized approximately $7,900 in royalty revenue. Product Supply. Arrangements that include a promise for future supply of product for commercial supply at the licensee’s discretion are generally considered as options. The Company assesses if these options provide a material right to the licensee and if so, they are accounted for as separate performance obligations. The Company evaluates whether it is the principal or agent in the arrangement. The evaluation is based on the degree the Company controls the specified product at any time before transfer to the customer. Revenues are recognized on a gross basis if the Company is in the capacity of principal and on a net basis if the Company is in the capacity of an agent. To date, the Company has recognized approximately $205,000 in revenue along with $201,000 in other expense attributed to the cost of revenue associated with its product supply arrangement for XACIATO, which is recorded in other income in the Company's 2023 consolidated statement of operations and comprehensive loss. That arrangement was terminated effective December 14, 2023 and the Company will not recognize product supply revenue associated with that agreement in the future. Bayer License . In 2020, the Company entered into a license agreement with Bayer Healthcare LLC, or Bayer, regarding the further development and commercialization of Ovaprene in the U.S. and received a $1.0 million upfront non-refundable license fee payment from Bayer (See Note 3, Strategic Agreements). The $1.0 million upfront payment is recorded as deferred license revenue in the Company's consolidated balance sheets at December 31, 2023 and December 31, 2022. Bayer, in its sole discretion, has the right to make the license effective by paying the Company an additional $20.0 million. The Company concluded that there was one significant performance obligation related to the $1.0 million upfront payment: a distinct license to commercialize Ovaprene effective upon the receipt of the $20.0 million fee. The $1.0 million upfront payment will be recorded as license revenue at the earlier of (i) the point in time the Company receives the $20.0 million fee, the license is transferred to Bayer and Bayer is able to use and benefit from the license and (ii) the termination of the agreement. To date, neither of the foregoing has occurred. Under its license agreement with Bayer, the Company will also be entitled to receive (a) milestone payments totaling up to $310.0 million related to the commercial sales of Ovaprene, if all such milestones are achieved, (b) tiered royalties starting in the low double digits based on annual net sales of Ovaprene during a calendar year, subject to customary royalty reductions and offsets, and (c) a percentage of sublicense revenue. Milestone Payments. At the inception of each arrangement in which the Company is a licensor and that includes developmental, regulatory or commercial milestones, the Company evaluates whether achieving the milestones is considered probable and estimates the amount to be included in the transaction price using the most likely amount method. If it is probable that a significant revenue reversal would not occur, the associated milestone value is included in the transaction price. Potential future milestone payments not within the Company's control, such as where achievement of the specified milestone depends on activities of a third party or regulatory approval, are not considered probable of being achieved until the specified milestone occurs. As of December 31, 2023, the Company has recognized $1.8 million of milestone payment revenues. Potential future payments for variable consideration, such as commercial milestones, will be recognized when it is probable that, if recorded, a significant reversal will not take place. Potential future royalty payments will be recorded as revenue when the associated sales occur (See Note 3, Strategic Agreements). Leases The Company determines if an arrangement is a lease at inception. Operating leases are included in other non-current assets as right-of-use, or ROU, lease assets, current portion of lease liabilities, and long-term lease liabilities on the Company's consolidated balance sheets. ROU lease assets represent the Company's right to use an underlying asset for the lease term and lease obligations represent the Company's obligation to make lease payments arising from the lease. Operating ROU lease assets and obligations are recognized at the commencement date based on the present value of lease payments over the lease term. If the lease does not provide an implicit rate, the Company uses its incremental borrowing rate based on the information available at the commencement date in determining the present value of lease payments. The ROU lease asset also includes any lease payments made and excludes lease incentives. The Company's lease terms may include options to extend or terminate the lease and the related payments are only included in the lease liability when it is reasonably certain that the Company will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term (See Note 10, Leased Properties). Segment Reporting Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision maker, or decision-making group, in making decisions on how to allocate resources and assess performance. Its chief operating decision maker is the chief executive officer. The Company has one operating segment, women’s health. Australian Research and Development Tax Incentive Program The Company is eligible under the Australian Research and Development Tax Incentive Program, or the Tax Incentive, to receive a cash refund from the Australian Taxation Office for eligible research and development expenditures. To be eligible, the Company must have revenue of less than AUD $20.0 million during the reimbursable period and cannot be controlled by income tax exempt entities. Grants received by the Company that do not require the transfer of goods or services to a customer are accounted for by analogy to IAS 20. Under IAS 20, the Company recognizes the Tax Incentive as a reduction to research and development expense when there is reasonable assurance that the Tax Incentive will be received, the relevant expenditure has been incurred, and the amount can be reliably measured. The Company classifies its estimate for the Tax Incentive as other current assets on its consolidated balance sheets. For the years ended December 31, 2023 and 2022, the Company recognized approximately $0.6 million and approximately $1.6 million, respectively, as a reduction to research and development expense for expenses incurred that it believes are eligible for the Tax Incentive. At December 31, 2023 and 2022, the Company recorded a receivable for the estimated Tax Incentive of approximately $0.6 million and $1.6 million, respectively, in other receivables on the accompanying consolidated balance sheets. Research and Development Costs Research and development expenses consist of expenses incurred in performing research and development activities, including compensation and benefits for full-time research and development employees, an allocation of facilities expenses, overhead expenses, manufacturing process-development and scale-up activities, fees paid to clinical and regulatory consultants, clinical trial and related clinical trial manufacturing expenses, fees paid to contract research organizations, or CROs, and investigative sites, transaction expenses incurred in connection with the expansion of the product portfolio through acquisitions and license and option agreements, milestone payments incurred or probable to be incurred for the Company's in-licensing arrangements, payments to universities under the Company’s license agreements and other outside expenses. Research and development costs are expensed as incurred. Nonrefundable advance payments, if any, for goods and services used in research and development are recognized as an expense as the related goods are delivered or services are performed. Patent Costs The Company expenses all costs as incurred in connection with patent applications (including direct application fees, and the legal and consulting expenses related to making such applications) and such costs are included in general and administrative expenses in the consolidated statements of operations. Net Loss Per Share Basic net loss attributable to common stockholders per share is calculated by dividing the net loss by the weighted average number of shares of common stock outstanding during the period without consideration of common stock equivalents. Since the Company was in a loss position for all periods presented, diluted net loss per share is the same as basic net loss per share for all periods presented as the inclusion of all potential dilutive securities would have been antidilutive. There were stock options exercisable into 9,463,556 and 6,612,554 shares of common stock outstanding at December 31, 2023 and 2022, respectively. There were warrants exercisable into 15,006,500 and 1,381,015 shares of common stock outstanding at December 31, 2023 and 2022, respectively. These securities were not included in the computation of diluted loss per share because they are antidilutive, but they could potentially dilute earnings (loss) per share in future years. Stock-Based Compensation The Company records compensation expense for all stock-based awards granted based on the fair value of the award at the time of grant. The Company uses the Black-Scholes Pricing Model to determine the fair value of each of the awards which considers factors such as expected term, the volatility of the Company's common stock, risk free interest rate, and dividend yield. Due to the limited history of the Company, the simplified method was utilized in order to determine the expected term of the awards. The Company compared U.S. Treasury Bills in determining the risk-free interest rate appropriate given the expected term. The Company has not established and has no plans to establish, a dividend policy, and the Company has not declared, and has no plans to declare dividends in the foreseeable future and thus no dividend yield was determined necessary in the calculation of fair value. Income Taxes The Company accounts for income taxes using the asset and liability method in accordance with FASB ASC 740, Income Taxes . Under this method, deferred income taxes are provided to reflect the tax consequences in future years of differences between the tax basis of assets and liabilities and their financial reporting amounts based on enacted tax laws and statutory tax rates applicable to the periods in which the differences are expected to affect taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to the amount expected to be realized. The Company follows the two-step approach to recognizing and measuring uncertain tax positions. The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates it is more likely than not, that the position will be sustained on audit, including resolution of related appeals or litigation processes, if any. The second step is to measure the tax benefit as the largest amount, which is more than 50% likely of being realized upon ultimate settlement. The Company considers many factors when evaluating and estimating the Company's tax positions and tax benefits, which may require periodic adjustments. At each of December 31, 2023 and 2022, the Company did not record any liabilities for uncertain tax positions. During each of 2023 and 2022, the Company recorded no provision for income taxes. Management evaluated the Company’s tax positions and, as of December 31, 2023 and 2022, the Company had approximately $2.6 million and $2.3 million of unrecognized benefits, respectively. The tax years 2020 to 2022 and 2019 to 2022 remain open to examination by federal and state taxing authorities, respectively, while the statute of limitations for U.S. net operating losses generated remain open beginning in the year of utilization. Indemnification Obligations As permitted under Delaware law, the Company has entered into indemnification agreements with its officers and directors that provide that the Company will indemnify its directors and officers for certain expenses, including attorneys’ fees, judgments, fines and settlement amounts incurred by such director or officer in any action or proceeding arising out of their service as a director and/or officer. The term of the indemnification is for the officer’s or director’s lifetime. During the year ended December 31, 2023, the Company did not experience any losses related to those indemnification obligations. The Company does not expect significant claims related to these indemnification obligations, and consequently, has concluded the fair value of the obligations is not material. Accordingly, as of December 31, 2023 and 2022, no amounts have been accrued related to such indemnification provisions. |
Strategic Agreements
Strategic Agreements | 12 Months Ended |
Dec. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Strategic Agreements | STRATEGIC AGREEMENTS Strategic Agreements for Product Commercialization Organon Exclusive License Agreement In March 2022, the Company entered into an exclusive license agreement with Organon which became effective in June 2022, whereby Organon licensed exclusive worldwide rights to develop, manufacture and commercialize XACIATO and other future intravaginal or urological products for human use formulated with clindamycin that rely on intellectual property controlled by the Company. In July 2022, the Company received a $10.0 million non-refundable and non-creditable payment from Organon, which was recorded as license fee revenue. In July 2023, the Company received a $1.0 million payment from Organon in connection with the amendment to the license agreement the parties entered into, which was also recorded as license fee revenue. In the fourth quarter of 2023, in connection with the first commercial sale in the U.S. of XACIATO in accordance with the license agreement, as amended, the Company received the $1.8 million milestone payment from Organon. Under the terms of the license agreement, as amended, the Company is entitled to receive tiered double-digit royalties based on net sales and up to $180.0 million in tiered commercial sales milestones and regulatory milestones. Royalty payments will be subject to customary reductions and offsets. At the inception of the license agreement, the Company concluded that the transaction price was $10.0 million and should not include the variable consideration related to unachieved development, regulatory, commercial milestones and future sales-based royalty payments. This consideration was determined to be constrained as it is probable that the inclusion of such variable consideration could result in a significant reversal in cumulative revenue. The Company re-evaluates the transaction price at each reporting period as uncertain events are resolved and other changes in circumstances occur. For the year ended December 31, 2023, the transaction price was updated to $11.0 million. The Company will recognize any consideration related to sales-based payments, including milestones and royalties which relate predominantly to the license granted, at the later of (i) when or as the related sales occur, or (ii) when the performance obligation to which some or all of the royalty has been allocated has been satisfied (or partially satisfied). The Company was responsible for regulatory interactions and for providing product supply on an interim basis until Organon assumed such responsibilities, which occurred in December 2023. Prior to that time, Organon purchased all of its product requirements of XACIATO from the Company at a transfer price equal to the Company's manufacturing costs plus a single-digit percentage markup. Unless terminated earlier, the agreement will expire on a product-by-product and country-by-country basis upon expiration of the applicable royalty period for each licensed product. In addition to customary termination rights for both parties, following the first anniversary of the effective date of the agreement, Organon may terminate the agreement in its entirety or on a country-by-country basis at any time in Organon's sole discretion on 120 days' advance written notice. Bayer HealthCare License Agreement In January 2020, the Company entered into a license agreement with Bayer, regarding the further development and commercialization of Ovaprene in the U.S. The Company received a $1.0 million upfront non-refundable license fee payment from Bayer and Bayer agreed to support the Company in development and regulatory activities by providing the equivalent of two experts to advise the Company in clinical, regulatory, preclinical, commercial, CMC and product supply matters. The Company is responsible for the pivotal trial for Ovaprene and for its development and regulatory activities and has product supply obligations. Bayer, in its sole discretion, has the right to make the license effective by paying the Company an additional $20.0 million, referred to as the $20 million fee. After payment of the $20 million fee, Bayer will be responsible for the commercialization of Ovaprene for human contraception in the U.S. Such license would be exclusive as to the commercialization of Ovaprene for human contraception in the U.S. and co-exclusive with the Company with regard to development. The Company concluded there was one significant performance obligation related to the $1.0 million upfront payment: a distinct license to commercialize Ovaprene effective upon the receipt of the $20.0 million fee. The $1.0 million upfront payment will be recorded as license revenue at the earlier of (i) the point in time the Company receives the $20.0 million fee, the license is transferred to Bayer and Bayer is able to use and benefit from the license and (ii) the termination of the agreement. As of December 31, 2023, neither of the foregoing had occurred. The $1.0 million payment is recorded as long-term deferred license revenue in the Company's consolidated balance sheets at December 31, 2023 and 2022. If Bayer elects to make the license effective, the Company will be entitled to receive (a) a milestone payment in the low double-digit millions upon the first commercial sale of Ovaprene in the U.S. and escalating milestone payments based on annual net sales of Ovaprene during a calendar year, totaling up to $310.0 million if all such milestones, including the first commercial sale, are achieved, (b) tiered royalties starting in the low double digits based on annual net sales of Ovaprene during a calendar year, subject to customary royalty reductions and offsets, and (c) a percentage of sublicense revenue. The initial term of the agreement, which is subject to automatic renewal terms, continues until the later of the expiration of any valid claim covering the manufacture, use, sale or import of Ovaprene in the U.S. or 15 years from the first commercial sale of Ovaprene in the U.S. In addition to customary termination rights for both parties, Bayer may terminate the agreement at any time on 90 days' notice and the agreement will automatically terminate if the Company does not receive the $20.0 million fee if and when due. Strategic Agreements for Pipeline Development Douglas License Agreement / The University of Manchester Stand-by Direct License Arrangement In August 2023, the Company entered into a license agreement with Douglas Pharmaceuticals Limited, or Douglas, under which the Company acquired the exclusive rights to develop and commercialize a lopinavir and ritonavir combination soft gel vaginal insert for the treatment of cervical intraepithelial neoplasia (CIN) and other HPV-related pathologies, and an agreement with The University of Manchester, pursuant to which The University of Manchester consented to Douglas' sublicense to the Company of certain rights it previously granted to Douglas and agreed to grant the Company a direct license to such rights if its license agreement with Douglas is terminated. Under the Company's agreement with Douglas, it received an exclusive, royalty-bearing license to research, develop and commercialize the licensed intellectual property in the United States for the treatment or prevention of all indications for women in female reproductive health. The Company is entitled to sublicense the rights granted to it under the agreement. Under the terms of the Douglas agreement, the Company agreed to make potential future payments of up to $5.25 million in the aggregate upon achievement of certain development and regulatory milestones, and of up to $64.0 million in the aggregate upon achievement of certain commercial sales milestones for each product covered by the licenses granted under the agreement. The development and regulatory milestones may be paid in shares of the Company’s common stock, in the Company's sole discretion subject to specified limitations. Additionally, Douglas is eligible to receive tiered royalties in low single-digit to low double-digit percentages based on annual net sales of products and processes covered by the licenses granted under the agreement. As of December 31, 2023, no payments had been made under the Douglas agreement. Hennepin License Agreement In August 2022, the Company entered into a license agreement with Hennepin Life Sciences LLC, or Hennepin, under which the Company acquired the exclusive global rights to develop and commercialize treatments delivering the novel antimicrobial glycerol monolaurate (GML) intravaginally for a variety of health conditions including bacterial, fungal, and viral infections. Under the agreement, the Company received an exclusive, worldwide, royalty-bearing license to research, develop and commercialize the licensed technology. The Company is entitled to sublicense the rights granted to it under the agreement. Under the terms of the license agreement, the Company agreed to make potential future payments of up to $6.25 million in the aggregate upon achievement of certain development and regulatory milestones, and up to $45.0 million in the aggregate upon achievement of certain commercial sales milestones for each product covered by the licenses granted under the agreement, which may be paid, in the Company’s sole discretion, in cash or shares of the Company’s common stock. Additionally, Hennepin is eligible to receive tiered royalties in low single-digit to low double-digit percentages based on worldwide net sales of products and processes covered by the licenses granted under the agreement. As of December 31, 2023, no payments have been made under this agreement. MBI Acquisition In November 2019, the Company acquired Dare MB Inc., or MBI, to secure the rights to develop a long-acting reversible contraception method, that a woman can turn on or off herself, according to her own needs. This candidate is now known as DARE-LARC1. Under the terms of the merger agreement, the Company agreed to pay former MBI stockholders: (a) up to $46.5 million contingent upon the achievement of specified funding, product development and regulatory milestones; (b) up to $55.0 million contingent upon the achievement of specified amounts of aggregate net sales of products incorporating the intellectual property the Company acquired in the merger; and (c) tiered royalty payments ranging from low single-digit to low double-digit percentages based on annual net sales of such products sold by the Company (but not by sublicensee) and a percentage of sublicense revenue related to such products. In June 2021, a total of $1.25 million of the contingent consideration became payable upon the achievement of certain of the funding and product development milestone events. In accordance with the terms of the merger agreement, the Company’s board of directors elected to pay a portion of these milestone payments in shares of the Company’s common stock, and in September 2021, the Company issued approximately 700,000 shares of its common stock to former stockholders of MBI and paid $75,000 in cash to the stockholders’ representative in satisfaction of the $1.25 million in milestone payments associated with milestones achieved in June 2021. TriLogic and MilanaPharm License Agreement / Hammock Assignment Agreement In December 2018, the Company entered into an Assignment Agreement with Hammock Pharmaceuticals, Inc., or the Assignment Agreement, and a First Amendment to License Agreement with TriLogic Pharma, LLC and MilanaPharm LLC, or the License Amendment. Both agreements relate to the Exclusive License Agreement among Hammock, TriLogic and MilanaPharm dated as of January 9, 2017, or the MilanaPharm License Agreement. Under the Assignment Agreement and the MilanaPharm License Agreement, as amended by the License Amendment, the Company acquired an exclusive, worldwide license under certain intellectual property to, among other things, develop and commercialize products for the diagnosis, treatment and prevention of human diseases or conditions in or through any intravaginal or urological applications. The licensed intellectual property relates to the hydrogel drug delivery platform of TriLogic and MilanaPharm known as TRI-726. In XACIATO, this proprietary technology is formulated with clindamycin for the treatment of bacterial vaginosis. In December 2019, the Company entered into amendments to each of the Assignment Agreement and License Amendment. In September 2021, the Company entered into a second amendment to the License Agreement. In March 2022, the Company entered into a consent, waiver and stand-By license Agreement with TriLogic, MilanaPharm and Organon, which further amended the License Agreement. Under the terms of the License Agreement, the Company paid clinical and regulatory development milestones of $300,000 in the aggregate to MilanaPharm, the final payment of which was made in 2021, and $500,000 in connection with the first commercial sale in the United States of XACIATO in the fourth quarter of 2023. Additionally, the Company may pay up to $250,000 upon the first commercial sale in the United States of successive licensed products for each vaginal or urological use. In addition, upon achievement of $50.0 million in cumulative worldwide net sales of licensed products the Company must pay MilanaPharm $1.0 million. MilanaPharm is also eligible to receive (a) a low double-digit percentage of all income received by the Company or its affiliates in connection with any sublicense granted to a third party for use outside of the United States, subject to certain exclusions, and (b) high single-digit to low double-digit royalties based on annual worldwide net sales of licensed products and processes. Hammock assigned and transferred to the Company all of its right, title and interest in and to the MilanaPharm license agreement and agreed to cooperate to transfer to the Company all of the data, materials and the licensed technology in its possession pursuant to a technology transfer plan. Hammock is eligible to receive up to $1.1 million in the aggregate upon achievement of certain clinical and regulatory development milestones, $850,000 of which has been paid as of December 31, 2023. Pear Tree Acquisition In May 2018, the Company acquired Pear Tree Pharmaceuticals, Inc., or Pear Tree, to secure exclusive, sublicensable, worldwide rights under certain patents and know-how to develop and commercialize a proprietary formulation of tamoxifen for vaginal administration. This acquisition led to the Company's DARE-VVA1 program. Under the terms of the merger agreement, the Company agreed to pay the former stockholders of Pear Tree: (a) up to $15.5 million in the aggregate upon achievement of certain clinical development and regulatory milestones by licensed products, and (b) up to $47.0 million in the aggregate upon achievement of certain commercial milestones by licensed products. Additionally, the former stockholders of Pear Tree are eligible to receive tiered royalties based on single-digit to low double-digit percentages of annual net sales of licensed products by the Company or its affiliates, subject to customary reductions and offsets, and a portion of royalties the Company receives from sublicensees. Both the milestone and royalty payments may be made, in the Company's sole discretion, in cash or in shares of its common stock in accordance with the terms of the merger agreement. Under the merger agreement, in addition to customary royalty reductions and offsets, royalty payments and payments based on income received from sublicensees of licensed products made by the Company to Pear Tree's licensors are creditable against all royalty and sublicense revenue share payments payable to the former stockholders of Pear Tree. The Company agreed to pay licensors of Pear Tree (a) up to approximately $3.2 million in the aggregate upon achievement of certain clinical development, regulatory and commercial milestones by each licensed product, and (b) semi-annual royalties based on a single-digit percentage of net sales of licensed products by the Company or its affiliates, subject to customary reductions and offsets, or a portion of any royalties the Company or its affiliates receives from sublicensees, and a low double-digit percentage of all sublicensing fees or other lump sum payments or compensation the Company receives from sublicensees, subject to customary exclusions. The milestone payments to the licensors of Pear Tree may be made, in the Company's sole discretion, in cash or in shares of its common stock in accordance with the terms of the license agreements. Portions of certain milestone payments made to Pear Tree's licensors may be creditable against royalty payments due to Pear Tree's licensors. Catalent JNP License Agreement In April 2018, the Company entered into an exclusive license agreement with Catalent JNP, Inc., or Catalent, under which Catalent granted the Company (a) an exclusive, royalty-bearing worldwide license under certain patent rights, either owned by or exclusively licensed to Catalent, to make, have made, use, have used, sell, have sold, import and have imported products and processes, and (b) a non-exclusive, royalty-bearing worldwide license to use certain technological information owned by Catalent to make, have made, use, have used, sell, have sold, import and have imported products and processes. The Company is entitled to sublicense the rights granted to it under this agreement. Under the terms of the license agreement, the Company paid a $250,000 non-creditable upfront license fee to Catalent in connection with the execution of the agreement and will pay a $100,000 annual license maintenance fee on each anniversary of the date of the agreement. The annual maintenance fee will be creditable against royalties and other payments due to Catalent in the same calendar year but may not be carried forward to any other year. Catalent is eligible to receive up to (a) $13.5 million in the aggregate in payments based on the achievement of specified development and regulatory milestones, $1.0 million of which has been paid as of December 31, 2023; and (b) up to $30.3 million in the aggregate in payments based on the achievement of specified commercial sales milestones for each product or process covered by the licenses granted under the agreement. Additionally, Catalent is eligible to receive mid single-digit to low double-digit royalties based on worldwide net sales of products and processes covered by the licenses granted under the agreement. In lieu of such royalty payments, the Company will pay Catalent a low double-digit percentage of all sublicense income the Company receives for the sublicense of rights under the agreement to a third party. Adare Development and Option Agreement In March 2018, the Company entered into an exclusive development and option agreement with Adare Pharmaceuticals USA, Inc., or Adare, for the development and potential exclusive worldwide license of injectable formulations of etonogestrel for contraceptive protection over 6-month and 12-month periods (which the Company refers to as DARE-204 and DARE-214, respectively). The agreement, as amended, provides the Company with an option to negotiate an exclusive, worldwide, royalty-bearing license, with rights to sublicense, for the programs if the Company funds the conduct of specified development work. The Company has no obligation to exercise its option. SST License and Collaboration Agreement In February 2018, the Company entered into a license and collaboration agreement with Strategic Science & Technologies-D LLC and Strategic Science & Technologies, LLC, referred to collectively as SST, under which the Company received an exclusive, royalty-bearing, sublicensable license to develop and commercialize, in all countries and geographic territories of the world, for all indications for women related to female sexual dysfunction and/or female reproductive health, including treatment of female sexual arousal disorder and/or female sexual interest/arousal disorder, or the Field of Use, SST’s topical formulation of Sildenafil Cream, 3.6% as it existed as of the effective date of the agreement, or any other topically applied pharmaceutical product containing sildenafil or a salt thereof as a pharmaceutically active ingredient, alone or with other active ingredients, but specifically excluding any product containing ibuprofen or any salt derivative of ibuprofen, or the Licensed Products. SST will be eligible to receive payments of up to $18.0 million in the aggregate upon achievement of certain clinical and regulatory milestones in the U.S. and worldwide, and up to $100.0 million in the aggregate upon achievement of certain commercial sales milestones. If the Company enters into strategic development or distribution partnerships related to the Licensed Products, additional milestone payments would be due to SST. Additionally, SST is eligible to receive tiered royalties based on percentages of annual net sales of licensed products in the single-digit to mid double-digits subject to customary royalty reductions and offsets, and a percentage of sublicense revenue. ADVA-Tec License Agreement In March 2017, the Company entered into a license agreement with ADVA-Tec, Inc., or ADVA-Tec, under which the Company was granted the exclusive right to develop and commercialize Ovaprene for human contraceptive use worldwide. Under the terms of the license agreement, the Company will pay ADVA-Tec (a) up to $14.6 million in the aggregate based on the achievement of specified development and regulatory milestones, $1.2 million of which has been paid; and (b) up to $20.0 million in the aggregate based on the achievement of certain worldwide net sales milestones. Additionally, ADVA-Tec is eligible to receive royalties based on aggregate annual net sales of Ovaprene in specified regions at a royalty rate that will vary between 1% and 10% and will increase based on various net sales thresholds, subject to customary reductions and offsets. If the Company sublicenses its rights under the agreement, in lieu of royalty payments to ADVA-Tec, ADVA-Tec is eligible to receive a double-digit percentage of sublicense revenue received by the Company during the royalty term; provided, however, that for sublicense revenue the Company receives prior to the first commercial sale of a licensed product that represents an upfront payment or license fee due on or around the effective date of the sublicense, ADVA-Tec is eligible to receive a single-digit percentage of that sublicense revenue. |
Prepaid Expenses
Prepaid Expenses | 12 Months Ended |
Dec. 31, 2023 | |
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract] | |
Prepaid Expenses | PREPAID EXPENSES Prepaid expenses consisted of the following: As of December 31, 2023 2022 Prepaid clinical expense $ 5,023,140 $ 5,702,657 Prepaid development expense 376,959 225,433 Prepaid insurance expense 472,922 502,981 Prepaid legal and professional expenses 245,251 234,917 Total prepaid expenses $ 6,118,272 $ 6,665,988 |
Accrued Expenses
Accrued Expenses | 12 Months Ended |
Dec. 31, 2023 | |
Payables and Accruals [Abstract] | |
Accrued Expenses | ACCRUED EXPENSES Accrued expenses consisted of the following: As of December 31, 2023 2022 Accrued clinical expense $ 1,195,744 $ 6,665,443 Accrued compensation and benefits 805,412 1,720,501 Accrued development expense 547,490 2,102,310 Accrued royalties payable 6,504 — Accrued legal and professional — 239,348 Insurance financing payable 267,188 — Other accruals — 99,747 Accrued license fee expense 66,667 66,667 Total accrued expenses $ 2,889,005 $ 10,894,016 |
Vendor Concentration
Vendor Concentration | 12 Months Ended |
Dec. 31, 2023 | |
Risks and Uncertainties [Abstract] | |
Vendor Concentration | VENDOR CONCENTRATION The Company had one major vendor that accounted for approximately 21% and 10% of the Company's research and development expenditures for the years ended December 31, 2023 and 2022, respectively. The same vendor also accounted for approximately 0% and 17% of the Company's total accounts payable and accrued expenses as of December 31, 2023 and 2022, respectively. The Company continues to maintain its relationship with this vendor and anticipates incurring significant expenses with this vendor over the next 12 months. |
Income Taxes
Income Taxes | 12 Months Ended |
Dec. 31, 2023 | |
Income Tax Disclosure [Abstract] | |
Income Taxes | INCOME TAXES The components of loss from continuing operations before provision for income taxes consists of the following (in thousands): Years Ended December 31, 2023 2022 Domestic $ 29,099 $ 28,391 Foreign 1,060 2,557 Loss before taxes $ 30,159 $ 30,948 The difference between the provision for income taxes (benefit) and the amount computed by applying the U.S. federal income tax rate for the years ended December 31, 2023 and 2022 are as follows: Years Ended December 31, 2023 2022 Federal statutory rate 21.0 % 21.0 % State income tax, net of federal benefit 0.84 % (2.96) % State tax rate change 1.15 % (9.08) % Permanent differences (0.02) % (0.02) % Research and development credit 7.47 % 6.84 % Stock compensation (0.75) % (0.57) % Other (3.04) % (0.74) % Change in valuation allowance (26.65) % (14.48) % Effective income tax rate — % — % The major components of the Company’s deferred tax assets as of December 31, 2023 and 2022 are shown below (in thousands). 2023 2022 Net operating loss carryforwards $ 86,182 $ 81,761 Research and development credit carryforwards 10,868 8,833 Capitalized research and development costs 12,570 10,009 Other 41 1,468 Stock compensation 2,618 2,170 Total deferred tax assets 112,279 104,241 Valuation allowance (112,279) (104,241) Net deferred tax assets $ — $ — The Company has evaluated the positive and negative evidence bearing upon the realizability of its deferred tax assets. Under applicable accounting standards, management has considered the Company’s history of losses and concluded that it is more likely than not the Company will not recognize the benefits of federal and state deferred tax assets. Accordingly, a valuation allowance of $112.3 million and $104.2 million was established at December 31, 2023 and 2022, respectively, to offset the net deferred tax assets. When and if management determines that it is more likely than not that the Company will be able to utilize the deferred tax assets prior to their expiration, the valuation allowance may be reduced or eliminated. The increase in valuation allowance of approximately $8.0 million and $4.5 million for the years ending December 31, 2023 and 2022, respectively, is primarily related to an increase in net operating losses generated during the year. The Company has U.S. federal net operating loss, or NOL, carryforwards available at December 31, 2023 of approximately $314.9 million of which $1.2 million begin expiring in 2024 unless previously utilized and $117.7 million that do not expire. The Company has state NOL carryforwards of $294.1 million that begin expiring in 2031 unless previously utilized. The Company has U.S. federal research credit carryforwards available at December 31, 2023 of approximately $10.4 million that begin expiring in 2027 unless previously utilized. The Company has state research credit carryforwards of $2.7 million of which $0.2 million begin expiring in 2024 unless previously utilized. These federal and state research and development credits are subject to a 20% reserve under FASB ASC 740. The difference between federal and state NOL carryforwards is primarily due to previously expired state NOL carryforwards. Utilization of the NOL and research and development credit carryforwards may be subject to a substantial annual limitation under Sections 382 and 383 of the Internal Revenue Code of 1986 due to ownership change limitations that have occurred previously or that could occur in the future. These ownership changes may limit the amount of NOL and research and development credit carryforwards that can be utilized annually to offset future taxable income and tax, respectively. The Company has not yet completed an evaluation of ownership changes. To the extent an ownership change occurs, the NOL and credit carryforwards and other deferred tax assets may be subject to limitations. A reconciliation of the beginning and ending amount of uncertain tax benefits is as follows (in thousands): Years Ended December 31, 2023 2022 Beginning uncertain tax benefits $ 2,316 $ 1,909 Current year - increases $ 347 $ 427 Prior year - reductions $ (46) $ (20) Ending uncertain tax benefits $ 2,617 $ 2,316 Included in the balance of uncertain tax benefits at December 31, 2023 are $2.6 million of tax benefits that, if recognized, would result in a reduction of the gross deferred tax asset, offset fully by valuation allowance and have no net impact on the financial statements. The Company anticipates that no material amounts of unrecognized tax benefits will be settled within 12 months of the reporting date. The Company's policy is to record estimated interest and penalties related to uncertain tax benefits as income tax expense. As of December 31, 2023 and 2022, the Company had no accrued interest or penalties recorded related to uncertain tax positions. The tax years 2019 through 2023 remain open to examination by major taxing jurisdictions to which the Company is subject, which are primarily in the U.S. The statute of limitations for U.S. net operating losses utilized in future years will remain open beginning in the year of utilization. No additional provision has been made for U.S. income taxes related to undistributed foreign earnings of the Company’s wholly-owned Australian subsidiary or for unrecognized deferred tax liabilities for temporary differences related to investments in subsidiaries. As such, earnings are expected to be permanently reinvested, the investments are permanent in duration, or the Company has estimated that no additional tax liability will arise as a result of the distribution of such earnings. A liability could arise if amounts are distributed by the subsidiary or if the subsidiary is ultimately disposed. It is not practical to estimate the additional income taxes, if any, related to permanently reinvested earnings. There are no unremitted earnings as of December 31, 2023. |
Stockholders' Equity
Stockholders' Equity | 12 Months Ended |
Dec. 31, 2023 | |
Equity [Abstract] | |
Stockholders' Equity | STOCKHOLDERS’ EQUITY Increase in Authorized Shares of Common Stock In July 2022, following the approval of the Company's stockholders at its annual meeting of stockholders, the Company amended its restated certificate of incorporation to increase the Company's authorized shares of common stock to 240.0 million. September 2023 Registered Direct Offering In August 2023, the Company entered into a securities purchase agreement with an institutional investor and an investor affiliated with Douglas for the purchase and sale of 10,000,000 shares of the Company's common stock and warrants to purchase an aggregate of 10,000,000 shares of the Company's common stock in a registered direct offering priced at-the-market under Nasdaq rules. The offering closed on September 1, 2023. Each warrant is exercisable for one share of the Company's common stock. The terms of the warrants are further described below in this Note 8. The offering price was $0.70 per share of common stock and accompanying warrant. The aggregate gross proceeds to the Company from the offering were $7.0 million, and net proceeds were approximately $7.0 million. The offering was made pursuant to the Company's registration statement on Form S-3 (File No. 333-254862), filed with the SEC on March 30, 2021, and declared effective by the SEC on April 7, 2021, and a prospectus supplement thereunder. March 2023 ATM Sales Agreement In March 2023, the Company entered into a sales agreement with Stifel, Nicolaus & Company, Incorporated, or Stifel, and Cantor Fitzgerald & Co., or Cantor, to sell shares of its common stock from time to time through an "at-the-market," or ATM, equity offering program under which Stifel and Cantor act as the Company's agents. The Company agreed to pay a commission equal to 3% of the gross proceeds of any common stock sold under the agreement or such lower amount as the Company and Stifel and Cantor agree, plus certain legal expenses. Shares of the Company's common stock sold under the agreement will be issued pursuant to the Company's shelf registration statement on Form S-3 (File No. 333-254862), the base prospectus included therein, originally filed with the SEC on March 30, 2021 and declared effective by the SEC on April 7, 2021, the prospectus supplement dated March 31, 2023 relating to the offering of up to $50.0 million of shares of the Company's common stock under the sales agreement, and any subsequent prospectus supplement related to the offering of shares of the Company's common stock under the sales agreement. During the year ended December 31, 2023, the Company sold 3,794,936 shares of common stock under this agreement and received aggregate gross proceeds of approximately $2.4 million and incurred sales agent commissions and fees of approximately $55,000. October 2021 ATM Sales Agreement In October 2021, the Company entered into a sales agreement with SVB Securities LLC (formerly known as SVB Leerink LLC) to sell shares of its common stock from time to time through an ATM equity offering program under which SVB Securities acted as the Company's agent. The Company sold no shares of its common stock under the agreement during year ended December 31, 2023. During the year ended December 31, 2022, the Company sold 751,040 shares of its common stock under the agreement for gross proceeds of approximately $1.3 million and incurred offering expenses of approximately $42,000. The Company terminated the agreement in March 2023. Common Stock Warrants December 2023 Warrants In connection with the royalty interest financing agreement the Company entered into in December 2023, the Company issued a warrant to purchase up to an aggregate of 5,000,000 shares of the Company's common stock. The warrant has a term of five years from the date of issuance and an exercise price of $0.3467 per share, subject to customary adjustment for stock splits and similar transactions. A holder (together with its affiliates) may not exercise any portion of the warrant to the extent that the holder would own more than 4.99% (or, at the election of the holder 9.99%) of the Company's outstanding common stock immediately after exercise. The warrant includes certain rights in favor of the holder upon a “fundamental transaction” as described in the warrant, including the right of the holder to receive from the Company or the successor entity an amount of cash equal to the Black-Scholes value (as described in the warrants) of the unexercised portion of the warrant on the date of the consummation of such fundamental transaction. The warrant was allocated a value of $0.8 million using a Black-Scholes option pricing model based on the relative fair value method as they were issued with common stock. The Black-Scholes model used the following assumptions: expected volatility: 85.91%; risk-free interest rate: 4.05%; expected dividend yield: 0%; and expected term: 5 years. The warrant was deemed to be classified as equity and recorded within additional paid in capital on the 2023 consolidated balance sheet. As of December 31, 2023, no portion of the warrant has been exercised. September 2023 Warrants In connection with the registered direct offering completed in September 2023, the Company issued warrants to purchase up to an aggregate of 10,000,000 shares of the Company's common stock. The warrants became exercisable on March 1, 2024, expire March 1, 2029 and have an exercise price of $0.77 per share, subject to customary adjustment for stock splits and similar transactions. A holder (together with its affiliates) may not exercise any portion of a warrant to the extent that the holder would own more than 4.99% (or, at the election of the holder 9.99%) of the Company's outstanding common stock immediately after exercise. The warrants include certain rights in favor of the holders upon a “fundamental transaction” as described in the warrants, including the right of the holders to receive from the Company or the successor entity an amount of cash equal to the Black-Scholes value (as described in the warrants) of the unexercised portion of the warrants on the date of the consummation of such fundamental transaction. The warrants were allocated a value of $2.9 million using a Black-Scholes option pricing model based on the relative fair value method as they were issued with common stock. The Black-Scholes model used the following assumptions: expected volatility: 87.77%; risk-free interest rate: 4.29%; expected dividend yield: 0%; and expected term: 5.5 years. The warrants were deemed to be classified as equity and recorded within additional paid in capital on the 2023 consolidated balance sheet. As of December 31, 2023, none of the warrants have been exercised. February 2018 Warrants In connection with an underwritten public offering in February 2018, the Company issued to the investors in that offering, warrants exercisable through February 15, 2023 with an initial exercise price of $3.00 per share. The Company estimated the fair value of the warrants as of February 15, 2018 to be approximately $3.0 million which was recorded in equity as of the grant date. The warrants included a price-based anti-dilution provision, which resulted in automatic reductions to the exercise price of the warrants in April 2019 and July 2020 to $0.98 per share and to $0.96 per share, respectively. A summary of warrant activity during the years ended December 31, 2023 and 2022 is presented below: Common Stock Number of Shares Underlying Warrants Weighted Average Exercise Price Weighted Average Remaining Life in Years Intrinsic Value Outstanding, December 31, 2021 1,381,015 $ 1.00 Granted — — Exercised — — Forfeited or expired — — Outstanding, December 31, 2022 1,381,015 $ 1.00 0.23 $ — Granted 15,000,000 0.63 Exercised (1,353,515) (0.96) Forfeited or expired (21,000) (0.96) Outstanding and exercisable, December 31, 2023 15,006,500 $ 0.63 5.11 $ — Common Stock The authorized capital of the Company consists of 240,000,000 shares of common stock with a par value of $0.0001 per share and 5,000,000 shares of preferred stock with a par value of $0.01 per share. The issued and outstanding common stock of the Company consisted of 99,973,932 and 84,825,481 shares of common stock as of December 31, 2023 and 2022, respectively. There were no shares of preferred stock outstanding as of December 31, 2023 or 2022. Common Stock Reserved for Future Issuance The following table summarizes common stock reserved for future issuance at December 31, 2023: Common stock reserved for issuance upon exercise of warrants outstanding 15,006,500 Common stock reserved for issuance upon exercise of options outstanding 9,463,556 Common stock reserved for future equity awards 6,725,579 Total 31,195,635 |
Stock-Based Compensation
Stock-Based Compensation | 12 Months Ended |
Dec. 31, 2023 | |
Share-Based Payment Arrangement [Abstract] | |
Stock-based Compensation | STOCK-BASED COMPENSATION 2014 Employee Stock Purchase Plan The Company’s 2014 Employee Stock Purchase Plan, or the ESPP, became effective in April 2014, but no offering period has been initiated thereunder since January 2017 and there was no stock-based compensation related to the ESPP for the years ended December 31, 2023 or December 31, 2022. Amended and Restated 2014 Stock Incentive Plan The Amended and Restated 2014 Stock Incentive Plan, or the Amended 2014 Plan, provided for the grant of stock-based awards to employees, directors, consultants and advisors. There were 2,046,885 shares of common stock authorized for issuance under the Amended 2014 Plan when it was approved by the Company's stockholders in July 2018. The number of authorized shares increased annually on the first day of each fiscal year by the least of (i) 2,000,000, (ii) 4% of the number of outstanding shares of common stock on such date, or (iii) an amount determined by the Company’s board of directors. On January 1, 2022, the number of available shares increased by 2,000,000 to 2,201,855. As a result of the approval of the 2022 Plan (as defined below) by the Company's stockholders on June 23, 2022, no further awards have been or will be granted under the Amended 2014 Plan. Outstanding awards previously granted under the Amended 2014 Plan continue to remain outstanding in accordance with their terms. 2022 Stock Incentive Plan In April 2022, the Company's board of directors approved the Daré Bioscience, Inc. 2022 Stock Incentive Plan, or the 2022 Plan, which was subsequently approved by the Company's stockholders on June 23, 2022, and became effective as of that date. The 2022 Plan provides for the grant of stock-based incentive awards to employees, directors, consultants, and advisors. The number of shares of common stock authorized for issuance under the 2022 Plan is (a) 10,117,305; plus (b) up to 6,144,682 shares subject to awards granted under the Amended 2014 Plan or the 2007 Stock Incentive Plan that expire, terminate or are otherwise forfeited on or after June 23, 2022. Summary of Stock Option Activity The table below summarizes stock option activity under the Company's stock incentive plans and related information for the years ended December 31, 2023 and 2022. The exercise price of all options granted during the years ended December 31, 2023 and 2022 was equal to the market value of the Company’s common stock on the date of grant. As of December 31, 2023, unamortized stock-based compensation expense of approximately $4.3 million will be amortized over the weighted average period of 2.1 years. The number of shares of common stock available for future awards granted under the 2022 Plan as of December 31, 2023 was 6,725,579. Number of Shares Weighted- Average Exercise Price Weighted- Average Remaining Contractual Life (Years) Aggregate Intrinsic Value Outstanding at December 31, 2021 4,717,602 $ 1.65 Granted 2,346,692 1.50 Exercised (130,322) 0.96 Cancelled/forfeited (321,418) 1.94 Expired — — Outstanding at December 31, 2022 6,612,554 1.60 Granted 2,857,665 1.13 Exercised — — Canceled/forfeited (6,663) 1.17 Expired — — Outstanding at December 31, 2023 9,463,556 $ 1.46 7.51 $ — Options exercisable at December 31, 2023 5,634,731 $ 1.51 6.78 $ — Options vested and expected to vest at December 31, 2023 9,463,556 $ 1.46 7.51 $ — Compensation Expense Total stock-based compensation expense related to stock options granted to employees and directors recognized in the consolidated statements of operations is as follows: Years Ended December 31, 2023 2022 Research and development $ 823,148 $ 676,645 General and administrative 1,707,536 1,481,866 Total $ 2,530,684 $ 2,158,511 The assumptions used in the Black-Scholes option-pricing model for stock options granted to employees and to directors in respect of board services during the years ended December 31, 2023 and 2022 is as follows: 2023 2022 Expected life in years 6.0 6.0 Risk-free interest rate 3.56 % 2.00 % Expected volatility 107 % 121 % Dividend yield 0.0 % 0.0 % Weighted-average fair value of options granted $ 1.13 $ 1.30 |
Leased Properties
Leased Properties | 12 Months Ended |
Dec. 31, 2023 | |
Leases [Abstract] | |
Leased Properties | LEASED PROPERTIES The Company's lease for its corporate headquarters (3,169 square feet of office space) commenced on July 1, 2018. In February 2022, the Company entered into an amendment to extend the term of the lease for two years such that the term now expires on August 31, 2024. MBI, a wholly-owned subsidiary the Company acquired in November 2019, leases general office and laboratory space in Lexington, Massachusetts. The lease for that space commenced on July 1, 2013. In February 2022, the Company entered into an amendment to extend the term of the lease for three years to December 31, 2025, subject to the landlord's right to terminate the lease on December 31, 2023. The extension of the lease in February 2022 resulted in an increase in operating lease liabilities and ROU assets of approximately $1.0 million. In September 2022, the landlord exercised its option to terminate the lease, resulting in the new lease term ending on December 31, 2023. The termination of the lease resulted in a reduction of operating lease liabilities and ROU assets of approximately $0.5 million and $0.5 million, respectively, and a $46,000 gain on the modification of the lease which was included as a reduction to research and development expense for the year ended December 31, 2022. MBI entered into a new lease for general office space and laboratory space in June 2023 that commenced on November 1, 2023 for three years, expiring on December 31, 2026, and resulted in an increase in operating lease liabilities and ROU assets of approximately $1.3 million. MBI previously leased warehouse space in Billerica, Massachusetts, under a lease that commenced on October 1, 2016 and terminated on March 31, 2022. Under the terms of each lease, the lessee pays base annual rent (subject to an annual fixed percentage increase), plus property taxes, and other normal and necessary expenses, such as utilities, repairs, and maintenance. The Company evaluates renewal options at lease inception and on an ongoing basis and includes renewal options that it is reasonably certain to exercise in its expected lease terms when classifying leases and measuring lease liabilities. The leases do not require material variable lease payments, residual value guarantees or restrictive covenants. The leases do not provide an implicit rate, and therefore the Company uses its incremental borrowing rate as the discount rate when measuring operating lease liabilities. The incremental borrowing rate represents an estimate of the interest rate the Company would incur at lease commencement to borrow an amount equal to the lease payments on a collateralized basis over the term of the lease within a particular currency environment. The Company uses an incremental borrowing rate consisting of the current prime rate plus 200 basis points for operating leases. The depreciable lives of operating leases and leasehold improvements are limited by the expected lease term. At December 31, 2023, the Company reported operating lease ROU assets of approximately $1.3 million in other non-current assets, approximately $0.5 million in current portion of lease liabilities, and approximately $0.9 million in lease liabilities long-term in the consolidated balance sheets. Total operating lease costs were approximately $0.6 million and $0.6 million for the years ended December 31, 2023 and 2022, respectively. Operating lease costs consist of monthly lease payments expense, common area maintenance and other repair and maintenance costs and are included in general and administrative expenses in the consolidated statements of operations. Cash paid for amounts included in the measurement of operating lease liabilities was approximately $0.4 million and $0.3 million for the years ended December 31, 2023 and 2022, respectively, and these amounts are included in operating activities in the consolidated statements of cash flows. At December 31, 2023, operating leases had a weighted average remaining lease term of 1.83 years and a weighted average interest rate of 10.27%. At December 31, 2023, future minimum lease payments under the Company's operating leases are as follows: Year ending December 31, 2024 $ 592,000 2025 513,000 2026 529,000 Total future minimum lease payments 1,634,000 Less: accreted interest 229,000 Total operating lease liabilities $ 1,405,000 |
Sale Of Future Royalties
Sale Of Future Royalties | 12 Months Ended |
Dec. 31, 2023 | |
Warrants and Rights Note Disclosure [Abstract] | |
Sale Of Future Royalties | SALE OF FUTURE ROYALTIES On December 21, 2023, the Company entered into a royalty interest financing agreement, or the Royalty Agreement, with United in Endeavour, LLC, or United, under which United acquired a portion of the Company's royalty interest in XACIATO. The Company received $5.0 million from United when the parties entered into the Royalty Agreement (the "Initial Investment"), and between January 1, 2024 and December 31, 2026, the Company may, in its sole discretion, elect to receive three additional payments (each a "Supplemental Investment") from United of up to an aggregate of $7.0 million, for a total of up to $12.0 million. Under the Royalty Agreement, the Company agreed to make the following payments to United, until such time when United has received aggregate payments equaling a 12% internal rate of return (the “IRR”) on the Initial Investment and each Supplemental Investment, if any (the "Hard Cap"): (i) from December 21, 2023 through December 31, 2025, 50% of the amount of royalty payments remaining after all amounts that are due and payable and actually paid by the Company to any licensor or sublicensee on the royalty payments generated and received by the Company on net sales of XACIATO by Organon have been deducted (the “Net Royalty Payments”), (ii) from January 1, 2026 through December 31, 2029, 75% of the Net Royalty Payments, and (iii) from December 21, 2023 through December 31, 2029, 10% of the amount of milestone payments remaining after all amounts that are due and payable and actually paid by the Company to any licensor or sublicensee on the milestone payments generated and received by the Company on net sales of XACIATO by Organon have been deducted. After December 31, 2029, the Company will be required to make certain additional payments to United to the extent United has not received payments equaling the Hard Cap by December 31, 2029, December 31, 2033, and December 31, 2034, respectively. In addition, if United has not received payments equaling the Hard Cap by December 31, 2035 and the Company has other sources of assets or income besides XACIATO sufficient to complete such payments, the Company has agreed to pay United quarterly payments evenly divided over a two-year term, such that United will have obtained the IRR, taking into account all other payments received by United from the Company under the Royalty Agreement. United’s right to receive payments will terminate when United has received the Hard Cap. The Company evaluated the terms of the Royalty Agreement and concluded that the features of the Royalty Agreement were similar to those of a debt instrument. As a result, the Company applied the debt recognition guidance under ASC 470, Debt, and recorded the Initial Investment as a liability related to the sale of future royalties (“Royalty Obligation”) on the Company's 2023 consolidated balance sheet, which will be amortized under the effective interest method over the estimated term of the Royalty Agreement. If the Company elects to receive additional Supplemental Investments, such additional Supplemental Investments will also be recorded as a liability related to the sale of future royalties when they are received and amortized under the interest method over the estimated remaining term of the Royalty Agreement. In addition, in accordance with ASC 470, Debt, the Company will account for any royalties received in the future as non-cash royalty revenue in the consolidated statements of operations as a reduction to the debt balance. As royalties and milestone payments are received by the Company from Organon and the Company subsequently pays the amounts due to United in respect thereof in accordance with the Royalty Agreement, the Royalty Obligation will be effectively repaid during the term of the Royalty Agreement. In order to determine the amortization of the Royalty Obligation, the Company is required to estimate the total amount of future payments to United during the term of the Royalty Agreement. At execution of the Royalty Agreement, the Company’s estimate of this total interest expense resulted in an effective annual interest rate of approximately 22.48%. This estimate contains significant assumptions that impact both the amount recorded at execution and the interest expense that will be recognized over the royalty period. The Company will periodically assess the estimated amounts due and payable to United and to the extent the amount or timing of such payments is materially different than the original estimates, an adjustment will be recorded prospectively to increase or decrease interest expense. There are a number of factors that could materially affect XACIATO's commercial success, and therefore the amount and timing of the Company's payments to United, and correspondingly, the amount of interest expense recorded by the Company, most of which are not within the Company’s control. Such factors include, but are not limited to, the capabilities of Organon and its commitment of sufficient resources to market, distribute and sell the product; timely and adequate commercial supply of the finished product and its components; perceived superiority of its cure rates compared to other available treatments; patient satisfaction and willingness to use it again and refer it to others; price pressure given the high level of generic treatments and changes in health care laws and regulations; adequate coverage, pricing and reimbursement from third-party payors; and approval of new entrants, including alternative, non-antibiotic treatment options. These factors could result in increases or decreases to both royalty revenues and interest expense. Warrants In connection with entering into the Royalty Agreement, the Company issued to United a warrant (the “Initial Royalty Warrant”) to purchase up to 5,000,000 shares of the Company’s common stock. In addition, for every $1,000,000 of Supplemental Investment, the Company will issue a warrant to purchase 1,000,000 shares of common stock, for an aggregate of warrants to purchase up to 7,000,000 shares of common stock (collectively the “Additional Royalty Warrants,” and together with the Initial Royalty Warrant, the “Royalty Agreement Warrants”). The Royalty Agreement Warrants are exercisable, in full or in part, at any time on or prior to the fifth anniversary of their issuance date at an exercise price of $0.3467 per share, subject to customary anti-dilution adjustments. The Royalty Agreement Warrants may be exercised for cash, or if at the time of exercise there is no effective registration statement registering for resale the shares underlying the Royalty Agreement Warrants, then in lieu of paying the exercise price in cash, the holders may elect to exercise on a cashless basis. The Royalty Agreement Warrants were deemed to be equity classified warrants and recorded under additional paid in capital. The fair value of the Initial Royalty Warrant was determined to be $0.8 million (Note 8) and was recorded as a debt discount against the Initial Investment. The following table shows the activity of the Royalty Obligation since the transaction inception through the period indicated: December 31, 2023 Upfront payment from the sale of future royalties $ 5,000,000 Debt issuance cost (276,101) Relative fair value of Initial Royalty Warrant (834,512) Royalty payments — Non-cash interest expense associated with the sale of future royalties 24,289 Liability related to the sale of future royalties $ 3,913,676 |
Commitments and Contingencies
Commitments and Contingencies | 12 Months Ended |
Dec. 31, 2023 | |
Commitments and Contingencies Disclosure [Abstract] | |
Commitments and Contingencies | COMMITMENTS AND CONTINGENCIES Insurance Financing In July 2023, the Company obtained financing for director and officer and other insurance premiums. The agreement for such financing assigns to the lender a first priority lien on and a security interest in the financed insurance policies and any additional premium required in the financed insurance policies including (a) all returned or unearned premiums, (b) all additional cash contributions or collateral amounts assessed by the insurance companies in relation to the financed insurance policies and financed by the lender, (c) any credits generated by the financed insurance policies, (d) dividend payments, and (e) loss payments which reduce unearned premiums. If any circumstances exist in which premiums related to any financed insurance policy could become fully earned in the event of loss, the lender will be named a loss-payee with respect to such policy. The total premiums, taxes and fees financed was approximately $0.6 million with an annual interest rate of approximately 8.0%. In consideration of the premium payment by the lender to the insurance companies or the agent or broker, the Company promised to pay the lender the amount financed plus interest and other charges permitted under the agreement. The Company will make monthly installment payments on the financed amount through April 20, 2024. The financed amount is recognized as an insurance financing cost included in other current assets and accrued expenses in the Company's consolidated balance sheets. As of December 31, 2023, the Company's remaining obligation under the agreement was approximately $0.3 million. CRADA with NICHD for the Pivotal Phase 3 Study of Ovaprene In July 2021, the Company entered into a Cooperative Research and Development Agreement, or the CRADA, with the U.S. Department of Health and Human Services, as represented by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, or NICHD, for the conduct of a multi-center, non-comparative, pivotal Phase 3 clinical study of Ovaprene, or the Ovaprene Phase 3. The Ovaprene Phase 3 will be conducted within NICHD’s Contraceptive Clinical Trial Network with NICHD's contract research organization providing clinical coordination and data collection and management services for the Ovaprene Phase 3. The Company and NICHD will each provide medical oversight and final data review and analysis for the Ovaprene Phase 3 and will work together to prepare the final report of the results of the Ovaprene Phase 3. The Company is responsible for providing clinical supplies of Ovaprene, coordinating interactions with the FDA, preparing and submitting supportive regulatory documentation, and providing a total of $5.5 million in payments to NICHD to be applied toward the costs of conducting the Ovaprene Phase 3. NICHD is responsible for the other costs related to the conduct of the Ovaprene Phase 3. In accordance with the payment schedule under the CRADA, the Company has made aggregate payments of $5.0 million to NICHD, $3.5 million of which was paid in 2022. The Company's remaining obligation under the CRADA at December 31, 2023 is $0.5 million. Legal Proceedings From time to time, the Company may be involved in various claims arising in the normal course of business. Management is not aware of any material claims, disputes or unsettled matters that would have a material adverse effect on the Company’s results of operations, liquidity or financial position that the Company has not adequately provided for in the accompanying consolidated financial statements. Employment Agreements Certain executive officers of the Company are entitled to payments if their employment is terminated by the Company without cause, if they resign for good reason, if their employment agreements are not renewed, or if their employment is terminated by the Company without cause or if they resign for good reason, in each case, within three months prior to or 12 months following a change in control of the Company. Upon termination by the Company without cause, if they resign for good reason, if their employment agreements are not renewed, such executives are entitled to receive a payment of an amount equal to either nine nine twelve twelve Employee Benefit – 401(k) Plan The Company has a 401(k) retirement plan, or the 401(k) Plan, covering all qualified employees. The 401(k) Plan allows each participant to contribute a portion of their base wages up to an amount not to exceed an annual statutory maximum. The 401(k) Plan includes a Safe Harbor Plan that provides a Company match up to 4% of salary. The Company made matching contributions of approximately $213,000 and $200,000 during the years ended December 31, 2023 and 2022, respectively. |
Grant Awards
Grant Awards | 12 Months Ended |
Dec. 31, 2023 | |
Receivables [Abstract] | |
Grant Awards | GRANT AWARDS NICHD Non-Dilutive Grant Funding The Company has received notices of awards and non-dilutive grant funding from NICHD to support the development of several of its product candidates. NICHD issues notices of awards to the Company for a specified amount, and the Company must incur and track expenses eligible for reimbursement under the award and submit a detailed accounting of such expenses to receive payment. If the Company receives payments under the award, the amounts of such payments are recognized in the statements of operations as a reduction to research and development activities as the related costs are incurred to meet those obligations over the period. DARE-PTB1 In August 2020, the Company received a notice of award of a grant from NICHD to support the development of DARE-PTB1. The award of approximately $300,000 was to be used for what is referred to as the "Phase I" segment of the project outlined in the Company's grant application. The Phase I segment ended in July 2023. The Company recorded credits to research and development expense for costs related to the NICHD award of approximately $1,000 and $20,000 for the year ended December 31, 2023 and 2022. The Company received aggregate reimbursements under the award of approximately $216,000 during the grant period which ended in July 2023. No further funds are available under this award for the Phase I segment. In December 2023, the Company received a notice of award of approximately $2.0 million for the "Phase II" segment of the project. The Company recorded no credits to research and development expense for costs related to the NICHD award for the year ended December 31, 2023. DARE-LARC1 In September 2021, the Company received a notice of award of a grant from NICHD to support the development of DARE-LARC1. The award in the amount of approximately $300,000 is to be used to explore device insertion and removal in nonclinical studies. The Company recorded credits to research and development expense of approximately $32,000 and $239,000 for costs related to the NICHD award for the year ended December 31, 2023 and 2022, respectively. The Company recorded receivables of approximately $0 and $33,000 for expenses incurred through such date that it believes is eligible for reimbursement under the grant at December 31, 2023 and 2022, respectively. The Company received aggregate reimbursements under the NICHD award of approximately $278,000 during the grant period, which ended in June 2023. No further funds are available under this award. DARE-204 and DARE-214 In May 2022, the Company received a notice of award of a grant from NICHD of approximately $249,000 to support end-user research to better understand women's preferences for a long-acting injectable contraceptive method. The findings from the research will inform the Company's target product profile and guide its development priorities for DARE-204 and DARE-214. The Company recorded credits to research and development expense of approximately $134,000 and $116,000 for costs related to the NICHD award for the year ended December 31, 2023 and 2022. The Company received aggregate reimbursements under the NICHD award of approximately $249,000 during the grant period, which ended in September 2023. No further funds are available under this award. DARE-PTB2 In July 2023, the Company received a notice of award of a grant from NICHD of approximately $385,000 to support preclinical development of a potential new therapeutic for the prevention of idiopathic preterm birth. The grant funds will support activities related to the conduct and completion of proof-of-concept target validation studies in collaboration with the University of South Florida, which are to occur over a 12-month period. The Company recorded credits to research and development expense of approximately $100,000 for costs related to the NICHD award for the year ended December 31, 2023. The Company recorded a receivable of approximately $100,000 at December 31, 2023 for expenses incurred through such date that it believes are eligible for reimbursement under the grant. Other Non-Dilutive Grant Funding The Company has received funding to support the preclinical development of DARE-LARC1 and DARE-LBT under grant agreements it entered into with the Foundation in June 2021 and November 2022, respectively. The Company is required to apply the funds it receives under the agreements solely toward direct costs for the applicable funded projects, other than approximately 10% of such funds, which it may apply toward general overhead and administrative expenses that support the entire operations of the Company. The Company receives funding in advance and tracks and reports eligible expenses incurred to the Foundation. Funds received that have not been spent are recorded as cash and cash equivalents and as a deferred grant funding liability in the Company’s consolidated balance sheets. The deferred grant funding liability also includes grant funds spent but not yet expensed in accordance with GAAP. The grant agreements include the Foundation's standard discretionary termination provisions. Any grant funds that have not been used or committed to the funded project must be returned promptly to the Foundation upon expiration or termination of the agreement. 2021 DARE-LARC1 Grant Agreement In June 2021, the Company entered into an agreement with the Foundation under which the Company was awarded up to approximately $49.0 million to support the development of DARE-LARC1. The agreement supports technology development and preclinical activities over the period of June 30, 2021 to November 1, 2026, to advance DARE-LARC1 through nonclinical proof-of-principle studies and other IND-enabling work to allow for the submission of an IND application with the FDA, approval of which will be required to commence testing in humans. As of December 31, 2023, the Company has received a cumulative total of approximately $28.4 million in non-dilutive funding under the agreement: approximately $11.5 million in 2021, approximately $12.4 million in 2022, and $4.5 million in 2023. Additional payments are contingent upon the DARE-LARC1 program’s achievement of specified development and reporting milestones. The Company recorded credits to research and development expense of approximately $8.7 million and $5.2 million for costs related to the Foundation award for the year ended December 31, 2023 and 2022. As of December 31, 2023, the Company recorded a deferred grant funding liability of approximately $13.5 million in the Company's consolidated balance sheets. 2022 DARE-LBT Grant Agreement In November 2022, the Company entered into an agreement with the Foundation under which the Company was awarded $585,000 to support the development of DARE-LBT over the period of November 11, 2022 to February 29, 2024. Under the agreement, the Company receives funding in advance and tracks and reports eligible expenses incurred to the Foundation. Any unspent funds are recorded as a deferred grant funding liability in the Company's consolidated balance sheets. |
Subsequent Events
Subsequent Events | 12 Months Ended |
Dec. 31, 2023 | |
Subsequent Events [Abstract] | |
Subsequent Events | SUBSEQUENT EVENTS Leased Property On March 8, 2024, the Company entered into an amendment to extend the term of the lease for its corporate headquarters in San Diego, California for three years. The extended term begins September 1, 2024 and expires October 31, 2027. 2024 Biotherapeutic Product Grant Agreement On January 17, 2024, the Company entered into an agreement with the Foundation under which the Company was awarded $750,000 to support the development of bacteria-based live biotherapeutic products designed to benefit women and newborns. The Company received the full amount of the award in January 2024. The Company will track and report eligible expenses incurred to the Foundation. Funds received but not yet spent will be recorded as cash and cash equivalents and as a deferred grant funding liability in the Company's consolidated balance sheets. Related Party Transaction On January 26, 2024, the Company entered into a consulting agreement with its former Chief Financial Officer, Lisa Walters-Hoffert, to assist in transition matters subsequent to her retirement. Pursuant to the agreement, for a nine month period commencing on January 26, 2024, the Company will pay Ms. Walters-Hoffert $31,667 per month and up to $500 per month for her health insurance premiums. ATM Sales During January 2024, the Company sold an aggregate of 607,968 shares of common stock under its ATM equity offering program and received aggregate gross proceeds of approximately $220,000 and incurred sales agent commissions and fees of approximately $5,000. For a discussion of the ATM program, see Note 8, Stockholders' Equity. |
Pay vs Performance Disclosure
Pay vs Performance Disclosure - USD ($) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Pay vs Performance Disclosure | ||
Net loss | $ (30,161,391) | $ (30,947,738) |
Insider Trading Arrangements
Insider Trading Arrangements | 3 Months Ended |
Dec. 31, 2023 | |
Trading Arrangements, by Individual | |
Rule 10b5-1 Arrangement Adopted | false |
Non-Rule 10b5-1 Arrangement Adopted | false |
Rule 10b5-1 Arrangement Terminated | false |
Non-Rule 10b5-1 Arrangement Terminated | false |
Basis of Presentation and Sum_2
Basis of Presentation and Summary of Significant Accounting Policies (Policies) | 12 Months Ended |
Dec. 31, 2023 | |
Accounting Policies [Abstract] | |
Basis of Presentation | Basis of Presentation The consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States, or U.S. GAAP, as defined by the Financial Accounting Standards Board, or FASB. |
Cash, Cash Equivalents and Restricted Cash | Cash, Cash Equivalents and Restricted Cash |
Going Concern | Going Concern The Company prepared its consolidated financial statements on a going concern basis, which assumes that the Company will realize its assets and satisfy its liabilities in the normal course of business. The Company has a history of losses from operations, expects negative cash flows from its operations to continue for the foreseeable future, and expects that its net losses will continue for at least the next several years as it develops and seeks to bring to market its existing product candidates and seeks to potentially acquire, license and develop additional product candidates. These circumstances raise substantial doubt about the Company's ability to continue as a going concern. The accompanying financial statements do not include any adjustments to reflect the possible future effects on the recoverability and reclassification of assets or the amounts and classifications of liabilities that may result from the outcome of the uncertainty of the Company's ability to continue as a going concern. At December 31, 2023, the Company had an accumulated deficit of approximately $171.2 million, cash and cash equivalents of approximately $10.5 million, deferred grant funding liabilities under the Company's grant agreements related to DARE-LARC1 and DARE-LBT of approximately $13.7 million, and a working capital deficit of approximately $2.9 million. The Company's cash and cash equivalents at December 31, 2023 represented grant funds received under such grant agreements that may be applied solely toward direct costs for the development of DARE-LARC1 and DARE-LBT, other than approximately 10% of such funds, which may be applied toward general overhead and administration expenses that support the entire operations of the Company. For the year ended December 31, 2023, the Company incurred a net loss of $30.2 million and had negative cash flow from operations of approximately $38.9 million. Based on the Company's current operating plan estimates, the Company does not have sufficient cash to satisfy its working capital needs and other liquidity requirements over at least the next 12 months from the date of issuance of the accompanying financial statements. The Company will need to raise substantial additional capital to continue to fund its operations and to successfully execute its current strategy. There can be no assurance that capital will be available when needed or that, if available, it will be obtained on terms favorable to the Company and its stockholders. If the Company cannot raise capital when needed, on favorable terms or at all, the Company will not be able to continue development of its product candidates, will need to reevaluate its planned operations and may need to delay, scale back or eliminate some or all of its development programs, reduce expenses, file for bankruptcy, reorganize, merge with another entity, or cease operations. If the Company becomes unable to continue as a going concern, the Company may have to liquidate its assets, and might realize significantly less than the values at which they are carried on its consolidated financial statements, and stockholders may lose all or part of their investment in the Company's common stock. The Company's consolidated financial statements do not include any adjustments that might result from the outcome of these uncertainties. |
Principles of Consolidation | Principles of Consolidation The consolidated financial statements of the Company are stated in U.S. dollars. These consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. One wholly-owned subsidiary, Daré Bioscience Australia Pty LTD, operates primarily in Australia. The financial statements of the Company’s wholly-owned subsidiaries are recorded in their functional currency and translated into the reporting currency. The cumulative effect of changes in exchange rates between the foreign entity’s functional currency and the reporting currency is reported in Accumulated Other Comprehensive Loss. All intercompany transactions and accounts have been eliminated in consolidation. |
Reclassification of Prior Year Presentation | Reclassification of Prior Year Presentation |
Use of Estimates | Use of Estimates The preparation of the consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Significant estimates and assumptions reflected in these consolidated financial statements include, but are not limited to, management's judgments with respect to its revenue arrangement, liability related to the sale of future royalties, valuation of stock-based awards and the accrual of research and development expenses. Estimates are periodically reviewed in light of changes in circumstances, facts and experience. Actual results could differ from those estimates and could materially affect the reported amounts of assets, liabilities and future operating results. |
Risks and Uncertainties | Risks and Uncertainties The Company will require approvals from the FDA, or foreign regulatory agencies prior to being able to sell any products. The Company received approval from the FDA for XACIATO in December 2021. There can be no assurance that the Company’s current or future product candidates will receive the necessary approvals. If the Company is denied regulatory approval of its product candidates, or if approval is delayed, it may have a material adverse impact on the Company’s business, results of operations and its financial position. The Company is subject to a number of risks similar to other life science companies, including, but not limited to, risks related to the ability to license product candidates, successfully develop product candidates, successfully commercialize approved products or enter into strategic relationships with third parties who are able to successfully commercialize approved products, raise additional capital, compete with other products, and protect proprietary technology. As a result of these and other factors and the related uncertainties, there can be no assurance of the Company’s future success. |
Concentration of Credit Risk | Concentration of Credit Risk The Company maintains cash balances at various financial institutions and such balances commonly exceed the $250,000 amount insured by the Federal Deposit Insurance Corporation. The Company also maintains money market funds at various financial institutions which are not federally insured although are invested primarily in the U.S. The Company has not experienced any losses in such accounts and management believes that the Company does not have significant risk with respect to such cash and cash equivalents. |
Fair Value of Financial Instruments | Fair Value of Financial Instruments GAAP defines fair value as the price that would be received for an asset or the exit price that would be paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants on the measurement date, and also establishes a fair value hierarchy which requires an entity to maximize the use of observable inputs, where available. The three-level hierarchy of valuation techniques established to measure fair value is defined as follows: • Level 1: inputs are unadjusted quoted prices in active markets for identical assets or liabilities. • Level 2: inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices in active markets for similar assets and liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of assets or liabilities. • Level 3: unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. |
Revenue Recognition | Revenue Recognition Under Accounting Standards Codification Topic 606, or ASC 606, the Company recognizes revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which it expects to be entitled in exchange for those goods or services. To determine revenue recognition for contracts with customers, the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the Company satisfies its performance obligations. At contract inception, the Company assesses the goods or services agreed upon within each contract, assesses whether each good or service is distinct, and determines those that are performance obligations. The Company then recognizes as revenue the amount of the transaction price allocated to the respective performance obligation when (or as) the performance obligation is satisfied. In a contract with multiple performance obligations, the Company develops estimates and assumptions that require judgment to determine the underlying stand-alone selling price for each performance obligation, which determines how the transaction price is allocated among the performance obligations. The estimation of the stand-alone selling price(s) may include estimates regarding forecasted revenues or costs, development timelines, discount rates, and probabilities of technical and regulatory success. The Company evaluates each performance obligation to determine if it can be satisfied at a point in time or over time. Any change made to estimated progress towards completion of a performance obligation and, therefore, revenue recognized will be recorded as a change in estimate. In addition, variable consideration must be evaluated to determine if it is constrained and, therefore, excluded from the transaction price. Collaboration Revenues . The Company enters into collaboration and licensing agreements under which it out-licenses certain rights to its products or product candidates to third parties. The terms of these arrangements typically include payment of one or more of the following to the Company: non-refundable, up-front license fees; development, regulatory and/or commercial milestone payments; and royalties on net sales of licensed products. To date, the Company has not recognized any collaboration revenues. License Fee Revenue. If the license to the Company’s intellectual property is determined to be distinct from the other performance obligations identified in a contract, the Company recognizes revenues from non-refundable, upfront fees allocated to the license when the license is transferred to the customer and the customer is able to use and benefit from the license. For licenses bundled with other promises, the Company utilizes judgment to assess the nature of the combined performance obligation to determine whether the combined performance obligation is satisfied over time or at a point in time and, if over time, the appropriate method of measuring progress for purposes of recognizing revenue from non-refundable, upfront fees. The Company evaluates the measure of progress each reporting period and, if necessary, adjusts the measure of performance and related revenue recognition. To date, the Company has recognized $11.0 million in license fee revenue, $10.0 million of which represents the upfront payment under its license agreement for XACIATO and $1.0 million of which represents the payment required by the first amendment to such license agreement entered into in July 2023. Royalties. For arrangements that include sales-based royalties, including milestone payments based on the level of sales, and for which the license is deemed to be the predominant item to which the royalties relate, the Company recognizes revenue at the later of (i) when the related sales occur, or (ii) when the performance obligation to which some or all of the royalty has been allocated has been satisfied (or partially satisfied). To date, the Company has recognized approximately $7,900 in royalty revenue. Product Supply. Arrangements that include a promise for future supply of product for commercial supply at the licensee’s discretion are generally considered as options. The Company assesses if these options provide a material right to the licensee and if so, they are accounted for as separate performance obligations. The Company evaluates whether it is the principal or agent in the arrangement. The evaluation is based on the degree the Company controls the specified product at any time before transfer to the customer. Revenues are recognized on a gross basis if the Company is in the capacity of principal and on a net basis if the Company is in the capacity of an agent. To date, the Company has recognized approximately $205,000 in revenue along with $201,000 in other expense attributed to the cost of revenue associated with its product supply arrangement for XACIATO, which is recorded in other income in the Company's 2023 consolidated statement of operations and comprehensive loss. That arrangement was terminated effective December 14, 2023 and the Company will not recognize product supply revenue associated with that agreement in the future. Bayer License . In 2020, the Company entered into a license agreement with Bayer Healthcare LLC, or Bayer, regarding the further development and commercialization of Ovaprene in the U.S. and received a $1.0 million upfront non-refundable license fee payment from Bayer (See Note 3, Strategic Agreements). The $1.0 million upfront payment is recorded as deferred license revenue in the Company's consolidated balance sheets at December 31, 2023 and December 31, 2022. Bayer, in its sole discretion, has the right to make the license effective by paying the Company an additional $20.0 million. The Company concluded that there was one significant performance obligation related to the $1.0 million upfront payment: a distinct license to commercialize Ovaprene effective upon the receipt of the $20.0 million fee. The $1.0 million upfront payment will be recorded as license revenue at the earlier of (i) the point in time the Company receives the $20.0 million fee, the license is transferred to Bayer and Bayer is able to use and benefit from the license and (ii) the termination of the agreement. To date, neither of the foregoing has occurred. Under its license agreement with Bayer, the Company will also be entitled to receive (a) milestone payments totaling up to $310.0 million related to the commercial sales of Ovaprene, if all such milestones are achieved, (b) tiered royalties starting in the low double digits based on annual net sales of Ovaprene during a calendar year, subject to customary royalty reductions and offsets, and (c) a percentage of sublicense revenue. Milestone Payments. |
Leases | Leases The Company determines if an arrangement is a lease at inception. Operating leases are included in other non-current assets as right-of-use, or ROU, lease assets, current portion of lease liabilities, and long-term lease liabilities on the Company's consolidated balance sheets. ROU lease assets represent the Company's right to use an underlying asset for the lease term and lease obligations represent the Company's obligation to make lease payments arising from the lease. Operating ROU lease assets and obligations are recognized at the commencement date based on the present value of lease payments over the lease term. If the lease does not provide an implicit rate, the Company uses its incremental borrowing rate based on the information available at the commencement date in determining the present value of lease payments. The ROU lease asset also includes any lease payments made and excludes lease incentives. The Company's lease terms may include options to extend or terminate the lease and the related payments are only included in the lease liability when it is reasonably certain that the Company will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term (See Note 10, Leased Properties). |
Segment Reporting | Segment Reporting Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision maker, or decision-making group, in making decisions on how to allocate resources and assess performance. Its chief operating decision maker is the chief executive officer. The Company has one operating segment, women’s health. |
Research and Development Costs | Research and Development Costs Research and development expenses consist of expenses incurred in performing research and development activities, including compensation and benefits for full-time research and development employees, an allocation of facilities expenses, overhead expenses, manufacturing process-development and scale-up activities, fees paid to clinical and regulatory consultants, clinical trial and related clinical trial manufacturing expenses, fees paid to contract research organizations, or CROs, and investigative sites, transaction expenses incurred in connection with the expansion of the product portfolio through acquisitions and license and option agreements, milestone payments incurred or probable to be incurred for the Company's in-licensing arrangements, payments to universities under the Company’s license agreements and other outside expenses. Research and development costs are expensed as incurred. Nonrefundable advance payments, if any, for goods and services used in research and development are recognized as an expense as the related goods are delivered or services are performed. Patent Costs |
Net Loss Per Share | Net Loss Per Share |
Stock-Based Compensation | Stock-Based Compensation |
Income Taxes | Income Taxes The Company accounts for income taxes using the asset and liability method in accordance with FASB ASC 740, Income Taxes . Under this method, deferred income taxes are provided to reflect the tax consequences in future years of differences between the tax basis of assets and liabilities and their financial reporting amounts based on enacted tax laws and statutory tax rates applicable to the periods in which the differences are expected to affect taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to the amount expected to be realized. The Company follows the two-step approach to recognizing and measuring uncertain tax positions. The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates it is more likely than not, that the position will be sustained on audit, including resolution of related appeals or litigation processes, if any. The second step is to measure the tax benefit as the largest amount, which is more than 50% likely of being realized upon ultimate settlement. The Company considers many factors when evaluating and estimating the Company's tax positions and tax benefits, which may require periodic adjustments. At each of December 31, 2023 and 2022, the Company did not record any liabilities for uncertain tax positions. During each of 2023 and 2022, the Company recorded no provision for income taxes. Management evaluated the Company’s tax positions and, as of December 31, 2023 and 2022, the Company had approximately $2.6 million and $2.3 million of unrecognized benefits, respectively. The tax years 2020 to 2022 and 2019 to 2022 remain open to examination by federal and state taxing authorities, respectively, while the statute of limitations for U.S. net operating losses generated remain open beginning in the year of utilization. |
Indemnification Obligations | Indemnification Obligations As permitted under Delaware law, the Company has entered into indemnification agreements with its officers and directors that provide that the Company will indemnify its directors and officers for certain expenses, including attorneys’ fees, judgments, fines and settlement amounts incurred by such director or officer in any action or proceeding arising out of their service as a director and/or officer. The term of the indemnification is for the officer’s or director’s lifetime. During the year ended December 31, 2023, the Company did not experience any losses related to those indemnification obligations. The Company does not expect significant claims related to these indemnification obligations, and consequently, has concluded the fair value of the obligations is not material. Accordingly, as of December 31, 2023 and 2022, no amounts have been accrued related to such indemnification provisions. |
Basis of Presentation and Sum_3
Basis of Presentation and Summary of Significant Accounting Policies (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Accounting Policies [Abstract] | |
Schedule of Financial Assets and Liabilities Remeasured on a Recurring Basis | The following tables present the classification within the fair value hierarchy of financial assets and liabilities that are remeasured on a recurring basis as of December 31, 2023 and December 31, 2022. There were no financial assets or liabilities that were remeasured using a quoted price in active markets for identical assets (Level 2) as of December 31, 2023 . Fair Value Measurements Level 1 Level 2 Level 3 Total Balance at December 31, 2023 Current assets: Cash equivalents (1) $ 9,982,079 $ — $ — $ 9,982,079 Balance at December 31, 2022 Current assets: Cash equivalents (1) $ 33,238,658 $ — $ — $ 33,238,658 (1) Represents cash held in money market funds. |
Prepaid Expenses (Tables)
Prepaid Expenses (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract] | |
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure | Prepaid expenses consisted of the following: As of December 31, 2023 2022 Prepaid clinical expense $ 5,023,140 $ 5,702,657 Prepaid development expense 376,959 225,433 Prepaid insurance expense 472,922 502,981 Prepaid legal and professional expenses 245,251 234,917 Total prepaid expenses $ 6,118,272 $ 6,665,988 |
Accrued Expenses (Tables)
Accrued Expenses (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Payables and Accruals [Abstract] | |
Schedule of Accounts Payable and Accrued Expenses | Accrued expenses consisted of the following: As of December 31, 2023 2022 Accrued clinical expense $ 1,195,744 $ 6,665,443 Accrued compensation and benefits 805,412 1,720,501 Accrued development expense 547,490 2,102,310 Accrued royalties payable 6,504 — Accrued legal and professional — 239,348 Insurance financing payable 267,188 — Other accruals — 99,747 Accrued license fee expense 66,667 66,667 Total accrued expenses $ 2,889,005 $ 10,894,016 |
Income Taxes (Tables)
Income Taxes (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Income Tax Disclosure [Abstract] | |
Summary of Components of Loss from Continuing Operations Before Provision for Income Taxes | The components of loss from continuing operations before provision for income taxes consists of the following (in thousands): Years Ended December 31, 2023 2022 Domestic $ 29,099 $ 28,391 Foreign 1,060 2,557 Loss before taxes $ 30,159 $ 30,948 |
Difference Between Provision for Income Taxes (Benefit) and the Amount Computed by Applying U.S. Federal Income Tax Rate | The difference between the provision for income taxes (benefit) and the amount computed by applying the U.S. federal income tax rate for the years ended December 31, 2023 and 2022 are as follows: Years Ended December 31, 2023 2022 Federal statutory rate 21.0 % 21.0 % State income tax, net of federal benefit 0.84 % (2.96) % State tax rate change 1.15 % (9.08) % Permanent differences (0.02) % (0.02) % Research and development credit 7.47 % 6.84 % Stock compensation (0.75) % (0.57) % Other (3.04) % (0.74) % Change in valuation allowance (26.65) % (14.48) % Effective income tax rate — % — % |
Summary of Major Components of Company's Deferred Tax Assets | The major components of the Company’s deferred tax assets as of December 31, 2023 and 2022 are shown below (in thousands). 2023 2022 Net operating loss carryforwards $ 86,182 $ 81,761 Research and development credit carryforwards 10,868 8,833 Capitalized research and development costs 12,570 10,009 Other 41 1,468 Stock compensation 2,618 2,170 Total deferred tax assets 112,279 104,241 Valuation allowance (112,279) (104,241) Net deferred tax assets $ — $ — |
Schedule of Reconciliation of the Beginning and Ending Amount of Uncertain Tax Benefits | A reconciliation of the beginning and ending amount of uncertain tax benefits is as follows (in thousands): Years Ended December 31, 2023 2022 Beginning uncertain tax benefits $ 2,316 $ 1,909 Current year - increases $ 347 $ 427 Prior year - reductions $ (46) $ (20) Ending uncertain tax benefits $ 2,617 $ 2,316 |
Stockholders' Equity (Tables)
Stockholders' Equity (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Equity [Abstract] | |
Schedule of Warrant Activity | A summary of warrant activity during the years ended December 31, 2023 and 2022 is presented below: Common Stock Number of Shares Underlying Warrants Weighted Average Exercise Price Weighted Average Remaining Life in Years Intrinsic Value Outstanding, December 31, 2021 1,381,015 $ 1.00 Granted — — Exercised — — Forfeited or expired — — Outstanding, December 31, 2022 1,381,015 $ 1.00 0.23 $ — Granted 15,000,000 0.63 Exercised (1,353,515) (0.96) Forfeited or expired (21,000) (0.96) Outstanding and exercisable, December 31, 2023 15,006,500 $ 0.63 5.11 $ — |
Schedule of Common Stock Reserved for Future Issuance | The following table summarizes common stock reserved for future issuance at December 31, 2023: Common stock reserved for issuance upon exercise of warrants outstanding 15,006,500 Common stock reserved for issuance upon exercise of options outstanding 9,463,556 Common stock reserved for future equity awards 6,725,579 Total 31,195,635 |
Stock-based Compensation (Table
Stock-based Compensation (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Share-Based Payment Arrangement [Abstract] | |
Summary of Stock Option Activity for 2015 Plan and Current Plan and Related Information | The table below summarizes stock option activity under the Company's stock incentive plans and related information for the years ended December 31, 2023 and 2022. The exercise price of all options granted during the years ended December 31, 2023 and 2022 was equal to the market value of the Company’s common stock on the date of grant. As of December 31, 2023, unamortized stock-based compensation expense of approximately $4.3 million will be amortized over the weighted average period of 2.1 years. The number of shares of common stock available for future awards granted under the 2022 Plan as of December 31, 2023 was 6,725,579. Number of Shares Weighted- Average Exercise Price Weighted- Average Remaining Contractual Life (Years) Aggregate Intrinsic Value Outstanding at December 31, 2021 4,717,602 $ 1.65 Granted 2,346,692 1.50 Exercised (130,322) 0.96 Cancelled/forfeited (321,418) 1.94 Expired — — Outstanding at December 31, 2022 6,612,554 1.60 Granted 2,857,665 1.13 Exercised — — Canceled/forfeited (6,663) 1.17 Expired — — Outstanding at December 31, 2023 9,463,556 $ 1.46 7.51 $ — Options exercisable at December 31, 2023 5,634,731 $ 1.51 6.78 $ — Options vested and expected to vest at December 31, 2023 9,463,556 $ 1.46 7.51 $ — |
Schedule of Stock-Based Compensation Expense | Total stock-based compensation expense related to stock options granted to employees and directors recognized in the consolidated statements of operations is as follows: Years Ended December 31, 2023 2022 Research and development $ 823,148 $ 676,645 General and administrative 1,707,536 1,481,866 Total $ 2,530,684 $ 2,158,511 |
Summary of Assumptions Used in Black-Scholes Option-Pricing Model for Stock Options Granted to Employees, and Non-Employee Directors | The assumptions used in the Black-Scholes option-pricing model for stock options granted to employees and to directors in respect of board services during the years ended December 31, 2023 and 2022 is as follows: 2023 2022 Expected life in years 6.0 6.0 Risk-free interest rate 3.56 % 2.00 % Expected volatility 107 % 121 % Dividend yield 0.0 % 0.0 % Weighted-average fair value of options granted $ 1.13 $ 1.30 |
Leased Properties (Tables)
Leased Properties (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Leases [Abstract] | |
Future Minimum Lease Payment | At December 31, 2023, future minimum lease payments under the Company's operating leases are as follows: Year ending December 31, 2024 $ 592,000 2025 513,000 2026 529,000 Total future minimum lease payments 1,634,000 Less: accreted interest 229,000 Total operating lease liabilities $ 1,405,000 |
Sale Of Future Royalties (Table
Sale Of Future Royalties (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Warrants and Rights Note Disclosure [Abstract] | |
Schedule of Changes in the Liability Related to the Sale of Future Royalties | The following table shows the activity of the Royalty Obligation since the transaction inception through the period indicated: December 31, 2023 Upfront payment from the sale of future royalties $ 5,000,000 Debt issuance cost (276,101) Relative fair value of Initial Royalty Warrant (834,512) Royalty payments — Non-cash interest expense associated with the sale of future royalties 24,289 Liability related to the sale of future royalties $ 3,913,676 |
Organization and Description _2
Organization and Description of Business (Details) | 12 Months Ended |
Dec. 31, 2023 segment | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Number of operating segments | 1 |
Basis of Presentation and Sum_4
Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Detail) $ in Millions | 1 Months Ended | 12 Months Ended | |||||||||||
Dec. 31, 2023 USD ($) shares | Jan. 10, 2020 USD ($) | Dec. 31, 2023 USD ($) shares | Jul. 31, 2023 USD ($) | Jul. 31, 2022 USD ($) | Mar. 31, 2022 USD ($) | Dec. 31, 2023 USD ($) segment shares | Dec. 31, 2023 AUD ($) segment | Dec. 31, 2022 USD ($) shares | Dec. 31, 2020 USD ($) | Jan. 01, 2022 shares | Dec. 31, 2021 USD ($) shares | Jul. 31, 2018 shares | |
Significant Accounting Policies [Line Items] | |||||||||||||
Restricted cash included in other non-current assets | $ 335,000 | $ 335,000 | $ 335,000 | $ 0 | |||||||||
Accumulated deficit | 171,236,031 | 171,236,031 | 171,236,031 | 141,074,640 | |||||||||
Cash and cash equivalents | 10,476,056 | 10,476,056 | 10,476,056 | 34,669,605 | |||||||||
Deferred grant funding | 13,737,154 | 13,737,154 | 13,737,154 | 18,303,567 | |||||||||
Working capital deficit | 2,900,000 | 2,900,000 | 2,900,000 | ||||||||||
Net loss | 30,161,391 | 30,947,738 | |||||||||||
Cash flow from operations | $ 38,900,000 | ||||||||||||
Period of insufficient cash and liquidity requirements | 12 months | 12 months | |||||||||||
Grant funding recognized during period | 9,300,000 | 9,300,000 | $ 9,300,000 | 5,600,000 | |||||||||
Liability related to the sale of future royalties, net | 3,913,676 | 3,913,676 | 3,913,676 | 0 | |||||||||
Milestone payment revenues | $ 1,800,000 | $ 1,800,000 | $ 1,800,000 | ||||||||||
Number of operating segments | segment | 1 | 1 | |||||||||||
Research and development | $ 21,538,074 | 30,042,217 | |||||||||||
Common stock reserved for issuance (in shares) | shares | 31,195,635 | 31,195,635 | 31,195,635 | ||||||||||
Income tax provision | $ 0 | 0 | |||||||||||
Unrecognized tax benefits | $ 2,617,000 | $ 2,617,000 | 2,617,000 | 2,316,000 | $ 1,909,000 | ||||||||
Accrued indemnification provisions | 0 | $ 0 | 0 | 0 | |||||||||
Warrant | Royalty Investment Financing Agreement | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Sale of stock, number of shares issued in transaction | shares | 5,000,000 | ||||||||||||
Warrant | Royalty Investment Financing Agreement | Estimate of Fair Value Measurement | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Warrants and rights outstanding (in shares) | 800,000 | $ 800,000 | 800,000 | ||||||||||
Warrant | Royalty Investment Financing Agreement | Additional Paid-in Capital | Estimate of Fair Value Measurement | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Warrants and rights outstanding (in shares) | 800,000 | 800,000 | 800,000 | ||||||||||
United | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Proceeds from royalties received | 5,000,000 | 5,000,000 | |||||||||||
Liability related to the sale of future royalties, net | $ 5,000,000 | $ 5,000,000 | $ 5,000,000 | ||||||||||
Internal rate of return | 12% | 12% | 12% | ||||||||||
United | Warrant | Estimate of Fair Value Measurement | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Warrants and rights outstanding (in shares) | $ 800,000 | $ 800,000 | $ 800,000 | ||||||||||
Organon | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Upfront license fee paid | $ 10,000,000 | $ 10,000,000 | 11,000,000 | ||||||||||
Reimburse amount, PDUFA fees and other manufacturing expenses | $ 1,000,000 | ||||||||||||
Australian Taxation Office | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Research and development | 600,000 | 1,600,000 | |||||||||||
License And Collaboration Revenues | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Total revenue | 11,000,000 | ||||||||||||
Royalty revenue | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Total revenue | 7,900 | ||||||||||||
Collaborative Arrangement | Bayer Healthcare LLC | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Upfront license fee paid | 1,000,000 | $ 1,000,000 | $ 1,000,000 | ||||||||||
Milestone payments, contingent amount | $ 310,000,000 | ||||||||||||
Collaborative Arrangement | License And Collaboration Revenues | Organon | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Total revenue | 205,000 | ||||||||||||
Other expense attributed to cost of revenue | 201,000 | ||||||||||||
Collaborative Arrangement | Royalty revenue | Bayer Healthcare LLC | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Total revenue | $ 20,000,000 | ||||||||||||
Minimum | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Cash balance of financial institutions insured by federal deposits insurance corporation | $ 250,000 | $ 250,000 | $ 250,000 | ||||||||||
Minimum | Australian Taxation Office | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Total revenue | $ 20 | ||||||||||||
Stock Options | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Stock options outstanding (in shares) | shares | 2,000,000 | ||||||||||||
Common stock reserved for issuance (in shares) | shares | 2,201,855 | ||||||||||||
Warrant | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Common stock reserved for issuance (in shares) | shares | 15,006,500 | 15,006,500 | 15,006,500 | 1,381,015 | |||||||||
Amended And Restated Two Thousand Fourteen Stock Incentive Plan | Stock Options | |||||||||||||
Significant Accounting Policies [Line Items] | |||||||||||||
Stock options outstanding (in shares) | shares | 9,463,556 | 9,463,556 | 9,463,556 | 6,612,554 | 4,717,602 | ||||||||
Common stock reserved for issuance (in shares) | shares | 6,725,579 | 6,725,579 | 6,725,579 |
Basis of Presentation and Sum_5
Basis of Presentation and Summary of Significant Accounting Policies - Financial Assets and Liabilities Remeasured on a Recurring Basis Level - 2 (Details) - Fair Value, Measurements, Recurring - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 |
Significant Accounting Policies [Line Items] | ||
Cash equivalents | $ 9,982,079 | $ 33,238,658 |
Level 1 | ||
Significant Accounting Policies [Line Items] | ||
Cash equivalents | 9,982,079 | 33,238,658 |
Level 2 | ||
Significant Accounting Policies [Line Items] | ||
Cash equivalents | 0 | 0 |
Level 3 | ||
Significant Accounting Policies [Line Items] | ||
Cash equivalents | $ 0 | $ 0 |
Strategic Agreements - Addition
Strategic Agreements - Additional Information (Details) shares in Thousands, $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended | ||||||||||||||||
Jan. 10, 2020 USD ($) | Jul. 31, 2023 USD ($) | Aug. 31, 2022 USD ($) | Jul. 31, 2022 USD ($) | Mar. 31, 2022 USD ($) | Sep. 30, 2021 USD ($) shares | Jun. 30, 2021 USD ($) | Jan. 31, 2020 USD ($) expert obligation | Nov. 30, 2019 USD ($) | May 31, 2018 USD ($) | Apr. 30, 2018 USD ($) | Feb. 28, 2018 USD ($) | Mar. 31, 2017 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($) | Aug. 31, 2023 USD ($) | |
Upon Achievement Of Specified Development And Regulatory Milestones | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | $ 50,000 | ||||||||||||||||||
Microchips Biotech, Inc. | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Registration payment arrangement, maximum potential consideration | $ 1,250 | ||||||||||||||||||
Equity issued in consideration of acquisition (in shares) | shares | 700 | ||||||||||||||||||
Payments to stockholders' representative in business combination | $ 75 | ||||||||||||||||||
Payment of additional consideration in business combination | $ 1,250 | ||||||||||||||||||
Microchips Biotech, Inc. | Upon Achievement Of Specified Development And Regulatory Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments | $ 46,500 | ||||||||||||||||||
Asset acquisition, contingent consideration, current | $ 55,000 | ||||||||||||||||||
ADVA Tec Agreement | Upon Achievement Of Specified Development And Regulatory Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments | $ 14,600 | ||||||||||||||||||
ADVA Tec Agreement | Maximum | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Percentage of royalty rate | 10% | ||||||||||||||||||
ADVA Tec Agreement | Minimum | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Percentage of royalty rate | 1% | ||||||||||||||||||
Bayer Healthcare License Agreement | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Upfront license fee paid | $ 1,000 | ||||||||||||||||||
Number of experts | expert | 2 | ||||||||||||||||||
Total revenue | $ 20,000 | ||||||||||||||||||
Number of significant performance obligations | obligation | 1 | ||||||||||||||||||
License fee, agreement retention, minimum required amount to be received | $ 20,000 | ||||||||||||||||||
Bayer Healthcare License Agreement | Minimum | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Expiration period | 15 years | ||||||||||||||||||
Hennepin License Agreement | Clinical And Regulatory Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Maximum potential milestone payments | $ 6,250 | ||||||||||||||||||
Hennepin License Agreement | Sales Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Maximum potential milestone payments | $ 45,000 | ||||||||||||||||||
Licensing Agreements | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | 1,000 | ||||||||||||||||||
Licensing Agreements | Upon Achieving Certain Commercial Milestones | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | 850 | ||||||||||||||||||
Licensing Agreements | Licensed Product or Process for Vaginal or Urological Use | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | 250 | ||||||||||||||||||
Licensing Agreements | Maximum | Upon Achieving Certain Development Milestones | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | $ 500 | $ 300 | |||||||||||||||||
Licensing Agreements | Upon Achievement Of Specified Development And Regulatory Milestones | Upon Achieving Certain Commercial Milestones | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | $ 1,200 | ||||||||||||||||||
Licensing Agreements | ADVA Tec Agreement | Upon Reaching Certain Worldwide Net Sales Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments | $ 20,000 | ||||||||||||||||||
Assignment Agreement | Upon Achieving Certain Clinical And Regulatory Development Milestones | Related Party | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | 1,100 | ||||||||||||||||||
Merger Agreement | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Maximum potential milestone payments | $ 15,500 | ||||||||||||||||||
Milestone payments | 3,200 | ||||||||||||||||||
Pear Tree Pharmaceuticals, Inc. | Sales Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Maximum potential milestone payments | $ 47,000 | ||||||||||||||||||
Juniper Pharmaceuticals, Inc. | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Upfront license fee paid | $ 250 | ||||||||||||||||||
Potential annual license maintenance fee payments, thereafter | 100 | ||||||||||||||||||
Juniper Pharmaceuticals, Inc. | Clinical And Regulatory Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Maximum potential milestone payments | 13,500 | ||||||||||||||||||
Juniper Pharmaceuticals, Inc. | Sales Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Maximum potential milestone payments | $ 30,300 | ||||||||||||||||||
License And Collaboration Agreement | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | $ 18,000 | ||||||||||||||||||
License And Collaboration Agreement | Upon Achieving Certain Commercial Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | $ 100,000 | ||||||||||||||||||
Douglas License Agreement | Upon Achieving Certain Development Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Sales based milestones amount | $ 5,250 | ||||||||||||||||||
Douglas License Agreement | Upon Achieving Certain Commercial Milestones | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Sales based milestones amount | $ 64,000 | ||||||||||||||||||
Organon | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Upfront license fee paid | $ 10,000 | $ 10,000 | 11,000 | ||||||||||||||||
Reimburse amount, PDUFA fees and other manufacturing expenses | $ 1,000 | ||||||||||||||||||
Milestone payments, contingent amount, first commercial sale amount | 1,800 | ||||||||||||||||||
Sales based milestones amount | $ 180,000 | $ 180,000 | |||||||||||||||||
Advanced written notice period | 120 days | ||||||||||||||||||
Catalent and MilanaPharm | Licensing Agreements | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Milestone payments, contingent amount | $ 1,000 | ||||||||||||||||||
Bayer Healthcare LLC | Collaborative Arrangement | |||||||||||||||||||
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] | |||||||||||||||||||
Upfront license fee paid | $ 1,000 | $ 1,000 | $ 1,000 | ||||||||||||||||
Milestone payments, contingent amount | $ 310,000 |
Prepaid Expenses (Details)
Prepaid Expenses (Details) - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 |
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract] | ||
Prepaid clinical expense | $ 5,023,140 | $ 5,702,657 |
Prepaid development expense | 376,959 | 225,433 |
Prepaid insurance expense | 472,922 | 502,981 |
Prepaid legal and professional expenses | 245,251 | 234,917 |
Total prepaid expenses | $ 6,118,272 | $ 6,665,988 |
Accrued Expenses - Schedule of
Accrued Expenses - Schedule of Accounts Payable and Accrued Expenses (Detail) - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 |
Payables and Accruals [Abstract] | ||
Accrued clinical expense | $ 1,195,744 | $ 6,665,443 |
Accrued compensation and benefits | 805,412 | 1,720,501 |
Accrued development expense | 547,490 | 2,102,310 |
Accrued royalties payable | 6,504 | 0 |
Accrued legal and professional | 0 | 239,348 |
Insurance financing payable | 267,188 | 0 |
Other accruals | 0 | 99,747 |
Accrued license fee expense | 66,667 | 66,667 |
Total accrued expenses | $ 2,889,005 | $ 10,894,016 |
Vendor Concentration (Details)
Vendor Concentration (Details) - Supplier Concentration Risk - Major Vendor | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Research and development | ||
Concentration Risk [Line Items] | ||
Concentration risk percentage | 21% | 10% |
Accounts payable and accrued expenses | ||
Concentration Risk [Line Items] | ||
Concentration risk percentage | 0% | 17% |
Income Taxes - Summary of Compo
Income Taxes - Summary of Components of Loss from Continuing Operations Before Provision for Income Taxes (Detail) - USD ($) $ in Thousands | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Income Tax Disclosure [Abstract] | ||
Domestic | $ 29,099 | $ 28,391 |
Foreign | 1,060 | 2,557 |
Loss before taxes | $ 30,159 | $ 30,948 |
Income Taxes - Reconciliation o
Income Taxes - Reconciliation of Provision for Income Taxes (Benefit) and Amount Computed by Applying U.S. Federal Income Tax Rate (Detail) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Income Tax Disclosure [Abstract] | ||
Federal statutory rate | 21% | 21% |
State income tax, net of federal benefit | 0.84% | (2.96%) |
State tax rate change | 1.15% | (9.08%) |
Permanent differences | (0.02%) | (0.02%) |
Research and development credit | 7.47% | 6.84% |
Stock compensation | (0.75%) | (0.57%) |
Other | (3.04%) | (0.74%) |
Change in valuation allowance | (26.65%) | (14.48%) |
Effective income tax rate | 0% | 0% |
Income Taxes - Summary of Major
Income Taxes - Summary of Major Components of Company's Deferred Tax Assets (Detail) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 |
Income Tax Disclosure [Abstract] | ||
Net operating loss carryforwards | $ 86,182 | $ 81,761 |
Research and development credit carryforwards | 10,868 | 8,833 |
Capitalized research and development costs | 12,570 | 10,009 |
Other | 41 | 1,468 |
Stock compensation | 2,618 | 2,170 |
Total deferred tax assets | 112,279 | 104,241 |
Valuation allowance | (112,279) | (104,241) |
Net deferred tax assets | $ 0 | $ 0 |
Income Taxes - Additional Infor
Income Taxes - Additional Information (Detail) - USD ($) | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Operating Loss Carryforwards [Line Items] | |||
Deferred tax valuation allowance | $ 112,279,000 | $ 104,241,000 | |
Deferred tax assets, increase in valuation allowance | 8,000,000 | 4,500,000 | |
Operating loss carryforward, subject to expiration | 1,200,000 | ||
Operating loss carryforwards not subject to expiration | 117,700,000 | ||
Unrecognized tax benefits | 2,617,000 | 2,316,000 | $ 1,909,000 |
Accrued interest or penalties recorded related to uncertain tax positions | 0 | $ 0 | |
Unremitted earnings | 0 | ||
Federal | |||
Operating Loss Carryforwards [Line Items] | |||
Net operating loss carryforwards | $ 314,900,000 | ||
Net operating loss carryforwards expiration year | 2024 | ||
Federal | Research Credit Carryforwards | |||
Operating Loss Carryforwards [Line Items] | |||
Research credit carryforwards | $ 10,400,000 | ||
Research credit carryforwards expiration year | 2027 | ||
State | |||
Operating Loss Carryforwards [Line Items] | |||
Net operating loss carryforwards | $ 294,100,000 | ||
Net operating loss carryforwards expiration year | 2031 | ||
State | Research Credit Carryforwards | |||
Operating Loss Carryforwards [Line Items] | |||
Research credit carryforwards | $ 2,700,000 | ||
Research credit carryforward, subject To expiration | $ 200,000 | ||
Research credit carryforwards expiration year | 2024 |
Income Taxes - Summary of Recon
Income Taxes - Summary of Reconciliation of Beginning and Ending Amount of Uncertain Tax Benefits (Detail) - USD ($) $ in Thousands | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] | ||
Beginning uncertain tax benefits | $ 2,316 | $ 1,909 |
Current year - increases | 347 | 427 |
Prior year - reductions | (46) | (20) |
Ending uncertain tax benefits | $ 2,617 | $ 2,316 |
Stockholders' Equity - Addition
Stockholders' Equity - Additional Information (Detail) $ / shares in Units, $ in Thousands | 1 Months Ended | 12 Months Ended | ||||||||||
Dec. 31, 2023 USD ($) yr $ / shares shares | Sep. 30, 2023 USD ($) yr $ / shares shares | Aug. 31, 2023 USD ($) $ / shares shares | Mar. 31, 2023 USD ($) | Jul. 31, 2020 $ / shares | Apr. 30, 2019 $ / shares | Dec. 31, 2023 USD ($) yr $ / shares shares | Dec. 31, 2022 USD ($) $ / shares shares | Jul. 31, 2022 shares | Dec. 31, 2021 shares | Feb. 28, 2018 $ / shares | Feb. 15, 2018 USD ($) | |
Class of Stock [Line Items] | ||||||||||||
Common stock, shares authorized (in shares) | 240,000,000 | 240,000,000 | 240,000,000 | |||||||||
Exercise Price (in usd per share) | $ / shares | $ 3 | |||||||||||
Estimated fair value of warrants | $ | $ 3,000 | |||||||||||
Warrant, exercise price, decrease | $ / shares | $ 0.96 | $ 0.98 | ||||||||||
Common stock, par value (in usd per share) | $ / shares | $ 0.0001 | $ 0.0001 | $ 0.0001 | |||||||||
Preferred stock, shares authorized (in shares) | 5,000,000 | 5,000,000 | 5,000,000 | |||||||||
Preferred stock, par value (in usd per share) | $ / shares | $ 0.01 | $ 0.01 | $ 0.01 | |||||||||
Common stock, shares issued (in shares) | 99,973,932 | 99,973,932 | 84,825,481 | |||||||||
Common stock, shares outstanding (in shares) | 99,973,932 | 99,973,932 | 84,825,481 | |||||||||
Preferred stock, shares outstanding (in shares) | 0 | 0 | 0 | |||||||||
Common stock | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Common stock, shares outstanding (in shares) | 99,973,932 | 99,973,932 | 84,825,481 | 83,944,119 | ||||||||
Maximum | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Common stock, shares authorized (in shares) | 240,000,000 | |||||||||||
Registered Direct Offering | Warrant | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Sale of stock, number of shares issued (in shares) | 10,000,000 | 10,000,000 | ||||||||||
Class of warrant or right, number of securities called by each warrant or right | 1 | |||||||||||
Exercise Price (in usd per share) | $ / shares | $ 0.77 | |||||||||||
Class of warrant or right, extent holder own percentage | 0.0499 | |||||||||||
Class of warrant or right, extent holder own percentage | 0.0999 | |||||||||||
Class of warrant or right, exercises | 0 | |||||||||||
Registered Direct Offering | Warrant | Measurement Input, Price Volatility | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | 0.8777 | |||||||||||
Registered Direct Offering | Warrant | Measurement Input, Risk Free Interest Rate | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | 0.0429 | |||||||||||
Registered Direct Offering | Warrant | Measurement Input, Expected Dividend Payment | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | 0 | |||||||||||
Registered Direct Offering | Warrant | Measurement Input, Expected Term | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | yr | 5.5 | |||||||||||
Registered Direct Offering | Warrant | Estimate of Fair Value Measurement | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding (in shares) | $ | $ 2,900 | |||||||||||
Registered Direct Offering | Common stock | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Sale of stock, number of shares issued (in shares) | 10,000,000 | |||||||||||
Shares issued, price per share | $ / shares | $ 0.70 | |||||||||||
Net proceeds from sale of stock offering | $ | $ 7,000 | |||||||||||
Net proceeds from issuance of common stock | $ | $ 7,000 | |||||||||||
March 2023 At The Market Sales Agreement | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Sale of stock, number of shares issued (in shares) | 3,794,936 | |||||||||||
Net proceeds from sale of stock offering | $ | $ 2,400 | |||||||||||
Aggregate commission rate | 3% | |||||||||||
Sale of stock, brokerage commissions expense | $ | $ 55 | |||||||||||
March 2023 At The Market Sales Agreement | Maximum | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Sale of stock, prospectus offering amount | $ | $ 50,000 | |||||||||||
October 2021 At The Market Sales Agreement | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Sale of stock, number of shares issued (in shares) | 0 | 751,040 | ||||||||||
Net proceeds from sale of stock offering | $ | $ 1,300 | |||||||||||
Sale of stock, brokerage commissions expense | $ | $ 42 | |||||||||||
Royalty Investment Financing Agreement | Warrant | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Sale of stock, number of shares issued (in shares) | 5,000,000 | |||||||||||
Warrant term | 5 years | 5 years | ||||||||||
Exercise Price (in usd per share) | $ / shares | $ 0.3467 | $ 0.3467 | ||||||||||
Class of warrant or right, extent holder own percentage | 0.0499 | |||||||||||
Class of warrant or right, extent holder own percentage | 0.0999 | |||||||||||
Royalty Investment Financing Agreement | Warrant | Measurement Input, Price Volatility | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | 0.8591 | 0.8591 | ||||||||||
Royalty Investment Financing Agreement | Warrant | Measurement Input, Risk Free Interest Rate | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | 0.0405 | 0.0405 | ||||||||||
Royalty Investment Financing Agreement | Warrant | Measurement Input, Expected Dividend Payment | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | 0 | 0 | ||||||||||
Royalty Investment Financing Agreement | Warrant | Measurement Input, Expected Term | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding, measurement input | yr | 5 | 5 | ||||||||||
Royalty Investment Financing Agreement | Warrant | Estimate of Fair Value Measurement | ||||||||||||
Class of Stock [Line Items] | ||||||||||||
Warrants and rights outstanding (in shares) | $ | $ 800 | $ 800 |
Stockholders' Equity - Schedule
Stockholders' Equity - Schedule of Warrant Activity (Details) - Warrants - USD ($) $ / shares in Units, $ in Thousands | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Number of Shares Underlying Warrants | ||
Outstanding beginning balance (in shares) | 1,381,015 | 1,381,015 |
Granted | 15,000,000 | 0 |
Exercised (in shares) | (1,353,515) | 0 |
Forfeited or expired | (21,000) | 0 |
Outstanding ending balance (in shares) | 1,381,015 | |
Outstanding and exercisable (in shares) | 15,006,500 | |
Weighted Average Exercise Price | ||
Outstanding beginning balance (in usd per share) | $ 1 | $ 1 |
Granted | 0.63 | 0 |
Exercised | (0.96) | 0 |
Forfeited or expired | (0.96) | 0 |
Outstanding ending balance (in usd per share) | $ 1 | |
Options exercisable, ending (in usd per share) | $ 0.63 | |
Weighted Average Remaining Life in Years | ||
Outstanding, Weighed Average Remaining Life in Years | 2 months 23 days | |
Outstanding and exercisable, Weighed Average Remaining Life in Years | 5 years 1 month 9 days | |
Intrinsic Value | ||
Outstanding, Intrinsic Value | $ 0 | |
Outstanding and exercisable, Intrinsic Value | $ 0 |
Stockholders' Equity - Summary
Stockholders' Equity - Summary of Common Stock Reserved for Future Issuance (Detail) - shares | Dec. 31, 2023 | Dec. 31, 2022 | Jan. 01, 2022 |
Class of Stock [Line Items] | |||
Common stock reserved for issuance (in shares) | 31,195,635 | ||
Warrant | |||
Class of Stock [Line Items] | |||
Common stock reserved for issuance (in shares) | 15,006,500 | 1,381,015 | |
Exercise of Options Outstanding | |||
Class of Stock [Line Items] | |||
Common stock reserved for issuance (in shares) | 9,463,556 | ||
Stock Options | |||
Class of Stock [Line Items] | |||
Common stock reserved for issuance (in shares) | 2,201,855 | ||
Amended And Restated Two Thousand Fourteen Stock Incentive Plan | Stock Options | |||
Class of Stock [Line Items] | |||
Common stock reserved for issuance (in shares) | 6,725,579 |
Stock-based compensation - Addi
Stock-based compensation - Additional Information (Detail) - USD ($) | 1 Months Ended | 12 Months Ended | ||||
Jul. 31, 2018 | Dec. 31, 2023 | Dec. 31, 2022 | Jun. 23, 2022 | Jan. 01, 2022 | Dec. 31, 2021 | |
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||
Stock-based compensation expense | $ 2,530,684 | $ 2,158,511 | ||||
Common stock reserved for future issuance (in shares) | 31,195,635 | |||||
Unamortized stock-based compensation expense | $ 4,300,000 | |||||
Amortized weighted average period | 2 years 1 month 6 days | |||||
Stock Options | ||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||
Options to purchase number of outstanding shares of common stock (in shares) | 2,046,885 | |||||
Stock options outstanding (in shares) | 2,000,000 | |||||
Annual percentage increase in outstanding number of common stock | 4% | |||||
Common stock reserved for future issuance (in shares) | 2,201,855 | |||||
2014 Employee Stock Purchase Plan | ||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||
Stock-based compensation expense | $ 0 | $ 0 | ||||
Amended And Restated Two Thousand Fourteen Stock Incentive Plan | Stock Options | ||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||
Stock options outstanding (in shares) | 9,463,556 | 6,612,554 | 4,717,602 | |||
Common stock reserved for future issuance (in shares) | 6,725,579 | |||||
Amended And Restated Two Thousand Fourteen Stock Incentive Plan | Two Thousand Twenty Two Stock Incentive Plan | ||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||
Options to purchase number of outstanding shares of common stock (in shares) | 10,117,305 | |||||
Common stock reserved for future issuance (in shares) | 6,144,682 |
Stock-based Compensation - Summ
Stock-based Compensation - Summary of Stock Option Activity (Detail) - Amended And Restated Two Thousand Fourteen Stock Incentive Plan - Stock Options - USD ($) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Number of Shares Underlying Warrants | ||
Outstanding beginning balance (in shares) | 6,612,554 | 4,717,602 |
Granted (in shares) | 2,857,665 | 2,346,692 |
Exercised (in shares) | 0 | (130,322) |
Forfeited (in shares) | (6,663) | (321,418) |
Expired (in shares) | 0 | 0 |
Outstanding ending balance (in shares) | 9,463,556 | 6,612,554 |
Options exercisable, ending (in shares) | 5,634,731 | |
Options vested and expected to vest, ending (in shares) | 9,463,556 | |
Weighted Average Exercise Price | ||
Outstanding beginning balance (in usd per share) | $ 1.60 | $ 1.65 |
Granted (in usd per share) | 1.13 | 1.50 |
Granted | 0 | 0.96 |
Forfeited (in usd per share) | 1.17 | 1.94 |
Expired (in usd per share) | 0 | 0 |
Outstanding ending balance (in usd per share) | 1.46 | $ 1.60 |
Options exercisable, ending (in usd per share) | 1.51 | |
Options vested and expected to vest, ending (in usd per share) | $ 1.46 | |
Weighted- Average Remaining Contractual Life (Years) | ||
Outstanding, ending | 7 years 6 months 3 days | |
Option exercisable, ending | 6 years 9 months 10 days | |
Options vested and expected to vest, ending | 7 years 6 months 3 days | |
Aggregate Intrinsic Value | ||
Outstanding, ending | $ 0 | |
Options exercisable, ending | 0 | |
Options vested and expected to vest, ending | $ 0 |
Stock-based Compensation - Comp
Stock-based Compensation - Compensation Expense (Details) - USD ($) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items] | ||
Stock-based compensation expense | $ 2,530,684 | $ 2,158,511 |
Research and development | ||
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items] | ||
Stock-based compensation expense | 823,148 | 676,645 |
General and administrative | ||
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items] | ||
Stock-based compensation expense | $ 1,707,536 | $ 1,481,866 |
Stock-based Compensation - Su_2
Stock-based Compensation - Summary of Assumptions Used in Black-Scholes Option-Pricing Model for Stock Options Granted to Employees and Non-Employee Directors (Detail) - $ / shares | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Share-Based Payment Arrangement [Abstract] | ||
Expected life in years | 6 years | 6 years |
Risk-free interest rate | 3.56% | 2% |
Expected volatility | 107% | 121% |
Dividend yield | 0% | 0% |
Weighted-average fair value of options granted (in usd per share) | $ 1.13 | $ 1.30 |
Leased Properties - Additional
Leased Properties - Additional Information (Details) | 1 Months Ended | 12 Months Ended | |||
Feb. 28, 2022 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) | Nov. 30, 2023 | Jul. 01, 2018 ft² | |
Lessee, Lease, Description [Line Items] | |||||
Square feet of office space | ft² | 3,169 | ||||
Renewal term of operating lease | 2 years | ||||
Gain on termination of lease | $ 0 | $ 46,477 | |||
Operating right-of-use assets obtained in exchange for new operating lease liabilities | 1,291,425 | 585,942 | |||
Operating lease right-of-use assets | 1,319,630 | 457,925 | |||
Current portion of lease liabilities | 468,726 | 398,391 | |||
Lease liabilities long-term | 935,743 | 90,346 | |||
Operating lease cost | 600,000 | 600,000 | |||
Operating lease, payments | $ 400,000 | 300,000 | |||
Operating lease weighted average remaining lease term | 1 year 9 months 29 days | ||||
Weighted average interest rate | 10.27% | ||||
Maximum | |||||
Lessee, Lease, Description [Line Items] | |||||
Operating lease, incremental borrowing rate, prime rate | 0.0200 | ||||
MBI | |||||
Lessee, Lease, Description [Line Items] | |||||
Renewal term of operating lease | 3 years | 3 years | |||
Increase (decrease) in operating lease liability | $ (1,000,000) | 500,000 | |||
Increase (decrease) In operating lease right-of-use asset | 500,000 | ||||
Gain on termination of lease | $ 46,000 | ||||
Operating right-of-use assets obtained in exchange for new operating lease liabilities | $ 1,300,000 |
Leased Properties - Future Mini
Leased Properties - Future Minimum Lease Payment (Details) | Dec. 31, 2023 USD ($) |
Leases [Abstract] | |
2024 | $ 592,000 |
2025 | 513,000 |
2026 | 529,000 |
Total future minimum lease payments | 1,634,000 |
Less: accreted interest | 229,000 |
Total operating lease liabilities | $ 1,405,000 |
Sale Of Future Royalties - Addi
Sale Of Future Royalties - Additional Information (Details) $ / shares in Units, $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 USD ($) payment $ / shares shares | Dec. 31, 2023 USD ($) payment $ / shares shares | Feb. 28, 2018 $ / shares | |
Class of Warrant or Right [Line Items] | |||
Exercise Price (in usd per share) | $ / shares | $ 3 | ||
United | |||
Class of Warrant or Right [Line Items] | |||
Proceeds from royalties received | $ 5,000 | $ 5,000 | |
Number of additional payment | payment | 3 | 3 | |
Internal rate of return | 12% | 12% | |
Hard cap rate | 50% | 50% | |
Net royalty payments rate | 75% | 75% | |
Milestone payments rate | 10% | 10% | |
Quarterly payment period | 2 years | ||
Effective annual interest rate | 22.48% | 22.48% | |
United | Minimum | |||
Class of Warrant or Right [Line Items] | |||
Supplemental investment payment | $ 7,000 | $ 7,000 | |
United | Maximum | |||
Class of Warrant or Right [Line Items] | |||
Supplemental investment payment | $ 12,000 | $ 12,000 | |
United | Warrant | |||
Class of Warrant or Right [Line Items] | |||
Issuable upon additional investment made number of securities called by warrants | shares | 5,000,000 | 5,000,000 | |
Additional investment amount | $ 1,000 | $ 1,000 | |
Exercise Price (in usd per share) | $ / shares | $ 0.3467 | $ 0.3467 | |
United | Warrant | Estimate of Fair Value Measurement | |||
Class of Warrant or Right [Line Items] | |||
Warrants and rights outstanding (in shares) | $ 800 | $ 800 | |
United | Warrant | Maximum | |||
Class of Warrant or Right [Line Items] | |||
Issuable upon additional investment made number of securities called by warrants | shares | 7,000,000 | 7,000,000 | |
Supplemental investment (in shares) | shares | 1,000,000 |
Sale Of Future Royalties - Sche
Sale Of Future Royalties - Schedule of Changes in the Liability Related to the Sale of Future Royalties (Details) - USD ($) | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Class of Warrant or Right [Line Items] | ||
Non-cash interest expense on liability related to sale of future royalties | $ 24,289 | $ 0 |
Liability related to the sale of future royalties | 3,913,676 | $ 0 |
Royalty revenue | ||
Class of Warrant or Right [Line Items] | ||
Upfront payment from the sale of future royalties | 5,000,000 | |
Debt issuance cost | (276,101) | |
Relative fair value of Initial Royalty Warrant | (834,512) | |
Royalty payments | 0 | |
Non-cash interest expense on liability related to sale of future royalties | 24,289 | |
Liability related to the sale of future royalties | $ 3,913,676 |
Commitments and Contingencies -
Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands | 1 Months Ended | 12 Months Ended | 30 Months Ended | ||
Jul. 31, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2023 | Jul. 31, 2021 | |
Commitments And Contingencies [Line Items] | |||||
Premiums, taxes and fees | $ 600 | ||||
Interest rate on insurance financing | 8% | ||||
Remaining performance obligation, amount | $ 300 | $ 300 | |||
Defined contribution plan, employer matching contribution, percent of match | 4% | ||||
Defined contribution plan, employer matching contributions | $ 213 | $ 200 | |||
NICHD | |||||
Commitments And Contingencies [Line Items] | |||||
Research and development agreement, commitment, amount | $ 5,500 | ||||
Contract to perform for others, costs incurred, gross | $ 3,500 | 5,000 | |||
CRADA | |||||
Commitments And Contingencies [Line Items] | |||||
Remaining performance obligation, amount | $ 500 | $ 500 | |||
Minimum | |||||
Commitments And Contingencies [Line Items] | |||||
Change in control of company, termination without cause or resignation for good reason, period | 3 months | ||||
Payment to be received upon termination without cause | 9 months | ||||
Health coverage to be received upon termination without cause | 9 months | ||||
Change in control of company, termination for cause or for good reason | 3 months | ||||
Payment to be received upon termination for cause or for good reason | 12 months | ||||
Health coverage to be received upon termination for cause or for good reason | 12 months | ||||
Maximum | |||||
Commitments And Contingencies [Line Items] | |||||
Change in control of company, termination without cause or resignation for good reason, period | 12 months | ||||
Payment to be received upon termination without cause | 12 months | ||||
Health coverage to be received upon termination without cause | 12 months | ||||
Change in control of company, termination for cause or for good reason | 12 months | ||||
Payment to be received upon termination for cause or for good reason | 18 months | ||||
Health coverage to be received upon termination for cause or for good reason | 18 months |
Grant Awards - Additional Infor
Grant Awards - Additional Information (Details) - USD ($) | 1 Months Ended | 6 Months Ended | 12 Months Ended | 31 Months Ended | ||||||||||||
Jan. 26, 2024 | Jan. 31, 2024 | Dec. 31, 2023 | Jul. 31, 2023 | May 31, 2022 | Sep. 30, 2021 | Aug. 31, 2020 | Jun. 30, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2023 | Mar. 08, 2024 | Sep. 30, 2023 | Nov. 30, 2022 | Jun. 30, 2021 | |
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Deferred grant funding | $ 13,737,154 | $ 13,737,154 | $ 18,303,567 | $ 13,737,154 | ||||||||||||
Subsequent Event | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Lease term | 3 years | |||||||||||||||
Subsequent Event | At The Market Equity Offering | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Sale of stock, number of shares issued in transaction | 607,968 | |||||||||||||||
Net proceeds from sale of stock offering | $ 220,000 | |||||||||||||||
Sale of stock, brokerage commissions expense | 5,000 | |||||||||||||||
Subsequent Event | Consulting Agreement | Related Party | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Consulting agreement term | 9 months | |||||||||||||||
Monthly payments under consulting agreement | $ 31,667 | |||||||||||||||
Health insurance premium | $ 500 | |||||||||||||||
Subsequent Event | Biotherapeutic Foundation | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Initial payment | $ 750,000 | |||||||||||||||
Grant, DARE-FRT1 | Phase I Segment | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Amount awarded for grant | $ 216,000 | $ 300,000 | ||||||||||||||
Credits recorded to research and development expense for costs related to award | 1,000 | 20,000 | ||||||||||||||
Grant, DARE-FRT1 | Phase II Segment | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Amount awarded for grant | 2,000,000 | |||||||||||||||
Credits recorded to research and development expense for costs related to award | 0 | |||||||||||||||
DARE-LARC1 | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Initial payment | $ 49,000,000 | |||||||||||||||
Amount awarded for grant | $ 300,000 | $ 278,000 | 4,500,000 | 12,400,000 | $ 11,500,000 | 28,400,000 | ||||||||||
Credits recorded to research and development expense for costs related to award | 32,000 | 239,000 | ||||||||||||||
Receivable for expenses eligible for reimbursement | 0 | 0 | 33,000 | 0 | ||||||||||||
Research and development expense credit | 8,700,000 | 5,200,000 | ||||||||||||||
Deferred grant funding | 13,500,000 | 13,500,000 | 13,500,000 | |||||||||||||
Grant, ADARE-204 and ADARE-214 | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Amount awarded for grant | $ 249,000 | |||||||||||||||
Credits recorded to research and development expense for costs related to award | 134,000 | 116,000 | ||||||||||||||
Receivable for expenses eligible for reimbursement | $ 249,000 | |||||||||||||||
DARE-LBT | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Initial payment | $ 585,000 | |||||||||||||||
Research and development expense credit | 300,000 | $ 12,000 | ||||||||||||||
Deferred grant funding | 246,000 | 246,000 | 246,000 | |||||||||||||
NICHD | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Amount awarded for grant | $ 385,000 | |||||||||||||||
Grant, DARE-PTB2 | ||||||||||||||||
Accounts, Notes, Loans and Financing Receivable [Line Items] | ||||||||||||||||
Credits recorded to research and development expense for costs related to award | 100,000 | |||||||||||||||
Receivable for expenses eligible for reimbursement | $ 100,000 | $ 100,000 | $ 100,000 |
Subsequent Events - Additional
Subsequent Events - Additional Information (Detail) - Subsequent Event - USD ($) | 1 Months Ended | ||
Jan. 26, 2024 | Jan. 31, 2024 | Mar. 08, 2024 | |
Subsequent Event [Line Items] | |||
Lease term | 3 years | ||
Related Party | Consulting Agreement | |||
Subsequent Event [Line Items] | |||
Consulting agreement term | 9 months | ||
Monthly payments under consulting agreement | $ 31,667 | ||
Health insurance premium | $ 500 | ||
Biotherapeutic Foundation | |||
Subsequent Event [Line Items] | |||
Initial payment | $ 750,000 | ||
At The Market Equity Offering | |||
Subsequent Event [Line Items] | |||
Sale of stock, number of shares issued in transaction | 607,968 | ||
Net proceeds from sale of stock offering | $ 220,000 | ||
Sale of stock, brokerage commissions expense | $ 5,000 |