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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 


 

FORM 10-Q

 


 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

 

For the quarterly period ended June 30, 2023

 

or

 

TRANSITION REPORTS PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

 

For the transition period from              to             

 

Commission File Number: 001-35068

 


 

ACELRX PHARMACEUTICALS, INC.

(Exact name of registrant as specified in its charter)

 


  

Delaware

41-2193603

(State or other jurisdiction of
incorporation or organization)

(IRS Employer
Identification No.)

 

1850 Gateway Drive, Suite 175

San Mateo, CA 94404

(650) 216-3500

(Address, including zip code, and telephone number, including area code, of registrants principal executive offices)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of Each Class:

Trading symbol(s)

Name of Each Exchange on Which registered:

Common Stock, $0.001 par value

ACRX

The Nasdaq Global Market

 


 

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  ☒    No  ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  ☒    No  ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.:

 

Large accelerated filerAccelerated filer
    
Non-accelerated filerSmaller reporting company
    
Emerging growth company  

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐

 

Indicate by check mark whether the registrant is a shell company (as defined in Exchange Act Rule 12b-2)    Yes      No  ☒

 

As of August 7, 2023, the number of outstanding shares of the registrant’s common stock was 16,340,118.

 



 

1

 

 

 

ACELRX PHARMACEUTICALS, INC.

 

QUARTERLY REPORT ON FORM 10-Q FOR THE QUARTER ENDED JUNE 30, 2023

 

TABLE OF CONTENTS

 

   

Page 

PART I. FINANCIAL INFORMATION          

4

     

Item 1.             

Financial Statements         

4

     
 

Condensed Consolidated Balance Sheets as of June 30, 2023 (unaudited) and December 31, 2022         

4

     
 

Condensed Consolidated Statements of Operations for the three and six months ended June 30, 2023 and 2022 (unaudited)         

5

     
 

Condensed Consolidated Statements of Stockholders’ Equity (Deficit) for the three and six months ended June 30, 2023 and 2022 (unaudited)         

6

     
 

Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2023 and 2022 (unaudited)         

7

     
 

Notes to Condensed Consolidated Financial Statements (unaudited)         

8

     

Item 2.             

Management’s Discussion and Analysis of Financial Condition and Results of Operations         

21

     

Item 3.             

Quantitative and Qualitative Disclosures About Market Risk         

30

     

Item 4.             

Controls and Procedures         

30

   

PART II. OTHER INFORMATION          

31

     

Item 1.             

Legal Proceedings         

31

     

Item 1A.         

Risk Factors         

32

     

Item 2.             

Unregistered Sales of Equity Securities and Use of Proceeds         

59

     

Item 3.             

Defaults Upon Senior Securities         

59

     

Item 4.             

Mine Safety Disclosures         

59

     

Item 5.             

Other Information         

59

     

Item 6.             

Exhibits         

60

 

Unless the context indicates otherwise, the terms “AcelRx,” “AcelRx Pharmaceuticals,” “we,” “us” and “our” refer to AcelRx Pharmaceuticals, Inc., and its consolidated subsidiaries. “Niyad” and “Fedsyra” are trademarks, and “ACELRX” and “Zalviso” are registered trademarks, all owned by AcelRx Pharmaceuticals, Inc. This report also contains trademarks and trade names that are the property of their respective owners.

 

2

 

 

 

Forward-Looking Statements

 

This Quarterly Report on Form 10-Q, or Form 10-Q, contains “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act, which are subject to the “safe harbor” created by that section. The forward-looking statements in this Form 10-Q are contained principally under “Part I. Financial Information - Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Part II. Other Information - Item 1A. Risk Factors”. In some cases, you can identify forward-looking statements by the following words: “may,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “ongoing” or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. These statements involve risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. Although we believe that we have a reasonable basis for each forward-looking statement contained in this Form 10-Q, we caution you that these statements are based on a combination of facts and factors currently known by us and our projections of the future, about which we cannot be certain. Many important factors affect our ability to achieve our objectives, including:

 

 

our ability to obtain additional required financing and to continue as a going concern;

 

our ability to manage our operating costs and reduce our cash burn;

 

the accuracy of our estimates regarding the sufficiency of our cash resources, future revenues, expenses, and capital requirements;

 

our ability to maintain listing of our securities trading on the Nasdaq exchange;

 

the historical performance and high volatility in the market price of our common stock;

 

macroeconomic uncertainties, including inflationary pressures, domestic and global supply chain disruptions, labor shortages, significant volatility in global markets, recession risks and the worldwide COVID-19 pandemic;

 

our ability to secure a potential Emergency Use Authorization for our lead nafamostat developmental product candidate, Niyad™;

 

our ability to conduct ourselves, or through a contract research organization, clinical trials in a timely and effective manner to advance the development of our product candidates;

 

our ability to successfully file for and obtain regulatory approval for, and then successfully launch and commercialize our developmental product candidates;

 

the success of our new corporate partner, Vertical Pharmaceuticals LLC, a wholly owned subsidiary of Alora Pharmaceuticals, LLC, or Alora, in integrating and commercializing the DSUVIA asset in the United States, including their effectiveness in marketing, sales, and distribution of the DSUVIA product, itself or with potential collaborators;

 

the extent of future sales of DSUVIA by Alora to the Department of Defense, or DoD;

 

the size and growth potential of the potential markets for our developmental product candidates in the United States and in other jurisdictions, and our ability to serve those markets;

 

our estimates of the existence of and commercial potential for markets for our developmental product candidates, if approved;

 

our ability to realize the expected benefits and potential value created by the acquisition of Lowell Therapeutics, Inc., or Lowell, for our stockholders, on a timely basis or at all;

 

our ability to develop sales and marketing capabilities in a timely fashion, whether alone through recruiting qualified employees, by engaging a contract sales organization, or with potential future collaborators;

 

successfully establishing and maintaining commercial manufacturing and supply chain relationships with domestic and global third-party service providers;

 

our ability to manage effectively, and the impact of any costs associated with, potential governmental investigations, inquiries, regulatory actions or lawsuits that may be, or have been, brought against us;

 

our ability to obtain adequate government or third-party payer reimbursement for our developmental product candidates, if approved;

 

our ability to gain access to formularies and establish and then maintain effective relationships with pharmaceutical benefit managers and/or group purchasing organizations for our developmental product candidates, if approved;

 

our ability to attract additional collaborators with development, regulatory and commercialization expertise;

 

our ability to identify and secure potential strategic partners to develop, secure regulatory approval for and then commercialize our developmental product candidates;

 

our ability to successfully retain our key commercial, scientific, engineering, medical or management personnel and hire new personnel as needed;

 

existing and future legislation and other regulatory developments in the United States and foreign countries;

 

the performance of our third-party suppliers and manufacturers, including any supply chain impacts or work limitations;

 

the success of competing therapies that are or become available; and

 

our ability to obtain and maintain intellectual property protection for our approved products and product candidates.

 

In addition, you should refer to “Part II. Other Information - Item 1A. Risk Factors” in this Form 10-Q for a discussion of these and other important factors that may cause our actual results to differ materially from those expressed or implied by our forward-looking statements. As a result of these factors, we cannot assure you that the forward-looking statements in this Form 10-Q will prove to be accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. Also, forward-looking statements represent our estimates and assumptions only as of the date of this Form 10-Q. We undertake no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

 

3

 

 

 

PART I. FINANCIAL INFORMATION

 

Item 1. Financial Statements

AcelRx Pharmaceuticals, Inc.

 

Condensed Consolidated Balance Sheets

(In thousands, except share data)

 

  

June 30, 2023

(unaudited)

  

December 31, 2022(1)

 

Assets

        

Current Assets:

        

Cash and cash equivalents

 $7,410  $15,275 

Restricted cash

     5,000 

Short-term investments

     495 

Prepaid expenses and other current assets

  1,400   1,865 

Assets of discontinued operations

  26   1,931 

Total current assets

  8,836   24,566 

Operating lease right-of-use assets

     96 

In-process research and development asset

  8,819   8,819 

Other assets

  70   70 

Assets of discontinued operations

     13,936 

Total assets

 $17,725  $47,487 

Liabilities and Stockholders Equity

        

Current Liabilities:

        

Accounts payable

 $1,212  $1,256 

Accrued and other liabilities

  1,853   2,531 

Long-term debt, current portion

     5,363 

Liabilities of discontinued operations

  1,155   4,620 

Total current liabilities

  4,220   13,770 

Warrant liability

  3,086   7,098 

Other long-term liabilities

     810 

Liabilities of discontinued operations

     3,995 

Total liabilities

  7,306   25,673 

Commitments and Contingencies

          

Stockholders’ Equity:

        

Common stock, $0.001 par value—200,000,000 shares authorized as of June 30, 2023 and December 31, 2022; 10,994,102 and 8,243,680 shares issued and outstanding as of June 30, 2023 and December 31, 2022, respectively

  11   8 

Additional paid-in capital

  448,760   447,635 

Accumulated deficit

  (438,352)  (425,829)

Total stockholders’ equity

  10,419   21,814 

Total Liabilities and Stockholders’ Equity

 $17,725  $47,487 

 

(1)

The condensed consolidated balance sheet as of December 31, 2022 has been derived from the audited financial statements as of that date included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, which were recast to reflect discontinued operations and filed with the Company’s Current Report on Form 8-K on August 1, 2023.

 

See notes to condensed consolidated financial statements.

 

4

 

 

AcelRx Pharmaceuticals, Inc.

 

 

Condensed Consolidated Statements of Operations

(Unaudited)

(In thousands, except share and per share data)

 

    Three Months Ended
June 30,
    Six Months Ended
June 30,
 
    2023     2022(1)     2023     2022(1)  

Royalty revenue

  $ 253     $     $ 253     $  

Operating costs and expenses:

                               

Research and development

    1,552       1,094       2,599       1,930  

Selling, general and administrative

    2,670       3,960       6,951       8,060  

Impairment of property and equipment

          4,901             4,901  

Total operating costs and expenses

    4,222       9,955       9,550       14,891  

Loss from operations

    (3,969

)

    (9,955

)

    (9,297

)

    (14,891

)

Other income (expense):

                               

Interest expense

    (15

)

    (293

)

    (134

)

    (683

)

Interest income and other (expense) income, net

    (441

)

    51       5,070       89  

Non-cash interest income on liability related to the sale of future royalties

          463             1,136  

Gain on extinguishment of liability related to the sale of future royalties

          84,052             84,052  

Total other income (expense)

    (456

)

    84,273       4,936       84,594  

Net income (loss) before income taxes

    (4,425

)

    74,318       (4,361

)

    69,703  

Provision for income taxes

    (3

)

    (3

)

    (3

)

    (3

)

Net income (loss) from continuing operations

    (4,428

)

    74,315       (4,364

)

    69,700  

Net income (loss) from discontinued operations – See Note 3

    57       (3,652

)

    (8,159

)

    (7,711

)

Net income (loss)

    (4,371

)

    70,663       (12,523

)

    61,989  

Income allocated to participating securities

          (7,511

)

          (6,619

)

Net income (loss) attributable to Common Shareholders, basic

  $ (4,371

)

  $ 63,152     $ (12,523

)

  $ 55,370  

Net income (loss) attributable to Common Shareholders, diluted

  $ (4,371

)

  $ 63,155     $ (12,523

)

  $ 55,371  

Net income (loss) per share attributable to stockholders:

                               

Basic earnings (loss) per share

                               

Income (loss) from continuing operations

  $ (0.41

)

  $ 9.08     $ (0.40

)

  $ 8.62  

Income (loss) from discontinued operations

  $ 0.01     $ (0.50

)

  $ (0.75

)

  $ (1.06

)

Net income (loss) per share

  $ (0.40

)

  $ 8.58     $ (1.15

)

  $ 7.56  

Diluted earnings (loss) per share

                               

Income (loss) from continuing operations

  $ (0.41

)

  $ 9.08     $ (0.40

)

  $ 8.62  

Income (loss) from discontinued operations

  $ 0.01     $ (0.50

)

  $ (0.75

)

  $ (1.06

)

Net income (loss) per share

  $ (0.40

)

  $ 8.58     $ (1.15

)

  $ 7.56  

Shares used in computing net income (loss) per share of common stock, basic – See Note 9

    10,924,294       7,356,952       10,909,208       7,319,279  

Shares used in computing net income (loss) per share of common stock, diluted – See Note 9

    10,924,294       7,360,453       10,909,208       7,321,022  

 

(1)

The condensed consolidated statements of operations for the three and six months ended June 30, 2022 have been derived from the unaudited condensed consolidated financial statements for those periods included in the Company’s Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2022, which were recast to reflect discontinued operations and filed with the Company’s Current Report on Form 8-K on August 1, 2023.

 

See notes to condensed consolidated financial statements.  

 

5

 

 

 

AcelRx Pharmaceuticals, Inc.

 

Condensed Consolidated Statements of Stockholders Equity (Deficit)

(Unaudited)

(in thousands, except share data)

 

   

Common Stock

    Additional
Paid-in
Capital
   

Accumulated
Deficit

   

Total
Stockholders
Equity (Deficit)

 
   

Shares

   

Amount

                         

Balance as of December 31, 2022

    8,243,680     $ 8     $ 447,635     $ (425,829 )   $ 21,814  

Stock-based compensation

                569             569  

Issuance of common stock upon vesting of restricted stock units, net of shares withheld for employee taxes

    21,700             (22 )           (22 )

Exercise of prefunded warrants

    2,632,898       2                   2  

Issuance of common stock upon ESPP purchase

    26,016       1       30             31  

Net loss

                      (8,152 )     (8,152 )

Balance as of March 31, 2023

    10,924,294       11       448,212       (433,981 )     14,242  

Stock-based compensation

                471             471  

Issuance of hold back common stock in connection with asset acquisition

    69,808             77             77  

Net loss

                      (4,371 )     (4,371 )

Balance as of June 30, 2023

    10,994,102     $ 11     $ 448,760     $ (438,352 )   $ 10,419  

 

 

   

Common Stock

    Additional
Paid-in
Capital
   

Accumulated
Deficit

   

Total
Stockholders
Equity (Deficit)

 
   

Shares

   

Amount

                         

Balance as of December 31, 2021

    6,840,967     $ 7     $ 437,684     $ (473,584 )   $ (35,893 )

Stock-based compensation

                783             783  

Issuance of common stock upon vesting of restricted stock units, net of shares withheld for employee taxes

    25,769             (58 )           (58 )

Issuance of common stock in connection with asset acquisition

    481,026             5,511             5,511  

Issuance of common stock upon ESPP purchase

    7,671             58             58  

Net loss

                      (8,674 )     (8,674 )

Balance as of March 31, 2022

    7,355,433       7       443,978       (482,258 )     (38,273 )

Stock-based compensation

                753             753  

Issuance of common stock upon vesting of restricted stock units

    11,147                          

Net income

                      70,663       70,663  

Balance as of June 30, 2022

    7,366,580     $ 7     $ 444,731     $ (411,595 )   $ 33,143  

 

See notes to condensed consolidated financial statements.

 

6

 

AcelRx Pharmaceuticals, Inc.

 

 

Condensed Consolidated Statements of Cash Flows

(Unaudited)

(In thousands)  

 

   

Six Months
Ended June 30,

 
   

2023

   

2022

 

Cash flows from operating activities:

               

Net income (loss)

  $ (12,523 )   $ 61,989  

Adjustments to reconcile net income (loss) to net cash used in operating activities:

               

Non-cash interest income on liability related to royalty monetization

          (1,136 )

Depreciation and amortization

    311       881  

Non-cash interest expense related to debt financing

    53       250  

Non-cash issuance of Lowell holdback shares

    (723 )      

Stock-based compensation

    1,040       1,536  

Non-cash gain on termination of liability related to royalty termination

          (84,152 )

Impairment of property and equipment

          4,901  

Revaluation of warrant liability

    (4,012 )      

Impairment of net assets held for sale

    6,935        

Impairment of fixed assets

    1,065        

Gain on termination of lease liabilities

    (1,098 )      

Gain on extinguishment of debt liability

    (400 )      

Other

    (15 )     (7 )

Changes in operating assets and liabilities:

               

Accounts receivable

    (140 )     (204 )

Inventories

    61       201  

Prepaid expenses and other assets

    1,119       (212 )

Accounts payable

    (674 )     286  

Accrued liabilities

    (1,407 )     (1,582 )

Operating lease liabilities

    (146 )     (402 )

Deferred revenue

    (29 )     (29 )

Net cash used in operating activities

    (10,583 )     (17,680 )

Cash flows from investing activities:

               

Purchase of property and equipment

    (100 )     (158 )

Purchase of investments

          (7,369 )

Sale of the DSUVIA assets

    2,723        

Cash paid for asset acquisition, net of cash acquired

          (1,687 )

Proceeds from maturities of investments

    500       38,562  

Net cash provided by investing activities

    3,123       29,348  

Cash flows from financing activities:

               

Payment of long-term debt

    (5,416 )     (4,166 )

Net proceeds from issuance of common stock in connection with exercise of prefunded warrants

    2        

Net proceeds from issuance of common stock through equity plans

    31       58  

Payment of employee tax obligations related to vesting of restricted stock units

    (22 )     (58 )

Net cash used in financing activities

    (5,405 )     (4,166 )

Net change in cash, cash equivalents and restricted cash

    (12,865 )     7,502  

Cash, cash equivalents and restricted cash—Beginning of period

    20,275       12,663  

Cash, cash equivalents and restricted cash—End of period

  $ 7,410     $ 20,165  
                 

NONCASH INVESTING ACTIVITIES:

               

Purchases of property and equipment in accounts payable and accrued liabilities

        $ 1,464  

Liability for hold back shares in connection with asset acquisition in other long-term liabilities

        $ 800  

Issuance of common stock in connection with asset acquisition

        $ 5,511  

Establishment of right-of-use asset and lease liability

        $ 85  

 

See notes to condensed consolidated financial statements.  

 

7

 

 

AcelRx Pharmaceuticals, Inc.

 

Notes to Condensed Consolidated Financial Statements

(Unaudited)

(In thousands, except where otherwise noted)

 

 

 

1. Organization and Summary of Significant Accounting Policies

 

The Company

 

AcelRx Pharmaceuticals, Inc., or the Company, or AcelRx, was incorporated in Delaware on July 13, 2005 as SuRx, Inc. The Company subsequently changed its name to AcelRx Pharmaceuticals, Inc. The Company’s operations are based in Hayward, California.

 

AcelRx is a specialty pharmaceutical company focused on the development and commercialization of innovative therapies for use in medically supervised settings.

 

On March 12, 2023, the Company entered into an Asset Purchase Agreement, or the Purchase Agreement, with Vertical Pharmaceuticals, LLC, a wholly owned subsidiary of Alora Pharmaceuticals, LLC, or Alora, pursuant to which Alora agreed to acquire certain assets and assume certain liabilities of AcelRx relating to its sufentanil sublingual tablet product referred to as DSUVIA or DZUVEO, or any other single-dose pharmaceutical product for use in medically supervised settings containing a sublingual tablet that includes sufentanil as the sole active ingredient, as a 30 mcg tablet or other dosage form or strength as reasonably necessary for lifecycle management, or the Product. The closing of the Purchase Agreement occurred on April 3, 2023 (see Note 3, “Discontinued Operations”).

 

On January 7, 2022, the Company acquired Lowell Therapeutics, Inc., or Lowell, a privately held company (see Note 4, “Asset Acquisition” to the consolidated financial statements in the Company’s 2022 Annual Report on Form 10-K for additional information) and, as a result acquired Niyad™, a regional anticoagulant for the dialysis circuit during continuous renal replacement therapy for acute kidney injury patients in the hospital, that the Company plans to study under an investigational device exemption, or IDE, and which has received Breakthrough Device Designation status from the FDA. While not approved for commercial use in the United States, the active drug component of Niyad, nafamostat, has been approved in Japan and South Korea as a regional anticoagulant for the dialysis circuit, disseminated intravascular coagulation, and acute pancreatitis. Niyad is a lyophilized formulation of nafamostat, a broad-spectrum, synthetic serine protease inhibitor, with anticoagulant, anti-inflammatory, and potential anti-viral activities. The second intended indication for Niyad is as a regional anticoagulant for the dialysis circuit for chronic kidney disease patients undergoing intermittent hemodialysis in dialysis centers. In addition, the Company acquired LTX-608, a proprietary nafamostat formulation for direct IV infusion that it intends to develop for the treatment of acute respiratory distress syndrome, or ARDS, and disseminated intravascular coagulation, or DIC.

 

On July 14, 2021, the Company entered into a License and Commercialization Agreement, or the PFS Agreement, with Laboratoire Aguettant, or Aguettant, pursuant to which the Company obtained the exclusive right to develop and, subject to FDA approval, commercialize in the United States an ephedrine pre-filled syringe, or PFS, containing 10 ml of a solution of 3 mg/ml ephedrine hydrochloride for injection, and (ii) a phenylephrine PFS containing 10 ml of a solution of 50 mcg/ml phenylephrine for injection. Aguettant will supply the Company with the products for use in commercialization and, if they are approved in the U.S.

 

Liquidity and Going Concern

 

The unaudited condensed consolidated financial statements for the three and six months ended June 30, 2023 were prepared on the basis of a going concern, which contemplates that the Company will be able to realize assets and discharge liabilities in the normal course of business. The Company has incurred recurring operating losses and negative cash flows from operating activities and expects to continue to incur operating losses and negative cash flows in the future. Although, the Company recently closed the private placement of its common stock, pre-funded warrants and common warrants for aggregate gross proceeds to the Company of $10.0 million, before deducting the placement agent's fees and other offering expenses payable by the Company, with an additional potential $16.3 million upon the exercise of the common warrants, which include an acceleration feature should the Company achieve certain performance milestones (see Note 10, “Subsequent Events”), considering the Company’s current cash resources and its current and expected levels of operating expenses for the next twelve months, management expects to need additional capital to fund its planned operations prior to the 12 month anniversary of the date this Quarterly Report on Form 10-Q is filed with the United States Securities and Exchange Commission, or the SEC. These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management may seek to raise such additional capital through public or private equity offerings, including under the Controlled Equity OfferingSM Sales Agreement, or the ATM Agreement, with Cantor Fitzgerald & Co., or Cantor, debt securities, a new debt facility, monetizing or securitizing certain assets, entering into product development, license or distribution agreements with third parties, or divesting any of the Company’s remaining product candidates. While management believes its plans to raise additional funds will alleviate the conditions that raise substantial doubt about the Company’s ability to continue as a going concern, these plans are not entirely within the Company’s control and cannot be assessed as being probable of occurring. Additional funds may not be available when the Company needs them on terms that are acceptable to the Company, or at all. If adequate funds are not available, the Company may be required to further reduce its workforce or delay the development of its regulatory filing plans for its product candidates in advance of the date on which the Company’s cash resources are exhausted to ensure that the Company has sufficient capital to meet its obligations and continue on a path designed to preserve stockholder value. In addition, if additional funds are raised through collaborations, strategic alliances or licensing arrangements with third parties, the Company may have to relinquish rights to its technologies, future revenue streams or product candidates, or to grant licenses on terms that may not be favorable to the Company.

 

8

 

Reverse Stock Split

 

On September 23, 2022, at a special meeting of stockholders, the Company's stockholders authorized the Company’s Board of Directors to effect a reverse stock split of all outstanding shares of common stock in a range of 1-for-10 to 1-for-30. The Board of Directors subsequently approved a reverse stock split with a ratio of 1-for-20, or the Reverse Stock Split. On October 25, 2022, following the filing of a certificate of amendment to the Company’s amended and restated certificate of incorporation, every 20 shares of the Company's common stock that were issued and outstanding automatically converted into one outstanding share of common stock. The Reverse Stock Split affected all shares of common stock outstanding immediately prior to the effective time of the Reverse Stock Split, as well as the number of shares of common stock available for issuance under the Company's equity incentive and employee stock purchase plans. Outstanding stock options, restricted stock units and warrants were proportionately reduced and the respective exercise prices, if applicable, were proportionately increased. The Reverse Stock Split affected all holders of common stock uniformly and did not affect any stockholder's percentage of ownership interest. The par value of the Company's common stock remained unchanged at $0.001 per share and the number of authorized shares of common stock remained the same after the Reverse Stock Split.

 

As the par value per share of the Company's common stock remained unchanged at $0.001 per share, the change in the common stock recorded at par value has been reclassified to additional paid-in-capital on a retroactive basis. All references to shares of common stock, stock options, restricted stock units and warrants and per share data for all periods presented in the accompanying unaudited condensed consolidated financial statements and notes thereto have been adjusted to reflect the Reverse Stock Split on a retroactive basis.

 

Principles of Consolidation

 

The unaudited condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.

 

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and the rules and regulations of the United States. Securities and Exchange Commission, or SEC. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been included.

 

Operating results for the three and six months ended June 30, 2023, are not necessarily indicative of the results that may be expected for the year ending December 31, 2023, or any future period. The unaudited condensed consolidated balance sheet as of December 31, 2022, was derived from the Company’s audited financial statements as of December 31, 2022, included in the Company’s Annual Report on Form 10-K filed with the SEC on March 31, 2023, which were recast to reflect discontinued operations and filed with the Company’s Current Report on Form 8-K on August 1, 2023. These financial statements should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, which includes a broader discussion of the Company’s business and the risks inherent therein.

 

Use of Estimates

 

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the unaudited condensed consolidated financial statements and accompanying notes. Management evaluates its estimates on an ongoing basis including critical accounting policies. Estimates are based on historical experience and on various other market-specific and other relevant assumptions that the Company believes to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results could differ from those estimates.

 

9

 

Recently Adopted Accounting Pronouncements

 

In June 2016, the Financial Accounting Standards Board, or FASB, issued Topic 326, or the Credit Losses standard, which the Company adopted using a modified retrospective approach on January 1, 2023. Topic 326 requires that expected credit losses relating to financial assets measured on an amortized cost basis and available-for-sale debt securities be recorded through an allowance for credit losses. It also limits the amount of credit losses to be recognized for available-for-sale debt securities to the amount by which carrying value exceeds fair value. The adoption of this standard did not have a material impact on the Company’s financial statements or related disclosures.

 

The Company does not believe other recently issued but not yet effective accounting standards, if currently adopted, would have a material effect on the consolidated financial position, statements of operations and cash flows.

 

Significant Accounting Policies

 

The Company’s significant accounting policies are detailed in its Annual Report on Form 10-K for the year ended December 31, 2022. There have been no significant changes to the Company’s significant accounting policies during the three and six months ended June 30, 2023, from those previously disclosed in its 2022 Annual Report on Form 10-K, except as follows:

 

Royalty Revenue

 

The Company recognizes revenue in accordance with Accounting Standards Codification Topic 606, Revenue from Contracts with Customers (ASC 606). The Company applies the following five steps in order to determine the appropriate amount of revenue to be recognized as it fulfills its obligations under each of its agreements:

 

 

identify the contract with a customer;

 

identify the performance obligations in the contract;

 

determine the transaction price;

 

allocate the transaction price to performance obligations in the contract; and

 

recognize revenue as the performance obligation is satisfied.

 

The Company’s royalty revenue relates to the Company’s portion of net revenue earned on the sales of DSUVIA to the Department of Defense or DoD by Alora under the Marketing Agreement. The Company’s performance obligation is to serve as the exclusive sales agent for selling DSUVIA to the DoD through the term of the Marketing Agreement. The non-creditable and non-refundable royalty revenues are variable consideration based on 75% of net sales of DSUVIA to the DoD during the period subject to certain adjustments. The Company evaluates if it is a principal or an agent in a transaction to determine whether revenue should be recorded on a gross or net basis depending on if it obtains control over the goods and services before they are transferred to customers. The Company is acting as an agent in relation to DSUVIA sales to the DoD.

 

The consideration in the Marketing Agreement reflects a variable amount, for which the Company estimates the amount of consideration to which it will be entitled in exchange for transferring the promised goods or services to a customer by using the expected value method or the most likely amount method. The Company includes in the transaction price the amount for which it is probable that a significant reversal of cumulative revenue recognized will not occur. Royalty revenues are recognized when the DoD obtains control of the product, at which time the Company has an unconditional right to receive payment for such royalty earned.

 

Discontinued Operations

 

In accordance with ASC 205-20Presentation of Financial Statements: Discontinued Operations”, a disposal of a component of an entity or a group of components of an entity is required to be reported as discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results. In the period in which the component meets held-for-sale or discontinued operations criteria the major current assets, non-current assets, current liabilities, and non-current liabilities shall be reported as components of total assets and liabilities separate from those balances of the continuing operations. At the same time, the results of all discontinued operations, less applicable income taxes, shall be reported as components of net loss separate from the net income (loss) of continuing operations.

 

The Company’s DSUVIA business met the definition of a discontinued operation as of March 31, 2023. Accordingly, the Company has classified the results of the DSUVIA business as discontinued operations in its unaudited condensed consolidated statements of operations for all periods presented. All assets and liabilities associated with the DSUVIA business were classified as assets and liabilities of discontinued operations in the unaudited condensed consolidated balance sheets for the periods presented. All amounts included in the notes to the unaudited condensed consolidated financial statements relate to continuing operations unless otherwise noted. For additional information, see Note 3, “Discontinued Operations”.

 

 

2. Investments and Fair Value Measurement

 

Investments

 

The Company classifies its marketable securities as available for sale and records its investments at fair value. Available-for-sale securities are carried at estimated fair value based on quoted market prices or observable market inputs of almost identical assets, with the unrealized holding gains and losses included in accumulated other comprehensive income (loss).

 

As of June 30, 2023, and December 31, 2022, the contractual maturity of all investments held was less than one year.

 

The tables below summarize the Company’s cash, cash equivalents and short-term investments (in thousands):

 

   

As of June 30, 2023

 
   

Amortized Cost

   

Gross Unrealized
Gains

   

Gross Unrealized
Losses

   

Fair
Value

 

Cash, cash equivalents and restricted cash:

                               

Cash

  $ 2,641     $     $     $ 2,641  

Money market funds

    3,872                   3,872  

U.S. government agency securities

    597                   597  

Commercial paper

    300                   300  
                                 

Total cash, cash equivalents, and restricted cash

  $ 7,410     $     $     $ 7,410  

 

10

 
   

As of December 31, 2022

 
   

Amortized Cost

   

Gross Unrealized
Gains

   

Gross Unrealized
Losses

   

Fair
Value

 

Cash, cash equivalents and restricted cash:

                               

Cash

  $ 13,275     $     $     $ 13,275  

Money market funds

    321                   321  

U.S. government agency securities

    2,444                   2,444  

Commercial paper

    4,235                   4,235  

Total cash, cash equivalents and restricted cash

    20,275                   20,275  
                                 

Short-term investments:

                               

Commercial paper

    495                   495  

Total short-term investments

    495                   495  

Total cash, cash equivalents, restricted cash and short-term investments

  $ 20,770     $     $     $ 20,770  

 

At each reporting date, the Company performs an evaluation of impairment to determine if any unrealized losses are the result of credit losses. Impairment is assessed at the individual security level. Factors considered in determining whether a loss resulted from a credit loss or other factors include the Company’s intent and ability to hold the investment until the recovery of its amortized cost basis, the extent to which the fair value is less than the amortized cost basis, the length of time and extent to which fair value has been less than the cost basis, the financial condition of the issuer, any historical failure of the issuer to make scheduled interest or principal payments, any changes to the rating of the security by a rating agency, any adverse legal or regulatory events affecting the issuer or issuer’s industry, any significant deterioration in economic conditions. There were no material realized or unrealized gains or losses on marketable securities for the three and six months ended June 30, 2023 or the twelve months ended December 31, 2022. As such, we did not record a credit allowance for the three and six months ended June 30, 2023.

 

Fair Value Measurement

 

The Company’s financial instruments consist of Level I and II assets. Money market funds are highly liquid investments and are actively traded. The pricing information on these investment instruments are readily available and can be independently validated as of the measurement date. This approach results in the classification of these securities as Level 1 of the fair value hierarchy. For Level II instruments, the Company estimates fair value by utilizing third-party pricing services in developing fair value measurements where fair value is based on valuation methodologies such as models using observable market inputs, including benchmark yields, reported trades, broker/dealer quotes, bids, offers and other reference data. Such Level II instruments typically include U.S. Treasury, U.S. government agency securities and commercial paper. As of June 30, 2023 and December 31, 2022, the Company held, in addition to Level II assets, a warrant liability related to the 2022 Warrants (see Note 12, “Warrants” in the Company’s 2022 Annual Report on Form 10-K for further description). The fair value of the warrant liability was estimated using the Black Scholes Model which uses as inputs the following weighted average assumptions: dividend yield, expected term in years; equity volatility; and risk-free interest rate (see Note 7, “Warrants” below). The Company follows the guidance in ASC 820 for its financial assets and liabilities that are re-measured and reported at fair value at each reporting period. The estimated fair value of the warrant liability represents a Level III measurement. Changes to the estimated fair value of these liabilities are recorded in interest income and other income, net in the unaudited condensed consolidated statements of operations.

 

11

 

The following tables set forth the fair value of the Company’s financial assets by level within the fair value hierarchy (in thousands):

 

   

As of June 30, 2023

 
   

Fair Value

   

Level I

   

Level II

   

Level III

 

Assets

                               

Money market funds

  $ 3,872     $ 3,872     $     $  

U.S. government agency securities

    597             597        

Commercial paper

    300             300        

Total assets measured at fair value

  $ 4,769     $ 3,872     $ 897     $  
                                 

Liabilities

                               

Warrant liability

  $ 3,086     $     $     $ 3,086  

Total liabilities measured at fair value

  $ 3,086     $     $     $ 3,086  

 

   

As of December 31, 2022

 
   

Fair Value

   

Level I

   

Level II

   

Level III

 

Assets

                               

Money market funds

  $ 321     $ 321     $     $  

U.S. government agency securities

    2,444             2,444        

Commercial paper

    4,730             4,730        

Total assets measured at fair value

  $ 7,495     $ 321     $ 7,174     $  
                                 

Liabilities

                               

Warrant liability

  $ 7,098     $     $     $ 7,098  

Total liabilities measured at fair value

  $ 7,098     $     $     $ 7,098  

 

 

The following table sets forth a summary of the changes in the fair value of the Company’s Level III warrant liability for the three and six months ended June 30, 2023 (in thousands):

 

   

Three Months Ended

June 30, 2023

   

Six Months Ended
June 30, 2023

 

Fair value—beginning of period

  $ 1,787     $ 7,098  

Change in fair value of 2022 Warrants liability

    1,299       (4,012

)

Fair value—end of period

  $ 3,086     $ 3,086  

 

There were no transfers between Level I, Level II or Level III of the fair value hierarchy during the three and six months ended June 30, 2023 and the year ended December 31, 2022.

 

 

3. Discontinued Operations

 

Asset Purchase Agreement

 

On April 3, 2023, the Company, closed the transactions contemplated by the Purchase Agreement entered into on March 12, 2023, with Alora, pursuant to which Alora agreed to acquire certain assets and assume certain liabilities of AcelRx relating to its sufentanil sublingual tablet product referred to as DSUVIA or DZUVEO, or any other single-dose pharmaceutical product for use in medically supervised settings containing a sublingual tablet that includes sufentanil as the sole active ingredient, as a 30 mcg tablet or other dosage form or strength as reasonably necessary for lifecycle management, or the Product. The Product expressly excludes the pharmaceutical product referred to as Zalviso (sufentanil sublingual tablets, each 15 mcg), any other multi-dose administration system containing sufentanil sublingual tablets (whether as the sole active ingredient or in combination with other active ingredients), and any single-dose formulation of sufentanil for use outside of a medically supervised setting. With the closing of the transaction, AcelRx is entitled to receive (a) up to $116.5 million in sales-based milestones, (b) quarterly payments in an amount equal to 15% of net sales based on sales of Product to all customers, other than sales to the United States Department of Defense, or DoD, under the Marketing Agreement (as defined below), pursuant to which Alora will pay AcelRx 75% of Product net sales to the DoD, and sales by or on behalf of Laboratoire Aguettant, or Aguettant, and (c) 20% of any consideration, excluding royalty payments based on sales of Product and subject to customary exclusions, received by Alora or its affiliates in connection with a grant to any third party of a license related to Product, or by Alora or its affiliates or equityholders in connection with a sale or transfer to any third party of an ownership interest in any assets acquired by Alora under the Purchase Agreement.

 

12

 

The Purchase Agreement contains customary representations, warranties, and covenants by each party. Alora agreed not to practice, license or otherwise exploit any of the intellectual property rights acquired by it under the Purchase Agreement to manufacture, develop or commercialize any product (other than Product) that is or has been commercialized by AcelRx or its affiliate as of the date of the Purchase Agreement, or any product that is competitive with any such product. In addition, Alora will use commercially reasonable efforts to maintain regulatory approvals for and commercialize Product in the United States. If Alora (together with other relevant parties, taken as a whole) fails to commercialize, sell and distribute Product within the six-month period beginning on July 1, 2023, then all rights granted to Alora pursuant to the Purchase Agreement will, upon AcelRx’s written notice, revert back to AcelRx. The Purchase Agreement also contains indemnification rights for each of AcelRx and Alora for breaches of representations, warranties, and covenants, as well as certain other matters, subject to certain specified limitations.

 

The Closing included the execution of the Amended DZUVEO Agreement (as defined below) and the Amended and Restated Supply Agreement (as defined below) between AcelRx and Aguettant, as well as certain ancillary agreements between AcelRx and Alora. Such ancillary agreements include (a) an intellectual property agreement, pursuant to which Alora granted fully-paid, royalty-free and perpetual licenses to AcelRx under certain specified intellectual property rights acquired by Alora under the Purchase Agreement for, among other things, the development, manufacture, commercialization and exploitation of certain products, including Zalviso, (b) a transition services agreement, pursuant to which, during the period specified therein, AcelRx will be paid to provide certain services (including, manufacturing technology transfer, supply chain, regulatory, and medical affairs services) to Alora, and distribute, on behalf of Alora, certain inventory of Product transferred to Alora under the Purchase Agreement, and (c) a marketing agreement, or the Marketing Agreement, pursuant to which AcelRx will have the exclusive right to market and offer Product for sale to DoD and Alora will pay to AcelRx 75% of net sales of Product sold to DoD, subject to adjustment in certain circumstances.  

 

Amendments to Certain Agreements Between AcelRx and Aguettant

 

AcelRx and Aguettant are parties to (a) the License and Commercialization Agreement, dated July 14, 2021, pursuant to which Aguettant obtained the exclusive right to develop and commercialize DZUVEO in certain European countries for the management of acute moderate to severe pain in adults in medically monitored settings, or the DZUVEO Agreement, and (b) the supply agreement, dated December 6, 2021, with respect to the manufacture and supply of DZUVEO in form of bulk product by AcelRx to Aguettant, or the Supply Agreement. Pursuant to the Purchase Agreement, AcelRx and Aguettant entered into an amendment to the DZUVEO Agreement, or the Amended DZUVEO Agreement, and an amendment and restatement to the Supply Agreement, or the Amended and Restated Supply Agreement.

 

Pursuant to the Amended DZUVEO Agreement, (a) Aguettant’s obligations to make sales-based milestone payments and to achieve certain levels of minimum sales terminated, (b) AcelRx agreed to manufacture and supply DZUVEO in the form of bulk products (i.e., products that are pre-packaged in labeled pouches and packed in bright stock cartons for shipment) to Aguettant or its affiliates or sublicensees, and Aguettant will be responsible for manufacturing finished products from bulk products, before Aguettant establishes a semi-automated packaging line for Product, and (c) after Aguettant has established such semi-automated packaging line, AcelRx will cause DZUVEO to be manufactured and supplied in the form of bulk tablets (i.e., products in tablet forms supplied in bulk (not packaged) quantities) to Aguettant or its affiliates or sublicensees, and Aguettant will be responsible for manufacturing finished products from bulk tablets. The Amended and Restated Supply Agreement will govern the manufacture and supply of DZUVEO in the form of bulk products or bulk tablets, and contain customary terms, including those with respect to manufacturing requirements, forecast, delivery, and post-delivery inspection.

 

Pursuant to the Purchase Agreement, AcelRx assigned the Amended DZUVEO Agreement and the Amended and Restated Supply Agreement to Alora.

 

In addition, AcelRx and Aguettant amended the License and Commercialization Agreement, dated July 14, 2021, pursuant to which AcelRx obtained exclusive rights to develop and commercialize certain ephedrine pre-filled syringe and certain phenylephrine prefilled syringe in the United States, or the PFS Agreement (see Note 4, “In-License Agreement” below).

 

13

 

The Company’s DSUVIA business met the definition of a discontinued operation as of March 31, 2023. Accordingly, the assets and liabilities associated with these operations have been classified as assets and liabilities of discontinued operations in the accompanying condensed consolidated balance sheets at June 30, 2023 and December 31, 2022. The operations and cash flows of the DSUVIA business are presented as discontinued for all periods presented.

 

The following table presents the results of the discontinued operations for the three- and six-month periods ended June 30, 2023 and 2022 (in thousands):

 

  

Three months ended

  

Six months ended

 
  

June 30,

  

June 30,

 
  

2023

  

2022

  

2023

  

2022

 

Total revenues

 $  $570  $501  $1,012 

Cost of goods sold

     538   711   952 

Selling, general and administrative expense

  15   3,234   698   6,842 

Impairment of net assets held for sale

  (72)     6,935    

Impairment of fixed assets

        1,065    

Gain on termination of lease liabilities

        (1,098)   

Research and development expenses

     450   349   929 

Net income (loss) from discontinued operations

 $57  $(3,652) $(8,159) $(7,711)

 

The following table summarizes the carrying amounts of major classes of assets and liabilities of discontinued operations for each of the periods presented (in thousands).

 

 

 

June 30, 2023

  

December 31, 2022

 

Accounts receivable, net

 $15  $309 

Inventories

     1,178 

Prepaid expenses and other current assets

  11   444 

Total current assets of discontinued operations

  26   1,931 

Property, plant and equipment, net

     10,261 

Operating lease right-of-use assets

     3,499 

Other assets

     176 

Total non-current assets of discontinued operations

    $13,936 

Total assets of discontinued operations

 $26   15,867 

 

 

 

  

 

 

Accounts payable

 $35  $784 

Accrued liabilities

  1,120   1,720 

Operating lease liabilities, current portion

     1,601 

Note payable, current portion

     400 

Deferred revenue, current portion

     115 

Total current liabilities of discontinued operations

  1,155   4,620 

Operating lease liabilities, net of current portion

     2,959 

Deferred revenue, net of current portion

     1,036 

Total non-current liabilities of discontinued operations

     3,995 

Total liabilities of discontinued operations

  1,155   8,615 

Net assets (liabilities) of discontinued operations

 $(1,129) $7,252 

 

14

 

The following table presents the significant non-cash items and purchases of property, plant and equipment for the discontinued operations that are included in the accompanying unaudited condensed consolidated statements of cash flows (in thousands):

 

 

 

Six months ended

 

 

 

June 30,

 

 

 

2023

  

2022

 

Cash flows from operating activities:

        

Depreciation and amortization

 $215  $795 

Stock-based compensation

  19   183 

Impairment of net assets held for sale

  6,935    

Impairment of fixed assets

  1,065    

Gain on termination of lease liabilities

  (1,098)   

Gain on extinguishment of debt

  (400)   

 

The following table represents the gain (loss) on sale of discontinued operations for the three and six months ended June 30, 2023:

 

  

Three Months Ended

June 30, 2023

  

Six Months Ended

June 30, 2023

 

Cash proceeds

 $2,723  $2,723 

Less: net assets transferred

  117   (8,723)

Less: disposal costs

  (45)  (935)

Loss on sale of discontinued operations, before income taxes

  2,795   (6,935)

Income tax expense

      

Gain (loss) on sale of discontinued operations

 $2,795  $(6,935)

 

 

4. In-License Agreement

 

On July 14, 2021, the Company entered into a License and Commercialization Agreement, or the PFS Agreement, with Aguettant pursuant to which the Company obtained the exclusive right to develop and, subject to FDA approval, commercialize in the United States (i) an ephedrine pre-filled syringe containing 10 ml of a solution of 3 mg/ml ephedrine hydrochloride for injection, and (ii) a phenylephrine pre-filled syringe containing 10 ml of a solution of 50 mcg/ml phenylephrine hydrochloride for injection. Aguettant will supply the Company with the products for use in commercialization, if they are approved in the United States.

 

The PFS Agreement has an initial term of ten (10) marketing years, with the first marketing year ending on December 31 of the calendar year after the first launch of a product (or December 31 of the same calendar year if the first launch of a product occurs between January 1 and April 30 of a calendar year). The term will automatically renew for successive five marketing year periods unless a party notifies the other party of its intention not to renew at least six (6) months prior to the expiration of the then-current term.

 

The Company will purchase each product from Aguettant at an agreed price, or the PFS Purchase Price, subject to adjustment. The Company will also make revenue share payments that, combined with the PFS Purchase Price, will range from 40% to 45% of net sales in the United States.

 

The Company and Aguettant will agree on minimum sales obligations twelve (12) months prior to the launch of each product.

 

The Company has the right to grant sublicenses to its affiliates or, with the prior approval of Aguettant, third parties, subject to certain limitations.

 

In connection with AcelRx’s and Aguettant’s agreement to enter into the Amended DZUVEO Agreement and the Amended and Restated Supply Agreement, the parties entered into an amendment to the PFS Agreement, or the Amended PFS Agreement, pursuant to which, effective April 3, 2023, (a) Aguettant paid AcelRx a complementary payment in the amount of EUR 1,500,000, and (b) AcelRx’s obligation to make a certain specified sales-milestone payment terminated such that the maximum amount in sales-based milestone payments that Aguettant is entitled to receive has been reduced from $24 million to $21 million.

 

As of June 30, 2023, there have been no payments by the Company to Aguettant under the PFS Agreement.

 

15

 
 

5. Long-Term Debt

 

Loan Agreement with Oxford

 

On May 30, 2019, the Company entered into the Loan Agreement with Oxford Finance LLC, or Oxford, as the Lender. Under the Loan Agreement, the Lender made a term loan to the Company in an aggregate principal amount of $25.0 million, or the Loan, which was funded on May 30, 2019.

 

As of June 30, 2023 and December 31, 2022, the accrued balance due under the Loan Agreement with Oxford was $0 and $5.4 million, respectively. Interest expense related to the Loan Agreement was immaterial for the three months ended June 30, 2023, and $0.1 million, $0.1 million of which represented amortization of the debt discount, for the six months ended June 30, 2023. Interest expense related to the Loan Agreement was $0.3 million, $0.1 million of which represented amortization of the debt discount, and $0.7 million, $0.2 million of which represented amortization of the debt discount, for the three and six months ended June 30, 2022, respectively.

 

In connection with the closing of the divestment of DSUVIA to Alora, the Company and Oxford agreed that the Company would repay the loan in full without any prepayment penalties or the payment of future remaining interest that otherwise would have been payable under the Loan. On April 3, 2023, the Company paid Oxford the remaining amount due of approximately $3.4 million including accrued interest and fees under the Loan, and the Loan Agreement was terminated with no further obligations by either party.

 

 

6. Commitments and Contingencies

 

 

Litigation

 

On June 8, 2021, a securities class action complaint was filed in the U.S. District Court for the Northern District of California against the Company and two of its officers. The plaintiff is a purported stockholder of the Company. The complaint alleged that defendants violated Sections 10(b) and 20(a) of the Exchange Act and SEC Rule 10b-5 by making false and misleading statements and omissions of material fact about the Company’s disclosure controls and procedures with respect to its marketing of DSUVIA. The complaint sought unspecified damages, interest, attorneys’ fees, and other costs. On December 16, 2021, the Court appointed co-lead plaintiffs. Plaintiffs’ amended complaint was filed on March 7, 2022. The amended complaint named the Company and three of its officers and continued to allege that defendants violated Sections 10(b) and 20(a) of the Exchange Act and SEC Rule 10b-5 by making false and misleading statements and omissions of material fact about the Company’s disclosure controls and procedures with respect to its marketing of DSUVIA. The amended complaint also asserted a violation of Section 20A of the Exchange Act against the individual defendants for alleged insider trading. The amended complaint sought unspecified damages, interest, attorneys’ fees, and other costs. On September 1, 2022, the Court held oral hearings on the Company’s motion to dismiss the amended complaint with prejudice that was filed on July 21, 2022. On September 28, 2022, the Court issued a formal written opinion, or the First Opinion, dismissing all of the plaintiff’s claims against the Company and the named defendants with leave for plaintiffs to amend their complaint. On November 28, 2022 the plaintiffs filed their second amended complaint. On July 7, 2023, the Court issued a formal written opinion, or the Second Opinion, dismissing all of the plaintiff’s claims against the Company and the named defendants with leave for plaintiffs to amend their complaint in part and without leave to amend in part. The plaintiff’s deadline to file a third amended complaint is September 5, 2023.

 

On July 6, 2021, a purported shareholder derivative complaint was filed in the U.S. District Court for the Northern District of California. The complaint names ten of the Company’s officers and directors and asserts state and federal claims based on the same alleged misstatements as the securities class action complaint. On September 30, 2021, October 26, 2021, and November 17, 2021, three additional purported shareholder derivative complaints were filed in the U.S. District Court for the Northern District of California. The complaints name nine of the Company’s officers and directors and also assert state and federal claims based on the same alleged misstatements as the securities class action complaint. All four complaints seek unspecified damages, attorneys’ fees, and other costs. On December 6, 2021, the Court entered an order consolidating all four actions and staying the consolidated action pending the outcome of any motion to dismiss the securities class action. Please see “Part II., Item 1A. Risk Factors—Risks of a General Nature—Litigation may substantially increase our costs and harm our business.”

 

The Company believes that these lawsuits are without merit and intends to vigorously defend against them. Given the uncertainty of litigation, the preliminary stage of the cases, and the legal standards that must be met for, among other things, class certification and success on the merits, the Company cannot estimate the reasonably possible loss or range of loss that may result from these actions.

 

16

 

Termination Agreement and Mutual Release Between AcelRx and Catalent

 

On March 12, 2023, AcelRx and Catalent Pharma Solutions, LCC, or Catalent, entered into a termination agreement and mutual release, or the Termination Agreement, to terminate the Site Readiness Agreement with an effective date of August 15, 2019 and as amended on September 24, 2020, the SRA Agreement, and the commercial supply agreement with an effective date of March 31, 2021, the CSA Agreement. Pursuant to the Termination Agreement, as of the date on which AcelRx has removed and transported certain equipment from Catalent’s site, the SRA Agreement and the CSA Agreement will terminate except with respect to certain specified provisions of such agreements.

 

 

7. Warrants

 

The activity related to warrants during the six months ended June 30, 2023, is summarized as follows:

 

  

Common
Stock from

Warrants

  

Weighted-
average
Exercise
Price
(per share)

 

Outstanding at December 31, 2022

  7,824,933  $1.72 

Pre-funded warrants exercised

  2,632,898  $0.0001 

Outstanding at June 30, 2023

  5,192,035  $2.59 

Exercisable at June 30, 2023

  5,192,035  $2.59 

 

The pre-funded warrants issued in December 2022 to purchase 2,632,898 shares of common stock, or the 2022 Pre-Funded Warrants, were exercised in full in the three months ended March 31, 2023. The common warrants issued in December 2022 to purchase an aggregate of 4,227,052 shares of common stock, or the 2022 Warrants, were accounted for by the Company as a liability. At June 30, 2023, the 2022 Warrants were valued at approximately $3.1 million, using the Black-Scholes option pricing model as follows: exercise price of $2.07 per share, stock price of $1.11 per share, expected life of 5.5 years, volatility of 91.49%, a risk-free rate of 4.13% and 0% expected dividend yield. See Note 2, “Investments and Fair Value Measurement” above. On April 25, 2023, the 2022 Warrants were amended to remove the full ratchet anti-dilutive adjustment rights in the event the Company issues shares of common stock or common stock equivalents in the future with a value less than the then effective exercise price of such common warrants subject to certain customary exceptions, and further subject to a minimum exercise price of $1.00 per share. The 2022 Warrants and the financing warrants issued in November 2021 are participating securities which, by definition, entitle the holders thereof to participate in dividends and other distributions of assets by the Company to its holders of common shares as though the holder then held common shares. 

 

 

8. Stock-Based Compensation

 

The Company recorded total stock-based compensation expense for stock options, restricted stock units, or RSUs, and the Amended and Restated 2011 Employee Stock Purchase Plan, or the Amended ESPP, as follows (in thousands):

 

  

Three Months Ended
June 30,

  

Six Months Ended
June 30,

 
  

2023

  

2022

  

2023

  

2022

 

Research and development

 $80  $153  $173  $327 

Selling, general and administrative

  391   562   848   1,026 

Discontinued operations

     38   19   183 

Total

 $471  $753  $1,040  $1,536 

 

17

 

The following table summarizes restricted stock unit activity under the Company’s equity incentive plans:

 

      

Weighted

 
  

Number of

  

Average

 
  

Restricted

  

Grant Date

 
  

Stock Units

  

Fair Value

 

Restricted stock units outstanding, January 1, 2023

  82,778  $16.97 

Granted

  44,091   1.76 

Vested

  (34,606)  21.61 

Forfeited

  (2,926)  13.91 

Restricted stock units outstanding, June 30, 2023

  89,337  $7.77 

 

Upon vesting, certain of the Company’s RSUs may be settled on a net-exercise basis to cover any required withholding tax with the remaining amount converted into an equivalent number of shares of common stock. There were 12,906 shares of common stock underlying vested RSUs that were withheld during the quarter ended March 31, 2023, based on the value of the RSUs as determined by the Company’s closing stock price on the applicable vesting date.

 

The following table summarizes stock option activity under the Company’s equity incentive plans:

 

  

Number
of Stock Options
Outstanding

  

Weighted-
Average
Exercise
Price

  

Weighted-
Average
Remaining
Contractual
Life (Years)

  

Aggregate
Intrinsic
Value

 
              

(in thousands)

 

January 1, 2023

  725,623  $52.98         

Granted

  264,520   1.76         

Forfeited

  (9,003)  12.09         

Expired

  (95,357)  81.71         

Exercised

              

June 30, 2023

  885,783  $35.01   6.7  $ 

Vested and exercisable options— June 30, 2023

  466,502  $57.63   4.5  $ 

Vested and expected to vest— June 30, 2023

  885,783  $35.01   6.7  $ 

 

The per-share weighted average grant date fair value of the options granted during the six months ended June 30, 2023 was estimated at $1.39 per share on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:

 

  

Six months ended

June 30, 2023

 

Expected term (in years)

  6.3 

Risk-free interest rate

  3.9%

Expected volatility

  94%

Expected dividend rate

  0%

 

As of June 30, 2023, total stock-based compensation expense related to unvested options to be recognized in future periods was $1.3 million which is expected to be recognized over a weighted-average period of 2.2 years. As of June 30, 2023, there were 141,502 shares available for grant under the Company’s equity incentive plans and 185,860 shares available for grant under the Amended ESPP.

 

 

9. Net Income (Loss) per Share of Common Stock

 

The Company applies the two-class method to compute basic net income (loss) per share by dividing the net income (loss) attributable to common shareholders by the weighted average number of shares of common stock outstanding for the period. The diluted net income (loss) per share of common stock is computed by giving effect to all potential common stock equivalents outstanding for the period determined using the more dilutive of the 1) treasury stock method, if-converted method, or contingently issuable share method, as applicable, or 2) the two-class method. For purposes of this calculation, options to purchase common stock, RSUs, and warrants to purchase common stock were considered to be common stock equivalents.

 

During the three and six months ended June 30, 2022, the Company presents diluted EPS using the two-class method as it was more dilutive. The Company’s participating securities do not have a contractual obligation to share in the Company’s losses, therefore, net loss for the three and six months ended  June 30, 2023 was attributed entirely to common stockholders. In periods with a reported net loss, common stock equivalents are excluded from the calculation of diluted net loss per share of common stock if their effect is antidilutive. Potential common shares that are issuable for little or no cash consideration, such as the Company’s pre-funded warrants issued in  December 2022 with a de minimis exercise price of $0.0001 per share, are considered outstanding common shares which are included in the calculation of basic and diluted net income (loss) per share in all circumstances.

 

18

 

The following table sets forth the computation of the Company’s basic and diluted net income (loss) per share of common stock during the three and six months ended  June 30, 2023 and 2022 (in thousands, except for share and per share amounts):

 

 

  

Three Months Ended June 30,

 
  

2023

  

2022

 
         
  

(in thousands, except share and per share amounts)

 

Basic net income (loss) per common share:

        

Net income (loss) from continuing operations

 $(4,428

)

 $74,315 

Less: income allocated to participating securities

     (7,511

)

Net income (loss) from continuing operations attributable to common shareholders, basic

  (4,428

)

  66,804 

Net income (loss) from discontinued operations attributable to common shareholders, basic

  57   (3,652

)

Net income (loss) attributable to common shareholders, basic

 $(4,371

)

 $63,152 

Weighted average shares outstanding — basic

  10,924,294   7,356,952 

Income (loss) from continuing operations, basic

 $(0.41

)

 $9.08 

Income (loss) from discontinued operations, basic

 $0.01  $(0.50

)

Net income (loss) per share, basic

 $(0.40

)

 $8.58 

Diluted net income (loss) per common share:

        

Net income (loss) from continuing operations

 $(4,428

)

 $74,315 

Less: income allocated to participating securities

     (7,508

)

Net income (loss) from continuing operations attributable to common shareholders, diluted

  (4,428

)

  66,807 

Net income (loss) from discontinued operations attributable to common shareholders, diluted

  57   (3,652

)

Net income (loss) attributable to common shareholders, diluted

 $(4,371

)

  63,155 

Weighted average shares outstanding — basic

  10,924,294   7,356,952 

Dilutive effect of RSUs

     3,501 

Weighted average shares outstanding — diluted

  10,924,294   7,360,453 

Income (loss) from continuing operations, diluted

 $(0.41

)

 $9.08 

Income (loss) from discontinued operations, diluted

 $0.01  $(0.50

)

Net income (loss) per share, diluted

 $(0.40

)

 $8.58 

 

 

  

Six Months ended June 30,

 
  

2023

  

2022

 
         
  

(in thousands, except share and per share amounts)

 

Basic net income (loss) per common share:

        

Net income (loss) from continuing operations

 $(4,364

)

 $69,700 

Less: income allocated to participating securities

     (6,619

)

Net income (loss) from continuing operations attributable to common shareholders, basic

  (4,364

)

  63,081 

Net income (loss) from discontinued operations attributable to common shareholders, basic

  (8,159

)

  (7,711

)

Net income (loss) attributable to common shareholders, basic

 $(12,523

)

 $55,370 

Weighted average shares outstanding — basic

  10,909,208   7,319,279 

Income (loss) from continuing operations, basic

 $(0.40

)

 $8.62 

Income (loss) from discontinued operations, basic

 $(0.75

)

 $(1.06

)

Net income (loss) per share, basic

 $(1.15

)

 $7.56 

Diluted net income (loss) per common share:

        

Net income (loss) from continuing operations

 $(4,364

)

 $69,700 

Less: income allocated to participating securities

     (6,618

)

Net income (loss) from continuing operations attributable to common shareholders, diluted

  (4,364

)

 $63,082 

Net income (loss) from co