UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
☒ ANNUAL REPORT PURSUANT TO SECTION
13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Fiscal Year Ended September 30, 2024:
☐ TRANSITION REPORT PURSUANT TO SECTION
13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File Number 001-41534
Citius Oncology, Inc.
(Exact name of Registrant as specified in its Charter)
Delaware | | 99-4362660 |
(State or other jurisdiction of
incorporation or organization) | | (I.R.S. Employer
Identification No.) |
11 Commerce Drive, First Floor, Cranford,
NJ 07016
(Address of principal executive offices) (Zip Code)
(908) 967-6677
(Registrant’s telephone number, including
area code)
Securities registered pursuant to Section 12(b)
of the Exchange Act:
Title of Each Class | | Trading Symbol(s) | | Name of Each Exchange on Which Registered |
Common Stock, par value $0.0001 per share | | CTOR | | The NASDAQ Capital Market |
Securities registered pursuant to section 12(g) of the Act:
Indicate by check mark if the registrant is a
well-known seasoned issuer, as defined in Rule 405 of the Securities Act. ☐ Yes ☒ No
Indicate by check mark if the registrant is not
required to file reports pursuant to Section 13 or 15(d) of the Act. ☐ Yes ☒ No
Indicate by check mark whether the registrant
(1) has filed all reports required to be filed by Section 13 or 15(d) of the 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 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 filer | ☐ | Accelerated filer | ☐ |
Non-accelerated filer | ☒ | Smaller 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
has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial
reporting under Section 404(b) of the Sarbanes-Oxley Act by the registered public accounting firm that prepared or issued its audit report.
☐
If securities are registered pursuant to Section
12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction
of an error to previously issued financial statements. ☐
Indicate by check mark whether any of those error
corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s
executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by check mark whether the registrant
is a shell company (as defined in Rule 12b-2 of the Exchange Act). ☐ Yes ☒ No
The aggregate market value of the voting and non-voting
common equity held by non-affiliates of TenX Keane Acquisition, a Cayman Islands exempted company, our predecessor, computed by reference
to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business
day of the registrant’s most recently completed second fiscal quarter (March 28, 2024) was approximately $47,700,000 million.
Affiliates for the purpose of this item refers
to the issuer’s executive officers and directors and/or any persons or firms (excluding those brokerage firms and/or clearing houses
and/or depository companies holding issuer’s securities as record holders only for their respective clients’ beneficial interest)
owning 10% or more of the issuer’s common stock, both of record and beneficially.
Indicate the number of shares outstanding of each
of the registrant’s classes of common stock, as of the latest practicable date:
71,552,402 shares as of December 18, 2024, all
of one class of common stock, $0.0001 par value.
DOCUMENTS INCORPORATED BY REFERENCE
Information for Part III of this Form 10-K will
either (i) be incorporated by reference to portions of the registrant’s Definitive Proxy Statement for its 2025 Annual Meeting of
Stockholders, or (ii) if the Definitive Proxy is not filed with the Securities and Exchange Commission within 120 days after the registrant’s
fiscal year end of September 30,2024, it will be provided by amendment to this Form 10-K.
Citius Oncology, Inc.
FORM 10-K
September 30, 2024
TABLE OF CONTENTS
NOTES
In this annual report on Form 10-K, and unless
the context otherwise requires, the “Company,” “Citius Oncology” “we,” “us” and “our”
refer to Citius Oncology, Inc. and its wholly-owned subsidiary Citius Oncology Sub Inc., “Citius Oncology Sub”, taken as a
whole.
LYMPHIRTM (denileukin diftitox)
is our registered trademark. All other trade names, trademarks and service marks appearing in this annual report are the property of their
respective owners. We have assumed that the reader understands that all such terms are source-indicating. Accordingly, such terms, when
first mentioned in this report, appear with the trade name, trademark or service mark notice and then throughout the remainder of this
report without trade name, trademark or service mark notices for convenience only and should not be construed as being used in a descriptive
or generic sense.
FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains “forward-looking
statements.” Forward-looking statements include, but are not limited to, statements that express our intentions, beliefs, expectations,
plans, strategies, predictions, or any other statements relating to our future activities or other future events or conditions. These
statements are based on current expectations, estimates and projections about our business based, in part, on assumptions made by management.
These statements are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict.
Therefore, actual outcomes and results may, and are likely to, differ materially from what is expressed or forecasted in the forward-looking
statements due to numerous factors discussed from time to time in this report, including the risks described under Item 1A - “Risk
Factors,” and Item 7 - “Management’s Discussion and Analysis of Financial Condition and Results of Operations”
in this report and in other documents which we file with the Securities and Exchange Commission (“SEC”). In addition, such
statements could be affected by risks and uncertainties related to:
| ● | the ability of the Company to recognize the anticipated
benefits of the Merger (as defined herein), which may not be realized fully, if at all, or may take longer to realize than expected; |
| ● | the Company’s need for substantial additional
funds and its ability to raise those funds; |
| ● | our ongoing evaluations of strategic alternatives; |
| ● | the ability of the Company to commercialize LYMPHIR,
including covering the costs of licensing payments, product manufacturing and other third-party goods and services; |
| ● | the ability of LYMPHIR or any of our future product
candidates to impact the quality of life of our target patient populations; |
| ● | the estimated markets for LYMPHIR or any of our
future product candidates and the acceptance thereof by any market; |
| ● | our ability to procure cGMP commercial-scale
supply; |
| ● | our dependence on third-party suppliers; |
| ● | risks arising from changes in the fields in which
LYMPHIR and any of our future product candidates, if approved, may compete; |
| ● | risks relating to the results of research and
development activities, including those from our existing and any new pipeline assets; |
| ● | the ability of the Company to maintain compliance
with the continued listing requirements the Nasdaq Stock Market LLC (“Nasdaq”); |
| ● | ability to obtain, perform under and maintain
financing and strategic agreements and relationships; |
| ● | the Company’s operating results and financial
performance; |
| ● | uncertainties relating to preclinical and clinical
testing, approval and commercialization of any future product candidates by the Company; |
| ● | the Company’s ability to manage and grow
our business and execution of our business and growth strategies; |
| ● | the competitive environment in the life sciences
and biotechnology industry; |
| ● | failure to maintain, protect and defend the Company’s
intellectual property rights; |
| ● | changes in government laws and regulations, including
laws governing intellectual property, and the enforcement thereof affecting the Company’s business; |
| ● | changes in general economic conditions, geopolitical
risk, including as a result of any pandemic or international conflict, including in the Middle East and between Russia and Ukraine; |
| ● | the effect of the transactions on the Company’s
business relationships, operating results, and businesses generally; |
| ● | volatility in the price of the Company’s
securities due to a variety of factors, including the Company’s inability to implement their business plans or meet or exceed our
financial projections; |
| ● | the outcome of any litigation related to or
arising out of the Business Combination, or any adverse developments therein or delays or costs resulting therefrom; and |
| ● | other risks and uncertainties set forth under
the section entitled “Risk Factors.” |
Any forward-looking statements speak only as of
the date on which they are made, and, except as may be required under applicable securities laws, we do not undertake any obligation to
update any forward-looking statement to reflect events or circumstances after the filing date of this report.
SUMMARY OF RISK FACTORS
An investment in our securities involves a high
degree of risk. You should carefully consider the risks summarized in Item 1A, “Risk Factors” included in this report. These
risks include, but are not limited to, the following:
| ● | We have one approved product that we have not
yet commercialized and have an unproven business strategy and may never achieve commercialization of LYMPHIR or any future product candidates
or achieve or maintain profitability. |
| ● | We require substantial additional funding, which
may not be available on acceptable terms, or at all. Failure to obtain this necessary capital when needed on acceptable terms, or at all,
or execute on alternative strategic paths, could force us to delay, limit, reduce or terminate our commercialization efforts and business
operations. |
| ● | We have a history of net losses and expects to
incur losses for the foreseeable future. We may never generate revenues or, if we are able to generate revenues, achieve profitability.
|
| ● | We are required to make milestone payments to
the licensor and former licensee of the LYMPHIR intellectual property in connection with our development and commercialization of LYMPHIR,
which could adversely affect the profitability of LYMPHIR. |
| ● | Any material breach or default under our license
agreements, including the failure to make timely payment when due, gives the licensor party to such agreement the right to terminate the
license agreement, which termination would materially harm our business. |
| ● | We rely exclusively on third parties to formulate
and manufacture our product candidates. Our failure to abide by our contractual obligations with these third parties, including timely
payment, could result in a delay or the loss of necessary third-party support. |
| ● | LYMPHIR may not gain market acceptance among
physicians, patients, healthcare payers or the medical community and may not generate significant revenue. |
| ● | We will not be able to create a market for LYMPHIR
or any future product candidate if we fail to establish marketing, sales, and distribution capabilities. |
| ● | We have a limited operating history upon which
to evaluate our ability to successfully commercialize LYMPHIR and any future product candidate. |
| ● | The markets in which we operate are highly competitive
and we might be unable to compete successfully against new entrants or established companies. |
| ● | Our ability to generate product revenues will
be diminished if LYMPHIR sells for inadequate prices or patients are unable to obtain adequate levels of reimbursement. |
| ● | Healthcare reform measures could hinder or prevent
LYMPHIR’s, or any of our future product candidates that may be approved, commercial success. |
| ● | Any termination, or breach by, or conflict with
our strategic partners could harm our business. |
| ● | We rely on the significant experience and specialized
expertise of our executive management and other key personnel and the loss of any of our executive management or key personnel or our
inability to successfully hire their successors could harm our business. |
| ● | If we are unable to retain or hire additional
qualified personnel, our ability to grow our business might be harmed. |
| ● | The U.S. Food and Drug Administration (the “FDA”)
and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses. |
| ● | Even with the regulatory approval of LYMPHIR,
we remain subject to ongoing regulatory obligations and restrictions, which may result in significant expense and limit our ability to
commercialize LYMPHIR. |
| ● | We expect to need to increase the size of our
organization to further develop our product candidates, and we may experience difficulties in managing growth. |
| ● | We could be forced to pay substantial damage
awards if product liability claims that may be brought against us is successful. |
| ● | We might not obtain the necessary U.S. or foreign
regulatory approvals to commercialize any future product candidates. |
| ● | Our business depends on protecting our intellectual
property. |
| ● | If we infringe the rights of third parties we
might have to forego developing and/or selling any approved products, pay damages, or defend against litigation. |
| ● | If our trademarks and trade names are not adequately
protected, then we may not be able to build name recognition and our business, financial condition and results of operations may be adversely
affected. |
| ● | The market price of our common stock, $0.0001
par value (the “Common Stock”), is highly volatile, and you may lose some or all of your investment. |
| ● | You may experience dilution of your ownership
interests because of the future issuance of additional shares of Common Stock or securities convertible into Common Stock. |
| ● | If we fail to meet Nasdaq’s continued listing
requirements, it could result in a suspension or delisting of the Common Stock. |
| ● | If our Common Stock were delisted and determined
to be a “penny stock,” a broker-dealer may find it more difficult to trade the Common Stock and an investor may find it more
difficult to acquire or dispose of the Common Stock in the secondary market. |
| ● | The Certificate of Incorporation of the Company
allows for our board of directors (the “Board”) to create new series of preferred stock without further approval by our stockholders,
which could adversely affect the rights of the holders of the Common Stock. |
| ● | We have not paid cash dividends in the past and
we do not expect to pay cash dividends in the foreseeable future. Any return on investment may be limited to the capital appreciation,
if any, of Common Stock. |
| ● | Our operating results may fluctuate significantly. |
| ● | We are a controlled company within the meaning
of the Nasdaq continued listing requirements and, as a result, may rely on exemptions from certain corporate governance requirements.
|
| ● | Volatility in the Company’s share price
could subject us to securities litigation. |
| ● | Provisions in our Certificate of Incorporation,
Bylaws and under Delaware law could discourage a takeover that stockholders may consider favorable and may lead to entrenchment of management. |
| ● | If our estimates or judgments relating to our
critical accounting policies prove to be incorrect or financial reporting standards or interpretations change, the Company’s results
of operations could be adversely affected. |
| ● | Conflicts of interest may arise from our relationship
with Citius Pharmaceuticals, Inc. (“Citius Pharma”). |
| ● | Certain of our directors and officers may have
actual or potential conflicts of interest because of their positions with Citius Pharma. |
| ● | Citius Pharma currently performs or supports
many of our important corporate functions, which would be difficult to replace if Citius Pharma were to cease providing. |
| ● | Our financial statements may not necessarily
be indicative of the conditions that would have existed if we had been operated as an unaffiliated company of Citius Pharma. |
| ● | Our Certificate of Incorporation provides for
an exclusive forum provision. |
PART I
Item 1. Business
Business Overview
The Company, headquartered in Cranford, New Jersey,
is a biopharmaceutical company focused on developing and commercializing innovative targeted oncology therapies. The Company’s strategy
centers on achieving a market leading position by advancing innovative therapies with reduced development and clinical risks, and competitive
advantages supported by intellectual property and regulatory exclusivity protection. This includes new formulations of previously approved
drugs with substantial existing safety and efficacy data or expanded indications for approved therapies.
The Company’s lead product candidate is
LYMPHIRTM, an engineered IL-2 diphtheria toxin fusion protein, for the treatment of patients with persistent or recurrent CTCL,
a rare form of non-Hodgkin lymphoma. LYMPHIR was approved by the FDA in August 2024. The Company believes there is an attractive and growing
market for LYMPHIR, estimated to exceed $400 million, that is underserved by existing treatments. See below for more detailed information
on LYMPHIR.
In the future, the Company intends to commercialize
our products independently in the U.S., and partner to market products outside of the U.S. The Company is in the process of establishing
a small, targeted oncology sales force, initially for LYMPHIR, focused on key geographies and stakeholders, primarily major cancer centers.
This commercialization strategy is anticipated to result in a combination of direct sales revenue, and royalty income, as well as incremental
operating expenses and greater working capital requirements.
Citius Oncology and the Business Combination
On August 23, 2021, Citius Pharmaceuticals, Inc.
(“Citius Pharma”), formed Citius Acquisition Corp. (“SpinCo”) as a wholly-owned subsidiary in conjunction with
the acquisition of LYMPHIR, but SpinCo did not begin operations until April 2022, when Citius Pharma transferred the assets related to
LYMPHIR to SpinCo, including the related license agreement with Eisai Co., Ltd. (“Eisai”) and the related asset purchase agreement
with Dr. Reddy’s Laboratories SA, a subsidiary of Dr. Reddy’s Laboratories, Ltd. (collectively, “Dr. Reddy’s”).
On October 23, 2023, Citius Pharma and SpinCo
entered into an agreement and plan of merger and reorganization (the “Merger Agreement”) with TenX Keane Acquisition, a Cayman
Islands exempted company (“TenX”), and TenX Merger Sub Inc., a Delaware corporation and a wholly owned subsidiary of TenX
(“Merger Sub”). On August 12, 2024, pursuant to the terms and conditions of the Merger Agreement, Merger Sub merged with and
into SpinCo, with SpinCo surviving as a wholly owned subsidiary of TenX (the “Merger”) which was subsequently renamed Citius
Oncology Sub. Prior to closing of the Merger (the “Closing”), TenX migrated to and domesticated as a Delaware corporation
in accordance with Section 388 of the General Corporation Law of the State of Delaware and the Cayman Islands Companies Act (As Revised)
(the “Domestication”). As part of the Domestication, TenX changed its name to “Citius Oncology, Inc.” (Nasdaq:
CTOR). Immediately after the closing of the Merger, Citius Pharma owned approximately 92.3% of the outstanding shares of common stock
of the Company.
Since the SpinCo’s inception, Citius Pharma
funded SpinCo and continues to fund Citius Oncology, and Citius Pharma and Citius Oncology are party to an amended and restated shared
services agreement (the “A&R Shared Services Agreement”), which governs certain management and scientific services that
Citius Pharma provides Citius Oncology.
LYMPHIRTM (denileukin diftitox-cdxl)
Overview
In September 2021, Citius Pharma announced
that it had entered into an asset purchase agreement with Dr. Reddy’s to acquire its exclusive license of E7777 (denileukin
diftitox). E7777, an engineered IL-2-diphtheria toxin fusion protein, is an improved formulation of oncology agent, ONTAK®,
which was previously approved by the FDA for the treatment of patients with persistent or recurrent CTCL. Dr. Reddy’s had
previously exclusively licensed E777 in select markets from Eisai and as part of the transaction, Eisai entered into a license
agreement whereby Eisai assigned all of its rights to E7777 to Citius Pharma. Citius Pharma renamed E7777 as I/ONTAK and also
obtained the trade name LYMPHIR for the product. Denileukin diftitox is referred to in this annual report as E7777, I/ONTAK or
LYMPHIR, depending on the period of time and context that is being discussed.
LYMPHIR is a recombinant DNA-derived fusion protein
designed to direct the cytocidal action of diphtheria toxin (DT) to cells which express the IL-2 receptor. After uptake into the cell,
the DT fragment is cleaved and the free DT fragments inhibit protein synthesis, resulting in cell death. Consequently, LYMPHIR’s
differentiated mechanism of action supports two therapeutic effects: (1) killing tumors by binding to IL-2 receptors to deliver diphtheria
toxin directly to the tumor cells, and (2) depleting immunosuppressive regulatory T lymphocytes (Tregs) to enhance antitumor activity.
Phase 3 Trial (E7777-G000-302) Design
LYMPHIR is an improved formulation of oncology
agent, ONTAK®, which was previously approved by the FDA for the treatment of patients with persistent or recurrent CTCL. ONTAK was
marketed in the U.S. previously. The manufacturing formulation improvements were substantial enough that the FDA required a new clinical
study to be performed (Study E7777-G000-302). The safety profile of LYMPHIR from study E7777-G000-302 is comparable to Study 93-04-11/L4389-11,
which served as the basis for the full approval of ONTAK. Study E7777-G000-302, a global, multicenter, open-label single-arm pivotal clinical
trial for the treatment of patients with persistent or recurrent CTCL, commenced (first subject consented) in May 2013 and completed (data
cutoff for primary analysis) in December 2021. The study was sponsored by Eisai and was conducted at 17 sites in the United States and
three sites in Australia. Inclusion criteria for the study were to evaluate patients in advanced stage CTCL (Mycosis Fungoides or Sézary
Syndrome), who received at least one prior CTCL therapy. The objectives were met for Study E7777-G000-302, in both the lead-in phase and
the main phase. Overall, the primary and secondary endpoints of Study E7777-G000-302 demonstrate the tolerability and clinical benefit
of 9 µg/kg/day LYMPHIR for the treatment of adult patients with relapsed or refractory Stage I-III CTCL. No new safety signals were
identified compared to ONTAK.
The pivotal trial of E7777 was divided into two
phases, a lead-in phase with 21 subjects that evaluated dose finding, pharmacokinetics and immunogenicity, and assessed the Objective
Response Rate (the “ORR”). An ORR is defined as a greater than 50% reduction in tumor burden. Patients received a daily intravenous
infusion of denileukin diftitox from Day 1 through Day 5 of each 21-day cycle. In the lead-in phase, the main objectives were to determine
the maximum tolerated dose (MTD) of LYMPHIR and to select the dose of LYMPHIR to be used in the main phase (subjects were treated at doses
ranging from 6 to 15 µg/kg/day). The MTD was 12 µg/kg/day and, based on data of the lead-in phase, 9 µg/kg/day was selected
for the main phase of the study. The objectives of the main phase were to evaluate the efficacy and safety of LYMPHIR (at the dose determined
in the lead-in phase of 9 µg/kg/day).
The primary efficacy endpoint was tumor response
rate, i.e. ORR per the Independent Review Committee (IRC) assessment based on International Society for Cutaneous Lymphomas/ European
Organization for Research and Treatment of Cancer Global Response Score (GRS; Olsen, et al., 2011).
The secondary efficacy endpoints
were:
| ● | Duration
of response (DOR) based on GRS; |
| ● | Time
to response based on GRS; |
| ● | ORR
assessed by investigator using GRS; |
| ● | Objective
response assessed by IRC using Prince (Prince, et al., 2010); |
| ● | Skin
response (according to modified Severity Weighted Assessment Tool [mSWAT]); |
| ● | Duration
of skin response; and |
Overall, there were 25 responders out of 69 subjects
in the Primary Efficacy Analysis Set (i.e., subjects with CTCL disease Stages I to III (9 µg/kg/day)) as assessed by the IRC, with
an ORR of 36.2% (95% CI: 25.0%, 48.7%), with 8.7% (6/69) achieving a Complete Response (CR) and 27.5% (19/69) achieving a Partial Response.
Among responders, the median follow-up for duration
of response was 6.5 months (range: 3.5+, 23.5+ months). Median time to response was 1.4 months (range: 0.7 to 5.6 months).
ORR (95% CI) by investigator was 42.3% (30.6%,
54.6%) (30 of 71 subjects), with 8.5% (6 subjects) achieving a CR. ORR (95% CI) by IRC assessment using the Prince (2010) criteria was
36.2% (25.0%, 48.7%) (25 of 69 subjects). And, an ORR of 38.1% in the intent to treat population and 44.4% in the efficacy evaluable populations
were observed. The 2-sided, exact 95% CI of ORR was calculated using the Clopper-Pearson method. Per protocol, LYMPHIR demonstrated clinical
benefit if the lower bound of the 2-sided 95% exact CI of the ORR exceeded 25%.
Skin responses were the same as GRS objective
responses, for both IRC and investigator assessments. Responses were deep, reflected by the substantial decrease in skin tumor burden,
including 8 subjects with 100% clearance of skin lesions per IRC.
In the second and main phase of the pivotal trial,
70 patients were administered the 9 µg/kg/day rate for 5 consecutive days in 21-day cycles. The inclusion criteria were identical
to the lead-in phase.
Phase 3 Trial Efficacy & Safety Results
The efficacy population of the main phase included
69 patients with relapsed or refractory stage I to III CTCL. Of the 69 patients, the median age was 64 years (range: 28 to 87 years),
65% were male, 73% were White, 19% Black or African American, 1% Asian, and 14% Hispanic or Latino. The CTCL disease stage was IA in 7%,
IB in 23%, IIA in 13%, IIB in 35%, IIIA in 12%, and IIIB in 10%. The median number of prior therapies was 4 (range: 1 to 18), including
both skin-directed and systemic therapies. Prior therapies included photodynamic therapy (56%), total skin electron beam therapy (42%),
systemic retinoids (49%), methotrexate/pralatrexate (49%), histone deacetylase inhibitor (35%), brentuximab vedotin (26%) and mogamulizumab
(12%).
Efficacy was established based on ORR, according
to ISCL/EORTC Global Response Score (GRS) per Independent Review Committee (Olsen 2011). Efficacy results are shown in the table below.
|
|
LYMPHIR |
Efficacy Results of E7777-G000-302 |
|
9 µg/kg/day |
|
|
(N=69) |
|
|
|
ORR (GRS)%a |
|
36% |
(95% CIb) |
|
(25,49) |
Complete Response |
|
9% |
Partial Response |
|
27% |
Duration of Response |
|
|
Median (range), months |
|
6.5 (3.0+, 23.5+) |
Duration ≥ 6 months, n (%) |
|
52% |
Median Time to Response, months |
|
1.4 |
(95% CIb) |
|
(0.7,5.6) |
a) |
ORR, Objective Response Rate per Olsen, et all (2011) Global Response Score (GRS), by Independent Review Committee (IRC) |
|
|
b) |
CI = confidence interval |
Both the endpoints and objectives of Study E7777-G000-302
were met, while the statistical confidence interval (95% CI), resulted in a marginal shortfall (25% actual achievement vs. >25% from
the statistical plan). Throughout the initial BLA review period, the FDA accepted the Study E7777-G000-302 data which demonstrated both
tolerability and clinical benefit.
Overall, LYMPHIR was well-tolerated with the use
of pre-medications, close patient monitoring, and prompt initiation of supportive measures and drug management. There was no evidence
of cumulative toxicity and most patients experienced low grade 1 or 2 treatment emergent adverse events.
Serious adverse reactions occurred in 38% of
patients who received LYMPHIR. Serious adverse reactions in > 2% of patients included capillary leak syndrome (10%), infusion-related
reaction (9%), sepsis (7%), skin infection (2.9%), pyrexia (2.9%), and rash (2.9%). There were no Grade 5 adverse events in the Study
E7777-G000-302, Stage I-III Safety Set (which is the safety set FDA required for inclusion in the package insert/label).
Adverse Reactions (≥ 10%) in Patients
with Relapsed or Refractory Stage I-III CTCL Who Received LYMPHIR in E7777-G000-302
| |
LYMPHIR N=69 | |
Adverse Reaction | |
All Grades (%) | | |
Grade 3 or 4 (%) | |
Gastrointestinal disorders | |
| | |
| |
Nausea | |
| 43 | | |
| 1.4 | |
Diarrhea | |
| 19 | | |
| 0 | |
Vomiting | |
| 13 | | |
| 0 | |
Constipation | |
| 12 | | |
| 0 | |
General disorders and administration site conditions | |
| | | |
| | |
Fatiguea | |
| 38 | | |
| 0 | |
Edemab | |
| 33 | | |
| 1.4 | |
Chills | |
| 27 | | |
| 1.4 | |
Feverc | |
| 16 | | |
| 1.4 | |
Musculoskeletal and connective tissue disorders | |
| | | |
| | |
Musculoskeletal paind | |
| 27 | | |
| 2.9 | |
Arthralgiae | |
| 12 | | |
| 0 | |
Nervous system disorders | |
| | | |
| | |
Headachef | |
| 25 | | |
| 0 | |
Dizziness | |
| 13 | | |
| 0 | |
Mental status changesg | |
| 13 | | |
| 0 | |
Injury, poisoning and procedural complications | |
| | | |
| | |
Infusion-related reaction | |
| 25 | | |
| 6 | |
Skin and subcutaneous tissue disorders | |
| | | |
| | |
Rashh | |
| 23 | | |
| 6 | |
Pruritisi | |
| 19 | | |
| 6 | |
Vascular disorders | |
| | | |
| | |
Capillary leak syndrome | |
| 20 | | |
| 6 | |
Metabolism and nutrition disorders | |
| | | |
| | |
Decreased appetite | |
| 13 | | |
| 1.4 | |
Eye disorders | |
| | | |
| | |
Vision changesj | |
| 13 | | |
| 0 | |
Investigations | |
| | | |
| | |
Weight increased | |
| 13 | | |
| 0 | |
Infections and infestations | |
| | | |
| | |
Skin infection | |
| 13 | | |
| 1.4 | |
Renal and urinary disorders | |
| | | |
| | |
Renal insufficiencyl | |
| 12 | | |
| 2.9 | |
Psychiatric disorders | |
| | | |
| | |
Insomnia | |
| 10 | | |
| 0 | |
a) |
Includes fatigue, asthenia, and lethargy. |
|
|
b) |
Includes edema, edema peripheral generalized edema, face edema, swelling face, peripheral swelling. |
|
|
c) |
Includes fever, pyrexia, tumor associated fever. |
|
|
d) |
Includes musculoskeletal pain, back pain, neck pain, pain in extremity, myalgia, bone pain, flank pain. |
|
|
e) |
Includes arthralgia, joint swelling, joint range of motion decreased, musculoskeletal stiffness. |
|
|
f) |
Includes headache, migraine. |
|
|
g) |
Includes mental status changes, amnesia, confusional state, delirium, altered state of consciousness, hallucinations (including auditory), memory impairment, disturbance in attention, somnolence, cognitive disorder. |
h) |
Includes rash, dermatitis, drug eruption, erythema, palmar erythema, toxic skin eruption, rash maculo-papular, rash papular, rash pustular, rash pruritic, dermatitis exfoliative generalized, acute generalized exanthematous pustulosis. |
i) |
Includes pruritis, itching. |
|
|
j) |
Includes vision blurred, photopsia, visual impairment. |
|
|
k) |
Includes skin infection, skin bacterial infection, staphylococcal skin infection, cellulitis, impetigo. |
|
|
l) |
Includes renal failure, nephropathy, acute kidney injury, blood creatinine increased, renal impairment. |
Grade refers to the severity of the adverse reaction.
The Common Terminology Criteria for Adverse Events displays Grades 1 through 5 with unique clinical descriptions of severity for each
adverse reaction based on this general guideline:
| ● | Grade 1 - Mild; asymptomatic or mild symptoms;
clinical or diagnostic observations only; intervention not indicated. |
| ● | Grade 2 - Moderate; minimal, local or noninvasive
intervention indicated; limiting age-appropriate instrumental activities of daily living. |
| ● | Grade 3 - Severe or medically significant but
not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities
of daily living. |
| ● | Grade 4 - Life-threatening consequences; urgent
intervention indicated. |
| ● | Grade 5 - Death related to the adverse reaction. |
Investigator Initiated Trials
The Company believes there is an opportunity in
the field of immuno-oncology and has undertaken two investigator-initiated trials to evaluate the potential safety and efficacy of LYMPHIR
as an immuno-oncology combination therapy.
A Phase 1 trial was initiated in June 2021 at
the University of Minnesota, Masonic Cancer Center. This study is a single-arm open-label trial which has an estimated enrollment of 20
participants who will be administered denileukin diftitox prior to Chimeric Antigen Receptor (“CAR-T”) therapies. The Phase
1 study consists of two components: dose finding to establish a maximum tolerated dose (“MTD”) of denileukin diftitox in combination
with CART-T therapies and an extension component to provide an estimate of efficacy at that MTD. (Title: Phase I/II Trial Using E7777
to Enhance Regulatory T-Cell Depletion Prior to CAR-T Therapy for Relapsed/Refractory B-Cell Lymphoma (DLBCL). NCT04855253)
A second Phase 1 Study was initiated in September
2022 at the University of Pittsburg Medical Center, Hillman Cancer Center. This study is an open label, Phase 1/1b study to investigate
the safety and efficacy of a combined regimen of pembrolizumab with T-regulatory cell depletion and denileukin diftitox in patients diagnosed
with recurrent or metastatic solid tumors in the second line setting. (Title: The efficacy of T-regulatory cell depletion with E7777 combined
with immune checkpoint inhibitor, pembrolizumab, in recurrent or metastatic solid tumors: Phase I/II Study. NCT05200559).
The study consists of two parts. Part I is a dose
escalation study of four cohorts (3,6,9,12 mcg of LYMPHIR) and is expected to enroll 18-30 patients. Part II is a dose expansion study
of approximately 40 patients to evaluate the safety and tolerability of the recommended combination dose of LYMPHIR and pembrolizumab
(to include ovarian cancer and MSI-H cancer cohorts). The study will also investigate the alteration of the immune microenvironment within
tumors and peripheral blood. Secondary endpoints include the objective response (complete response plus partial response), progression-free
survival, and overall survival.
Trials at both the University of Minnesota, Masonic
Cancer Center and the University of Pittsburgh Medical Center, Hillman Cancer Center are enrolling patients and progressing.
In November 2024, the Company announced promising
preliminary results of the Phase I Clinical Trial of Pembrolizumab (KEYTRUDA®) and LYMPHIR™ in cancer patients with recurrent
solid tumors conducted at the University of Pittsburg Hillman Cancer Center.
Preliminary Results
The results of this chemotherapy-free regimen
combining two immuno-modulator agents, pembrolizumab (anti-PD-1) and LYMPHIR (transient Treg depletion) demonstrated:
| ● | An overall response rate (ORR) of 27% (4/15)
and a clinical benefit rate of 33% (5/15) among evaluable patients; and, |
| ● | Median progression-free survival (PFS) for patients
achieving clinical benefit of 57 weeks, with a range of 30 to 96 weeks. |
| ● | Notably, two of the four patients who achieved
partial remission had received prior checkpoint inhibitors (i.e. anti-PD-1 therapy). This highlights the therapeutic potential of LYMPHIR
plus immune checkpoint inhibitors to be effective in patients who fail prior anti-PD-1/L1 therapy. |
The trial enrolled 21 patients with recurrent
or metastatic solid tumors. Among the evaluable participants, four patients achieved a partial response, and one patient demonstrated
durable stable disease lasting over six months. The combination regimen was generally well tolerated, with most adverse events related
to the patients’ underlying disease. Importantly, no significant immune-related adverse events were observed, and only one case of dose-limiting
toxicity (capillary leak syndrome) was reported at the highest dose level (12 mcg/kg).
Table 1: Efficacy Data
|
|
Value |
Patients Enrolled |
|
21 |
Patients Evaluable for Response |
|
15 |
Partial Responses (PR) |
|
4 (27%) |
Stable Disease (≥ 6 months) |
|
1 |
Clinical Benefit Rate (CBR) |
|
33% (PR + SD ≥ 6 months) |
Median Progression-Free Survival (PFS) |
|
57 weeks (range: 30-96 weeks) |
Table 2: Safety Data
|
|
Value |
Dose-Limiting Toxicities (DLTs) |
|
1 (Capillary Leak Syndrome at 12 mcg/kg) |
Immune-Related Adverse Events (irAEs) |
|
None documented (≥ Grade 3) |
Adverse Events (Grade ≥ 3) |
|
Most related to underlying disease |
Regulatory Development
In the 1990s, denileukin diftitox was developed
at Boston University and the National Cancer Institute (“NCI”) in collaboration with Seragen, Inc.
In 1999, ONTAK® (denileukin diftitox)
was granted accelerated approval by the FDA for the treatment of persistent or recurrent CTCL. Ligand Pharmaceuticals, Inc. (“Ligand”)
acquired the marketing rights in that same year.
In 2006, Eisai acquired the commercial rights
to ONTAK from Ligand.
In 2008, the FDA granted full approval to ONTAK
for CTCL.
In 2011, a new formulation of denileukin diftitox
was developed under the code name E7777 in response to a post-marketing condition established by the FDA upon approval. As the FDA considered
this a new product, an Investigational New Drug Application (“IND”) was filed. As a part of ensuing discussions, the FDA agreed
to a development plan that included a single arm, open label study to confirm the safety and efficacy of E7777 and a chemistry, manufacturing
and controls (“CMC”) development plan that demonstrates the new process results in a comparable drug product.
In 2011, the FDA Office of Orphan Products Development
granted E7777 orphan drug designation status for the treatment of Peripheral T-Cell Lymphoma (“PTCL”).
In 2013, the FDA Office of Orphan Products Development
granted E7777 orphan drug designation status for the treatment of CTCL.
In 2013, the first patient was enrolled into the
lead-in phase of the pivotal study for the E7777 U.S. CTCL clinical trial.
In 2014, commercial sales of ONTAK were discontinued
when the product was voluntarily withdrawn from the market due to manufacturing issues at the contract manufacturer.
In 2015, the last patient enrolled exited the
lead-in phase of the E7777 U.S. CTCL clinical trial.
In March 2016, Dr. Reddy’s exclusively licensed
the global rights to E7777 from Eisai, other than the rights in countries retained by Eisai, which consists of Japan, China, Korea, Taiwan,
Hong Kong, Macau, Indonesia, Thailand, Malaysia, Brunei, Singapore, India, Pakistan, Sri Lanka, Philippines, Vietnam, Myanmar, Cambodia,
Laos, Afghanistan, Bangladesh, Bhutan, Nepal, Mongolia and Papua New Guinea. The license included an option on the right to develop and
market the product in India prior to FDA approval.
In June 2016, the first patient was enrolled in
the main phase of the Phase 3 U.S. CTCL clinical trial for E7777.
In March 2020, Eisai filed a New Drug Application
(“NDA”) for E7777 in Japan for both CTCL and PTCL, and in March 2021 received approvals in both indications.
In September 2021, Citius
Pharma acquired the marketing rights to E7777 in selected markets. Citius Pharma subsequently renamed E7777 as LYMPHIR.
In December 2021, patient
enrollment for the Phase 3 Pivotal study of LYMPHIR was completed.
In April 2022, Citius
Pharma reported that topline results from the Phase 3 trial were consistent with the prior formulation. Moreover, no new safety signals
were identified.
In December 2022, a Biologics License Application
(“BLA”) for LYMPHIR was accepted for filing with the FDA and a PDUFA goal date was set for July 28, 2023.
In July 2023, the FDA issued a complete response
letter (“CRL”) requiring the Company to incorporate enhanced product testing and additional controls agreed to with the FDA
during the market application review. There were no concerns relating to the safety and efficacy clinical data package submitted with
the BLA, or the proposed prescribing information.
In September 2023, Citius Pharma announced that
the FDA agreed with the plans to address the requirements outlined in the CRL, which guidance provided the Company with a path for completing
the necessary activities to support the resubmission of the BLA for LYMPHIR.
In February 2024, based on the feedback from the
FDA, Citius Pharma completed the CRL remediation activities and filed the resubmission.
In March 2024, Citius Pharma announced the acceptance
of the BLA by the FDA. The FDA assigned a PDUFA goal date of August 13, 2024 and approved LYMPHIR on August 8, 2024.
In August 2024 Citius Pharma announced that the
FDA had approved LYMPHIR.
Market Opportunity
CTCL’s are a heterogeneous subset of extranodal
non-Hodgkin lymphomas (“NHL”) of mature, skin-homing T-cells that are mainly localized to the skin. The most common types
of CTCL are mycosis fungoides (“MF”) and primary cutaneous CD30+ anaplastic large cell lymphoma (pcALCL), jointly representing
an estimated 80 to 85% of all CTCL. Sézary Syndrome (“SS”), a very rare subtype (~2 to 5% of CTCL) characterized by
diffuse inflammatory, often exfoliative, erythroderma and by leukemic and nodal involvement, displays a significant degree of clinical
and biological overlap with MF and has long been considered a clinical variant of MF, although recent evidence suggests that it may be
a separate entity. The rest is represented by extremely rare, generally more aggressive subtypes.
In light of the overlap between MF and SS, and
considering that many of the systemic therapy options for the two neoplasms are the same, some consider the treatment approach to MF and
SS as if they were a single disease entity (MF/SS). However, some of the drugs currently in use, or in development, for MF/SS appear to
be more effective in clearing different anatomical compartments (skin versus blood, for example) and therefore have differential efficacy
in MF and SS.
Based on Surveillance Epidemiology and End Results
(SEER) data from 2001 to 2007, the estimated incidence rate of MF/SS in the U.S. is 0.5/100,000 or about 2,500 to 3,000 new cases per
year representing about 25% of all T-cell lymphomas. In total, the Company estimates that there are approximately 30,000 to 40,000 patients
living with CTCL in the U.S.
Based on internal estimates, the Company believes
the addressable U.S. market for LYMPHIR exceeds $400,000,000 and may further expand with the introduction of a new therapeutic.
Competition
There are currently several approved targeted
therapeutics for patients with persistent or recurrent CTCL. However, there are limitations to these targeted therapies, which often are
discontinued due to toxicity, adverse events, or a limited duration of response due to resistance over time. Consequently, the Company
believes there continues to be an unmet medical need for patients with CTCL and an opportunity for LYMPHIR to be included among the treatment
armamentarium for advanced-stage CTCL.
The following products are approved for the systemic
treatment of advanced CTCL:
| ● | Mogamulizumab, sold under the brand name Poteligeo,
is a humanized, afucosylated monoclonal antibody targeting CC chemokine receptor 4. The FDA approved it for treatment of relapsed or refractory
mycosis fungoides and Sézary disease. |
| ● | Brentuximab vedotin, sold under the brand name
Adcetris, is an antibody-drug conjugate medication used to treat relapsed or refractory Hodgkin lymphoma and systemic anaplastic large
cell lymphoma, a type of T-cell non-Hodgkin lymphoma. It selectively targets tumor cells expressing the CD30 antigen, a defining marker
of Hodgkin lymphoma and ALC. |
| ● | Romidepsin sold under the brand name Istodax,
is a histone deacetylase (“HDAC”) inhibitor indicated for the treatment of CTCL in adult patients who have received at least
one prior systemic therapy. |
| ● | Vorinostat sold under the brand name Zolinza,
is a HDAC inhibitor indicated for the treatment of cutaneous manifestations in patients with CTCL who have progressive, persistent or
recurrent disease on or following two systemic therapies. |
Sales and Marketing
The Company does not currently have our own commercial
infrastructure and is in the process of developing our sales or marketing capability by contracting with a large third-party commercial
sales and marketing organization with an existing commercial infrastructure and product launch experience to assist in our commercial
efforts. The Company intends to utilize a dedicated field force combined with various marketing programs which will be tailored to both
physicians and patients to launch LYMPHIR and grow our market share. We plan to focus our commercial efforts on a concentrated group of
prescribing hematologists, oncologists and dermatologist-oncologists, along with key opinion leaders and advocacy groups who play an important
role in the CTCL treatment regimen.
In September 2024, the Company announced the inclusion
of LYMPHIR in the National Comprehensive Cancer Network (“NCCN”) guidelines and compendia. LYMPHIR was included bases on an
NCCN Category 2A recommendation which indicates a uniform NCCN consensus that LYMPHIR is appropriate as an option for patients with CTCL.
The Company believes that LYMPHIR’s addition to the NCCN guidelines will assist LYMPHIR in obtaining coverage and reimbursement
from the Centers for Medicare and Medicaid Services (“CMS”).
Supply and Manufacturing
The Company does not currently have nor do we
intend to establish our own manufacturing facilities. We have secured supply agreements with third-party cGMP facilities who are in compliance
with current good manufacturing practices as generally accepted by the FDA. The Company is confident that all drug substance and drug
product materials meet or will meet specifications as agreed with the FDA.
The Company also believes our contract manufacturers
have sufficient capacity to support demand for LYMPHIR and any future clinical phase and approved products as our business grows.
In addition to our supply agreements with third-party
manufacturers, the Company has contracted with other proven suppliers for, testing, labeling, packaging, and distribution of LYMPHIR.
In general, our suppliers purchase raw materials and supplies on the open market. Substantially all such materials are obtainable from
a number of sources so that the loss of any one source of supply would not have a material adverse effect on us.
If we elect to conduct product development and manufacturing, we will be subject to regulation under various federal and state laws, including
the Food, Drug and Cosmetic Act, Occupational Safety and Health Act, the Environmental Protection Act, the Toxic Substances Control Act,
the Resource Conservation and Recovery Act, the Controlled Substances Act and other present and potential future federal, state or local
regulations.
If we fail to raise additional capital, and as
a result are unable to abide by our contractual obligations with these third-party manufacturers and suppliers, including making timely
payment, the necessary third-party support to commercialize LYMPHIR could be delayed or terminated.
LYMPHIR License Agreement
On September 3, 2021, Citius Pharma acquired the
exclusive license of E7777 (denileukin diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, from Dr. Reddy’s,
who had exclusively licensed it previously from Eisai. The exclusive license, which was amended as part of the transaction, is with Eisai
and includes rights to develop and commercialize LYMPHIR in all markets except for Japan, China, Korea, Taiwan, Hong Kong, Macau, Indonesia,
Thailand, Malaysia, Brunei, Singapore, India, Pakistan, Sri Lanka, Philippines, Vietnam, Myanmar, Cambodia, Laos, Afghanistan, Bangladesh,
Bhutan, Nepal, Mongolia, and Papua New Guinea. The license includes an option on the right to develop and market the product in India.
Citius Pharma renamed E7777 as I/ONTAK and also obtained the trade name LYMPHIR for the product. In April 2022, Citius Pharma assigned
the license agreement to SpinCo, at which time SpinCo began operations. Upon the completion of the Merger, the Company acquired SpinCo
as our wholly owned subsidiary. Citius Pharma remains a guarantor on all of Citius Oncology’s payment obligations thereunder.
Obligations to
Eisai under the License Agreement
Under the license agreement, Eisai is to receive
a $5.9 million development milestone payment upon initial approval by the FDA of LYMPHIR for the CTCL indication (which increases to $6.9
million in the event the Company exercises the option to add India to the licensed territory) and an aggregate of up to $22 million related
to the achievement of net product sales thresholds. Pursuant to the terms of the license agreement, through 2022, Citius Pharma reimbursed
Eisai for approximately $2.65 million of Eisai’s costs to complete the ongoing Phase 3 pivotal clinical trial for LYMPHIR for the
CTCL indication and for all reasonable costs associated with the preparation of a BLA for LYMPHIR. The Company has accrued the $5.9 million
development milestone payment as of September 30, 2024.
Pursuant to the terms of the license agreement,
Eisai was responsible for completing the current CTCL clinical trial, and chemistry, manufacturing and controls development activities
through the production of the BLA, which Citius Pharma filed with the FDA in September 2022. Citius Pharma is responsible for the costs
of correcting any major deficiencies in the BLA, as well as the costs of any further studies and development costs associated with potential
additional indications.
The term of the license agreement will continue
until (i) March 30, 2026, if there has not been a commercial sale of a licensed product in the territory, or (ii) if there has been a
first commercial sale of a licensed product in the territory by March 30, 2026, the 10-year anniversary of the first commercial sale on
a country-by-country basis. The term of the license may be extended for additional 10-year periods for all countries in the territory
by notifying Eisai and paying an extension fee equal to $10 million. Either party may terminate the license agreement upon written notice
if the other party is in material breach of the agreement, subject to cure within the designated time periods. Either party also may terminate
the license agreement immediately upon written notice if the other party files for bankruptcy or takes related actions or is unable to
pay its debts as they become due. Additionally, either party will have the right to terminate the agreement if the other party directly
or indirectly challenges the patentability, enforceability, or validity of any licensed patent.
The Company is responsible for preparing, filing,
prosecuting, and maintaining all patent applications and patents included in the licensed patents that we intend to pursue within the
territory.
Obligations to
Dr. Reddy’s under the Asset Purchase Agreement
Citius Pharma and Dr. Reddy’s entered into
an asset purchase agreement whereby Dr. Reddy’s transferred to Citius Pharma the then-existing patents, know-how, regulatory documentation
and other assets related to LYMPHIR and Citius Pharma agreed to assume certain liabilities associated with Dr. Reddy’s development
of LYMPHIR. The agreement was assigned to the Company in April 2022.
Under the terms of the asset purchase agreement
with Dr. Reddy’s, the Company will be obligated to pay up to an aggregate of $40 million related to CTCL approvals in the U.S. and
other markets, up to $70 million in development milestones for additional indications, and up to $300 million for commercial sales milestones.
The Company will also be obligated to pay on a fiscal quarter basis tiered royalties equal to low double-digit percentages of net product
sales (within a range of 10% to 15%). The royalties will end on the earlier of (i) the 15-year anniversary of the first commercial sale
of the latest indication that received regulatory approval in the applicable country and (ii) the date on which a biosimilar product results
in the reduction of net sales in the applicable product by 50% in two consecutive quarters, as compared to the four quarters prior to
the first commercial sale of the biosimilar product. The Company will also pay to Dr. Reddy’s an amount equal to a low-thirties
percentage of any sublicense upfront consideration or milestone payments (or the like) received by the Company and the greater of (i)
a low-thirties percentage of any sublicensee sales-based royalties or (ii) a mid-single digit percentage of such licensee’s net
sales.
Also under the agreement with Dr. Reddy’s,
the Company is required to (i) use commercially reasonable efforts to make commercially available products in the CTCL indication, peripheral
T-cell lymphoma indication and immuno-oncology indication, (ii) initiate two investigator initiated immuno-oncology trials, (iii) use
commercially reasonable efforts to achieve each of the approval milestones, and (iv) complete each specified immuno-oncology investigator
trial on or before the four-year anniversary of the effective date of the definitive agreement. Additionally, the Company is required
to commercially launch a product in a territory within six months of receiving regulatory approval for such product in each such jurisdiction.
The Company is responsible for these and any and all further developmental activities relating to LYMPHIR.
Dr. Reddy’s agreed to not compete against
the Company in the development of products containing compounds in LYMPHIR in the territory covered by the license for a designated period
of time. There are no termination provisions included in the asset purchase agreement other than those related to the term of the royalties.
To assist in the transfer of the LYMPHIR assets, the Company and Dr. Reddy’s entered into a transition services agreement at the
closing of the transaction, which was in effect until March 2022.
At the time of the FDA approval for LYMPHIR, a
$27.5 million milestone payment became payable for which a balance of $22.5 million remains due as of September 30, 2024.
LYMPHIR Patents
As part of the definitive agreement with Dr. Reddy’s,
Citius Pharma acquired and later transferred to the Company method of use patents in which E7777 is administered in combination with the
programmed cell death protein 1 (“PD-1”) pathway inhibitor drug class. PD-1 plays a vital role in inhibiting immune responses
and promoting self-tolerance through modulating the activity of T-cells, activating apoptosis of antigen-specific T cells and inhibiting
apoptosis of regulatory T cells.
The following patents
were acquired:
| ● | US Provisional Application No. 63/070,645, which
was filed on August 26, 2020, and subsequently published as US 2022/0062390 A1 on March 3, 2022, entitled Methods of Treating Cancer.
Expiration date of August 23, 2041. |
| ● | International Patent Application Number: PCT/IB2021/0576733,
which was filed with the World Intellectual Property Organization on August 23, 2021 for Europe, and subsequently published as WO 2022/043863
A1 on March 3, 2022, entitled, Combination for Use in Methods of Treating Cancer. Expiration date of August 23, 2041. |
Regulation
U.S. Government Regulation
The research, development, testing, manufacture,
labeling, promotion, advertising, distribution, and marketing, among other things, of LYMPHIR and other potential future product candidates,
is extensively regulated by governmental authorities in the U.S. and other countries.
In the U.S., the FDA regulates drugs under the
Federal Food, Drug, and Cosmetic Act (the “FDCA”) and the agency’s implementing regulations. If the Company fails to
comply with the applicable U.S. requirements at any time during the product development process, including clinical testing, as well as
at any time before and after the approval process, we may become subject to administrative or judicial sanctions, or other actions, such
as the FDA’s delay in review of or refusal to approve a pending NDA or BLA, withdrawal of an approval, imposition of a clinical
hold or study termination, issuance of Warning Letters or Untitled Letters, mandated modifications to promotional materials or issuance
of corrective information, requests for product recalls, consent decrees, corporate integrity agreements, deferred prosecution agreements,
product seizures or detentions, refusal to allow product import or export, total or partial suspension of or restriction of or imposition
of other requirements relating to production or distribution, injunctions, fines, debarment from government contracts and refusal of future
orders under existing contracts, exclusion from participation in federal and state healthcare programs, FDA debarment, restitution, disgorgement
or civil or criminal penalties, including fines and imprisonment. Any enforcement action could have a material adverse effect on the Company
and our operations.
FDA Marketing Approval
Before any one of the Company’s drug product
candidates may be marketed in the U.S., it must be approved by the FDA. Obtaining FDA marketing approval for new products requires substantial
time, effort and financial resources . In order for the FDA to determine that a product is safe and effective for the proposed indication,
the product must first undergo testing in animals (nonclinical studies). The data generated from nonclinical studies is used to support
the filing of an IND under which human studies are conducted. Human testing is generally conducted under an IND in three phases following
Good Clinical Practices (“GCP”) regulations:
| ● | Phase 1 studies evaluate the safety and tolerability
of the drug, generally in normal, healthy volunteers; |
| ● | Phase 2 studies evaluate safety and efficacy,
as well as appropriate doses; these studies are typically conducted in patient volunteers who suffer from the particular disease condition
that the drug is designed to treat; and |
| ● | Phase 3 studies evaluate safety and efficacy
of the product at specific doses in one or more larger pivotal trials. |
In addition to human testing, the manufacturing
process of the potential product must be developed in accordance with cGMP regulations. Prior to the approval of a new product, the FDA
will inspect the facilities at which the proposed drug product is manufactured to ensure cGMP compliance.
The cumulative safety and efficacy data generated
from the clinical trials described above, chemistry, manufacturing and control (“CMC”) information, nonclinical study data
and proposed labeling are used as the basis to support approval of a marketing application (NDA or BLA) to the FDA. The preparation of
an NDA or BLA requires the expenditure of substantial funds and the commitment of substantial resources. Additionally, at the time of
an NDA or BLA submission a user fee is required (unless the product has ODD) to be paid. The FDA conducts a preliminary administrative
review upon receipt of the NDA or BLA submission, the FDA either accepts the NDA or BLA submission or does not. If the application is
not accepted for review by FDA, the Sponsor of the application must resolve the deficiencies and re-submit the application, re-starting
the review clock.
After evaluating the NDA or BLA and all
related information, including the advisory committee recommendation, if any, and inspection reports regarding the manufacturing
facilities and clinical trial sites, the FDA may issue an approval letter, or, in some cases, a complete response letter
(“CRL”). A CRL generally contains a statement of specific conditions that must be met in order to secure final approval
of the NDA or BLA and may require additional clinical or preclinical studies, or other information, in order for FDA approval. Even
with submission of this additional information, the FDA may decide that the NDA or BLA does not satisfy the regulatory criteria for
approval. If and when those conditions have been met to the FDA’s satisfaction, the FDA may issue an approval letter. An
approval letter authorizes commercial marketing of the drug with specific prescribing information for specific indications.
Data obtained from the development program are
not always conclusive and may be susceptible to varying interpretations. These instances may delay, limit or prevent regulatory approval.
The FDA may not grant approval on a timely basis, or at all. We may encounter difficulties or unanticipated costs in our efforts to secure
necessary governmental approvals, which could delay or preclude us from marketing our products. The FDA may limit the indications for
use or place other conditions on any approvals that could restrict the commercial application of the product.
FDA Post-Approval Considerations
Drugs manufactured or distributed pursuant to
FDA approvals are subject to continuing regulation by the FDA, including, among other things, requirements relating to recordkeeping,
manufacturing, periodic reporting, product sampling and distribution, advertising and promotion, and reporting of adverse experiences
with the product and drug shortages. During the approval process, the FDA and the sponsor may agree that specific studies or clinical
trials should be conducted as post-marketing commitments, but they are not required. The FDA may also impose post-marketing requirements
as a condition of approval of an NDA or BLA. For example, the FDA may require post-marketing testing, including Phase 4 clinical trials
and surveillance, to further assess and monitor the product’s safety and effectiveness after commercialization. Once an approval
is granted, the FDA may withdraw the approval if compliance with regulatory requirements and standards is not maintained or if problems
occur after the product becomes available in the market.
After approval, most changes to the approved product,
such as manufacturing changes and adding new indications or other labeling claims, are subject to FDA review and approval. There are also
annual user fee requirements for any marketed product and new application fees for supplemental applications with clinical data. Additionally,
the FDA strictly regulates the labeling, advertising and promotion of products under an approved NDA or BLA. The FDA and other agencies
actively enforce the laws and regulations prohibiting the promotion of off-label uses, and a company that is found to have improperly
marketed or promoted off-label uses may be subject to significant liability, including criminal and civil penalties under the FDCA and
False Claims Act, exclusion from participation in federal healthcare programs, debarment from government contracts, refusal of future
orders under existing contracts and mandatory compliance programs under corporate integrity agreements or deferred prosecution agreements.
Other Regulations of the Healthcare Industry
In addition to FDA regulations governing the marketing
of pharmaceutical products, there are various other state and federal laws that may restrict business practices in the biopharmaceutical
industry. These include the following:
| ● | The federal Anti-Kickback laws and implementing
regulations, which prohibit persons from knowingly and willfully soliciting, offering, receiving or providing remuneration, directly or
indirectly, in cash or in kind, to induce either the referral of an individual, or furnishing or arranging for a good or service, for
which payment may be made under federal healthcare programs such as the Medicare and Medicaid programs; |
| ● | Other Medicare laws, regulations, rules, manual
provisions and policies that prescribe the requirements for coverage and payment for services performed by our customers, including the
amount of such payment; |
| ● | The federal False Claims Act, which imposes civil
and criminal liability on individuals and entities who submit, or cause to be submitted, false or fraudulent claims for payment to the
government; |
| ● | The Foreign Corrupt Practices Act (“FCPA”),
which prohibits certain payments made to foreign government officials; |
| ● | State and foreign law equivalents of the foregoing
and state laws regarding pharmaceutical company marketing compliance, reporting and disclosure obligations; |
| ● | The Patient Protection and Affordable Care Act
of 2010, as amended by the Health Care and Education Affordability Reconciliation Act of 2010 (collectively, the “Affordable Care
Act” or “ACA”), which among other things: changes access to healthcare products and services; creates new fees for the
pharmaceutical and medical device industries; changes rebates and prices for health care products and services; and requires additional
reporting and disclosure; |
| ● | The Health Insurance Portability and Accountability
Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act of 2009, and its implementing regulations
(collectively, “HIPAA”), which creates federal criminal laws that prohibit executing a scheme to defraud any healthcare benefit
program and which also imposes certain obligations on entities with respect to the privacy, security and transmission of individually
identifiable health information; and |
| ● | The federal Physician Payment Sunshine Act, which
requires certain pharmaceutical and biological manufacturers to engage in extensive tracking of payments or transfers of value to physicians
and teaching hospitals and public reporting of the payment data. |
If our operations are found to be in violation
of any of these laws, regulations, rules or policies or any other law or governmental regulation, or if interpretations of the foregoing
change, we may be subject to civil and criminal penalties, damages, fines, exclusion from the Medicare and Medicaid programs and the curtailment
or restructuring of our operations.
To the extent that any of our products are sold
in a foreign country, we may be subject to similar foreign laws and regulations, which may include, for instance, applicable post-marketing
requirements, including safety surveillance, anti-fraud and abuse laws, and implementation of corporate compliance programs and reporting
of payments or transfers of value to healthcare professionals. This is currently not applicable as our only approved product is not currently
sold in a foreign country nor have we applied for any foreign approvals.
Coverage and Reimbursement
The commercial success of our product candidates
and our ability to commercialize any approved product candidates successfully will depend in part on the extent to which governmental
authorities, private health insurers and other third-party payers provide coverage for and establish adequate reimbursement levels for
our therapeutic product candidates. In the United States, the European Union and other potentially significant markets for our product
candidates, government authorities and third-party payers are increasingly imposing additional requirements and restrictions on coverage,
attempting to limit reimbursement levels or regulate the price of drugs and other medical products and services, particularly for new
and innovative products and therapies, which often has resulted in average selling prices lower than they would otherwise be. For example,
in the United States, federal and state governments reimburse covered prescription drugs at varying rates generally below average wholesale
price. Federal programs also impose price controls through mandatory ceiling prices on purchases by federal agencies and federally funded
hospitals and clinics and mandatory rebates on retail pharmacy prescriptions paid by Medicaid and Tricare. These restrictions and limitations
influence the purchase of healthcare services and products. Legislative proposals to reform healthcare or reduce costs under government
programs may result in lower reimbursement for our products and product candidates or exclusion of our products and product candidates
from coverage. Moreover, the Medicare and Medicaid programs increasingly are used as models for how private payers and other governmental
payers develop their coverage and reimbursement policies.
In addition, the increased emphasis on managed
healthcare in the United States and on country and regional pricing and reimbursement controls in the European Union will put additional
pressure on product pricing, reimbursement and utilization, which may adversely affect our future product sales and results of operations.
These pressures can arise from rules and practices of managed care groups, competition within therapeutic classes, availability of generic
equivalents, judicial decisions and governmental laws and regulations related to Medicare, Medicaid and healthcare reform, coverage and
reimbursement policies and pricing in general. The cost containment measures that healthcare payers and providers are instituting and
any healthcare reform implemented in the future could significantly reduce our revenues from the sale of any approved products. We cannot
provide any assurances that we will be able to obtain and maintain third-party coverage or adequate reimbursement for our approved products
in whole or in part.
Healthcare Reform
The United States and many foreign jurisdictions
have enacted or proposed legislative and regulatory changes affecting the healthcare system. The United States government, state legislatures
and foreign governments also have shown significant interest in implementing cost-containment programs to limit the growth of government-paid
healthcare costs, including price controls, restrictions on reimbursement and requirements for substitution of generic products for branded
prescription drugs.
In recent years, Congress has considered reductions
in Medicare reimbursement levels for drugs administered by physicians. Further, the Center for Medicare & Medicaid Services (“CMS”),
the agency that administers the Medicare and Medicaid programs, also has authority to revise reimbursement rates and to implement coverage
restrictions for some drugs. Cost reduction initiatives and changes in coverage implemented through legislation or regulation could decrease
utilization of and reimbursement for any approved products. While Medicare regulations apply only to drug benefits for Medicare beneficiaries,
private payers often follow Medicare coverage policy and payment limitations in setting their own reimbursement rates. Therefore, any
reduction in reimbursement that results from federal legislation or regulation may result in a similar reduction in payments from private
payers.
The ACA substantially changed the way healthcare
is financed by both governmental and private insurers, and significantly impacts the pharmaceutical industry. The ACA was intended to
broaden access to health insurance, reduce or constrain the growth of healthcare spending, enhance remedies against healthcare fraud and
abuse, add new transparency requirements for healthcare and health insurance industries, impose new taxes and fees on pharmaceutical and
medical device manufacturers, and impose additional health policy reforms. Since its passage, there have been significant ongoing efforts
to modify or eliminate the ACA.
The Trump administration pushed for modifications
to the ACA. In addition, the Tax Cuts and Jobs Act (the “TCJA”), enacted on December 22, 2017, repealed the shared responsibility
payment for individuals who fail to maintain minimum essential coverage under section 5000A of the Internal Revenue Code of 1986, as amended
(the “IRC”), as amended, commonly referred to as the individual mandate. While the Biden administration has rolled back many
of the executive orders issued by former President Trump, ongoing repeal and reform efforts impacting the ACA and the healthcare sector
more broadly are likely under the incoming Trump administration.
Other legislative changes have been proposed and
adopted since passage of the ACA. These have, among other things, reduced Medicare payments to several types of providers, including hospitals,
imaging centers and cancer treatment centers, and increased the statute of limitations period for the government to recover overpayments
to providers.
Further legislative and regulatory changes
under the ACA remain possible. The Inflation Reduction Act of 2022, enacted on August 16, 2022, includes several provisions to lower
prescription drug costs for Medicare patients and reduce drug spending by the federal government. It is unknown what form any future
changes or any law would take under the incoming Trump administration, and how or whether it may affect our business in the future.
We expect that changes or additions to the ACA, the Medicare and Medicaid programs, changes allowing the federal government to
directly negotiate drug prices (which becomes effective in January 2026 for 10 prescription drugs) and changes stemming from other
healthcare reform measures, especially with regard to healthcare access, financing or other legislation in individual states, could
have a material adverse effect on the healthcare industry. In addition, the Affordable Care Act has also been subject to challenges
in the courts, which remain ongoing.
Payment methodologies may be subject to changes
in healthcare legislation and regulatory initiatives as well. In addition, at the state level, legislatures have passed and implemented
regulations, and may pass additional legislation, designed to control pharmaceutical product pricing, including price or patient reimbursement
constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases,
designed to encourage importation from other countries and bulk purchasing.
We expect that additional federal, state and foreign
healthcare reform measures will be adopted in the future, any of which could limit the amounts that federal and state governments will
pay for healthcare products and services, which could result in limited coverage and reimbursement and reduced demand for our products,
once approved, or additional pricing pressures.
Foreign Regulation
The Company and any of our collaborative partners
may be subject to widely varying foreign regulations, which may be different from those of the FDA, governing clinical trials, manufacture,
product registration and approval and pharmaceutical sales. Whether or not FDA approval has been obtained, the Company or our collaborative
partners must obtain a separate approval for a product by the comparable regulatory authorities of foreign countries prior to the commencement
of product marketing in such countries. In certain countries, regulatory authorities also establish pricing and reimbursement criteria.
The approval process varies from country to country, and the time may be longer or shorter than that required for FDA approval. In addition,
under current U.S. law, there are restrictions on the export of products not approved by the FDA, depending on the country involved and
the status of the product in that country.
Employees
The Company has no employees. Through our consulting
and collaboration arrangements, including the A&R Shared Services Agreement with Citius Pharma, we have access to more than 30 professionals
(including our executive officers), who possess significant expertise in business development, legal, accounting, regulatory affairs,
clinical operations, and manufacturing. The Company also relies upon a network of consultants to support our clinical studies and manufacturing
efforts.
Executive Officers of Citius Oncology
Leonard Mazur, Chief Executive Officer
and Director and Chairman of the Board– Mr. Mazur, 79, was appointed Chief Executive Officer after the Merger. He was appointed
the Chief Executive Officer of Citius Pharma effective May 1, 2022, and has been a member of its Board since September 2014. Mr. Mazur
previously served as Chief Executive Officer, President, and Chief Operating Officer from September 2014 until March 2016.
Myron Holubiak, Secretary and Director
– Mr. Holubiak, 77, was appointed Secretary and Director after the Merger. He was appointed Executive Vice Chairman of Citius Pharma
effective May 1, 2022, and has been a member of its Board since October 2015. He previously served as President and Chief Executive Officer
of Citius Pharma from March 2016 through April 2022. He was also the founder and Chief Executive Officer and President of Leonard-Meron
Biosciences, Inc., an acquired subsidiary of Citius Pharma, from March 2013 until March 2016.
Jaime Bartushak, Chief Financial
Officer and Treasurer – Mr. Bartushak, 57, was appointed as Chief Financial Officer and Treasurer after the Merger. He has served
as the Chief Business Officer and Chief Financial Officer of Citius Pharma since November 2017. Previously, he was one of the founders
and Chief Financial Officer of Leonard-Meron Biosciences, Inc., an acquired subsidiary of Citius Pharma.
Myron Czuczman, Chief Medical Officer
President – Dr. Czuczman, 65, was appointed as Chief Medical Officer and President after the Merger. He has served as the Chief
Medical Officer and Executive Vice President of Citius Pharma since July 2020. Dr. Czuczman previously served as Vice President, Global
Clinical Research and Development, Therapeutic Head of Lymphoma/CLL at Celgene Corporation.
Item 1A. Risk Factors
An investment in our securities involves
a high degree of risk. You should carefully consider the risks described below before making an investment decision.
In the course of conducting our business
operations, we are exposed to a variety of risks. Any of the risk factors we describe below have affected or could materially adversely
affect our business, prospects, financial condition and results of operations as could other risks not currently known to us or that we
currently consider immaterial. The market price of shares of our Common Stock could decline, possibly significantly or permanently, if
one or more of these risks and uncertainties occurs, and, as a result, you may lose all or part of your investment.
Risks Related to the Company’s Business
and Our Industry
We currently have only one approved product
and we are heavily dependent on the planned launch and commercial success of LYMPHIR.
We have one product LYMPHIR, which was approved
for commercial sale in August 2024. We are pursuing other future product candidates, based on our ongoing research with LYMPHIR for other
possible indications all of which are in the pre-clinical stage. We are entirely dependent upon the successful commercial launch of LYMPHIR
to generate revenue for the foreseeable future. The commercial launch in the U.S. is not expected to occur until the first half of 2025.
As a result, it is difficult to evaluate our current business and predict our future prospects. We cannot assure you that LYMPHIR will
gain market acceptance among physicians, health care payors, patients and the medical community, which is critical to our commercial success.
As a company, we have limited experience engaging in commercial activities and limited relationships with physicians, hospitals and payors.
Market acceptance of LYMPHIR will depend on a number of factors, including:
| ● | acceptance by physicians, major operators of
clinics and patients of LYMPHIR as a safe and effective treatment for CTCL; |
| ● | the availability, cost and potential advantages
of existing and any future alternative treatments; |
| ● | the effectiveness of our sales and marketing
efforts; |
| ● | the availability of coverage, adequacy of reimbursement
and favorability of pricing policies by third-party payors and government authorities; |
| ● | the prevalence and severity of adverse side effects;
and |
| ● | the timing of market introduction of other competitive
products, if any. |
In order to successfully commercialize LYMPHIR,
we will need to establish our marketing program, which we are in the process of doing. However, physicians may decide not to prescribe
LYMPHIR for a variety of reasons, including perceived safety issues, inadequate coverage or reimbursement for LYMPHIR or the utilization
of products developed by other parties, all of which are circumstances outside of our control. Demand for LYMPHIR may not develop as quickly
as we expect, and we may be unable to generate revenue to the level that we currently expect. Even if we succeed in obtaining market acceptance
of LYMPHIR, we may be unable to reach or sustain a level of profitability.
Our ability to effectively promote LYMPHIR will
also depend on pricing and cost-effectiveness, including our ability to produce LYMPHIR at a competitive price. In addition, our efforts
to educate the medical community and third-party payors on the benefits of LYMPHIR may require significant resources, may be constrained
by FDA rules and policies on product promotion and may never be successful.
We require substantial additional funding
in the near future to support our operations, complete the commercialization of LYMPHIR, which may not be available on acceptable terms,
or at all.
Our operations have consumed substantial amounts
of cash since inception. We have significantly increased our spending to continue our commercialization efforts for LYMPHIR and advance
development of LYMPHIR for other indications. Furthermore, following the Merger, we have additional costs associated with operating as
a public company and require additional capital to fund our other operating expenses and capital expenditures. As a result, we continue
to evaluate strategic alternatives, including but not limited to, partnerships, joint ventures, mergers, acquisitions, licensing or other
strategic transactions.
As of September 30, 2024, our cash and cash equivalents
were approximately $0 and we had an accumulated deficit of $39,278,587. The amount and timing of our future funding requirements will
depend on many factors, some of which are outside of our control, including but not limited to:
| ● | the costs and expenses associated with our ongoing
commercialization efforts for LYMPHIR, including the costs of establishing or contracting for sales, marketing, and distribution capabilities
for LYMPHIR; |
| ● | the degree of success we experience in commercializing
LYMPHIR; |
| ● | the revenue generated by sales of LYMPHIR and
other future product candidates that may be approved, if any; |
| ● | the extent to which LYMPHIR or any of our other
potential product candidates, if approved for commercialization, is adopted by the physician community; |
| ● | the effect of competing products and product
candidates and other market developments; |
| ● | the scope, progress, results and costs of conducting
studies and clinical trials for our other future product candidates, if any, resulting from our ongoing research with LYMPHIR for other
possible indications; |
| ● | the timing of, and the costs involved in, obtaining
regulatory approvals for our product candidates; |
| ● | the costs of manufacturing LYMPHIR and any other
potential product candidates we develop; |
| ● | the timing and amount of any milestone, royalty
or other payments we are required to make pursuant to any current or future license agreements; |
| ● | the number and types of future product candidates
we might develop and commercialize; |
| ● | any product liability or other lawsuits related
to our products; |
| ● | the expenses needed to attract, hire and retain
skilled personnel; |
| ● | the costs associated with being a public company; |
| ● | its need to implement additional internal systems
and infrastructure, including financial and reporting systems; |
| ● | costs of preparing, filing and prosecuting patent
applications and maintaining, enforcing and defending intellectual property-related claims; and |
| ● | the extent and scope of our general and administrative
expenses. |
Until we are able to generate significant
revenue, if ever, we expect to finance our operations through a combination of equity offerings, debt financings, collaborations or
other strategic transactions. We cannot be sure that any additional funding, if needed, will be available on terms favorable to us,
or at all. Any additional fundraising efforts may divert our management from their day-to-day activities, which may adversely affect
our ability to develop and commercialize our product candidates. Furthermore, any additional equity or equity-related financing may
be dilutive to our stockholders, and debt or equity financing, if available, may subject us to restrictive covenants and significant
interest costs. If we raise additional funds through collaborations or strategic alliances with third parties, we may have to
relinquish valuable rights to our product candidates, future revenue streams, research programs or technologies, or grant licenses
on terms that may not be favorable to us. If we are unsuccessful in our efforts to raise additional financing on acceptable terms or
execute on other strategic alternatives, we may be required to significantly reduce or cease our operations.
We have a history of net losses and expect
to incur losses for the foreseeable future. We may never generate revenues or, if we are able to generate revenues, achieve profitability.
We were formed in August 2021 and began operations
in April 2022 when Citius Pharma transferred the assets related to LYMPHIR to us, including the license agreement with Eisai and the asset
purchase agreement with of Dr. Reddy’s. Our ability to become profitable depends upon our ability to generate revenues from sales
of LYMPHIR, and any future product candidates, if any, resulting from our ongoing research with LYMPHIR for other possible indications.
We have been focused on product development and have not generated any revenues to date. We have incurred losses in each period of our
operations, and we expect to continue to incur losses for the foreseeable future. These losses are likely to continue to adversely affect
our working capital, total assets, and stockholders’ equity. The process of developing product candidates requires significant clinical
development, laboratory testing and clinical trials. In addition, commercialization of LYMPHIR and any future approved product candidates
requires that we establish sales, marketing, and manufacturing capabilities, through internal hiring and contractual relationships with
others. We expect to incur substantial losses for the foreseeable future as a result of anticipated the commercial launch of LYMPHIR,
increases in our research and development costs, including costs associated with conducting preclinical testing and clinical trials for
any other potential products, and regulatory compliance activities. We incurred net losses of $ $21,148,747 for the year ended September
30, 2024. At September 30, 2024, the Company had stockholders’ equity of $46,140,339 and an accumulated deficit of $39,278,587.
The Company is currently funded by Citius Pharma. Citius Pharma funded the Company with net cash used for our operating activities in
the amounts of $14,270,648 for the year ended September 30, 2024.
As of September 30, 2024, have outstanding
commitments totaling $25.7 million to third-party suppliers and manufacturers, primarily related to the development and
commercialization of LYMPHIR, and an aggregate of $28.4 million of due and outstanding amounts under our license agreements, that,
if left unpaid, could result in a delay in the commercialization of LYMPHIR, breach of contract, loss of licensing rights or other
events that would have a material adverse effect on our business and operations.
Our ability to generate revenues and achieve profitability
will depend on numerous factors, including success in:
| ● | successfully commercializing LYMPHIR and any
future product candidates that receive regulatory approval; |
| ● | obtaining medical insurance coverage for LYMPHIR
and any future product candidates; |
| ● | manufacturing commercial quantities of LYMPHIR
and any future product candidates at acceptable cost levels; |
| ● | establishing a favorable competitive position
for LYMPHIR and any future product candidates; |
| ● | receiving regulatory approvals for any future
product candidates; and |
| ● | developing and testing future product candidates. |
Many of these factors will depend on circumstances
beyond the Company’s control.
Our ongoing exploration of alternative strategic
paths may not result in entering into or completing transactions, when necessary, and the process of reviewing alternative strategic paths
or their conclusion could adversely affect our stock price.
We continue to evaluate strategic paths to provide
the resources necessary to commercialize LYMPHIR and maximize stockholder value. Potential strategic paths may include partnerships, joint
ventures, mergers, acquisitions, or licensing transactions, a combination of these, or other strategic transactions. There can be no assurance,
however, that our evaluation will result in transactions or other alternatives, even when deemed necessary. There is no set timetable
for our strategic process and we do not intend to provide updates unless or until the Board of Directors approves a specific action or
otherwise determines that disclosure is appropriate or necessary.
Any potential transaction would be dependent on
a number of factors that may be beyond our control, including, among other things, market conditions, industry trends, the interest of
third parties in a potential transaction with us, obtaining stockholder approval and the availability of financing to third parties in
a potential transaction with us on reasonable terms. The process of reviewing alternative strategic paths may be time consuming and may
involve the dedication of significant resources and may require us to incur significant costs and expenses. It could negatively impact
our ability to attract, retain and motivate employees, and expose us to potential litigation in connection with this process or any resulting
transaction. If we are unable to effectively manage the process, our financial condition and results of operations could be adversely
affected. In addition, speculation regarding any developments related to the review of strategic alternatives and perceived uncertainties
related to the future of our Company could cause our stock price to fluctuate significantly. Further, any alternative strategic paths
that may be pursued and completed ultimately may not deliver the anticipated benefits or enhance stockholder value. There can be no guarantee
that the process of evaluating alternative strategic paths will result in our Company entering into or completing potential transactions
within the anticipated timing or at all.
In the event we do not successfully complete
a strategic transaction, should this be deemed necessary, our Board of Directors may decide to pursue a dissolution and liquidation of
our Company. In such an event, the amount of cash available for distribution to our stockholders will depend heavily on the timing of
such liquidation as well as the amount of cash that will need to be reserved for commitments and contingent liabilities.
There can be no guarantee that the process to
identify strategic transactions will result in successfully completed transactions when necessary. If additional transactions are not
completed that enable us to continue the commercialization of LYMPHIR and sustain our business operations, our Board of Directors may
decide that it is in the best interest of our stockholders to dissolve our Company and liquidate our assets. In that event, the amount
of cash available for distribution to our stockholders will depend heavily on the timing of such decision and, ultimately, such liquidation
since the amount of cash available for distribution continues to decrease as we fund our operations and evaluate our strategic alternatives.
In addition, if our Board were to approve and recommend, and our stockholders were to approve, a dissolution of our Company, we would
be required under Delaware corporate law to pay our outstanding obligations, as well as to make reasonable provision for contingent and
unknown obligations, prior to making any distributions in liquidation to our stockholders. As a result of this requirement, a portion
of our assets may need to be reserved pending the resolution of such obligations. In addition, we may be subject to litigation or other
claims related to a dissolution and liquidation of our Company. If a dissolution and liquidation were pursued, our Board, in consultation
with its advisors, would need to evaluate these matters and make a determination about a reasonable amount to reserve. Accordingly, holders
of our common stock could lose all or a significant portion of their investment in the event of a dissolution, liquidation or winding
up of our Company.
We have one approved product and have an
unproven business strategy and may never achieve commercialization of LYMPHIR or any future product candidates or achieve or maintain
profitability.
We have one approved product. Any future
product candidates, if any, resulting from our ongoing research with LYMPHIR for other possible indications are and would be in the
pre-clinical stage. We have relied and intend to continue to rely on third parties to conduct the research and development
activities for any future product candidates. Further, we are developing our sales and marketing capability for LYMPHIR at this time
and have contracted with Innovation Partners, a large third-party commercial sales and marketing organization with an existing
commercial infrastructure and product launch experience to assist in our commercial efforts, but our product commercialization
capabilities are unproven. Our success will depend upon our ability to develop such capabilities on our own and our ability to enter
into collaboration agreements on favorable terms and to select an appropriate commercialization strategy for each product candidate
that we choose to pursue and that receives approval, whether on our own or in collaboration. For LYMPHIR, we are preparing for the
commercial manufacture and launch, but if we are not successful in implementing our strategy to commercialize LYMPHIR, we may never
achieve, maintain, or increase profitability. Our ability to successfully commercialize any of our current or future product
candidates will depend, among other things, on our ability to:
| ● | successfully launch LYMPHIR; |
| ● | secure acceptance from physicians, health care
payers, patients, and the medical community of LYMPHIR and any future product candidate; |
| ● | successfully complete pre-clinical and clinical
trials for any future product candidates; |
| ● | receive marketing approvals from the FDA and
similar foreign regulatory authorities for any future product candidates; |
| ● | maintain and establish commercial manufacturing
arrangements with third-party manufacturers for LYMPHIR and any future product candidate; |
| ● | produce, through a validated process, sufficiently
large quantities of the drug compound(s) to permit successful commercialization of LYMPHIR and any future product candidate; |
| ● | build and maintain strong sales, distribution,
and marketing capabilities sufficient to launch commercial sales or establish collaborations with third parties for such commercialization
of LYMPHIR and any future product candidate; and |
| ● | manage our spending as costs and expenses increase
due to clinical trials, regulatory applications and development and commercialization activities. |
There are no guarantees that we will be successful
in completing these tasks. If we are unable to successfully complete these tasks, we may not be able to commercialize any of our current
or future product candidates in a timely manner, or at all, in which case we may be unable to generate sufficient revenues to sustain
and grow our business. If we experience unanticipated delays or problems, our development costs could substantially increase and our business,
financial condition and results of operations will be adversely affected.
We have a limited operating history upon
which to evaluate our ability to successfully commercialize LYMPHIR and any future product candidate.
We have one approved product candidate, LYMPHIR,
while future product candidates, if any, resulting from our ongoing research with LYMPHIR for other possible indications, are and would
be in the pre-clinical stage. As a result, our success is dependent upon our ability to commercialize LYMPHIR, and we, as a company, have
not demonstrated an ability to perform the functions necessary for the approval or successful commercialization of any current or future
product candidates. While various members of our executive management and key employees have significant prior experience in pharmaceutical
development, as a company we have to date successfully completed only one late-stage clinical trial (much of which had been undertaken
by Eisai prior to our in-licensing of the intellectual property for LYMPHIR) and we are undertaking commercialization activities for the
first time for LYMPHIR. Despite our progress with LYMPHIR, our operations have been limited primarily to business planning, research and
development, and raising capital. These operations provide a limited basis for you to assess our ability to successfully commercialize
our current or future product candidates and the advisability of investing in the securities.
We are and may be required to make milestone
payments to the licensor and former licensee of the LYMPHIR intellectual property in connection with our development and commercialization
of LYMPHIR, which could adversely affect the profitability of LYMPHIR.
Under the terms of the License Agreement with
Eisai, we are required to pay Eisai a $5.9 million development milestone payment upon initial
approval by the FDA of LYMPHIR for the CTCL indication, which occurred in August 2024, and an aggregate of up to $22 million related to
the achievement of net product sales thresholds. Under the terms of the agreement with Dr. Reddy’s, we are obligated
to pay up to an aggregate of $40 million related to CTCL approvals in the U.S. and other markets, up to $70 million in development milestones
for additional indications, and up to $300 million for commercial sales milestones. Further, under the agreement with Dr. Reddy’s,
we are required to (i) use commercially reasonable efforts to make commercially available
products in the CTCL indication, peripheral T-cell lymphoma indication and immuno-oncology indication, (ii) initiate two investigator
initiated immuno-oncology trials, (iii) use commercially reasonable efforts to achieve each of the approval milestones, and (iv) complete
each specified immuno-oncology investigator trial on or before September 1, 2025, the four-year
anniversary of the effective date of the definitive agreement. Additionally, we are required
to commercially launch a product in a territory within six months of receiving regulatory
approval for such product in each such jurisdiction.
Pending further discussions with Dr. Reddy’s,
Dr. Reddy’s agreed to a partial deferral without penalty of a milestone payment by Citius Oncology, which was triggered upon regulatory
approval of LYMPHIR by the FDA and due on September 9, 2024, pursuant to the terms of the Asset Purchase Agreement. These development
and milestone obligations impose substantial additional costs on us, and could divert resources from other aspects of our business and
adversely affect the overall profitability of LYMPHIR. We need to obtain additional financing to satisfy these milestone payments, and
cannot be sure that any additional funding will be available on terms favorable to us, or at all.
A material breach or default under any of
our license agreements, including failure to make timely payments when due, gives the licensor party to such agreement the right to terminate
the license agreement, which termination would materially harm our business.
Our commercial success will depend in part on
the maintenance of our current and any future license agreements. Our license agreements impose, and we expect that future license agreements
will impose on us, various diligence, milestone payment, royalty and other obligations. For example, under the license agreement and related
purchase agreement for the intellectual property for LYMPHIR, we are required to use commercially reasonable diligence to develop and
commercialize a product and to satisfy specified payment obligations for various developmental and regulatory milestones. Specifically,
upon the approval of LYMPHIR, we became subject to the payment of an aggregate of $27.5 million under the license agreements covering
LYMPHIR. Pending further discussions with Dr. Reddy’s, Dr. Reddy’s agreed to a partial deferral without penalty of a milestone
payment by us, which was triggered upon regulatory approval of LYMPHIR by the FDA and due on September 9, 2024, pursuant to the terms
of the Asset Purchase Agreement.
If we fail to comply with our obligations under
the current license agreements or any future license agreements with any party, or we are subject to a bankruptcy, the licensor may have
the right to terminate the license, in which event we would not be able to market products covered by the license. Each of our license
agreements provides the licensor with a right to terminate the license agreement for our material breach or default under the agreement,
including the failure to make any required milestone or other payments. Should the licensor under any of the license agreements exercise
such a termination right, we would lose our right to the intellectual property under the respective license agreement, which loss would
materially harm our business.
We rely exclusively on third parties to
formulate and manufacture our product candidates. Our failure to abide by our contractual obligations with these third parties, including
timely payment, could result in a delay or the loss of necessary third-party support.
We do not have and do not intend to establish
our own manufacturing facilities. Consequently, we lack the physical plant to formulate and manufacture our product candidates, which
have to be produced by third-party manufacturers. If we fail to raise additional capital, and as a result are unable to abide by our contractual
obligations with these third-party manufacturers and suppliers, including making timely payment, the necessary third-party support to
commercialize LYMPHIR could be delayed or terminated.
We have secured supply agreements for LYMPHIR
with the two third-party facilities who are in compliance with current good manufacturing practices (“cGMP”) as generally
accepted by the FDA. We rely on these third-party contractors for our manufacturing. Manufacturing of drugs for clinical and commercial
purposes must comply with the FDA’s cGMP and applicable non-U.S. regulatory requirements and before any of our collaborators can
begin to commercially manufacture our product candidates, each must obtain regulatory approval of the manufacturing facility and process.
If, for any reason, we become unable to rely on these sources or any future source or sources to manufacture LYMPHIR or any future product
candidates, either for pre-clinical or clinical trials or for commercial quantities, then we would need to identify and contract with
additional or replacement third-party manufacturers to manufacture compounds for preclinical, clinical, and commercial purposes. We might
not be successful in identifying additional or replacement third-party manufacturers, or in negotiating acceptable terms with any that
we might identify. If we are unable to secure and maintain third-party manufacturing capacity, the development and sales of LYMPHIR, and
any future product candidates, and our financial performance might be materially and adversely affected.
Additionally, if any of our collaborators fails
to comply with the cGMP requirements, we would be subject to possible regulatory action which could limit the jurisdictions in which we
are permitted to sell LYMPHIR, or any future product candidate. As a result, our business, financial condition, and results of operations
might be materially harmed.
Our reliance on a limited number of third-party
manufacturers exposes us to the following risks:
| ● | We might be unable to identify manufacturers
for commercial supply on acceptable terms or at all because the number of potential manufacturers is limited and the FDA must approve
any replacement contractor. This approval would generally require compliance inspections. In addition, a new manufacturer would have to
be educated in, or develop substantially equivalent processes for, the production of LYMPHIR and any future product candidate approved
by the FDA; |
| ● | Our third-party manufacturers might be unable
to formulate and manufacture LYMPHIR and any future product candidate in the volume and of the quality required to meet our clinical and
commercial needs; |
| ● | Our contract manufacturers might not perform
as agreed or might not remain in the contract manufacturing business for the time required to supply our clinical trials or to successfully
produce, store and distribute LYMPHIR, and any future product candidate approved by the FDA, for commercialization; |
| ● | Currently, one of the contract manufacturers
for LYMPHIR is foreign (located in Italy), which increases the risk of shipping delays, adds the risk of import restrictions, and adds
the risk of political and environmental uncertainties that might affect those countries; |
| ● | Drug manufacturers are subject to ongoing periodic
unannounced inspection by the FDA and corresponding state agencies to ensure strict compliance with cGMP and other government regulations
and corresponding foreign standards. We do not have control over third-party manufacturers’ compliance with these regulations and
standards; |
| ● | If any third-party manufacturer makes improvements
in the manufacturing process for our product candidates, we might not own, or might have to share, the intellectual property rights to
the innovation with our licensors; |
| ● | Operations of our third-party manufacturers or
suppliers could be disrupted by conditions unrelated to our business or operations, including a bankruptcy of the manufacturer or supplier
or a natural disaster or a pandemic such as COVID-19; and |
| ● | We might compete with other companies for access
to these manufacturers’ facilities and might be subject to manufacturing delays if the manufacturers give other clients higher priority. |
Each of these risks could delay our clinical trials
or the approval, if any, of our future product candidates by the FDA or any foreign regulatory agency or the commercialization of LYMPHIR
and could result in higher costs or deprive us of potential product revenues. As a result, our business, financial condition, and results
of operations might be materially harmed.
We face significant risks in our development
efforts of LYMPHIR and any future product candidate.
Our business depends on the successful
development and commercialization of LYMPHIR. We are not permitted to market any product candidate in the U.S. until we receive
approval from the FDA, or in any foreign jurisdiction until we receive the requisite approvals from such jurisdiction. We received
approval from the FDA for LYMPHIR in August 2024. The process of developing new drugs and/or therapeutic products is inherently
complex, unpredictable, time-consuming, expensive and uncertain. We must make long-term investments and commit significant resources
before knowing whether our development programs will result in products that will receive regulatory approval and achieve market
acceptance. For example, while LYMPHIR received FDA approval in August 2024, we had incurred significant expenses in its development
and planned commercialization; as of September 30, 2024, we had outstanding obligations of approximately $54.1 million to third
parties for LYMPHIR licensing, supply and other costs. Product candidates that appear to be promising at some or all stages of
development may not receive approval or reach the market for a number of reasons that may not be predictable based on results and
data of the clinical program. Product candidates may be found ineffective or may cause harmful side effects during clinical trials,
may take longer to progress through clinical trials than had been anticipated, may not be able to achieve the pre-defined clinical
endpoints due to statistical anomalies even though clinical benefit may have been achieved, may fail to receive necessary regulatory
approvals, may prove impracticable to manufacture in commercial quantities at reasonable cost and with acceptable quality, or may
fail to achieve market acceptance.
The FDA has substantial discretion in the drug
approval process, including the ability to delay, limit or deny approval of our future product candidates, if any, for many reasons. For
example, the FDA:
| ● | may not find the data from clinical trials sufficient
to support the submission of a Biologics License Application (“BLA”) for our future product candidates or to obtain marketing
approval in the U.S., including any findings that the clinical and other benefits of our future product candidates outweigh their safety
risks. As an example, in July 2023, the FDA issued a CRL to our BLA for LYMPHIR, which required us to incorporate enhanced product testing
and additional controls and which caused a delay of six months before we could resubmit the BLA; |
| ● | could determine that the information provided
by us is inadequate, contained clinical deficiencies or otherwise failed to demonstrate the safety and effectiveness of any of our future
product candidates for any indication; |
| ● | may disagree with the trial design or our interpretation
of data from preclinical studies or clinical trials, or may change the requirements for approval even after the FDA has reviewed and commented
on the design for the trials; |
| ● | may identify deficiencies in the manufacturing
processes or facilities of third-party manufacturers with which we enter into agreements for the manufacture of our future product candidates; |
| ● | may approve our future product candidates for
fewer or more limited indications than we request, or may grant approval contingent on the performance of costly post-approval clinical
trials; |
| ● | may change the FDA approval policies or adopt
new regulations that could adversely impact our future product candidate development programs; or |
| ● | may not approve the labeling claims that we believe
are necessary or desirable for the successful commercialization of our future product candidates, or may require labeling claims that
impair the potential market acceptance of our future product candidates. |
These same risks are generally applicable to the
regulatory process in foreign countries. Any failure to obtain regulatory approval of our future product candidates, if any, would significantly
limit our ability to generate revenues, and any failure to obtain such approval for all of the indications and labeling claims we deem
desirable could reduce our potential revenues.
LYMPHIR may not gain market acceptance among
physicians, patients, healthcare payers or the medical community and may not generate significant revenue.
LYMPHIR may not gain market acceptance among physicians,
patients, healthcare payers or the medical community. Coverage and reimbursement of our product candidates by third-party payers, including
government payers, generally is also necessary for commercial success. We believe that the degree of market acceptance and our ability
to generate revenues from any approved product candidate or acquired approved product will depend on a number of factors, including:
| ● | prevalence and severity of any side effects; |
| ● | perceptions by members of the health care community,
including physicians, about the safety and effectiveness of LYMPHIR; |
| ● | perceptions by members of the health care community,
including physicians, about the use of LYMPHIR versus the respective standards of care or other alternatives for the disease or problem
that we seek to address with LYMPHIR; |
| ● | results of any post-approval studies of the product; |
| ● | availability of coverage and reimbursement from
government and other third-party payers; |
| ● | the willingness of patients to pay out of pocket
in the absence of government or third-party coverage; |
| ● | the relative convenience and ease of administration
and dosing schedule; |
| ● | product labeling or product insert requirements
of the FDA or other regulatory authorities; |
|
● |
effective sales, marketing and distribution efforts by us and/or any future licensees and distributors, if any; |
| ● | price of any future products, if approved, both
in absolute terms and relative to alternative treatments; |
| ● | the effectiveness of our or any future collaborators’
sales and marketing strategies; |
| ● | patient access programs that require patients
to provide certain information prior to receiving new and refill prescriptions; and |
| ● | requirements for prescribing physicians to complete
certain educational programs for prescribing drugs. |
We expect sales of LYMPHIR to generate substantially
all of our revenues for the foreseeable future, and as a result, the failure of LYMPHIR to find market acceptance would harm our business
and would require us to seek additional financing. In addition, our efforts to educate the medical community and third-party payers on
the benefits of LYMPHIR may require significant resources and may never be successful. These risks also apply to any future approved product
candidate.
We will not be able to create a market for
LYMPHIR or any future product candidate if we fail to establish marketing, sales, and distribution capabilities.
Our strategy with our product candidates is to
outsource to third parties all or most aspects of the product development process, as well as much of our marketing, sales, and distribution
activities. Currently, we are in the process of developing our sales, marketing and distribution capabilities and have contracted with
Innovation Partners, a large third-party commercial sales and marketing organization with an existing commercial infrastructure and product
launch experience to assist in our commercial efforts for LYMPHIR. The development of a sales and distribution infrastructure requires
substantial resources, which may divert the attention of management and key personnel and defer the company’s product development
efforts. Contracting with third-party commercial sales and marketing organizations means that our revenues will depend on the efforts
of others. These efforts may not be successful. If the collaboration is terminated or is otherwise unsuccessful, we will experience delays
in product launch and sales and incur increased costs.
The FDA and other regulatory agencies actively
enforce the laws and regulations prohibiting the promotion of off-label uses.
If we are found to have improperly promoted off-label
uses of LYMPHIR or any other product candidates, if approved, or if we are found to have improperly engaged in pre-approval promotion
prior to the approval of such product candidates, we may become subject to significant liability. Such enforcement has become more common
in the pharmaceutical industry. The FDA and other regulatory agencies strictly regulate the promotional claims that may be made about
prescription products, such as LYMPHIR and any other product candidates that might be approved. In particular, a product may not be promoted
for uses that are not approved by the FDA or such other regulatory agencies as reflected in the product’s approved labeling. If
we receive marketing approval for our product candidates for the proposed indications, physicians may nevertheless use the product for
their patients in a manner that is inconsistent with the approved label, if the physicians believe in their professional medical judgment,
it could be used in such manner. However, if we are found to have promoted a product for any off-label uses, the federal government could
levy civil, criminal and/or administrative penalties, and seek fines against us. The FDA, Department of Justice or other regulatory authorities
could also request that we enter into a consent decree or a corporate integrity agreement, or seek a permanent injunction against us under
which specified promotional conduct is monitored, changed or curtailed. If we cannot successfully manage the promotion of LYMPHIR or any
other product candidates that receive approval, we could become subject to significant liability, which would materially adversely affect
our business, financial condition and results of operations.
The markets in which we operate are highly
competitive and we might be unable to compete successfully against new entrants or established companies.
Competition in the pharmaceutical and
medical products industries is intense and is characterized by costly sales and marketing infrastructures as well as extensive
research efforts and rapid technological progress. We are aware of several pharmaceutical companies who commercially market products
for the same condition or conditions we are targeting for LYMPHIR. There may also be companies who are actively engaged in the
development of therapies or products for at least some of these same conditions. Many of these companies have substantially greater
research and development capabilities as well as substantially greater marketing, financial and human resources than we do. In
addition, many of these companies have significantly greater experience than us in undertaking pre-clinical testing, clinical trials
and other regulatory approval procedures. Our competitors may develop technologies and products that are more effective than those
we are researching and developing. Such developments could render our product candidates, if approved, less competitive or possibly
obsolete. We are also competing with respect to marketing capabilities and manufacturing efficiency, areas in which we have no
current capabilities and in which we have no experience as a company, although our executive officers do have pharmaceutical
commercialization and launch experience. We have contracted with Innovation Partners, a large third-party commercial sales and
marketing organization with an existing commercial infrastructure and product launch experience to assist in our commercial efforts
with LYMPHIR. However, this experience might not translate into the successful development and launch of LYMPHIR, or any of our
future product candidates. Mergers, acquisitions, joint ventures and similar events may also significantly increase the competition
we face. In addition, new developments, including the development of other drug technologies and methods of preventing the incidence
of disease, occur in the pharmaceutical and medical technology industries at a rapid pace. These developments may render LYMPHIR or
any of our product candidates obsolete or noncompetitive. Compared to us, many of our potential competitors have substantially
greater capital resources as well as greater access to strategic partners.
As a result of these factors, our competitors
may obtain regulatory approval of their products more rapidly than we can or may obtain patent protection or other intellectual property
rights that limit our ability to develop or commercialize our product candidates. Our competitors might also develop products that are
more effective, more useful and less costly than our products and might also be more successful in manufacturing and marketing their products.
In addition, our competitors might be more effective in commercializing their products and as a result, our business and prospects might
be materially harmed.
Our ability to generate product revenues
will be diminished if LYMPHIR, or any of our future product candidates that may be approved, sells for inadequate prices or patients are
unable to obtain adequate levels of reimbursement.
Our ability to commercialize our product candidates,
namely LYMPHIR, alone or with collaborators, will depend in part on the extent to which reimbursement will be available from:
| ● | government and health administration authorities; |
| ● | private health maintenance or organizations and
health insurers; and |
| ● | other healthcare payers. |
Significant uncertainty exists as to the reimbursement
status of newly approved healthcare products. Healthcare payers, including Medicare, are challenging the prices charged for medical products
and services. Government and other healthcare payers increasingly attempt to contain healthcare costs by limiting both coverage and the
level of reimbursement for drugs. Even if product candidates are approved by the FDA, insurance coverage might not be available, and reimbursement
levels might be inadequate, to cover the products. If government and other healthcare payers do not provide adequate coverage and reimbursement
levels for LYMPHIR, or any of our future product candidates that may be approved, market acceptance of such products could be reduced.
We cannot predict whether federal or state legislation will be passed that may impact reimbursement policies nor what the impact of any
such legislation would be on the healthcare industry in general or on our business specifically.
We are actively engaged with the Center for Medicare
and Medicaid Services (“CMS”) in order to obtain the necessary coverage to facilitate reimbursement for LYMPHIR. However,
we can offer no assurance as any reimbursement coverage.
Health administration authorities in countries
other than the U.S. may not provide reimbursement for our products at rates sufficient for us to achieve profitability, or at all. Like
the U.S., these countries have considered health care reform proposals and could materially alter their government-sponsored health care
programs by reducing reimbursement rates. Any reduction in reimbursement rates under Medicare or foreign health care programs could negatively
affect the pricing of our approved product candidates. If we are not able to charge a sufficient amount for an approved product candidate,
then our margins and our profitability will be adversely affected.
Healthcare reform measures could hinder
or prevent LYMPHIR’s commercial success, or any of our future product candidates that may be approved.
There have been, and we expect there will continue
to be, a number of legislative and regulatory changes to health care systems in the U.S. and abroad that could impact our ability to sell
our products profitably. The U.S. government and other governments have shown significant interest in pursuing healthcare reform. For
example, in 2010, the Patient Protection and Affordable Care Act (“ACA”) was enacted, which substantially changed the way
healthcare is financed by both governmental and private insurers in the U.S. Healthcare reform measures like the ACA may adversely impact
the pricing of healthcare products and services in the U.S. or internationally and the amount of reimbursement available from governmental
agencies or other third-party payors.
Since its enactment, there have been ongoing efforts
to modify the ACA and its implementing regulations. We cannot predict what healthcare reform measures may be enacted by the U.S. Congress
or implemented by any administration or how such efforts would impact its business. Litigation and legislation over the ACA and other
healthcare reform measures are likely to continue, with unpredictable and uncertain results. Further, additional legislative changes to
and regulatory changes under or related to the ACA remain possible.
In addition, other legislative changes have been
proposed and adopted in the U.S. since the ACA was enacted that impact government health programs. Moreover, payment methodologies may
be subject to changes in healthcare legislation and regulatory initiatives. For example, CMS may develop new payment and delivery models,
such as bundled payment models. In addition, recently there has been heightened governmental scrutiny over the manner in which manufacturers
set prices for their marketed products, which has resulted in several U.S. Congressional inquiries and proposed and enacted federal and
state legislation designed to, among other things, bring more transparency to drug pricing, reduce the cost of prescription drugs under
government payor programs, and review the relationship between pricing and manufacturer patient programs. We expect that additional U.S.
federal healthcare reform measures will be adopted in the future, any of which could limit the amounts that federal health care programs
and commercial payers will pay for healthcare products and services, which could result in reduced demand for LYMPHIR and any other product
candidates, if approved, or additional pricing pressures.
Individual states in the U.S. have also increasingly
passed legislation and implemented regulations designed to control pharmaceutical and biological product pricing, including price or patient
reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures,
and, in some cases, designed to encourage importation from other countries and bulk purchasing. Legally mandated price controls on payment
amounts by third party payors or other restrictions could harm our business, financial condition and results of operations. In addition,
regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical products
and which suppliers will be included in their prescription drug and other healthcare programs. Furthermore, there has been increased interest
by third party payors and governmental authorities in reference pricing systems and publication of discounts and list prices. These or
other reforms could reduce the ultimate demand for LYMPHIR and any other product candidates, if approved, or put pressure on our product
pricing.
We cannot predict the likelihood, nature or extent
of government regulation that may arise from future legislation or administrative action in the U.S. If we or any third parties we may
engage are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if we or such
third parties are not able to maintain regulatory compliance, LYMPHIR may lose regulatory approval and we may not achieve or sustain profitability.
Any termination, or breach by, or conflict
with our strategic partners could harm our business.
If we or any of our current or future
collaborators fail to renew or terminate any of the collaboration or license agreements or if either party fails to satisfy their
obligations under any of the collaboration or license agreements or complete them in a timely manner, we could have difficulty
completing the commercialization of LYMPHIR and the development and commercialization of any future product candidate and
potentially lose significant sources of revenue, which could result in an adverse impact on our operations and financial condition
as well as volatility in any future revenue. In addition, the agreements with our collaborators may have provisions that give rise
to disputes regarding the rights and obligations of the parties. These and other possible disagreements could lead to termination of
the agreement or delays in collaborative research, development, supply, or commercialization of LYMPHIR and any future product
candidate, or could require or result in litigation or arbitration. Any such conflicts with the collaborators could reduce our
ability to obtain future collaboration agreements and could have a negative impact on our relationship with existing collaborators,
adversely affecting our business and revenues. Finally, any of our collaborations may prove to be unsuccessful.
Under the license agreement for the intellectual
property for LYMPHIR, either party may terminate the license agreement upon written notice if the
other party is in material breach of the agreement, subject to cure within the designated time periods. By breaching any of our
covenants, including failure to make timely payments, we risk the loss of the license, which would have a material adverse effect on our
business.
We rely on the significant experience and
specialized expertise of the executive management and other key personnel and the loss of any of the executive management or key personnel
or our inability to successfully hire their successors could harm our business.
The Company’s performance is substantially
dependent on the continued services and on the performance of our executive management and other key personnel through the A&R Shared
Services Agreement with Citius Pharma, all who have extensive experience and specialized expertise in our business. Our Chief Executive
Officer, Leonard Mazur, our Secretary and Director, Myron Holubiak, our Chief Financial Officer and Chief Business Officer, Jaime Bartushak,
and our Chief Medical Officer, Myron Czuczman, in particular have significant experience in the running of pharmaceutical companies and/or
drug development itself. This depth of experience is of significant benefit to us, especially given the small size of our management team
and company. The loss of the services of any of Mr. Mazur, Mr. Holubiak or, Dr. Czuczman, as well as any other member of our executive
management or any key employees could harm our ability to attract capital, commercialize LYMPHIR and develop any future product candidates.
We do not have key man life insurance policies.
If we are unable to retain or hire additional
qualified personnel, our ability to grow our business might be harmed.
Pursuant to the A&R Shared Services Agreement
entered into in connection with the closing of the Merger, we utilize the services of a Citius Pharma clinical management team on a part-time
basis to assist us in managing the clinical and pre-clinical trials and intend to do so for future pre-clinical and clinical trials. Pursuant
to the A&R Shared Services Agreement, we also utilize the services of Citius Pharma employees with expertise in product manufacturing
and commercialization for the planned launch of LYMPHIR. While we believe these arrangements provide us with sufficient staffing for our
current and future development efforts, we will need to hire or contract with additional qualified personnel with expertise in preclinical
testing, clinical research and testing, government regulation, formulation and manufacturing and sales and marketing in connection with
the continued development, regulatory approval and commercialization of our current and future product candidates. We compete for qualified
individuals with numerous pharmaceutical and biopharmaceutical companies, universities, and other research institutions.
Except for one director, our current Board members
are also directors of Citius Pharma, and our executive officers also are employees of Citius Pharma and serve as the Company’s executive
officers under the A&R Shared Services Agreement. We expect to rely on the A&R Shared Services Agreement and these individuals
for the foreseeable future.
Competition for qualified directors, officers
and employees is intense, and we cannot be certain that our retention of these individuals or any search for additional such personnel
will be successful. Attracting and retaining qualified personnel will be critical to our success. As a small company with no marketed
product and with limited resources, we might not be able to compete with more established entities for the attraction and retention of
qualified directors, officers and employees. In addition, we may be unable to attract and retain those qualified officers, directors and
members of Board committees required to provide for effective management. If we are unable to attract and retain qualified employees,
officers and directors, the management and operation of our business could be adversely affected.
We expect to need to increase the size of
our organization to further develop our product candidates, and we may experience difficulties in managing growth.
We will need to manage our anticipated growth
and increased operational activity, including as a result of the planned commercialization of LYMPHIR and of any future product candidates.
Our personnel, systems, and facilities currently in place may not be adequate to support this future growth. Our need to effectively execute
the growth strategy will require that we:
| ● | successfully commercialize LYMPHIR and any future
product candidates; |
| ● | manage our research and development activities
for future product candidates and our regulatory trials effectively; |
| ● | attract and motivate sufficient numbers of talented
employees or consultants; |
| ● | manage our internal development efforts effectively
while complying with our contractual obligations to licensors, licensees, contractors, collaborators and other third parties; |
| ● | develop internal sales and marketing capabilities
or establish collaborations with third parties with such capabilities; and |
| ● | improve our operational, financial and management
controls, reporting systems and procedures. |
This planned future growth could place a strain
on our administrative and operational infrastructure and may require our management to divert a disproportionate amount of our attention
away from our day-to-day activities. We may not be able to effectively manage the expansion of our operations or recruit and train additional
qualified personnel, which may result in weaknesses in our infrastructure, and give rise to operational mistakes, loss of business opportunities,
loss of employees and consultants and reduced productivity among remaining employees and consultants. We may not be able to make improvements
to our management information and control systems in an efficient or timely manner and may discover deficiencies in existing systems and
controls. If management is unable to effectively manage our expected growth, our expenses may increase more than expected, our ability
to generate or increase revenues could be reduced and we may not be able to implement our business strategy. Our future financial performance
and our ability to compete effectively will depend, in part, on our ability to effectively manage any future growth.
We are subject
to information technology and cyber-security threats which could have an adverse effect on our business and results of operations.
Our business is increasingly
dependent on information technology systems, including Internet-based systems, to support our business processes and internal and external
communications. We have outsourced significant elements of these systems and our information technology infrastructure and operations
to third-party service providers who provide and maintain these systems, maintain proprietary and sensitive information on our behalf,
and provide related information technology services that are important to our operations. We and these service providers have taken measures
that are designed to ensure the secure and uninterrupted operation of our information technology systems and to protect those systems
against cybersecurity threats. For more information on how we manage cybersecurity risk, see Item 1C -- Cybersecurity in this Report.
Despite our and our service
providers’ efforts to protect our information technology systems against cybersecurity threats and other disruptions, we are vulnerable
to damage to and disruption of those systems from computer viruses and other malware, natural disasters, terrorism, war, telecommunication
and electrical failures, and cyberattacks or cyber intrusions. The risk of a security breach or disruption, particularly through cyberattacks
or cyber intrusions by computer hackers, foreign governments, and cyber-terrorists, has increased as the number, intensity, and sophistication
of attempted attacks and intrusions from around the world have increased. A security breach or other damage to or disruption of our information
technology systems could cause interruptions to our operations, including material disruptions of our product development programs. For
example, the loss of data from completed, ongoing, or planned clinical trials could result in delays in our regulatory approval efforts
and cause us to incur significant costs to recover or reproduce the data, resulting in lost revenues and delays in further development
of our product candidates.
A security breach or
other damage to or disruption of our information technology systems could also lead to the loss of trade secrets or other intellectual
property, result in the theft of funds or demands for ransom, and lead to the unauthorized exposure of personal information (including
sensitive personal information) of our employees, clinical trial patients, customers, and others. We could be required to spend significant
financial and other resources to respond to and remedy the damage caused by such an incident, including the costs to recover data or to
repair or replace networks and information technology systems, increased cybersecurity protection costs, and increased insurance premiums.
If we or our suppliers and/or service providers fail to maintain or protect our information technology systems effectively and in compliance
with U.S. and foreign laws, or otherwise to prevent, detect, or control security breaches or other system disruptions, we could also be
exposed to government investigations, become subject to lawsuits or other legal proceedings, and experience damage to our reputation,
which could have a material adverse effect on our business, prospects, operating results, and financial condition.
The results of pre-clinical studies and
completed clinical trials are not necessarily predictive of future results, and our current and any future product candidates may not
have favorable results in later studies or trials.
Pre-clinical studies and Phase 1 and Phase 2 clinical
trials are not primarily designed to test the efficacy of a product candidate in the general population, but rather to test initial safety,
to study pharmacokinetics and pharmacodynamics, to study limited efficacy in a small number of study patients in a selected disease population,
and to identify and attempt to understand the product candidate’s side effects at various doses and dosing schedules. Success in
pre-clinical studies or completed clinical trials does not ensure that later studies or trials, including continuing pre-clinical studies
and large-scale clinical trials, will be successful nor does it predict future results. Favorable results in early studies or trials may
not be repeated in later studies or trials, and product candidates in later stage trials may fail to show acceptable safety and efficacy
despite having progressed through earlier trials. In addition, the placebo rate in larger studies may be higher than expected.
We may be required to demonstrate through large,
long-term outcome trials that our future product candidates, if any, are safe and effective for use in a broad population prior to obtaining
regulatory approval. This would increase the duration and cost of any such trial.
There is typically a high rate of attrition from
the failure of product candidates proceeding through clinical trials. In addition, certain subjects in clinical trials may respond positively
to placebo treatment - these subjects are commonly known as “placebo responders” - making it more difficult to demonstrate
efficacy of the trial drug compared to placebo.
If any of our future product candidates fail to
demonstrate sufficient safety and efficacy in any clinical trial, we will experience potentially significant delays and cost increases
in, or may decide to abandon development of, that product candidate. If we abandon or are delayed, or experience increased costs in our
development efforts related to any of our product candidates, we may not have sufficient resources to continue or complete development
of that potential product candidate or any other product candidates. We may not be able to continue our operations and clinical studies,
or generate any revenue or become profitable. Our reputation in the industry and in the investment community would likely be significantly
damaged. Further, it might not be possible for us to raise funds in the public or private markets, and the stock price would likely decrease
significantly.
Risks Related to the Company’s Regulatory
and Legal Environment
Following the regulatory approval of LYMPHIR,
we remain subject to ongoing regulatory obligations and restrictions, which may result in significant expense and limit our ability to
commercialize LYMPHIR and any future approved products.
Following the approval by the FDA of LYMPHIR in
August 2024, we remain required to comply with extensive regulations for product manufacturing, labeling, packaging, adverse event reporting,
storage, distribution, advertising, promotion and record keeping. Such regulatory approval is also subject to limitations on the indicated
uses or marketing of the products or to whom and how we may distribute the approved product.
Manufacturers of pharmaceutical products and their
facilities are subject to continual review and periodic inspections by the FDA and other regulatory authorities for compliance with cGMP
regulations, which include requirements relating to quality control and quality assurance as well as the corresponding maintenance of
records and documentation. Similar regulatory programs exist in foreign jurisdictions. Further, regulatory agencies must approve these
manufacturing facilities before they can be used to manufacture our approved products and these facilities are subject to ongoing regulatory
inspections. In addition, regulatory agencies subject a pharmaceutical product, the product’s manufacturer and the manufacturer’s
facilities to continual review and inspections. The subsequent discovery of previously unknown problems with a product, including adverse
events of unanticipated severity or frequency, or problems with the facility where the product is manufactured, may result in restrictions
on the marketing of that product, up to and including, withdrawal of the product from the market. If the manufacturing facilities of our
suppliers fail to comply with applicable regulatory requirements, it could result in regulatory action and additional costs to us. Failure
to comply with applicable FDA and other regulatory requirements may subject us to administrative or judicially imposed sanctions, either
before or after product approval, if any.
In addition, the law or regulatory policies governing
pharmaceutical products may change. New statutory requirements may be enacted or additional regulations may be enacted that could prevent
or delay regulatory approval of our future product candidates. Contract manufacturing organizations and their vendors or suppliers may
also face changes in regulatory requirements from governmental agencies in the U.S. and other countries. We cannot predict the likelihood,
nature, extent or effects of government regulation that may arise from future legislation or administrative action, either in the U.S.
or elsewhere. If we are not able to maintain regulatory compliance, we might not be permitted to market any future approved products and
our business could suffer.
We could be forced to pay substantial damage
awards if product liability claims that may be brought against us are successful.
The use of any of our product candidates in pre-clinical
and clinical trials, and the sale of any approved products, may expose us to liability claims and financial losses resulting from the
use or sale of our product candidates, namely LYMPHIR. We have obtained limited product liability insurance coverage for our pre-clinical
and clinical trials of $5.0 million per occurrence and in the aggregate, subject to a deductible of $25,000 per bodily injury and property
damage occurrence, and a medical expense per person limit of $25,000. There can be no assurance that our existing insurance coverage will
extend to any other product candidates in the future. Any product liability insurance coverage may not be sufficient to satisfy all liabilities
resulting from product liability claims. A successful claim may prevent us from obtaining adequate product liability insurance in the
future on commercially desirable terms, if at all. Even if a claim is not successful, defending such a claim would be time consuming and
expensive, may damage that product’s reputation, as well as ours, in the marketplace, and would likely divert management’s
attention, any of which could have a material adverse effect on us.
We might not obtain the necessary U.S. or
foreign regulatory approvals to commercialize any future product candidates.
We cannot assure you that we will receive
the approvals necessary to commercialize for sale any future product candidates that we might acquire or seek to develop in the
future. We will need FDA approval to commercialize our product candidates in the U.S. In order to obtain FDA approval of any product
candidate, we must submit to the FDA a NDA or a BLA demonstrating that the product candidate is safe for humans and effective for
the intended use. This demonstration requires significant research, pre-clinical studies, and clinical trials. Satisfaction of the
FDA’s regulatory requirements typically takes many years, depends upon the type, complexity and novelty of the product
candidate and requires substantial resources for research, development and testing. We cannot predict whether our research and
clinical approaches will result in products that the FDA considers safe for humans and effective for their indicated uses. The FDA
has substantial discretion in the product approval process and might require us to conduct additional pre-clinical and clinical
testing, perform post-marketing studies or otherwise limit or impose conditions on any additional approvals we obtain. The approval
process might also be delayed by changes in government regulation, future legislation or administrative action or changes in FDA
policy that occur prior to or during a future product candidate’s regulatory review. Delays in obtaining regulatory approvals
might:
| ● | delay commercialization of, and our ability to
derive product revenues from, any future product candidates; |
| ● | impose costly procedures on us; and |
| ● | diminish any competitive advantages that we might
otherwise enjoy. |
Even if we comply with all FDA requests, the FDA
might ultimately reject one or more of the NDAs or BLAs. Even if we are able to obtain regulatory approval for a particular future product
candidate, the approval might limit the indicated medical uses for the product, limit our ability to promote, sell, and distribute the
product, require that we conduct costly post-marketing surveillance, and/or require that we conduct ongoing post-marketing studies. Even
if U.S. regulatory approval is obtained, the FDA may still impose significant restrictions on a product’s indicated uses or marketing
or impose ongoing requirements for potentially costly post-approval studies. For example, the label ultimately approved for any of our
product candidates, if any, may include restrictions on use. If so, we may be subject to ongoing regulatory obligations and restrictions,
which may result in significant expense and limit our ability to commercialize that product candidate. The FDA could also require a registry
to track the patients utilizing the product or implement a Risk Evaluation and Mitigation Strategy, or REMS, which could restrict access
to the product, which would reduce our revenues and/or increase our costs. Potentially costly post-marketing clinical studies may be required
as a condition of approval to further substantiate safety or efficacy, or to investigate specific issues of interest to the regulatory
authority. We cannot be sure that we will ever obtain regulatory clearance for any additional product candidates. Foreign jurisdictions
impose similar regulatory approval processes and we will face the same risks if we seek foreign approval for any of our product candidates.
There is no guarantee that we will ever be able to successfully develop any additional product candidate.
Risks Related to the Company’s Intellectual
Property
Our business depends on protecting our intellectual
property.
Without the intellectual property rights we have
already obtained, as well as the further rights we expect to pursue, our competitors would have opportunity to take advantage of our research
and development efforts to develop competing products. Our success, competitive position, and future revenues, if any, depend in part
on our ability and the abilities of our licensors to obtain and maintain patent protection for our product candidates, methods, processes
and other technologies, to preserve our trade secrets, to prevent third parties from infringing on our proprietary rights and to operate
without infringing the proprietary rights of third parties. We anticipate filing additional patent applications both in the U.S. and in
other countries, as appropriate. However, the patent process is subject to numerous risks and uncertainties, and there can be no assurance
that we will be successful in protecting our product candidates by obtaining and defending patents. These risks and uncertainties include
the following:
| ● | our patent rights might be challenged, invalidated,
or circumvented, or otherwise might not provide any competitive advantage; |
| ● | our competitors, many of which have substantially
greater resources than we do and many of which might make significant investments in competing technologies, might seek, or might already
have obtained, patents that will limit, interfere with, or eliminate our ability to make, use, and sell our product candidates either
in the U.S. or in international markets; |
| ● | countries other than the U.S. might have less
restrictive patent laws than those upheld by U.S. courts, allowing foreign competitors the ability to exploit these laws to create, develop,
and market competing products; and |
| ● | as a matter of public policy regarding worldwide
health concerns, there might be significant pressure on the U.S. government and other international governmental bodies to limit the scope
of patent protection both inside and outside the U.S. for product candidates that prove successful. |
In addition, the U.S. Patent and Trademark Office
(“USPTO”) and patent offices in other jurisdictions have often required that patent applications concerning pharmaceutical
and/or biotechnology-related inventions be limited or narrowed substantially to cover only the specific innovations exemplified in the
patent application, thereby limiting the scope of protection against competitive challenges. Thus, even if we or our licensors are able
to obtain patents, the patents might be substantially narrower than anticipated.
Because the time period from filing a patent application
to the issuance, if ever, of the patent is often more than three years and because any regulatory approval and marketing for a pharmaceutical
product often occurs several years after the related patent application is filed, the resulting market exclusivity afforded by any patent
on drug candidates and technologies will likely be substantially less than 20 years. In the U.S., the European Union and some other jurisdictions,
patent term extensions are available for certain delays in either patent office proceedings or marketing and regulatory approval processes.
However, due to the specific requirements for obtaining these extensions, there is no assurance that our patents will be granted extensions
even if we encounter significant delays in patent office proceedings or marketing and regulatory approval.
Additionally, patent law is subject to change
and varies among the U.S. and foreign countries. Depending on decisions by the U.S. Congress, the U.S. federal courts, the USPTO or similar
authorities in foreign jurisdictions, the laws and regulations governing patents could change in unpredictable ways that may weaken us
and our licensors’ abilities to obtain new patents or to enforce existing patents that we and our licensors or partners may obtain
in the future.
Patent and other intellectual property protection
is crucial to the success of our business and prospects, and there is a substantial risk that such protections will prove inadequate.
Our business and prospects will be harmed if these protections prove insufficient.
We rely on trade secret protections through
confidentiality agreements with our employees and other parties, and the breach of these agreements could adversely affect our business
and prospects.
We rely on trade secrets, which we seek to protect,
in part, through confidentiality and non-disclosure agreements with our employees, collaborators, suppliers, and other parties. There
can be no assurance that these agreements will not be breached, that we would have adequate remedies for any such breach or that our trade
secrets will not otherwise become known to or independently developed by our competitors. We might be involved from time to time in litigation
to determine the enforceability, scope and validity of our proprietary rights. Any such litigation could result in substantial cost and
divert management’s attention from our operations.
If we infringe the rights of third parties
we might have to forego developing and/or selling any approved products, pay damages, or defend against litigation.
If our product candidates, methods, processes,
and other technologies infringe the proprietary rights of other parties, we could incur substantial costs and we might have to:
| ● | obtain licenses, which might not be available
on commercially reasonable terms, if at all; |
| ● | abandon an infringing product candidate; |
| ● | redesign the product candidates or processes
to avoid infringement; |
| ● | stop using the subject matter claimed in the
patents held by others; |
| ● | defend litigation or administrative proceedings
which might be costly whether the Company wins or loses, and which could result in a substantial diversion of our financial and management
resources. |
Any of these events could substantially harm the
Company’s earnings, financial condition, and operations.
If our trademarks and trade names are not
adequately protected, then we may not be able to build name recognition and our business, financial condition and results of operations
may be adversely affected.
We have registered a trademark with the USPTO
for the mark “LYMPHIR.” This and any other trademarks or trade names we may obtain may be challenged, infringed, diluted,
tarnished, circumvented or declared generic or determined to be infringing on other marks. We may not be able to protect our rights to
these trademarks and trade names, which we need to build name recognition among potential partners or customers in the markets of interest.
At times, competitors or other third parties may adopt similar trade names or trademarks, thereby impeding our ability to build brand
identity and possibly leading to market confusion. In addition, there could be potential trade name or trademark infringement, dilution
or tarnishment claims brought by owners of other registered trademarks or trademarks that incorporate variations of our registered or
unregistered trademarks or trade names. Over the long term, if we are unable to establish name recognition based on our trademarks and
trade names, then we may not be able to compete effectively and our business, financial condition and results of operations may be adversely
affected. Our efforts to enforce or protect our proprietary rights related to trademarks, trade secrets, domain names, copyrights or other
intellectual property may be ineffective and could result in substantial costs and diversion of resources.
Risks Related to the Company’s Common
Stock
The market price of our Common Stock is
highly volatile, and you may lose some or all of your investment.
Following the Merger, the market price of our
Common Stock has fluctuated significantly due to a number of factors, some of which are beyond our control, including those factors discussed
in this “Risk Factors and Risk Factor Summary” section and many others, such as:
| ● | the Company’s cash resources available
to continue commercialization and development of LYMPHIR; |
| ● | the Company’s ability to meet its contractual
obligations; |
| ● | our ability to commercialize LYMPHIR or any future
product candidates, if approved; |
| ● | the level of success and the cost of our marketing
efforts for LYMPHIR and any future product candidates; |
| ● | unanticipated serious safety concerns related
to the use of LYMPHIR or any other product candidate; |
| ● | announcements regarding results of any pre-clinical
or clinical trials relating to our future product candidates; |
| ● | adverse regulatory decisions; |
| ● | changes in laws or regulations applicable to
LYMPHIR or any future product candidates, including but not limited to clinical trial requirements for approvals and post-approval requirements; |
| ● | our dependence on third parties and on Citius
Pharma under the A&R Shared Services Agreement; |
| ● | future issuances of debt or equity securities; |
| ● | actual or anticipated fluctuations in our financial
condition and operating results, including fluctuations in our quarterly and annual results; |
| ● | our inability to establish additional partnerships,
the termination of license agreements by our existing partners or announcements by our partners regarding therapeutic candidates competitive
with ours; |
| ● | the introduction of new technologies or enhancements
to existing technologies by us or others in the industry; |
| ● | the recruitment or departure of key scientific
or management personnel; |
| ● | announcements of significant acquisitions, strategic
partnerships, joint ventures or capital commitments by us or our competitors; |
| ● | our failure to meet the estimates and projections
of the investment community or that we may otherwise provide to the public; |
| ● | publication of research reports about us, the
indications we seek to treat or our industry, or oncology research in particular, or positive or negative recommendations or withdrawal
of research coverage by securities analysts; |
| ● | changes in the market valuations of similar companies; |
| ● | overall performance of the equity markets; |
| ● | announcements or actions taken by Citius Pharma
as the Company’s majority stockholder; |
| ● | sales (or distributions) of our Common Stock
by Citius Pharma, or our other stockholders in the future; |
| ● | trading volume of our Common Stock; |
| ● | legal disputes or other developments relating
to proprietary rights, including patents, litigation matters and our ability to obtain and maintain patent protection for LYMPHIR or any
future product candidates, government investigations and the results of any proceedings or lawsuits, including, but not limited to, patent
or stockholder litigation; |
| ● | significant lawsuits, including patent or stockholder
litigation; |
| ● | the impact of any natural disasters or public
health emergencies, such as occurred with the COVID-19 pandemic; |
| ● | general economic, industry and market conditions
other events or factors, many of which are beyond our control; and |
| ● | changes in accounting standards, policies, guidelines,
interpretations or principles. |
In addition, in the past, stockholders have initiated
Company action lawsuits against biotechnology and biopharmaceutical companies following periods of volatility in the market prices of
these companies’ stock. Such litigation, if instituted against us, could cause us to incur substantial costs and divert our management’s
attention and resources, which could have a material adverse effect on our business, financial condition and results of operations.
Future sales of a substantial number of
shares of our Common Stock may cause the price of our Common Stock to decline.
Subject to certain exceptions, the amended and
restated registration rights agreement entered into in connection with the Merger (the “A&R Registration Rights Agreement”)
provides for certain restrictions on transfer with respect to the securities of the Company, including shares held by 10XYZ Holdings,
LP, the sponsor of TenX, and securities held by certain directors and officers of the Company and Citius Pharma. Such restrictions expire
February 9, 2025, subject to certain exceptions. Following the expiration of the lock-up period, such equity holders will not be restricted
from selling or distributing shares of Common Stock held by them, other than by applicable securities laws.
Further, because we are not expected to generate
revenue in the near future, we will need to continue to raise capital through one or more equity financings in order to continue commercializing
LYMPHIR and developing our other product candidates. As such, sales of a substantial number of shares of Common Stock and/or securities
convertible into Common Stock in the public market could occur at any time. These sales, or the perception in the market that the holders
of a large number of shares intend to sell shares, could reduce the market price of the Common Stock.
You may experience dilution of your ownership
interests because of the future issuance of additional shares of Common Stock or securities convertible into Common Stock.
For the foreseeable future, to finance our operations,
including possible acquisitions or strategic transactions, we expect to issue equity securities, resulting in the dilution of the ownership
interests of the present stockholders. The Company is currently authorized to issue an aggregate of 100,000,000 shares of Common Stock
and 10,000,000 shares of preferred stock, of which 71,552,402 shares are outstanding as of December 18, 2024. We may also issue additional
shares of Common Stock or other securities that are convertible into or exercisable for Common Stock in financings as well as in connection
with hiring or retaining employees, or for other business purposes. The future issuance of any such additional shares of Common Stock
or Common Stock equivalents may create downward pressure on the trading price of the Common Stock.
Substantial sales of our Common Stock may
occur in connection with the potential distribution of shares by Citius Pharma, which could cause our stock price to decline.
Citius Pharma has stated its intention to effect
a pro rata distribution of the Common Stock it holds in Citius Oncology to Citius Pharma stockholders. Approximately 92.3% of our outstanding
shares of Common Stock are owned by Citius Pharma. The timeline and details with respect to such distribution have not been announced.
Stockholders receiving shares of our Common Stock in such distribution may be able to sell those shares immediately in the public market.
Although we have no actual knowledge of any plan or intention of any significant Citius Pharma stockholder to sell our Common Stock following
the potential distribution, it is likely that some Citius Pharma stockholders, possibly including some of its larger stockholders, would
sell their shares of our Common Stock received in the potential distribution if we do not fit their investment objectives or in order
to cover the related tax liability. The sales of significant amounts of our Common Stock or the perception in the market that this will
occur may decrease the market price of our Common Stock and increase the volatility of our Common Stock.
If we fail to meet the Nasdaq continued
listing requirements, it could result in a suspension or delisting of the Common Stock.
The Common Stock is listed for trading on The
Nasdaq Capital Market, and the continued listing of the Common Stock on The Nasdaq Capital Market is subject to compliance with a number
of listing standards. These listing standards include the requirement of maintaining a minimum level of stockholders’ equity and
maintaining a minimum stock price of $1.00. The failure to meet any listing standard would subject Company to potential loss of listing.
If the Common Stock were no longer listed on The
Nasdaq Capital Market or any other Nasdaq market, investors might only be able to trade on one of the over-the-counter markets, including
the OTC Bulletin Board® or in the Pink Sheets® (a quotation medium operated by Pink Sheets LLC). This would impair the liquidity
of the Common Stock, not only in the number of shares that could be bought and sold at a given price, which might be depressed by the
relative illiquidity, but also through delays in the timing of transactions and reduction in media coverage. In addition, we could face
significant material adverse consequences, including:
| ● | a limited availability of market quotations for
our securities; |
| ● | a limited amount of news and analyst coverage
for us; and |
| ● | a decreased ability to issue additional securities
or obtain additional financing in the future. |
In the event of a future delisting, we intend
to take actions to restore our compliance with Nasdaq’s continued listing requirements, but we can provide no assurance that any
such action taken by us would allow our Common Stock to become listed again, stabilize the market price or improve the liquidity of our
Common Stock, prevent our Common Stock from dropping below the Nasdaq minimum bid price requirement or prevent future non-compliance with
Nasdaq’s continued listing requirements.
If our Common Stock were delisted and determined
to be a “penny stock,” a broker-dealer may find it more difficult to trade the Common Stock and an investor may find it more
difficult to acquire or dispose of the Common Stock in the secondary market.
If our Common Stock were removed from listing
with The Nasdaq Capital Market, we may be subject to the so-called “penny stock” rules. The U.S. Securities and Exchange Commission
(the “SEC”) has adopted regulations that define a “penny stock” to be any equity security that has a market price
per share of less than $5.00, subject to certain exceptions, such as any securities listed on a national securities exchange, which is
the exception on which we rely. For any transaction involving a “penny stock,” unless exempt, the rules impose additional
sales practice requirements on broker-dealers, subject to certain exceptions. If the Common Stock were delisted and determined to be a
“penny stock,” a broker-dealer may find it more difficult to trade the Common Stock and an investor may find it more difficult
to acquire or dispose of the Common Stock on the secondary market.
The Certificate of Incorporation of Company
allows for our Board to create new series of preferred stock without further approval by our stockholders, which could adversely affect
the rights of the holders of the Common Stock.
The Board has the authority to issue up to 10,000,000
shares of preferred stock and to fix and determine the relative rights and preferences of any such preferred stock without further stockholder
approval. As a result, the Board could authorize the issuance of one or more series of preferred stock that would grant preferential rights
to our assets upon liquidation, the right to receive dividend payments before dividends are distributed to the holders of Common Stock
and the right to the redemption of the preferred shares, together with a premium, prior to the redemption of the Common Stock. In addition,
the Board could authorize the issuance of a series of preferred stock that has greater voting power than the Common Stock or that is convertible
into Common Stock, which could decrease the relative voting power of the Common Stock or result in dilution to existing stockholders.
We have not paid cash dividends in the past
and we do not expect to pay cash dividends in the foreseeable future. Any return on investment may be limited to the capital appreciation,
if any, of the Common Stock.
We have not paid cash dividends on our Common
Stock and we do not anticipate paying cash dividends in the foreseeable future. The payment of dividends on our capital stock will depend
on our earnings, financial condition and other business and economic factors affecting us at such time as our Board may consider relevant.
In addition, our ability to pay dividends may be limited by covenants in any future outstanding indebtedness that we may incur. Since
we do not intend to pay dividends, a stockholder’s ability to receive a return on such stockholder’s investment will depend
on any future appreciation in the market value of the Common Stock. There is no guarantee that the Common Stock will appreciate or even
maintain the price at which our stockholders have purchased it.
Our operating results may fluctuate significantly.
We expect our operating results to be subject
to quarterly, and possibly annual, fluctuations. Our net loss and other operating results will be affected by numerous factors, including:
| ● | results of the launch and commercialization of
LYMPHIR; |
| ● | variations in the level of expenses related to
the commercialization of LYMPHIR and any other aspects of Company’s development programs; |
| ● | the level of demand for LYMPHIR and the extent
of our market penetration; and |
| ● | regulatory developments affecting LYMPHIR or
any future product candidates, including post-approval matters. |
If our quarterly or annual operating results fall
below the expectations of investors or securities analysts, the price of our Common Stock could decline substantially. Furthermore, any
quarterly or annual fluctuations in our operating results may, in turn, cause the price of our Common Stock to fluctuate substantially.
If securities or industry analysts do not
publish research or reports about our business, or if they issue an adverse opinion regarding our Common Stock, our stock price and trading
volume could decline.
The trading market for Common Stock may be
influenced by the research and reports that industry or securities analysts publish about us or our business. We currently have
research coverage by three securities and industry analysts. If any of the analysts who cover us issue an adverse opinion regarding
us, our business model, our intellectual property or our stock performance, or if our commercialization efforts for LYMPHIR, or any
clinical trials and operating results fail to meet the expectations of analysts, our stock price would likely decline. If one or
more of these analysts cease coverage of us or fail to publish reports on us regularly, we could lose visibility in the financial
markets, which in turn could cause our stock price or trading volume to decline.
We are a controlled company within the meaning
of the Nasdaq continued listing requirements and, as a result, will qualify for, and may rely on, exemptions from certain corporate governance
requirements. Our stockholders may not have the same protection afforded to stockholders of companies that are subject to such governance
requirements.
Citius Pharma continues to control approximately
92.3% of the voting power of the outstanding shares of Common Stock as of December 18, 2024. As a result, the Company is a “controlled
company” within the meaning of the corporate governance standards of Nasdaq. Under these corporate governance standards, a company
of which more than 50% of the voting power for the election of directors is held by an individual, group or another company is a “controlled
company” and may elect not to comply with certain corporate governance requirements. For example, controlled companies:
| ● | are not required to have a board that is composed
of a majority of “independent directors” as defined under the Nasdaq continued listing requirements; |
| ● | not required to have a compensation committee
that is composed entirely of independent directors or have a written charter addressing the committee’s purpose and responsibilities;
and |
| ● | are not required to have director nominations
be made, or recommended to the full board of directors, by its independent directors or by a nominating and corporate governance committee
that is composed entirely of independent directors, and to adopt a written charter or a board resolution addressing the nominations process. |
While we do not currently rely on these exemptions,
we may opt to utilize these exemptions in the future as long as we remain a controlled company. Accordingly, our stockholders may not
have the same protections afforded to stockholders of companies that are subject to all of the corporate governance requirements of Nasdaq.
Volatility in our share price could subject
us to securities litigation.
In the past, securities litigation has often been
brought against a company following a decline in the market price of its securities. If we face such litigation, it could result in substantial
costs and a diversion of management’s attention and resources, which could harm our business.
Provisions in our Certificate of Incorporation,
Bylaws and under Delaware law could discourage a takeover that stockholders may consider favorable and may lead to entrenchment of management.
Our Certificate of Incorporation and Bylaws contain
provisions that could significantly reduce the value of our shares to a potential acquiror or delay or prevent changes in control or changes
in our management without the consent of the Board. The provisions in our governance documents include the following:
| ● | a classified board of directors divided into
three classes, with only one class of directors being elected in each year and each class serving a three-year term, which may delay the
ability of stockholders to change the membership of a majority of the Board; |
| ● | no cumulative voting in the election of directors,
which limits the ability of minority stockholders to elect director candidates; |
| ● | in the event that Citius Pharma ceases to beneficially
own more than 50% of the voting power of the then-outstanding shares of stock entitled to vote generally in the election of directors
(the “Trigger Event,”), the approval of at least 66-2/3% of the shares entitled to vote will be required to remove a director
for cause, and the prohibition on removal of directors without cause; |
| ● | the ability of the Board to authorize the issuance
of shares of preferred stock and to determine the price and other terms of those shares, including preferences and voting rights, without
stockholder approval, which could be used to significantly dilute the ownership of a hostile acquiror; |
| ● | the ability of the Board to alter our Bylaws
without obtaining stockholder approval; |
| ● | upon the occurrence of the Trigger Event, the
required approval of at least 66-2/3% of the shares entitled to vote to adopt, amend or repeal the Bylaws or repeal the provisions of
our Certificate of Incorporation regarding the election and removal of directors; |
| ● | upon the occurrence of the Trigger Event, a prohibition
on stockholder action by written consent, which forces stockholder action to be taken at an annual or special meeting of our stockholders; |
| ● | upon the occurrence of the Trigger Event, the
requirement that a special meeting of stockholders may be called only by the Board, the chair of the Board, the chief executive officer,
which may delay the ability of our stockholders to force consideration of a proposal or to take action, including the removal of directors;
|
| ● | advance notice procedures that stockholders must
comply with in order to nominate candidates to the Board or to propose matters to be acted upon at a stockholders’ meeting, which
may discourage or deter a potential acquiror from conducting a solicitation of proxies to elect the acquiror’s own slate of directors
or otherwise attempting to obtain control of us; and |
| ● | upon the occurrence of the Trigger Event, we
also become subject to the anti-takeover provisions contained in Section 203 of the General Corporation Law of the State of Delaware (“DGCL”).
Under Section 203, a corporation may not, in general, engage in a business combination with any holder of 15% or more of our capital stock
unless the holder has held the stock for three years or, among other exceptions, the Board has approved the transaction. |
The Certificate of Incorporation provides
that the Court of Chancery of the State of Delaware will be the exclusive forum for substantially all disputes between the Company and
our stockholders and that the federal district courts shall be the exclusive forum for the resolution of any complaint asserting a cause
of action arising under the Securities Act of 1933, as amended (the “Securities Act”), which could limit our stockholders’
ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees or the underwriters or any offering
giving rise to such claim.
The Certificate of Incorporation provides that
the Court of Chancery of the State of Delaware is the exclusive forum for any derivative action or proceeding brought on our behalf, any
action asserting a breach of fiduciary duty, any action asserting a claim against us arising pursuant to the DGCL, the Certificate of
Incorporation or the Bylaws, or any action asserting a claim against us that is governed by the internal affairs doctrine; provided that
this provision would not apply to suits brought to enforce a duty or liability created by the Securities Exchange Act of 1934, as amended
(the “Exchange Act”). In addition, the Certificate of Incorporation provides that, unless we consent in writing to the selection
of an alternative forum, the U.S. federal district courts shall, to the fullest extent permitted by law, be the exclusive forum for the
resolution of any complaint asserting a cause of action arising under the Securities Act. For the avoidance of doubt, this provision is
intended to benefit and may be enforced by us, our officers and directors, the underwriters to any offering giving rise to such complaint,
and any other professional entity whose profession gives authority to a statement made by that person or entity and who has prepared or
certified any part of the documents underlying the offering. We note, however, that there is uncertainty as to whether a court would enforce
this provision and that investors cannot waive compliance with the federal securities laws and the rules and regulations thereunder. Section
22 of the Securities Act creates concurrent jurisdiction for state and federal courts over all suits brought to enforce any duty or liability
created by the Securities Act or the rules and regulations thereunder. These choice of forum provisions may limit a stockholder’s
ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors and officers, which may discourage
such lawsuits against us and our directors and officers or could result in increased costs for our stockholders to bring a claim in the
chosen forum. If a court were to find the choice of forum provisions in the Certificate of Incorporation to be inapplicable or unenforceable
in an action, we may incur additional costs associated with resolving such action in other jurisdictions, which could adversely affect
our business and financial condition.
We are an emerging growth company and a
smaller reporting company, and we cannot be certain if the reduced reporting requirements applicable to emerging growth companies and
smaller reporting companies will make our shares less attractive to investors.
We are an emerging growth company, as defined
in the JOBS Act. For as long as we continue to be an emerging growth company, we may take advantage of exemptions from various reporting
requirements that are applicable to other public companies that are not “emerging growth companies,” including exemption from
compliance with the auditor attestation requirements under Section 404 of the Sarbanes-Oxley Act of 2002, reduced disclosure obligations
regarding executive compensation and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation
and stockholder approval of any golden parachute payments not previously approved. We will remain an emerging growth company until the
earliest of: (a) the fifth anniversary of the closing of TenX’s initial public offering, which was consummated on October 18, 2022,
(b) the end of the fiscal year in which our total gross revenues exceed $1.235 billion, (c) the date one we qualify as a large accelerated
filer as that term is defined by Rule 12b-2 of the Exchange Act, or (d) the date on which we have issued more than $1.0 billion in non-convertible
debt during the prior three-year period.
In addition, under the JOBS Act, emerging growth
companies can delay adopting new or revised accounting standards until such time as those standards apply to private companies. We have
elected to use this extended transition period for complying with new or revised accounting standards and, therefore, we will not be subject
to the same new or revised accounting standards as other public companies that are not emerging growth companies.
We are also a smaller reporting company as defined
in the Exchange Act. Even after we no longer qualify as an emerging growth company, we may still qualify as a “smaller reporting
company,” which would allow us to take advantage of many of the same exemptions from disclosure requirements including exemption
from compliance with the auditor attestation requirements of Section 404 and reduced disclosure obligations regarding executive compensation
in our registration statements, periodic reports and proxy statements. We will be able to take advantage of these scaled disclosures for
so long as our Common Stock held by non-affiliates is less than $250.0 million measured on the last business day of our second fiscal
quarter, or our annual revenue is less than $100.0 million during the most recently completed fiscal year and our Common Stock held by
non-affiliates is less than $700.0 million measured on the last business day of our second fiscal quarter.
We cannot predict if investors will find our Common
Stock less attractive because we may rely on these exemptions. If some investors find our Common Stock less attractive as a result, there
may be a less active trading market for our Common Stock and its market price may be more volatile.
If our estimates or judgments relating to
our critical accounting policies prove to be incorrect or financial reporting standards or interpretations change, the Company’s
results of operations could be adversely affected.
The preparation of financial statements in conformity
with accounting principles generally accepted in the U.S. (“GAAP”) requires management to make estimates and assumptions that
affect the amounts reported in the financial statements and accompanying notes. We will base our estimates on historical experience, known
trends and events, and various other factors that we believe to be reasonable under the circumstances, as provided in “The Company
Management’s Discussion and Analysis of Financial Condition and Results of Operations - Critical Accounting Policies
and Estimates.” The results of these estimates form the basis for making judgments about the carrying values of assets and liabilities
that are not readily apparent from other sources. Significant assumptions and estimates used in preparing our financial statements include
the treatment of research and development costs and in-process research and development. Our results of operations may be adversely affected
if our assumptions change or if actual circumstances differ from those in our assumptions, which could cause our results of operations
to fall below the expectations of securities analysts and investors, resulting in a decline in the trading price of our Common Stock.
Additionally, we will regularly monitor our compliance
with applicable financial reporting standards and review new pronouncements and drafts thereof that are relevant to us. As a result of
new standards, changes to existing standards and changes in their interpretation, we might be required to change our accounting policies,
alter our operational policies, and implement new or enhance existing systems so that they reflect new or amended financial reporting
standards, or we may be required to restate our published financial statements. Such changes to existing standards or changes in their
interpretation may have an adverse effect on our reputation, business, financial position, and profit.
Conflicts of interest may arise from our
relationship with Citius Pharma.
Except for one director, all of our directors,
executive officers and employees will also be directors and employees of Citius Pharma; the employees are all available pursuant to the
A&R Shared Services Agreement. As a result of this arrangement, our relationship with Citius Pharma could give rise to certain conflicts
of interest that could have an impact on our research and development programs, business opportunities, and operations generally.
Even though we are developing different technologies
in different fields than Citius Pharma, we could be in competition with Citius Pharma for research scientists, financing and other resources,
licensing, manufacturing, and distribution arrangements. Citius Pharma will engage for its own business in research and product development
programs, investments, and business ventures, and we will not be entitled to participate or to receive an interest in those programs,
investments, or business ventures. Citius Pharma will not be obligated to present any particular research and development, investment,
or business opportunity to us, even if the opportunity would be within the scope of our research and development plans or programs, business
objectives, or investment policies. These opportunities may include, for example, opportunities to acquire businesses or assets, including
but not limited to patents and other intellectual property that could be used by us or by Citius Pharma. Each conflict of interest will
be resolved by the respective boards of directors in keeping with their fiduciary duties and such policies as they may implement from
time to time.
Certain of our directors and officers may
have actual or potential conflicts of interest because of their positions with Citius Pharma.
Suren Dutia, Myron Holubiak, Dr. Eugene Holuka,
Leonard Mazur, Dennis McGrath, Robert Smith, and Carol Webb serve on the Board. Mr. Mazur, Jaime Bartushak and Dr. Myron Czuczman, continue
to serve as our executive officers. All of these individuals continue in their director and/or management positions with Citius Pharma.
In addition, such directors and officers own shares
of Citius Pharma common stock, and warrants and/or options to purchase shares of Citius Pharma common stock. Their position at Citius
Pharma and the ownership of Citius Pharma equity or equity awards creates, or may create the appearance of, conflicts of interest when
these directors and officers are faced with decisions that could have different implications for Citius Pharma than the decisions have
for the Company. For example, potential conflicts of interest could arise in connection with the resolution of any dispute that may arise
between Citius Pharma and the Company regarding the terms of the A&R Shared Services Agreement governing the services provided by
Citius Pharma to the Company and the relationship between the companies. Potential conflicts of interest may also arise if the Company
enters into commercial arrangements with Citius Pharma in the future. As a result of these actual or apparent conflicts, the Company might
be precluded from pursuing certain growth initiatives.
Citius Pharma currently performs or supports
many of our important corporate functions, which would be difficult to replace if Citius Pharma were to cease providing.
Citius Pharma provides all of our operational
functions, systems and infrastructure pursuant to the A&R Shared Services Agreement. We may not be able to replace these services
or enter into appropriate third-party agreements on terms and conditions, including cost, comparable to those that we receive from Citius
Pharma under the A&R Shared Services Agreement. Additionally, after that agreement terminates, we may be unable to sustain the services
at the same levels or obtain the same benefits as when we were receiving such services and benefits from Citius Pharma. When we begin
to operate these functions separately, if we do not have our own adequate systems and business functions in place, or are unable to obtain
them from other providers, we may not be able to operate our business effectively or at comparable costs, and our profitability may decline.
In addition, we have historically received informal support from Citius Pharma, which may not be addressed in the agreements with Citius
Pharma. The level of this informal support is expected to diminish over time.
The loss of some or all of these services would
be difficult for the Company to replace quickly if at all. Such a loss would be expected to have a material adverse effect on the Company’s
operations at least in the near term.
In addition, we owe Citius Pharma for fees for
each of the services set forth in the A&R Shared Services Agreement and we reimburse Citius Pharma for all reasonable out-of-pocket
costs and expenses that it incurs in connection with providing the services.
In connection with the closing of the Merger,
Citius Pharma made a loan to the Company. The loan is evidenced by an unsecured promissory note issued by the Company, dated August 16,
2024, in the principal amount of $3,800,111 to Citius Pharma. The promissory note bears no interest and is repayable in full upon a financing
of at least $10 million by the Company, per the terms of the promissory note. The likelihood of a $10 million raise is uncertain at this
time.
These costs we owe for services rendered by Citius
Pharma to the Company and under the terms of the promissory note could have a material adverse effect on the Company’s operations
and revenues.
Our financial statements may not necessarily
be indicative of the conditions that would have existed if we had been operated as an unaffiliated company of Citius Pharma.
Citius Pharma provides all of our operational
functions, systems and infrastructure pursuant to the A&R Shared Services Agreement. Our financial statements reflect charges for
these services on an allocation basis. As a result, our historical financial statements may not be reflective of conditions that would
have existed or what our results of operations would have been had we been a stand-alone public company and no longer a majority-owned
subsidiary of Citius Pharma. We may incur additional internal costs to implement certain new systems, including infrastructure and an
enterprise resource planning system, while our legacy systems are currently being fully supported by Citius Pharma.
We may also need to make investments or hire additional
employees to operate without the same access to Citius Pharma’ existing operational and administrative infrastructure. These initiatives
may be costly to implement. Due to the scope and complexity of the underlying projects relative to these efforts, the amount of total
costs could be materially higher than what is currently estimated, and the timing of the incurrence of these costs is subject to change.
These potential costs could have a material adverse
effect on the Company’s operations and revenues.
We are controlled by Citius Pharma, whose
interests may differ from those of public stockholders.
Citius Pharma holds approximately 92.3% of the
voting power of us as of December 18, 2024, which means that Citius Pharma controls the vote of all matters submitted to a vote of the
Company’s stockholders. This control enables Citius Pharma to control the election of the members of the Board and all other corporate
decisions. In particular, for so long as Citius Pharma continues to own a majority of the Common Stock, Citius Pharma will be able to
cause or prevent a change of control of our Company or a change in the composition of the Board and could preclude any unsolicited acquisition
of our Company.
Pursuant to the A&R Registration Rights Agreement
and the Certificate of Incorporation, Citius Pharma has certain rights, and the ability to take certain actions, which are not otherwise
available to all stockholders. For example, the A&R Registration Rights Agreement provides Citius Pharma the right, subject to certain
conditions, to demand that the Company file a registration statement or request that its shares of Common Stock be covered by a registration
statement that the Company is otherwise filing. In addition, until such time as Citius Pharma first ceases to own greater than 50% of
the outstanding voting power of the Common Stock, the Certificate of Incorporation will effectively provide Citius Pharma with the ability
to fill vacancies on the Board, remove directors (with or without cause), act by written consent of the stockholders, call a special meeting
of the Company stockholders, amend the Certificate of Incorporation and the Bylaws (subject to approval of the Board). The directors so
elected will have the authority, subject to the terms of any indebtedness and applicable rules and regulations, to issue additional stock,
implement stock repurchase programs, declare dividends and make other decisions.
Even when Citius Pharma ceases to control a majority
of the total voting power of the Company, for so long as Citius Pharma continues to own a significant percentage of the Common Stock,
Citius Pharma will still be able to significantly influence the composition of the Board and the approval of actions requiring stockholder
approval. Accordingly, for such period of time, Citius Pharma will have significant influence with respect to the Company’s management,
business plans and policies. Because of the significant ownership position held by Citius Pharma, and our classified Board structure,
new investors may not be able to effect a change in the Company’s business or management. The concentration of ownership and availability
of the foregoing rights could deprive stockholders of an opportunity to receive a premium for their shares of Common Stock as part of
a sale of the Company and ultimately might affect the market price of the Common Stock.
Furthermore, the interests of Citius Pharma may
not be aligned with those of other stockholders and this could lead to actions that may not be in the best interests of other stockholders.
For example, Citius Pharma may have different tax positions or strategic plans for the Company, which could influence its decisions regarding
whether and when the Company should dispose of assets, issue equity or incur indebtedness. Additionally, Citius Pharma’s significant
ownership in the Company may discourage someone from making a significant equity investment in us or could discourage transactions involving
a change in control.
In addition, in the ordinary course of its
pharmaceutical business activities, Citius Pharma may engage in fields or activities where its interests conflict with our interests
or those of our other stockholders, such as investing in or advising businesses that directly or indirectly compete with certain
portions of the Company’s business or those businesses that are suppliers or customers of us. The Certificate of Incorporation
will provide that, to the fullest extent permitted by law, none of Citius Pharma nor its affiliates or any person or entity who,
while a stockholder, director, officer or agent of us or any of our affiliates, is a director, officer, principal, partner, member,
manager, employee, agent and/or other representative of Citius Pharma and its affiliates (each an “Identified Person”)
will have any duty to refrain from (i) engaging in a corporate opportunity in the same or similar business activities or lines of
business in which we or our affiliates are engaged or that are deemed to be competing with us or any of our affiliates or (ii)
otherwise investing in or providing services to any person that competes with us or our affiliates engaging, directly or indirectly,
in the same or similar business activities or lines of business in which we operate. In addition, to the fullest extent permitted by
law, no Identified Person will have any obligation to offer us or our affiliates the right to participate in any corporate
opportunity in the same or similar business activities or lines of business in which we or our affiliates are engaged or that are
deemed to be competing with us or any of our affiliates. This means that Citius Pharma may pursue acquisition opportunities that may
be complementary to our business and, as a result, those acquisition opportunities may not be available to us. In addition, Citius
Pharma may have an interest in pursuing acquisitions, divestitures and other transactions that, in its judgment, could enhance its
investment, even though such transactions might involve risks to our stockholders or may not prove beneficial.
Item 1B. Unresolved Staff Comments
Not applicable.
Item 1C. Cybersecurity
Risk Management and Strategy
The Company has established processes to assess,
identify, and manage risks from cybersecurity threats as part of our broader enterprise-wide risk management system and processes, which
is overseen by our Board of Directors through our Audit Committee, along with our executive management.
Our cybersecurity program focuses on all areas
of our business, including cloud-based environments, devices used by employees and contractors, facilities, networks, applications, vendors,
disaster recovery, business continuity and controls and safeguards enabled through business processes and tools. We continuously monitor
for unauthorized access to our information technology systems and identify potential security threats through various automated detection
solutions. To protect the security of our information infrastructure and protect our systems and information from unauthorized access,
we draw on the knowledge and insights of an external information technology consultant who acts as our primary IT administrator and employ
an array of third-party tools and technologies.
As of the date of this Annual Report, we have
not encountered any risks from cybersecurity threats that have materially affected or are reasonably likely to materially affect the Company,
including its business strategy, results of operations, or financial condition. For more information on our cybersecurity related risks,
see “Risk Factors - Risks Related to Our Business and Our Industry” included elsewhere in this Annual Report on Form 10-K.
Governance
The Board of Directors is responsible for overseeing
our enterprise risk management program. The Audit Committee of the Board of Directors has been designated by the Board to oversee cybersecurity
risks and our processes to identify, prioritize, assess, manage, and mitigate those risks. The Audit Committee receives updates on cybersecurity
and information technology matters and related risk exposures from our Chief Financial Officer (“CFO”).
The CFO oversees the operation of our cybersecurity
program and has 10 years of executive experience overseeing risk management and internal controls. The CFO is informed about and monitors
the prevention, detection, mitigation, and remediation of cybersecurity incidents through the CFO’s oversight of the Company’s
information technology function and supervision of the Company’s IT administrator.
Item 2. Properties
Included in the A&R Shared Service Agreement
is rent for our portion of the occupancy of offices at 11 Commerce Drive, First Floor, Cranford, New Jersey 07016. The lease is held by
Citius Pharma and runs until October 31, 2025.
Item 3. Legal Proceedings
We are not involved in any litigation that we
believe could have a material adverse effect on our financial position or results of operations. There is no action, suit, proceeding,
inquiry, or investigation before or by any court, public board, government agency, self-regulatory organization or body pending or, to
the knowledge of our executive officers, threatened against or affecting our Company or our officers or directors in their capacities
as such.
In the future, we might from time to time become
involved in litigation relating to claims arising from our ordinary course of business.
Item 4. Mine Safety Disclosures
Not applicable.
PART II
Item 5. Market for Registrant’s Common
Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
The information regarding our equity compensation
plans required by this Item is found in Item 12 of this report.
Market Information
Our Common Stock trades on The Nasdaq Capital
Market under the symbol “CTOR.”
Holders of Common Stock
Based upon information furnished by our transfer
agent, as of December 18, 2024, we had approximately 4 stockholders of record of our Common Stock.
Dividends
We have never paid dividends on our common stock.
We intend to follow a policy of retaining earnings, if any, to finance the growth of our business and do not anticipate paying any cash
dividends in the foreseeable future. The declaration and payment of future dividends on the common stock will be at sole discretion of
our Board of Directors and will depend on our profitability and financial condition, capital requirements, statutory and contractual restrictions,
future prospects and other factors deemed relevant by the Board.
Recent Sales of Unregistered Securities
During the year ended September 30, 2024, we did
not issue or sell any unregistered securities not previously disclosed in a Quarterly Report on Form 10-Q or in a Current Report on Form
8-K.
Issuer Purchases of Equity Securities
We did not make any purchases of our common stock
during the three months ended September 30, 2024, which is the fourth quarter of our fiscal year.
Item 6. [Reserved]
Item 7. Management’s Discussion and Analysis
of Financial Condition and Results of Operations
The following discussion and analysis of our
financial condition and results of operations should be read together with our audited financial statements for the years ended September
30, 2024 and 2023 and related notes included elsewhere in this annual report. The following discussion contains “forward-looking
statements” that reflect our future plans, estimates, beliefs and expected performance. Our actual results may differ materially
from those currently anticipated and expressed in such forward-looking statements as a result of a number of factors. We caution that
assumptions, expectations, projections, intentions, or beliefs about future events may, and often do, vary from actual results and the
differences can be material. Please see “Cautionary Note Regarding Forward-Looking Statements” as well as “Risk Factors-
Risks Related to the Company’s Business and Our Industry.”
Business
Citius Oncology is a specialty biopharmaceutical
company focused on developing and commercializing innovative targeted oncology therapies. We are commercializing LYMPHIR (denileukin diftitox),
an oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma. LYMPHIR was approved by the FDA in August 2024.
We were incorporated in the Cayman Islands on
March 1, 2021, for the purpose of effecting a merger, capital stock exchange, asset acquisition, stock purchase, reorganization or similar
business combination with one or more businesses. In August 2024, we reincorporated in Delaware and completed the Merger whereby we acquired
SpinCo as a wholly owned subsidiary and changed our name to Citius Oncology, Inc. SpinCo began operations in April 2022.
Since inception, the Company has devoted substantially
all of our efforts to business planning, research and development, and recruiting management and technical staff. The Company is subject
to a number of risks common to companies in the pharmaceutical industry including, but not limited to, risks related to the development
by the Company or our competitors of research and development stage products, market acceptance of our approved products, competition
from larger companies, dependence on key personnel, dependence on key suppliers and strategic partners, the Company’s ability to
obtain additional financing and the Company’s compliance with governmental and other regulations.
License Agreement with Eisai
In September 2021, Citius Pharma entered into
an asset purchase agreement with Dr. Reddy’s and a license agreement with Eisai to acquire an exclusive license for E7777 (denileukin
diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma. Citius Pharma assigned
these agreements to us effective April 1, 2022. Citius Pharma renamed E7777 as I/ONTAK and also obtained the trade name LYMPHIRTM
for the product. Denileukin diftitox is referred to in this annual report as E7777, I/ONTAK or LYMPHIR, depending on the period of time
and context that is being discussed.
Under the terms of the
agreements, Citius Pharma acquired Dr. Reddy’s exclusive license for E7777 from Eisai and other related assets owned by Dr. Reddy’s.
The exclusive license includes rights to develop and commercialize E7777 in all markets except for Japan and certain parts of Asia. Additionally,
we retain an option on the right to develop and market the product in India. Eisai retains exclusive development and marketing rights
for the agent in Japan, China, Korea, Taiwan, Hong Kong, Macau, Indonesia, Thailand, Malaysia, Brunei, Singapore, India (subject to the
India option), Pakistan, Sri Lanka, Philippines, Vietnam, Myanmar, Cambodia, Laos, Afghanistan, Bangladesh, Bhutan, Nepal, Mongolia, and
Papua New Guinea. Citius Pharma paid $40 million upfront payment which represents the acquisition date fair value of the in-process research
and development acquired from Dr. Reddy’s. Dr. Reddy’s is entitled to up to $40 million in development milestone payments
related to CTCL approvals in the U.S. and other markets, up to $70 million in development milestones for additional indications, as well
as commercial milestone payments and low double-digit tiered royalties on net product sales (within a range of 10% to 15%), and up to
$300 million for commercial sales milestones. We also must pay on a fiscal quarter basis tiered royalties equal to low double-digit percentages
of net product sales (within a range of 10% to 15%). The royalties will end on the earlier of (i) the 15-year anniversary of the first
commercial sale of the latest indication that received regulatory approval in the applicable country and (ii) the date on which a biosimilar
product results in the reduction of net sales in the applicable product by 50% in two consecutive quarters, as compared to the four quarters
prior to the first commercial sale of the biosimilar product. We will also pay to Dr. Reddy’s an amount equal to a low-thirties
percentage of any sublicense upfront consideration or milestone payments (or the like) received by us and the greater of (i) a low-thirties
percentage of any sublicensee sales-based royalties or (ii) a mid-single digit percentage of such licensee’s net sales.
At the time of the FDA approval for LYMPHIR, a
$27.5 million milestone payment became payable under the terms of the asset purchase agreement for which a balance of $22.5 million remains
due as of September 30, 2024. Pending further discussions with Dr. Reddy’s, Dr. Reddy’s agreed to a partial deferral without
penalty of this milestone payment.
Under the license agreement, Eisai is to
receive a $5.9 million milestone payment, upon FDA approval which is included in license payable at September 30, 2024, and
additional commercial milestone payments related to the achievement of net product sales thresholds and an aggregate of up to $22
million related to the achievement of net product sales thresholds. Citius Pharma was also required to reimburse Eisai for up to
$2.65 million of its costs to complete the Phase 3 pivotal clinical trial for LYMPHIR for the CTCL indication and reimburse Eisai
for all reasonable costs associated with the preparation of a BLA for LYMPHIR. Eisai was responsible for completing the CTCL
clinical trial, and CMC activities through the filing of the BLA for LYMPHIR with the FDA. The Company will be responsible for
development costs associated with potential additional indications.
The term of the license
agreement will continue until (i) if there has not been a commercial sale of a licensed product in the territory, the 10-year anniversary
of the original license effective date, March 30, 2016, or (ii) if there has been a first commercial sale of a licensed product in the
territory within the 10-year anniversary of the original license effective date, the 10-year anniversary of the first commercial sale
on a country-by-country basis. The term of the license may be extended for additional 10-year periods for all countries in the territory
by notifying Eisai and paying an extension fee equal to $10 million. Either party may terminate the license agreement upon written notice
if the other party is in material breach of the agreement, subject to cure within the designated time periods. Either party also may terminate
the license agreement immediately upon written notice if the other party files for bankruptcy or takes related actions or is unable to
pay its debts as they become due. Additionally, either party will have the right to terminate the agreement if the other party directly
or indirectly challenges the patentability, enforceability or validity of any licensed patent.
Also under the purchase
agreement with Dr. Reddy’s, we are required to (i) use commercially reasonable efforts to make commercially available products in
the CTCL indication, peripheral T-cell lymphoma indication and immuno-oncology indication, (ii) initiate two investigator initiated immuno-oncology
trials (both of which have been initiated), (iii) use commercially reasonable efforts to achieve each of the approval milestones, and
(iv) to complete each specified immuno-oncology investigator trial on or before the four-year anniversary of the effective date of the
definitive agreement. Additionally, we are required to commercially launch a product in a territory within six months of receiving regulatory
approval for such product in each such jurisdiction.
RESULTS OF OPERATIONS
Results of Operations for Year Ended September
30, 2024 compared to Year Ended September 30, 2023
| |
Year Ended September 30,
2024 | | |
Year
Ended
September 30, 2023 | |
Revenues | |
$ | — | | |
$ | — | |
| |
| | | |
| | |
Operating expenses: | |
| | | |
| | |
Research and development | |
| 4,925,001 | | |
| 4,240,451 | |
General and administrative | |
| 8,148,929 | | |
| 5,915,290 | |
Stock-based compensation – general and administrative | |
| 7,498,817 | | |
| 1,965,500 | |
Total operating expenses | |
| 20,572,747 | | |
| 12,121,241 | |
| |
| | | |
| | |
Loss before income taxes | |
| (20,572,747 | ) | |
| (12,121,241 | ) |
Income tax expense | |
| 576,000 | | |
| 576,000 | |
Net loss | |
$ | (21,148,747 | ) | |
$ | (12,697,241 | ) |
Revenues
We did not generate any revenues for the years
ended September 30, 2024 and 2023.
Research and Development Expenses
For the year ended September 30, 2024, research
and development expenses were $4,925,001 as compared to $4,240,451 for the year ended September 30, 2023, an increase of $684,550 due
to development activities completed for the resubmission of the BLA of LYMPHIR in January 2024 which were associated with CRL remediation.
General and Administrative Expenses
For the year ended September 30, 2024, general
and administrative expenses were $8,148,929 as compared to $5,915,290 for the year ended September 30, 2023, an increase of $2,233,639.
The primary reason for the increase was the efforts associated with the pre-commercial and commercial launch activities of LYMPHIR associated
with market research, marketing, distribution and drug product reimbursement from health plans and payers.
Stock-based Compensation Expense
For the year ended September 30, 2024, stock-based
compensation expense was $7,498,817 as compared to $1,965,500 for the year ended September 30, 2023. The primary reason for the $5,533,317
increase in stock-based compensation expense was the amounts were realized over 12 months in the year ended September 30, 2024 as compared
to three months post-plan adoption in the year ended September 30, 2023.
Income Taxes
The Company recorded deferred income tax expense
of $576,000 in each of the years ended September 30, 2024 and 2023 related to the amortization for taxable purposes of its in-process
research and development asset.
Net Loss
For the year ended September 30, 2024, we incurred
a net loss of $21,148,747 compared to a net loss of $12,697,241 for the year ended September 30, 2023. The $8,451,506 increase in the
net loss was primarily due to the increase in our operating expenses.
LIQUIDITY AND CAPITAL RESOURCES
Liquidity and Working Capital
Citius Oncology has incurred operating losses
since inception and incurred net losses of $21,148,747 and $12,697,241 for the years ended September 30, 2024 and 2023, respectively.
At September 30, 2024, Citius Oncology had an accumulated deficit of $39,278,587. Citius Oncology’s net cash provided by operations
during the years ended September 30, 2024 and 2023 was $126,353 and $-0-, respectively.
Investing Activities
During 2024, the Company paid $5,000,000 in connection
with a partial milestone payments due under its asset purchase agreement with Dr. Reddy’s.
Financing Activities
In connection with closing of the Merger, Citius
Pharma, made a contribution to the Company’s capital in the amount of $33,180,961 representing the balance of the due to/due from
related party account on the date of the Merger. Citius Pharma also made cash contributions to the Company’s capital, pursuant to
the terms of the Merger Agreement, in the amount of $3,827,944.
Also, in connection with the Merger, Citius Pharma
advanced cash to the Company for an unsecured promissory note issued by the Company in the principal amount of $3,800,111.
Inflation
Our management believes that inflation
has not had a material effect on our results of operations.
Off Balance Sheet Arrangements
We do not have any off-balance sheet arrangements.
CRITICAL ACCOUNTING POLICIES
Our discussion and analysis of our financial condition
and results of operations is based on our financial statements, which have been prepared in accordance with accounting principles generally
accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect the
reported amounts of assets, liabilities and expenses and related disclosure of contingent assets and liabilities. We review our estimates
on an ongoing basis. We base our estimates on historical experience and on various other factors that we believe to be reasonable under
the circumstances. Actual results may differ from these estimates. We believe the judgments and estimates required by the following accounting
policies to be critical in the preparation of our financial statements.
In-process Research and Development
The Company capitalizes intangible assets purchased from others for
use in research and development activities as In Process Research & Development (IPR&D) when the assets acquired have an alternative
future use, the Company anticipates future economic benefit from that use and the assets acquired are not dependent on future development.
Milestone payments upon regulatory approval that meet the same criteria are capitalized when the payments are considered recoverable based
on expected future cash flows. Amortization of IPR&D over the exclusive regulatory period of the acquired asset commences upon revenue
generation.
In-process research and development of $73,400,000
represents the value of our September 2021 acquisition of an exclusive license for LYMPHIR (denileukin diftitox), a late-stage oncology
immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma and is expected to be amortized on a straight-line basis
over a period of 12 years commencing upon revenue generation. In-process research and development consists of $40,000,000 paid to Dr.
Reddy’s from the asset purchase agreement and approval milestone fees of $27,500,000 to Dr. Reddy’s and $5,900,000 to Eisai.
Incremental costs incurred on IPR&D after
the acquisition date are expensed as incurred, unless there is an alternative future use.
The Company reviews intangible assets annually
to determine if any adverse conditions exist or a change in circumstances has occurred that would indicate impairment or a change in the
remaining useful life of any intangible asset. If the carrying value of an asset exceeds its undiscounted cash flows, the Company writes
down the carrying value of the intangible asset to its fair value for the period identified. No impairments have occurred since the acquisitions
of our intangible assets through September 30, 2024.
Stock-Based Compensation
The Company recognizes compensation costs resulting from the issuance
of stock-based awards to employees and directors as an expense in the consolidated statement of operations over the requisite service
period based on the fair value for each stock award on the grant date. The fair value of each option grant is estimated as of the date
of grant using the Black-Scholes option pricing model. The Company estimates volatility using the trading activity of its common stock.
Because the Company’s stock options have characteristics significantly different from those of traded options, and because changes
in the input assumptions can materially affect the fair value estimate, the existing model may not necessarily provide a reliable single
measure of fair value of the Company’s stock options.
The Company recognizes compensation costs resulting from the issuance
of stock-based awards to non-employees as an expense in the consolidated statement of operations over the service period based on the
measurement of fair value for each stock award and records forfeitures as they occur.
Income Taxes
We follow accounting guidance regarding the recognition, measurement,
presentation, and disclosure of uncertain tax positions in the financial statements. Tax positions taken or expected to be taken in the
course of preparing our tax returns are required to be evaluated to determine whether the tax positions are “more-likely-than-not”
of being sustained by the applicable tax authorities. Tax positions not deemed to meet a more-likely-than-not threshold would be recorded
in the financial statements.
We recognize deferred tax assets and liabilities based on differences
between the financial reporting and tax basis of assets and liabilities using the enacted tax rates and laws that are expected to be in
effect when the differences are expected to reverse. We provide a valuation allowance for deferred tax assets for which we do not consider
realization of such assets to be more likely than not.
Item 7A. Quantitative and Qualitative Disclosures
About Market Risk
Not required.
Item 8. Financial Statements and Supplementary Data
See the financial statements included in this report beginning on page
F-1.
Item 9. Changes in and Disagreements with Accountants
on Accounting and Financial Disclosure
None.
Item 9A. Controls and Procedures
Disclosure Controls and Procedures
We maintain disclosure controls and procedures
designed to provide reasonable assurance that information required to be disclosed in reports filed under the Securities Exchange
Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized, and reported within the specified time periods
and accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate
to allow timely decisions regarding disclosure.
Our Chief Executive Officer (who is our principal
executive officer) and Chief Financial Officer (who is our principal financial officer and principal accounting officer), evaluated the
effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) promulgated under the Exchange
Act) as of September 30, 2024, the end of our fiscal year. In designing and evaluating disclosure controls and procedures, we recognize
that any disclosure controls and procedures, no matter how well designed and operated, can only provide reasonable assurance of achieving
the desired control objective. As of September 30, 2024, based on the evaluation of these disclosure controls and procedures, our Chief
Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective in ensuring that information
required to be disclosed by us in reports that we file or submit under the Exchange Act is recorded, processed, summarized,
and reported within the time periods specified in the SEC’s rules and forms.
Management’s Annual Report on Internal
Control over Financial Reporting
Our management is responsible for establishing
and maintaining effective internal control over financial reporting as defined in Rule 13a-15(f) under the Exchange Act. Because
of its inherent limitations, internal control over financial reporting is not intended to provide absolute assurance that a misstatement
of our financial statements would be prevented or detected. Under the supervision of our Chief Executive Officer and Chief Financial Officer,
the Company conducted an evaluation of the effectiveness of our internal control over financial reporting as of September 30, 2024 using
the criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission (“COSO”) (2013 Framework).
Based on this evaluation, management has concluded
that our internal controls were effective and that we maintained effective controls over our financial reporting as of September 30, 2024.
Because of its inherent limitations, internal
control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future
periods are subject to the risks that controls may become inadequate because of changes in conditions, or that the degree of compliance
with the policies or procedures may deteriorate.
Changes in Internal Controls over Financial
Reporting
There were no changes in our internal controls
over financial reporting during the fourth quarter of fiscal 2024 that materially affected, or are reasonably likely to materially affect,
our internal control over financial reporting.
Attestation Report of Registered Public Accounting
Firm
Our independent registered public accounting firm
has not assessed the effectiveness of our internal control over financial reporting and, under SEC rules, will not be required to provide
an attestation report on the effectiveness of our internal control over financial reporting so long as we qualify as a “non-accelerated
filer”.
Item 9B. Other Information.
None.
Item 9C. Disclosure Regarding Foreign Jurisdictions
that Prevent Inspections.
Not applicable.
PART III
Item 10. Directors, Executive Officers and
Corporate Governance
We have adopted a written Code of Ethics and Business
Conduct that applies to our directors, officers, and all employees. We intend to disclose any amendments to, or waivers from, our code
of ethics and business conduct that are required to be publicly disclosed pursuant to rules of the SEC by filing such amendment or waiver
with the SEC. This code of ethics and business conduct can be found in the “Governance – Governance Documents” section
of our website, www.citiusonc.com.
The other information required by this Item concerning
our directors and executive officers is incorporated by reference to the section captioned “Proposal No. 1—Election of Directors”
and “Corporate Governance” to be contained in our proxy statement related to the 2025 Annual Meeting of Stockholders (the
“Proxy Statement”), which information is expected to be filed with the SEC within 120 days of the end of our fiscal year pursuant
to General Instruction G(3) of Form 10-K or as otherwise provided by amendment to this Form 10-K. The information required by this Item
concerning compliance with Section 16(a) of the Exchange Act by our directors, executive officers and persons who own more than 10% of
our outstanding common stock is incorporated by reference from the section captioned “Section 16(a) Beneficial Ownership Reporting
Compliance” to be contained in the Proxy Statement or as otherwise provided by amendment to this Form 10-K.
Item 11. Executive Compensation
The information required by this Item concerning
directors and executive compensation is incorporated by reference from the sections captioned “Director Compensation” and
“Executive Compensation”, respectively, to be contained in the Proxy Statement or as otherwise provided by amendment to the
Form 10-K.
Item 12. Security Ownership of Certain Beneficial
Owners and Management and Related Stockholder Matters
The following table sets forth the indicated information
as of September 30, 2024 with respect to our equity compensation plans:
Plan Category | |
Number of securities to be issued upon exercise of outstanding options, warrants and rights | | |
Weighted- average exercise price of outstanding options, warrants and rights | | |
Number of securities remaining available for future issuance under equity compensation plans | |
Equity compensation plans approved by security holders | |
| | |
| | |
| |
2023 Omnibus Stock Inventive Plan | |
| 12,750,000 | | |
$ | 2.15 | | |
| 2,250,000 | |
2024 Omnibus Stock Incentive Plan | |
| - | | |
| n/a | | |
| 15,000,000 | |
Total | |
| 12,750,000 | | |
| n/a | | |
| 17,250,000 | |
Our equity compensation plan consists of the Citius
Oncology, Inc. 2023 Omnibus Stock Option Plan which was approved by shareholders of Citius Oncology, Inc. on April 29, 2023, and the Citius
Oncology, Inc. 2024 Omnibus Stock Incentive Plan, which was approved by the securityholders of TenX on August 2, 2024, in anticipation
of the Merger. We do not have any equity compensation plans or arrangements that have not been approved by stockholders.
The other information required by this Item is
incorporated by reference to the information under the section captioned “Security Ownership of Certain Beneficial Owners and
Management” to be contained in the Proxy Statement or as otherwise provided by amendment to this Form 10-K.
Item 13. Certain Relationships and Related
Transactions, and Director Independence
The information required by this Item is incorporated
by reference to the information under the section captioned “Certain Relationships and Related Transactions” and “Proposal
No. 1—Election of Directors” to be contained in the Proxy Statement or as otherwise provided by amendment to this Form
10-K.
Item 14. Principal Accountant Fees and Services
The information required by this Item is incorporated
by reference to the information under the section captioned “Auditor and Audit Committee Matters” to be contained in the Proxy
Statement or as otherwise provided by amendment to this Form 10-K.
PART IV
Item 15. Exhibits and Financial Statement Schedules
Exhibit
Number |
|
Description of Document |
|
Registrant’s
Form |
|
Dated |
|
Exhibit
Number |
|
Filed
Herewith |
2.1* |
|
Agreement and Plan of Merger and Reorganization, dated as of October 23, 2023, by and among Citius Pharmaceuticals, Inc., Citius Oncology, Inc., TenX Keane Acquisition and TenX Merger Sub, Inc. |
|
8-K |
|
10/24/2023 |
|
2.1 |
|
|
3.1 |
|
Certificate of Incorporation of Citius Oncology, Inc. |
|
8-K |
|
08/16/2024 |
|
3.1 |
|
|
3.2 |
|
Bylaws of Citius Oncology, Inc. |
|
8-K |
|
08/16/2024 |
|
3.2 |
|
|
4.1 |
|
Specimen Common Stock Certificate of Citius Oncology, Inc. |
|
S-4 |
|
07/11/2024 |
|
4.5 |
|
|
4.2 |
|
Description of Common Stock. |
|
|
|
|
|
|
|
X |
10.1 |
|
Amended and Restated Registration Rights Agreement, dated as of August 12, 2024 by and between Citius Oncology, Inc. and the signatories thereto. |
|
8-K |
|
08/16/2024 |
|
10.1 |
|
|
10.2 |
|
Amended and Restated Shared Services Agreement, dated as of August 12, 2024, by and among Citius Oncology, Inc. and Citius Pharmaceuticals, Inc. |
|
8-K |
|
08/16/2024 |
|
10.2 |
|
|
10.3† |
|
2023 Omnibus Stock Incentive Plan. |
|
|
|
|
|
|
|
X |
10.4† |
|
2024 Omnibus Stock Incentive Plan. |
|
8-K |
|
8/5/2024 |
|
10.5 |
|
|
10.5* |
|
Asset Purchase Agreement, dated as of September 1, 2021, between Dr. Reddy’s Laboratories S.A. and Citius Pharmaceuticals, Inc. |
|
S-4 |
|
11/13/2023 |
|
10.15 |
|
|
10.6* |
|
Amended and Restated License, Development and Commercialization Agreement, dated as of February 26, 2018, between Eisai, Ltd. and Dr. Reddy’s Laboratories S.A. |
|
S-4 |
|
11/13/2023 |
|
10.16 |
|
|
10.7* |
|
Amendment No. 1 to Amended and Restated License, Development and Commercialization Agreement, dated as of August 9, 2018, between Eisai, Ltd. and Dr. Reddy’s Laboratories S.A. |
|
S-4 |
|
11/13/2023 |
|
10.17 |
|
|
10.8* |
|
Amendment No. 2 to Amended and Restated License, Development and Commercialization Agreement, dated as of August 31, 2021, between Eisai, Ltd. and Dr. Reddy’s Laboratories S.A. |
|
S-4 |
|
11/13/2023 |
|
10.18 |
|
|
Exhibit
Number |
|
Description of Document |
|
Registrant’s
Form |
|
Dated |
|
Exhibit
Number |
|
Filed
Herewith |
10.9 |
|
Side Letter Agreement, dated August 12, 2024, by and by and among Citius Pharmaceuticals, Inc., Citius Oncology, Inc., TenX Keane Acquisition and TenX Merger Sub, Inc. |
|
8-K |
|
08/16/2024 |
|
10.8 |
|
|
10.10 |
|
Promissory Note, dated July 18, 2023, issued by TenX Keane Acquisition to 10XYZ Holdings LP. |
|
8-K |
|
07/18/2023 |
|
10.1 |
|
|
10.11 |
|
Promissory Note, dated October 18, 2023, issued by TenX Keane Acquisition to 10XYZ Holdings LP. |
|
8-K |
|
10/18/2023 |
|
10.1 |
|
|
10.12 |
|
Promissory Note, dated August 16, 2024, by and between Citius Oncology, Inc. and Citius Pharmaceuticals, Inc. |
|
8-K |
|
08/16/2024 |
|
10.9 |
|
|
16.1 |
|
Letter from Marcum LLP to the Securities and Exchange Commission, dated August 16, 2024. |
|
8-K |
|
08/16/2024 |
|
16.1 |
|
|
19.1 |
|
Insider Trading Policy. |
|
-- |
|
-- |
|
-- |
|
X |
31.1 |
|
Certification of the Chief Executive Officer pursuant to Exchange Act Rule 13a-14(a). |
|
-- |
|
-- |
|
-- |
|
X |
31.2 |
|
Certification of the Chief Financial Officer pursuant to Exchange Act Rule 13a-14(a). |
|
-- |
|
-- |
|
-- |
|
X |
32.1 |
|
Certifications of the Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes Oxley Act of 2002. |
|
-- |
|
-- |
|
-- |
|
X |
EX-101.INS |
|
INLINE XBRL INSTANCE DOCUMENT |
|
-- |
|
-- |
|
-- |
|
X |
EX-101.SCH |
|
INLINE XBRL TAXONOMY EXTENSION SCHEMA DOCUMENT |
|
-- |
|
-- |
|
-- |
|
X |
EX-101.CAL |
|
INLINE XBRL TAXONOMY EXTENSION CALCULATION LINKBASE |
|
|
|
|
|
|
|
|
EX-101.DEF |
|
INLINE
XBRL TAXONOMY EXTENSION DEFINITION LINKBASE |
|
-- |
|
-- |
|
-- |
|
X |
EX-101.LAB |
|
INLINE XBRL TAXONOMY EXTENSION LABEL LINKBASE |
|
-- |
|
-- |
|
-- |
|
X |
EX-101.PRE |
|
INLINE XBRL TAXONOMY EXTENSION PRESENTATION LINKBASE |
|
-- |
|
-- |
|
-- |
|
X |
104 |
|
Cover Page Interactive Data File, formed in Inline Extensible Business Reporting Language (iXBRL) |
|
-- |
|
-- |
|
-- |
|
X |
| * | Certain portions, schedules and exhibits to this Exhibit have
been omitted pursuant to Item 601(a)(5) or Item 601(b)(10)(iv), as applicable, of Regulation S-K. The Registrant agrees to furnish supplemental
copies of all omitted portions, exhibits and schedules to the Securities and Exchange Commission upon its request. |
† |
Indicates management contract or compensatory plan. |
Item 16. Form 10-K Summary.
Not applicable.
SIGNATURES
Pursuant to the requirements of Section 13 or
15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned,
thereunto duly authorized.
|
CITIUS ONCOLOGY, INC. |
|
|
|
Date: December 27, 2024 |
By: |
/s/ Leonard Mazur |
|
|
Leonard Mazur |
|
|
Chief Executive Officer
(Principal Executive Officer) |
Pursuant to the requirements of the Securities
Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and
on the dates indicated.
Signature |
|
Title |
|
Date |
|
|
|
|
|
/s/ Leonard Mazur |
|
Chief Executive Officer and Director |
|
December 27, 2024 |
Leonard Mazur |
|
(Principal Executive Officer) |
|
|
|
|
|
|
|
/s/ Myron Holubiak |
|
Secretary and Director |
|
December 27, 2024 |
Myron Holubiak |
|
|
|
|
|
|
|
|
|
/s/ Jaimie Bartushak |
|
Chief Financial Officer and Treasurer |
|
December 27, 2024 |
Jaime Bartushak |
|
(Principal Financial Officer and Principal Accounting Officer) |
|
|
|
|
|
|
|
/s/ Suren Dutia |
|
Director |
|
December 27, 2024 |
Suren Dutia |
|
|
|
|
|
|
|
|
|
/s/ Eugene Holuka |
|
Director |
|
December 27, 2024 |
Eugene Holuka |
|
|
|
|
|
|
|
|
|
/s/ Joel Mayersohm |
|
Director |
|
December 27, 2024 |
Joel Mayersohm |
|
|
|
|
|
|
|
|
|
/s/ Dennis McGrath |
|
Director |
|
December 27, 2024 |
Dennis McGrath |
|
|
|
|
|
|
|
|
|
/s/ Robert Smith |
|
Director |
|
December 27, 2024 |
Robert Smith |
|
|
|
|
|
|
|
|
|
/s/ Carol Webb |
|
Director |
|
December 27, 2024 |
Carol Webb |
|
|
|
|
CITIUS ONCOLOGY, INC.
CONSOLIDATED FINANCIAL STATEMENTS
INDEX
Report of Independent Registered Public Accounting
Firm
To the Stockholders and the Board of Directors of Citius Oncology,
Inc.:
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Citius
Oncology, Inc. (the Company) as of September 30, 2024 and 2023, the related consolidated statements of operations, changes in stockholders’
equity, and cash flows for the years then ended, and the related notes to the consolidated financial statements (collectively, the financial
statements). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company
as of September 30, 2024 and 2023, and the results of its operations and its cash flows for the years then ended, in conformity with accounting
principles generally accepted in the United States of America.
Emphasis of a Matter Regarding Going Concern
The accompanying financial statements have been prepared assuming that
the Company will continue as a going concern. As discussed in Note 2 to the financial statements, the Company has suffered recurring losses
and has a working capital deficit as of September 30, 2024. The Company is a majority-owned subsidiary of Citius Pharmaceuticals, Inc.
Citius Pharmaceuticals, Inc. funds the majority of the Company’s operations; therefore, the Company is economically dependent on
the continued financial support of Citius Pharmaceuticals, Inc. These conditions raise substantial doubt about the Company’s ability
to continue as a going concern. Management’s plans in regard to these matters are described in Note 2. The financial statements
do not include any adjustments that might result from the outcome of this uncertainty.
Basis for Opinion
These financial statements are the responsibility of the Company’s
management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public
accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent
with respect to the Company in accordance with U.S. federal securities laws and the applicable rules and regulations of the Securities
and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB.
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free
of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit
of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding of internal control
over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control
over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material
misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures
included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included
evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation
of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
/s/ Wolf & Company, P.C.
We have served as the Company’s auditor since 2022.
Boston, Massachusetts
December 27, 2024
CITIUS ONCOLOGY, INC.
CONSOLIDATED BALANCE SHEETS
SEPTEMBER 30, 2024 AND 2023
| |
2024 | | |
2023 | |
Current Assets: | |
| | |
| |
Cash and cash equivalents | |
$ | 112 | | |
$ | — | |
Inventory | |
| 8,268,766 | | |
| — | |
Prepaid expenses | |
| 2,700,000 | | |
| 7,734,895 | |
Total Current Assets | |
| 10,968,878 | | |
| 7,734,895 | |
| |
| | | |
| | |
Other Assets: | |
| | | |
| | |
In-process research and development | |
| 73,400,000 | | |
| 40,000,000 | |
Total Other Assets | |
| 73,400,000 | | |
| 40,000,000 | |
| |
| | | |
| | |
Total Assets | |
$ | 84,368,878 | | |
$ | 47,734,895 | |
LIABILITIES AND STOCKHOLDERS’ EQUITY | |
| | | |
| | |
Current Liabilities: | |
| | | |
| | |
Accounts payable | |
$ | 3,711,622 | | |
$ | 1,289,045 | |
License payable | |
| 28,400,000 | | |
| — | |
Accrued expenses | |
| — | | |
| 259,071 | |
Due to related party | |
| 588,806 | | |
| 19,499,119 | |
Total Current Liabilities | |
| 32,700,429 | | |
| 21,047,235 | |
| |
| | | |
| | |
Deferred tax liability | |
| 1,728,000 | | |
| 1,152,000 | |
Note payable to related party | |
| 3,800,111 | | |
| — | |
Total Liabilities | |
| 38,228,540 | | |
| 22,199,235 | |
Stockholders’ Equity: | |
| | | |
| | |
Preferred stock - $0.0001 par value; 10,000,000 shares authorized: no shares issued and outstanding | |
| — | | |
| — | |
Common stock - $0.0001 par value; 100,000,000; 71,552,402 and 67,500,000 shares issued and outstanding at September 30, 2024 and 2023, respectively | |
| 7,155 | | |
| 6,750 | |
Additional paid-in capital | |
| 85,411,771 | | |
| 43,658,750 | |
Accumulated deficit | |
| (39,278,587 | ) | |
| (18,129,840 | ) |
Total Stockholders’ Equity | |
| 46,140,339 | | |
| 25,535,660 | |
Total Liabilities and Stockholders’ Equity | |
$ | 84,368,878 | | |
$ | 47,734,895 | |
See accompanying report
of independent registered public accounting firm and notes to the financial statements.
Reflects a 675,000-for-1
stock split effective July 5, 2023.
CITIUS ONCOLOGY, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023
| |
2024 | | |
2023 | |
Revenues | |
$ | — | | |
$ | — | |
Operating Expenses: | |
| | | |
| | |
Research and development | |
| 4,925,001 | | |
| 4,240,451 | |
General and administrative | |
| 8,148,929 | | |
| 5,915,290 | |
Stock-based compensation – general and administrative | |
| 7,498,817 | | |
| 1,965,500 | |
Total Operating Expenses | |
| 20,572,747 | | |
| 12,121,241 | |
| |
| | | |
| | |
Loss before Income Taxes | |
| (20,572,747 | ) | |
| (12,121,241 | ) |
Income tax expense | |
| 576,000 | | |
| 576,000 | |
| |
| | | |
| | |
Net Loss | |
$ | (21,148,747 | ) | |
$ | (12,697,241 | ) |
| |
| | | |
| | |
Net Loss Per Share – Basic and Diluted | |
$ | (0.31 | ) | |
$ | (0.19 | ) |
| |
| | | |
| | |
Weighted Average Common Shares Outstanding – Basic and Diluted | |
| 68,053,607 | | |
| 67,500,000 | |
See accompanying report of independent registered
public accounting firm and notes to the financial statements.
Reflects a 675,000-for-1
stock split effective July 5, 2023.
CITIUS ONCOLOGY, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’
EQUITY
FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023
| |
Preferred Stock | | |
Common Stock | | |
Additional Paid-In | | |
Accumulated | | |
Total Stockholders’ | |
| |
Shares | | |
Amount | | |
Shares | | |
Amount | | |
Capital | | |
Deficit | | |
Equity | |
| |
| | |
| | |
| | |
| | |
| | |
| | |
| |
Balance, 30-Sep-22 | |
| - | | |
| - | | |
| 67,500,000 | | |
| 6,750 | | |
| 41,693,250 | | |
| (5,432,599 | ) | |
| 36,267,401 | |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Stock-based compensation expense | |
| - | | |
| - | | |
| - | | |
| - | | |
| 1,965,500 | | |
| - | | |
| 1,965,500 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (12,697,241 | ) | |
| (12,697,241 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Balance, 30-Sep-23 | |
| - | | |
| - | | |
| 67,500,000 | | |
| 6,750 | | |
| 43,658,750 | | |
| (18,129,840 | ) | |
| 25,535,660 | |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Capital contributions by parent | |
| - | | |
| - | | |
| - | | |
| - | | |
| 37,008,905 | | |
| | | |
| 37,008,905 | |
Stock-based compensation expense | |
| - | | |
| - | | |
| - | | |
| - | | |
| 7,498,817 | | |
| | | |
| 7,498,817 | |
Merger, net of transaction costs of $2,358,780 | |
| - | | |
| - | | |
| 4,052,402 | | |
| 405 | | |
| (2,754,701 | ) | |
| | | |
| (2,754,296 | ) |
Net loss | |
| | | |
| | | |
| | | |
| | | |
| | | |
| (21,148,747 | ) | |
| (21,148,747 | ) |
Balance, 30-Sep-24 | |
| - | | |
| - | | |
| 71,552,402 | | |
| 7,155 | | |
| 85,411,771 | | |
| (39,278,587 | ) | |
| 46,140,339 | |
See accompanying report of independent registered
public accounting firm and notes to the financial statements.
Reflects a 675,000-for-1
stock split effective July 5, 2023.
CITIUS ONCOLOGY, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023
| |
2024 | | |
2023 | |
Cash Flows From Operating Activities: | |
| | |
| |
Net loss | |
$ | (21,148,747 | ) | |
$ | (12,697,241 | ) |
Adjustments to reconcile net loss to net cash provided by operating activities: | |
| | | |
| | |
Stock-based compensation expense | |
| 7,498,817 | | |
| 1,965,500 | |
Deferred income tax expense | |
| 576,000 | | |
| 576,000 | |
Changes in operating assets and liabilities: | |
| | | |
| | |
Inventory | |
| (2,133,871 | ) | |
| - | |
Prepaid expenses | |
| (1,100,000 | ) | |
| (5,044,713 | ) |
Accounts payable | |
| 2,422,577 | | |
| 1,196,734 | |
Accrued expenses | |
| (259,071 | ) | |
| (801,754 | ) |
Due to related party | |
| 14,270,648 | | |
| 14,805,474 | |
Net Cash Provided By Operating Activities | |
| 126,353 | | |
| - | |
| |
| | | |
| | |
Cash Flows From Investing Activities: | |
| | | |
| | |
License payment | |
| (5,000,000 | ) | |
| - | |
Net Cash Used In Investing Activities | |
| (5,000,000 | ) | |
| - | |
| |
| | | |
| | |
Cash Flows From Financing Activities: | |
| | | |
| | |
Cash contributed by parent | |
| 3,827,944 | | |
| - | |
Merger, net | |
| (2,754,296 | ) | |
| - | |
Proceeds from issuance of note payable to related party | |
| 3,800,111 | | |
| - | |
Net Cash Provided By Financing Activities | |
| 4,873,759 | | |
| - | |
Net Change in Cash and Cash Equivalents | |
| 112 | | |
| - | |
Cash and Cash Equivalents – Beginning of Year | |
| - | | |
| - | |
Cash and Cash Equivalents – End of Year | |
$ | 112 | | |
$ | - | |
Supplemental Disclosures of Cash Flow Information and Non-cash Activities: | |
| | | |
| | |
IPR&D Milestones included in License Payable | |
$ | 28,400,000 | | |
$ | - | |
Capital Contribution of due to related party by parent | |
$ | 33,180,961 | | |
$ | - | |
Prepaid Manufacturing transferred to Inventory | |
$ | 6,134,895 | | |
$ | - | |
See accompanying report of independent registered
public accounting firm and notes to the financial statements.
CITIUS ONCOLOGY, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023
1. NATURE OF OPERATIONS AND BASIS OF PRESENTATION
Business
Citius Oncology, Inc. (formerly Citius Acquisition
Corp.) (“Citius Oncology,” the “Company” or “we”) is a specialty pharmaceutical company dedicated
to the development and commercialization of critical care products targeting unmet needs with a focus on oncology products. We are developing
E7777 (denileukin diftitox), a late-stage oncology immunotherapy for the treatment of cutaneous T-cell lymphoma (“CTCL”),
a rare form of non-Hodgkin lymphoma. We have obtained the trade name of LYMPHIR for E7777.
Since its inception, the Company has devoted substantially
all of its efforts to business planning, research and development, and recruiting management and technical staff. Citius Oncology is subject
to a number of risks common to companies in the pharmaceutical industry including, but not limited to, risks related to the development
by Citius Oncology or its competitors of research and development stage products, market acceptance of any of its products approved for
marketing, competition from larger companies, dependence on key personnel, dependence on key suppliers and strategic partners, the Company’s
ability to obtain additional financing and the Company’s compliance with governmental and other regulations.
Since its inception, Citius Pharmaceuticals, Inc.
(“Citius Pharma”) has funded and continues to fund the Company. Citius Pharma and the Company are party to an amended and
restated shared services agreement (the “A&R Shared Services Agreement”), which governs certain management and scientific
services that Citius Pharma provides the Company.
Merger
On August 23, 2021, Citius Pharma formed Citius
Acquisition Corp. (“SpinCo”) as a wholly-owned subsidiary in conjunction with the acquisition of LYMPHIR, which began operations
in April 2022, when Citius Pharma transferred the assets related to LYMPHIR to SpinCo, including the related license agreement and asset
purchase agreement (see Note 4).
On October 23, 2023, Citius Pharma and SpinCo
entered into an agreement and plan of merger and reorganization (the “Merger Agreement”) with TenX Keane Acquisition, a Cayman
Islands exempted company (“TenX”), and TenX Merger Sub Inc., a Delaware corporation and a wholly owned subsidiary of TenX
(“Merger Sub”).
On August 12, 2024, pursuant to the terms and
conditions of the Merger Agreement, Merger Sub merged with and into SpinCo, with SpinCo surviving as a wholly owned subsidiary of TenX
(the “Merger”) which was subsequently renamed Citius Oncology Sub, Inc. Prior to closing of the Merger, TenX migrated to and
domesticated as a Delaware corporation in accordance with Section 388 of the General Corporation Law of the State of Delaware and the
Cayman Islands Companies Act (As Revised) (the “Domestication”). As part of the Domestication, TenX changed its name to “Citius
Oncology, Inc.” (Nasdaq: CTOR). Immediately after the closing of the Merger, Citius Pharma owned approximately 92.3% of the outstanding
shares of common stock of the Company.
While the Merger Sub was the legal acquirer of
the Company, for accounting purposes, the Company was deemed to be the accounting acquirer. Accordingly, for accounting purposes, the
Merger was treated as the equivalent of the Company issuing stock for the assets and liabilities of the Merger Sub, accompanied by a recapitalization.
Total shares outstanding of the Company after the Merger and recapitalization increased to 71,552,402. The net assets of the merged entities
are stated at historical cost, with no goodwill or other intangible assets recorded. Additionally, the historical financial statements
of the Company became the historical financial statements of the Registrant.
The Merger, net amount of $2,753,795 charged to
additional paid in capital consists of $395,015 of net liabilities of TenX on the date of the Merger (cash of $163,500 less liabilities
of $559,015) plus directly related transaction costs of $2,358,780.
As part of the Merger, Citius Pharma made capital
investments in the Company through cash contributions of $3,827,944 to fund transactions related to the Merger and by reclassifying to
additional paid in capital intercompany receivables of $33,180,961 that were due from the Company to Citius Pharma. Simultaneously, Citius
Pharma advanced an additional $3,800,111 to the Company under the terms of a note payable (see Note 6).
Stock Split
On July 5, 2023, the
Company executed a stock split of its shares of common stock at a ratio of 675,000-for-1 (the “Stock Split”). All of the Company’s
historical share and per share information related to issued and outstanding common stock in these financial statements have been adjusted,
on a retroactive basis, to reflect this 675,000-for-1 stock split.
Basis of Presentation
The accompanying consolidated financial statements
include the operations of Citius Oncology, Inc., and its wholly-owned subsidiary, Citius Oncology Sub, Inc., which was formed in connection
with Merger. The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally
accepted in the United States of America (“U.S. GAAP”).
2. GOING CONCERN UNCERTAINTY AND MANAGEMENT’S
PLAN
The accompanying financial statements have been
prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course
of business. The Company had a net loss of $21,148,747 and $12,697,241 for the years ended September 30, 2024 and 2023, respectively.
The Company has no revenue and has relied on funding from Citius Pharma to finance its operations. At September 30, 2024, the Company
had $112 in cash and a negative working capital of $21,731,551. Citius Pharma has sufficient capital to fund Citius Oncology through February
2025 which raises substantial doubt about the Company’s ability to continue as a going concern within one year after the date that
the accompanying financial statements are issued.
The Company plans to continue to rely on funding
from Citius Pharma, to raise capital through equity financings from outside investors and to generate revenue from the future sales of
LYMPHIR. There is no assurance, however, that Citius Pharmaceuticals will have the resources to continue funding the Company, that the
Company will be successful in raising the needed capital and, if funding is available, that it will be available on terms acceptable to
the Company or that the Company will find strategic partners or generate substantial revenue from the sale of LYMPHIR. The accompanying
financial statements do not include any adjustments that might result from the outcome of the above uncertainty.
3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
A summary of the significant accounting policies
followed by the Company in the preparation of the consolidated financial statements is as follows:
Use of Estimates
The process of preparing financial statements
in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires management to
make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities
at the date of financial statements and the reported amounts of revenues and expenses during the reporting period. Estimates having relatively
higher significance include the accounting for in-process research and development, stock-based compensation and income taxes. Actual
results could differ from those estimates and changes in estimates may occur.
Cash and Cash Equivalents
The Company considers all highly liquid instruments
with maturities of less than three months at the time of purchase to be cash equivalents. From time to time, the Company may have cash
balances in financial institutions in excess of insurance limits. The Company has never experienced any losses related to these balances.
Prepaid Expenses
Prepaid expenses at September 30, 2024 and 2023
consist of $2,700,000 and $7,734,895 of advance payments made for the preparation of long-lead time drug substance and product costs,
respectively, which will be utilized in research and development activities or in the manufacturing of LYMPHIR for sales.
Inventory
Inventory is stated at the lower of actual
accumulated costs or net realizable value as of September 30, 2024 consisting of finished goods of $6,134,895, and work in process of
$2,133,862 related to the manufacturing of LYMPHIR commercial products to be sold in 2025. No reserves against inventory were deemed
necessary based on an evaluation of the product expiration dating.
During 2024, $6,134,895 of prepaid manufacturing
costs were transferred to inventory upon product approval and production commencement at our third-party manufacturers.
The Company has not yet selected a specific inventory
costing methodology (e.g., FIFO or weighted average). Management plans to implement an appropriate inventory costing method prior to the
commencement of sales activities. The selection of this method may impact future financial statements once sales begin.
Research and Development
Research and development costs, including upfront
fees and milestones paid to collaborators who are performing research and development activities under contractual agreements with the
Company, are expensed as incurred. The Company defers and capitalizes its nonrefundable advance payments that are for research and development
activities until the related goods are delivered or the related services are performed. When the Company is reimbursed by a collaboration
partner for work the Company performs, it records the costs incurred as research and development expenses and the related reimbursement
as a reduction to research and development expenses in its statement of operations. Research and development expenses primarily consist
of clinical and non-clinical studies, materials and supplies, third-party costs for contracted services, and payments related to external
collaborations and other research and development related costs.
In-process Research and Development and
License Payable
The Company capitalizes intangible assets purchased from others for
use in research and development activities as In Process Research & Development (IPR&D) when the assets acquired have an alternative
future use, the Company anticipates future economic benefit from that use and the assets acquired are not dependent on future development.
Milestone payments upon regulatory approval that meet the same criteria are capitalized when the payments are considered recoverable based
on expected future cash flows. Amortization of IPR&D over the exclusive regulatory period of the acquired asset commences upon revenue
generation.
In-process research and development of $73,400,000 consists of an
initial $40,000,000 payment to Dr. Reddy’s Laboratories (“DRL”) in September 2021, and $27,500,000 and $5,900,000
for approval milestone amounts payable to DRL and Eisai, respectively, that came due during 2024. Of these amounts $28,400,000 is
included in license payable at September 30, 2024. The value of our September 2021 acquisition of an exclusive license for LYMPHIR
(denileukin diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma, is
expected to be amortized on a straight-line basis over a period of twelve years, (the FDA exclusivity period), commencing upon
revenue generation which is expected in the first half of 2025. Included in the IPR&D is the historical know-how, formula
protocols, designs, and procedures which were used in the completion of the Phase 3. In addition, the contracts acquired in
connection with Dr. Reddy’s transaction with the clinical research and manufacturing organization are at market rates and
could be provided by multiple vendors in the marketplace. Therefore, there is no fair value associated with the contracts
acquired.
The Company reviews intangible assets annually
to determine if any adverse conditions exist or a change in circumstances has occurred that would indicate impairment or a change in the
remaining useful life of any intangible asset. If the carrying value of an asset exceeds its undiscounted cash flows, the Company writes
down the carrying value of the intangible asset to its fair value in the period identified. No impairment has occurred since the acquisitions
through September 30, 2024.
Patents and Trademarks
Certain costs of outside legal counsel related
to obtaining trademarks for the Company are capitalized. Patent costs are amortized over the legal life of the patents, generally twenty
years, starting at the patent issuance date. There are no capitalized patents and trademarks as of September 30, 2024.
The costs of unsuccessful and abandoned applications
are expensed when abandoned. The costs of maintaining existing patents are expensed as incurred.
Stock-Based Compensation
The Company recognizes compensation costs resulting
from the issuance of stock-based awards to employees and directors as an expense in the statements of operations over the requisite service
period based on the fair value for each stock award on the grant date. The fair value of each option grant is estimated as of the date
of grant using the Black-Scholes option pricing model. Because the Company’s stock options have characteristics significantly different
from those of traded options, and because changes in the input assumptions can materially affect the fair value estimate, the existing
model may not necessarily provide a reliable single measure of fair value of the Company’s stock options.
The Company recognizes compensation costs resulting
from the issuance of stock-based awards to non-employees as an expense in the statements of operations over the service period based on
the measurement of fair value for each stock award and records forfeitures as they occur.
Income Taxes
The Company files consolidated income tax returns
with Citius Pharmaceuticals. The Company follows accounting guidance regarding the recognition, measurement, presentation, and disclosure
of uncertain tax positions in the financial statements. Tax positions taken or expected to be taken in the course of preparing the Company’s
tax returns are required to be evaluated to determine whether the tax positions are “more-likely-than-not” of being sustained
by the applicable tax authorities. Tax positions not deemed to meet a more-likely-than-not threshold would be recorded in the financial
statements. There are no uncertain tax positions that require accrual or disclosure as of September 30, 2024. Any interest or penalties
are charged to expense. During the years ended September 30, 2024 and 2023, the Company did not recognize any interest and penalties.
The Company is subject to examination by federal and state tax authorities for all tax years since inception.
The Company recognizes deferred tax assets and
liabilities based on differences between the financial reporting and tax basis of assets and liabilities, and operating loss and tax credit
carry forwards. Deferred tax assets and liabilities are measured using the enacted tax rates and laws that are expected to be in effect
when the differences are expected to reverse. The Company provides a valuation allowance, if necessary, for deferred tax assets for which
it does not consider realization of such assets to be “more-likely-than-not.” The deferred tax benefit or expense for the
period represents the change in the deferred tax asset or liability from the beginning to the end of the period.
Basic and Diluted Net Loss per Common Share
Basic and diluted net loss per common share applicable
to common stockholders is computed by dividing net loss in each period by the weighted average number of shares of common stock outstanding
during such period. For the periods presented, common stock equivalents, consisting
of options were not included in the calculation of the diluted loss per share because they were anti-dilutive.
Segment Reporting
The Company currently operates as a single segment.
Concentrations of Credit Risk
The Company has no significant off-balance-sheet
concentration of credit risk such as foreign exchange contracts, option contracts or other hedging arrangements.
Recently Issued Accounting Standards
Reportable Segment Disclosures
In November 2023, the
FASB issued ASU 2023-07, Segment Reporting (Topic 280), Improvements to Reportable Segment Disclosures. The change in the standard improves
reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. The changes improve
financial reporting by requiring disclosure of incremental segment information on an annual and interim basis for all public entities
to enable investors to develop more decision-useful financial analyses. The guidance will be effective for annual reporting periods beginning
after December 15, 2023, and for interim periods beginning after December 15, 2024. Early adoption is permitted. The standard will be
applied retrospectively. The Company is currently evaluating the impact of adoption of the standard on its financial statement disclosures.
Income Tax Disclosures
In December 2023, the
FASB issued ASU 2023-09, Income Taxes (Topic 740), Improvements to Income Tax Disclosures. The standard enhances the transparency, decision
usefulness and effectiveness of income tax disclosures by requiring consistent categories and greater disaggregation of information in
the reconciliation of income taxes computed using the enacted statutory income tax rate to the actual income tax provision and effective
income tax rate, as well as the disaggregation of income taxes paid (refunded) by jurisdiction. The standard also requires disclosure
of income (loss) before provision for income taxes and income tax expense (benefit) in accordance with U.S. Securities and Exchange Commission
(SEC) Regulation S-X 210.4-08(h), Rules of General Application – General Notes to Financial Statements: Income Tax Expense, and
the removal of disclosures no longer considered cost beneficial or relevant. The guidance will be effective for annual reporting periods
beginning after December 15, 2024. Early adoption is permitted. The standard will be applied on a prospective basis, with retrospective
application permitted. The Company is currently evaluating the impact of adoption of the standard on its financial statement disclosures.
Disaggregation of Income Statement Expenses
In November 2024, the
FASB issued ASU 2024-03, Income Statement Reporting–Comprehensive Income–Expense Disaggregation Disclosures (Subtopic 220-40),
Disaggregation of Income Statement Expenses. The standard update improves the disclosures about a public business entity’s expenses
by requiring more detailed information about the types of expenses (including purchases of inventory, employee compensation, depreciation
and amortization) included within income statement expense captions. The guidance will be effective for annual reporting periods beginning
after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted. The standard updates
are to be applied prospectively with the option for retrospective application. The Company is currently evaluating the impact of adoption
of the standard update on its financial statement disclosures.
4. PATENT AND TECHNOLOGY LICENSE AGREEMENTS
In September 2021, Citius Pharmaceuticals entered
into and transferred to the Company an asset purchase agreement with Dr. Reddy’s Laboratories SA, a subsidiary of Dr. Reddy’s Laboratories,
Ltd. (collectively, “Dr. Reddy’s”) and a license agreement with Eisai Co., Ltd. (“Eisai”) to acquire its exclusive
license for E7777 (denileukin diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma.
Citius Pharmaceuticals assigned these agreements to us effective April 1, 2022. We have obtained the trade name of LYMPHIR for E7777.
Under the terms of these
agreements, Citius Pharmaceuticals acquired Dr. Reddy’s exclusive license for LYMPHIR from Eisai and other related assets owned by Dr.
Reddy’s. The exclusive license includes rights to develop and commercialize LYMPHIR in all markets except for Japan and certain parts
of Asia. Additionally, we retained an option on the right to develop and market the product in India. Eisai retains exclusive development
and marketing rights for the agent in Japan and Asia. Citius Pharmaceuticals paid $40 million upfront payment which represents the acquisition
date fair value of the in-process research and development acquired from Dr. Reddy’s. Dr. Reddy’s is entitled to up to $40
million in development milestone payments related to CTCL approvals in the U.S. and other markets, up to $70 million in development milestones
for additional indications, as well as commercial milestone payments and low double-digit tiered royalties on net product sales, and up
to $300 million for commercial sales milestones. We also must pay on a fiscal quarter basis tiered royalties equal to low double-digit
percentages of net product sales. The royalties will end on the earlier of (i) the 15-year anniversary of the first commercial sale of
the latest indication that received regulatory approval in the applicable country and (ii) the date on which a biosimilar product results
in the reduction of net sales in the applicable product by 50% in two consecutive quarters, as compared to the four quarters prior to
the first commercial sale of the biosimilar product. We are also required pay to Dr. Reddy’s an amount equal to a low-thirties percentage
of any sublicense upfront consideration or milestone payments (or the like) received by us and the greater of (i) a low-thirties percentage
of any sublicensee sales-based royalties or (ii) a mid-single digit percentage of such licensee’s net sales.
Under the license agreement,
Eisai is to receive a $5.9 million development milestone payment upon initial approval and additional commercial milestone payments related
to the achievement of net product sales thresholds (which increases to $7 million in the event we have exercised our option to add India
to the licensed territory prior to FDA approval) and an aggregate of up to $22 million related to the achievement of net product sales
thresholds. Citius Pharma was also required to reimburse Eisai for up to $2.65 million of its costs to complete the Phase 3 pivotal clinical
trial for LYMPHIR for the CTCL indication and reimburse Eisai for all reasonable costs associated with the preparation of a Biologics
License Application, (the “BLA”) for LYMPHIR. Eisai was responsible for completing the CTCL clinical trial, and chemistry,
manufacturing and controls (CMC) activities through the filing of a BLA for LYMPHIR with the FDA. The BLA was filed with the FDA on September
27, 2022. We will also be responsible for development costs associated with potential additional indications.
The term of the license
agreement will continue until (i) if there has not been a commercial sale of a licensed product in the territory, the 10-year anniversary
of the original license effective date, March 30, 2016, or (ii) if there has been a first commercial sale of a licensed product in the
territory within the 10-year anniversary of the original license effective date, the 10-year anniversary of the first commercial sale
on a country-by-country basis. The term of the license may be extended for additional 10-year periods for all countries in the territory
by notifying Eisai and paying an extension fee equal to $10 million. Either party may terminate the license agreement upon written notice
if the other party is in material breach of the agreement, subject to cure within the designated time periods. Either party also may terminate
the license agreement immediately upon written notice if the other party files for bankruptcy or takes related actions or is unable to
pay its debts as they become due. Additionally, either party will have the right to terminate the agreement if the other party directly
or indirectly challenges the patentability, enforceability or validity of any licensed patent.
Also under the
purchase agreement with Dr. Reddy’s, we are required to (i) use commercially reasonable efforts to make commercially available
products in the CTCL indication, peripheral T-cell lymphoma indication and immuno-oncology indication, (ii) initiate two
investigator initiated immuno-oncology trials (both of which have been initiated), (iii) use commercially reasonable efforts to
achieve each of the approval milestones, and (iv) to complete each specified immuno-oncology investigator trial on or before the
four-year anniversary of the effective date of the definitive agreement.
Additionally, we are required to commercially launch a product in a territory within six months of receiving regulatory approval for such
product in each such jurisdiction.
On July 29, 2023, we
received a Complete Response Letter, (“CRL”) from the FDA regarding the BLA seeking approval for LYMPHIR. The FDA has required
that we incorporate enhanced product testing, and additional controls agreed to with the FDA during the market application review. The
FDA raised no concerns relating to the safety and efficacy clinical data package.
On September 8, 2023, we announced that the FDA
agreed with our plans to address the requirements outlined in the CRL. The guidance from the FDA provides a path for completing the necessary
activities to support the resubmission of the BLA. No additional clinical efficacy or safety trials have been requested by FDA for the
resubmission.
The Company remediated the issues raised in the
CRL by the FDA and received a BLA approval in August 2024.
As part of the definitive agreement with Dr. Reddy’s,
Citius Pharmaceuticals acquired method of use patents in which LYMPHIR is administered in combination with the programmed cell death protein
1 (“PD-1”) pathway inhibitor drug class. PD-1 plays a vital role in inhibiting immune responses and promoting self-tolerance
through modulating the activity of T-cells, activating apoptosis of antigen-specific T cells and inhibiting apoptosis of regulatory T
cells.
The following patents were acquired and subsequently
transferred to Citius Oncology, Inc.:
US Provisional Application No. 63/070,645, which
was filed on August 26, 2020, and subsequently published as US 2022/0062390 A1 on March 3, 2022, entitled Methods of Treating Cancer.
International Patent Application Number: PCT/IB2021/0576733,
which was filed with the World Intellectual Property Organization on August 23, 2021, and subsequently published as WO 2022/043863 A1
on March 3, 2022, entitled, Combination for Use in Methods of Treating Cancer.
Upon approval of the product in August 2024, the
Company was subject to milestone payments totaling $33.4 million. The Company paid $5.0 million prior to year end and the remaining balance
is reflected as a License Payable on the balance sheet. The $33.4 million was recorded as in-process research and development asset and
will be subject to amortization as further discussed in Note 3.
5. STOCKHOLDER’S EQUITY
Authorized Capital Stock and Stock Split
On April 29, 2023, the Company amended its certificate
of incorporation, (the “Prior Charter”) to authorize an increase in the total number of shares of capital stock to 110,000,000
shares, of which 100,000,000 shares are common stock with a par value of $0.0001, and 10,000,000 shares are preferred stock with a par
value of $0.0001. On July 5, 2023, the Board of Directors approved a 675,000-for-1 stock split of the outstanding 100 shares of common
stock. The certificate of incorporation adopted on August 5, 2024, in connection with the Merger, also authorizes 110,000,000 shares,
of which 100,000,000 shares are common stock with a par value of $0.0001, and 10,000,000 shares are preferred stock with a par value of
$0.0001.
All share and per share amounts in these financial
statements have been retroactively restated to reflect the amendment to the certificate of incorporation and the stock split.
Stock Plan
Under the Citius Oncology Stock Plan, adopted
on April 29, 2023, we reserved 15,000,000 common shares for issuance. The stock plan provides incentives to employees, directors, and
consultants through grants of options, SARs, dividend equivalent rights, restricted stock, restricted stock units, or other rights.
The fair value of each stock option award is estimated
on the date of grant using the Black-Scholes option pricing model. Volatility is estimated using the trading activity of Citius Pharmaceuticals
common stock. until such time as we have sufficient history. The risk-free interest rate is based on the U.S. Treasury yield curve in
effect at the time of grant commensurate with the expected term assumption.
The expected term of stock options granted to employees and directors, all of which qualify as “plain vanilla,” is based on
the average of the contractual term (generally 10 years) and the vesting period. For non-employee options, the expected term is the
contractual term.
The following assumptions were used in determining
the fair value of stock option grants for the year ended September 30, 2024 and 2023:
| | 2024 | | | 2023 | |
Risk-free interest rate | | | 4.66 | % | | | 4.11 | % |
Expected dividend yield | | | 0.00 | % | | | 0.00 | % |
Expected term | | | 6.50 years | | | | 5.96 years | |
Expected volatility | | | 87 | % | | | 91 | % |
A summary of option activity under the plan is presented below:
| | Shares | | | Weighted- Average Exercise Price | | | Weighted- Average Remaining Contractual Term | | | Aggregate Intrinsic Value | |
Outstanding at September 30, 2023 | | | 12,600,000 | | | $ | 2.15 | | | | 9.77 years | | | $ | — | |
Granted | | | 150,000 | | | | 2.15 | | | | | | | | | |
Forfeited | | | - | | | | | | | | | | | | | |
Outstanding at September 30, 2024 | | | 12,750,000 | | | $ | 2.15 | | | | 8.78 years | | | $ | — | |
Exercisable at September 30, 2024 | | | 3,937,500 | | | $ | 2.15 | | | | 8.77 years | | | $ | — | |
The weighted average grant date fair value of
the options granted during the year ended September 30, 2024 was estimated at $1.66 per share. All these options vest over terms of 12
to 36 months and have a term of 10 years.
Stock-based compensation expense for the year
ended September 30, 2024 was $7,498,817.
At September 30, 2024, unrecognized total compensation
cost related to unvested awards under the stock plan of $11,592,383 is expected to be recognized over a weighted average period of 1.77
years.
On August 5, 2024, the Board of Directors granted
options to purchase 150,000 common shares at an exercise price of $2.15 per share.
6. RELATED PARTY TRANSACTIONS
The Company’s officers and directors also
serve as officers of Citius Pharma. As of September 30, 2024, the Company does not have any employees. The Company and Citius Pharma entered
into the A&R Shared Services Agreement. Under the terms of the agreement, Citius Pharma provides management and scientific services
to the Company. During the year ended September 30, 2024, Citius Pharma charged the Company $1,846,202 for reimbursement of general and
administrative payroll, $1,963,630 for reimbursement of research and development payroll, and $121,570 for the use of shared office space.
During the year ended September 30, 2023, Citius charged the Company $1,727,595 for reimbursement of general and administrative payroll,
$1,496,401 for reimbursement of research and development payroll, and $121,470 for the use of shared office space.
The Company has limited cash, therefore all the
Company’s expenditures are paid by Citius Pharma and reflected in the due to related party account. During the years ended September
30, 2024 and September 30, 2023 these amounts due to Citius Pharma were $14,270,648 and $14,805,474 respectively.
In connection with closing of the Merger, Citius
Pharma made a contribution to the Company’s capital in the amount of $33,180,961 representing the balance of the due to/due from
related party account on the date of the Merger. Citius Pharma also made cash contributions to the Company’s capital, pursuant to
the terms of the Merger Agreement, in the amount of $3,827,944.
Also, in connection with the Merger, Citius Pharma
advanced cash to the Company for a non-interest bearing, unsecured promissory note issued by the Company, dated August 16, 2024, in the
principal amount of $3,800,111. The note is repayable in full upon a financing of at least $10 million by the Company, per the terms of
the promissory note. Management does not anticipate such repayment within the next twelve months. As a result, this note payable is classified
as non-current on the balance sheet.
7. INCOME TAXES
The Company files consolidated income tax returns
with Citius Pharma. The Company recorded deferred income tax expense of $576,000 for each of the years ended September 30, 2024 and 2023
related to the amortization for taxable purposes of its in-process research and development asset.
The income tax expense differs from the amount
of income tax determined by applying the U.S. federal income tax rate to pretax income for the years ended September 30, 2023 and 2022
due to the following:
| |
2024 | | |
2023 | |
Computed “expected” tax benefit | |
| (21 | )% | |
| (21 | )% |
Increase (decrease) in income taxes resulting from: | |
| | | |
| | |
State taxes, net of federal benefit | |
| (7.1 | ) | |
| (7.1 | ) |
Permanent differences | |
| 6.1 | | |
| 2.6 | |
Increase in the valuation reserve | |
| 24.8 | | |
| 30.3 | |
| |
| 2.8 | % | |
| 4.8 | % |
Deferred income taxes reflect the net tax effects
of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used
for income tax purposes. Significant components of the Company’s deferred tax assets and liabilities are as follows:
| |
September 30,
2024 | | |
September 30,
2023 | |
Deferred tax assets: | |
| | |
| |
Net operating loss carryforward | |
$ | 7,530,000 | | |
$ | 4,646,000 | |
Capitalized research and development expense | |
| 2,080,000 | | |
| 1,073,000 | |
Stock-based compensation | |
| 1,091,000 | | |
| 239,000 | |
Research tax credit | |
| 1,035,000 | | |
| 850,000 | |
Valuation allowance on deferred tax assets | |
| (11,736,000 | ) | |
| (6,808,000 | ) |
Total deferred tax assets | |
| | | |
| | |
Deferred tax liabilities: | |
| | | |
| | |
In-process research and development | |
| (1,728,000 | ) | |
| (1,152,000 | ) |
Total deferred tax liability | |
| (1,728,000 | ) | |
| (1,152,000 | ) |
Net deferred tax liability | |
$ | (1,728,000 | ) | |
$ | (1,152,000 | ) |
The Company has recorded a valuation allowance
against deferred tax assets as the utilization of the net operating loss carryforward and other deferred tax assets is uncertain. During
the years ended September 30, 2024 and 2023, the valuation allowance increased by $4,928,000 and $4,043,000, respectively. The increase
in the valuation allowance during the years ended September 30, 2024 and 2023 was primarily due to the Company’s net operating losses
and capitalized research and development expenses. At September 30, 2024, the Company has a federal net operating loss carryforward
of approximately $28,700,000. Federal net operating loss carryforwards generated in tax years beginning after 2017 may be carried forward
indefinitely.
As of September 30, 2024, the Company also has
estimated federal research and development credits of $1,035,000 to offset future income taxes. The tax credit carryforwards will begin
to expire in 2042.
The Company accounts for uncertain tax positions
in accordance with the guidance provided in ASC 740, “Accounting for Income Taxes.” This guidance describes a recognition
threshold and measurement attribute for the financial statement disclosure of tax positions taken or expected to be taken in a tax return
and requires recognition of tax benefits that satisfy a more-likely-than-not threshold. ASC 740 also provides guidance on de-recognition,
classification, interest and penalties, accounting in interim periods and disclosure. There have been no reserves for uncertain tax positions
recorded by the Company to date.
8. COMMITMENTS AND CONTINGENCIES
Commercial Manufacturing Contracts
The Company has entered into an agreement with
a Contract Manufacturing Organization for the manufacture and supply of drug substance. The agreement runs through calendar 2026, with
an automatic renewal for a subsequent 4-year term. Under this agreement, the Company is obligated to purchase minimum annual quantities
of batches at a set price per batch, subject to annual increases.
Additionally, the Company is required to pay
an annual service fee of $250,000. The agreement also includes provisions for potential price increases
based on increases in the manufacturer’s operating expenses or industry indices, as well as significant termination fees and obligations.
As of September 30, 2024, the total minimum purchase commitment under this agreement was approximately $17.3 million consisting of payments
of $11.9 million and $5.4 million for 2025 and 2026 respectively.
As of September 30, 2024, the Company also has commercial supply agreements
with two other vendors for the completion and packaging of finished drug products. Minimum purchase commitments under these two agreements
amount to approximately $4.5 million consisting of purchase commitment obligations of $2.9 million in 2025 and $1.6 million in 2026.
Legal Proceedings
The Company is not involved in any litigation that it believes could have a material adverse effect on its financial
position or results of operations. There is no action, suit, proceeding, inquiry, or investigation before or by any court, public board,
government agency, self-regulatory organization or body pending or, to the knowledge of the Company’s executive officers, threatened
against or affecting the Company or its officers or directors in their capacities as such.
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Exhibit 4.2
Description of Registrant’s Securities
Registered Under Section 12 of the Securities Exchange Act of 1934
The following description summarizes the material
terms of our capital stock as of the date of this Annual Report on Form 10-K. Because it is only a summary, it does not contain all the
information that may be important to you. For a complete description of our capital stock, you should refer to our Certificate of Incorporation
and our Bylaws, and to the provisions of applicable Delaware law.
As used in this exhibit, the terms “Citius
Oncology, Inc.”, the “Company”, “we”, “us”, and “our” mean Citius Oncology, Inc.
General
Our authorized capital stock consists of 100,000,000
shares of Common Stock, par value $0.0001 (the “Common Stock”), of which 71,552,402 shares were issued and outstanding as
of September 30, 2024, and 10,000,000 shares of preferred stock, none of which are issued and outstanding.
Our preferred stock and/or Common Stock may be
issued from time to time without prior approval by our stockholders. Our preferred stock and/or Common Stock may be issued for such consideration
as may be fixed from time to time by our Board of Directors (the “Board”).
Common Stock
We are authorized to issue 100,000,000 shares
of Common Stock, $0.0001 par value. The holders of a majority of the shares entitled to vote, present in person or represented by proxy
shall constitute a quorum at all meetings of our stockholders. Our Common Stock does not provide preemptive, subscription or conversion
rights and there are no redemption or sinking fund provisions or rights. The holders of our Common Stock are not entitled to cumulative
voting for election of the Board.
Holders of Common Stock are entitled to receive
ratably such dividends as may be declared by the Board out of funds legally available therefor, as well as any distributions to the security
holders. We have never paid cash dividends on our Common Stock, and do not expect to pay such dividends in the foreseeable future.
In the event of a liquidation, dissolution or
winding up of our company, holders of Common Stock are entitled to share ratably in all of our assets remaining after payment of liabilities.
Anti-Takeover effects of Delaware law and the Company’s Certificate
of Incorporation and Bylaws
Some provisions of Delaware law, our Certificate of Incorporation and
Bylaws contain provisions that could make the following transactions more difficult: an acquisition of the Company by means of a tender
offer; an acquisition of the Company by means of a proxy contest or otherwise; or the removal of the Company’s incumbent officers
and directors. It is possible that these provisions could make it more difficult to accomplish or could deter transactions that stockholders
may otherwise consider to be in their best interest or in the Company’s best interests, including transactions which provide for
payment of a premium over the market price for the Company’s shares.
These provisions, summarized below, are intended to discourage coercive
takeover practices and inadequate takeover bids. These provisions are also designed to encourage persons seeking to acquire control of
the Company to first negotiate with the Board. We believe that the benefits of the increased protection of our potential ability to negotiate
with the proponent of an unfriendly or unsolicited proposal to acquire or restructure the Company outweigh the disadvantages of discouraging
these proposals because negotiation of these proposals could result in an improvement of their terms.
Authorized but Unissued Shares
The Certificate of Incorporation provides for authorized but unissued
shares of Common Stock and preferred stock for future issuance without stockholder approval, subject to rules of the securities exchange
on which the Common Stock is listed. These additional shares may be utilized for a variety of corporate purposes, including future public
offerings to raise additional capital, corporate acquisitions and employee benefit plans. The existence of authorized but unissued shares
of Common Stock and preferred stock could render more difficult or discourage an attempt to obtain control of a majority of Common Stock
by means of a proxy contest, tender offer, merger or otherwise.
Stockholder meetings
The Certificate of Incorporation provides
that if Citius Pharmaceuticals, Inc., which holds approximately 92.3% of the voting power of the Company, ceases to
beneficially own more than 50% of the voting power of the then-outstanding shares of stock entitled to vote generally in the
election of directors (the “Trigger Event,”), a special meeting of stockholders may be called only by the Board, chair
of the Board, or the chief executive officer.
Requirements for advance notification
of stockholder nominations and proposals
The Bylaws establish advance notice procedures with respect to stockholder
proposals to be brought before a stockholder meeting and the nomination of candidates for election as directors, other than nominations
made by or at the direction of the Board or a committee of the Board.
Elimination of stockholder action by
written consent
The Certificate of Incorporation expressly eliminates the right of
the stockholders to act by written consent after the Trigger Event. After the Trigger Event, stockholder action must take place at the
annual or a special meeting of stockholders.
Staggered Board
The Certificate of Incorporation provides that the Board is divided
into three classes. The directors in each class will serve for a three-year term, with one class being elected each year by the stockholders.
This system of electing directors may discourage a third party from attempting to obtain control of the Company, because it generally
makes it more difficult for stockholders to replace a majority of the directors.
Removal of directors
The Certificate of Incorporation provides that after the Trigger Event,
no member of the Board may be removed from office except for cause and, in addition to any other vote required by law, upon the approval
of not less than two-thirds of the total voting power of all of the Company’s outstanding voting stock then entitled to vote in
the election of directors.
Stockholders not entitled to cumulative voting
The Certificate of Incorporation does not permit stockholders to cumulate
their votes in the election of directors. Accordingly, the holders of a majority of the outstanding shares of Common Stock who are entitled
to vote in any election of directors can elect all of the directors standing for election, if they choose, other than any directors that
holders of the Company’s preferred stock, if any, may be entitled to elect.
Delaware anti-takeover statute
Until the occurrence of the Trigger Event, the Certificate of Incorporation
provides that the Company is not subject to Section 203 of the Delaware General Corporation Law (“DGCL”), an anti-takeover
law. In general, Section 203 prohibits a publicly held Delaware corporation from engaging in a business combination, such as a merger,
with an “interested stockholder” (which includes a person or group owning 15% or more of the corporation’s voting stock)
for a period of three years following the date the person became an interested stockholder, unless (with certain exceptions) the business
combination or the transaction in which the person became an interested stockholder is approved in a prescribed manner. Accordingly, the
Company is not subject to any anti-takeover effects of Section 203 until the occurrence of the Trigger Event.
Exclusive Forum
Unless the Company consents in
writing to the selection of an alternative forum, the Court of Chancery of the State of Delaware (or, if and only if the Court of Chancery
of the State of Delaware lacks subject matter jurisdiction, any state court located within
the State of Delaware or, if and only if all such state courts lack subject matter jurisdiction, the federal district court for the District
of Delaware) and any appellate court therefrom, shall, to the fullest extent permitted by law, be
the sole and exclusive forum for:
| ● | any derivative action or proceeding brought on behalf of the Company, |
| ● | any action asserting a claim of breach of a fiduciary duty owed by any current or former director,
officer, employee or stockholder of the Company to the Company or its stockholders, |
| ● | any action asserting a claim against the Company or any current or former director, officer,
employee or stockholder of the Company arising pursuant to any provision of the DGCL or of the Certificate of Incorporation or the Bylaws
(as either may be amended and/or restated from time to time), |
| ● | any claim or cause of action seeking to interpret, apply, enforce or determine the validity
of the Certificate of Incorporation or the Bylaws (each as may be amended from time to time, including any right, obligation or remedy
thereunder), |
| ● | any action or proceeding asserting a claim against the Company or any current or former director,
officer, employee or stockholder of the Company as to which the DGCL confers jurisdiction to the Court of Chancery of the State of Delaware,
or |
| ● | any action asserting an “internal corporate claim,” as that term is defined in Section
115 of the DGCL. |
The exclusive forum provision
does not apply to claims arising under the Exchange Act of 1934, as amended, or any other claim for which the federal courts have exclusive
jurisdiction.
The Certificate of Incorporation
and the Bylaws further provide that, unless Company consents in writing to the selection of an alternative
forum, the federal district courts of the U.S. are the exclusive forum for resolving any
complaint asserting a cause of action arising under the Securities Act of 1933, as amended. There is uncertainty as to whether a court
would enforce such a provision relating to causes of action arising under the Securities Act of 1933, as amended, and investors cannot
waive compliance with the federal securities laws and the rules and regulations thereunder.
Amendment of Certificate of Incorporation provisions
The provisions of Delaware law, the Certificate of Incorporation and
the Bylaws could have the effect of discouraging others from attempting hostile takeovers and, as a consequence, they may also inhibit
temporary fluctuations in the market price of Common Stock that often result from actual or rumored hostile takeover attempts. These provisions
may also have the effect of preventing changes in the composition of the Board and management.
It is possible that these provisions could make it more difficult to accomplish transactions that stockholders may otherwise deem to be
in their best interests.
The Certificate of Incorporation provides that, after the Trigger Event,
the affirmative vote of the holders of at least two-thirds of the total voting power of the Company’s outstanding shares entitled
to vote thereon, voting as a single class, is required to amend certain provisions relating to related to the Board, written consent of
stockholders in lieu of a meeting, special meetings of stockholders, limitation on liability,
corporate opportunities and competition, exclusive forum, Section 203 of the DGCL and amendments.
Amendment of Bylaws
The Certificate of Incorporation and Bylaws provide that after the
Trigger Event, the Bylaws may only be amended by the Board or by the affirmative vote of holders of at least two-thirds of the total voting
power of the Company’s outstanding shares entitled to vote thereon, voting as a single
class. Additionally, the Certificate of Incorporation will provide that the Bylaws may be adopted, amended, altered or repealed by the
Board.
Transfer Agent and Registrar
The transfer agent and registrar for Common Stock is American Stock
Transfer & Trust Company, LLC. The transfer agent and registrar’s address is 6201 15th Ave, Brooklyn, NY 11219.
The Nasdaq Capital Market Listing
The Common
Stock is listed on the Nasdaq Capital Market under the symbol “CTOR”.
4
Exhibit
10.3
CITIUS ONCOLOGY,
INC.
2023 omnibus STOCK
INCENTIVE PLAN
Approved by the Board: April
29, 2023
Approved by the Stockholders:
April 29, 2023
1. Purposes
of the Plan. The purposes of this Plan are to attract and retain the best available personnel; to provide additional incentives to
Employees, Directors and Consultants to contribute to the successful performance of the Company and any Related Entity; to promote the
growth of the market value of the Company’s Common Stock; to align the interests of Grantees with those of the Company’s stockholders;
and to promote the success of the Company’s business.
2. Definitions.
The following definitions will apply as used herein and in all individual Award Agreements except as a term may be otherwise defined in
an individual Award Agreement. In the event a term is separately defined in an individual Award Agreement, such definition will supersede
the definition contained in this Section 2.
(a) “Administrator”
means the Plan Administrator as described in Section 4.
(b) “Applicable
Laws” means the legal requirements relating to the Plan and the Awards under applicable provisions of federal and state
securities laws, the corporate laws of Delaware, and, to the extent other than Delaware, the corporate law of the state of the Company’s
incorporation, the Code, the rules of any applicable stock exchange or national market system, and the rules of any non-U.S. jurisdiction
applicable to Awards granted to residents therein.
(c) “Assumed”
means, with respect to an Award, that pursuant to a Corporate Transaction either (i) the Award is expressly affirmed as continuing
in effect by the Company or (ii) the contractual obligations represented by the Award are expressly assumed (and not simply by operation
of law) by the successor entity or its Parent in connection with the Corporate Transaction with appropriate adjustments to the number
and type of securities of the successor entity or its Parent subject to the Award and the exercise or purchase price thereof which at
least preserves the compensation element of the Award existing at the time of the Corporate Transaction as determined in accordance with
the instruments evidencing the agreement to assume the Award.
(d) “Award”
means the grant of an Option, SAR, Dividend Equivalent Right, Restricted Stock, Restricted Stock Unit, or other right or benefit under
the Plan.
(e) “Award
Agreement” means the written agreement evidencing the grant of an Award executed by the Company and the Grantee, including
any amendments thereto.
(f) “Board”
means the Board of Directors of the Company.
(g) “Cause”
means, with respect to the termination by the Company or a Related Entity of a Grantee’s Continuous Service:
(i) that
such termination is for “Cause” as such term (or word of like import) is expressly defined in a then-effective written employment
agreement, consulting agreement, service agreement or other similar agreement between the Grantee and the Company or such Related Entity,
provided, however, that with regard to any agreement that defines “Cause” on the occurrence of or in connection with a Corporate
Transaction, such definition of “Cause” will not apply until a Corporate Transaction actually occurs; or
(ii) in
the absence of such then-effective written agreement and definition, is based on, in the determination of the Administrator: (A) the Grantee’s
performance of any act, or failure to perform any act, in bad faith and to the detriment of the Company or a Related Entity; (B) the Grantee’s
dishonesty, intentional misconduct or material breach of any agreement with the Company or a Related Entity; (C) the Grantee’s material
breach of any noncompetition, confidentiality or similar agreement with the Company or a Related Entity, as determined under such agreement;
(D) the Grantee’s commission of a crime involving dishonesty, breach of trust, or physical or emotional harm to any person; (E)
if the Grantee is an Employee or Consultant, the Grantee’s engaging in acts or omissions constituting gross negligence, misconduct
or a willful violation of a Company or a Related Entity policy which is or is reasonably expected to be materially injurious to the Company
and/or a Related Entity; or (F) if the Grantee is an Employee, the Grantee’s failure to follow the reasonable instructions of the
Board or such Grantee’s direct supervisor, which failure, if curable, is not cured within 10 days after notice to such Grantee or,
if cured, recurs within 180 days.
(h) “Code”
means the Internal Revenue Code of 1986, as amended, or any successor statute.
(i) “Committee”
means the Compensation Committee of the Board or another committee appointed by the Board to administer the Plan in accordance with Section
4(a) below.
(j) “Common
Stock” means the Company’s voting common stock, par value $0.0001 per share.
(k) “Company”
means Citius Oncology, Inc., a Delaware corporation, or any successor entity that adopts the Plan in connection with a Corporate Transaction.
(l) “Consultant”
means any person (other than an Employee or a Director, solely with respect to rendering services in such person’s capacity as a
Director) who is engaged by the Company or any Related Entity to render consulting or advisory services to the Company or such Related
Entity.
(m) “Continuous
Service” means that the provision of services to the Company or a Related Entity in any capacity of Employee, Director or
Consultant is not interrupted or terminated. In jurisdictions requiring notice in advance of an effective termination as an Employee,
Director or Consultant, Continuous Service will be deemed terminated upon the actual cessation of providing services to the Company or
a Related Entity notwithstanding any required notice period that must be fulfilled before a termination as an Employee, Director or Consultant
can be effective under Applicable Laws. A Grantee’s Continuous Service will be deemed to have terminated either upon an actual termination
of Continuous Service or upon the entity for which the Grantee provides services ceasing to be a Related Entity. Continuous Service will
not be considered interrupted in the case of (i) any approved leave of absence, (ii) transfers among the Company, any Related
Entity, or any successor in any capacity of Employee, Director or Consultant, or (iii) any change in status as long as the individual
remains in the service of the Company or a Related Entity in any capacity of Employee, Director or Consultant (except as otherwise provided
in the Award Agreement). An approved leave of absence for purposes of this Plan will include sick leave, military leave, or any other
authorized personal leave, so long as the Company or Related Entity has a reasonable expectation that the individual will return to provide
services for the Company or Related Entity, and provided further that the leave does not exceed six months, unless the individual has
a statutory or contractual right to re-employment following a longer leave. For purposes of each Incentive Stock Option granted under
the Plan, if such leave exceeds three months, and reemployment upon expiration of such leave is not guaranteed by statute or contract,
then the Incentive Stock Option will be treated as a Non-Statutory Stock Option beginning on the day three months and one day following
the expiration of such three month period.
(n) “Corporate
Transaction” means any of the following transactions, provided, however, that the Administrator will determine under parts
(ii), (iii) and (iv) whether multiple transactions are related, and its determination will be final, binding and conclusive:
(i) a
merger or consolidation in which the Company is not the surviving entity, except for a transaction the principal purpose of which is to
change the state in which the Company is incorporated;
(ii) the
sale, transfer or other disposition of all or substantially all of the assets of the Company;
(iii) any
reverse merger or series of related transactions culminating in a reverse merger (including, but not limited to, a tender offer followed
by a reverse merger) in which the Company is the surviving entity but (A) the Shares outstanding immediately prior to such merger
are converted or exchanged by virtue of the merger into other property, whether in the form of securities, cash or otherwise, or (B) in
which securities possessing more than 50% of the total combined voting power of the Company’s outstanding securities are transferred
to a person or persons different from those who held such securities immediately prior to such merger or the initial transaction culminating
in such merger;
(iv) acquisition
in a single or series of related transactions by any person or related group of persons (other than the Company or by a Company-sponsored
employee benefit plan) of beneficial ownership (within the meaning of Rule 13d-3 of the Exchange Act) of securities possessing more than
50% of the total combined voting power of the Company’s outstanding securities; or
(v) the
complete liquidation or dissolution of the Company.
(o) “Data”
has the meaning set forth in Section 22 of this Plan.
(p) “Director”
means a member of the Board or the board of directors of any Related Entity.
(q) “Disability”
means a “disability” (or word of like import) as defined under the long-term disability policy of the Company or the Related
Entity to which the Grantee provides services regardless of whether the Grantee is covered by such policy. If the Company or the Related
Entity to which the Grantee provides service does not have a long-term disability plan in place, “Disability” means that a
Grantee is unable to carry out the responsibilities and functions of the position held by the Grantee by reason of any medically determinable
physical or mental impairment for a period of not less than 90 consecutive days. A Grantee will not be considered to have incurred a Disability
unless he or she furnishes proof of such impairment sufficient to satisfy the Administrator.
(r) “Disqualifying
Disposition” means any disposition (including any sale) of Common Stock received upon exercise of an Incentive Stock Option
before either (i) two years after the date the Employee was granted the Incentive Stock Option, or (ii) one year after the date the Employee
acquired Common Stock by exercising the Incentive Stock Option. If the Employee has died before such stock is sold, these holding period
requirements do not apply and no Disqualifying Disposition can occur thereafter.
(s) “Dividend
Equivalent Right” means a right entitling the Grantee to compensation measured by ordinary dividends paid with respect to
Common Stock.
(t) “Effective
Date” means the date on which the Plan is approved by the Company’s stockholders.
(u) “Employee”
means any person, including an Officer or Director, who is in the employ of the Company or any Related Entity, subject to the control
and direction of the Company or any Related Entity as to both the work to be performed and the manner and method of performance. The payment
of a director’s fee by the Company or a Related Entity to an individual will not be sufficient to make such individual an “Employee”
of the Company or a Related Entity.
(v) “Exchange
Act” means the Securities Exchange Act of 1934, as amended.
(w) “Fair
Market Value” means, as of any date, the value of the Common Stock determined as follows.
(i) If
the Common Stock is listed on one or more established stock exchanges or national market systems, including without limitation The NASDAQ
Global Select Market, The NASDAQ Global Market, or The NASDAQ Capital Market of The NASDAQ Stock Market LLC, its Fair Market Value will
be the closing sales price for such stock (or the closing bid, if no sales were reported) as quoted on the principal exchange or system
on which the Common Stock is listed (as determined by the Administrator) on the date of determination (or, if no closing sales price or
closing bid was reported on that date, as applicable, on the last trading date such closing sales price or closing bid was reported),
as reported in The Wall Street Journal or such other source as the Administrator deems reliable;
(ii) If
the Common Stock is regularly quoted on an automated quotation system (including the OTC markets and systems maintained by OTC Markets
Group Inc.) or by a recognized securities dealer, its Fair Market Value will be the closing sales price for such stock as quoted on such
system or by such securities dealer on the date of determination, but if selling prices are not reported, the Fair Market Value of a Share
will be the mean between the high bid and low asked prices for the Common Stock on the date of determination (or, if no such prices were
reported on that date, on the last date such prices were reported), as reported in The Wall Street Journal or such other source as the
Administrator deems reliable; or
(iii) In
the absence of an established market for the Common Stock of the type described in (i) and (ii), above, the Fair Market Value thereof
will be determined by the Administrator in good faith by application of a reasonable valuation method consistently applied and taking
into consideration all available information material to the value of the Company in a manner in compliance with Section 409A, or in the
case of an Incentive Stock Option, in a manner in compliance with Section 422 of the Code.
(x) “Grantee”
means an Employee, Director or Consultant who receives an Award under the Plan.
(y) “Incentive
Stock Option” means an Option intended to qualify as an incentive stock option within the meaning of Section 422 of
the Code.
(z) “Non-Statutory
Stock Option” means an Option that either (i) is not intended to qualify as an Incentive Stock Option, or (ii) fails to
qualify as an Incentive Stock Option.
(aa) “Officer” means
a person who is an officer of the Company or a Related Entity within the meaning of Section 16 of the Exchange Act and the rules
and regulations promulgated thereunder.
(bb) “Option” means
an option to purchase one or more Shares pursuant to an Award Agreement granted under the Plan.
(cc) “Parent” means
a “parent corporation,” whether now or hereafter existing, as defined in Section 424(e) of the Code.
(dd) “Performance Award”
means an Award under the Plan in which the vesting or other realization of the Award by a Grantee is subject to the achievement of certain
performance criteria over the course of a Performance Period, all as determined by the Administrator in accordance with Section 6(d) below.
(ee) “Performance Period”
means the time period established by the Administrator during which specified performance criteria must be met in connection with the
a Performance Award.
(ff) “Plan” means this
Citius Oncology, Inc. 2023 Omnibus Stock Incentive Plan, as the same may be amended from time to time.
(gg) “Post-Termination Exercise Period”
means the period specified in the Award Agreement of not less than 30 days commencing on the date of termination (other than termination
by the Company or any Related Entity for Cause) of the Grantee’s Continuous Service, or such longer period as may be applicable
upon death or Disability.
(hh) “Related Entity”
means any Parent or Subsidiary of the Company.
(ii) “Restricted
Stock” means Shares issued under the Plan to the Grantee for such consideration, if any, and subject to such restrictions
on transfer, rights of first refusal, repurchase provisions, forfeiture provisions, and other terms and conditions as established by the
Administrator.
(jj) “Restricted Stock Units”
means an Award which may be earned in whole or in part upon the passage of time or the attainment of performance criteria established
by the Administrator and which may be settled for cash, Shares or other securities or a combination of cash, Shares or other securities
as established by the Administrator.
(kk) “Rule 16b-3”
means Rule 16b-3 promulgated by the Securities and Exchange Commission pursuant to the Exchange Act, as such rule may be amended
from time to time, and includes any successor provisions thereto.
(ll) “SAR” means a stock
appreciation right entitling the Grantee to Shares or cash compensation, as established by the Administrator, measured by appreciation
in the value of Common Stock.
(mm) “Section 409A”
means Section 409A of the Code, the Treasury Regulations and other guidance issued thereunder by the United States Department of the Treasury
(whether issued before or after the Effective Date), and all state laws of similar effect.
(nn) “Share” means a
share of the Common Stock.
(oo) “Subsidiary”
means a “subsidiary corporation,” whether now or hereafter existing, as defined in Section 424(f) of the Code.
(pp) “Tax Obligations”
means all federal, state, local and foreign income tax, social insurance, payroll tax, fringe benefits tax, or other tax-related liabilities
related to a Grantee’s participation in the Plan and the receipt of any benefits hereunder, as determined under the Applicable Laws.
3. Stock
Subject to the Plan.
(a) Subject
to adjustment as described in Section 13 below, the maximum aggregate number of Shares which may be issued pursuant to all Awards is 15,000,000
Shares. The Shares may be authorized, but unissued, or reacquired Common Stock.
(b) Any
Shares covered by an Award (or portion of an Award) which is forfeited, canceled or expires (whether voluntarily or involuntarily) will
be deemed not to have been issued for purposes of determining the maximum aggregate number of Shares which may be issued under the Plan,
except that the maximum aggregate number of Shares which may be issued pursuant to the exercise of Incentive Stock Options will not exceed
the number specified in Section 3(a). Shares that actually have been issued under the Plan pursuant to an Award will not be returned to
the Plan and will not become available for future issuance under the Plan, except that if unvested Shares are forfeited or repurchased
by the Company, such Shares will become available for future grant under the Plan.
(c) In the
event any Option or other Award granted under the Plan is exercised through the tendering of Shares (either actually or through attestation),
or in the event tax withholding obligations are satisfied by tendering or withholding Shares, any Shares so tendered or withheld will
not again be available for Awards under the Plan. To the extent that cash is delivered in lieu of Shares upon the exercise of an SAR pursuant
to Section 6(m), the Company will be deemed, for purposes of applying the limitation on the number of shares, to have issued the total
number of Shares subject to such SAR. Shares reacquired by the Company on the open market or otherwise using cash proceeds from the exercise
of Options will not be available for Awards under the Plan.
4. Administration
of the Plan.
(a) Plan
Administrator.
(i) Administration
with Respect to Directors and Officers. With respect to grants of Awards to Directors or Employees who are also Officers or Directors
of the Company, the Plan will be administered by (A) the Board or (B) a Committee designated by the Board, which Committee will
be constituted in such a manner as to satisfy the Applicable Laws and to permit such grants and related transactions under the Plan to
be exempt from Section 16(b) of the Exchange Act in accordance with Rule 16b-3. Once appointed, such Committee will continue to serve
in its designated capacity until otherwise directed by the Board.
(ii) Administration
With Respect to Consultants and Other Employees. With respect to grants of Awards to Employees or Consultants who are neither Directors
nor Officers of the Company, the Plan will be administered by (A) the Board or (B) a Committee designated by the Board, which Committee
will be constituted in such a manner as to satisfy the Applicable Laws. Once appointed, such Committee will continue to serve in its designated
capacity until otherwise directed by the Board.
(b) Multiple
Administrative Bodies. The Plan may be administered by different bodies with respect to Directors, Officers, Consultants, and Employees
who are neither Directors nor Officers.
(c) Powers
of the Administrator. Subject to Applicable Laws and the provisions of the Plan (including any other powers given to the Administrator
hereunder), and except as otherwise provided by the Board, the Administrator will have the authority, in its discretion:
(i) to
select the Employees, Directors and Consultants to whom Awards may be granted from time to time hereunder;
(ii) to
determine whether and to what extent Awards are granted hereunder;
(iii) to
determine the number of Shares or the amount of other consideration to be covered by each Award granted hereunder;
(iv) to
determine the vesting schedule (if any) applicable to Awards;
(v) to
accelerate vesting on any Award or to waive any forfeiture restrictions applicable thereto or to waive any other limitation or restriction
with respect to an Award;
(vi) to
approve forms of Award Agreements for use under the Plan;
(vii) to
determine the type, terms and conditions of any Award granted hereunder;
(viii) to
establish additional terms, conditions, rules or procedures to accommodate the rules or laws of applicable non-U.S. jurisdictions and
to afford Grantees favorable treatment under such rules or laws; provided, however, that no Award will be granted under any such additional
terms, conditions, rules or procedures with terms or conditions which are inconsistent with the provisions of the Plan;
(ix) to
amend the terms of any outstanding Award granted under the Plan, subject to Section 16(a)(v) below; provided that any amendment that would
materially adversely affect the Grantee’s rights under an outstanding Award will not be made without the Grantee’s written
consent; provided, however, that an amendment or modification that may cause an Incentive Stock Option to become a Non-Statutory Stock
Option will not be treated as adversely affecting the rights of the Grantee;
(x) to
construe and interpret the terms of the Plan and Awards, including without limitation, any notice of award or Award Agreement, granted
pursuant to the Plan;
(xi) to
make other determinations as provided in this Plan; and
(xii) to
take such other action, not inconsistent with the terms of the Plan, as the Administrator deems appropriate.
The express grant in the Plan of any specific power
to the Administrator will not be construed as limiting any power or authority of the Administrator; provided that the Administrator may
not exercise any right or power reserved to the Board. Any decision made, or action taken, by the Administrator or in connection with
the administration of this Plan will be final, conclusive and binding on all persons having an interest in the Plan.
(d) Indemnification.
In addition to such other rights of indemnification as they may have as members of the Board or as Officers or Employees of the Company
or a Related Entity, members of the Board and any Officers or Employees of the Company or a Related Entity to whom authority to act for
the Board, the Administrator or the Company is delegated will be defended and indemnified by the Company to the extent permitted by law
on an after-tax basis against all reasonable expenses, including attorneys’ fees, actually and necessarily incurred in connection
with the defense of any claim, investigation, action, suit or proceeding, or in connection with any appeal therein, to which they or any
of them may be a party by reason of any action taken or failure to act under or in connection with the Plan, or any Award granted hereunder,
and against all amounts paid by them in settlement thereof (provided such settlement is approved by the Company) or paid by them in satisfaction
of a judgment in any such claim, investigation, action, suit or proceeding, except in relation to such liabilities, costs, and expenses
as may arise out of, or result from, the bad faith, gross negligence, willful misconduct, or criminal acts of such persons; provided,
however, that within 30 days after the institution of such claim, investigation, action, suit or proceeding, such person will offer to
the Company, in writing, the opportunity at the Company’s expense to defend the same.
5. Eligibility.
Awards other than Incentive Stock Options may be granted to Employees, Directors, and Consultants of the Company or any Related Entity.
Incentive Stock Options may be granted only to Employees of the Company or a Related Entity. An Employee, Director, or Consultant who
has been granted an Award may, if otherwise eligible, be granted additional Awards. Awards may be granted to such Employees, Directors,
or Consultants who are residing in non-U.S. jurisdictions as the Administrator may determine from time to time.
6. Terms
and Conditions of Awards.
(a) Types
of Awards. The Administrator is authorized under the Plan to award any type of arrangement to an Employee, Director or Consultant
that is not inconsistent with the provisions of the Plan and that by its terms involves or might involve the issuance of (i) Shares,
(ii) cash or (iii) an Option, an SAR, or similar right with a fixed or variable price related to the Fair Market Value of the
Shares and with an exercise or conversion privilege related to the passage of time, the occurrence of one or more events, or the satisfaction
of performance criteria or other conditions. Such awards include, without limitation, Options, SARs, Restricted Stock, Restricted Stock
Units, Dividend Equivalent Rights, and Performance Awards. An Award may consist of one such security or benefit, or two or more of them
in any combination or alternative.
(b) Designation
of Award. Each Award will be evidenced by an Award Agreement in form and substance satisfactory to the Administrator. The type of
each Award will be designated in the Award Agreement. In the case of an Option, the Option will be designated as either an Incentive Stock
Option or a Non-Statutory Stock Option. Notwithstanding such designation, however, to the extent that the aggregate Fair Market Value
of the Shares with respect to which Incentive Stock Options are exercisable for the first time by a Grantee during any calendar year (under
all plans of the Company and any Parent or Subsidiary) exceeds $100,000, such Options will be treated as Non-Statutory Stock Options,
and for this purpose (i) Incentive Stock Options will be taken into account in the order in which they were granted, (ii) the Fair Market
Value of the Shares will be determined as of the time the Option with respect to such Shares is granted, and (iii) calculation will be
performed in accordance with Code Section 422 and Treasury Regulations promulgated thereunder. Any Option granted which fails to
satisfy the requirements of the Applicable Laws for treatment as an Incentive Stock Option will be a Non-Statutory Stock Option.
(c) Conditions
of Award. Subject to the terms of the Plan, the Administrator will determine the provisions, terms, and conditions of each Award including,
but not limited to, the Award vesting schedule, repurchase provisions, rights of first refusal, forfeiture provisions, form of payment
(cash, Shares, or other consideration) upon settlement of the Award, payment contingencies, and satisfaction of any performance criteria
that may be established by the Administrator.
(d) Performance
Awards. The Administrator may issue Performance Awards under the Plan in accordance with this Section 6(d).
(i) The
performance criteria for any Performance Awards will be established by the Administrator and may include, but are not limited to, any
one of, or combination of, the following criteria:
| (A) | Net earnings or net income (before or after taxes); |
| (E) | Return measures (including, but not limited to, return on assets, capital, equity, or sales); |
| (F) | Cash flow (including, but not limited to, operating cash flow, free cash flow, and cash flow return on capital); |
| (H) | Earnings before or after taxes, interest, depreciation, and/or amortization; |
| (I) | Gross or operating margins; |
| (K) | Share price (including, but not limited to, growth measures and total stockholder return); |
| (L) | Expense targets or ratios; |
| (N) | Improvement in or attainment of revenue levels; |
| (S) | Improvement in or attainment of expense levels; |
| (T) | Improvement in or attainment of working capital levels; |
| (W) | Regulatory, clinical, or manufacturing milestones; and |
| (X) | Consummation of acquisitions, dispositions, projects or other specific events or transactions. |
(ii) Performance
criteria may be measured on an absolute (e.g., plan or budget) or relative basis, and may be established on a corporate-wide basis or
with respect to one or more business units, divisions, subsidiaries or business segments, or may be established on an individual basis.
Relative performance may be measured against a group of peer companies, a financial market index or other acceptable objective and quantifiable
indices. If the Administrator determines that a change in the business, operations, corporate structure or capital structure of the Company,
or the manner in which the Company conducts its business, or other events or circumstances render the performance objectives unsuitable,
the Administrator may modify the minimum acceptable level of achievement, in whole or in part, as the Administrator deems appropriate
and equitable. Performance objectives may be adjusted for material items not originally contemplated in establishing the performance target
for items resulting from discontinued operations, extraordinary gains and losses, the effect of changes in accounting standards or principles,
acquisitions or divestitures, changes in tax rules or regulations, capital transactions, restructuring, nonrecurring gains or losses or
unusual items. Performance measures may vary from Performance Award to Performance Award, and from Grantee to Grantee, and may be established
on a stand-alone basis, in tandem or in the alternative. The Administrator will have the authority to impose such other restrictions on
as it may deem necessary or appropriate to ensure that Performance Awards satisfy all requirements of any applicable law, stock market
or exchange rules and regulations, and accounting or tax rules and regulations.
(iii) The
Administrator will determine the duration of the Performance Period, the performance criteria on which performance will be measured, and
the amount and terms of payment/vesting upon achievement of such criteria.
(iv) Following
the completion of each Performance Period, the Administrator will certify in writing whether the applicable performance criteria have
been achieved for the Performance Awards for such Performance Period. In determining the amounts earned by a Grantee pursuant to an Award
issued pursuant to this Section 6(d), the Administrator will have the right to (A) adjust the amount payable at a given level of performance
to take into account additional factors that the Administrator may deem relevant to the assessment of individual or corporate performance
for the Performance Period, (B) determine what actual Award, if any, will be paid in the event of a Corporate Transaction or in the event
of a termination of employment following a Corporate Transaction prior to the end of the Performance Period, and (C) determine what actual
Award, if any, will be paid in the event of a termination of employment other than as the result of a Grantee’s death or Disability
prior to a Corporate Transaction and prior to the end of the Performance Period.
(v) Unless
otherwise determined by the Administrator, payment of the Award to a Grantee will be paid following the end of the Performance Period,
or if later, the date on which any applicable contingency or restriction has ended.
(e) Acquisitions
and Other Transactions. The Administrator may issue Awards under the Plan in settlement, assumption or substitution for, outstanding
awards or obligations to grant future awards in connection with the Company or a Related Entity acquiring another entity, an interest
in another entity or an additional interest in a Related Entity whether by merger, stock purchase, asset purchase or other form of transaction.
(f) Deferral
of Award Payment. The Administrator may establish one or more programs under the Plan to permit selected Grantees the opportunity
to elect to defer receipt of consideration upon exercise of an Award, satisfaction of performance criteria, or other event that absent
the election would entitle the Grantee to payment or receipt of Shares or other consideration under an Award. The Administrator may establish
the election procedures, the timing of such elections, the mechanisms for payments of, and accrual of interest or other earnings, if any,
on amounts, Shares or other consideration so deferred, and such other terms, conditions, rules and procedures that the Administrator deems
advisable for the administration of any such deferral program.
(g) Separate
Programs. The Administrator may establish one or more separate programs under the Plan for the purpose of issuing particular forms
of Awards to one or more classes of Grantees on such terms and conditions as determined by the Administrator from time to time.
(h) Non-Employee
Director Award Limits. The maximum number of Shares subject to Awards granted during a single fiscal year to any non-employee Director,
taken together with any cash fees paid during the fiscal year to the non-employee Director, in respect of the Director’s service
as a member of the Board during such year (including service as a member or chair of any committees of the Board), will not exceed $2,000,000
in total value (calculating the value of any such Awards based on the grant date fair value of such Awards for financial reporting purposes).
The independent members of the Board may make exceptions to this limit for a non-executive chair of the Board, provided that the non-employee
Director receiving such additional compensation may not participate in the decision to award such compensation.
(i) Early
Exercise. An Award Agreement may, but need not, include a provision whereby the Grantee may elect at any time while an Employee, Director
or Consultant to exercise any part or all of the Award prior to full vesting of the Award. Any unvested Shares received pursuant to such
exercise may be subject to a repurchase right in favor of the Company or a Related Entity or to any other restriction the Administrator
determines to be appropriate.
(j) Term
of Award. The term of each Award will be the term stated in the Award Agreement, provided, however, that the term will be no more
than 10 years from the date of grant thereof. However, in the case of an Incentive Stock Option granted to a Grantee who, at the time
the Option is granted, owns stock representing more than 10% of the voting power of all classes of stock of the Company or any Related
Entity, the term of the Incentive Stock Option will be five years from the date of grant thereof or such shorter term as may be provided
in the Award Agreement. Notwithstanding the foregoing, the specified term of any Award will not include any period for which the Grantee
has elected to defer the receipt of the Shares or cash issuable pursuant to the Award.
(k) Transferability
of Awards. Unless the Administrator provides otherwise, no Award may be sold, pledged, assigned, hypothecated, transferred, or disposed
of in any manner other than by will or by the laws of descent or distribution and may be exercised, during the lifetime of the Grantee,
only by the Grantee. Notwithstanding the foregoing, the Grantee may designate one or more beneficiaries of the Grantee’s Award in
the event of the Grantee’s death on a beneficiary designation form provided by the Administrator.
(l) Time
of Granting Awards. The date of grant of an Award will for all purposes be the date on which the Administrator makes the determination
to grant such Award, or such other later date as is determined by the Administrator.
(m) Stock
Appreciation Rights. An SAR may be granted (i) with respect to any Option granted under this Plan, either concurrently with the grant
of such Option or at such later time as determined by the Administrator (as to all or any portion of the Shares subject to the Option),
or (ii) alone, without reference to any related Option. Each SAR granted by the Administrator under this Plan will be subject to the following
terms and conditions. Each SAR granted to any Grantee will relate to such number of Shares as determined by the Administrator, subject
to adjustment as provided in Section 13. In the case of an SAR granted with respect to an Option, the number of Shares to which the SAR
pertains will be reduced in the same proportion that the holder of the Option exercises the related Option. The exercise price of an SAR
will be determined by the Administrator at the date of grant but may not be less than 100% of the Fair Market Value of the Shares subject
thereto on the date of grant. Subject to the right of the Administrator to deliver cash in lieu of Shares (which, as it pertains to Officers
and Directors of the Company, will comply with all applicable requirements of the Exchange Act), the number of Shares which will be issuable
upon the exercise of an SAR will be determined by dividing:
(i) the
number of Shares as to which the SAR is exercised multiplied by the amount of the appreciation in such Shares (for this purpose, the “appreciation”
will be the amount by which the Fair Market Value of the Shares subject to the SAR on the exercise date exceeds (A) in the case of an
SAR related to an Option, the exercise price of the Shares under the Option or (B) in the case of an SAR granted alone, without reference
to a related Option, an amount which will be determined by the Administrator at the time of grant, subject to adjustment under Section
13); by
(ii) the
Fair Market Value of a Share on the exercise date.
In lieu of issuing Shares upon the exercise of an SAR, the Administrator
may elect to pay the holder of the SAR cash equal to the Fair Market Value on the exercise date of any or all of the Shares which would
otherwise be issuable. No fractional Shares will be issued upon the exercise of an SAR; instead, the holder of the SAR will be entitled
to receive a cash adjustment equal to the same fraction of the Fair Market Value of a Share on the exercise date or to purchase the portion
necessary to make a whole share at its Fair Market Value on the date of exercise. The exercise of an SAR related to an Option will be
permitted only to the extent that the Option is exercisable under Section 11 on the date of surrender. Any Incentive Stock Option surrendered
pursuant to the provisions of this Section 6(m) will be deemed to have been converted into a Non-Statutory Stock Option immediately prior
to such surrender.
7. Award
Exercise or Purchase Price, Consideration and Taxes.
(a) Exercise
or Purchase Price. The exercise or purchase price, if any, for an Award will be as follows.
(i) In
the case of an Incentive Stock Option:
(1) granted
to an Employee who, at the time of the grant of such Incentive Stock Option owns stock representing more than 10% of the voting power
of all classes of stock of the Company or any Related Entity, the per Share exercise price will be not less than 110% of the Fair Market
Value per Share on the date of grant; or
(2) granted
to any Employee other than an Employee described in the preceding paragraph, the per Share exercise price will be not less than 100% of
the Fair Market Value per Share on the date of grant.
(ii) In
the case of a Non-Statutory Stock Option, the per Share exercise price will be not less than 100% of the Fair Market Value per Share on
the date of grant.
(iii) In
the case of other Awards, such price as is determined by the Administrator.
(iv) Notwithstanding
the foregoing provisions of this Section 7(a), in the case of an Award issued pursuant to Section 6(e), above, the exercise or purchase
price for the Award will be determined in accordance with the provisions of the relevant instrument evidencing the agreement to issue
such Award and the Applicable Laws.
(b) Consideration.
Subject to Applicable Laws, the consideration to be paid for the Shares to be issued upon exercise or purchase of an Award, including
the method of payment, will be determined by the Administrator. In addition to any other types of consideration the Administrator may
determine, the Administrator is authorized to accept as consideration for Shares issued under the Plan the following:
(i) cash;
(ii) check;
(iii) surrender
of Shares or delivery of a properly executed form of attestation of ownership of Shares as the Administrator may require which have a
Fair Market Value on the date of surrender or attestation equal to the aggregate exercise price of the Shares as to which said Award will
be exercised;
(iv) with
respect to Options, payment through a broker-dealer sale and remittance procedure pursuant to which the Grantee (A) provides written instructions
to a broker-dealer acceptable to the Company to effect the immediate sale of some or all of the purchased Shares and remit to the Company
sufficient funds to cover the aggregate exercise price payable for the purchased Shares and (B) provides written directives to the Company
to deliver the certificates (or other evidence satisfactory to the Company to the extent that the Shares are uncertificated) for the purchased
Shares directly to such broker-dealer in order to complete the sale transaction;
(v) with
respect to Options, payment through a “net exercise” such that, without the payment of any funds, the Grantee may exercise
the Option and receive the net number of Shares equal to (i) the number of Shares as to which the Option is being exercised, multiplied
by (ii) a fraction, the numerator of which is the Fair Market Value per Share (on such date as is determined by the Administrator)
less the Exercise Price per Share, and the denominator of which is such Fair Market Value per Share; or
(vi) any
combination of the foregoing methods of payment.
The Administrator may at any time or from time to
time, by adoption of or by amendment to the standard forms of Award Agreement described in Section 4(c)(vi), or by other means, grant
Awards which do not permit all of the foregoing forms of consideration to be used in payment for the Shares or which otherwise restrict
one or more forms of consideration.
8. Notice
to Company of Disqualifying Disposition. Each Employee who receives an Incentive Stock Option must agree to notify the Company in
writing immediately after the Employee makes a Disqualifying Disposition of any Common Stock acquired pursuant to the exercise of an Incentive
Stock Option.
9. Tax
Withholding.
(a) Prior
to the delivery of any Shares or cash pursuant to an Award (or the exercise thereof), or at such other time as the Tax Obligations are
due, the Company, in accordance with the Code and any Applicable Laws, will have the power and the right to deduct or withhold, or require
a Grantee to remit to the Company, an amount sufficient to satisfy all Tax Obligations. The Administrator may condition such delivery,
payment, or other event pursuant to an Award on the payment by the Grantee of any such Tax Obligations.
(b) The
Administrator, pursuant to such procedures as it may specify from time to time, may designate the method or methods by which a Grantee
may satisfy the Tax Obligations. As determined by the Administrator from time to time, these methods may include one or more of the following:
(i) paying
cash;
(ii) electing
to have the Company withhold cash or Shares deliverable to the Grantee having a Fair Market Value equal to the amount required to be withheld;
(iii) delivering
to the Company already-owned Shares having a Fair Market Value equal to the amount required to be withheld or remitted, provided the delivery
of such Shares will not result in any adverse accounting consequences as the Administrator determines;
(iv) selling
a sufficient number of Shares otherwise deliverable to the Grantee through such means as the Administrator may determine (whether through
a broker or otherwise) equal to the Tax Obligations required to be withheld;
(v) retaining
from salary or other amounts payable to the Grantee cash having a sufficient value to satisfy the Tax Obligations; or
(vi) any
other means which the Administrator determines to both comply with Applicable Laws, and to be consistent with the purposes of the Plan.
The amount of Tax Obligations will be deemed to include any amount
that the Administrator determines may be withheld at the time the election is made, not to exceed the amount determined by using the maximum
federal, state, local and foreign marginal income tax rates applicable to the Grantee or the Company, as applicable, with respect to the
Award on the date that the amount of tax or social insurance liability to be withheld or remitted is to be determined. The Fair Market
Value of the Shares to be withheld or delivered will be determined as of the date that the Tax Obligations are required to be withheld.
10. Rights
As a Stockholder.
(a) Restricted
Stock. Except as otherwise provided in any Award Agreement, a Grantee will not have any rights of a stockholder with respect to any
of the Shares granted to the Grantee under an Award of Restricted Stock (including the right to vote or receive dividends and other distributions
paid or made with respect thereto). No dividends or Dividend Equivalent Rights will be paid in respect of any unvested Award of Restricted
Stock, unless and until such Shares vest.
(b) Other
Awards. In the case of Awards other than Restricted Stock, a Grantee will not have any rights of a stockholder, nor will dividends
or Dividend Equivalent Rights accrue or be paid, with respect to any of the Shares granted pursuant to such Award until the Award is exercised
or settled and the Shares are delivered (as evidenced by the appropriate entry on the books of the Company or of a duly authorized transfer
agent of the Company).
11. Exercise
of Award.
(a) Procedure
for Exercise.
(i) Any
Award granted hereunder will be exercisable at such times and under such conditions as determined by the Administrator under the terms
of the Plan and as specified in the Award Agreement.
(ii) An
Award will be deemed to be exercised when written notice of such exercise has been given to the Company in accordance with the terms of
the Award by the person entitled to exercise the Award and full payment for the Shares with respect to which the Award is exercised has
been made in compliance with the terms of the Award Agreement and the Plan.
(b) Exercise
of Award Following Termination of Continuous Service. In the event of termination of a Grantee’s Continuous Service for any
reason other than Disability or death, such Grantee may, but only during the Post-Termination Exercise Period (but in no event later than
the expiration date of the term of such Award as set forth in the Award Agreement), exercise the portion of the Grantee’s Award
that was vested at the date of such termination (or such greater portion of the Grantee’s Award as may be determined by the Administrator).
Unless otherwise provided in the applicable Award Agreement, the Grantee’s right to exercise the Award will terminate concurrently
with the termination of Grantee’s Continuous Service for Cause. In the event of a Grantee’s change of status from Employee
to Consultant, an Employee’s Incentive Stock Option will convert automatically to a Non-Statutory Stock Option on the day three
months and one day following such change of status. Unless otherwise determined by the Administrator, the unvested portion of a Grantee’s
Award will terminate as of the date of termination. In addition, if the Grantee does not exercise the vested portion of the Grantee’s
Award within the Post-Termination Exercise Period, the Award will terminate upon the conclusion of the Post-Termination Exercise Period.
(c) Disability
of Grantee. In the event of termination of a Grantee’s Continuous Service as a result of his or her Disability, such Grantee
may, but only within 12 months from the date of such termination (or such longer period as specified in the Award Agreement but in no
event later than the expiration date of the term of such Award as set forth in the Award Agreement), exercise the portion of the Grantee’s
Award that was vested at the date of such termination; provided, however, that if such Disability is not a “disability” as
such term is defined in Section 22(e)(3) of the Code, in the case of an Incentive Stock Option such Incentive Stock Option will automatically
convert to a Non-Statutory Stock Option on the day three months and one day following such termination. Unless otherwise determined by
the Administrator, the unvested portion of a Grantee’s Award will terminate as of the date of such termination. In addition, if
the Grantee does not exercise the vested portion of the Grantee’s Award within the period specified in the Award Agreement following
such termination, the Award will terminate upon the conclusion of such period.
(d) Death
of Grantee. In the event of a termination of the Grantee’s Continuous Service as a result of his or her death, or in the event
of the death of the Grantee during the Post-Termination Exercise Period or during the 12-month period following the Grantee’s termination
of Continuous Service as a result of his or her Disability, the Grantee’s estate or a person who acquired the right to exercise
the Award by bequest or inheritance may exercise the portion of the Grantee’s Award that was vested as of the date of termination,
within 12 months from the date of death (or such longer period as specified in the Award Agreement but in no event later than the expiration
of the term of such Award as set forth in the Award Agreement). Unless otherwise determined by the Administrator, the unvested portion
of a Grantee’s Award will terminate as of the date of the Grantee’s death. In addition, if the Grantee’s estate or a
person who acquired the right to exercise the Award by bequest or inheritance does not exercise the vested portion of the Grantee’s
Award within the period specified in the Award Agreement following the Grantee’s death, the Award will terminate upon the conclusion
of such period.
(e) Extension
if Exercise Prevented by Law. Notwithstanding the foregoing, if the exercise of an Award within the applicable time periods set forth
in this Section 11 is prevented by the provisions of Section 12 below, the Award will remain exercisable until 30 days after
the date the Grantee is notified by the Company that the Award is exercisable, but in any event no later than 30 days immediately following
the expiration of the term of such Award as set forth in the Award Agreement.
12. Conditions
Upon Issuance of Shares; Manner of Issuance of Shares.
(a) If at
any time the Administrator determines that the delivery of Shares pursuant to the exercise, vesting or any other provision of an Award
is or may be unlawful under Applicable Laws, the vesting or right to exercise an Award or to otherwise receive Shares pursuant to the
terms of an Award will be suspended until the Administrator determines that such delivery is lawful and will be further subject to the
approval of counsel for the Company with respect to such compliance. The Company will have no obligation to effect any registration or
qualification of the Shares under any Applicable Law.
(b) As a
condition to the exercise of an Award, the Company may require the person exercising such Award to represent and warrant at the time of
any such exercise that the Shares are being purchased only for investment and without any present intention to sell or distribute such
Shares if, in the opinion of counsel for the Company, such a representation is required by any Applicable Laws.
(c) Subject
to the Applicable Laws and any governing rules or regulations, the Company will issue or cause to be issued the Shares acquired pursuant
to an Award and will deliver such Shares to or for the benefit of the Grantee by means of one or more of the following as determined by
the Administrator: (i) by delivering to the Grantee evidence of book entry Shares credited to the account of the Grantee, (ii) by depositing
such Shares for the benefit of the Grantee with any broker with which the Grantee has an account relationship, or (iii) by delivering
such Shares to the Grantee in certificate form.
(d) No fractional
Shares will be issued pursuant to any Award under the Plan; any Grantee who would otherwise be entitled to receive a fraction of a Share
upon exercise or vesting of an Award will receive from the Company cash in lieu of such fractional Shares in an amount equal to the Fair
Market Value of such fractional Shares, as determined by the Administrator.
13. Adjustments.
Subject to any required action by the stockholders of the Company, the number of Shares covered by each outstanding Award, and the number
of Shares which have been authorized for issuance under the Plan but as to which no Awards have yet been granted or which have been returned
to the Plan, the exercise or purchase price of each such outstanding Award, as well as any other terms that the Administrator determines
require adjustment will be proportionately adjusted for (i) any increase or decrease in the number of issued and outstanding Shares
resulting from a stock split, reverse stock split, stock dividend, combination or reclassification of the Shares, or similar transaction
affecting the Shares, (ii) any other increase or decrease in the number of issued and outstanding Shares effected without receipt
of consideration by the Company, or (iii) any other transaction with respect to the Company’s Common Stock including a corporate
merger, consolidation, acquisition of property or stock, separation (including a spin-off or other distribution of stock or property),
reorganization, liquidation (whether partial or complete) or any similar transaction; provided, however that conversion of any convertible
securities of the Company will not be deemed to have been “effected without receipt of consideration.” Such adjustment will
be made by the Administrator and its determination will be final, binding and conclusive. Except as the Administrator determines, no issuance
by the Company of shares of stock of any class, or securities convertible into shares of stock of any class, will affect, and no adjustment
by reason hereof will be made with respect to, the number or price of Shares subject to an Award.
14. Corporate
Transactions.
(a) Unless
otherwise set forth in an Award Agreement, if a Corporate Transaction occurs and Grantees’ Awards remain outstanding after the Corporate
Transaction (or are assumed by, or converted to similar awards with equivalent value as of the date of the Corporate Transaction of, the
surviving corporation (or a parent or subsidiary of the surviving corporation)), and the Grantee incurs an involuntary separation from
service by the Company or a Related Entity or successor other than for Cause during a period specified by the Committee, (i) all outstanding
Options and SARs will automatically accelerate and become fully exercisable, (ii) any restrictions and conditions on outstanding Restricted
Stock will immediately lapse, and (iii) Awards of Restricted Stock Units or of other rights or benefits will become payable. In such event,
Performance Awards that are based on performance goals will vest and be payable as determined by the Committee.
(b) Unless
otherwise set forth in an Award Agreement, if a Corporate Transaction occurs and Grantees’ Awards do not remain outstanding after
the Corporate Transaction (and are not assumed by, or converted to similar awards with equivalent value as of the date of the Corporate
Transaction of, the surviving corporation (or a parent or subsidiary of the surviving corporation)), (i) all outstanding Options and SARs
will immediately vest and become exercisable, (ii) any restrictions on Restricted Stock will immediately lapse, and (iii) Awards of Restricted
Stock Units or of other rights or benefits will become payable as of the date of the Corporate Transaction. In that event, Performance
Awards that are based on performance goals will vest and be payable as determined by the Committee.
(c) Notwithstanding
the foregoing, the Committee may establish such other terms and conditions relating to the effect of a Corporate Transaction on Awards
as the Committee deems appropriate. In addition to other actions, in the event of a Corporate Transaction, the Committee may take any
one or more of the following actions with respect to any or all outstanding Awards, without the consent of any Grantee: (i) the Committee
may determine that outstanding Awards will be assumed by, or replaced with awards that have comparable terms by, the surviving corporation
(or a parent or subsidiary of the surviving corporation); (ii) the Committee may determine that outstanding Options and SARs will automatically
accelerate and become fully exercisable, and the restrictions and conditions on outstanding Restricted Stock will immediately lapse; (iii)
the Committee may determine that Grantees will receive a payment in settlement of outstanding Awards of Restricted Stock Units or of other
rights or benefits, in such amount and form as may be determined by the Committee; (iv) the Committee may terminate, or require that Grantees
surrender, outstanding Options and SARs in exchange for a payment by the Company, in cash or Shares as determined by the Committee, in
an amount equal to the amount, if any, by which the then Fair Market Value of the Shares subject to the Grantee’s unexercised Options
and SARs exceeds the exercise price, and (v) after giving Grantees an opportunity to exercise all of their outstanding Options and SARs,
the Committee may terminate any or all unexercised Options and SARs at such time as the Committee deems appropriate. Such surrender, termination
or payment will take place as of the date of the Corporate Transaction or such other date as the Committee may specify. Without limiting
the foregoing, if the per share Fair Market Value of the Shares does not exceed the per share exercise price of a given Award, the Company
will not be required to make any payment to the Grantee upon surrender or termination of the Option or SAR. Any acceleration, surrender,
termination, settlement or conversion will take place as of the date of the Corporate Transaction or such other date as the Committee
may specify.
(d) Any
Incentive Stock Option accelerated under this Section 14 in connection with a Corporate Transaction will remain exercisable as an Incentive
Stock Option under the Code only to the extent the $100,000 limitation of Section 422(d) of the Code is not exceeded.
15. Effective
Date and Term of Plan. The Plan will become effective upon the Effective Date, and will continue in effect for a term of 10 years
from the Effective Date unless sooner terminated by the Board. The expiration or termination of the Plan will not affect the terms or
conditions of any Award granted prior to such expiration or termination. Awards hereunder may be made at any time prior to the termination
of the Plan, except that no Incentive Stock Options will be granted after the tenth anniversary of the date on which the Plan was adopted
by the Board.
16. Amendment,
Suspension or Termination of the Plan.
(a) The
Board may at any time suspend or terminate the Plan, or amend the Plan in any respect, except that it may not, without the approval of
the stockholders obtained within 12 months before or after the Board adopts a resolution authorizing any of the following actions, do
any of the following:
(i) increase
the total number of shares that may be issued under the Plan (except by adjustment pursuant to Section 13);
(ii) modify
the provisions of Section 6 regarding eligibility for grants of Incentive Stock Options;
(iii) modify
the provisions of Section 7(a) regarding the exercise price at which shares may be offered pursuant to Options (except by adjustment pursuant
to Section 13);
(iv) extend
the expiration date of the Plan; and
(v) other
than pursuant to Section 13 or in connection with a Corporate Transaction, (A) lower the exercise price of an Option or SAR, (B) cancel
an Option or SAR when the exercise price per Share exceeds the Fair Market Value of a Share in exchange for cash or another Award, or
(C) take any other action with respect to an Option or SAR that would be treated as a repricing under the rules and regulations of the
principal U.S. national securities exchange on which the Shares are listed.
(b) No Award
may be granted during any suspension of the Plan or after termination of the Plan.
(c) No suspension
or termination of the Plan will materially adversely affect any rights under Awards already granted to a Grantee without his or her consent.
17. Reservation
of Shares.
(a) The
Company, during the term of the Plan, will at all times reserve and keep available such number of Shares as are sufficient to satisfy
the requirements of the Plan.
(b) The
inability of the Company to obtain authority from any regulatory body having jurisdiction, which authority is deemed by the Company’s
counsel to be necessary to the lawful issuance and sale of any Shares hereunder, will relieve the Company of any liability in respect
of the failure to issue or sell such Shares as to which such requisite authority has not been obtained.
18. No
Effect on Terms of Employment/Consulting Relationship. Neither the Plan nor any Award Agreement will confer upon any Grantee any right
with respect to the Grantee’s Continuous Service, nor will either interfere in any way with the Grantee’s right or the right
of the Company or a Related Entity to terminate the Grantee’s Continuous Service at any time, with or without Cause, and with or
without notice. The ability of the Company or any Related Entity to terminate the employment of a Grantee who is employed at will is in
no way affected by its determination that the Grantee’s Continuous Service has been terminated for Cause for the purposes of this
Plan.
19. No
Effect on Retirement and Other Benefit Plans. Except as specifically provided in a retirement or other benefit plan of the Company
or a Related Entity, Awards will not be deemed compensation for purposes of computing benefits or contributions under any retirement plan
of the Company or a Related Entity, and will not affect any benefits under any other benefit plan of any kind or any benefit plan subsequently
instituted under which the availability or amount of benefits is related to level of compensation. The Plan is not a “Retirement
Plan” or “Welfare Plan” under the Employee Retirement Income Security Act of 1974, as amended.
20. Information
to Grantees. The Company will provide to each Grantee, during the period for which such Grantee has one or more Awards outstanding,
such information as required by Applicable Laws.
21. Electronic
Delivery. The Administrator may decide to deliver any documents related to any Award granted under the Plan through an online or electronic
system established and maintained by the Company or another third party designated by the Company or to request a Grantee’s consent
to participate in the Plan by electronic means. By accepting an Award, each Grantee consents to receive such documents by electronic delivery
and agrees to participate in the Plan through an online or electronic system established and maintained by the Company or another third
party designated by the Company, and such consent will remain in effect throughout Grantee’s Continuous Service with the Company
and any Related Entity and thereafter until withdrawn in writing by Grantee.
22. Data
Privacy. The Administrator may decide to collect, use and transfer, in electronic or other form, personal data as described in this
Plan or any Award for the exclusive purpose of implementing, administering and managing participation in the Plan. By accepting an Award,
each Grantee acknowledges that the Company holds certain personal information about Grantee, including, but not limited to, name, home
address and telephone number, date of birth, social security number or other identification number, salary, nationality, job title, details
of all Awards awarded, cancelled, exercised, vested or unvested, for the purpose of implementing, administering and managing the Plan
(the “Data”). Each Grantee further acknowledges that Data may be transferred to any third parties assisting
in the implementation, administration and management of the Plan and that these third parties may be located in jurisdictions that may
have different data privacy laws and protections, and Grantee authorizes such third parties to receive, possess, use, retain and transfer
the Data, in electronic or other form, for the purposes of implementing, administering and managing the Plan, including any requisite
transfer of such Data as may be required to a broker or other third party with whom the recipient or the Company may elect to deposit
any Shares acquired upon any Award.
23. Application
of Section 409A. This Plan and the Awards granted hereunder will be construed and administered such that the Awards either qualify
for an exemption from the application of Section 409A or satisfy the requirements of Section 409A. If an Award is subject to Section 409A:
(i) distributions will only be made in a manner and upon an event permitted under Section 409A, (ii) payments to be made upon a termination
of employment will only be made upon a “separation from service” under Section 409A, (iii) payments to be made upon a Corporate
Transaction will only be made upon an event that qualifies as a “change in control event” under Section 409A (without giving
effect to any elective provisions permitted thereunder), and (iv) in no event will a Grantee, directly or indirectly, designate the calendar
year in which a distribution is made, except in accordance with Section 409A. Each payment in any series of installment payments under
an Award will be treated as a separate payment for purposes of Section 409A. Any Award granted under this Plan that is subject to Section
409A and that is to be distributed to a “specified employee” (as defined in Section 409A) upon a separation from service will
be administered so that any distribution with respect to such Award will be postponed for six months following the date of the Grantee’s
separation from service, if required by Section 409A. If a distribution is so delayed pursuant to Section 409A, the distribution will
be paid within 30 days after the end of the six-month period or the Grantee’s death, if earlier. Notwithstanding any provision of
the Plan to the contrary, in the event that following the Effective Date the Administrator determines that any Award may be subject to
Section 409A, the Administrator may adopt such amendments to the Plan and the applicable Award Agreement or adopt other policies and procedures,
or take any other actions, that the Administrator determines are necessary or appropriate to (A) exempt the Award from Section 409A and/or
preserve the intended tax treatment of the benefits provided with respect to the Award, or (B) comply with the requirements of Section
409A. Notwithstanding anything in the Plan or any Award Agreement to the contrary, each Grantee will be solely responsible for the tax
consequences of Awards, and in no event will the Company have any responsibility or liability if an Award does not meet any applicable
requirements of Section 409A. Although the Company intends to administer the Plan to avoid taxation under Section 409A, the Company does
not represent or warrant that the Plan or any Award is exempt from, or compliant with, Section 409A.
24. Unfunded
Obligation. Grantees will have the status of general unsecured creditors of the Company. Any amounts payable to Grantees pursuant
to the Plan will be unfunded and unsecured obligations for all purposes, including, without limitation, Title I of the Employee Retirement
Income Security Act of 1974, as amended. Neither the Company nor any Related Entity will be required to segregate any monies from its
general funds, or to create any trusts, or establish any special accounts with respect to such obligations. The Company will retain at
all times beneficial ownership of any investments, including trust investments, which the Company may make to fulfill its payment obligations
hereunder. Any investments or the creation or maintenance of any trust or any Grantee account will not create or constitute a trust or
fiduciary relationship between the Administrator, the Company or any Related Entity and a Grantee, or otherwise create any vested or beneficial
interest in any Grantee or the Grantee’s creditors in any assets of the Company or a Related Entity. The Grantees will have no claim
against the Company or any Related Entity for any changes in the value of any assets that may be invested or reinvested by the Company
with respect to the Plan.
25. Clawback/Repayment.
All Awards will be subject to reduction, cancellation, forfeiture or recoupment to the extent necessary to comply with (i) any applicable
clawback, forfeiture or other similar policy adopted by the Board and as in effect from time to time; and (ii) applicable law. Further,
to the extent that the Grantee receives any amount in excess of the amount that the Grantee should otherwise have received under the terms
of the Award for any reason (including, without limitation, by reason of a financial restatement, mistake in calculations or other administrative
error), the Grantee may be required to repay any such excess amount to the Company.
26. Construction.
Captions and titles contained herein are for convenience only and will not affect the meaning or interpretation of any provision of the
Plan. Except when otherwise indicated by the context, the singular includes the plural and the plural includes the singular. Use of the
term “or” is not intended to be exclusive, unless the context clearly requires otherwise.
Exhibit 19.1
CITIUS ONCOLOGY, INC.
INSIDER TRADING POLICY
and Guidelines with Respect to
Certain Transactions in Company Securities
___________________
This Policy provides guidelines to members of the
Board of Directors (“Board Member(s)”) and employees of Citius Oncology, Inc. and its subsidiaries (the “Company”)
with respect to transactions in the Company’s securities and the disclosure of material nonpublic information regarding the Company.
Applicability of Policy
This Policy applies to all transactions in the
Company’s securities, including common stock, options to purchase common stock, and any other securities the Company may issue from
time to time, such as preferred stock, warrants or debentures, as well as to derivative securities relating to the Company’s stock,
whether or not issued by the Company. It applies to all Board Members, all employees of the Company and its subsidiaries, and any consultants
to the Company and its subsidiaries who receive or have access to material, nonpublic information (“Inside Information”) regarding
the Company. This group of people, members of their immediate families, and members of their households are sometimes referred to in this
Policy as “Insiders.” This Policy also applies to any person who receives Inside Information from any Insider.
Any person who possesses Inside Information regarding
the Company is an Insider for so long as the information is material and not publicly known. Any person can be an Insider from time to
time, and would at those times be subject to this Policy.
Statement of Policy
It is the policy of the Company to oppose the misuse
of Inside Information in securities trading and the unauthorized disclosure of any nonpublic information acquired in the workplace.
1. Trading on Inside Information.
No Insider shall engage in any transaction involving a purchase or sale of the Company’s securities, including any offer to purchase
or offer to sell, during any period commencing with the date that he or she possesses Inside Information concerning the Company, and ending
at the close of business on the second Trading Day following the date of public disclosure of such information or at such time as such
information is no longer material. As used herein, the term “Trading Day” shall mean a day on which the stock exchange or
market on which the Company’s stock trades is open for trading.
2. Tipping. No Insider shall
disclose (“tip”) Inside Information to any other person (including family members) where such information may be used by such
person to his or her profit by trading in the securities of companies to which such information relates, nor shall such Insider or related
person make recommendations or express opinions on the basis of Inside Information as to trading in the Company’s securities.
3. Confidentiality of Nonpublic Information.
Nonpublic information relating to the Company is the property of the Company and the unauthorized disclosure of such information is forbidden.
Potential Criminal and Civil Liability
and/or Disciplinary Action
1. Liability
for Insider Trading. Insiders may be subject, in addition to disgorgement of profits (or of losses avoided), to penalties of up
to $5,000,000 and up to 20 years in prison for engaging in transactions in the Company’s securities at a time when they have knowledge
of Inside Information regarding the Company.
2. Liability
for Tipping. Insiders may also be liable for improper transactions by any person (commonly referred to as a “tippee”)
to whom they have disclosed Inside Information regarding the Company or to whom they have made recommendations or expressed opinions on
the basis of such information as to trading in the Company’s securities. Regulatory authorities have imposed large penalties even
when the disclosing person did not profit from the trading. The Securities and Exchange Commission, the stock exchanges and the Financial
Industry Regulatory Authority use sophisticated electronic surveillance techniques to uncover insider trading.
3. Possible
Disciplinary Actions. Employees of, and consultants to, the Company who violate this Policy shall also be subject to disciplinary
action by the Company, which may include, but is not limited to, ineligibility for future participation in the Company’s equity
incentive plans, termination and/or referral to appropriate law enforcement and regulatory authorities.
Recommended Guidelines
1. Black-Out
Period and Recommended Trading Window.
To ensure compliance with this Policy and applicable
federal and state securities laws, the Company strongly recommends that all persons having access to the Company’s internal financial
statements or other Inside Information refrain from conducting transactions involving the purchase or sale of the Company’s securities
other than during the following period (the “Trading Window”):
Trading Window: The period in any
fiscal quarter commencing at the close of business on the second Trading Day following the public disclosure of the financial results
for the prior fiscal quarter or year and ending at the close of business on the 15th day of the last month of the fiscal quarter.
The safest period for trading in the Company’s
securities, assuming the absence of Inside Information, is generally the first few Trading Days of the Trading Window. Periods outside
the Trading Window are particularly sensitive periods of time for transactions in the Company’s securities from the perspective
of compliance with applicable securities laws. This is due to the fact that executive officers, directors and certain other persons will,
as any quarter progresses, be increasingly likely to possess Inside Information about the expected financial results for the quarter.
The purpose behind the recommended Trading Window
is to help establish a diligent effort to avoid any improper transactions. An Insider may choose not to follow this suggestion, but he
or she should be particularly careful with respect to trading outside the Trading Window, since the Insider may, at such time, have access
to (or later be deemed to have had access to) Inside Information regarding, among other things, the Company’s anticipated financial
performance for the quarter.
It should be noted that even during the Trading
Window any person possessing Inside Information concerning the Company should not engage in any transactions in the Company’s securities
until such information has been known publicly for at least two Trading Days. Although the Company may from time to time recommend during
a Trading Window that directors, executive officers, selected employees and others suspend trading because of developments known to the
Company and not yet disclosed to the public, each person is individually responsible at all times for compliance with the prohibitions
against insider trading. Trading in the Company’s securities during the Trading Window should not be considered a “safe
harbor,” and Insiders should use good judgment at all times.
From time to time, the Company may recommend that
Insiders suspend trading because of developments known to the Company and not yet disclosed to the public. In such event, such persons
are advised not to engage in any transaction involving the purchase or sale of the Company’s securities during such period and should
not disclose to others the fact of such suspension of trading.
2. Hedging,
Margin Accounts and Collateral. Hedging or holding stock of the Company in margin accounts is strongly discouraged. Hedging can
have unintended consequences, and margin accounts authorize brokers to sell stock to cover amounts owed to them. A forced sale could occur
at a time when the individual has knowledge of Insider Information about the Company. A similar result can occur when Company stock is
pledged as collateral for a loan.
3. Preclearance
of Trades. The Company has determined that all executive officers, Board Members of the Company and the employees listed on Exhibit
A attached hereto, as amended from time to time, should refrain from trading in the Company’s securities, even during the Trading
Window, without first complying with the Company’s mandatory “preclearance” procedures, a copy of which is attached
hereto as Exhibit B. Executive officers, Board Members and employees listed on Exhibit A should contact the Company’s
Insider Trading Compliance Officer, currently the Company’s Chief Financial Officer, prior to initiating any purchase or sale of
the Company’s securities. The Company may also find it necessary, from time to time, to require compliance with the preclearance
process from certain employees, consultants and contractors in addition to executive officers, Board Members and the employees listed
on Exhibit A.
4. Individual
Responsibility. Every Insider has the individual responsibility to comply with this Policy against insider trading, regardless
of whether the Company has recommended a trading window to that Insider or any other Insiders of the Company. The guidelines set forth
in this Policy are guidelines only, and appropriate judgment should be exercised in connection with any trade in the Company’s securities.
An Insider may, from time to time, have to forego
a proposed transaction in the Company’s securities even if he or she planned to make the transaction before learning of the Inside
Information and even though the Insider believes he or she may suffer an economic loss or forego anticipated profit by waiting.
Applicability of Policy to Inside Information
Regarding Other Companies
This Policy and the guidelines described herein
also apply to Inside Information relating to other companies, including the Company’s collaborative partners, customers, vendors
or suppliers (“business partners”), when that information is obtained in the course of employment with, or other services
performed on behalf of, the Company. Civil and criminal penalties, and termination of employment, may result from trading on Inside Information
regarding the Company’s business partners. All Board Members, executive officers and employees should treat Inside Information about
the Company’s business partners with the same care as is required with respect to information relating directly to the Company.
Definition of Inside Information
“Inside Information,” for the purposes
of this Policy, is material, nonpublic information.
It is not possible to define all categories of
material information. However, information should be regarded as material if there is a reasonable likelihood that it would be considered
important to an investor in making an investment decision regarding the purchase or sale of the Company’s securities. Either positive
or negative information may be material. While it may be difficult under this standard to determine whether particular information is
material, there are various categories of information that are particularly sensitive and, as a general rule, should always be considered
material. Examples of such information may include:
| ● | Projections of future earnings or losses |
| ● | News of a pending or proposed merger or acquisition |
| ● | News of the acquisition or disposition of a product candidate |
| ● | Impending bankruptcy or financial liquidity problems |
| ● | Changes in dividend policy |
| ● | New product or service announcements of a significant nature |
| ● | Stock splits or cash or stock dividends |
| ● | New equity or debt offerings |
| ● | Significant litigation exposure due to actual or threatened litigation |
| ● | Major changes in senior management or the Board of Directors |
| ● | Listing status on an exchange or market |
Nonpublic information is information that has not
been previously disclosed to the general public and is otherwise not available to the general public.
Certain Exceptions
For purposes of this Policy, the Company considers
that the exercise of stock options for cash under the Company’s equity incentive plans (but not the sale of any such shares)
is exempt from this Policy, since the other party to the transaction is the Company itself and the price does not vary with the market
but is fixed by the terms of the option agreement or the plan. The Company does not exempt from this Policy the sale of stock received
under the Company’s stock option or other equity incentive plans (pursuant to stock options, restricted stock awards, stock bonuses
or otherwise) or any action taken by a participant pursuant to such plans (or awards thereunder) that results in the participant receiving
consideration based on the market price of the Company’s stock.
In addition, Rule 10b5-1 promulgated under the
Securities Exchange Act of 1934, as amended, provides affirmative defenses against insider trading claims if the person making the purchase
or sale demonstrates that:
| (A) | before becoming aware of the information, the person had: |
| (1) | entered into a binding contract to purchase or sell the security; |
| (2) | instructed another person to purchase or sell the security for the instructing person’s account; or |
| (3) | adopted a written plan for trading securities; and |
| (B) | such contract, instruction or plan must have: |
| (1) | specified the amount of securities to be purchased or sold
and the price at which and the date on which the securities were to be purchased and sold; |
| (2) | included a written formula or algorithm, or computer program, for determining the amount of securities to be purchased or sold and
the price at which and the date on which the securities were to be purchased or sold; or |
| (3) | did not permit the person to exercise any subsequent influence over how, when, or whether to effect purchases or sales; provided,
in addition, that any other person who, pursuant to the contract, instruction or plan, did exercise such influence must not have been
aware of the material nonpublic information when doing so; and |
| (C) | the purchase or sale that occurred was pursuant to the contract, instruction or plan. For example, a person will fail this requirement
if the person alters or deviates from the contract, instruction or plan to purchase or sell securities, whether by changing the amount,
price or timing of the purchase or sale, or if such person entered into or altered a corresponding or hedging transaction or position
with respect to those securities. |
Additional
Information – Board Members and Officers
Board Members and officers of the Company must
also comply with the reporting obligations and limitations on short-swing transactions set forth in Section 16 of the Securities
Exchange Act of 1934, as amended. Officers and Board Members may not purchase and sell (or sell and then purchase) the Company’s
securities at a profit within any six-month period whether or not they had knowledge of any Inside Information at that time. Neither the
receipt of an option under the Company’s equity plans, nor the exercise of that option, will be deemed a purchase under Section
16; however, the sale of any such shares is a sale under Section 16. Moreover, no officer or Board Member may ever make a short sale
of the Company’s stock. The Company has provided, or will provide, separate memoranda and other appropriate materials to its officers
and Board Members regarding compliance with Section 16 and its related rules.
Inquiries
Please direct your questions as to any of the matters
discussed in this Policy to the Company’s Insider Trading Compliance Officer, currently the Company’s Chief Financial Officer.
Adopted by the Board of Directors on August ___, 2024.
EXHIBIT A
Associates Requiring Preclearance
of Trades
Each member of the Board of Directors of the Company.
Each executive officer of the Company.
Each Associate who is a participant in the Management Incentive Program
(Bonus Program).
Each Associate who is a member of the Finance & Accounting Department.
Each Executive Assistant.
Each immediate family member or household member of the above.
EXHIBIT B
PRE-CLEARANCE AND COMPLIANCE
PROCEDURES
To ensure compliance with the accelerated reporting
requirements for reporting insider transactions in equity securities of Citius Oncology, Inc. (the “Company”) and to help
prevent in advance any inadvertent violations of the federal securities laws, and to avoid even the appearance of trading on inside information,
we are implementing the following:
1. Our
Mandatory Pre-clearance Procedure. Board Members and officers of the Company, its subsidiaries and any other persons designated under
our Insider Trading Policy or otherwise designated by our Board of Directors as being subject to the Company’s pre-clearance procedures,
together with their family members, may not engage in any transaction involving Company securities (including market or private purchases
or sales, option exercises, pledges, gifts, contributions to a trust, or any other transfers) without first obtaining pre-clearance of
the transaction from the Company’s Insider Trading Compliance Officer. A request for pre-clearance should be submitted to the Company’s
Insider Trading Compliance Officer, currently, the Company’s Chief Financial Officer, to be pre-cleared by the Insider Trading Compliance
Officer) at least two days in advance of the proposed transaction. The Company’s Insider Trading Compliance Officer will then determine
whether the transaction may proceed and, if so, assist in complying with the new reporting requirements.
Any person subject to the pre-clearance requirements
who wishes to implement a new trading plan under SEC Rule 10b5-1 must first pre-clear the plan with the Insider Trading Compliance Officer.
Transactions effected pursuant to a pre-cleared trading plan will not require further pre-clearance at the time of the transaction if
the plan specifies the dates, prices and amounts of the contemplated trades, or establishes a formula for determining the dates, prices
and amounts. Those transactions, however, must be reported immediately to the Insider Trading Compliance Officer.
2. Designated
Broker and New Broker Interface Procedures. The reporting of transactions will require tight interface with brokers handling transactions
for our insiders. A knowledgeable, alert broker can act as a gatekeeper, helping ensure compliance with our preclearance procedures and
helping prevent inadvertent violations.
We will require that you and your broker sign the
enclosed Broker Instruction/Representation which imposes two requirements on the broker handling your transaction in Company stock:
| (a) | Not to enter any order (except for orders under pre-approved Rule 10b5-1 plans) without |
| ● | first verifying with the Company that your transaction was
pre-cleared, and |
| ● | complying with the brokerage firm’s compliance procedures
(e.g., Rule 144); and |
| (b) | To report immediately to the Insider Trading Compliance Officer via telephone and in writing (via e-mail ) the details
of every transaction involving company stock, including gifts, transfers, pledges and all 10b5-1 transactions. |
Please sign and have your broker sign the enclosed Broker Instruction/Representation
Form and return it to us promptly so that we can work out with your broker in a coordinated procedure.
3. Broker-Assisted
Cashless Exercises of Options. The Sarbanes-Oxley Act makes it illegal for issuers to extend or maintain credit, or arrange for the
extension of credit in the form of a personal loan to any officer or Board Member. In most cashless exercises, there is typically a delay
of a few days from the time of exercise to the date the issuer receives the exercise price. Some attorneys have speculated that these
arrangements could be deemed an impermissible extension of credit arranged by issuers for their insiders. Consequently, unless and until
this issue gets resolved to our satisfaction, we must insist on receipt of cash simultaneous with any issuance of shares pursuant to exercise
of an option by an insider. We believe that most brokers can do cashless exercises for you this way.
Any person who has a question about these procedures
or its application to any proposed transaction may obtain additional guidance from the Insider Trading Compliance Officer currently the
Company’s Chief Financial Officer at (908) 967-6677, or from Lorna Knick or Alexander Donaldson at Wyrick Robbins, our outside counsel,
at (919) 781-4000.
4. Certifications.
All Board Members, officers and other Associates subject to the procedures set forth in this memorandum must certify their understanding
of, and intent to comply with, the procedures set forth in this memorandum. Please return the enclosed certification immediately.
Broker Instruction/Representation
[Name and Address of Broker]
Re: Citius Oncology, Inc.
Ladies and Gentlemen:
As my designated broker for effecting transactions
in the common stock of Citius Oncology, Inc. (the “Company”), I hereby instruct you to follow the following procedures in
connection with executing any trade or other transaction in Company securities on my behalf:
| 1. | Do not enter any order (except for orders under pre-approved Rule 10b5-1 plans) without |
| ● | first verifying with the Company that your transaction was
pre-cleared, and |
| ● | complying with your firm’s compliance procedures (e.g.,
Rule 144); and |
| 2. | Report immediately to the Company via telephone and in writing (via e-mail or fax) the details of every
transaction involving Company stock, including gifts, transfers, pledges and all 10b5-1 transactions. |
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Company contacts: |
Primary Contact: |
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[Signature Page Follows]
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Name of Insider |
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(Signature of Insider) |
The undersigned broker confirms receipt of this instruction letter
and agrees to comply with the terms hereof:
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(Signature of Authorized Signatory for Broker) |
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10
Exhibit 31.1
CERTIFICATION OF THE PRINCIPAL EXECUTIVE OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY
ACT OF 2002
I, Leonard Mazur, certify that:
| 1. | I have reviewed this Annual Report on Form 10-K of Citius Oncology, Inc.; |
| 2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary
to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period
covered by this report; |
| 3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this
report; |
| 4. | The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and
procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange
Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
| a) | designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision,
to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others
within those entities, particularly during the period in which this report is being prepared; |
| b) | designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under
our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements
for external purposes in accordance with generally accepted accounting principles; |
| c) | evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation;
and |
| d) | disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and |
| 5. | The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over
financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons
performing the equivalent functions): |
| a) | all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which
are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information;
and |
| b) | any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s
internal control over financial reporting. |
December 27, 2024 |
By: |
/s/ Leonard Mazur |
|
|
Leonard Mazur |
|
|
Chief Executive Officer and Chairman |
|
|
(Principal Executive Officer) |
Exhibit 31.2
CERTIFICATION OF THE PRINCIPAL EXECUTIVE OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY
ACT OF 2002
I, Jaime Bartushak, certify that:
| 1. | I have reviewed this Annual Report on Form 10-K of Citius Oncology, Inc.; |
| 2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary
to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period
covered by this report; |
| 3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this
report; |
| 4. | The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and
procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange
Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
| a) | designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision,
to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others
within those entities, particularly during the period in which this report is being prepared; |
| b) | designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under
our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements
for external purposes in accordance with generally accepted accounting principles; |
| c) | evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation;
and |
| d) | disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and |
| 5. | The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over
financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons
performing the equivalent functions): |
| a) | all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which
are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information;
and |
| b) | any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s
internal control over financial reporting. |
December 27, 2024 |
By: |
/s/ Jaime Bartushak |
|
|
Jaime Bartushak |
|
|
Chief Financial Officer |
|
|
(Principal Financial Officer and |
|
|
Principal Accounting Officer) |
Exhibit 32.1
CERTIFICATION OF THE PRINCIPAL EXECUTIVE OFFICER
AND THE PRINCIPAL FINANCIAL OFFICER
PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY
ACT OF 2002
In connection with the Annual Report of Citius
Oncology, Inc. (the “Company”) on Form 10-K for the year ended September 30, 2024 as filed with the Securities and Exchange
Commission on the date hereof (the “Report”), Leonard Mazur, Chief Executive Officer and Chairman of the Company, and Jaime
Bartushak, Chief Financial Officer of the Company, each hereby certifies, pursuant to 18 U.S.C. section 1350, as adopted pursuant to Section
906 of the Sarbanes-Oxley Act of 2002, that to his knowledge:
(1) | The Report fully complies with the requirements of section
13(a) or 15(d) of the Securities Exchange Act of 1934; and |
(2) | The information contained in the Report fairly presents,
in all material respects, the financial condition and results of operations of the Company. |
Date: December 27, 2024 |
By: |
/s/ Leonard Mazur |
|
|
Leonard Mazur |
|
|
Chief Executive Officer and Chairman |
|
|
(Principal Executive Officer) |
|
|
|
|
By: |
/s/ Jaime Bartushak |
|
|
Jaime Bartushak |
|
|
Chief Financial Officer |
|
|
(Principal Financial Officer and
Principal Accounting Officer) |
v3.24.4
Cover - USD ($)
|
12 Months Ended |
|
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Sep. 30, 2024 |
Dec. 18, 2024 |
Mar. 28, 2024 |
Document Information [Line Items] |
|
|
|
Document Type |
10-K
|
|
|
Document Annual Report |
true
|
|
|
Document Transition Report |
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|
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Document Financial Statement Error Correction [Flag] |
false
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Entity Interactive Data Current |
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ICFR Auditor Attestation Flag |
false
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Amendment Flag |
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Document Period End Date |
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Document Fiscal Year Focus |
2024
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Document Fiscal Period Focus |
FY
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Documents Incorporated by Reference [Text Block] |
Information for Part III of this Form 10-K will
either (i) be incorporated by reference to portions of the registrant’s Definitive Proxy Statement for its 2025 Annual Meeting of
Stockholders, or (ii) if the Definitive Proxy is not filed with the Securities and Exchange Commission within 120 days after the registrant’s
fiscal year end of September 30,2024, it will be provided by amendment to this Form 10-K.
|
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Entity Information [Line Items] |
|
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Entity Registrant Name |
Citius Oncology, Inc.
|
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Entity Central Index Key |
0001851484
|
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Entity File Number |
001-41534
|
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Entity Tax Identification Number |
99-4362660
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Entity Incorporation, State or Country Code |
DE
|
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Current Fiscal Year End Date |
--09-30
|
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Entity Well-known Seasoned Issuer |
No
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Entity Voluntary Filers |
No
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Entity Current Reporting Status |
Yes
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Entity Shell Company |
false
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Entity Filer Category |
Non-accelerated Filer
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Entity Small Business |
true
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Entity Emerging Growth Company |
true
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Entity Ex Transition Period |
false
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Entity Public Float |
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$ 47,700,000
|
Entity Contact Personnel [Line Items] |
|
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Entity Address, Address Line One |
11 Commerce Drive
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Entity Address, Address Line Two |
First Floor
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Entity Address, City or Town |
Cranford
|
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Entity Address, State or Province |
NJ
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Entity Address, Postal Zip Code |
07016
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Entity Phone Fax Numbers [Line Items] |
|
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City Area Code |
(908)
|
|
|
Local Phone Number |
967-6677
|
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|
Entity Listings [Line Items] |
|
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|
Title of 12(b) Security |
Common Stock, par value $0.0001 per share
|
|
|
Trading Symbol |
CTOR
|
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Security Exchange Name |
NASDAQ
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Entity Common Stock, Shares Outstanding |
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v3.24.4
Consolidated Balance Sheets - USD ($)
|
Sep. 30, 2024 |
Sep. 30, 2023 |
Current Assets: |
|
|
Cash and cash equivalents |
$ 112
|
|
Inventory |
8,268,766
|
|
Prepaid expenses |
2,700,000
|
7,734,895
|
Total Current Assets |
10,968,878
|
7,734,895
|
Other Assets: |
|
|
In-process research and development |
73,400,000
|
40,000,000
|
Total Other Assets |
73,400,000
|
40,000,000
|
Total Assets |
84,368,878
|
47,734,895
|
Current Liabilities: |
|
|
Accounts payable |
3,711,622
|
1,289,045
|
License payable |
28,400,000
|
|
Accrued expenses |
|
259,071
|
Total Current Liabilities |
32,700,429
|
21,047,235
|
Deferred tax liability |
1,728,000
|
1,152,000
|
Total Liabilities |
38,228,540
|
22,199,235
|
Stockholders’ Equity: |
|
|
Preferred stock - $0.0001 par value; 10,000,000 shares authorized: no shares issued and outstanding |
|
|
Common stock - $0.0001 par value; 100,000,000; 71,552,402 and 67,500,000 shares issued and outstanding at September 30, 2024 and 2023, respectively |
7,155
|
6,750
|
Additional paid-in capital |
85,411,771
|
43,658,750
|
Accumulated deficit |
(39,278,587)
|
(18,129,840)
|
Total Stockholders’ Equity |
46,140,339
|
25,535,660
|
Total Liabilities and Stockholders’ Equity |
84,368,878
|
47,734,895
|
Related Party |
|
|
Current Liabilities: |
|
|
Due to related party |
588,806
|
19,499,119
|
Note payable to related party |
$ 3,800,111
|
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v3.24.4
Consolidated Balance Sheets (Parentheticals) - $ / shares
|
Sep. 30, 2024 |
Sep. 30, 2023 |
Statement of Financial Position [Abstract] |
|
|
Preferred stock, par value (in Dollars per share) |
$ 0.0001
|
$ 0.0001
|
Preferred stock, shares authorized |
10,000,000
|
10,000,000
|
Preferred stock, shares issued |
|
|
Preferred stock, shares outstanding |
|
|
Ordinary shares, par value (in Dollars per share) |
$ 0.0001
|
$ 0.0001
|
Ordinary shares, shares authorized |
100,000,000
|
100,000,000
|
Ordinary shares, shares issued |
71,552,402
|
67,500,000
|
Ordinary shares, shares outstanding |
71,552,402
|
67,500,000
|
X |
- DefinitionFace amount or stated value per share of common stock.
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v3.24.4
Consolidated Statements of Operations - USD ($)
|
12 Months Ended |
Sep. 30, 2024 |
Sep. 30, 2023 |
Income Statement [Abstract] |
|
|
Revenues |
|
|
Operating Expenses: |
|
|
Research and development |
4,925,001
|
4,240,451
|
General and administrative |
8,148,929
|
5,915,290
|
Stock-based compensation – general and administrative |
7,498,817
|
1,965,500
|
Total Operating Expenses |
20,572,747
|
12,121,241
|
Loss before Income Taxes |
(20,572,747)
|
(12,121,241)
|
Income tax expense |
576,000
|
576,000
|
Net Loss |
$ (21,148,747)
|
$ (12,697,241)
|
Net Loss Per Share – Basic (in Dollars per share) |
$ (0.31)
|
$ (0.19)
|
Net Loss Per Share – Diluted (in Dollars per share) |
$ (0.31)
|
$ (0.19)
|
Weighted Average Common Shares Outstanding – Basic (in Shares) |
68,053,607
|
67,500,000
|
Weighted Average Common Shares Outstanding – Diluted (in Shares) (in Shares) |
68,053,607
|
67,500,000
|
X |
- DefinitionThe amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.
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v3.24.4
Consolidated Statements of Changes in Stockholders’ Equity - USD ($)
|
Preferred Stock |
Common Stock |
Additional Paid-In Capital |
Accumulated Deficit |
Total |
Balance at Sep. 30, 2022 |
|
$ 6,750
|
$ 41,693,250
|
$ (5,432,599)
|
$ 36,267,401
|
Balance (in Shares) at Sep. 30, 2022 |
|
67,500,000
|
|
|
|
Merger, net of transaction costs of $2,358,780 |
|
|
|
|
|
Stock-based compensation expense |
|
|
1,965,500
|
|
1,965,500
|
Net loss |
|
|
|
(12,697,241)
|
(12,697,241)
|
Balance at Sep. 30, 2023 |
|
$ 6,750
|
43,658,750
|
(18,129,840)
|
25,535,660
|
Balance (in Shares) at Sep. 30, 2023 |
|
67,500,000
|
|
|
|
Capital contributions by parent |
|
|
37,008,905
|
|
37,008,905
|
Merger, net of transaction costs of $2,358,780 |
|
$ 405
|
(2,754,701)
|
|
(2,754,296)
|
Merger, net of transaction costs of $2,358,780 (in Shares) |
|
4,052,402
|
|
|
|
Stock-based compensation expense |
|
|
7,498,817
|
|
7,498,817
|
Net loss |
|
|
|
(21,148,747)
|
(21,148,747)
|
Balance at Sep. 30, 2024 |
|
$ 7,155
|
$ 85,411,771
|
$ (39,278,587)
|
$ 46,140,339
|
Balance (in Shares) at Sep. 30, 2024 |
|
71,552,402
|
|
|
|
X |
- DefinitionNumber of shares of stock issued during the period pursuant to Merger, net of transaction costs.
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v3.24.4
Consolidated Statements of Cash Flows - USD ($)
|
12 Months Ended |
Sep. 30, 2024 |
Sep. 30, 2023 |
Cash Flows From Operating Activities: |
|
|
Net loss |
$ (21,148,747)
|
$ (12,697,241)
|
Adjustments to reconcile net loss to net cash provided by operating activities: |
|
|
Stock-based compensation expense |
7,498,817
|
1,965,500
|
Deferred income tax expense |
576,000
|
576,000
|
Changes in operating assets and liabilities: |
|
|
Inventory |
(2,133,871)
|
|
Prepaid expenses |
(1,100,000)
|
(5,044,713)
|
Accounts payable |
2,422,577
|
1,196,734
|
Accrued expenses |
(259,071)
|
(801,754)
|
Due to related party |
14,270,648
|
14,805,474
|
Net Cash Provided By Operating Activities |
126,353
|
|
Cash Flows From Investing Activities: |
|
|
License payment |
(5,000,000)
|
|
Net Cash Used In Investing Activities |
(5,000,000)
|
|
Cash Flows From Financing Activities: |
|
|
Cash contributed by parent |
3,827,944
|
|
Merger, net |
(2,754,296)
|
|
Proceeds from issuance of note payable to related party |
3,800,111
|
|
Net Cash Provided By Financing Activities |
4,873,759
|
|
Net Change in Cash and Cash Equivalents |
112
|
|
Cash and Cash Equivalents – Beginning of Year |
|
|
Cash and Cash Equivalents – End of Year |
112
|
|
Supplemental Disclosures of Cash Flow Information and Non-cash Activities: |
|
|
IPR&D Milestones included in License Payable |
28,400,000
|
|
Capital Contribution of due to related party by parent |
33,180,961
|
|
Prepaid Manufacturing transferred to Inventory |
$ 6,134,895
|
|
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v3.24.4
Nature of Operations and Basis of Presentation
|
12 Months Ended |
Sep. 30, 2024 |
Nature of Operations and Basis of Presentation [Abstract] |
|
NATURE OF OPERATIONS AND BASIS OF PRESENTATION |
1. NATURE OF OPERATIONS AND BASIS OF PRESENTATION
Business
Citius Oncology, Inc. (formerly Citius Acquisition
Corp.) (“Citius Oncology,” the “Company” or “we”) is a specialty pharmaceutical company dedicated
to the development and commercialization of critical care products targeting unmet needs with a focus on oncology products. We are developing
E7777 (denileukin diftitox), a late-stage oncology immunotherapy for the treatment of cutaneous T-cell lymphoma (“CTCL”),
a rare form of non-Hodgkin lymphoma. We have obtained the trade name of LYMPHIR for E7777.
Since its inception, the Company has devoted substantially
all of its efforts to business planning, research and development, and recruiting management and technical staff. Citius Oncology is subject
to a number of risks common to companies in the pharmaceutical industry including, but not limited to, risks related to the development
by Citius Oncology or its competitors of research and development stage products, market acceptance of any of its products approved for
marketing, competition from larger companies, dependence on key personnel, dependence on key suppliers and strategic partners, the Company’s
ability to obtain additional financing and the Company’s compliance with governmental and other regulations.
Since its inception, Citius Pharmaceuticals, Inc.
(“Citius Pharma”) has funded and continues to fund the Company. Citius Pharma and the Company are party to an amended and
restated shared services agreement (the “A&R Shared Services Agreement”), which governs certain management and scientific
services that Citius Pharma provides the Company.
Merger
On August 23, 2021, Citius Pharma formed Citius
Acquisition Corp. (“SpinCo”) as a wholly-owned subsidiary in conjunction with the acquisition of LYMPHIR, which began operations
in April 2022, when Citius Pharma transferred the assets related to LYMPHIR to SpinCo, including the related license agreement and asset
purchase agreement (see Note 4).
On October 23, 2023, Citius Pharma and SpinCo
entered into an agreement and plan of merger and reorganization (the “Merger Agreement”) with TenX Keane Acquisition, a Cayman
Islands exempted company (“TenX”), and TenX Merger Sub Inc., a Delaware corporation and a wholly owned subsidiary of TenX
(“Merger Sub”).
On August 12, 2024, pursuant to the terms and
conditions of the Merger Agreement, Merger Sub merged with and into SpinCo, with SpinCo surviving as a wholly owned subsidiary of TenX
(the “Merger”) which was subsequently renamed Citius Oncology Sub, Inc. Prior to closing of the Merger, TenX migrated to and
domesticated as a Delaware corporation in accordance with Section 388 of the General Corporation Law of the State of Delaware and the
Cayman Islands Companies Act (As Revised) (the “Domestication”). As part of the Domestication, TenX changed its name to “Citius
Oncology, Inc.” (Nasdaq: CTOR). Immediately after the closing of the Merger, Citius Pharma owned approximately 92.3% of the outstanding
shares of common stock of the Company.
While the Merger Sub was the legal acquirer of
the Company, for accounting purposes, the Company was deemed to be the accounting acquirer. Accordingly, for accounting purposes, the
Merger was treated as the equivalent of the Company issuing stock for the assets and liabilities of the Merger Sub, accompanied by a recapitalization.
Total shares outstanding of the Company after the Merger and recapitalization increased to 71,552,402. The net assets of the merged entities
are stated at historical cost, with no goodwill or other intangible assets recorded. Additionally, the historical financial statements
of the Company became the historical financial statements of the Registrant. The Merger, net amount of $2,753,795 charged to
additional paid in capital consists of $395,015 of net liabilities of TenX on the date of the Merger (cash of $163,500 less liabilities
of $559,015) plus directly related transaction costs of $2,358,780.
As part of the Merger, Citius Pharma made capital
investments in the Company through cash contributions of $3,827,944 to fund transactions related to the Merger and by reclassifying to
additional paid in capital intercompany receivables of $33,180,961 that were due from the Company to Citius Pharma. Simultaneously, Citius
Pharma advanced an additional $3,800,111 to the Company under the terms of a note payable (see Note 6).
Stock Split
On July 5, 2023, the
Company executed a stock split of its shares of common stock at a ratio of 675,000-for-1 (the “Stock Split”). All of the Company’s
historical share and per share information related to issued and outstanding common stock in these financial statements have been adjusted,
on a retroactive basis, to reflect this 675,000-for-1 stock split.
Basis of Presentation
The accompanying consolidated financial statements
include the operations of Citius Oncology, Inc., and its wholly-owned subsidiary, Citius Oncology Sub, Inc., which was formed in connection
with Merger. The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally
accepted in the United States of America (“U.S. GAAP”).
|
X |
- DefinitionThe entire disclosure for the nature of an entity's business, major products or services, principal markets including location, and the relative importance of its operations in each business and the basis for the determination, including but not limited to, assets, revenues, or earnings. For an entity that has not commenced principal operations, disclosures about the risks and uncertainties related to the activities in which the entity is currently engaged and an understanding of what those activities are being directed toward.
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v3.24.4
Going Concern Uncertainty and Management’S Plan
|
12 Months Ended |
Sep. 30, 2024 |
Going Concern Uncertainty and Management’S Plan [Abstract] |
|
GOING CONCERN UNCERTAINTY AND MANAGEMENT’S PLAN |
2. GOING CONCERN UNCERTAINTY AND MANAGEMENT’S
PLAN
The accompanying financial statements have been
prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course
of business. The Company had a net loss of $21,148,747 and $12,697,241 for the years ended September 30, 2024 and 2023, respectively.
The Company has no revenue and has relied on funding from Citius Pharma to finance its operations. At September 30, 2024, the Company
had $112 in cash and a negative working capital of $21,731,551. Citius Pharma has sufficient capital to fund Citius Oncology through February
2025 which raises substantial doubt about the Company’s ability to continue as a going concern within one year after the date that
the accompanying financial statements are issued.
The Company plans to continue to rely on funding
from Citius Pharma, to raise capital through equity financings from outside investors and to generate revenue from the future sales of
LYMPHIR. There is no assurance, however, that Citius Pharmaceuticals will have the resources to continue funding the Company, that the
Company will be successful in raising the needed capital and, if funding is available, that it will be available on terms acceptable to
the Company or that the Company will find strategic partners or generate substantial revenue from the sale of LYMPHIR. The accompanying
financial statements do not include any adjustments that might result from the outcome of the above uncertainty.
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v3.24.4
Summary of Significant Accounting Policies
|
12 Months Ended |
Sep. 30, 2024 |
Summary of Significant Accounting Policies [Abstract] |
|
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES |
3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
A summary of the significant accounting policies
followed by the Company in the preparation of the consolidated financial statements is as follows:
Use of Estimates
The process of preparing financial statements
in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires management to
make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities
at the date of financial statements and the reported amounts of revenues and expenses during the reporting period. Estimates having relatively
higher significance include the accounting for in-process research and development, stock-based compensation and income taxes. Actual
results could differ from those estimates and changes in estimates may occur. Cash and Cash Equivalents
The Company considers all highly liquid instruments
with maturities of less than three months at the time of purchase to be cash equivalents. From time to time, the Company may have cash
balances in financial institutions in excess of insurance limits. The Company has never experienced any losses related to these balances.
Prepaid Expenses
Prepaid expenses at September 30, 2024 and 2023
consist of $2,700,000 and $7,734,895 of advance payments made for the preparation of long-lead time drug substance and product costs,
respectively, which will be utilized in research and development activities or in the manufacturing of LYMPHIR for sales.
Inventory
Inventory is stated at the lower of actual
accumulated costs or net realizable value as of September 30, 2024 consisting of finished goods of $6,134,895, and work in process of
$2,133,862 related to the manufacturing of LYMPHIR commercial products to be sold in 2025. No reserves against inventory were deemed
necessary based on an evaluation of the product expiration dating.
During 2024, $6,134,895 of prepaid manufacturing
costs were transferred to inventory upon product approval and production commencement at our third-party manufacturers.
The Company has not yet selected a specific inventory
costing methodology (e.g., FIFO or weighted average). Management plans to implement an appropriate inventory costing method prior to the
commencement of sales activities. The selection of this method may impact future financial statements once sales begin.
Research and Development
Research and development costs, including upfront
fees and milestones paid to collaborators who are performing research and development activities under contractual agreements with the
Company, are expensed as incurred. The Company defers and capitalizes its nonrefundable advance payments that are for research and development
activities until the related goods are delivered or the related services are performed. When the Company is reimbursed by a collaboration
partner for work the Company performs, it records the costs incurred as research and development expenses and the related reimbursement
as a reduction to research and development expenses in its statement of operations. Research and development expenses primarily consist
of clinical and non-clinical studies, materials and supplies, third-party costs for contracted services, and payments related to external
collaborations and other research and development related costs.
In-process Research and Development and
License Payable
The Company capitalizes intangible assets purchased from others for
use in research and development activities as In Process Research & Development (IPR&D) when the assets acquired have an alternative
future use, the Company anticipates future economic benefit from that use and the assets acquired are not dependent on future development.
Milestone payments upon regulatory approval that meet the same criteria are capitalized when the payments are considered recoverable based
on expected future cash flows. Amortization of IPR&D over the exclusive regulatory period of the acquired asset commences upon revenue
generation.
In-process research and development of $73,400,000 consists of an
initial $40,000,000 payment to Dr. Reddy’s Laboratories (“DRL”) in September 2021, and $27,500,000 and $5,900,000
for approval milestone amounts payable to DRL and Eisai, respectively, that came due during 2024. Of these amounts $28,400,000 is
included in license payable at September 30, 2024. The value of our September 2021 acquisition of an exclusive license for LYMPHIR
(denileukin diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma, is
expected to be amortized on a straight-line basis over a period of twelve years, (the FDA exclusivity period), commencing upon
revenue generation which is expected in the first half of 2025. Included in the IPR&D is the historical know-how, formula
protocols, designs, and procedures which were used in the completion of the Phase 3. In addition, the contracts acquired in
connection with Dr. Reddy’s transaction with the clinical research and manufacturing organization are at market rates and
could be provided by multiple vendors in the marketplace. Therefore, there is no fair value associated with the contracts
acquired. The Company reviews intangible assets annually
to determine if any adverse conditions exist or a change in circumstances has occurred that would indicate impairment or a change in the
remaining useful life of any intangible asset. If the carrying value of an asset exceeds its undiscounted cash flows, the Company writes
down the carrying value of the intangible asset to its fair value in the period identified. No impairment has occurred since the acquisitions
through September 30, 2024.
Patents and Trademarks
Certain costs of outside legal counsel related
to obtaining trademarks for the Company are capitalized. Patent costs are amortized over the legal life of the patents, generally twenty
years, starting at the patent issuance date. There are no capitalized patents and trademarks as of September 30, 2024.
The costs of unsuccessful and abandoned applications
are expensed when abandoned. The costs of maintaining existing patents are expensed as incurred.
Stock-Based Compensation
The Company recognizes compensation costs resulting
from the issuance of stock-based awards to employees and directors as an expense in the statements of operations over the requisite service
period based on the fair value for each stock award on the grant date. The fair value of each option grant is estimated as of the date
of grant using the Black-Scholes option pricing model. Because the Company’s stock options have characteristics significantly different
from those of traded options, and because changes in the input assumptions can materially affect the fair value estimate, the existing
model may not necessarily provide a reliable single measure of fair value of the Company’s stock options.
The Company recognizes compensation costs resulting
from the issuance of stock-based awards to non-employees as an expense in the statements of operations over the service period based on
the measurement of fair value for each stock award and records forfeitures as they occur.
Income Taxes
The Company files consolidated income tax returns
with Citius Pharmaceuticals. The Company follows accounting guidance regarding the recognition, measurement, presentation, and disclosure
of uncertain tax positions in the financial statements. Tax positions taken or expected to be taken in the course of preparing the Company’s
tax returns are required to be evaluated to determine whether the tax positions are “more-likely-than-not” of being sustained
by the applicable tax authorities. Tax positions not deemed to meet a more-likely-than-not threshold would be recorded in the financial
statements. There are no uncertain tax positions that require accrual or disclosure as of September 30, 2024. Any interest or penalties
are charged to expense. During the years ended September 30, 2024 and 2023, the Company did not recognize any interest and penalties.
The Company is subject to examination by federal and state tax authorities for all tax years since inception.
The Company recognizes deferred tax assets and
liabilities based on differences between the financial reporting and tax basis of assets and liabilities, and operating loss and tax credit
carry forwards. Deferred tax assets and liabilities are measured using the enacted tax rates and laws that are expected to be in effect
when the differences are expected to reverse. The Company provides a valuation allowance, if necessary, for deferred tax assets for which
it does not consider realization of such assets to be “more-likely-than-not.” The deferred tax benefit or expense for the
period represents the change in the deferred tax asset or liability from the beginning to the end of the period.
Basic and Diluted Net Loss per Common Share
Basic and diluted net loss per common share applicable
to common stockholders is computed by dividing net loss in each period by the weighted average number of shares of common stock outstanding
during such period. For the periods presented, common stock equivalents, consisting
of options were not included in the calculation of the diluted loss per share because they were anti-dilutive. Segment Reporting
The Company currently operates as a single segment.
Concentrations of Credit Risk
The Company has no significant off-balance-sheet
concentration of credit risk such as foreign exchange contracts, option contracts or other hedging arrangements.
Recently Issued Accounting Standards
Reportable Segment Disclosures
In November 2023, the
FASB issued ASU 2023-07, Segment Reporting (Topic 280), Improvements to Reportable Segment Disclosures. The change in the standard improves
reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. The changes improve
financial reporting by requiring disclosure of incremental segment information on an annual and interim basis for all public entities
to enable investors to develop more decision-useful financial analyses. The guidance will be effective for annual reporting periods beginning
after December 15, 2023, and for interim periods beginning after December 15, 2024. Early adoption is permitted. The standard will be
applied retrospectively. The Company is currently evaluating the impact of adoption of the standard on its financial statement disclosures.
Income Tax Disclosures
In December 2023, the
FASB issued ASU 2023-09, Income Taxes (Topic 740), Improvements to Income Tax Disclosures. The standard enhances the transparency, decision
usefulness and effectiveness of income tax disclosures by requiring consistent categories and greater disaggregation of information in
the reconciliation of income taxes computed using the enacted statutory income tax rate to the actual income tax provision and effective
income tax rate, as well as the disaggregation of income taxes paid (refunded) by jurisdiction. The standard also requires disclosure
of income (loss) before provision for income taxes and income tax expense (benefit) in accordance with U.S. Securities and Exchange Commission
(SEC) Regulation S-X 210.4-08(h), Rules of General Application – General Notes to Financial Statements: Income Tax Expense, and
the removal of disclosures no longer considered cost beneficial or relevant. The guidance will be effective for annual reporting periods
beginning after December 15, 2024. Early adoption is permitted. The standard will be applied on a prospective basis, with retrospective
application permitted. The Company is currently evaluating the impact of adoption of the standard on its financial statement disclosures.
Disaggregation of Income Statement Expenses
In November 2024, the
FASB issued ASU 2024-03, Income Statement Reporting–Comprehensive Income–Expense Disaggregation Disclosures (Subtopic 220-40),
Disaggregation of Income Statement Expenses. The standard update improves the disclosures about a public business entity’s expenses
by requiring more detailed information about the types of expenses (including purchases of inventory, employee compensation, depreciation
and amortization) included within income statement expense captions. The guidance will be effective for annual reporting periods beginning
after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted. The standard updates
are to be applied prospectively with the option for retrospective application. The Company is currently evaluating the impact of adoption
of the standard update on its financial statement disclosures.
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v3.24.4
Patent and Technology License Agreements
|
12 Months Ended |
Sep. 30, 2024 |
Patent and Technology License Agreements [Member] |
|
PATENT AND TECHNOLOGY LICENSE AGREEMENTS |
4. PATENT AND TECHNOLOGY LICENSE AGREEMENTS
In September 2021, Citius Pharmaceuticals entered
into and transferred to the Company an asset purchase agreement with Dr. Reddy’s Laboratories SA, a subsidiary of Dr. Reddy’s Laboratories,
Ltd. (collectively, “Dr. Reddy’s”) and a license agreement with Eisai Co., Ltd. (“Eisai”) to acquire its exclusive
license for E7777 (denileukin diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma.
Citius Pharmaceuticals assigned these agreements to us effective April 1, 2022. We have obtained the trade name of LYMPHIR for E7777.
Under the terms of these
agreements, Citius Pharmaceuticals acquired Dr. Reddy’s exclusive license for LYMPHIR from Eisai and other related assets owned by Dr.
Reddy’s. The exclusive license includes rights to develop and commercialize LYMPHIR in all markets except for Japan and certain parts
of Asia. Additionally, we retained an option on the right to develop and market the product in India. Eisai retains exclusive development
and marketing rights for the agent in Japan and Asia. Citius Pharmaceuticals paid $40 million upfront payment which represents the acquisition
date fair value of the in-process research and development acquired from Dr. Reddy’s. Dr. Reddy’s is entitled to up to $40
million in development milestone payments related to CTCL approvals in the U.S. and other markets, up to $70 million in development milestones
for additional indications, as well as commercial milestone payments and low double-digit tiered royalties on net product sales, and up
to $300 million for commercial sales milestones. We also must pay on a fiscal quarter basis tiered royalties equal to low double-digit
percentages of net product sales. The royalties will end on the earlier of (i) the 15-year anniversary of the first commercial sale of
the latest indication that received regulatory approval in the applicable country and (ii) the date on which a biosimilar product results
in the reduction of net sales in the applicable product by 50% in two consecutive quarters, as compared to the four quarters prior to
the first commercial sale of the biosimilar product. We are also required pay to Dr. Reddy’s an amount equal to a low-thirties percentage
of any sublicense upfront consideration or milestone payments (or the like) received by us and the greater of (i) a low-thirties percentage
of any sublicensee sales-based royalties or (ii) a mid-single digit percentage of such licensee’s net sales.
Under the license agreement,
Eisai is to receive a $5.9 million development milestone payment upon initial approval and additional commercial milestone payments related
to the achievement of net product sales thresholds (which increases to $7 million in the event we have exercised our option to add India
to the licensed territory prior to FDA approval) and an aggregate of up to $22 million related to the achievement of net product sales
thresholds. Citius Pharma was also required to reimburse Eisai for up to $2.65 million of its costs to complete the Phase 3 pivotal clinical
trial for LYMPHIR for the CTCL indication and reimburse Eisai for all reasonable costs associated with the preparation of a Biologics
License Application, (the “BLA”) for LYMPHIR. Eisai was responsible for completing the CTCL clinical trial, and chemistry,
manufacturing and controls (CMC) activities through the filing of a BLA for LYMPHIR with the FDA. The BLA was filed with the FDA on September
27, 2022. We will also be responsible for development costs associated with potential additional indications.
The term of the license
agreement will continue until (i) if there has not been a commercial sale of a licensed product in the territory, the 10-year anniversary
of the original license effective date, March 30, 2016, or (ii) if there has been a first commercial sale of a licensed product in the
territory within the 10-year anniversary of the original license effective date, the 10-year anniversary of the first commercial sale
on a country-by-country basis. The term of the license may be extended for additional 10-year periods for all countries in the territory
by notifying Eisai and paying an extension fee equal to $10 million. Either party may terminate the license agreement upon written notice
if the other party is in material breach of the agreement, subject to cure within the designated time periods. Either party also may terminate
the license agreement immediately upon written notice if the other party files for bankruptcy or takes related actions or is unable to
pay its debts as they become due. Additionally, either party will have the right to terminate the agreement if the other party directly
or indirectly challenges the patentability, enforceability or validity of any licensed patent.
Also under the
purchase agreement with Dr. Reddy’s, we are required to (i) use commercially reasonable efforts to make commercially available
products in the CTCL indication, peripheral T-cell lymphoma indication and immuno-oncology indication, (ii) initiate two
investigator initiated immuno-oncology trials (both of which have been initiated), (iii) use commercially reasonable efforts to
achieve each of the approval milestones, and (iv) to complete each specified immuno-oncology investigator trial on or before the
four-year anniversary of the effective date of the definitive agreement.
Additionally, we are required to commercially launch a product in a territory within six months of receiving regulatory approval for such
product in each such jurisdiction. On July 29, 2023, we
received a Complete Response Letter, (“CRL”) from the FDA regarding the BLA seeking approval for LYMPHIR. The FDA has required
that we incorporate enhanced product testing, and additional controls agreed to with the FDA during the market application review. The
FDA raised no concerns relating to the safety and efficacy clinical data package.
On September 8, 2023, we announced that the FDA
agreed with our plans to address the requirements outlined in the CRL. The guidance from the FDA provides a path for completing the necessary
activities to support the resubmission of the BLA. No additional clinical efficacy or safety trials have been requested by FDA for the
resubmission.
The Company remediated the issues raised in the
CRL by the FDA and received a BLA approval in August 2024.
As part of the definitive agreement with Dr. Reddy’s,
Citius Pharmaceuticals acquired method of use patents in which LYMPHIR is administered in combination with the programmed cell death protein
1 (“PD-1”) pathway inhibitor drug class. PD-1 plays a vital role in inhibiting immune responses and promoting self-tolerance
through modulating the activity of T-cells, activating apoptosis of antigen-specific T cells and inhibiting apoptosis of regulatory T
cells.
The following patents were acquired and subsequently
transferred to Citius Oncology, Inc.:
US Provisional Application No. 63/070,645, which
was filed on August 26, 2020, and subsequently published as US 2022/0062390 A1 on March 3, 2022, entitled Methods of Treating Cancer.
International Patent Application Number: PCT/IB2021/0576733,
which was filed with the World Intellectual Property Organization on August 23, 2021, and subsequently published as WO 2022/043863 A1
on March 3, 2022, entitled, Combination for Use in Methods of Treating Cancer.
Upon approval of the product in August 2024, the
Company was subject to milestone payments totaling $33.4 million. The Company paid $5.0 million prior to year end and the remaining balance
is reflected as a License Payable on the balance sheet. The $33.4 million was recorded as in-process research and development asset and
will be subject to amortization as further discussed in Note 3.
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v3.24.4
Stockholder's Equity
|
12 Months Ended |
Sep. 30, 2024 |
Stockholders' Equity [Abstract] |
|
STOCKHOLDER'S EQUITY |
5. STOCKHOLDER’S EQUITY
Authorized Capital Stock and Stock Split
On April 29, 2023, the Company amended its certificate
of incorporation, (the “Prior Charter”) to authorize an increase in the total number of shares of capital stock to 110,000,000
shares, of which 100,000,000 shares are common stock with a par value of $0.0001, and 10,000,000 shares are preferred stock with a par
value of $0.0001. On July 5, 2023, the Board of Directors approved a 675,000-for-1 stock split of the outstanding 100 shares of common
stock. The certificate of incorporation adopted on August 5, 2024, in connection with the Merger, also authorizes 110,000,000 shares,
of which 100,000,000 shares are common stock with a par value of $0.0001, and 10,000,000 shares are preferred stock with a par value of
$0.0001.
All share and per share amounts in these financial
statements have been retroactively restated to reflect the amendment to the certificate of incorporation and the stock split.
Stock Plan
Under the Citius Oncology Stock Plan, adopted
on April 29, 2023, we reserved 15,000,000 common shares for issuance. The stock plan provides incentives to employees, directors, and
consultants through grants of options, SARs, dividend equivalent rights, restricted stock, restricted stock units, or other rights.
The fair value of each stock option award is estimated
on the date of grant using the Black-Scholes option pricing model. Volatility is estimated using the trading activity of Citius Pharmaceuticals
common stock. until such time as we have sufficient history. The risk-free interest rate is based on the U.S. Treasury yield curve in
effect at the time of grant commensurate with the expected term assumption.
The expected term of stock options granted to employees and directors, all of which qualify as “plain vanilla,” is based on
the average of the contractual term (generally 10 years) and the vesting period. For non-employee options, the expected term is the
contractual term. The following assumptions were used in determining
the fair value of stock option grants for the year ended September 30, 2024 and 2023:
| | 2024 | | | 2023 | | Risk-free interest rate | | | 4.66 | % | | | 4.11 | % | Expected dividend yield | | | 0.00 | % | | | 0.00 | % | Expected term | | | 6.50 years | | | | 5.96 years | | Expected volatility | | | 87 | % | | | 91 | % |
A summary of option activity under the plan is presented below:
| | Shares | | | Weighted- Average Exercise Price | | | Weighted- Average Remaining Contractual Term | | | Aggregate Intrinsic Value | | Outstanding at September 30, 2023 | | | 12,600,000 | | | $ | 2.15 | | | | 9.77 years | | | $ | — | | Granted | | | 150,000 | | | | 2.15 | | | | | | | | | | Forfeited | | | - | | | | | | | | | | | | | | Outstanding at September 30, 2024 | | | 12,750,000 | | | $ | 2.15 | | | | 8.78 years | | | $ | — | | Exercisable at September 30, 2024 | | | 3,937,500 | | | $ | 2.15 | | | | 8.77 years | | | $ | — | |
The weighted average grant date fair value of
the options granted during the year ended September 30, 2024 was estimated at $1.66 per share. All these options vest over terms of 12
to 36 months and have a term of 10 years.
Stock-based compensation expense for the year
ended September 30, 2024 was $7,498,817.
At September 30, 2024, unrecognized total compensation
cost related to unvested awards under the stock plan of $11,592,383 is expected to be recognized over a weighted average period of 1.77
years.
On August 5, 2024, the Board of Directors granted
options to purchase 150,000 common shares at an exercise price of $2.15 per share.
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v3.24.4
Related Party Transactions
|
12 Months Ended |
Sep. 30, 2024 |
Related Party Transactions [Abstract] |
|
RELATED PARTY TRANSACTIONS |
6. RELATED PARTY TRANSACTIONS
The Company’s officers and directors also
serve as officers of Citius Pharma. As of September 30, 2024, the Company does not have any employees. The Company and Citius Pharma entered
into the A&R Shared Services Agreement. Under the terms of the agreement, Citius Pharma provides management and scientific services
to the Company. During the year ended September 30, 2024, Citius Pharma charged the Company $1,846,202 for reimbursement of general and
administrative payroll, $1,963,630 for reimbursement of research and development payroll, and $121,570 for the use of shared office space.
During the year ended September 30, 2023, Citius charged the Company $1,727,595 for reimbursement of general and administrative payroll,
$1,496,401 for reimbursement of research and development payroll, and $121,470 for the use of shared office space. The Company has limited cash, therefore all the
Company’s expenditures are paid by Citius Pharma and reflected in the due to related party account. During the years ended September
30, 2024 and September 30, 2023 these amounts due to Citius Pharma were $14,270,648 and $14,805,474 respectively.
In connection with closing of the Merger, Citius
Pharma made a contribution to the Company’s capital in the amount of $33,180,961 representing the balance of the due to/due from
related party account on the date of the Merger. Citius Pharma also made cash contributions to the Company’s capital, pursuant to
the terms of the Merger Agreement, in the amount of $3,827,944.
Also, in connection with the Merger, Citius Pharma
advanced cash to the Company for a non-interest bearing, unsecured promissory note issued by the Company, dated August 16, 2024, in the
principal amount of $3,800,111. The note is repayable in full upon a financing of at least $10 million by the Company, per the terms of
the promissory note. Management does not anticipate such repayment within the next twelve months. As a result, this note payable is classified
as non-current on the balance sheet.
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v3.24.4
Income Taxes
|
12 Months Ended |
Sep. 30, 2024 |
Income Taxes [Abstract] |
|
INCOME TAXES |
7. INCOME TAXES
The Company files consolidated income tax returns
with Citius Pharma. The Company recorded deferred income tax expense of $576,000 for each of the years ended September 30, 2024 and 2023
related to the amortization for taxable purposes of its in-process research and development asset.
The income tax expense differs from the amount
of income tax determined by applying the U.S. federal income tax rate to pretax income for the years ended September 30, 2023 and 2022
due to the following:
| |
2024 | | |
2023 | |
Computed “expected” tax benefit | |
| (21 | )% | |
| (21 | )% |
Increase (decrease) in income taxes resulting from: | |
| | | |
| | |
State taxes, net of federal benefit | |
| (7.1 | ) | |
| (7.1 | ) |
Permanent differences | |
| 6.1 | | |
| 2.6 | |
Increase in the valuation reserve | |
| 24.8 | | |
| 30.3 | |
| |
| 2.8 | % | |
| 4.8 | % |
Deferred income taxes reflect the net tax effects
of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used
for income tax purposes. Significant components of the Company’s deferred tax assets and liabilities are as follows:
| |
September 30,
2024 | | |
September 30,
2023 | |
Deferred tax assets: | |
| | |
| |
Net operating loss carryforward | |
$ | 7,530,000 | | |
$ | 4,646,000 | |
Capitalized research and development expense | |
| 2,080,000 | | |
| 1,073,000 | |
Stock-based compensation | |
| 1,091,000 | | |
| 239,000 | |
Research tax credit | |
| 1,035,000 | | |
| 850,000 | |
Valuation allowance on deferred tax assets | |
| (11,736,000 | ) | |
| (6,808,000 | ) |
Total deferred tax assets | |
| | | |
| | |
Deferred tax liabilities: | |
| | | |
| | |
In-process research and development | |
| (1,728,000 | ) | |
| (1,152,000 | ) |
Total deferred tax liability | |
| (1,728,000 | ) | |
| (1,152,000 | ) |
Net deferred tax liability | |
$ | (1,728,000 | ) | |
$ | (1,152,000 | ) |
The Company has recorded a valuation allowance
against deferred tax assets as the utilization of the net operating loss carryforward and other deferred tax assets is uncertain. During
the years ended September 30, 2024 and 2023, the valuation allowance increased by $4,928,000 and $4,043,000, respectively. The increase
in the valuation allowance during the years ended September 30, 2024 and 2023 was primarily due to the Company’s net operating losses
and capitalized research and development expenses. At September 30, 2024, the Company has a federal net operating loss carryforward
of approximately $28,700,000. Federal net operating loss carryforwards generated in tax years beginning after 2017 may be carried forward
indefinitely.
As of September 30, 2024, the Company also has
estimated federal research and development credits of $1,035,000 to offset future income taxes. The tax credit carryforwards will begin
to expire in 2042.
The Company accounts for uncertain tax positions
in accordance with the guidance provided in ASC 740, “Accounting for Income Taxes.” This guidance describes a recognition
threshold and measurement attribute for the financial statement disclosure of tax positions taken or expected to be taken in a tax return
and requires recognition of tax benefits that satisfy a more-likely-than-not threshold. ASC 740 also provides guidance on de-recognition,
classification, interest and penalties, accounting in interim periods and disclosure. There have been no reserves for uncertain tax positions
recorded by the Company to date.
|
X |
- DefinitionThe entire disclosure for income tax.
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v3.24.4
Commitments and Contingencies
|
12 Months Ended |
Sep. 30, 2024 |
Commitments and Contingencies [Abstract] |
|
COMMITMENTS AND CONTINGENCIES |
8. COMMITMENTS AND CONTINGENCIES
Commercial Manufacturing Contracts
The Company has entered into an agreement with
a Contract Manufacturing Organization for the manufacture and supply of drug substance. The agreement runs through calendar 2026, with
an automatic renewal for a subsequent 4-year term. Under this agreement, the Company is obligated to purchase minimum annual quantities
of batches at a set price per batch, subject to annual increases.
Additionally, the Company is required to pay
an annual service fee of $250,000. The agreement also includes provisions for potential price increases
based on increases in the manufacturer’s operating expenses or industry indices, as well as significant termination fees and obligations.
As of September 30, 2024, the total minimum purchase commitment under this agreement was approximately $17.3 million consisting of payments
of $11.9 million and $5.4 million for 2025 and 2026 respectively.
As of September 30, 2024, the Company also has commercial supply agreements
with two other vendors for the completion and packaging of finished drug products. Minimum purchase commitments under these two agreements
amount to approximately $4.5 million consisting of purchase commitment obligations of $2.9 million in 2025 and $1.6 million in 2026.
Legal Proceedings
The Company is not involved in any litigation that it believes could have a material adverse effect on its financial
position or results of operations. There is no action, suit, proceeding, inquiry, or investigation before or by any court, public board,
government agency, self-regulatory organization or body pending or, to the knowledge of the Company’s executive officers, threatened
against or affecting the Company or its officers or directors in their capacities as such.
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- DefinitionThe portion of profit or loss for the period, net of income taxes, which is attributable to the parent.
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v3.24.4
Cybersecurity Risk Management and Strategy Disclosure
|
12 Months Ended |
Sep. 30, 2024 |
Cybersecurity Risk Management, Strategy, and Governance [Line Items] |
|
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block] |
Risk Management and Strategy The Company has established processes to assess,
identify, and manage risks from cybersecurity threats as part of our broader enterprise-wide risk management system and processes, which
is overseen by our Board of Directors through our Audit Committee, along with our executive management. Our cybersecurity program focuses on all areas
of our business, including cloud-based environments, devices used by employees and contractors, facilities, networks, applications, vendors,
disaster recovery, business continuity and controls and safeguards enabled through business processes and tools. We continuously monitor
for unauthorized access to our information technology systems and identify potential security threats through various automated detection
solutions. To protect the security of our information infrastructure and protect our systems and information from unauthorized access,
we draw on the knowledge and insights of an external information technology consultant who acts as our primary IT administrator and employ
an array of third-party tools and technologies.
|
Cybersecurity Risk Management Processes Integrated [Text Block] |
The Company has established processes to assess,
identify, and manage risks from cybersecurity threats as part of our broader enterprise-wide risk management system and processes, which
is overseen by our Board of Directors through our Audit Committee, along with our executive management.
|
Cybersecurity Risk Management Processes Integrated [Flag] |
true
|
Cybersecurity Risk Management Positions or Committees Responsible [Text Block] |
To protect the security of our information infrastructure and protect our systems and information from unauthorized access,
we draw on the knowledge and insights of an external information technology consultant who acts as our primary IT administrator and employ
an array of third-party tools and technologies.
|
Cybersecurity Risk Management Third Party Engaged [Flag] |
true
|
Cybersecurity Risk Role of Management [Text Block] |
Governance The Board of Directors is responsible for overseeing
our enterprise risk management program. The Audit Committee of the Board of Directors has been designated by the Board to oversee cybersecurity
risks and our processes to identify, prioritize, assess, manage, and mitigate those risks. The Audit Committee receives updates on cybersecurity
and information technology matters and related risk exposures from our Chief Financial Officer (“CFO”). The CFO oversees the operation of our cybersecurity
program and has 10 years of executive experience overseeing risk management and internal controls. The CFO is informed about and monitors
the prevention, detection, mitigation, and remediation of cybersecurity incidents through the CFO’s oversight of the Company’s
information technology function and supervision of the Company’s IT administrator.
|
Cybersecurity Risk Board of Directors Oversight [Text Block] |
The Board of Directors is responsible for overseeing
our enterprise risk management program. The Audit Committee of the Board of Directors has been designated by the Board to oversee cybersecurity
risks and our processes to identify, prioritize, assess, manage, and mitigate those risks. The Audit Committee receives updates on cybersecurity
and information technology matters and related risk exposures from our Chief Financial Officer (“CFO”).
|
Cybersecurity Risk Management Positions or Committees Responsible [Flag] |
true
|
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag] |
true
|
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block] |
The CFO is informed about and monitors
the prevention, detection, mitigation, and remediation of cybersecurity incidents through the CFO’s oversight of the Company’s
information technology function and supervision of the Company’s IT administrator.
|
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v3.24.4
Accounting Policies, by Policy (Policies)
|
12 Months Ended |
Sep. 30, 2024 |
Summary of Significant Accounting Policies [Abstract] |
|
Use of Estimates |
Use of Estimates The process of preparing financial statements
in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires management to
make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities
at the date of financial statements and the reported amounts of revenues and expenses during the reporting period. Estimates having relatively
higher significance include the accounting for in-process research and development, stock-based compensation and income taxes. Actual
results could differ from those estimates and changes in estimates may occur.
|
Cash and cash equivalents |
Cash and Cash Equivalents The Company considers all highly liquid instruments
with maturities of less than three months at the time of purchase to be cash equivalents. From time to time, the Company may have cash
balances in financial institutions in excess of insurance limits. The Company has never experienced any losses related to these balances.
|
Prepaid Expenses |
Prepaid Expenses Prepaid expenses at September 30, 2024 and 2023
consist of $2,700,000 and $7,734,895 of advance payments made for the preparation of long-lead time drug substance and product costs,
respectively, which will be utilized in research and development activities or in the manufacturing of LYMPHIR for sales.
|
Inventory |
Inventory Inventory is stated at the lower of actual
accumulated costs or net realizable value as of September 30, 2024 consisting of finished goods of $6,134,895, and work in process of
$2,133,862 related to the manufacturing of LYMPHIR commercial products to be sold in 2025. No reserves against inventory were deemed
necessary based on an evaluation of the product expiration dating. During 2024, $6,134,895 of prepaid manufacturing
costs were transferred to inventory upon product approval and production commencement at our third-party manufacturers. The Company has not yet selected a specific inventory
costing methodology (e.g., FIFO or weighted average). Management plans to implement an appropriate inventory costing method prior to the
commencement of sales activities. The selection of this method may impact future financial statements once sales begin.
|
Research and Development |
Research and Development Research and development costs, including upfront
fees and milestones paid to collaborators who are performing research and development activities under contractual agreements with the
Company, are expensed as incurred. The Company defers and capitalizes its nonrefundable advance payments that are for research and development
activities until the related goods are delivered or the related services are performed. When the Company is reimbursed by a collaboration
partner for work the Company performs, it records the costs incurred as research and development expenses and the related reimbursement
as a reduction to research and development expenses in its statement of operations. Research and development expenses primarily consist
of clinical and non-clinical studies, materials and supplies, third-party costs for contracted services, and payments related to external
collaborations and other research and development related costs.
|
In-process Research and Development and License Payable |
In-process Research and Development and
License Payable The Company capitalizes intangible assets purchased from others for
use in research and development activities as In Process Research & Development (IPR&D) when the assets acquired have an alternative
future use, the Company anticipates future economic benefit from that use and the assets acquired are not dependent on future development.
Milestone payments upon regulatory approval that meet the same criteria are capitalized when the payments are considered recoverable based
on expected future cash flows. Amortization of IPR&D over the exclusive regulatory period of the acquired asset commences upon revenue
generation. In-process research and development of $73,400,000 consists of an
initial $40,000,000 payment to Dr. Reddy’s Laboratories (“DRL”) in September 2021, and $27,500,000 and $5,900,000
for approval milestone amounts payable to DRL and Eisai, respectively, that came due during 2024. Of these amounts $28,400,000 is
included in license payable at September 30, 2024. The value of our September 2021 acquisition of an exclusive license for LYMPHIR
(denileukin diftitox), a late-stage oncology immunotherapy for the treatment of CTCL, a rare form of non-Hodgkin lymphoma, is
expected to be amortized on a straight-line basis over a period of twelve years, (the FDA exclusivity period), commencing upon
revenue generation which is expected in the first half of 2025. Included in the IPR&D is the historical know-how, formula
protocols, designs, and procedures which were used in the completion of the Phase 3. In addition, the contracts acquired in
connection with Dr. Reddy’s transaction with the clinical research and manufacturing organization are at market rates and
could be provided by multiple vendors in the marketplace. Therefore, there is no fair value associated with the contracts
acquired. The Company reviews intangible assets annually
to determine if any adverse conditions exist or a change in circumstances has occurred that would indicate impairment or a change in the
remaining useful life of any intangible asset. If the carrying value of an asset exceeds its undiscounted cash flows, the Company writes
down the carrying value of the intangible asset to its fair value in the period identified. No impairment has occurred since the acquisitions
through September 30, 2024.
|
Patents and Trademarks |
Patents and Trademarks Certain costs of outside legal counsel related
to obtaining trademarks for the Company are capitalized. Patent costs are amortized over the legal life of the patents, generally twenty
years, starting at the patent issuance date. There are no capitalized patents and trademarks as of September 30, 2024. The costs of unsuccessful and abandoned applications
are expensed when abandoned. The costs of maintaining existing patents are expensed as incurred.
|
Stock-Based Compensation |
Stock-Based Compensation The Company recognizes compensation costs resulting
from the issuance of stock-based awards to employees and directors as an expense in the statements of operations over the requisite service
period based on the fair value for each stock award on the grant date. The fair value of each option grant is estimated as of the date
of grant using the Black-Scholes option pricing model. Because the Company’s stock options have characteristics significantly different
from those of traded options, and because changes in the input assumptions can materially affect the fair value estimate, the existing
model may not necessarily provide a reliable single measure of fair value of the Company’s stock options. The Company recognizes compensation costs resulting
from the issuance of stock-based awards to non-employees as an expense in the statements of operations over the service period based on
the measurement of fair value for each stock award and records forfeitures as they occur.
|
Income Taxes |
Income Taxes The Company files consolidated income tax returns
with Citius Pharmaceuticals. The Company follows accounting guidance regarding the recognition, measurement, presentation, and disclosure
of uncertain tax positions in the financial statements. Tax positions taken or expected to be taken in the course of preparing the Company’s
tax returns are required to be evaluated to determine whether the tax positions are “more-likely-than-not” of being sustained
by the applicable tax authorities. Tax positions not deemed to meet a more-likely-than-not threshold would be recorded in the financial
statements. There are no uncertain tax positions that require accrual or disclosure as of September 30, 2024. Any interest or penalties
are charged to expense. During the years ended September 30, 2024 and 2023, the Company did not recognize any interest and penalties.
The Company is subject to examination by federal and state tax authorities for all tax years since inception. The Company recognizes deferred tax assets and
liabilities based on differences between the financial reporting and tax basis of assets and liabilities, and operating loss and tax credit
carry forwards. Deferred tax assets and liabilities are measured using the enacted tax rates and laws that are expected to be in effect
when the differences are expected to reverse. The Company provides a valuation allowance, if necessary, for deferred tax assets for which
it does not consider realization of such assets to be “more-likely-than-not.” The deferred tax benefit or expense for the
period represents the change in the deferred tax asset or liability from the beginning to the end of the period.
|
Basic and Diluted Net Loss per Common Share |
Basic and Diluted Net Loss per Common Share Basic and diluted net loss per common share applicable
to common stockholders is computed by dividing net loss in each period by the weighted average number of shares of common stock outstanding
during such period. For the periods presented, common stock equivalents, consisting
of options were not included in the calculation of the diluted loss per share because they were anti-dilutive.
|
Segment Reporting |
Segment Reporting The Company currently operates as a single segment.
|
Concentrations of Credit Risk |
Concentrations of Credit Risk The Company has no significant off-balance-sheet
concentration of credit risk such as foreign exchange contracts, option contracts or other hedging arrangements.
|
Recently Issued Accounting Standards |
Recently Issued Accounting Standards Reportable Segment Disclosures In November 2023, the
FASB issued ASU 2023-07, Segment Reporting (Topic 280), Improvements to Reportable Segment Disclosures. The change in the standard improves
reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. The changes improve
financial reporting by requiring disclosure of incremental segment information on an annual and interim basis for all public entities
to enable investors to develop more decision-useful financial analyses. The guidance will be effective for annual reporting periods beginning
after December 15, 2023, and for interim periods beginning after December 15, 2024. Early adoption is permitted. The standard will be
applied retrospectively. The Company is currently evaluating the impact of adoption of the standard on its financial statement disclosures. Income Tax Disclosures In December 2023, the
FASB issued ASU 2023-09, Income Taxes (Topic 740), Improvements to Income Tax Disclosures. The standard enhances the transparency, decision
usefulness and effectiveness of income tax disclosures by requiring consistent categories and greater disaggregation of information in
the reconciliation of income taxes computed using the enacted statutory income tax rate to the actual income tax provision and effective
income tax rate, as well as the disaggregation of income taxes paid (refunded) by jurisdiction. The standard also requires disclosure
of income (loss) before provision for income taxes and income tax expense (benefit) in accordance with U.S. Securities and Exchange Commission
(SEC) Regulation S-X 210.4-08(h), Rules of General Application – General Notes to Financial Statements: Income Tax Expense, and
the removal of disclosures no longer considered cost beneficial or relevant. The guidance will be effective for annual reporting periods
beginning after December 15, 2024. Early adoption is permitted. The standard will be applied on a prospective basis, with retrospective
application permitted. The Company is currently evaluating the impact of adoption of the standard on its financial statement disclosures. Disaggregation of Income Statement Expenses In November 2024, the
FASB issued ASU 2024-03, Income Statement Reporting–Comprehensive Income–Expense Disaggregation Disclosures (Subtopic 220-40),
Disaggregation of Income Statement Expenses. The standard update improves the disclosures about a public business entity’s expenses
by requiring more detailed information about the types of expenses (including purchases of inventory, employee compensation, depreciation
and amortization) included within income statement expense captions. The guidance will be effective for annual reporting periods beginning
after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted. The standard updates
are to be applied prospectively with the option for retrospective application. The Company is currently evaluating the impact of adoption
of the standard update on its financial statement disclosures.
|
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v3.24.4
Stockholder's Equity (Tables)
|
12 Months Ended |
Sep. 30, 2024 |
Stockholders' Equity [Abstract] |
|
Schedule of Fair Value of Stock Options Grants |
The following assumptions were used in determining
the fair value of stock option grants for the year ended September 30, 2024 and 2023: | | 2024 | | | 2023 | | Risk-free interest rate | | | 4.66 | % | | | 4.11 | % | Expected dividend yield | | | 0.00 | % | | | 0.00 | % | Expected term | | | 6.50 years | | | | 5.96 years | | Expected volatility | | | 87 | % | | | 91 | % |
|
Schedule of Stock Option Activity |
A summary of option activity under the plan is presented below: | | Shares | | | Weighted- Average Exercise Price | | | Weighted- Average Remaining Contractual Term | | | Aggregate Intrinsic Value | | Outstanding at September 30, 2023 | | | 12,600,000 | | | $ | 2.15 | | | | 9.77 years | | | $ | — | | Granted | | | 150,000 | | | | 2.15 | | | | | | | | | | Forfeited | | | - | | | | | | | | | | | | | | Outstanding at September 30, 2024 | | | 12,750,000 | | | $ | 2.15 | | | | 8.78 years | | | $ | — | | Exercisable at September 30, 2024 | | | 3,937,500 | | | $ | 2.15 | | | | 8.77 years | | | $ | — | |
|
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v3.24.4
Income Taxes (Tables)
|
12 Months Ended |
Sep. 30, 2024 |
Income Taxes [Abstract] |
|
Schedule of Income Tax Expense Differs from the Amount of Income Tax |
The income tax expense differs from the amount
of income tax determined by applying the U.S. federal income tax rate to pretax income for the years ended September 30, 2023 and 2022
due to the following:
| |
2024 | | |
2023 | |
Computed “expected” tax benefit | |
| (21 | )% | |
| (21 | )% |
Increase (decrease) in income taxes resulting from: | |
| | | |
| | |
State taxes, net of federal benefit | |
| (7.1 | ) | |
| (7.1 | ) |
Permanent differences | |
| 6.1 | | |
| 2.6 | |
Increase in the valuation reserve | |
| 24.8 | | |
| 30.3 | |
| |
| 2.8 | % | |
| 4.8 | % |
|
Schedule of Deferred Income Taxes Reflect the Net Tax Effects of Temporary Differences |
Deferred income taxes reflect the net tax effects
of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used
for income tax purposes. Significant components of the Company’s deferred tax assets and liabilities are as follows:
| |
September 30,
2024 | | |
September 30,
2023 | |
Deferred tax assets: | |
| | |
| |
Net operating loss carryforward | |
$ | 7,530,000 | | |
$ | 4,646,000 | |
Capitalized research and development expense | |
| 2,080,000 | | |
| 1,073,000 | |
Stock-based compensation | |
| 1,091,000 | | |
| 239,000 | |
Research tax credit | |
| 1,035,000 | | |
| 850,000 | |
Valuation allowance on deferred tax assets | |
| (11,736,000 | ) | |
| (6,808,000 | ) |
Total deferred tax assets | |
| | | |
| | |
Deferred tax liabilities: | |
| | | |
| | |
In-process research and development | |
| (1,728,000 | ) | |
| (1,152,000 | ) |
Total deferred tax liability | |
| (1,728,000 | ) | |
| (1,152,000 | ) |
Net deferred tax liability | |
$ | (1,728,000 | ) | |
$ | (1,152,000 | ) |
|
X |
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v3.24.4
Nature of Operations and Basis of Presentation (Details) - USD ($)
|
|
|
12 Months Ended |
Aug. 12, 2024 |
Jul. 05, 2023 |
Sep. 30, 2024 |
Sep. 30, 2023 |
Nature of Operations and Basis of Presentation [Line Items] |
|
|
|
|
Total shares outstanding (in Shares) |
71,552,402
|
|
|
|
Net amount |
$ 2,753,795
|
|
|
|
Additional paid in capital |
|
|
$ 85,411,771
|
$ 43,658,750
|
Cash |
|
|
112
|
|
Liabilities |
559,015
|
|
|
|
Transaction costs |
|
|
2,358,780
|
|
Cash contributions |
|
|
3,827,944
|
|
Capital Receivables |
|
|
33,180,961
|
|
Additional payable |
|
|
$ 3,800,111
|
|
Stock split |
|
675,000-for-1
|
|
|
TenX [Member] |
|
|
|
|
Nature of Operations and Basis of Presentation [Line Items] |
|
|
|
|
Additional paid in capital |
395,015
|
|
|
|
Cash |
$ 163,500
|
|
|
|
Stock Split [Member] |
|
|
|
|
Nature of Operations and Basis of Presentation [Line Items] |
|
|
|
|
Stock split |
|
|
675,000-for-1
|
|
Citius Pharma [Member] |
|
|
|
|
Nature of Operations and Basis of Presentation [Line Items] |
|
|
|
|
Ownership percentage |
92.30%
|
|
|
|
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Summary of Significant Accounting Policies (Details) - USD ($)
|
12 Months Ended |
Sep. 30, 2024 |
Sep. 30, 2023 |
Summary of Significant Accounting Policies [Line Items] |
|
|
Prepaid expenses |
$ 2,700,000
|
$ 7,734,895
|
Inventory, Finished Goods, Gross |
6,134,895
|
|
Inventory, Work in Process, Gross |
2,133,862
|
|
Prepaid manufacturing costs |
6,134,895
|
|
In-process research and development amount |
73,400,000
|
|
In-process research and development initial payments |
40,000,000
|
|
License payable |
$ 28,400,000
|
|
Amortized straight-line basis period |
12 years
|
|
DRL [Member] |
|
|
Summary of Significant Accounting Policies [Line Items] |
|
|
Milestone payments |
$ 27,500,000
|
|
Eisai [Member] |
|
|
Summary of Significant Accounting Policies [Line Items] |
|
|
Milestone payments |
$ 5,900,000
|
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v3.24.4
Patent and Technology License Agreements (Details) - USD ($) $ in Thousands |
1 Months Ended |
12 Months Ended |
Aug. 31, 2024 |
Sep. 30, 2024 |
Patent and Technology License Agreements (Details) [Line Items] |
|
|
Fair value of in process research and development, upfront payment |
$ 33,400
|
|
Development milestone payments |
33,400
|
$ 70,000
|
Commercial sales milestones |
|
$ 300,000
|
Net sales percentage |
|
50.00%
|
Net product sales payment |
|
$ 22,000
|
Reimburse amount |
|
2,650
|
Remaining balance license payable |
$ 5,000
|
|
In-Process Research and Development [Member] |
|
|
Patent and Technology License Agreements (Details) [Line Items] |
|
|
Fair value of in process research and development, upfront payment |
|
40,000
|
License Agreement [Member] |
|
|
Patent and Technology License Agreements (Details) [Line Items] |
|
|
Development milestone payments |
|
5,900
|
Licensed Territory [Member] |
|
|
Patent and Technology License Agreements (Details) [Line Items] |
|
|
Commercial sales milestones |
|
7,000
|
Dr. Reddy’s [Member] |
|
|
Patent and Technology License Agreements (Details) [Line Items] |
|
|
Development milestone payments |
|
40,000
|
License Agreement with Eisai [Member] |
|
|
Patent and Technology License Agreements (Details) [Line Items] |
|
|
Paying an extension fee |
|
$ 10,000
|
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v3.24.4
Stockholder's Equity (Details) - USD ($)
|
|
12 Months Ended |
|
|
|
Jul. 05, 2023 |
Sep. 30, 2024 |
Aug. 05, 2024 |
Sep. 30, 2023 |
Apr. 29, 2023 |
Stockholders' Equity [Line Items] |
|
|
|
|
|
Capital stock authorized |
|
|
|
|
110,000,000
|
Common stock authorized |
|
100,000,000
|
110,000,000
|
100,000,000
|
|
Common stock par value (in Dollars per share) |
|
$ 0.0001
|
|
$ 0.0001
|
|
Preferred stock shares authorized |
|
10,000,000
|
|
10,000,000
|
|
Preferred stock par value (in Dollars per share) |
|
$ 0.0001
|
|
$ 0.0001
|
|
Stockholders' Equity Note, Stock Split |
675,000-for-1
|
|
|
|
|
Outstanding shares |
100
|
|
|
|
|
Common shares for issuance |
|
|
|
|
15,000,000
|
Options vest over terms |
|
10 years
|
|
|
|
Share issued price per share (in Dollars per share) |
|
$ 1.66
|
|
|
|
Stock based compensation expense (in Dollars) |
|
$ 7,498,817
|
|
|
|
Unrecognized total compensation (in Dollars) |
|
$ 11,592,383
|
|
|
|
Weighted average period |
|
1 year 9 months 7 days
|
|
|
|
Options of common share |
|
12,750,000
|
|
12,600,000
|
|
Option exercise price |
|
3,937,500
|
|
|
|
Minimum [Member] |
|
|
|
|
|
Stockholders' Equity [Line Items] |
|
|
|
|
|
Options vest over terms |
|
12 months
|
|
|
|
Maximum [Member] |
|
|
|
|
|
Stockholders' Equity [Line Items] |
|
|
|
|
|
Options vest over terms |
|
36 months
|
|
|
|
Director [Member] |
|
|
|
|
|
Stockholders' Equity [Line Items] |
|
|
|
|
|
Options of common share |
|
|
150,000
|
|
|
Option exercise price |
|
|
2.15
|
|
|
Common Stock [Member] |
|
|
|
|
|
Stockholders' Equity [Line Items] |
|
|
|
|
|
Common stock authorized |
|
|
100,000,000
|
|
100,000,000
|
Common stock par value (in Dollars per share) |
|
|
$ 0.0001
|
|
$ 0.0001
|
Preferred Stock [Member] |
|
|
|
|
|
Stockholders' Equity [Line Items] |
|
|
|
|
|
Preferred stock shares authorized |
|
|
10,000,000
|
|
10,000,000
|
Preferred stock par value (in Dollars per share) |
|
|
$ 0.0001
|
|
$ 0.0001
|
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v3.24.4
Stockholder's Equity (Details) - Schedule of Stock Option Activity - USD ($)
|
|
12 Months Ended |
Sep. 30, 2023 |
Sep. 30, 2024 |
Schedule of Stock Option Activity [Abstract] |
|
|
Shares, Outstanding Balance |
12,600,000
|
12,750,000
|
Weighted-Average Exercise price, Outstanding Balance (in Dollars per share) |
$ 2.15
|
$ 2.15
|
Weighted-Average Remaining Contractual Term, Outstanding Balance |
9 years 9 months 7 days
|
8 years 9 months 10 days
|
Aggregate Intrinsic Value, Outstanding Balance (in Dollars) |
|
|
Shares, Exercisable |
|
3,937,500
|
Weighted-Average Exercise price, Exercisable (in Dollars per share) |
|
$ 2.15
|
Weighted-Average Remaining Contractual Term, Exercisable |
|
8 years 9 months 7 days
|
Aggregate Intrinsic Value, Exercisable (in Dollars) |
|
|
Shares, Granted |
|
150,000
|
Weighted-Average Exercise price, Granted (in Dollars per share) |
|
$ 2.15
|
Shares, Forfeited |
|
|
X |
- DefinitionThe number of shares into which fully or partially vested stock options outstanding as of the balance sheet date can be currently converted under the option plan.
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v3.24.4
Related Party Transactions (Details) - USD ($)
|
12 Months Ended |
Sep. 30, 2024 |
Sep. 30, 2023 |
Related Party Transactions [Line Items] |
|
|
General and administrative payroll |
$ 1,846,202
|
$ 1,727,595
|
Research and development payroll |
1,963,630
|
1,496,401
|
Office space charged |
121,570
|
121,470
|
Capital contribution |
33,180,961
|
|
Cash contributed amount |
3,827,944
|
|
Principal amount |
3,800,111
|
|
Repayment of note |
10,000,000
|
|
Citius Pharma [Member] |
|
|
Related Party Transactions [Line Items] |
|
|
Amounts due to related party |
$ 14,270,648
|
$ 14,805,474
|
X |
- DefinitionFace (par) amount of debt instrument at time of issuance.
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v3.24.4
Income Taxes (Details) - USD ($)
|
12 Months Ended |
Sep. 30, 2024 |
Sep. 30, 2023 |
Income Taxes [Abstract] |
|
|
Deferred income tax expense |
$ 576,000
|
$ 576,000
|
Valuation allowance increased |
4,928,000
|
$ 4,043,000
|
Federal net operating loss carryforward |
28,700,000
|
|
Federal research and development |
$ 1,035,000
|
|
X |
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v3.24.4
Income Taxes (Details) - Schedule of Deferred Income Taxes Reflect the Net Tax Effects of Temporary Differences - USD ($)
|
12 Months Ended |
Sep. 30, 2024 |
Sep. 30, 2023 |
Deferred tax assets: |
|
|
Net operating loss carryforward |
$ 7,530,000
|
$ 4,646,000
|
Capitalized research and development expense |
2,080,000
|
1,073,000
|
Stock-based compensation |
1,091,000
|
239,000
|
Research tax credit |
1,035,000
|
850,000
|
Valuation allowance on deferred tax assets |
(11,736,000)
|
(6,808,000)
|
Deferred tax liabilities: |
|
|
In-process research and development |
(1,728,000)
|
(1,152,000)
|
Total deferred tax liability |
(1,728,000)
|
(1,152,000)
|
Net deferred tax liability |
$ (1,728,000)
|
$ (1,152,000)
|
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v3.24.4
Commitments and Contingencies (Details)
|
12 Months Ended |
Sep. 30, 2024
USD ($)
|
Commitments and Contingencies [Line Items] |
|
Annual service fee |
$ 250,000
|
Reservation of production |
17,300,000
|
Minimum purchase commitments |
4,500,000
|
2025 [Member] |
|
Commitments and Contingencies [Line Items] |
|
Purchase commitments payments |
11,900,000
|
Purchase commitment obligations |
2,900,000
|
2026 [Member] |
|
Commitments and Contingencies [Line Items] |
|
Purchase commitments payments |
5,400,000
|
Purchase commitment obligations |
$ 1,600,000
|
X |
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