Certain information included in this Quarterly Report on Form 10-Q contains, or incorporates by reference, forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934. The words "anticipate," "believe," "hope," "expect," "intend," "predict," "plan," "seek," "estimate," "project," "continue," "could," "may," and similar terms and expressions, or the use of future tense, are intended to identify forward-looking statements. These statements include, among others, statements about leronlimab, its ability to have positive health outcomes, the impact of health epidemics, including the ongoing COVID-19 pandemic, and information regarding future operations, future capital expenditures and future net cash flows. Such statements reflect current views with respect to future events and financial performance and involve risks and uncertainties, including, without limitation, (i) the sufficiency of the Company's cash position, (ii) the Company's ability to raise additional capital to fund its operations, (iii) the Company's ability to meet its debt obligations, if any, (iv) the Company's ability to enter into partnership or licensing arrangements with third-parties, (v) the Company's ability to identify patients to enroll in its clinical trials in a timely fashion, (vi) the Company's ability to achieve approval of a marketable product, (vii) the design, implementation and conduct of the Company's clinical trials, (viii) the results of the Company's clinical trials, including the possibility of unfavorable clinical trial results, (ix) the market for, and marketability of, any product that is approved, (x) the existence or development of vaccines, drugs, or other treatments that are viewed by medical professionals or patients as superior to the Company's products, (xi) regulatory initiatives, compliance with governmental regulations and the regulatory approval process, (xi) regulatory initiatives and compliance with governmental regulations and the regulatory approval process, (xii) litigation affecting the Company or its products; (xiii) general economic and business conditions, (ix) changes in foreign, political, and social conditions, and (xv) various other matters, many of which are beyond our control. Should one or more of these risks or uncertainties occur, or should underlying assumptions prove to be incorrect, actual results may vary materially and adversely from those anticipated, believed, estimated, or otherwise indicated. Consequently, all of the forward-looking statements made in this filing are qualified by these cautionary statements and there can be no assurance of the actual results or developments. For a discussion of the risks and uncertainties that could materially and adversely affect the Company's financial condition and results of operations, see "Risk Factors" set forth in our Annual Report on Form 10-K for the year endedMay 31, 2020 , filed with theSEC onAugust 14, 2020 , and in our subsequent filings with theSEC , including those risks and uncertainties identified in Part II, Item 1A of this Quarterly Report. The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the other sections of this Quarterly Report, including our financial statements and related notes appearing elsewhere herein. To the extent not otherwise defined herein, capitalized terms shall have the same meanings as in such financial statements and related notes. This discussion and analysis contains forward-looking statements including information about possible or assumed results of our financial condition, operations, plans, objectives and performance that involve risk, uncertainties and assumptions. The actual results may differ materially from those anticipated and set forth in such forward-looking statements. Unless the context otherwise requires, references in this annual report to "CytoDyn ," the "Company," "we," "our," or "us" are toCytoDyn Inc. and its subsidiaries. Overview We are a late-stage biotechnology company focused on the clinical development and potential commercialization of leronlimab ("PRO 140"), a CCR5 antagonist to treat HIV infection, with the potential for multiple therapeutic indications. Our current business strategy is to resubmit our Biologics License Application ("BLA") filing for leronlimab as a combination therapy for highly treatment-experienced HIV patients as soon as possible. In addition, we are also pursuing approval for leronlimab as a potential therapeutic benefit for COVID-19 patients, cancer, and other indications. We are currently also engaged in conducting clinical trials in a Phase 1b/2 clinical trial for metastatic triple-negative breast cancer, Phase 2 trial for 22 solid tumor cancers, and a Phase 2 NASH trial. During the quarter endedNovember 30, 2020 , we have continued to work on the resubmission of our BLA filing with the FDA for leronlimab as a combination therapy for highly treatment-experienced HIV patients, and to advance our clinical trials to evaluate the safety and efficacy of leronlimab as a treatment for HIV, as a therapeutic for COVID-19, and as a treatment for various forms of cancers. An update of the status of our clinical trials is below. HIV Applications Phase 2b/3 Pivotal Trial for HIV, as Combination Therapy This trial was successfully completed and is the basis for our current BLA filing with the FDA. The last two portions of the BLA (clinical and manufacturing) were submitted to the FDA inApril 2020 , and the submission was completed onMay 11, 2020 . InJuly 2020 , however, the Company received a Refusal to File letter from the FDA regarding its BLA filing requesting additional 29 -------------------------------------------------------------------------------- Table of Contents information. In August andSeptember 2020 , the FDA provided written responses to the Company's questions and met telephonically with Company key personnel and its clinical research organization concerning its recent BLA for this HIV combination therapy to expedite the resubmission of its BLA filing for this indication. The Company expects to resubmit its BLA filing in the first half of calendar year 2021. This trial for leronlimab as a combination therapy to existing highly active antiretroviral therapy ("HAART") drug regimens for highly treatment experienced HIV patients achieved its primary endpoint with a p-value of 0.0032. Most of the patients who have completed this trial have transitioned to an FDA-cleared rollover study, as requested by the treating physicians to enable the patients to have continued access to leronlimab. Rollover Study for HIV as Combination Therapy This study is designed for patients who successfully completed the pivotal Phase 2b/3 Combination Therapy trial and for whom the treating physicians request a continuation of leronlimab therapy to maintain suppressed viral load. This extension study will be discontinued upon any FDA approval of leronlimab. Phase 2b Extension Study for HIV, as Monotherapy Currently, there are five patients in this ongoing extension study, and each has surpassed six years of suppressed viral load with leronlimab as a single agent therapy. This extension study will be discontinued upon any FDA approval of leronlimab. Phase 2b/3 Investigative Trial for HIV, as Long-term Monotherapy Enrollment for this trial is closed after reaching over 500 patients. This trial assesses the subcutaneous use of leronlimab as a long-acting single-agent maintenance therapy for 48 weeks in patients with suppressed viral load with CCR5-tropic HIV-1 infection. The primary endpoint is the proportion of participants with a suppressed viral load to those who experienced virologic failure. The secondary endpoint is the length of time to virologic failure. We completed the evaluation with two higher-dose arms, one with 525 mg dose (a 50% increase from the original dosage of 350 mg), as well as a 700 mg dose. We reported inAugust 2019 that interim data suggested both the 525 mg and the 700 mg dosages are achieving a responder rate of approximately 90% after the initial 10 weeks. This trial has also been used to provide safety data for the BLA filing for leronlimab as a combination therapy. Given the high responder rate at the increased dosage levels, coupled with the newly developed CCR5 occupancy test, we filed a pivotal trial protocol with the FDA for leronlimab as a monotherapy inMay 2019 . Many patients who completed the Phase 2b/3 trial and requested continued access to leronlimab are continuing in an extension study. COVID-19 Indication Phase 2 Trial to Evaluate the Efficacy and Safety of Leronlimab for Mild-to-Moderate Coronavirus Disease 2019 (COVID-19) This two-arm, randomized, double-blind, placebo-controlled multicenter study to evaluate the safety and efficacy of leronlimab in patients with mild-to-moderate symptoms of respiratory illness caused by coronavirus 2019 infection was completed inJuly 2020 . Patients were randomized to receive weekly doses of 700 mg leronlimab or placebo for two weeks. Leronlimab and placebo were administered via subcutaneous injection. The study has three phases: Screening Period, Treatment Period, and Follow-Up Period. A total of 86 subjects were randomized 2:1 (active drug to placebo) in this study. The primary outcome measures are clinical improvement as assessed by change in total symptom score (for fever, myalgia, dyspnea and cough). Secondary outcome measures include: (1) time to clinical resolution, (2) change from baseline in National Early Warning Score 2 (NEWS2), (3) change from baseline in pulse oxygen saturation, (4) change from baseline in the patient's health status on a 7-category ordinal scale, (5) incidence of hospitalization, (6) duration (days) of hospitalization, (7) incidence of mechanical ventilation supply, (8) duration (days) of mechanical ventilation supply, (9) incidence of oxygen use, (10) duration (days) of oxygen use, (11) mortality rate, and (12) time to return to normal activity. Enrollment was completed inJuly 2020 , and the Company reported positive safety results. The topline report from the trial, including efficacy and complete safety data, demonstrated clinically significant results for the primary endpoint and statistically significant results for the secondary outcome for NEWS2 was submitted to the FDA inAugust 2020 . The Company is currently exploring various forms of authorizations for use and potential approvals with several countries. Phase 3 Trial to Evaluate the Efficacy and Safety of Leronlimab for Patients with Severe-to- Critical Coronavirus Disease 2019 (COVID-19). 30 -------------------------------------------------------------------------------- Table of Contents This is a two-arm, randomized, double-blind, placebo-controlled, adaptive design multicenter study to evaluate the safety and efficacy of leronlimab in patients with severe-to-critical symptoms of respiratory illness caused by COVID19. Patients were randomized to receive weekly doses of 700 mg leronlimab or placebo for two weeks. Leronlimab and placebo will be administered via subcutaneous injection. The study has three phases: Screening Period, Treatment Period, and Follow-Up Period. The primary outcome measured in this study is all-cause mortality at Day 28. Secondary outcomes measured are: (1) all-cause mortality at Day 14, (2) change in clinical status of subject at Day 14, (3) change in clinical status of subject at Day 28, and (4) change from baseline in Sequential Organ Failure Assessment (SOFA) score at Day 14. In October, the Data Safety Monitoring Committee for the ongoing Phase 3 trial completed its first safety review of patients with severe and critical COVID-19 and reported it saw no cause to modify the study. InAugust 2020 , the DSMC reviewed compiled safety data from 149 of the 169 patients enrolled in the Phase 3 trial. The DSMC did not raise any safety concerns and recommended the trial continue without any modification. The Company completed enrollment inDecember 2020 with 394 patients and, accordingly, the last patient enrolled will reach 28 days inmid-January 2021 . Cancer and Immunological Indications for Leronlimab We are continuing to explore opportunities for clinical indications for leronlimab involving the CCR5 receptor, other than HIV-related treatments, such as inflammatory conditions, autoimmune diseases, and cancer. The target of leronlimab is the immunologic receptor CCR5. We believe that the CCR5 receptor is more than the door for HIV to enter T-cells: it is also a crucial component in inflammatory responses. This could open the potential for multiple pipeline opportunities for leronlimab. The CCR5 receptor is a protein located on the surface of white blood cells that serves as a receptor for chemical attractants called chemokines. Chemokines are the key orchestrators of leukocyte trafficking by attracting immune cells to the sites of inflammation. At the site of an inflammatory reaction, chemokines are released. These chemokines are specific for CCR5 and cause the migration of T-cells to these sites promoting further inflammation. The mechanism of action of leronlimab has the potential to block the movement of T-cells to inflammatory sites, which could be instrumental in diminishing or eliminating inflammatory responses. Some disease processes that could benefit from CCR5 blockade include transplantation rejection, autoimmunity, and chronic inflammation such as rheumatoid arthritis and psoriasis. Due to leronlimab's mechanism of action ("MOA"), we believe leronlimab may have significant advantages in reducing side effects over other CCR5 antagonists. Prior studies have demonstrated that leronlimab does not cause direct activation of T-cells. We have reported encouraging human safety data for our clinical trials with leronlimab in HIV-infected patients. We initiated our first clinical trial with leronlimab in an immunological indication inMarch 2020 - a Phase 2 clinical trial with leronlimab for GvHD in reduced intensity conditioning ("RIC") patients with acute myeloid leukemia ("AML") or myelodysplastic syndrome ("MDS") who are undergoing bone marrow stem cell transplantation. GvHD represents an unmet medical need, with patients who contract GvHD during stem cell transplant having a significantly decreased 1-year survival rate with relapsed GvHD as the leading cause of death. Our pre-clinical study in GvHD has been published in the peer-reviewed journal Biology of Blood and Marrow Transplantation. InOctober 2017 , the FDA granted orphan drug designation to leronlimab to prevent acute GvHD. Due to the lack of patients during the COVID-19 pandemic, the Company is suspending its Phase 2 trial for acute GvHD to focus on more acute priorities. Phase 1b/2 Trial for Triple-Negative Breast Cancer This trial evaluates the feasibility of leronlimab combined with carboplatin in patients with CCR5+ metastatic triple-negative breast cancer. The first portion is a dose-escalation phase with three dose levels (cohorts) of leronlimab combined with a fixed dose of carboplatin. The second portion is a single arm study with 30 patients to test the hypothesis that the combination of carboplatin intravenously and maximum tolerated dose of leronlimab subcutaneously will increase progression free survival. InMay 2019 , the FDA granted leronlimab Fast Track designation for use in combination with carboplatin. The change in circulating tumor cells ("CTCs") will be evaluated every 21 days during treatment and will be used as an initial prognostic marker for efficacy. The first patient was treated inSeptember 2019 , and the Company reported encouraging initial results from the first patient inNovember 2019 . InJanuary 2020 , the Company filed for Breakthrough Therapy designation ("BTD") with theU.S. Food and Drug Administration (FDA) for the use of leronlimab as adjuvant therapy for the treatment of metastatic triple-negative breast cancer (mTNBC). Breakthrough Therapy designation is a process designed to expedite the development and review of drugs intended to treat a serious condition, and preliminary clinical evidence indicates that the drug may demonstrate substantial improvement over available therapy on a clinically significant endpoint(s). In addition, breakthrough therapy should have a compelling scientific rationale and promising 31 -------------------------------------------------------------------------------- Table of Contents MOA, such as targeting a molecular driver of disease. If the BTD is granted, it will fall under one of three subcategories that (a) address a serious condition with poor outcomes for which there is no Standard of Care (SoC), (b) provide substantial efficacy improvement of a well characterized SoC for a serious condition with poor outcomes, or (c) provide substantial therapeutic index advantage over a well characterized SoC for a serious condition with poor outcomes. If a BTD is granted the possible outcomes are (a) conditional or full approval, (b) expedited development, (c) rolling submission, or (d) review shortened. To determine whether the improvement over available therapy is substantial is a matter of judgment and depends on both the magnitude of the treatment effect, including the duration of the effect and the importance of the observed clinical outcome. In general, preliminary clinical evidence should show a clear advantage over available therapy. A breakthrough therapy is a drug:
• intended alone or in combination with one or more other drugs to treat a
serious or life-threatening disease or condition, and
• preliminary clinical evidence indicates that the drug may demonstrate
substantial improvement over existing therapies on one or more clinically
significant endpoints, such as substantial treatment effects observed
early in clinical development.
In 2019, theFDA's Center for Drug Evaluation and Research (CDER) approved 29 of 48 novel drugs that used at least one expedited approval method. 13 of these drugs approved originated from a Breakthrough Therapy designation, which represents 27% of the drugs approved during the year. Compassionate Use Study of Leronlimab in Breast Cancer This is a single-arm, compassionate use study with 30 patients for leronlimab combined with a treatment of physician's choice (TPC) in patients with CCR5+ mTNBC. Leronlimab will be administered subcutaneously at a weekly dose of 350 mg until disease progression or intolerable toxicity. Based on our success in the Phase 1b/2 mTNBC trial with 350 mg dose, we were able to transition all of the compassionate use patients to 525 mg dose. Treatment of Physician's Choice (TPC) is defined as one of the following single-agent chemotherapy drugs administrated according to local practice: eribulin, gemcitabine, capecitabine, paclitaxel, nab-paclitaxel, vinorelbine, ixabepilone, or carboplatin. In this study, patients will be evaluated for tumor response approximately every three months or according to the institution's standard practice by CT, PET/CT or MRI with contrast (per treating investigator's discretion) using the same method as at baseline. Basket Trial for 22 Solid Tumor Cancers This is a Phase 2 study to test the safety and efficacy of leronlimab on 22 different solid tumor cancers, including brain-glioblastoma, melanoma, lung, breast, ovarian, pancreas, bladder, throat, stomach, colon, testicular, uterine, among other indications. The first patient was treated inApril 2020 , and enrollment is ongoing. Phase 2 Trial and IND for NASH InOctober 2019 , the FDA granted clearance toCytoDyn to proceed with a Phase 2 study to test whether leronlimab may control the devastating effects of liver fibrosis associated with Nonalcoholic steatohepatitis ("NASH"). This trial is designed to be a 60-patient, multi-center, randomized, double-blind, placebo-controlled Phase 2 study of the safety and efficacy of leronlimab in adult patients with NASH. The first patient was enrolled inDecember 2020 . Phase 2 Trial for Metastatic Colorectal Cancer In earlySeptember 2019 , the FDA granted clearance to proceed with Phase 2 studies of leronlimab and regorafenib as a combination therapy for metastatic colorectal cancer. This Phase 2 study will enroll 30 patients and is designed to test the hypothesis that the combination of leronlimab, administered as a subcutaneous injection, and regorafenib, administered orally, will increase progression-free survival in patients with CCR5-positive metastatic colorectal cancer. We have not initiated this trial because metastatic colorectal cancer patients can also enroll in the Phase 2 basket trial. Pre-clinical Studies for Multiple Cancer Indications We plan to initiate multiple pre-clinical studies with leronlimab for melanoma, pancreatic, breast, prostate colon, lung, liver, and stomach cancers. An ongoing pre-clinical study conducted by the Company reported inMay 2019 that leronlimab reduces by more than 98% human breast cancer metastasis in a murine xenograft model. We were granted Fast Track designation for leronlimab for use in triple-negative breast cancer. In addition, pre-clinical results in a colorectal cancer study are likewise encouraging. 32 -------------------------------------------------------------------------------- Table of Contents We will require a significant amount of additional capital to complete the foregoing clinical trials for HIV and complete our BLA submission, as well as to advance our trials in the oncology and immunology space, including but not limited to triple-negative breast cancer, certain other cancer indications and NASH. See "Liquidity and Capital Resources" below.Scientific Advisory Board OnSeptember 1, 2020 , we announced the formation of a scientific advisory board to advise the Company on developing leronlimab for multiple therapeutic indications. The initial members of the scientific advisory board include leading HIV, NASH, Oncology, and Rheumatological clinical experts and researchers, including Gero Hütter, M.D., Ph.D., German hematologist, best known for the bone marrow transplant resulting in the cure of the first HIV patient;Hope S. Rugo , M.D., Professor,Department of Medicine (Hematology/Oncology) and Director of the Breast Oncology Clinical Trials Education Program atUniversity of California San Francisco ;Richard T. Maziarz , M.D., Professor, Medical Director of the Adult Blood andMarrow Stem Cell Transplant and Cellular Therapy Program Knight Cancer Institute atOregon Health & Science University (OHSU);Jonah B. Sacha , Ph.D., Professor,VGTI-Vaccine and Gene Therapy Institute at OHSU;Mazen Noureddin , M.D., a hepatologist and Director, Cedars-Sinai Liver Transplant Program inLos Angeles ;Norman B. Gaylis , M.D., nationally and internationally recognized specialist in rheumatology and autoimmune diseases;Eric D. Mininberg , M.D., Oncology Specialist,Piedmont Cancer Institute , a member of the MD Anderson Cancer Network; and Lishomwa Ndhlovu, M.D., Ph.D., Assistant Professor, Immunology,Department of Medicine ,Division of Infectious Disease at Weill Cornell Medicine inNew York . Results of Operations Results of Operations for the three and six months endedNovember 30, 2020 and 2019 The following table sets forth our consolidated operating results for the three and six months endedNovember 30, 2020 compared to the three and six months endedNovember 30, 2019 , respectively (in thousands): Three Months Ended November 30, Change Six Months Ended November 30, Change 2020 2019 $ % 2020 2019 $ % Operating expenses: General and administrative $ 7,551 $ 3,094$ 4,457 144 %$ 17,426 $ 6,140 $ 11,286 184 % Research and development 16,446 8,527 7,919 93 % 31,738 17,582 14,156 81 % Amortization and depreciation 506 500 6 1 % 1,011 1,031 (20 ) -2 % Total operating expenses 24,503 12,121 12,382 102 % 50,175
24,753 25,422 103 %
Operating loss (24,503 ) (12,121 ) (12,382 ) 102 % (50,175 ) (24,753 ) (25,422 ) 103 % Interest income - 2 (2 ) -100 % - 2 (2 ) -100 % Change in fair value of derivative liabilities - 203 (203 ) -100 % - 829 (829 ) -100 % Loss on extinguishment of convertible note (4,169 ) - (4,169 ) -100 % (4,169 ) - (4,169 ) -100 % Interest expense: - - Finance charges (231 ) (1,549 ) 1,318 -85 % (137 ) (1,558 ) 1,421 -91 % Amortization of discount on convertible notes (1,243 ) (439 ) (804 ) 183 % (2,582 ) (1,470 ) (1,112 ) 76 % Amortization of debt issuance costs (15 ) (120 ) 105 -88 % (19 ) (404 ) 385 -95 % Inducement interest expense (3,758 ) (283 ) (3,475 ) 1228 % (7,103 ) (2,713 ) (4,390 ) 162 % Interest on convertible note payable (1,047 ) (553 ) (494 ) 89 % (1,613 )
(957 ) (656 ) 69 %
Total interest expense (6,294 ) (2,944 ) (3,350 ) 114 % (11,454 )
(7,102 ) (4,352 ) 61 %
Loss before income taxes (34,966 ) (14,860 ) (20,106 ) 135 % (65,798 ) (31,024 ) (34,774 ) 112 % Income tax benefit - - - - - - - - Net loss$ (34,966 ) $
(14,860 )
Basic and diluted loss per share $ (0.06 ) $
(0.04 )
Basic and diluted weighted average common shares outstanding 577,945 389,138 188,807 49 % 566,677 376,822 189,855 50 % Revenues For the three months endedNovember 30, 2020 and 2019, we had no activities that produced revenues from operations. General and Administrative Expenses General and Administrative, or G&A, expenses totaled approximately$7.6 million and$3.1 million for the three months endedNovember 30, 2020 and 2019, respectively, and were comprised of salaries and benefits, non-cash stock-based compensation expense, professional fees, insurance, and various other expenses. The increase in general and administrative expenses of approximately$4.5 million , or 144%, for the three months endedNovember 30, 2020 over the comparable period a year ago was due to increased non-cash stock-based compensation expense of approximately$3.0 million , higher salaries and benefits attributable to increased compensation and the number of employees of approximately$0.8 million , increased professional service fees of$0.3 million , increased insurance expense of$0.2 million , coupled with increases in other corporate and administrative expenses of approximately$0.2 million . 33 -------------------------------------------------------------------------------- Table of Contents G&A expenses totaled approximately$17.4 million and$6.1 million for the six months endedNovember 30, 2020 and 2019, respectively, and were comprised of salaries and benefits, non-cash stock-based compensation expense, professional fees, insurance, and various other expenses. The increase in general and administrative expenses of approximately$11.3 million , or 184%, for the six months endedNovember 30, 2020 over the same period last year was due to increased non-cash stock-based compensation expense of approximately$6.1 million , higher salaries and benefits attributable to increased compensation and the number of employees of approximately$3.4 million , increased professional service fees of$0.9 million , increased insurance expense of approximately$0.4 million , coupled with increases in other corporate and administrative expenses of approximately$0.5 million . Research and Development Expenses Research and Development, or R&D expenses, which totaled approximately$16.5 million and$8.5 million for the three months endedNovember 30, 2020 and 2019, respectively, increased approximately$7.9 million , or 93%, over the comparable 2019 period due to an increase of$6.9 million in manufacturing activity related to the commercialization of leronlimab, an increase of$2.6 million in clinical trial costs related to COVID-19, and an increase of$0.4 million in clinical trial costs related to oncology and immunology indications, offset by a decrease of$2.4 million in extension studies related to HIV. For the quarter endedNovember 30, 2020 , R&D expenditures continue to be primarily devoted to: (1) increased CMC (chemistry, manufacturing, and controls) activities related to clinical and commercialization inventories, (2) three HIV extension studies, which continue to provide leronlimab to patients who have successfully completed a trial, (3) COVID-19 clinical trials and (4) increased clinical trials for oncology and immunology indications. R&D expenses, which totaled approximately$31.7 and$17.6 million for the six months endedNovember 30, 2020 and 2019, increased approximately$14.2 million , or 81%, over the comparable 2019 period due to an increase of$10.7 million in manufacturing activity related to the commercialization of leronlimab, an increase of$8.3 million in clinical trial costs related to COVID-19, and an increase of$1.7 million in clinical trial costs related to oncology and immunology indications, and an increase of$0.8 million related to non-clinical studies, offset by a decrease of$7.3 million in extension studies related to HIV. For the six months endedNovember 30, 2020 , R&D expenditures continue to be primarily devoted to: (1) increased CMC (chemistry, manufacturing, and controls) activities related to clinical and commercialization inventories, (2) three HIV extension studies, which continue to provide leronlimab to patients who have successfully completed a trial, (3) COVID-19 clinical trials and (4) increased clinical trials for oncology and immunology indications. We expect future R&D expenses to be dependent on the timing of FDA approval of our BLA filing, the timing of FDA clearance of our pivotal trial protocol for leronlimab as a monotherapy for HIV patients, the clinical and regulatory progression related to COVID-19, oncology and immunology trials, along with the outcome of the pre-clinical studies for several other cancer indications. R&D expenses are also expected to increase due to CMC activities in preparation for approval and commercialization of leronlimab. Amortization and depreciation expenses Amortization and depreciation expenses for the three and six months endedNovember 30, 2020 was approximately$0.5 million and$1.0 million , respectively, and were flat compared to the respective 2019 comparable periods. This expense is primarily attributable to the amortization of intangible assets recognized with the acquisition ofProstaGene, LLC . Operating Expenses For the three months endedNovember 30, 2020 and 2019, operating expenses totaled approximately$24.5 million and$12.1 million , respectively, consisting of G&A expenses, R&D expenses, and amortization and depreciation. The increase in operating expenses of approximately$12.4 million , or 102%, over the 2019 period was attributable to increased G&A expenses of approximately$4.5 million and increased R&D expenses of approximately$7.9 million . For the six months endedNovember 30, 2020 and 2019, operating expenses totaled approximately$50.2 million and$24.8 million , respectively, consisting of G&A expenses, R&D expenses, and amortization and depreciation. The increase in operating expenses of approximately$25.4 million , or 103%, over the comparable 2019 six-month period was attributable to increased G&A expenses of approximately$11.3 million and increased R&D expenses of approximately$14.2 million . The future trends in expenses will be driven, in large part, by the future outcomes of pre-clinical studies and clinical trials and their related effect on research and development expenses, general and administrative expenses, and the manufacturing of new commercial leronlimab. We require a significant amount of additional capital and our ability to continue to fund operations will continue to depend on our ability to raise such capital. See in particular, "Capital Requirements" and "Going Concern" below and Item 1A. Risk Factors in our Annual Report on Form 10-K for the year endedMay 31, 2020 . 34 -------------------------------------------------------------------------------- Table of Contents Change in Fair Value of Derivative Liabilities For the three and six months endedNovember 30, 2020 , we realized a decrease in change in fair value of derivative liabilities of$0.2 million and$0.8 million , or 100%, respectively, when compared to the same periods in 2019, due to the originating instruments being exercised and settled during the fiscal year endedMay 31, 2020 . The related underlying instruments were certain warrants which originated inSeptember 2016 and two convertible note instruments originated inJune 2018 andJanuary 2019 containing contingent cash settlement provisions that gave rise to a derivative liability. For each reporting period, the Company determined the fair value of the derivative liability and recorded a corresponding non-cash benefit or non-cash charge, as a consequence of a decrease or increase, respectively, in the calculated derivative liability. Loss on extinguishment of convertible note For the three and six months endedNovember 30, 2020 , we recognized a non-cash loss on the extinguishment of a convertible note of approximately$4.2 , we did not recognize any losses on the extinguishment of debt during the same comparable periods in 2019, resulting from negotiated note payment settlements in which debt was agreed to be settled in exchange for shares issued at a price less than the closing price for the day. The originating underlying convertible note was entered into onMarch 31, 2020 and fully retired duringNovember 2020 . Interest Expense Interest expense for the three months endedNovember 30, 2020 totaled approximately$6.3 million . The increase of approximately$3.4 million over the comparable period in 2019 was driven primarily by an increase in non-cash inducement interest expense related to private warrant exchanges of approximately$3.5 million , an increase in non-cash amortization of discount on convertible notes of approximately$0.8 million , an increase in interest on convertible notes payable of$0.5 million , offset by a decrease of$1.3 million related to financing of trade payables and a decrease in amortization of debt issuance costs of$0.1 million . Interest expense for the six months endedNovember 30, 2020 totaled approximately$11.5 million . The increase of approximately$4.4 million over the comparable period in 2019 was driven primarily by an increase of an increase in non-cash inducement interest expense related to private warrant exchanges of approximately$4.4 million , an increase in non-cash amortization of discount on convertible notes of approximately$1.1 million , an increase in interest on convertible notes payable of$0.7 million , offset by a decrease of$1.4 million related to financing of trade payables and a decrease in amortization of debt issuance costs of$0.4 million . Net Loss For the three months endedNovember 30, 2020 and 2019, we had a net loss of approximately$35.0 million and$14.9 million , respectively. The increase in net loss of approximately$20.1 million was due largely to higher G&A expenses, higher R&D expenses, and higher interest expense. For the six months endedNovember 30, 2020 and 2019, we had a net loss of approximately$65.8 million and$31.0 million , respectively. The increase in net loss of approximately$34.8 million was due largely to higher G&A expenses, higher R&D expenses, higher non-cash debt extinguishment losses, and higher non-cash interest expense. Loss per Share For the three months endedNovember 30, 2020 and 2019, we had loss per share of$0.06 and$0.04 , respectively. The increase in loss per share of$0.02 as compared to a year ago, was due to an increased net loss of approximately$20.1 million over the comparable period in 2019, partially offset by a significant increase in the number of weighted average common shares outstanding. The increase in common stock was due to common stock issuances associated with the exercise of warrants and stock options, settlement of convertible notes with shares, and a private placement of equity. For the six months endedNovember 30, 2020 and 2019, we had loss per share of$0.12 and$0.08 , respectively. The increase in loss per share of$0.04 as compared to a year ago, was due to an increased net loss of approximately$34.8 million over the comparable period in 2019, partially offset by a significant increase in the number of weighted average common shares outstanding. The increase in common stock was due to common stock issuances associated with the exercise of warrants and stock options, settlement of convertible notes with shares, and a private placement of equity. Liquidity and Capital Resources Cash The Company's cash position of approximately$29.4 million atNovember 30, 2020 increased approximately$15.1 million as compared to a balance of approximately$14.3 million atMay 31, 2020 . 35 -------------------------------------------------------------------------------- Table of Contents Inventory The Company's inventory position of approximately$99.1 million atNovember 30, 2020 increased approximately$80.0 million as compared to a balance of approximately$19.1 million atMay 31, 2020 in preparation for commercialization. This inventory increase is related to raw materials purchased for future commercial production and work-in-progress inventory related to the substantially completed commercial production of pre-launch inventories of leronlimab, in expectation of approval of the product as a combination therapy for HIV patients inthe United States . Work-in-progress consists of bulk drug substance, which is the manufactured drug stored in bulk storage, and drug product, which is the manufactured drug in unlabeled vials. Bulk drug substance and drug product comprised approximately$41.1 million and$29.7 million , respectively, of work-in-progress inventory. See "Capital Requirements-Contract Manufacturing" below for a further discussion of commitments with third-party contract manufacturing partners. Cash Flows The increase in cash for the six months endedNovember 30, 2020 of approximately$15.1 million was attributable to net cash provided by financing activities of approximately$76.3 million exceeding net cash used in operating activities of approximately$61.1 million and cash used in investing activities of approximately$0.1 million . Six Months Ended November 30, Change (in thousands) 2020 2019 $ Net cash (used in) provided by: Net cash used in operating activities$ (61,119) $ (21,975) $ (39,144) Net cash used in investing activities $ (77) $ (14)$ (63) Net cash provided by financing activities$ 76,311 $
19,722
Cash Used in Operating Activities Net cash used in operating activities totaled approximately$61.1 million during the six months endedNovember 30, 2020 , which reflects an increase of approximately$39.1 million of net cash used in operating activities over the six months endedNovember 30, 2019 . The increase in net cash used in operating activities was due to$79.9 million of cash used to procure leronlimab, an increase in net loss of$34.8 million , offset in part by an increase in accounts payables and accrued liabilities of$58.7 million , an increase in noncash stock-based compensation of$6.1 million , an increase in non-cash inducement interest expense of$4.4 million , an increase in non-cash loss on extinguishment of debt of$4.2 million , a decrease in prepaid asset of approximately$1.3 million , and an increase in non-cash amortization of debt discount of approximately$1.1 million , when compared to the changes in the comparable period in 2019. Cash Used in Investing Activities Net cash used in investing activities was approximately$0.1 million during the six months endedNovember 30, 2020 , which reflects an immaterial increase over a year ago attributable to the purchase of office equipment and furniture. Cash Provided by Financing Activities Net cash provided by financing activities of approximately$76.3 million during the six months endedNovember 30, 2020 , increased approximately$56.6 million over net cash provided by financing activities during the six months endedNovember 30, 2019 . The increase in net cash provided from financing activities was primarily attributable to the increase in net proceeds of$50.0 million from the issuance of convertible promissory notes, the increase in net proceeds from warrant and stock option transactions of approximately$18.2 million , and the increase in net proceeds from convertible promissory note repayments of$0.4 million , offset by a decrease in net proceeds from the sales of common and preferred stock of approximately$11.2 million , an increase for payment of income tax withholdings in exchange for the tender of common stock of approximately$0.8 million , when compared to the same period in the 2019 prior year. Convertible Debt A summary of our various convertible debt arrangements is included in Note 5. Convertible Instruments of the Notes to the Consolidated Financial Statements included in Part I, Item I of this Quarterly Report on Form 10-Q.November 2020 Note InNovember 2020 , we issued a 10% 2-year convertible note with a principal amount of$28.5 million resulting in net cash proceeds of$25.0 , after$3.4 million of debt discount and$0.1 million of offering costs. The note accrues interest daily at a rate of 10% per annum, contains a stated conversion price of$10.00 per share, and matures inNovember 2022 . TheNovember 2020 Note requires monthly debt reduction payments of$7.5 million for the six months beginning inNovember 2020 which can also be satisfied by payments on theJuly 2020 Note and/orMarch 2020 Note. After six months past the issuance date, the noteholder can request monthly redemptions of up to$3.5 million . 36 -------------------------------------------------------------------------------- Table of ContentsJuly 2020 Note InJuly 2020 , we issued a convertible note with a principal amount of$28.5 million resulting in net cash proceeds of$25.0 , after$3.4 million of debt discount and$0.1 million of offering costs. The note accrues interest daily consists at a rate of 10% per annum, contains a stated conversion price of$10.00 per share, and matures inJuly 2022 . Beginning after six months past the issuance date, the noteholder can request monthly redemptions up to$1.6 million .March 2020 Note During the quarter endedNovember 30, 2020 , this note was fully retired as a result of the noteholder exercising the monthly redemption provision the Company applying the monthly Debt Reduction Amount required under theNovember 2020 Note to theMarch 2020 Note. As ofNovember 30, 2020 , there was no amount outstanding under this note. Common Stock We have 800.0 million authorized shares of common stock. As ofNovember 30, 2020 , we had 590.3 million shares of common stock outstanding, 57.0 million shares of common stock issuable up the exercise of warrants, 31.5 shares of common stock issuable upon conversion of preferred convertible stock and undeclared dividends, 25.8 million shares of common stock issuable upon the exercise of outstanding stock options or the vesting of outstanding restricted stock units, 15.7 million shares of common stock reserved for future issuance under our equity compensation plans, and 12.0 million shares of common stock reserved and issuable up conversion of outstanding convertible notes. As a result, as ofNovember 30, 2020 , we had approximately 68.2 million authorized shares of common stock available for issuance. Capital Requirements We have not generated revenue to date, and we do not expect to generate product revenue until FDA approval of leronlimab as a combination therapy for HIV, unless various approvals for COVID-19 are realized sooner. We expect to continue to incur operating losses as expenses continue to increase as we proceed with preparation for commercialization of leronlimab and continue our pre-clinical and clinical trial programs. The future trends of all expenses will be driven, in large part, by the timing of the anticipated approval of our BLA, the magnitude of our commercialization readiness, future clinical trial strategy and timing of the commencement of our future revenue stream. To date, we have not seen any impact due to COVID-19 on our ability to access capital. However, the spread of COVID-19 has led to disruption and volatility in the global capital markets, which increases the cost of, and adversely affects access to, capital and increases economic uncertainty, and may also affect our ability to access capital and obtain financing, which could in the future negatively affect our liquidity and ability to continue as a going concern. Contract Manufacturing During the fourth quarter of fiscal 2019, the Company entered into a Master Services Agreement and Product Specific Agreement (collectively, the "Samsung Agreement") with Samsung BioLogics Co., Ltd. ("Samsung"), pursuant to which Samsung will perform technology transfer, process validation, manufacturing and supply services for the commercial supply of leronlimab. As of the quarter endedNovember 30, 2020 , the Company delivered to Samsung purchase orders totaling approximately$116 million related to the manufacture of leronlimab and payments totaling$40 million , with additional payments scheduled to be made throughout calendar 2021 and 2022. As ofNovember 30, 2020 , the Company has recorded current liabilities of approximately$44 million and long-term liabilities of$34 million related to inventory manufactured pursuant to the Samsung Agreement. Under the Samsung Agreement, the purchase order is binding and the Company is obligated to pay the full amount of the purchase order, and make specified minimum purchases of leronlimab from Samsung pursuant to forecasted requirements which the Company is required to provide to Samsung. The first forecast scheduled 11 manufacturing batches setting forth the total quantity of commercial grade leronlimab the Company expects to require during calendar year 2020, as of the quarter endedNovember 30, 2020 all batches were substantially complete. The Company estimates initial ramp-up costs to manufacture commercial grade leronlimab at scale could total approximately$127 million , with approximately$64 million payable over the course of calendar year 2020, of which$45 million has been paid as of the date of this filing, approximately$37 million payable during calendar year 2021, and approximately$26 million payable in calendar year 2022. Thereafter, the Company will pay Samsung per 15,000L batch according to the pricing terms specified in the Samsung Agreement. 37 -------------------------------------------------------------------------------- Table of Contents The Samsung Agreement has an initial term ending inDecember 2027 and will be automatically extended for additional two-year periods unless either party gives notice of termination at least six months prior to the then current term. Either party may terminate the Samsung Agreement in the event of the other party's insolvency or uncured material breach, and the Company may terminate the agreement in the event of a voluntary or involuntary complete market withdrawal of leronlimab from commercial markets, with one and half year's prior notice. Neither party may assign the agreement without the consent of the other, except in the event of a sale of all or substantially all of the assets of a party to which the agreement relates. OnMay 22, 2020 , the Company entered into a Drug Product Manufacturing Services Agreement with Samsung (the "Samsung Vial Filling Agreement"), pursuant to which Samsung will perform technology transfer, process validation, vial filling and storage services for clinical, pre-approval inspection, and commercial supply of leronlimab. Under the terms of the Samsung Vial Filling Agreement, the Company is obligated to have specified minimum quantities of vials filed with leronlimab by Samsung pursuant to forecasted requirements which the Company is required to provide to Samsung. The Company has not provided a forecast to Samsung, however, based on set-up related costs and manufacturing commitments pursuant to the Samsung Agreement, the Company expects to deliver commitments of approximately$3.6 million in the form of purchase orders related to the Samsung Vial Filling Agreement throughJanuary 2021 . In addition to the Samsung Agreement, the Company has also previously entered into an arrangement with another third-party contract manufacturer to provide process transfer, validation and manufacturing services for leronlimab. In the event that the Company terminates the agreement with this manufacturer, the Company may incur certain financial penalties which would become payable to the manufacturer. Conditioned upon the timing of termination, the financial penalties may total approximately$1.1 million . These amount and timing of the financial commitments under an agreement with our secondary contract manufacturer will depend on the timing of the anticipated approval of our BLA and the initial product demand forecast, which is critical to align the timing of capital resources in order to ensure availability of sufficient quantities of commercial product. Management believes two contract manufacturers best serve our strategic objectives for the anticipated BLA filing and, if approved, the long-term commercial manufacturing capabilities for leronlimab. Management will continue to assess manufacturing capacity requirements as new market information becomes available regarding anticipated demand, subject to FDA approval. Distribution OnJuly 2, 2020 , the Company entered into an exclusive Distribution and Supply Agreement (the "Distribution Agreement") withAmerican Regent, Inc. ("American Regent") with respect to the distribution of the Company's leronlimab (PRO140) drug for the treatment of COVID-19 inthe United States . Under the Distribution Agreement, the Company appointed American Regent as the sole and exclusive authorized distributor inthe United States of any subcutaneous injectable biopharmaceutical drug product labeled for treating COVID-19 that containsCytoDyn's leronlimab as the only active pharmaceutical ingredient (the "Product"). The grant of exclusive distribution rights to American Regent does not extend to any intravenous or infusible biopharmaceutical drug product, or any other product ofCytoDyn containing leronlimab that is not labeled for treating COVID-19. Under the Distribution Agreement, American Regent shall, at its cost, use commercially reasonable efforts to market the Product inthe United States , and the Company remains responsible, at its cost, to pursue, own and maintain the applicable regulatory approvals necessary to market and manufacture the Product. The term of the Agreement extends for three years after the date of the first commercial sale of the Product, and will renew by mutual agreement of the parties for one additional one-year term, unless American Regent notifies the Company of its intention to have the Agreement terminate at the end of the initial term at least six (6) months prior to the end of the initial term. The Agreement also permits each party to terminate the agreement for certain events of default by the other party, as enumerated in the Distribution Agreement, and the Company may terminate the Agreement at any time after the first Commercial Sale upon six (6) months advance written notice to American Regent, or upon ninety (90) days written notice to American Regent following American Regent's change of control. As described above, the Company recently completed a Phase 2b/3 clinical trial for 390 severe-to-critically ill COVID-19 patients. If results from this trial indicates statistically significant clinical outcomes for the COVID-19 patients to sufficiently meet the primary and secondary endpoints for the trial, the Company will seek FDA approval. Contract Research Organization (CRO) The Company has entered into project work orders for each of our clinical trials with our CRO and related laboratory vendors. Under the terms of these agreements, the Company has prepaid certain execution fees for direct services costs. In connection with our clinical trials, the Company has entered into separate project work orders for each trial with our CRO. In the event that the Company terminates any trial, certain financial penalties may be incurred which would become payable to the CRO. Conditioned upon the form of termination of any one trial, the financial penalties may range up to$0.6 million . In the remote circumstance that all clinical trials are terminated, the collective financial penalties may range from an approximate low of$2.0 million to an approximate high of$4.0 million . 38 -------------------------------------------------------------------------------- Table of Contents Licensing Under the Progenics Purchase Agreement, we are required to pay Progenics the following ongoing milestone payments and royalties: (i)$5.0 million at the time of the firstU.S. new drug application approval by the FDA or other non-U.S. approval for the sale of leronlimab (PRO 140); and (ii) royalty payments of up to five percent (5%) on net sales during the period beginning on the date of the first commercial sale of leronlimab (PRO 140) until the later of (a) the expiration of the last to expire patent included in the acquired assets, and (b) 10 years, in each case determined on a country-by country basis. In addition, under a Development and License Agreement, datedApril 30, 1999 (the "PDL License"), betweenProtein Design Labs (now AbbVie Inc.) and Progenics, which was previously assigned to us, we are required to pay AbbVie Inc. additional milestone payments and royalties as follows: (i)$0.5 million upon filing a BLA with the FDA or non-U.S. equivalent regulatory body; (ii)$0.5 million upon FDA approval or approval by another non-U.S. equivalent regulatory body; and (iii) royalties of up to 3.5% of net sales for the longer of 10 years and the date of expiration of the last to expire licensed patent. Additionally, the PDL License provides for an annual maintenance fee of$150,000 until royalties paid exceed that amount. As of the date of this filing, while we have completed and filed the first of three portions of our BLA, it remains uncertain as to when the remaining two portions will be filed. Further, until the BLA is accepted by the FDA, it is management's conclusion that the probability of achieving the subsequent future clinical development and regulatory milestones is not reasonably determinable, thus the future milestone payments payable to Progenics and its sub-licensors are deemed contingent consideration and, therefore, are not currently accruable. OnDecember 17, 2019 , the Company entered into a Commercialization and License Agreement and a Supply Agreement withVyera Pharmaceuticals, LLC . Pursuant to the License Agreement, the Company granted Vyera an exclusive royalty-bearing license to commercialize pharmaceutical preparations containing leronlimab for treatment of HIV in humans inthe United States . Pursuant to the terms of the License Agreement, and subject to the conditions set forth therein, Vyera will incur the cost of, and be responsible for, among other things, commercializing the product in the territory and will use commercially reasonable efforts to commercialize the product in the field in the territory. Under the terms of the License Agreement,CytoDyn is permitted to license the product outside of the territory for uses in the field or outside the field or inside the territory for uses outside of the field. In consideration of the license and other rights granted by the Company, Vyera has agreed to pay the Company, within three business days of the effective date of the License Agreement, a$0.5 million license issue fee, with additional payments totaling up to approximately$87.0 million to be made upon the achievement of certain sales and regulatory milestones. Certain milestones are subject to reduction if not achieved within an agreed-upon timeframe. Vyera may also pay the Company additional potential milestone payments upon the regulatory approval of the Product for certain subsequent indications in the field. Whether a particular subsequent indication qualifies for an additional milestone payment shall be determined in good faith by the parties. In addition, during the Royalty Term (as defined below), Vyera is obligated to pay the Company a royalty equal to 50% of Vyera's gross profit margin from product sales (defined in the License Agreement as "Net Sales") in the territory. The royalty is subject to reduction during the Royalty Term after patent expiry and expiry of regulatory exclusivity. Following expiration of the Royalty Term, Vyera will continue to maintain non-exclusive rights to commercialize the Product. Regulatory Matters InJuly 2020 , the Company received a Refusal to File letter from the FDA regarding its BLA submission in April and May of 2020 for leronlimab as a combination therapy with HAART for highly treatment experienced HIV patients. The FDA informed the Company its BLA did not contain certain information needed to complete a substantive review and therefore, the FDA would not file the BLA. TheFDA's request does not require any additional clinical trials to be conducted, rather that the Company conduct specifically requested additional analysis of the completed trials data. The Company requested a Type A meeting to discuss theFDA's request for additional information. The FDA did not schedule a Type A meeting, but requested the Company submit all questions regarding the filing in writing. InSeptember 2020 , the Company submitted questions to the FDA, received written responses, and held a telephonic meeting with the FDA to obtain further clarity on what additional information was required with respect to the BLA filing. The Company is working to provide the information required by the FDA in order to resubmit the BLA, which it expects to do in the first half of 2021. Going Concern As reported in the accompanying consolidated financial statements, for the six months endedNovember 30, 2020 andNovember 30, 2019 , the Company incurred net losses of approximately$65.8 million and$31.0 million , respectively. The Company has no activities that produced revenue in the periods presented and have sustained operating losses since inception. 39 -------------------------------------------------------------------------------- Table of Contents The Company currently requires and will continue to require a significant amount of additional capital to fund operations, pay our accounts payables, and our ability to continue as a going concern is dependent upon its ability to raise such additional capital, commercialize its product and achieve profitability. If the Company is not able to raise such additional capital on a timely basis or on favorable terms, it may need to scale back operations or slow CMO-related activities, which could materially delay commercialization initiatives, thereby deferring its ability to achieve profitability. The Company's failure to raise additional capital could also affect its relationships with key vendors, disrupting its ability to timely execute our business plan. In extreme cases, it could be forced to file for bankruptcy protection, discontinue our operations or liquidate our assets. Since inception, the Company has financed its activities principally from the sale of public and private equity securities and proceeds from convertible notes payable and related party notes payable. The Company intends to finance its future operating activities and its working capital needs largely from the sale of equity and debt securities, combined with additional potential funding from other traditional financing sources. As of the date of this filing, the Company has approximately 66.4 million shares of common stock authorized and remaining available for issuance under our certificate of incorporation, as amended, and approximately$137 million available for future registered offerings of securities under our universal shelf registration statement on Form S-3, which was declared effective onMarch 7, 2018 (assuming the full exercise of outstanding warrants, at the currently applicable exercise prices, that were previously issued in registered transactions thereunder). The sale of equity and convertible debt securities to raise additional capital may result in dilution to stockholders and those securities may have rights senior to those of common shares. If the Company raises additional funds through the issuance of preferred stock, convertible debt securities or other debt financing, these activities or other debt could contain covenants that would restrict its operations. OnJuly 29, 2020 andNovember 10, 2020 , the Company entered into long-term convertible notes, which are secured by all of its assets, except for its intellectual property and also includes certain restrictive provisions, such as a limitation on additional indebtedness and future dilutive issuances of securities, any of which could impair our ability to raise additional capital on acceptable terms and conditions. Any other third-party funding arrangements could require the Company to relinquish valuable rights. The Company expects to require additional capital beyond currently anticipated needs. Additional capital, if available, may not be available on reasonable or non-dilutive terms. Please refer to the matters discussed under the heading "Risk Factors" in our annual report on Form 10-K filed onAugust 14, 2020 and under Item 1A. in Part II of this 10-Q. The accompanying consolidated 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. We have incurred losses for all periods presented and have a substantial accumulated deficit. As ofNovember 30, 2020 , these factors, among several others, raise substantial doubt about our ability to continue as a going concern. The consolidated financial statements do not include any adjustments relating to the recoverability and classification of liabilities that might be necessary should we be unable to continue as a going concern. Our continuation as a going concern is dependent upon our ability to obtain a significant amount of additional operating capital, complete development of our product candidate, obtain FDA approval, outsource manufacturing of our product, and ultimately to attain profitability. We intend to seek additional funding through equity or debt offerings, licensing agreements or strategic alliances to advance our business plan. There are no assurances, however, that we will be successful in these endeavors. Off-Balance Sheet Arrangements We do not have any off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors. Item 3. Quantitative and Qualitative Disclosures about Market Risk. Not applicable. Item 4. Controls and Procedures. Evaluation of Disclosure Controls and Procedures We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in the reports that we file or submit under the Exchange Act, is (1) recorded, processed, summarized and reported within the time periods specified in theSEC's rules and forms, and (2) accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure. 40
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Table of Contents Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as ofNovember 30, 2020 (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Our management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives, and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Our principal executive officer and principal financial officer have concluded, based upon the evaluation described above that, as ofNovember 30, 2020 , our disclosure controls and procedures were effective at the reasonable-assurance level. Changes in Internal Control Over Financial Reporting During the quarter endedNovember 30, 2020 , there have been no changes in our internal control over financial reporting, as such term is defined in Rules 13a-15(f) and 15(d)-15(f) promulgated under the Exchange Act, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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