10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended September 30, 2022

OR

☐ TRANSITION REPORT UNDER SECTION 13 OF 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

From the transition period from                   to                  

Commission File Number 001-37853

FIRST WAVE BIOPHARMA, INC.

(Exact name of registrant as specified in its charter)

Delaware	46-4993860
(State or other jurisdiction of incorporation or organization)	(I.R.S Employer Identification No.)

777 Yamato Road, Suite 502

Boca Raton, Florida 33431

(Address of principal executive offices) (Zip Code)

(561) 589-7020

(Registrant’s telephone number, including area code)

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

Title of Each Class	Trading Symbol	Name of Each Exchange on Which Registered
Common stock, par value $0.0001 per share	FWBI	The Nasdaq Capital Market

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

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

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

Large accelerated 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 is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

There were 5,795,404 shares of the registrant’s common stock, par value $0.0001 per share (the “Common Stock”), outstanding as of November 10, 2022.

TABLE OF CONTENTS

		Page
PART I. FINANCIAL INFORMATION
Item 1.	Unaudited Condensed Consolidated Financial Statements	1
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	28
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	36
Item 4.	Controls and Procedures	36
PART II. OTHER INFORMATION
Item 1.	Legal Proceedings	37
Item 1A.	Risk Factors	37
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	39
Item 3.	Defaults Upon Senior Securities	39
Item 4.	Mine Safety Disclosures	39
Item 5.	Other Information	39
Item 6.	Exhibits	39
SIGNATURES

PART I

FINANCIAL INFORMATION

ITEM 1. UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

In our opinion, the accompanying unaudited condensed consolidated financial statements contain all adjustments (consisting only of normal recurring adjustments) necessary to present fairly our financial position, results of operations, and cash flows for the interim periods presented. We have consolidated such financial statements in accordance with the rules and regulations of the Securities and Exchange Commission (“SEC”). Therefore, such financial statements do not include all disclosures required by accounting principles generally accepted in the United States of America. In preparing these unaudited condensed consolidated financial statements, the Company has evaluated events and transactions for potential recognition or disclosure through the date the unaudited condensed consolidated financial statements were issued by filing with the SEC.

These financial statements should be read in conjunction with our audited financial statements for the year ended December 31, 2021 included in our Annual Report filed on Form 10-K, filed with the SEC on March 31, 2022 (as amended on Form 10-K/A filed with the SEC on May 10, 2022).

The results of operations for the three and nine months ended September 30, 2022 are not necessarily indicative of the results to be expected for the fiscal year ending December 31, 2022.

-1-

FIRST WAVE BIOPHARMA, INC.

Condensed Consolidated Balance Sheets

	September 30,
	2022		December 31,
	(unaudited)		2021
ASSETS
Current Assets:
Cash and cash equivalents	$	1,657,013	$	8,248,684
Other receivables		191,984		—
Prepaid expenses		561,459		1,176,268
Deferred offering costs		138,684		—
Total Current Assets		2,549,140		9,424,952
Property, equipment, and leasehold improvements, net		51,157		73,110
Other Assets:
Goodwill		1,714,787		1,911,705
Restricted cash		21,505		—
Operating lease right-of-use assets		274,516		336,197
Deposits		34,298		44,012
Total Other Assets		2,045,106		2,291,914
Total Assets	$	4,645,403	$	11,789,976
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Current Liabilities:
Accounts payable	$	3,582,988	$	2,707,731
Accrued expenses		272,268		393,253
Accrued dividend payable		763,556		465,361
Note payable		—		641,236
Operating lease liabilities		64,397		77,989
Payable related to acquisition - current		2,000,000		8,000,000
Other current liabilities		10,951		14,818
Total Current Liabilities		6,694,160		12,300,388
Non-current operating lease liabilities		231,292		311,138
Payable related to acquisition - long term		—		7,000,000
Total Liabilities		6,925,452		19,611,526
Commitments and Contingencies
Stockholders’ Deficit:
Common stock - Par value $0.0001 per share; 50,000,000 shares authorized; 2,307,008 and 495,194 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively		231		50
Series B preferred stock- Par value $0.0001 per share; 5,194.81 shares designated; 631.34 and 662.25 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively		—		—
Series C preferred stock- Par value $0.0001 per share; 57,000 shares designated; 0 shares issued and outstanding at September 30, 2022 and December 31, 2021		—		—
Series D preferred stock- Par value $0.0001 per share; 150 shares designated; 0 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively		—		—
Series E preferred stock- Par value $0.0001 per share; 150 shares designated; 0 shares issued and outstanding at September 30, 2022 and December 31, 2021		—		—
Additional paid-in capital		163,722,141		147,306,582
Accumulated deficit		(164,547,700)		(153,904,047)
Accumulated other comprehensive loss		(1,454,721)		(1,224,135)
Total Stockholders’ Deficit		(2,280,049)		(7,821,550)
Total Liabilities and Stockholders’ Deficit	$	4,645,403	$	11,789,976

See accompanying notes to unaudited condensed consolidated financial statements

-2-

FIRST WAVE BIOPHARMA, INC.

Condensed Consolidated Statements of Operations and Comprehensive Loss (unaudited)

	Three Months Ended September 30,				Nine Months Ended September 30,
	2022		2021		2022		2021
Operating expenses:
Research and development expenses	$	791,067	$	3,052,791	$	8,674,480	$	11,216,616
Research and development (recovery) expenses- intellectual property acquired		(8,085,045)		21,325,527		(8,085,045)		21,325,527
General and administrative expenses		2,904,448		6,021,160		9,808,960		15,347,764
Total operating (recovery) expenses		(4,389,530)		30,399,478		10,398,395		47,889,907
Income (loss) from operations		4,389,530		(30,399,478)		(10,398,395)		(47,889,907)
Other income (expenses):
Interest expense		(863)		(742)		(9,686)		(8,840)
Interest income		2,664		—		3,729		—
Other (expense) income		—		(568)		(239,301)		1,032
Change in fair value of liability		—		—		—		532,353
Total other income (expenses)		1,801		(1,310)		(245,258)		524,545
Net income (loss)	$	4,391,331	$	(30,400,788)	$	(10,643,653)	$	(47,365,362)
Other comprehensive income (loss):
Foreign currency translation adjustment		(35,235)		(41,604)		(230,586)		(154,561)
Total comprehensive income (loss)	$	4,356,096	$	(30,442,392)	$	(10,874,239)	$	(47,519,923)
Net income (loss)	$	4,391,331	$	(30,400,788)	$	(10,643,653)	$	(47,365,362)
Deemed dividend on preferred stock issuances		—		—		—		(4,507,125)
Deemed dividend on preferred stock exchanges		—		—		—		(21,008,253)
Deemed dividend on warrant modifications		(47,300)		—		(47,300)		—
Preferred stock dividends		(110,278)		(118,089)		(298,195)		(349,132)
Net income (loss) applicable to common shareholders	$	4,233,753	$	(30,518,877)	$	(10,989,148)	$	(73,229,872)
Basic weighted average shares outstanding		1,601,415		311,411		952,794		253,118
Diluted weighted average shares outstanding		1,625,736		311,411		952,794		253,118
Net income (loss) per share - basic	$	2.64	$	(98.00)	$	(11.53)	$	(289.31)
Net income (loss) per share – diluted	$	2.60	$	(98.00)	$	(11.53)	$	(289.31)

See accompanying notes to unaudited condensed consolidated financial statements

-3-

FIRST WAVE BIOPHARMA, INC.

Condensed Consolidated Statements of Changes in Stockholders’ Equity (Deficit) (unaudited)

																				Accumulated
	Series E Convertible			Series D Convertible			Series C Convertible			Series B Convertible						Additional				Other		Total
	Preferred Stock			Preferred Stock			Preferred Stock			Preferred Stock			Common Stock			Paid In		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Deficit
Balance, July 1, 2022	—	$	—	—	$	—	—	$	—	631	$	—	756,660	$	76	$	156,168,578	$	(168,939,031)	$	(1,419,486)	$	(14,189,863)
Issuance of Series D preferred stock and warrants for cash, net of offering costs	—		—	150		—	—		—	—		—	—		—		178,336		—		—		178,336
Issuance of Series E preferred stock, net of offering costs	150		—	—		—	—		—	—		—	—		—		20,664		—		—		20,664
Issuance of common stock at-the-market for cash, net of offering costs	—		—	—		—	—		—	—		—	1,483,782		149		7,373,206		—		—		7,373,355
Issuance of common stock from the conversion of Series D preferred stock	—		—	(150)		—	—		—	—		—	33,332		3		(3)		—		—		—
Issuance of common stock from the conversion of Series E preferred stock	(150)		—	—		—	—		—	—		—	33,332		3		(3)		—		—		—
Deemed dividend of Series B preferred stock	—		—	—		—	—		—	—		—	—		—		(110,278)		—		—		(110,278)
Warrant modification	—		—	—		—	—		—	—		—	—		—		—		—		—		—
Deemed dividend on warrant modification	—		—	—		—	—		—	—		—	—		—		—		—		—		—
Conversion of Series B preferred shares into common stock	—		—	—		—	—		—	—		—	—		—		—		—		—		—
Effect of cancelled shares from the 30-for-1 reverse stock split	—		—	—		—	—		—	—		—	(98)		—		—		—		—		—
Stock-based compensation	—		—	—		—	—		—	—		—	—		—		91,641		—		—		91,641
Foreign currency translation adjustment	—		—	—		—	—		—	—		—	—		—		—		—		(35,235)		(35,235)
Net loss	—		—	—		—	—		—	—		—	—		—		—		4,391,331		—		4,391,331
Balance, September 30, 2022	—	$	—	—	$	—	—	$	—	631	$	—	2,307,008	$	231	$	163,722,141	$	(164,547,700)	$	(1,454,721)	$	(2,280,049)

																				Accumulated
	Series C Convertible			Series C Convertible			Series C Convertible			Series B Convertible						Additional				Other		Total
	Preferred Stock			Preferred Stock			Preferred Stock			Preferred Stock			Common Stock			Paid In		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity (Deficit)
Balance, July 1, 2021	—	$	—	—	$	—	—	$	—	676	$	—	275,283	$	28	$	120,593,171	$	(112,330,772)	$	(1,225,503)	$	7,036,924
Dividends on preferred stock	5,639		—	5,639		—	5,639		—	—		—	—		—		(118,089)		—		—		(118,089)
Issuance of common stock, pre-funded warrants and warrants for cash, net of offering costs	—		—	—		—	—		—	—		—	34,848		3		5,096,757		—		—		5,096,760
Issuance of common stock at-the-market for cash, net of offering costs	—		—	—		—	—		—	—		—	50,055		5		7,150,842		—		—		7,150,847
Effect of cancelled shares from the 10-for-1 reverse stock split	—		—	—		—	—		—	—		—	(56)		—		—		—		—		—
Common stock issued for intellectual property acquired, net	(5,639)		—	(5,639)		—	(5,639)		—	—		—	20,800		2		3,999,998		—		—		4,000,000
Common stock cancelled in connection with acquisition of First Wave Bio, Inc.	—		—	—		—	—		—	—		—	(11,096)		(1)		1		—		—		—
Common stock and warrants issued to consultants	—		—	—		—	—		—	—		—	673		—		123,548		—		—		123,548
Stock-based compensation	—		—	—		—	—		—	—		—	—		—		182,414		—		—		182,414
Foreign currency translation adjustment	—		—	—		—	—		—	—		—	—		—		—		—		(41,604)		(41,604)
Net loss	—		—	—		—	—		—	—		—	—		—		—		(30,400,788)		—		(30,400,788)
Balance, September 30, 2021	—	$	—	—	$	—	—	$	—	676	$	—	370,507	$	37	$	137,028,642	$	(142,731,560)	$	(1,267,107)	$	(6,969,988)

See accompanying notes to unaudited condensed consolidated financial statements

-4-

FIRST WAVE BIOPHARMA, INC.

Condensed Consolidated Statements of Changes in Stockholders’ Deficit (unaudited)

																				Accumulated
	Series E Convertible			Series D Convertible			Series C Convertible			Series B Convertible						Additional				Other		Total
	Preferred Stock			Preferred Stock			Preferred Stock			Preferred Stock			Common Stock			Paid In		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Deficit
Balance, January 1, 2022	—	$	—	—	$	—	—	$	—	662	$	—	495,194	$	50	$	147,306,582	$	(153,904,047)	$	(1,224,135)	$	(7,821,550)
Issuance of Series D preferred stock and warrants, net of offering costs	—		—	150		—	—		—	—		—	—		—		178,336		—		—		178,336
Issuance of Series E preferred stock, net of offering costs	150		—	—		—	—		—	—		—	—		—		20,664		—		—		20,664
Issuance of common stock, pre-funded warrants and warrants in registered direct offering, net of issuance costs	—		—	—		—	—		—	—		—	55,000		6		7,971,926		—		—		7,971,932
Issuance of common stock at-the-market for cash, net of offering costs	—		—	—		—	—		—	—		—	1,519,257		153		7,691,069		—		—		7,691,222
Issuance of common stock from the conversion of Series D preferred stock	—		—	(150)		—	—		—	—		—	33,332		3		(3)		—		—		—
Issuance of common stock from the conversion of Series E preferred stock	(150)		—	—		—	—		—	—		—	33,332		3		(3)		—		—		—
Exercise of pre-funded warrants into common stock	—		—	—		—	—		—	—		—	161,606		16		47,997		—		—		48,013
Deemed dividend of Series B preferred stock	—		—	—		—	—		—	—		—	—		—		(298,195)		—		—		(298,195)
Warrant modification	—		—	—		—	—		—	—		—	—		—		47,300		—		—		47,300
Deemed dividend on warrant modification	—		—	—		—	—		—	—		—	—		—		(47,300)		—		—		(47,300)
Conversion of Series B preferred shares into common stock	—		—	—		—	—		—	(31)		—	6,374		—		—		—		—		—
Effect of cancelled shares from the 30-for-1 reverse stock split	—		—	—		—	—		—	—		—	(98)		—		—		—		—		—
Common stock issued to consultants	—		—	—		—	—		—	—		—	3,011		—		118,990		—		—		118,990
Stock-based compensation	—		—	—		—	—		—	—		—	—		—		684,778		—		—		684,778
Foreign currency translation adjustment	—		—	—		—	—		—	—		—	—		—		—		—		(230,586)		(230,586)
Net loss	—		—	—		—	—		—	—		—	—		—		—		(10,643,653)		—		(10,643,653)
Balance, September 30, 2022	—	$	—	—	$	—	—	$	—	631	$	—	2,307,008	$	231	$	163,722,141	$	(164,547,700)	$	(1,454,721)	$	(2,280,049)

																				Accumulated
	Series C Convertible			Series C Convertible			Series C Convertible			Series B Convertible						Additional				Other		Total
	Preferred Stock			Preferred Stock			Preferred Stock			Preferred Stock			Common Stock			Paid In		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Deficit
Balance, January 1, 2021	—	$	—	—	$	—	—	$	—	2,774	$	—	103,834	$	10	$	93,838,041	$	(95,366,198)	$	(1,112,546)	$	(2,640,693)
Issuance of Series C preferred stock and warrants for cash, net of offering costs	10,667		1	10,667		1	10,667		1	—		—	—		—		7,105,167		—		—		7,105,168
Issuance of Series C preferred stock to for license acquired	3,290		1	3,290		1	3,290		1	—		—	—		—		2,467,648		—		—		2,467,649
Beneficial conversion feature of Series C preferred stock	—		—	—		—	—		—	—		—	—		—		4,507,125		—		—		4,507,125
Deemed dividend of Series C preferred stock	—		—	—		—	—		—	—		—	—		—		(4,507,125)		—		—		(4,507,125)
Issuance of Series C preferred stock upon exchange of Series B preferred stock	19,140		1	19,140		1	19,140		1	(1,839)		—	—		—		(1,431)		—		—		(1,430)
Warrants issued in connection with exchange of Series B preferred stock	—		—	—		—	—		—	—		—	—		—		21,009,683		—		—		21,009,683
Deemed dividend related to exchange of Series B preferred stock	—		—	—		—	—		—	—		—	—		—		(21,008,253)		—		—		(21,008,253)
Common stock issued upon conversion of Series B preferred stock	—		—	—		—	—		—	(259)		—	8,609		1		(1)		—		—		—
Dividends on preferred stock	—		—	—		—	—		—	—		—	—		—		(349,132)		—		—		(349,132)
Common stock and pre-funded warrants issued upon conversion of Series C preferred stock	(33,097)		(3)	(33,097)		(3)	(33,097)		(3)	—		—	104,182		10		(7)		—		—		—
Issuance of common stock, pre-funded warrants and warrants for cash, net of offering costs	—		—	—		—	—		—	—		—	54,182		6		14,156,044		—		—		14,156,050
Effect of cancelled shares from the 10-for-1 reverse stock split	—		—	—		—	—		—	—		—	(56)		—		—		—		—		—
Issuance of common stock at-the-market for cash, net of offering costs	—		—	—		—	—		—	—		—	55,041		6		8,325,189		—		—		8,325,195
Common stock issued for intellectual property acquired, net	—		—	—		—	—		—	—		—	20,800		2		3,999,998		—		—		4,000,000
Common stock cancelled in connection with acquisition of First Wave Bio, Inc.	—		—	—		—	—		—	—		—	(11,097)		(1)		1		—		—		—
Common stock issued upon exercise of warrants and pre-funded warrants	—		—	—		—	—		—	—		—	31,521		3		4,906,627		—		—		4,906,630
Common stock and warrants issued to consultants	—		—	—		—	—		—	—		—	3,241		—		1,215,859		—		—		1,215,859
Issuance of common stock in connection with settlement with former investment bank	—		—	—		—	—		—	—		—	250		—		94,499		—		—		94,499
Stock-based compensation	—		—	—		—	—		—	—		—	—		—		1,268,710		—		—		1,268,710
Foreign currency translation adjustment	—		—	—		—	—		—	—		—	—		—		—		—		(154,561)		(154,561)
Net loss	—		—	—		—	—		—	—		—	—		—		—		(47,365,362)		—		(47,365,362)
Balance, September 30, 2021	—	$	—	—	$	—	—	$	—	676	$	—	370,507	$	37	$	137,028,642	$	(142,731,560)	$	(1,267,107)	$	(6,969,988)

See accompanying notes to unaudited condensed consolidated financial statements

-5-

FIRST WAVE BIOPHARMA, INC.

Condensed Consolidated Statements of Cash Flows (unaudited)

	Nine Months Ended September 30,
	2022		2021
Cash flows from operating activities:
Net loss	$	(10,643,653)	$	(47,365,362)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation		21,953		9,390
Amortization		—		395,661
Change in right-of-use assets		61,681		(4,855)
Change in fair value liability		—		(532,353)
Stock-based compensation		684,778		1,268,710
Common stock and warrants granted to consultants		118,990		1,310,358
Changes in assets and liabilities:
Other receivables		(191,984)		551,489
Prepaid expenses		614,809		964,310
Lease liabilities		(93,438)		(289,409)
Deposits		9,714		(16,114)
Accounts payable		875,257		2,179,334
Accrued expenses		(120,985)		(282,031)
Payable related to acquisition		(8,085,045)		15,000,000
Other liabilities		(3,867)		385,440
Net cash used in operating activities		(16,751,790)		(26,425,432)
Cash flows from investing activities:
Purchase of property and equipment		—		(71,448)
Net cash used in investing activities		—		(71,448)
Cash flows from financing activities:
Proceeds from issuance of preferred stock, net		199,000		7,105,168
Proceeds from issuance of common stock, net		7,971,932		18,156,050
Proceeds from exercise of warrants		48,013		4,906,630
Payment made related to license agreement		—		(10,250,000)
Issuance of common stock at-the-market for cash, net of offering costs		7,691,222		8,325,195
Deferred offering costs		(138,684)		—
Payment made related to acquisition		(4,914,955)		—
Repayments of note payable		(641,236)		(552,405)
Net cash provided by financing activities		10,215,292		27,690,638
Net (decrease) increase in cash and restricted cash		(6,536,498)		1,193,758
Effect of exchange rate changes on cash		(33,668)		(45,254)
Cash, cash equivalents and restricted cash, beginning balance		8,248,684		6,062,141
Cash, cash equivalents and restricted cash, ending balance	$	1,678,518	$	7,210,645
Non-cash investing and financing activities:
Deemed dividend on preferred stock issuances	$	—	$	(4,507,125)
Deemed dividend on preferred stock exchanges	$	—	$	(21,008,253)
Deemed dividend on warrant modifications	$	(47,300)	$	—
Accrued dividends on preferred stock	$	(298,195)	$	(349,132)
Issuance of Series C preferred stock to settle liability related to license agreement	$	—	$	2,467,649

See accompanying notes to unaudited condensed consolidated financial statements

-6-

FIRST WAVE BIOPHARMA, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

September 30, 2022

Note 1 - The Company and Basis of Presentation

The Company

First Wave BioPharma, Inc. (“First Wave”) and its wholly owned subsidiaries, First Wave Bio, Inc. and AzurRx SAS, are collectively referred to as the “Company”. Effective October 26, 2022, AzurRx SAS was dissolved. The Company is engaged in the research and development of targeted, non-systemic therapies for the treatment of patients with gastrointestinal (“GI”) diseases. Non-systemic therapies are non-absorbable drugs that act locally, i.e., in the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation.

The Company is currently focused on developing its pipeline of gut-restricted GI clinical drug candidates, including the biologic adrulipase (formerly MS1819), a recombinant lipase enzyme designed to enable the digestion of fats and other nutrients, and niclosamide, an oral small molecule with anti-viral and anti-inflammatory properties. The Company’s adrulipase programs are focused on the development of an oral, non-systemic, biologic capsule for the treatment of exocrine pancreatic insufficiency (“EPI”) in patients with cystic fibrosis (“CF”) and chronic pancreatitis (“CP”). The Company’s niclosamide programs leverage proprietary oral and topical formulations to address multiple GI conditions, including inflammatory bowel disease (“IBD”) indications and viral diseases.

The Company is developing its product candidates for a host of GI diseases where there are significant unmet clinical needs and limited therapeutic options, resulting in painful, life threatening and discomforting consequences for patients. Since its inception, the Company has devoted substantially all its efforts to research and development, business development, and raising capital, and has financed its operations through issuance of common stock, convertible preferred stock, convertible debt, and other debt/equity instruments.

Risks and Uncertainties

The Company is subject to risks and uncertainties common to early-stage companies in the biotechnology industry, including, but not limited to, development and regulatory success, development by competitors of new technological innovations, dependence on key personnel, protection of proprietary technology, compliance with government regulations, and ability to secure additional capital to fund clinical trials and operations.

The Company has implemented business continuity plans designed to address and mitigate the impact of the COVID-19 pandemic on its business. The extent to which the ongoing COVID-19 pandemic impacts the Company’s business, clinical development and regulatory efforts, corporate development objectives and the value of and market for its Common Stock, will depend on future developments that are highly uncertain and cannot be predicted with confidence at this time, such as the ultimate duration of the pandemic, travel restrictions, quarantines, social distancing and business closure requirements in the U.S., Europe, Asia and other countries, and the effectiveness of actions taken globally to contain and treat the disease. The global economic slowdown, the overall disruption of global healthcare systems and the other risks and uncertainties associated with the pandemic could have a material adverse effect on the Company’s business, financial condition, results of operations and growth prospects.

In February 2022, the Russian Federation and Belarus commenced a military action with the country of Ukraine. As a result of this action, various nations, including the United States, have instituted economic sanctions against the Russian Federation and Belarus. Further, the impact of this action and related sanctions on the world economy are not determinable as of the date of these financial statements and the specific impact on the Company’s financial condition, results of operations, and cash flows is also not determinable as of the date of these financial statements.

-7-

In addition, the Company is subject to other challenges and risks specific to its business, its ability to comply with the terms of the extension granted by the Nasdaq hearings panel and to regain compliance with the continued listing requirements of The Nasdaq Capital Market and its ability to execute on its strategy, as well as risks and uncertainties common to companies in the biotechnology and pharmaceutical industries with development and commercial operations, including, without limitation, risks and uncertainties associated with: obtaining regulatory approval of its drug candidates; delays or problems in the manufacture and supply of its drug candidates, loss of single source suppliers or failure to comply with manufacturing regulations; identifying, acquiring or in-licensing additional products or drug candidates; pharmaceutical product development and the inherent uncertainty of clinical success; and the challenges of protecting and enhancing our intellectual property rights; complying with applicable regulatory requirements. In addition, to the extent the ongoing COVID-19 pandemic adversely affects the Company’s business and results of operations, it may also have the effect of heightening many of the other risks and uncertainties discussed above.

Principles of Consolidation

The accompanying unaudited interim condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) and include the accounts of First Wave and its wholly owned subsidiaries, First Wave Bio, Inc. (“FWB”) and AzurRx SAS. Intercompany transactions and balances have been eliminated upon consolidation.

In our opinion, the accompanying unaudited interim condensed consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to present fairly our financial position, results of operations, and cash flows. The consolidated balance sheet at December 31, 2021, has been derived from audited financial statements of that date. The unaudited interim condensed consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain information and footnote disclosure normally included in financial statements prepared in accordance with GAAP have been omitted pursuant to instructions, rules, and regulations prescribed by the SEC. The Company believes that the disclosures provided herein are adequate to make the information presented not misleading when these unaudited interim condensed consolidated financial statements are read in conjunction with the audited financial statements and notes previously distributed in our Annual Report Form 10-K for the year ended December 31, 2021, filed with the SEC on March 31, 2022 (as amended on Form 10-K/A filed with the SEC on May 10, 2022).

Going Concern Uncertainty

The accompanying unaudited interim condensed consolidated financial statements have been prepared as if the Company will continue as a going concern. The Company has incurred significant operating losses and negative cash flows from operations since inception. On September 30, 2022, the Company had cash and cash equivalents of approximately $1.7 million, an accumulated deficit of approximately $164.5 million, and negative working capital of approximately $4.1 million. The Company has incurred recurring losses, has experienced recurring negative operating cash flows, and requires significant cash resources to execute its business plans. Based on its cash on hand at September 30, 2022, and the approximately $5.2 million in net proceeds received from a follow-on offering that closed on October 11, 2022, the Company anticipates having sufficient cash to fund planned operations into the first quarter of 2023, however, the acceleration or reduction of cash outflows by Company management can significantly impact the timing for the need to raise additional capital to complete development of its products. Historically, the Company’s major sources of cash have been comprised of proceeds from various public and private offerings of its capital stock. The Company is dependent on obtaining additional working capital funding from the sale of equity and/or debt securities in order to continue to execute its development plans and continue operations.

Without adequate working capital, the Company may not be able to meet its obligations and continue as a going concern. These conditions raise substantial doubt about the Company’s ability to continue as a going concern one year from the date these financial statements are issued. The financial statements do not include any adjustments that might result from the outcome of this uncertainty.

Note 2 - Significant Accounting Policies and Recent Accounting Pronouncements

Use of Estimates

The accompanying unaudited condensed consolidated financial statements are prepared in conformity with GAAP and include certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements (including goodwill and intangible assets), and the reported amounts of revenue and expense during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates.

-8-

Reverse Stock Split

On August 26, 2022, the Company effected a reverse stock split, whereby every thirty shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, but without any change in the number of authorized shares of common stock and the par value per share.

On September 13, 2021, the Company effected a reverse stock split, whereby every ten shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, with a corresponding 1-for-10 reduction in the number of authorized shares of common stock, but without any change in the par value per share.

All share and per share amounts have been retroactively restated to reflect the reverse stock splits referenced above.

Reclassifications 

Certain prior period balance sheet amounts have been reclassified to conform to the fiscal 2022 presentation.

Cash, Cash Equivalents and Restricted Cash

The Company considers all highly liquid investments with maturities of three months or less from date of purchase to be cash equivalents. All cash balances were highly liquid on September 30, 2022, and December 31, 2021, respectively. As of September 30, 2022 and December 31, 2021, the Company has classified approximately $0.022 million and $0 million, respectively, as restricted cash.

Concentrations of Credit Risk

Financial instruments that potentially expose the Company to concentrations of credit risk consist of cash. The Company primarily maintains its cash balances with financial institutions in federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. On September 30, 2022, and December 31, 2021, the Company had approximately $1.1 million and $7.5 million, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice.

The Company also has exposure to foreign currency risk as its subsidiary in France has a functional currency in Euros.

Fair Value Measurements

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

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

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

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

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

In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.

The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.

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Foreign Currency Translation

The Company’s foreign subsidiary has operations denominated in a foreign currency, and assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.

Goodwill and Intangible Assets

Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through September 30, 2022.

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

Patents 7.2 years

The carrying amounts of finite-lived intangible assets are evaluated for recoverability whenever events or changes in circumstances indicate that the Company may be unable to recover the asset’s carrying amount. Given changes in the projected usage of the patents, the Company recognized impairment charges of approximately $2.4 million at December 31, 2021.

Impairment of Long-Lived Assets

The Company periodically evaluates its long-lived assets for potential impairment in accordance with ASC Topic 360, Property, Plant and Equipment (“ASC 360”). Potential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. The Company has not recognized any impairment charges through September 30, 2022.

Leases

The Company determines if an arrangement is a lease at inception. Operating leases are included in right-of-use (“ROU”) assets, and lease liability obligations are included in the Company’s balance sheets. ROU assets represent the Company’s right to use an underlying asset for the lease term and lease liability obligations represent its obligation to make lease payments arising from the lease. ROU assets and liabilities are recognized at the commencement date based on the present value of lease payments over the lease term. As the Company’s leases typically do not provide an implicit rate, the Company estimates its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The Company uses the implicit rate when readily determinable. The ROU asset also includes any lease payments made and excludes lease incentives and lease direct costs. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. Lease expense is recognized on a straight-line basis over the lease term. Please refer to Note 13 for additional information.

-10-

Research and Development

Research and development costs are charged to operations when incurred and are included in operating expense, except for goodwill related to patents. Research and development costs consist principally of compensation of employees and consultants that perform the Company’s research activities, payments to third parties for preclinical and non-clinical activities, expenses with clinical research organizations (“CROs”), investigative sites, consultants and contractors that conduct or provide other services relating to clinical trials, costs to acquire drug product, drug supply and clinical trial materials from contract development and manufacturing organization (“CDMOs”) and third-party contractors relating to chemistry, manufacturing and controls (“CMC”) efforts, the fees paid for and to maintain the Company’s licenses, amortization of intangible assets related to the acquisition of adrulipase, and research and development costs related to adrulipase and niclosamide. Depending upon the timing of payments to the service providers, the Company recognizes prepaid expenses or accrued expenses related to these costs. These accrued or prepaid expenses are based on management’s estimates of the work performed under service agreements, milestones achieved and experience with similar contracts. The Company monitors each of these factors and adjusts estimates accordingly.

Research and Development – Intellectual Property Acquired

The Company records intellectual property in asset acquisitions that have not reached technological feasibility and which have no alternative future use, as an expense at the acquisition date. On December 31, 2020, the Company entered into a license agreement (the “FWB License Agreement”) with FWB, pursuant to which FWB granted the Company an exclusive license to certain patents and patent applications related to a proprietary formulation of niclosamide for use in the fields of ICI-AC and COVID-19 GI infections. The acquisition of intellectual property and patents for the worldwide, exclusive right to develop, manufacture, and commercialize proprietary formulations of niclosamide for the fields of treating ICI-AC and COVID-19 in humans was accounted for as an asset acquisition and initial liabilities of approximately $13.3 million in connection with the license acquisition were recorded as research and development expense, because it was determined to have no alternative future uses and therefore no separate economic value, which included cash payments totaling approximately $10.3 million and the issuance of approximately $3.0 million worth of preferred stock (see Note 12). Upon consummation of the Merger (see Note 4) on September 13, 2021, the FWB License Agreement was effectively canceled and the total purchase price of $22.0 million was recorded as an expense at the Merger date.

On July 29, 2022, the Company reached an agreement to restructure its obligations to the former FWB stockholders (the “July 2022 Term Sheet”). The Company agreed to pay: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022 (the “Second Payment”); and (iii) $2.0 million on the earlier of November 30, 2022 or the completion of one or more qualifying equity offerings. As of September 30, 2022, the Company made payments to the former FWB stockholders of $2.5 million consisting of the upfront payment of $1.5 million and the Second Payment of $1.0 million. In accordance with the terms of the agreement, effective upon the Second Payment, the approximately $10.1 million of remaining fixed payment obligations previously owed to the former FWB shareholders was settled, which was recorded as a decrease to expense in the three months ended September 30, 2022. The $2.0 million payment owed by November 30, 2022 was recorded as an expense upon execution of the July 2022 Term Sheet (see Note 4).

Stock-Based Compensation

The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”) which took effect on May 12, 2014, and the 2020 Omnibus Equity Incentive Plan, which took effect on September 11, 2020 (the “2020 Plan”). From the effective date of the 2020 Plan, no new awards have been or will be made under the 2014 Plan. The Company accounts for its stock-based compensation awards to employees, consultants, and Board members in accordance with ASC Topic 718, Compensation-Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees, consultants, and Board members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.

For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when vesting becomes probable.

The Company estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.

-11-

Recent Accounting Pronouncements

In August 2020, the Financial Accounting Standards Board (the “FASB”) issued accounting pronouncement (ASU 2020-06) related to the measurement and disclosure requirements for convertible instruments and contracts in an entity’s own equity. The pronouncement simplifies and adds disclosure requirements for the accounting and measurement of convertible instruments and the settlement assessment for contracts in an entity’s own equity. As a smaller reporting company, as defined by the U.S. Securities and Exchange Commission (the “SEC”), this pronouncement is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2023. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company early adopted ASU 2020-06 effective January 1, 2022.

In June 2016, the FASB issued accounting pronouncement ASU 2016-13 – Measurement of Credit Losses on Financial Statements. The new standard requires that expected credit losses relating to financial assets measured on an amortized cost basis and available-for-sale debt securities be recorded through an allowance for credit losses. It also limits the amount of credit losses to be recognized for available-for-sale debt securities to the amount by which carrying value exceeds fair value and also requires the reversal of previously recognized credit losses if fair value increases. In November 2019, the FASB issued ASU 2019-10 – Financial Instruments – Credit Losses (Topic 326), Derivatives and Hedging (Topic 815), and Leases (Topic 842): Effective Dates, which amended the effective date for certain companies. The standard is effective for public companies eligible to be smaller reporting companies for annual and interim periods beginning after December 15, 2022. Early adoption is available. The Company does not expect the adoption of this standard to have a material effect on its financial statements and related disclosures.

In June 2022, the FASB issued ASU 2022-03 - Fair Value Measurement, or Topic 820: Fair Value Measurement of Equity Securities Subject to Contractual Sale Restrictions, or ASU 2016-13. This new standard clarifies the guidance in Topic 820 when measuring the fair value of an equity security subject to contractual restrictions that prohibit the sale of an equity security and introduces new disclosure requirements for equity securities subject to contractual sale restrictions that are measured at fair value in accordance with Topic 820. The Company has assessed the impact of the update and determined it does not have a material impact on the accompanying financial statements and disclosures.

The Company has evaluated other recently issued accounting pronouncements and has concluded that the impact of recently issued standards that are not yet effective will not have a material impact on the Company’s financial position or results of operations upon adoption.

Note 3 - Fair Value Disclosures

Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. U.S. GAAP establishes a hierarchical disclosure framework that prioritizes and ranks the level of observability of inputs used in measuring fair value.

The fair value of the Company’s financial instruments are as follows:

			Fair Value Measured at Reporting Date
			Using
	Carrying
	Amount		Level 1		Level 2		Level 3		Fair Value
September 30, 2022 (unaudited):
Money market funds	$	505,179	$	505,179	$	—	$	—	$	505,179
Note payable		—		—		—		—		—
December 31, 2021:
Money market funds		501,607		501,607		—		—		501,607
Note payable	$	641,236	$	—	$	641,236	$	—	$	641,236

At September 30, 2022 and December 31, 2021, the Company had no other assets or liabilities that are subject to fair value methodology and estimation in accordance with U.S. GAAP.

-12-

Note 4 – Asset Acquisition

The Asset Acquisition

On September 13, 2021, the Company completed its acquisition of FWB, in accordance with the terms of an Agreement and Plan of Merger dated as of September 13, 2021 (the “Merger Agreement”) by and among the Company, Alpha Merger Sub, Inc., a Delaware corporation and wholly-owned subsidiary of the Company (“Merger Sub”), and FWB. On September 13, 2021, pursuant to the Merger Agreement, Merger Sub was merged with and into FWB (the “Merger”), with FWB being the surviving corporation and becoming a wholly-owned subsidiary of the Company. In connection with the Merger, AzurRx changed its name to First Wave BioPharma, Inc.

At the effective time of the Merger, the former FWB stockholders received an applicable pro rata share of (i) $3.0 million in cash and (ii) 20,800 shares of the Common Stock (equivalent to cash of $4.0 million). The remaining non-contingent purchase price was payable to the former FWB stockholders on a pro rata basis upon the Company’s payment of (i) $8.0 million in cash, payable within 45 days of the Merger, and (ii) $7.0 million in cash, payable by March 31, 2022 for a total purchase price of $22.0 million.

The former FWB stockholders were entitled to up to a total of $207 million of cash milestone payments contingent upon the achievement of specified development, regulatory and sales goals relating to the use of the acquired assets. All milestone payments were payable in cash, provided that 25% of the milestone payments attributable to certain IBD indications could be payable in Common Stock, at the option of the Company. In addition, the former FWB stockholders were entitled to 10% of certain specified revenue received by the Company from any third-party with a pre-existing niclosamide development program relating to COVID.

On October 29, 2021, Fortis Advisors LLC, the hired representative (in such capacity, the “Representative”) of the former stockholders of FWB, in connection with the Merger Agreement filed a complaint against the Company in the Court of Chancery of the State of Delaware, seeking to enforce rights to payment of $8.0 million due October 28, 2021, pursuant to the Merger Agreement and the $2.0 million milestone payment for initiation of the FW-UP Part 2 trial.

On November 15, 2021, the Company reached an agreement (the “November 2021 Settlement Agreement”) with the Representative of the former stockholders of FWB to substantially reduce the immediate payment obligations of the Company and defer certain remaining milestone and other payment obligations over time. The November 2021 Settlement Agreement called for an immediate payment of $2.0 million related to the FW-UP milestone payment. Additionally, it called for periodic installments of the up-front cash payments due of $500,000 per month payable from January 2022 through August 2022, $1.0 million per month payable from September 2022 through July 2023, and payment of 10% in excess of $10.0 million in financing transactions consummated by the Company after the effective date of the November 2021 Settlement Agreement until an aggregate of $15.0 million is paid. In addition, the Company cancelled 332,913 shares of Common Stock held by FWB immediately prior to the Merger for no additional consideration, which shares of Common Stock are authorized and unissued.

During the three and nine months ended September 30, 2022 the Company paid an aggregate of $2.5 million and $4.9 million in cash towards the purchase price. During the year ended December 31, 2021, the Company paid an aggregate of $7.0 million (in cash and shares) towards the purchase price and $2.0 million in milestone payments.

-13-

On May 19, 2022, the Representative filed a complaint against the Company in the Court of Chancery in the State of Delaware (the “FWB Action”) for breach of contract and anticipatory repudiation or for unjust enrichment. The FWB Action sought specific performance of the Company’s obligations under the Merger Agreement and the November 2021 Settlement Agreement, including all payments then owed and to be owed to the Representative, and damages at the maximum amount permitted by law. On July 29, 2022, the Company reached an agreement with the Representative to settle the FWB Action and to restructure the Company’s obligations to the former FWB stockholders (the “July 2022 Term Sheet”). The Company agreed to pay the Representative: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022 (the “Second Payment”); and (iii) $2.0 million on the earlier of November 30, 2022 and the completion by the Company of one or more qualifying equity offerings (collectively, the “Payments”). The Representative is also entitled to receive future cash payments conditioned on the achievement of certain development milestones for adrulipase and to a percentage of any consideration received by the Company in the event of a license or sale of adrulipase, subject to a cap. The Representative also is entitled receive a percentage of the consideration received by the Company in the event of a license or sale of niclosamide and will retain its existing milestone payment rights with respect to niclosamide. In the event that the consideration received by the Company in connection with the sale or license of adrulipase or niclosamide consists of securities or other non-cash consideration, the Representative will have the right to elect either to receive its payment in such form of consideration or to cause the licensee or acquirer to assume the obligations described herein. In the event of a “Company Sale” (as defined in the July 2022 Term Sheet), the Representative is entitled to receive a pro rata share of the total consideration received by the Company or its stockholders up to $4.0 million (plus any unpaid Payments whether or not then due) based on a formula set forth in the July 2022 Term Sheet. In certain circumstances, the Representative has the right to treat a “Company Sale” as a sale of ardulipase or niclosamide, as applicable, and to treat the Company Sale as a sale of the related asset and to receive the consideration with respect thereto described herein.

In the July 2022 Term Sheet, the Representative agreed to stay the FWB Action for a period of 90 days and to eliminate the Company’s obligation to pay a portion of any offering proceeds to the Representative. In addition, the Company’s obligation to use commercially reasonable efforts to develop niclosamide will be deferred for a period of 24 months from the date of the July 2022 Term Sheet. Effective upon the Second Payment, the Representative dismissed the FWB Action with prejudice and extinguished the remaining fixed payment obligations owed to the former FWB shareholders.

Accounting Treatment

The Company concluded that the Merger should be accounted for as an asset acquisition under ASC 805 because substantially all the fair value of the assets being acquired are concentrated in a single asset - intellectual property, which does not constitute a business. Because the acquired intellectual property has not received regulatory approval, the $21.3 million non-contingent purchase price was immediately expensed in the Company’s statements of operations as research and development – intellectual property acquired in the year ended December 31, 2021. The $0.9 million of transaction expenses paid at closing were classified in general and administrative expenses in the year ended December 31, 2021. The Common Stock issued for the asset acquisition was valued at $4.0 million, which is equal to the 20,800 common shares issued multiplied by $192.30 per share.

Under the July 2022 Term Sheet, the $1.5 million in cash due and paid on July 29, 2022, as well as the Second Payment due and paid in September 2022, were recorded as a reduction to current liabilities for the three months ended September 30, 2022. Effective upon the Second Payment, the approximately $10.1 million of remaining fixed payment obligations previously owed to the former FWB shareholders was settled. The remaining payment obligation of $2.0 million due by November 30, 2022 was recorded as research and development expense in the three months ended September 30, 2022.

The remaining unachieved potential milestone payments and revenue share are not yet considered probable, therefore have not been accrued as of September 30, 2022. Depending on the status of development at the time a contingent payment is recognized, the Company may determine that the payment should be expensed as research and development or be capitalized as an intangible asset. This determination will be based on the facts and circumstances that exist at the time a contingent payment is recognized.

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Note 5 – Property, Equipment and Leasehold Improvements

Property, equipment, and leasehold improvements consisted of the following:

	September 30,
	2022		December 31,
	(unaudited)		2021
Computer equipment and software	$	11,540	$	11,540
Office equipment		48,278		48,278
Leasehold improvements		28,000		28,000
Total property, plant, and equipment		87,818		87,818
Less accumulated depreciation		(36,661)		(14,708)
Property, plant and equipment, net	$	51,157	$	73,110

Depreciation expense for the three months ended September 30, 2022 and 2021 was approximately $7,300 and $6,000, respectively, and for the nine months ended September 30, 2022 and 2021 was approximately $22,000 and $9,000, respectively.

Note 6 – Intangible Assets and Goodwill

Patents

Pursuant to the Mayoly asset purchase agreement entered in March 2019 (see Note 12), in which the Company purchased all remaining rights, title and interest in and to adrulipase from Mayoly, the Company recorded Patents in the amount of approximately $3.8 million as follows:

Common stock issued at signing to Mayoly	$	1,740,959
Due to Mayoly at December 31, 2019		449,280
Due to Mayoly at December 31, 2020		393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt		1,219,386
Total Patents	$	3,802,745

Intangible assets are as follows:

	September 30,
	2022		December 31,
	(unaudited)		2021
Patents	$	—	$	3,802,745
Less accumulated amortization		—		(1,450,757)
Intangible asset impairment		—		(2,351,988)
Patents, net	$	—	$	—

Amortization expense was approximately $132,000 and $396,000 for the three and nine months ended September 30, 2021, respectively.

During the year ended December 31, 2021, the Company recorded impairment charges of approximately $2.4 million related to patents that the Company determined were no longer sufficient for the commercialization of adrulipase.

Goodwill is as follows:

	Goodwill
Balance on January 1, 2021	$	2,054,048
Foreign currency translation		(142,343)
Balance on December 31, 2021		1,911,705
Foreign currency translation		(196,918)
Balance on September 30, 2022 (unaudited)	$	1,714,787

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Note 7 - Accrued Expenses

Accrued expenses consisted of the following:

	September 30,
	2022		December 31,
	(unaudited)		2021
Professional fees	$	205,932	$	15,000
Payroll and benefits		40,771		274,153
Consulting fees		25,565		104,100
Total accrued expenses	$	272,268	$	393,253

Note 8 – Note Payable

Directors and Officer’s Liability Insurance

On November 30, 2021, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of approximately $957,000 that bears interest at an annual rate of 3.99%. Monthly payments, including principal and interest, are approximately $81,000 per month. The balance due under this financing agreement was approximately $0 and $641,000 at September 30, 2022 and December 31, 2021, respectively.

Note 9 – Capital Stock

Common Stock and Preferred Stock

The Company’s certificate of incorporation, as amended and restated on February 14, 2022, (the “Charter”) authorizes the issuance of up to 50,000,000 shares of Common Stock (increased from 25,000,000 shares of Common Stock authorized), par value $0.0001 per share, and 10,000,000 shares of preferred stock, par value $0.0001 per share.

On August 26, 2022, the Company effected a reverse stock split, whereby every thirty shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, but without any change in the number of authorized shares of common stock and the par value per share.

On September 13, 2021, the Company effected a reverse stock split, whereby every ten shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, with a corresponding 1-for-10 reduction in the number of authorized shares of common stock, but without any change in the par value per share. All share and per share amounts have been retroactively restated to reflect the reverse stock splits referenced above.

The Company had 2,307,008 and 495,194 shares of its Common Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 5,194.805195 shares as Series B Preferred Stock and had approximately 631.34 and 662.25 shares of Series B preferred stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 57,000 shares as Series C Preferred Stock and had 0 shares of Series C Preferred Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 150 shares as Series D Preferred Stock and had 0 shares of Series D Preferred Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 150 shares as Series E Preferred Stock and had 0 shares of Series E Preferred Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

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Series B Convertible Preferred Stock

Pursuant to the Certificate of Designation of Rights and Preferences of the Series B Preferred Stock (the “Series B Certificate of Designation”), the Series B Preferred Stock will rank senior to the Common Stock with respect to distributions of assets upon the liquidation, dissolution or winding up of the Company. Each share of Series B Preferred Stock has a stated value of $7,700, subject to adjustment for stock splits, combinations and similar events (the “Series B Stated Value”). Each holder of shares of Series B Preferred Stock, in preference and priority to the holders of all other classes or series of stock of the Company, is entitled to receive dividends, commencing from the date of issuance. Such dividends may be paid by the Company only when, as and if declared by the Board, out of assets legally available therefor, semiannually in arrears on the last day of June and December in each year, commencing December 31, 2020, at the dividend rate of 9.0% per year, which is cumulative and continues to accrue on a daily basis whether or not declared and whether or not the Company has assets legally available therefor. The Company may pay such dividends at its option either in cash or in kind in additional shares of Series B Preferred Stock (rounded down to the nearest whole share), provided the Company must pay in cash the fair value of any such fractional shares in excess of $100.00. On September 30, 2022 and December 31, 2021, aggregate dividends payable amounted to approximately $764,000 and $465,000, respectively.

Series B Preferred Stock Waiver Agreements

Between February 1 and February 7, 2022, the Company entered into waiver agreements (the “Waiver”) with certain holders of Series B Convertible Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”), pursuant to which the Company agreed to pay a cash waiver fee equal to ten percent of the stated value of the shares of Series B Preferred Stock held by such holder (other than holders who are insiders who did not receive a cash waiver fee) and such holder agreed to irrevocably waive its Series B Exchange Right (as defined below) with respect to any Subsequent Financing (as defined below) that occurs from and after the date of the Waiver until December 31, 2022.

Pursuant to the Series B Certificate of Designation, in the event of any issuance by the Company or any of its subsidiaries of Common Stock or common stock equivalents for cash consideration or a combination of units thereof (a “Subsequent Financing”), each holder of Series B Preferred Stock has the right, subject to certain exceptions set forth in the Series B Certificate of Designations, at its option, to exchange (in lieu of cash subscription payments) all or some of the Series B Preferred Stock then held (with a value per share of Series B Preferred Stock equal to the stated value of each share of Series B Preferred Stock, or $7,700.00, plus accrued and unpaid dividends thereon, of the Series B Preferred Stock) for any securities or units issued in a Subsequent Financing on a dollar-for-dollar basis (the “Series B Exchange Right”).

During the nine months ended September 30, 2022, the Company entered into Waivers with holders of approximately $2.88 million of stated value of Series B Preferred Stock. The Company also entered into Waivers with Company insiders holding approximately $0.047 million of stated value of Series B Preferred Stock for which the Company did not pay a waiver fee. The cash waivers paid of approximately $0.233 million were recorded as other expense on the Company’s condensed consolidated statements of operations for the nine months ended September 30, 2022.

Series B Exchange Right Permanent Waiver

Effective May 12, 2022, the holders of 81.3% of the outstanding shares of the Series B Preferred Stock permanently waived for themselves and all other holders of the Series B Preferred Stock the Series B Exchange Right with respect to any Subsequent Financing occurring on or after January 1, 2022 (the “Permanent Waiver”). Holders of Series B Preferred Stock as of the April 27, 2022 record date were entitled to notice of and to consent to the Permanent Waiver (the “Record Holders”).

Pursuant to the terms of the Series B Certificate of Designation, the written consent of the holders of at least a majority of the Series B Preferred Stock outstanding was required to consent to the Permanent Waiver (the “Required Consent”). The Company requested that the Record Holders consent to the Permanent Waiver by executing and delivering a joinder to the Waiver Agreement (as defined below). The execution and delivery of the joinder to the Waiver Agreement was deemed, for purposes of Section 228 of the General Corporation Law of the State of Delaware, to be an action by written consent in lieu of a meeting to approve the Permanent Waiver. The Company’s solicitation of consents to the Permanent Waiver terminated in accordance with its terms at 5:00 p.m., Eastern Time, on May 12, 2022 (the “Expiration Date”). The Record Holders who consented to the Permanent Waiver prior to the Expiration Date are referred to herein as the “Consenting Holders”.

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The Required Consent was obtained from the Consenting Holders and the solicitation terminated in accordance with its terms as of the Expiration Date. The Permanent Waiver was effective immediately upon the Expiration Date and was binding on all holders of the Series B Preferred Stock, including those holders that did not timely consent to the Permanent Waiver prior to the Expiration Date. The Permanent Waiver will also be applicable to any future holder of Series B Preferred Stock. A notation of the Permanent Waiver was made on the books and records of the Company’s transfer agent and a legend reflecting the Permanent Waiver was placed on any physical share certificate representing shares of Series B Preferred Stock.

Pursuant to the terms of a Waiver Agreement entered into by the Company and the Consenting Holders (the “Waiver Agreement”), the Company permanently reduced the exercise price of the Series B Warrants originally issued on July 16, 2020 (the “Series B Warrants”) held by the Consenting Holders to $0.25 per share or, in the case of Consenting Holders who are officers and directors of the Company, $0.3294 (the “Exercise Price Reduction”). Only Consenting Holders are entitled to the Exercise Price Reduction. Series B Warrants to purchase an aggregate of approximately 251,742 shares of Common Stock received the Exercise Price Reduction which was effective as of the Expiration Date. As a result of the Exercise Price Reduction of the Series B Warrants described above, the Company recorded a deemed dividend of approximately $0.047 million in the nine months ended September 30, 2022.

Series B Exchanges into the January 2021 Offerings

During the nine months ended September 30, 2021, pursuant to the Series B Exchange Right, the Company issued an aggregate of 19,140.14 shares of Series C Preferred Stock and warrants to purchase an aggregate of 63,800 shares of Common Stock in connection with the exchange of approximately 1,839.76 shares of Series B Preferred Stock. The Company analyzed the exchanges pursuant to the Series B Exchange Right from preferred stock to preferred stock qualitatively and determined that the exchanges resulted in a substantive change and should be accounted for as an extinguishment. As such, for the nine months ended September 30, 2021, the Company recognized an aggregate deemed dividend of approximately $21.0 million as calculated by the difference in the carrying value of the Series B Preferred Stock exchanged and the fair value of the Series C Preferred Stock and January 2021 Investor Warrants issued on each exchange date.

Equity Line with Lincoln Park

In November 2019, the Company entered into a purchase agreement (the “Equity Line Agreement”), together with a registration rights agreement (the “Lincoln Park Registration Rights Agreement”), with Lincoln Park. Under the terms of the Equity Line Agreement, Lincoln Park had committed to purchase up to $15,000,000 of Common Stock (the “Equity Line”). Upon execution of the Equity Line Agreement, the Company issued Lincoln Park 1,623 shares of Common Stock (the “Commitment Shares”) as a fee for its commitment to purchase shares of Common Stock under the Equity Line Agreement, which had a grant date fair value of approximately $297,000 and had no effect on expenses or stockholders’ equity.

The Company did not issue shares of Common Stock, during either of the three or nine months ended September 30, 2022 and 2021, in connection with the Equity Line Agreement. The Equity Line Agreement expired by its terms on July 31, 2022.

At The Market Agreement with H.C. Wainwright

On May 26, 2021, the Company entered into an At The Market Offering Agreement (the “ATM Agreement”) with H.C. Wainwright & Co., LLC (“Wainwright”), as sales agent, pursuant to which the Company may issue and sell, from time to time, through Wainwright, shares of its Common Stock, and pursuant to which Wainwright may sell its Common Stock by any method permitted by law deemed to be an “at the market offering” as defined by Rule 415(a)(4) promulgated under the Securities Act of 1933, as amended. The Company will pay Wainwright a commission of 3.0% of the aggregate gross proceeds from each sale of Common Stock. As of May 24, 2022, the Company was authorized to offer and sell up to $8.0 million of its Common Stock pursuant to the ATM Agreement. During the three and nine months ended September 30, 2021, the Company issued and sold an aggregate of 50,055 and 55,040 shares of Common Stock, respectively, under the ATM Agreement for which the Company received gross proceeds of approximately $7.4 million and $8.6 million, respectively, less issuance costs incurred of approximately $228,000 and $274,000, respectively. During each of the three and nine months ended September 30, 2022, the Company issued and sold an aggregate of 1,483,782 and 1,519,257 shares of Common Stock, respectively, under the ATM Agreement for which the Company received gross proceeds of approximately $7.7 million and $8.0 million, respectively, less issuance costs incurred of approximately $293,000 and $309,000, respectively.

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July 2022 Private Placement

On July 15, 2022, the Company completed a private placement (the “July 2022 Offering”) in which the Company issued an aggregate of (i) 150 shares of the Company’s Series D Preferred Stock, with a stated value $1,000 per share, convertible into an aggregate of 33,333 shares of the Common Stock, (ii) 150 shares of the Company’s Series E Preferred Stock, with a stated value $1,000 per share, convertible into an aggregate of 33,333 shares of Common Stock, and (iii) Series D Warrants to purchase up to an aggregate of 66,666 shares of Common Stock (the “July 2022 Warrants”). The Series D Preferred Stock are convertible into an aggregate of 33,333 shares of Common Stock at a conversion price of $4.50 per share and the Series E Preferred Shares are convertible, following the August 26, 2022 reverse stock split, into an aggregate of 33,333 shares of Common Stock at a conversion price of $4.50 per share. The July 2022 Warrants have an exercise price of $4.50 per share and will expire five years from the initial exercise date. The Company received gross proceeds of approximately $300,000 from the July 2022 Offering, before deducting the offering expenses payable by the Company.

As compensation to Wainwright, who was the exclusive placement agent in connection with the July 2022 Offering, the Company paid Wainwright a cash fee of 7% of the aggregate gross proceeds raised and reimbursement of certain expenses and legal fees. The Company also issued to designees of Wainwright in a private placement warrants (the “Placement Agent Warrants”) to purchase up to 4,000 shares of Common Stock. The Placement Agent Warrants were cancelled and terminated on October 5, 2022. None of the Placement Agent Warrants were exercised prior to cancellation and termination.

During the three months ended September 30, 2022, all of the Series D Preferred Shares and the Series E Preferred Shares were converted into 66,666 shares of Common Stock.

March 2022 Registered Direct Offering

On March 2, 2022, the Company completed a registered direct offering (the “March 2022 Offering”) priced at the market under Nasdaq rules for an aggregate of 55,000 shares of Common Stock, pre-funded warrants exercisable for an aggregate of up to 161,606 shares of Common Stock (the “March 2022 Pre-Funded Warrants”), and Series C Warrants (the “March 2022 Warrants”) exercisable for an aggregate of up to 216,606 shares of Common Stock. The public offering price for each share of Common Stock and accompanying March 2022 Warrant to purchase one share of Common Stock was $41.55, and the public offering price for each March 2022 Pre-Funded Warrant and accompanying March 2022 Warrant to purchase one share of Common Stock was $41.25. The total net proceeds from the March 2022 Offering were approximately $8.0 million. The March 2022 Warrants have an exercise price of $37.80 per share and will be exercisable for five years from the issuance date. The March 2022 Pre-Funded Warrants are exercisable for one share of Common Stock at an exercise price of $0.30 per share and will expire when exercised in full. Additionally, the Company issued warrants to the placement agent (the “March 2022 Placement Agent Warrants”) to purchase 12,996 shares of Common Stock equal to 6.0% of the aggregate number of shares of Common Stock and March 2022 Pre-Funded Warrants placed in the March 2022 Offering. The March 2022 Placement Agent Warrants have a term of five years from the date of the prospectus supplement relating to the March 2022 Offering and an exercise price of $51.90 per share.

The proceeds from the March 2022 Offering were allocated to the Common Stock, Pre-Funded warrants, and March 2022 Investor Warrants based on their relative fair values. The total proceeds of approximately $9.0 million, net of $1.0 million offering costs, were allocated as follows: approximately $2.3 million to the Common Stock, approximately $0.3 million to the Pre-Funded Warrants, and approximately $6.4 million to the March 2022 Warrants. The total offering costs of approximately $1.0 million were recognized in equity.

July 2021 Offering

On July 22, 2021, the Company entered into an underwriting agreement with Wainwright (the “July 2021 Offering”) pursuant to which the Company agreed to sell, in an upsized firm commitment offering, 30,303 shares of Common Stock to Wainwright at an offering price to the public of $165.00 per share, less underwriting discounts and commissions. On July 27, 2021, pursuant to the terms of the underwriting agreement, Wainwright exercised its 30-day over-allotment option in full to purchase an additional 4,545 shares of Common Stock at the same offering price to the public, less underwriting discounts and commissions. The offering closed on July 27, 2021. The Company received net proceeds from the offering of approximately $5.1 million.

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The Company paid Wainwright an underwriting discount equal to 8.0% of the gross proceeds of the offering, and reimbursed Wainwright for a non-accountable expense allowance of $35,000, $125,000 in legal fees and $15,950 for clearing expenses. Additionally, as partial compensation for Wainwright’s services as underwriter in the offering, the Company issued to Wainwright (or its designees) warrants to purchase 2,437 shares of Common Stock equal to 7.0% of the aggregate number of shares of Common Stock sold in the offering (the “Wainwright Warrants”). The Wainwright Warrants have a term of five years from the date of the offering and an exercise price of $206.25 per share (equal to 125% of the offering price per share), subject to adjustments as provided in the terms of the Wainwright Warrants. The Company concluded the freestanding Wainwright Warrants did not contain any provisions that would require liability classification and therefore should be classified in stockholder’s equity.

March 2021 Registered Direct Offering

On March 10, 2021, the Company completed a registered direct offering (the “March 2021 Offering”) priced at the market under Nasdaq rules for an aggregate of 19,333 shares of Common Stock, pre-funded warrants to purchase up to 6,861 shares of Common Stock (the “March 2021 Pre-Funded Warrants”), with an exercise price of $3.00 per share and no expiration term, and warrants (the “March 2021 Warrants”) to purchase an aggregate of 13,097 shares of Common Stock with an exercise price of $363.00 per share and an expiration term of five years from the date of issuance. The price per share of this offering was $381.75. The Company also issued warrants to the placement agent (the “March 2021 Placement Agent Warrants”) exercisable for up to 1,833 shares of Common Stock, which is equal to 7.0% of the amount determined by dividing the gross proceeds of the March 2021 Offering by the offering price per share of Common Stock, or $381.75. The March 2021 Placement Agent Warrants have substantially the same terms as the March 2021 Warrants, except they are exercisable at $477.18 per share, or 125% of the effective purchase price per share of Common Stock issued. The Company concluded that the freestanding March 2021 Warrants and the March 2021 Placement Agent Warrants did not contain any provisions that would require liability classification and therefore should be classified in stockholder’s equity.

The proceeds from the March 2021 Offering were allocated to the Common Stock, March 2021 Pre-Funded Warrants, and March 2021 Warrants based on their relative fair values. The total proceeds of approximately $9.1 million, net of $0.9 million offering costs, were allocated as follows: approximately $3.9 million to the Common Stock, approximately $2.6 million to the pre-funded warrants, and approximately $3.5 million to the March 2021 Warrants. The total offering costs of approximately $0.9 million were recognized in equity.

Common Stock Issuances

Issuances for the Three and Nine Months Ended September 30, 2022

During the three months ended September 30, 2022, the Company issued and sold an aggregate of 1,483,782 shares of Common Stock under the ATM Agreement for which the Company received net proceeds of approximately $7.4 million.

During the three months ended September 30, 2022, the Company issued an aggregate of 66,666 shares of Common Stock upon the conversion of Series E and Series D preferred stock.

During the three months ended September 30, 2022, the Company cancelled an aggregate of 98 shares of Common Stock in connection with the 30-for-1 reverse stock split on August 26, 2022.

During the nine months ended September 30, 2022, the Company issued 55,000 shares of Common Stock under the March 2022 Offering for which the Company received net proceeds of approximately $8.0 million.

During the nine months ended September 30, 2022, the Company issued an aggregate of 161,606 shares of Common Stock upon the conversion of the March 2022 Pre-Funded Warrants issued at a par value of $0.30 (See Note 10).

During the nine months ended September 30, 2022, the Company issued an aggregate of 6,374 shares of Common Stock and accompanying Exchange Warrants upon the exchange of an aggregate of 30.92 shares of Series B Preferred Stock with a stated value of approximately $238,000 plus accrued dividends of approximately $27,000.

During the nine months ended September 30, 2022, the Company issued an aggregate of 3,001 shares of its Common Stock to consultants with a grant date fair value of approximately $119,000 for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.

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During the nine months ended September 30, 2022, the Company issued and sold an aggregate of 1,519,257 shares of Common Stock under the ATM Agreement for which the Company received net proceeds of approximately $7.7 million.

During the nine months ended September 30, 2022, the Company cancelled an aggregate of 98 shares of Common Stock in connection with the 30-for-1 reverse stock split on August 26, 2022.

Issuances for the Three and Nine Months Ended September 30, 2021

During the three months ended September 30, 2021, the Company issued an aggregate of 673 shares of its Common Stock to consultants with a grant date fair value of approximately $124,000 for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the three months ended September 30, 2021, the Company issued an aggregate of 34,848 shares of Common Stock in connection with the July 2021 Offering.

During the three months ended September 30, 2021, the Company issued an aggregate of 20,800 shares of Common Stock in connection with the FWB Merger and canceled and 11,097 shares of Common Stock held by FWB immediately prior to the FWB Merger, which shares of Common Stock are authorized and unissued (see Note 4).

During the three months ended September 30, 2021, the Company cancelled an aggregate of 56 shares of Common Stock in connection with the 10-for-1 reverse stock split on September 13, 2021.

During the nine months ended September 30, 2021, the Company issued an aggregate of 3,240 shares of its Common Stock to consultants with a grant date fair value of approximately $1.2 million for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the nine months ended September 30, 2021, the Company issued an aggregate 250 shares of its Common Stock with a grant date fair value of approximately $94,000 in connection with the settlement with the Company’s former investment bank, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the nine months ended September 30, 2021, the Company issued an aggregate of 104,182 shares of Common Stock upon the conversion of an aggregate of 33,097.10 shares of Series C Preferred Stock with a stated value of approximately $24.7 million plus accrued dividends of approximately $198,000.

During the nine months ended September 30, 2021, the Company issued an aggregate of 31,521 shares of Common Stock upon the exercise of an aggregate of 31,712 investor warrants, including an aggregate of 13,305 pre-funded warrants (See Note 10).

During the nine months ended September 30, 2021, the Company issued an aggregate of 8,609 shares of Common Stock upon the conversion of an aggregate of 258.08 shares of Series B Preferred Stock with a stated value of approximately $2.0 million plus accrued dividends of approximately $3,000.

During the nine months ended September 30, 2021, the Company issued an aggregate of 54,181 shares of Common Stock in connection with the March 2021 Offering and July 2021 Offering, as detailed below.

Series C Purchase Agreement

On January 5, 2021, the Company closed on a securities purchase agreement (the “Series C Purchase Agreement”), pursuant to which the Company agreed to sell in a registered direct offering 5,333.33 shares of Series C Preferred Stock, at a price of $750.00 per share, initially convertible into an aggregate of 17,777 shares of Common Stock, at an initial stated value of $750.00 per share and a conversion price of $225.00 per share (the “January 2021 Registered Direct Offering”).

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Concurrently with the January 2021 Registered Direct Offering, in a private placement offering pursuant to the Series C Purchase Agreement (the “January 2021 Private Placement”), the Company agreed to sell an additional 5,333.33 shares of Series C Preferred Stock at the same price as the Series C Preferred Stock offered in the January 2021 Registered Direct Offering and convertible on the same terms and warrants (the “January 2021 Investor Warrants”) to purchase up to an aggregate of 35,555 shares of Common Stock, with an exercise price of $240.00 per share and a maturity date of July 6, 2026.

The net proceeds to the Company from the offerings described above (the “January 2021 Offerings”), after deducting the placement agent’s fees and expenses, was approximately $7.1 million.

The Company also issued warrants to the placement agent (the “January 2021 Placement Agent Warrants”) exercisable for up to 2,488 shares of Common Stock, which is equal to 7.0% of the amount determined by dividing the gross proceeds of the January 2021 Offerings by the offering price per share of Common Stock, or $225.00. The January 2021 Placement Agent Warrants have substantially the same terms as the January 2021 Investor Warrants, except they are exercisable at $281.25 per share, or 125% of the effective purchase price per share of the Series C Preferred Stock issued.

The proceeds from the January 2021 Offerings were allocated to the Series C Preferred Stock and the January 2021 Investor Warrants based on their relative fair values. The total proceeds of approximately $7.1 million, net of $0.9 million offering costs, were allocated as follows: approximately $4.6 million to the Series C Preferred Stock and approximately $3.4 million to the January 2021 Investor Warrants. After allocation of the proceeds, the effective conversion price of the Series C Preferred Stock was determined to be beneficial and, as a result, the Company recorded a deemed dividend of approximately $4.5 million equal to the intrinsic value of the beneficial conversion feature and recognized on the closing date and recorded as a reduction of income available to common stockholders in computing basic and diluted loss per share. The total offering costs of approximately $0.9 million were recognized in equity.

During the nine months ended September 30, 2021, all outstanding shares of Series C Preferred Stock were converted to Common Stock.

Note 10 – Warrants

Warrant activity for the nine months ended September 30, 2022 and 2021 was as follows:

		Weighted		Weighted
		Average		Average
	Number of	Exercise Price		Remaining
	Warrants	Per Share		Term in Years
Outstanding and exercisable on January 1, 2022	183,999	$	284.70	3.95
Issued	464,245		20.36	4.49
Expired	(4,279)		1,125.78	—
Exercised	(161,606)		0.30	4.42
Warrants outstanding and exercisable on September 30, 2022	482,359	$	90.19	4.07
Warrants outstanding and exercisable on January 1, 2021	83,687	$	366.00	4.04
Issued	133,114		233.03	4.11
Expired	(1,698)		1,080.16	—
Exercised	(31,712)		159.32	4.10
Warrants outstanding and exercisable on September 30, 2021	183,391	$	298.47	4.16

The outstanding warrants expire from 2022 through 2027.

In connection with the March 2022 Offering, the Company entered into a warrant amendment agreement with an investor pursuant to which the Company agreed to amend the investor’s existing warrants to purchase up to 35,555 shares of Common Stock at an exercise price of $240.00 per share issued in January 2021 and warrants to purchase up to 13,097 shares of Common stock at an exercise price of $363.00 per share issued in March 2021 (the “Existing Warrants”), in consideration for such investor’s purchase of $9.0 million of securities in the March 2022 Offering and payment of $0.8430 per share for each share of common stock issuable upon exercise of the Existing Warrants to (i) lower the exercise price of the Existing Warrants to $37.80 per share and (ii) extend the termination date of the Existing Warrants to March 2, 2027.

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During the nine months ended September 30, 2022, the Company issued March 2022 Warrants, March 2022 Pre-Funded Warrants, and March 2022 Placement Agent Warrants to purchase 391,205 shares of Common Stock in connection with the March 2022 Offering, Exchange Warrants to purchase 6,374 shares of Common Stock in connection with a Series B Preferred Stock exchange (See Note 9), as well as July 2022 Warrants to purchase 66,666 shares of Common Stock in connection with the July 2022 Offering.

During the nine months ended September 30, 2021, the Company issued warrants, pre-funded warrants, and placement agent warrants to purchase 44,486 and 21,789 shares of the Company’s Common Stock in connection with the January 2021 Offerings and the March 2021 Offering, respectively, placement agent warrants to purchase 2,437 shares of the Company’s Common Stock in connection with the July 2021 Offering, warrants to purchase 63,736 shares of the Company’s Common Stock in connection with exchanges made pursuant to the Series B Exchange Right (See Note 9), as well as warrants to purchase 666 shares of Common Stock issued to a consultant.

Note 11 – Equity Incentive Plan

The Company’s Board and stockholders adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”), which took effect on May 12, 2014. Upon adoption of the 2020 Plan on September 11, 2020, the Company ceased making grants under the 2014 Plan.

The Company’s Board and stockholders adopted and approved the 2020 Omnibus Equity Incentive Plan (the “2020 Plan”), which took effect on September 11, 2020. The initial number of shares of Common Stock available for issuance under the 2020 Plan is 33,333 shares, which will, on January 1 of each calendar year, unless the Board decides otherwise, automatically increase to equal ten percent (10)% of the total number of shares of Common Stock outstanding on December 31 of the immediately preceding calendar year, calculated on an As Converted Basis. As Converted Shares include all outstanding shares of Common Stock and all shares of Common Stock issuable upon the conversion of outstanding preferred stock, warrants and other convertible securities, but will not include any shares of Common Stock issuable upon the exercise of options and other convertible securities issued pursuant to either the 2014 Plan or the 2020 Plan. The number of shares permitted to be issued as “incentive stock options” (“ISOs”) is 50,000 under the 2020 Plan.

As of January 1, 2022, the number of shares of Common Stock available for issuance under the 2020 Plan automatically increased to 70,478.

As of September 30, 2022, there were an aggregate of 70,478 shares available under the 2020 Plan, of which 22,946 shares were issued and outstanding and 47,532 shares were available for potential issuances.

As of September 30, 2022, there were an aggregate of 8,680 shares available under the 2014 Plan, of which 5,012 shares were issued and outstanding and 2,094 shares are reserved subject to issuance of restricted stock and restricted stock unit awards (“RSUs”).

During the nine months ended September 30, 2022 and 2021, stock option activity under the 2014 Plan and 2020 Plan was as follows:

		Average		Remaining
	Number	Exercise		Contract	Intrinsic
	of Shares	Price		Life (Years)	Value
Outstanding at January 1, 2022	13,737	$	353.73	7.28	$	—
Granted	22,938		41.17	7.50		—
Canceled	(3,745)		355.14	—		—
Forfeited	(4,972)		120.20	—		—
Outstanding at September 30, 2022	27,958	$	138.63	8.45	$	—
Exercisable at September 30, 2022	13,740	$	215.59	7.75	$	—
Outstanding at January 1, 2021	13,567	$	373.80	7.94	$	—
Granted	5,841		258.30	10.00		—
Canceled	(4,482)		314.10	2.87		—
Outstanding at September 30, 2021	14,926	$	346.50	7.57	$	—
Exercisable at September 30, 2021	9,342	$	412.80	6.78	$	—

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During the nine months ended September 30, 2022 and 2021, the Board approved the grant of options to purchase 22,938 and 5,841 shares of Common Stock, respectively. All option grants were pursuant to the 2020 Plan. In general, options granted under the 2020 Plan vest monthly over a 36-month period.

During the nine months ended September 30, 2022 and 2021, stock options to purchase an aggregate of 3,745 and 4,482 shares of Common Stock under the 2020 Plan were cancelled. During the nine months ended September 30, 2022, stock options to purchase 4,972 shares of Common Stock were forfeited.

For the nine months ended September 30, 2022 and 2021, the fair value of each option grant has been estimated on the date of grant using the Black-Scholes Option Pricing Model with the following weighted-average assumptions:

	2022		2021
Contractual term (in years)	6.50		10.00
Expected Volatility	90.92	%	88.71	%
Risk-free interest rate	1.12	%	1.29	%
Expected Dividend yield	0	%	0	%

Using the Black-Scholes Option Pricing Model, the estimated weighted average fair value of an option to purchase one share of common stock granted during the nine months ended September 30, 2022 and 2021 was $31.96 and $201.24, respectively.

As of September 30, 2022, the Company had unrecognized stock-based compensation expense of approximately $0.9 million. Approximately $0.4 million of this unrecognized expense will be recognized over the average remaining vesting term of the stock options of 8.44 years. Approximately $0.5 million of this unrecognized expense will vest upon achieving certain clinical and/or corporate milestones. The Company will recognize the expense related to these milestones when the milestones become probable.

As of September 30, 2021, the Company had unrecognized stock-based compensation expense of approximately $1.1 million. Approximately $0.9 million of this unrecognized expense will be recognized over the average remaining vesting term of the stock options of 1.85 years. Approximately $0.3 million of this unrecognized expense will vest upon achieving certain clinical and/or corporate milestones. The Company will recognize the expense related to these milestones when the milestones become probable.

As of September 30, 2022 and 2021, the Company had 916 shares of restricted stock that had not yet vested and unrecognized restricted common stock expense of approximately $394,000. Approximately $197,000 of this unrecognized expense vests upon the first commercial sale in the United States of Adrulipase and approximately $197,000 of this unrecognized expense vests upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days. These milestones were not considered probable as of September 30, 2022.

The total stock-based compensation expense for employees and non-employees is included in the accompanying condensed consolidated statements of operations and as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2022		2021		2022		2021
Research and development	$	22,623	$	126,611	$	93,870	$	556,688
General and administrative		69,018		55,803		590,908		712,022
Total stock-based compensation expense	$	91,641	$	182,414	$	684,778	$	1,268,710

Note 12 – Agreements

License Agreement with First Wave Bio, Inc. (FWB)

On December 31, 2020, the Company entered into the FWB License Agreement, pursuant to which FWB granted us a worldwide, exclusive right to develop, manufacture, and commercialize FWB’s proprietary immediate release and enema formulations of niclosamide (the “Niclosamide Product”) for the fields of treating ICI-AC and COVID-19 in humans.

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In consideration of the license and other rights granted by FWB, the Company agreed to pay FWB a $9.0 million upfront cash payment due within 10 days, which was paid in January 2021, and was obligated to make an additional payment of $1.25 million due on June 30, 2021, which was paid in July 2021. In addition, the Company was obligated to pay potential milestone payments to FWB totaling up to $37.0 million for each indication, based upon the achievement of specified development and regulatory milestones. In September 2021, the Company achieved a milestone related to clinical development of niclosamide in the COVID-19 field and has expensed $1.0 million in research and development. Under the FWB License Agreement, the Company was obligated to pay FWB royalties as a mid-single digit percentage of net sales of the Niclosamide Product, subject to specified reductions. The Company was also obligated to issue to FWB junior convertible preferred stock, initially convertible into $3.0 million worth of Common Stock based upon the volume weighted average price of the Common Stock for the five-day period immediately preceding the date of the FWB License Agreement, or $273.54 per share, convertible into an aggregate of 10,967 shares of Common Stock.

On January 8, 2021, the Company entered into a securities purchase agreement with FWB (the “FWB Purchase Agreement”) to issue junior convertible preferred stock to FWB. Pursuant to the FWB Purchase Agreement, the Company issued to FWB 3,290.1960 shares of Series C Preferred Stock, at an initial stated value of $750.00 per share and a conversion price of $225.00 per share, which is convertible into an aggregate of 10,967 shares of Common Stock. The shares of Series C Preferred Stock automatically converted into Common Stock upon the stockholder approval on February 24, 2021. The FWB Purchase Agreement contains demand and piggyback registration rights with respect to the Common Stock issuable upon conversion.

The conversion price of the Series C Preferred Stock was determined to be beneficial and, as a result, the Company recorded a deemed dividend of approximately $230,000 equal to the intrinsic value of the beneficial conversion feature and recognized on the issuance date and recorded as a reduction of income available to common stockholders in computing basic and diluted loss per share.

Upon the 2021 Stockholder Approval on February 24, 2021, the Company recognized a change in fair value of approximately $0.5 million based on the difference in fair value of the $3.0 million liability initially recorded pursuant to the FWB License Agreement as of December 31, 2020 and the fair value of approximately $2.5 million of Series C Preferred Stock issued pursuant to the FWB Purchase Agreement to settle the liability.

Following the 2021 Stockholder Approval, the shares of Series C Preferred Stock were automatically converted into Common Stock.

Upon consummating the Merger on September 13, 2021, the FWB License Agreement was effectively canceled.

Mayoly Agreement

On March 27, 2019, the Company and Laboratories Mayoly Spinder (“Mayoly”) entered into an Asset Purchase Agreement (the “Mayoly APA”), pursuant to which the Company purchased substantially all remaining rights, title and interest in and to adrulipase. Further, upon execution of the Mayoly APA, the Joint Development and License Agreement (the “JDLA”) previously executed by AzurRx SAS and Mayoly was assumed by the Company. In addition, the Company granted to Mayoly an exclusive, royalty-bearing right to revenue received from commercialization of adrulipase within certain territories.

Note 13 – Leases

The Company leases its offices under operating leases which are subject to various rent provisions and escalation clauses.

The Company is a party to two real property operating leases for the rental of office space. The Company has office space of 3,472 square feet in Boca Raton, Florida that is used for its corporate headquarters with a term through August 31, 2026. The Company also has office space in in Brooklyn, New York on a month-to-month basis. The Company was previously a party to office space in Hayward, California with a term through May 31, 2022, which was not renewed upon its expiration.

The Company’s leases expire at various dates through 2026. The escalation clauses are indeterminable and considered not material and have been excluded from minimum future annual rental payments.

Lease expense was approximately $36,000 and $79,000, respectively, for the three months ended September 30, 2022 and 2021 and $115,000 and $186,000, respectively, for the nine months ended September 30, 2022 and 2021.

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The weighted-average remaining lease term and weighted-average discount rate under operating leases as of September 30, 2022 are:

	September 30,
	2022
Lease term and discount rate
Weighted-average remaining lease term (years)	3.9
Weighted-average discount rate	7.00	%

Maturities of operating lease liabilities as of September 30, 2022, were as follows:

2022 (remainder of year)	$	20,563
2023		83,691
2024		86,202
2025		88,788
2026		60,593
Total lease payments		339,837
Less imputed interest		(44,148)
Present value of lease liabilities	$	295,689

Note 14 - Net Income (Loss) per Common Share

Basic net income (loss) per share is computed by dividing net income (loss) available to common stockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per share reflect, in periods in which they have a dilutive effect, the impact of common shares issuable upon exercise of stock options and warrants and conversion of convertible preferred stock that are not deemed to be anti-dilutive. The dilutive effect of the outstanding stock options, warrants and preferred stock is computed using the treasury stock method. In periods where the Company records a net loss, unvested restricted common stock and potential common stock equivalents are not included in the calculation of diluted net loss per share as their effect would be anti-dilutive.

For the three months ended September 30, 2022, stock options in the amount of 27,958 and warrants in the amount of 482,359 were excluded from the calculation of diluted net income per share as they did not have a dilutive effect. For the three months ended September 30, 2022, convertible preferred stock in the amount of 24,321 shares were included in the calculation of diluted net income per share.

Basic and diluted net income (loss) per share was calculated as follows:

	Three Months Ended				Nine Months Ended
	September 30, 2022		September 30, 2021		September 30, 2022		September 30, 2021
Net income (loss)	$	4,391,331	$	(30,400,788)	$	(10,643,653)	$	(47,365,362)
Basic weighted average shares outstanding		1,601,415		311,411		952,794		253,118
Convertible preferred stock		24,321		—		—		—
Diluted weighted average shares outstanding		1,625,736		311,411		952,794		253,118
Basic net income (loss) per share	$	2.64	$	(98.00)	$	(11.53)	$	(289.31)
Diluted net income (loss) per share	$	2.60	$	(98.00)	$	(11.53)	$	(289.31)

All shares of Common Stock that may potentially be issued in the future are as follows:

	September 30, 2022	September 30, 2021
	(unaudited)	(unaudited)
Common stock warrants	482,359	183,391
Stock options	27,958	14,926
Convertible preferred stock (1)	24,321	24,045
Total shares of common stock issuable	534,638	222,362

(1) Convertible preferred stock is assumed to be converted at the rate of $231.00 per common share, which is the conversion price as of September 30, 2022.

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Note 15 - Employee Benefit Plans

401(k) Plan

Since 2015, the Company has sponsored a multiple employer defined contribution benefit plan, which complies with Section 401(k) of the Internal Revenue Code covering substantially all employees of the Company.

All employees are eligible to participate in the plan. Employees may contribute from 1% to 100% of their compensation and the Company matches an amount equal to 100% on the first 6% of the employee contribution and may also make discretionary profit-sharing contributions.

Employer contributions under this 401(k) plan amounted to approximately $21,000 and $26,000 for the three months ended September 30, 2022 and 2021, respectively, and approximately $97,000 and $81,000 for the nine months ended September 30, 2022 and 2021, respectively.

Note 16 - Subsequent Events

The Company evaluated subsequent events and transactions that occurred after the balance sheet date up to the date that the financial statements were available to be issued. The Company did not identify any subsequent events that would have required adjustment or disclosure in the financial statements except for the item noted below.

Dissolution of AzurRx SAS

Effective October 26, 2022, AzurRx SAS was dissolved.

Public Offering

On October 6, 2022, the Company entered into a securities purchase agreement with investors pursuant to which the Company agreed to sell, in a best efforts public offering (the “October 2022 Offering”) priced at the market under Nasdaq rules, an aggregate of (i) 255,000 shares of Common Stock, (ii) pre-funded warrants (the “October 2022 Pre-Funded Warrants”) to purchase up to an aggregate of 3,183,396 shares of Common Stock and (iii) common warrants (the “October 2022 Warrants”) to purchase up to an aggregate of 3,438,396 shares of Common Stock. The public offering price for each share of Common Stock and accompanying October 2022 Warrant to purchase one share of Common Stock was $1.745, and the public offering price for each October 2022 Pre-Funded Warrant and accompanying October 2022 Warrant to purchase one share of Common Stock was $1.7449. The October 2022 Pre-Funded Warrants have an exercise price of $0.0001 per share, were exercisable immediately upon issuance and will expire when exercised in full. The October 2022 Warrants have an exercise price of $1.62 per share, were exercisable immediately upon issuance and will expire five years from the initial exercise date.

The net proceeds of the October 2022 Offering, after deducting the placement agent’s fees and expenses and other offering expenses payable by the Company and excluding the net proceeds, if any, from the exercise of the October 2022 Warrants, is $5.2 million. The Company intends to use the net proceeds from the October 2022 Offering to make the final upfront payment owed to the former stockholders of FWB pursuant to the July 2022 Settlement Agreement. The Company intends to use the remaining net proceeds from the October 2022 Offering for working capital and general corporate purposes. The October 2022 Offering closed on October 11, 2022.

July 2022 Offering

On October 5, 2022, the Company entered into termination agreements with Wainwright to void 4,000 warrant shares issued to Wainwright pursuant to the July 2022 Offering.

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

References in this report to “First Wave,” “AzurRx,” “Company,” “we,” “us,” “our,” or similar references mean First Wave BioPharma, Inc. and its subsidiaries on a consolidated basis. References to “First Wave BioPharma” refer to First Wave BioPharma, Inc. on an unconsolidated basis. References to “AzurRx SAS” refer to First Wave BioPharma’s wholly owned subsidiary through which we conduct our European operations. References to the “SEC” refer to the U.S. Securities and Exchange Commission.

Forward-Looking Statements

You should read the following discussion and analysis of our financial condition and results of operations in conjunction with our consolidated financial statements and the related notes included elsewhere in this interim report. Our consolidated financial statements have been prepared in accordance with U.S. GAAP. The following discussion and analysis contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”) and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), including, without limitation, statements regarding our expectations, beliefs, intentions or future strategies that are signified by the words “expect,” “anticipate,” “intend,” “believe,” or similar language. All forward-looking statements included in this document are based on information available to us on the date hereof, and we assume no obligation to update any such forward-looking statements. Our business and financial performance are subject to substantial risks and uncertainties. Actual results could differ materially from those projected in the forward-looking statements. In evaluating our business, you should carefully consider the information set forth under the heading “Risk Factors” included in our Annual Report filed on Form 10-K for the year ended December 31, 2021 filed with the SEC on March 31, 2022 (as amended on Form 10-K/A filed with the SEC on May 10, 2022). Readers are cautioned not to place undue reliance on these forward-looking statements.

Overview

We are engaged in the research and development of targeted, non-systemic therapies for the treatment of patients with gastrointestinal (“GI”) diseases. Non-systemic therapies are non-absorbable drugs that act locally, i.e., in the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation.

We are currently focused on developing our pipeline of gut-restricted GI clinical drug candidates, including the biologic adrulipase (formerly MS1819), a recombinant lipase enzyme designed to enable the digestion of fats and other nutrients, and niclosamide, an oral small molecule with anti-viral and anti-inflammatory properties.

Our adrulipase programs are focused on the development of an oral, non-systemic, biologic capsule for the treatment of exocrine pancreatic insufficiency (“EPI”) in patients with cystic fibrosis (“CF”) and chronic pancreatitis (“CP”). Our goal is to provide CF and CP patients with a safe and effective therapy to control EPI that is non-animal derived and offers the potential to dramatically reduce their daily pill burden. In March 2021, we announced topline results from our Phase 2b OPTION 2 monotherapy trial, and in 2021, we announced positive topline results from our Phase 2 Combination trial in Europe. We are currently focused on formulation development for adrulipase and expect to initiate a Phase 2b monotherapy trial during the fourth quarter of 2022.

Our niclosamide programs leverage proprietary oral and topical formulations to address multiple GI conditions, including inflammatory bowel diseases (“IBD”) indications and viral diseases. We are currently advancing two separate clinical programs of our niclosamide formulations currently in Phase 2 clinical trials, including FW-COV for Severe Acute Respiratory Syndrome Coronavirus 2 (“COVID-19”) GI infections, and FW-UP for ulcerative proctitis (“UP”) and ulcerative proctosigmoiditis (“UPS”).

In April 2021, we launched the Phase 2 RESERVOIR COVID-19 GI clinical trial using a proprietary oral immediate-release tablet formulation of micronized niclosamide in the U.S., Ukraine and India, and in April 2022, announced that the trial did not meet its efficacy endpoint, but FW-COV was demonstrated to be safe with no serious adverse events reported by the more than 150 patients that participated in the trial. We are awaiting the complete set of data for analysis, including anti-inflammatory biomarkers, abdominal discomfort changes, and medium-term safety follow-up, in order to report the full data set along with next steps for the FW-COV program.

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In September 2021, we announced the initiation of patient screening for the stage 2 portion of the ongoing Phase 2 UP/UPS trial in Italy and in October 2021 we announced the dosing of the first patient in the trial. In August 2022, we concluded the trial. The trial data indicated that while niclosamide was safe and well tolerated with no serious adverse events, the data failed to demonstrate efficacy based on the study design. We are evaluating whether to conduct a future study under a new trial design.

In October 2021, we received FDA clearance for an investigational new drug (“IND”) application for a Phase 2 trial (“FW-ICI-AC”) for Immune Checkpoint Inhibitor-associated colitis (“ICI-AC”) and diarrhea in advanced stage oncology patients. The FW-ICI-AC program is currently on hold due to financial constraints. We are also evaluating our further development of a new oral formulation for niclosamide therapies for additional IBD indications, including FW-UC for ulcerative colitis (“UC”) and FW-CD for Crohn’s disease (“CD”).

The FWB Action

As a result of the topline data from the Phase 2 RESERVOIR COVID-19 GI clinical trial and the ongoing volatility in the biotechnology sector, we have initiated certain measures to reduce our expenses and conserve capital. Included in these measures is a reduction in our headcount, as well as the closure of our California office at the end of May 2022 and our facility in Langlade, France. We also determined to suspend payments related to our acquisition of First Wave Bio, Inc. (“FWB”), in order to conserve capital. On May 19, 2022, Fortis Advisors LLC, the hired representative (in such capacity, the “Representative”) of the former stockholders of FWB in connection with the Agreement and Plan of Merger dated as of September 13, 2021, by and among us, Alpha Merger Sub, Inc. and FWB (the “Merger Agreement”), filed a complaint in the Court of Chancery of the State of Delaware (the “FWB Action”), for breach of contract and anticipatory repudiation or for unjust enrichment. The FWB Action sought specific performance of the Company’s obligations under the Merger Agreement and the settlement agreement by and between us and the Representative, dated November 15, 2021 (the “November 2021 Settlement Agreement”), including all payments currently owed and to be owed to the Representative, and damages at the maximum amount permitted by law.

On July 29, 2022, we reached an agreement with the Representative to settle the FWB Action and to restructure our obligations to the former FWB stockholders (the “July 2022 Term Sheet”). We agreed to pay the Representative: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022 (the “Second Payment”); and (iii) $2.0 million on the earlier of November 30, 2022 and our completion of one or more qualifying equity offerings (collectively, the “Payments”). As of September 30, 2022, we made both the $1.5 million upfront payment and the $1.0 million Second Payment to the Representative for a total of $2.5 million. The Representative is also entitled to receive future cash payments conditioned on the achievement of certain development milestones for adrulipase and to a percentage of any consideration received by us in the event of a license or sale of adrulipase, subject to a cap. The Representative also is entitled receive a percentage of the consideration received by us in the event of a license or sale of niclosamide and will retain its existing milestone payment rights with respect to niclosamide. In the event that the consideration received by us in connection with the sale or license of adrulipase or niclosamide consists of securities or other non-cash consideration, the Representative will have the right to elect either to receive its payment in such form of consideration or to cause the licensee or acquirer to assume the obligations described herein. In the event of a “Company Sale” (as defined in the July 2022 Term Sheet), the Representative is entitled to receive a pro rata share of the total consideration received by us or our stockholders up to $4.0 million (plus any unpaid Payments whether or not then due) based on a formula set forth in the July 2022 Term Sheet. In certain circumstances, the Representative has the right to treat a “Company Sale” as a sale of adrulipase or niclosamide, as applicable, and to treat the Company Sale as a sale of the related asset and to receive the consideration with respect thereto described herein.

In the July 2022 Term Sheet, the Representative agreed to stay the FWB Action for a period of 90 days and to eliminate our obligation to pay a portion of any offering proceeds to the Representative. In addition, our obligation to use commercially reasonable efforts to develop niclosamide will be deferred for a period of 24 months from the date of the July 2022 Term Sheet. Effective upon the Second Payment, the Representative agreed to dismiss the FWB Action with prejudice and to extinguish the approximately $10.1 million of remaining fixed payment obligations currently owed to the former FWB shareholders, which occurred during the three months ended September 30, 2022.

In the July 2022 Term Sheet, we and the Representative also agreed to enter into a formal settlement agreement embodying the terms described above and containing mutual releases and other customary terms that became effective upon the payment of the Second Payment. In addition, certain related parties of the Representative agreed to vote their shares of our common stock for the reverse stock split effective August 26, 2022, which enabled us to regain compliance with the Bid Price Rule (as defined below).

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In the event that we are not able to meet the obligations under the Merger Agreement or the July 2022 Term Sheet, we may have to further curtail our operations or take other actions to preserve our capital, including the filing of a petition for protection under applicable bankruptcy law.

Nasdaq Listing Extension

On November 26, 2021, we received a letter from the Listing Qualifications Staff (the “Staff”) of The Nasdaq Stock Market LLC (“Nasdaq”) indicating that we were not in compliance with the $2.5 million minimum stockholders’ equity requirement for continued listing of our common stock on Nasdaq as set forth in Nasdaq Listing Rule 5550(b)(1) (the “Minimum Stockholder’s Equity Rule”). In that regard, we reported a stockholders’ deficit of $(6,969,988) in our Quarterly Report on Form 10-Q for the period ended September 30, 2021 (we did not then, and do not now, meet the alternative compliance standards relating to the market value of listed securities of $35 million or net income from continuing operations of $500,000 in the most recently completed fiscal year or in two of the last three most recently completed fiscal years).

On January 10, 2022, we submitted a plan to the Staff to regain compliance with the Minimum Stockholders’ Equity Rule and on February 15, 2022, the Staff notified us that Nasdaq had granted us an extension through May 25, 2022, to regain compliance (this represented the maximum extension period available to the Staff under the Nasdaq Listing Rules). On May 26, 2022, we received a letter from the Staff indicating that, based upon our continued non-compliance with the Minimum Stockholders’ Equity Rule, the Staff had determined to delist our securities from Nasdaq unless we timely requested a hearing before the Nasdaq hearings Panel (the “Panel”).

Additionally, on May 16, 2022, we received notice from the Staff indicating that, based upon the closing bid price of our common stock for the prior 30 consecutive business days, we were not currently in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing on Nasdaq as set forth in Nasdaq Listing Rule 5550(a)(2) (the “Bid Price Rule”). We had 180 days from May 16, 2022, or through November 14, 2022, to regain compliance with the Bid Price Rule. We completed a 1-for-30 reverse stock split effective August 26, 2022, and by letter dated September 12, 2022, Nasdaq advised us that we had regained compliance with the Bid Price Rule. No assurance can be given that we will be able to remain in compliance with the Bid Price Rule.

We requested a hearing before the Panel. Following the hearing, on July 11, 2022, the Panel granted our request for continued listing of our common stock (the “Exception”). The Exception is subject to a number of significant conditions that must be satisfied on or before specific deadlines set forth in the Exception, including the completion of one or more additional equity financings. The final term of the Exception expires on November 22, 2022.

Pursuant to the Exception, we are required to provide the Panel with prompt notification of any significant events that occur including any event that may call into question our ability to satisfy the terms of the Exception. The Panel has reserved the right to reconsider the terms of the Exception based on any event, condition or circumstance that exists or develops that would, in the Panel’s opinion, make continued listing of our securities on Nasdaq inadvisable or unwarranted.

Series B Exchange Right Waivers

Between February 1 and February 7, 2022, we entered into waiver agreements (the “Temporary Waiver”) with certain holders of our Series B Convertible Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”), pursuant to which we agreed to pay a cash waiver fee equal to ten percent of the stated value of the shares of Series B Preferred Stock held by such holder (other than holders who are insiders who did not receive a cash waiver fee) and such holder agreed to irrevocably waive its Series B Exchange Right (as defined below) with respect to any Subsequent Financing (as defined below) that occurs from and after the date of the Temporary Waiver until December 31, 2022.

Pursuant to the Series B Preferred Stock Certificate of Designations (the “Series B Certificate of Designations”), in the event of any issuance by us or any of our subsidiaries of our common stock or common stock equivalents for cash consideration or a combination of units thereof (a “Subsequent Financing”), each holder of our Series B Preferred Stock has the right, subject to certain exceptions set forth in the Series B Certificate of Designations, at its option, to exchange (in lieu of cash subscription payments) all or some of the Series B Preferred Stock then held (with a value per share of Series B Preferred Stock equal to the stated value of each share of Series B Preferred Stock, or $7,700.00, plus accrued and unpaid dividends thereon, of the Series B Preferred Stock) for any securities or units issued in a Subsequent Financing on a dollar-for-dollar basis (the “Series B Exchange Right”).

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We entered into Temporary Waivers with holders of approximately $2.88 million of stated value of our Series B Preferred Stock. We also entered into Temporary Waivers with Company insiders holding approximately $474,000 of stated value of our Series B Preferred Stock for which we did not pay a waiver fee.

Effective May 12, 2022, the holders of 81.3% of the outstanding shares of the Series B Preferred Stock permanently waived for themselves and all other holders of the Series B Preferred Stock the Series B Exchange Right with respect to any Subsequent Financing (as defined below) occurring on or after January 1, 2022 (the “Permanent Waiver”). Holders of Series B Preferred Stock as of the April 27, 2022 record date were entitled to notice of and to consent to the Permanent Waiver (the “Record Holders”).

Pursuant to the terms of the Series B Certificate of Designations, the written consent of the holders of at least a majority of the Series B Preferred Stock outstanding was required to consent to the Permanent Waiver (the “Required Consent”). We requested that the Record Holders consent to the Permanent Waiver by executing and delivering a joinder to the Waiver Agreement (as defined below). The execution and delivery of the joinder to the Waiver Agreement was deemed, for purposes of Section 228 of the General Corporation Law of the State of Delaware, to be an action by written consent in lieu of a meeting to approve the Permanent Waiver. Our solicitation of consents to the Permanent Waiver terminated in accordance with its terms at 5:00 p.m., Eastern Time, on May 12, 2022 (the “Expiration Date”). The Record Holders who consented to the Permanent Waiver prior to the Expiration Date are referred to herein as the “Consenting Holders”.

The Required Consent was obtained from the Consenting Holders and the solicitation terminated in accordance with its terms as of the Expiration Date. The Permanent Waiver was effective immediately upon the Expiration Date and is binding on all holders of the Series B Preferred Stock, including those holders that did not timely consent to the Permanent Waiver prior to the Expiration Date. The Permanent Waiver will also be applicable to any future holder of Series B Preferred Stock. A notation of the Permanent Waiver was made on the books and records of the Company’s transfer agent and a legend reflecting the Permanent Waiver will be placed on any physical share certificate representing shares of Series B Preferred Stock.

Pursuant to the terms of a Waiver Agreement entered into by us and the Consenting Holders (the “Waiver Agreement”), we have permanently reduced the exercise price of the Series B Warrants originally issued on July 16, 2020 (the “Series B Warrants”) held by the Consenting Holders to $0.25 per share or, in the case of Consenting Holders who are officers and directors of the Company, $0.3294 (the “Exercise Price Reduction”). Only Consenting Holders are entitled to the Exercise Price Reduction. Series B Warrants to purchase an aggregate of approximately 251,742 shares of our common stock received the Exercise Price Reduction which was effective as of the Expiration Date.

Risks and Uncertainties

In March 2020, the World Health Organization declared the novel coronavirus disease, or COVID-19, outbreak a global pandemic. To limit the spread of COVID-19, governments have taken various actions including the issuance of stay-at-home orders and physical distancing guidelines. Accordingly, businesses have adjusted, reduced or suspended operating activities. Beginning in March 2020, the majority of our workforce began working from home. Disruptions caused by the COVID-19 pandemic, including the effects of the stay-at-home orders and work-from-home policies, have impacted productivity, including delayed enrollment of new patients at certain of our clinical trial sites, and may further disrupt our business and delay our development programs and regulatory timelines, the magnitude of which will depend, in part, on the length and severity of the restrictions and other limitations on our ability to conduct business in the ordinary course. As a result, our expenses may vary significantly if there is an increased impact from COVID-19 on the costs and timing associated with the conduct of our clinical trials and other related business activities.

We have implemented business continuity plans designed to address and mitigate the impact of the ongoing COVID-19 pandemic on our employees and our business. We continue to operate normally with the exception of enabling all of our employees to work productively at home and abiding by travel restrictions issued by federal, state and local governments. Our current plans to return to the office remain fluid as federal, state and local guidelines, rules and regulations continue to evolve.

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Liquidity and Capital Resources

To date, we have not generated any revenues and have experienced net losses and negative cash flows from our activities.

As of September 30, 2022, we had cash and cash equivalents of approximately $1.7 million and have sustained cumulative losses attributable to common stockholders of approximately $164.5 million. Based on our cash on hand at September 30, 2022, and the approximately $5.2 million in net proceeds received from a follow-on offering that closed on October 11, 2022, we anticipate having sufficient cash to fund planned operations into the first quarter of 2023, however, the acceleration or reduction of cash outflows by management can significantly impact the timing for the need to raise additional capital to complete development of our products. We have not yet achieved profitability and anticipate that we will continue to incur net losses for the foreseeable future. We expect that our expenses will continue to grow and, as a result, we will need to generate significant product revenues to achieve profitability. We may never achieve profitability. As such, we are dependent on obtaining, and are continuing to pursue, the necessary funding from outside sources, including obtaining additional funding from the sale of securities in order to continue our operations. Without adequate funding, we may not be able to meet our obligations. We believe these conditions may raise substantial doubt about our ability to continue as a going concern.

Our primary sources of liquidity come from capital raises through additional equity and/or debt financings. This may be impacted by the COVID-19 pandemic and other geopolitical events, including the war in Ukraine, which are evolving and could negatively impact our ability to raise additional capital in the future.

We have funded our operations to date primarily through the issuance of debt, convertible debt securities, preferred stock, as well as the issuance of our common stock in various public offerings and private placement transactions. We expect to incur substantial expenditures in the foreseeable future for the development of adrulipase, niclosamide and any other drug candidates. We will require additional financing to develop our drug candidates, run clinical trials, prepare regulatory filings and obtain regulatory approvals, fund operating losses, and, if deemed appropriate, establish manufacturing, sales and marketing capabilities. Our current financial condition raises substantial doubt about our ability to continue as a going concern. Our failure to raise capital as and when needed would have a material adverse impact on our financial condition, our ability to meet our obligations, and our ability to pursue our business strategies. We will seek funds through additional equity and/or debt financings, collaborative or other arrangements with corporate sources, or through other sources of financing.

Although, we are primarily focused on the development of our drug candidates, including adrulipase and niclosamide, we are also opportunely focused on expanding our product pipeline of clinical assets through collaborations, and also through acquisitions of products and companies. We are continually evaluating potential asset acquisitions business combinations, and other partnership opportunities. To finance such acquisitions, we might raise additional equity capital, incur additional debt, or both.

On July 29, 2022, we entered into the July 2022 Term Sheet with the Representative of the former FWB stockholders. Pursuant to the July 2022 Term Sheet, we paid the Representative $2.5 million in cash and we have agreed to pay the Representative $2.0 million on the earlier of November 30, 2022 and our completion of one or more qualifying equity offerings. The Representative is also entitled to receive future cash payments conditioned on the achievement of certain development milestones for adrulipase and to a percentage of any consideration received by us in the event of a license or sale of adrulipase, subject to a cap. The Representative also is entitled receive a percentage of the consideration received by us in the event of a license or sale of niclosamide and will retain its existing milestone payment rights with respect to niclosamide. In the event that the consideration received by us in connection with the sale or license of adrulipase or niclosamide consists of securities or other non-cash consideration, the Representative will have the right to elect either to receive its payment in such form of consideration or to cause the licensee or acquirer to assume the obligations described herein. In the event of a “Company Sale” (as defined in the July 2022 Term Sheet), the Representative is entitled to receive a pro rata share of the total consideration received by us or our stockholders up to $4.0 million (plus any unpaid Payments whether or not then due) based on a formula set forth in the July 2022 Term Sheet. In certain circumstances, the Representative has the right to treat a “Company Sale” as a sale of ardulipase or niclosamide, as applicable, and to treat the Company Sale as a sale of the related asset and to receive the consideration with respect thereto described herein. Effective upon the Second Payment of $1.0 million in cash, which was completed in September 2022, the approximately $10.1 million of remaining fixed payment obligations then owed to the former FWB stockholders was extinguished.

In the event that we are not able to meet our obligations under the Merger Agreement or the July 2022 Term Sheet, we may have to further curtail our operations or take other actions to preserve our capital, including the filing of a petition for protection under applicable bankruptcy law.

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Consolidated Results of Operations for the Three Months Ended September 30, 2022 and 2021

The following table summarizes our consolidated results of operations for the periods indicated:

	Three Months Ended
	September 30,				Increase
	2022		2021		(decrease)
Operating expenses:
Research and development expenses	$	791,067	$	3,052,791	$	(2,261,724)
Research and development (recovery) expenses - intellectual property acquired		(8,085,045)		21,325,527		(29,410,572)
General and administrative expenses		2,904,448		6,021,160		(3,116,712)
Total operating (recovery) expenses		(4,389,530)		30,399,478		(34,789,008)
Other expenses		(1,801)		1,310		(3,111)
Net (income) loss	$	(4,391,331)	$	30,400,788	$	(34,792,119)

Research and Development Expenses

Research and development expenses include expenses primarily relating to the development of our adrulipase and niclosamide drug candidates.

Research and development expenses for the three months ended September 30, 2022 totaled approximately $0.8 million, a decrease of approximately $2.3 million, or 74%, over the approximately $3.1 million recorded for the three months ended September 30, 2021.

Research and development (recovery) expenses related to intellectual property acquired for the three months ended September 30, 2022 totaled approximately ($8.1) million, a decrease of approximately $29.4 million, or 138%, over the approximately $21.3 million recorded for the three months ended September 30, 2021.

The approximately $31.7 million decrease in total research and development expenses was primarily attributable to lower costs of $29.4 million related to the acquisition of FWB, including the liability reduction of approximately $8.1 million in accordance with the July 2022 Term Sheet. Additional decreases included approximately $1.2 million in clinical related expenses in connection with the Phase 2 clinical trial for adrulipase and the clinical trial for niclosamide that occurred during the three months ended September 30, 2021, $0.6 million in CMC related costs, and $0.3 million in personnel related costs.

We expect research and development expense to remain stable during the remainder of this fiscal year as we near close out of the clinical trial for niclosamide (FW-COV), while continuing the pursuit of additional clinical and CMC activities in connection with adrulipase for the treatment of EPI in patients with CF and CP.

General and Administrative Expenses

General and administrative expenses include expenses primarily relating to our overall operations and being a public company, including personnel, legal and financial professional services, insurance, corporate communication and investor relations, listing and compliance related costs, rent, and expenses associated with obtaining and maintaining intellectual property and patents, among others.

General and administrative expenses for the three months ended September 30, 2022 totaled approximately $2.9 million, a decrease of approximately $3.1 million, or 52% over the approximately $6.0 million recorded for the three months ended September 30, 2021 as a result of measures implemented to reduce the Company’s expenses and conserve capital.

The decrease in general and administrative expenses was primarily due to decreases of approximately $1.4 million in public company costs, including investor relations and corporate communications, and $1.4 million in professional fees and insurance.

We expect general and administrative expenses to remain stable during the remainder of this fiscal year.

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Other Expenses

Other expenses for the three months ended September 30, 2022 were essentially flat with other expense recorded for the three months ended September 30, 2021.

Net (Income) Loss

As a result of the factors above, our net income for the three months ended September 30, 2022 totaled approximately $4.4 million, an increase of approximately $34.8 million, or 114%, over the approximately $30.4 million loss recorded for the three months ended September 30, 2021.

Consolidated Results of Operations for the Nine Months Ended September 30, 2022 and 2021

The following table summarizes our consolidated results of operations for the periods indicated:

	Nine Months Ended
	September 30,				Increase
	2022		2021		(decrease)
Operating expenses:
Research and development expenses	$	8,674,480	$	11,216,616	$	(2,542,136)
Research and development (recovery) expenses – intellectual property acquired		(8,085,045)		21,325,527		(29,410,572)
General and administrative expenses		9,808,960		15,347,764		(5,538,804)
Total operating expenses		10,398,395		47,889,907		(37,491,512)
Other expenses (income)		245,258		(524,545)		769,803
Net loss	$	10,643,653	$	47,365,362	$	(36,721,709)

Research and Development Expenses

Research and development expenses include expenses primarily relating to the development of our adrulipase and niclosamide drug candidates.

Research and development expenses for the nine months ended September 30, 2022 totaled approximately $8.7 million, a decrease of approximately $2.5 million, or 23%, over the approximately $11.2 million recorded for the nine months ended September 30, 2021.

Research and development (recovery) expenses related to intellectual property acquired for the nine months ended September 30, 2022 totaled approximately ($8.1) million, a decrease of approximately $29.4 million, or 138%, over the approximately $21.3 million recorded for the nine months ended September 30, 2021.

The approximately $32.0 million decrease in total research and development expenses was primarily attributable to lower costs of $29.4 million related to the acquisition of FWB, including the liability reduction of approximately $8.1 million in accordance with the July 2022 Term Sheet. Additional decreases included the $1.0 million milestone payment during the nine months ended September 30, 2021 pursuant to the FWB License Agreement, $0.5 million in CMC related costs, $0.5 million of stock-based compensation expense, and $0.4 million of amortization expense.

We expect research and development expense to remain stable during the remainder of this fiscal year as we near close out of the clinical trial for niclosamide (FW-COV), while continuing the pursuit of additional clinical and CMC activities in connection with adrulipase for the treatment of EPI in patients with CF and CP.

General and Administrative Expenses

General and administrative expenses include expenses primarily relating to our overall operations and being a public company, including personnel, legal and financial professional services, insurance, corporate communication and investor relations, listing and compliance related costs, rent, and expenses associated with obtaining and maintaining intellectual property and patents, among others.

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General and administrative expenses for the nine months ended September 30, 2022 totaled approximately $9.8 million, a decrease of approximately $5.5 million, or 36% over the approximately $15.3 million recorded for the nine months ended September 30, 2021 as a result of measures implemented to reduce the Company’s expenses and conserve capital.

The decrease in general and administrative expenses was primarily due to decreases of approximately $3.4 million in public company costs, including investor relations and corporate communications, $1.3 million of stock-based compensation expense, $0.7 million in professional fees, and $0.3 million in advisory fees. These decreases were partially offset by an increase of approximately $0.4 million in personnel related costs.

We expect general and administrative expenses to remain stable during the remainder of this fiscal year.

Other Expenses (Income)

Other expenses for the nine months ended September 30, 2022 totaled approximately $0.2 million, an increase of approximately $0.8 million, or 147% over the approximately $0.5 million of other income recorded for the nine months ended September 30, 2021. The increase in other expenses (income) was mainly due to $0.2 million of Waiver fees paid in the nine months ended September 30, 2022, as compared to income of approximately $0.5 million recorded for the nine months ended September 30, 2021 related to the extinguishment of the $3.0 million liability in connection with FWB License Agreement pursuant to the issuance of Series C Preferred Stock with a fair value of approximately $2.5 million for the nine months ended September 30, 2021.

Net Loss

As a result of the factors above, our net loss for the nine months ended September 30, 2022 totaled approximately $10.6 million, a decrease of approximately $36.7 million, or 78%, over the approximately $47.4 million recorded for the nine months ended September 30, 2021.

Cash Flows for the Nine Months Ended September 30, 2022 and 2021

The following table summarizes our cash flows for the periods indicated:

	Nine Months Ended
	September 30,
	2022		2021
Net cash (used in) provided by:
Operating activities	$	(16,751,790)	$	(26,425,432)
Investing activities		—		(71,448)
Financing activities		10,215,292		27,690,638
Net (decrease) increase in cash, cash equivalents and restricted cash	$	(6,536,498)	$	1,193,758

Operating Activities

Net cash used in operating activities during the nine months ended September 30, 2022 of approximately $16.8 million was primarily attributable to our net loss of approximately $10.6 million and the decrease in other liabilities in accordance with the July 2022 Term Sheet of approximately $8.1 million, partially offset by non-cash expenses of approximately $0.9 million, mainly related to common stock issued to consultants of approximately $0.1 million and stock-based compensation of approximately $0.7 million, as well as increases in accounts payable and accrued expense of approximately $0.8 million and a decrease in prepaid expenses of $0.6 million.

Net cash used in operating activities during the nine months ended September 30, 2021 of approximately $26.4 million was primarily attributable to our net loss of approximately $47.3 million adjusted for addbacks of non-cash expenses of approximately $2.4 million, mostly related to common stock and warrants issued to consultants of approximately $1.3 million, depreciation and amortization of approximately $0.4 million, and stock-based compensation of approximately $1.3 million partially offset by a change in the fair value of liability $0.5 million and a net increase of working capital of approximately $18.4 million.

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Investing Activities

Net cash used in investing activities during the nine months ended September 30, 2021 was approximately $71,000 related to the purchase of office furniture and equipment.

Financing Activities

Net cash provided by financing activities of approximately $10.2 million for the nine months ended September 30, 2022 was primarily due to the net proceeds of approximately $8.0 million from the March 2022 registered direct offering of our common stock and warrants, the issuance of Common Stock of approximately $7.7 million from sales made under our ATM offering program, partially offset by approximately $4.9 million of cash payments made related to the Merger Agreement and July 2022 Term Sheet, as well as repayments of approximately $0.6 million related to the note payable.

Net cash provided by financing activities of approximately $27.9 million for the nine months ended September 30, 2021 was primarily due to the issuance of the Series C Preferred Stock and warrants of approximately $7.1 million from the January 2021 Offerings, the issuance of the Common Stock and warrants of approximately $18.1 million from public offerings, the issuance of the Common Stock of approximately $8.3 million from sales made under our ATM offering program and the cash proceeds from warrant exercises of approximately $4.9 million, offset by approximately $10.3 million of cash payments related to the FWB License Agreement and repayments of approximately $0.4 million related to the note payable.

Critical Accounting Policies and Estimates

Our accounting policies are essential to understanding and interpreting the financial results reported on the consolidated financial statements. The significant accounting policies used in the preparation of our consolidated financial statements are summarized in Note 2 to the consolidated financial statements and notes thereto found in our Annual Report on Form 10-K for the year ended December 31, 2021. Certain of those policies are considered to be particularly important to the presentation of our financial results because they require us to make difficult, complex or subjective judgments, often as a result of matters that are inherently uncertain.

During the nine months ended September 30, 2022, there were no material changes to matters discussed under the heading “Critical Accounting Policies and Significant Judgments and Estimates” in Part II, Item 7 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2021 (as amended on Form 10-K/A filed with the SEC on May 10, 2022).

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISKS

Not applicable.

ITEM 4. CONTROLS AND PROCEDURES

Disclosure Controls and Procedures

As required by Rule 13a-15(b) under the Securities Exchange Act of 1934, as amended, (the “Exchange Act”) our Chief Executive Officer (“CEO”) and our Chief Financial Officer (“CFO”) conducted an evaluation as of the end of the period covered by this Quarterly Report on Form 10-Q, of the effectiveness of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act. Based on that evaluation, our CEO and our CFO each concluded that our disclosure controls and procedures are effective to provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Exchange Act, (i) is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms and (ii) is accumulated and communicated to our management, including our CEO and our CFO, as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting identified in management’s evaluation pursuant to Rules 13a-15(d) or 15d-15(d) of the Exchange Act during the period covered by this Quarterly Report on Form 10-Q that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II

OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

On May 19, 2022, the Representative filed the FWB Action against us for breach of contract and anticipatory repudiation or for unjust enrichment. The FWB Action sought specific performance of our obligations under the Merger Agreement and the November 2021 Settlement Agreement, including all payments owed and to be owed to the former stockholders of FWB, and damages at the maximum amount permitted by law.

On July 29, 2022, we reached an agreement with the Representative to settle the FWB Action and to restructure our obligations to the former FWB stockholders (the “July 2022 Term Sheet”). We agreed to pay the former stockholders of FWB: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022, or the “Second Payment”; and (iii) $2.0 million on the earlier of November 30, 2022 and our completion of one or more qualifying equity offerings, or collectively, the “Payments”. The former stockholders of FWB are also entitled to receive future cash payments conditioned on the achievement of certain development milestones for adrulipase and to a percentage of any consideration received by us in the event of a license or sale of adrulipase, subject to a cap. The former stockholders of FWB are also entitled to receive a percentage of the consideration received by us in the event of a license or sale of niclosamide and will retain its existing milestone payment rights with respect to niclosamide. In the event that the consideration received by us in connection with the sale or license of adrulipase or niclosamide consists of securities or other non-cash consideration, the Representative will have the right to elect either to receive payment for the former stockholders of FWB in such form of consideration or to cause the licensee or acquirer to assume the obligations described herein. In the event of a “Company Sale” (as defined in the July 2022 Term Sheet), the former stockholders of FWB are entitled to receive a pro rata share of the total consideration received by us or our stockholders up to $4.0 million (plus any unpaid Payments whether or not then due) based on a formula set forth in the July 2022 Term Sheet. Additionally, in the event of a “Company Sale”, if any of the milestone payments described herein have not yet occurred or been paid, our obligations to make such payments upon the subsequent occurrence of such milestone events will survive the “Company Sale” and will be assumed by any successor, acquirer or surviving company in such “Company Sale”. In certain circumstances, the Representative has the right to treat a “Company Sale” as a sale of adrulipase or niclosamide, as applicable, and to treat the Company Sale as a sale of the related asset and to receive the consideration with respect thereto described herein.

In the July 2022 Term Sheet, the Representative agreed to stay the FWB Action for a period of 90 days and to eliminate our obligation to pay a portion of any offering proceeds to the former stockholders of FWB. In addition, our obligation to use commercially reasonable efforts to develop niclosamide will be deferred for a period of 24 months from the date of the July 2022 Term Sheet. Effective upon the Second Payment, the Representative agreed to dismiss the FWB Action with prejudice and to extinguish the approximately $10.1 million of remaining fixed payment obligations owed to the former FWB shareholders.

In the event that we are not able to meet the obligations under the Merger Agreement or the July 2022 Term Sheet, we may have to further curtail our operations or take other actions to preserve our capital, including the filing of a petition for protection under applicable bankruptcy law.

ITEM 1A. RISK FACTORS

Our results of operations and financial condition are subject to numerous risks and uncertainties set forth below and described in our Annual Report on Form 10-K for our fiscal year ended December 31, 2021, filed on March 31, 2022 (as amended on Form 10-K/A filed with the SEC on May 10, 2022) and our Quarterly Reports on Form 10-Q for the quarters ended March 31, 2022 and June 30, 2022, filed on May 23, 2022 and August 15, 2022, respectively. You should carefully consider these risk factors in conjunction with the other information contained in this Quarterly Report. Should any of these risks materialize our business, financial condition and future prospects could be negatively impacted. Except as set forth below, as of November 14, 2022, there have been no material changes to the disclosures made in the above referenced Annual Report on Form 10-K (as amended on Form 10-K/A filed with the SEC on May 10, 2022) and the Quarterly Reports on Form 10-Q.

Our failure to maintain compliance with Nasdaq’s continued listing requirements could result in the delisting of our Common Stock.

Our common stock is currently listed for trading on The Nasdaq Capital Market. We must satisfy the continued listing requirements of Nasdaq, to maintain the listing of our common stock on The Nasdaq Capital Market.

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On November 26, 2021, we received notice from the Staff of Nasdaq indicating that we were not in compliance with the $2.5 million minimum stockholders’ equity requirement for continued listing of our common stock on Nasdaq, as set forth in Nasdaq Listing Rule 5550(b)(1). In that regard, we reported a stockholders’ deficit of $(6,969,988) in our Quarterly Report on Form 10-Q for the period ended September 30, 2021 (we did not then, and do not now, meet the alternative compliance standards relating to the market value of listed securities of $35 million or net income from continuing operations of $500,000 in the most recently completed fiscal year or in two of the last three most recently completed fiscal years).

On January 10, 2022, we submitted a plan to the Staff to regain compliance with the Minimum Stockholders’ Equity Rule and on February 15, 2022, the Listing Qualifications Staff notified us that Nasdaq had granted us an extension through May 25, 2022, to regain compliance (this represented the maximum extension period available to the Staff under the Nasdaq Listing Rules). On May 26, 2022, we received a letter from the Staff indicating that, based upon our continued non-compliance with the Minimum Stockholders’ Equity Rule, the Staff had determined to delist the Company’s securities from Nasdaq unless we timely requested a hearing before the Panel.

Additionally, on May 16, 2022, we received notice from the Staff indicating that, based upon the closing bid price of our common stock for the prior 30 consecutive business days, we were not in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing on Nasdaq, as set forth in Nasdaq Listing Rule 5550(a)(2). We had 180 days from May 16, 2022, or through November 14, 2022, to regain compliance with the Bid Price Rule. By letter dated September 12, 2022, Nasdaq advised us that we had regained compliance with the Bid Price Rule. No assurance can be given that we will be able to remain in compliance with the Bid Price Rule.

We timely requested a hearing before the Panel. Following the hearing, on July 11, 2022 the Panel granted our request for continued listing of our common stock.

The Exception is subject to a number of significant conditions that must be satisfied on or before specific deadlines set forth in the Exception, including the completion of one or more additional equity financings. The final term of the Exception expires on November 22, 2022.

Pursuant to the Exception, we are required to provide the Panel with prompt notification of any significant events that occur including any event that may call into question our ability to satisfy the terms of the Exception. The Panel has reserved the right to reconsider the terms of the Exception based on any event, condition or circumstance that exists or develops that would, in the Panel’s opinion, make continued listing of our securities on Nasdaq inadvisable or unwarranted.

There can be no assurance that we will be able to satisfy the conditions set forth in the Exception on a timely basis, if at all, or that we will ultimately regain and sustain compliance with all applicable requirements for continued listing on The Nasdaq Capital Market. Without limiting the generality of the foregoing, although we have had discussions with the Representative regarding the terms of an agreement that would satisfy the terms of the Exception, no agreement has been reached between the parties and no assurance can be given that an agreement with the Representative on the terms required by the Exception will be entered into on a timely basis. In the event that we are unable to comply with the terms of the Exception, our common stock may be delisted from Nasdaq.

If our common stock were delisted from Nasdaq, trading of our common stock would most likely take place on an over-the-counter market established for unlisted securities, such as the OTCQB or the Pink Market maintained by OTC Markets Group Inc. An investor would likely find it less convenient to sell, or to obtain accurate quotations in seeking to buy, our common stock on an over-the-counter market, and many investors would likely not buy or sell our common stock due to difficulty in accessing over-the-counter markets, policies preventing them from trading in securities not listed on a national exchange or other reasons. In addition, as a delisted security, our common stock would be subject to SEC rules as a “penny stock,” which impose additional disclosure requirements on broker-dealers. The regulations relating to penny stocks, coupled with the typically higher cost per trade to the investor of penny stocks due to factors such as broker commissions generally representing a higher percentage of the price of a penny stock than of a higher-priced stock, would further limit the ability of investors to trade in our common stock. In addition, delisting would materially and adversely affect our ability to raise capital on terms acceptable to us, or at all, and may result in the potential loss of confidence by investors, suppliers, customers and employees and fewer business development opportunities. For these reasons and others, delisting would adversely affect the liquidity, trading volume and price of our common stock, causing the value of an investment in us to decrease and having an adverse effect on our business, financial condition and results of operations, including our ability to attract and retain qualified employees and to raise capital.

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ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

During the three months ended September 30, 2022, we issued to a non-executive employee stock options to purchase an aggregate of 333 shares of Common Stock with a strike price of $4.65 per share, subject to time-based vesting, under the 2020 Plan as payment for services rendered. Such issuance was exempt from registration under 4(a)(2) of the Securities Act.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

None.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable.

ITEM 5. OTHER INFORMATION

None.

ITEM 6. EXHIBITS

(b) Exhibits

Exhibit  No.	Description
3.1	Amended and Restated Certificate of Incorporation of First Wave BioPharma, Inc., as amended to date (incorporated by reference to Exhibit 3.1 of the Company’s Registration Statement on Form S-1 filed with the SEC on September 14, 2022).
3.2	Amended and Restated Bylaws of First Wave BioPharma, Inc., as amended to date (incorporated by reference to Exhibit 3.2 of the Company’s Registration Statement on Form S-3 filed with the SEC on July 28, 2022).
4.1	Form of Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Current Report on Form 8-K filed with the SEC on July 18, 2022).
4.2	Form of Placement Agent Warrant (incorporated by reference to Exhibit 4.2 of the Company’s Current Report on Form 8-K filed with the SEC on July 18, 2022).
10.1	Form of Purchase Agreement (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on July 18, 2022).
10.2	Form of Registration Rights Agreement (incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K filed with the SEC on July 18, 2022).
10.3	Form of Term Sheet (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the SEC on July 29, 2022).
31.1*	Certification of the Principal Executive Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*	Certification of the Principal Financial Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1**	Certification of the Principal Executive Officer and Principal Financial Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*	Inline XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document
101.SCH*	Inline XBRL Taxonomy Extension Schema Document
101.CAL*	Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*	Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*	Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE*	Inline XBRL Taxonomy Extension Presentation Linkbase Document

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104 Cover Page Interactive Data File (embedded within the Inline XBRL Document and included in Exhibit 101)

*filed herewith

**furnished, not filed

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SIGNATURES

Pursuant to the requirements 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.

FIRST WAVE BIOPHARMA, INC.
By	/s/ James Sapirstein
	James Sapirstein
	President, Chief Executive Officer and Chairman
	(Principal Executive Officer)

	By	/s/ Sarah Romano
		Sarah Romano
		Chief Financial Officer
Date: November 14, 2022		(Principal Financial and Accounting Officer)

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EX-31.1

EXHIBIT 31.1

CERTIFICATION PURSUANT TO RULE 13A-14 OF THE SECURITIES EXCHANGE ACT OF 1934

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, James Sapirstein, Chief Executive Officer of First Wave BioPharma, Inc. (the “Company”), certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of the Company;

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.

Date: November 14, 2022	/s/ James Sapirstein
	James Sapirstein
	Chief Executive Officer
	(Principal Executive Officer)

EX-31.2

EXHIBIT 31.2

CERTIFICATION PURSUANT TO RULE 13A-14 OF THE SECURITIES EXCHANGE ACT OF 1934

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Sarah Romano, Chief Financial Officer of First Wave BioPharma, Inc. (the “Company”), certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of the Company;

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.

Date: November 14, 2022	/s/ Sarah Romano
	Sarah Romano
	Chief Financial Officer
	(Principal Financial and Accounting Officer)

EX-32.1

EXHIBIT 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of First Wave BioPharma, Inc. (the “Company”) on Form 10-Q for the period ended September 30, 2022 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, James Sapirstein, Chief Executive Officer of the Company, and Sarah Romano, Chief Financial Officer of the Company, each certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(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: November 14, 2022	/s/ James Sapirstein
	James Sapirstein
	President and Chief Executive Officer
	(Principal Executive Officer)
	/s/ Sarah Romano
	Sarah Romano
	Chief Financial Officer
	(Principal Financial and Accounting Officer)

XML

Document And Entity Information - shares	9 Months Ended
	Sep. 30, 2022	Nov. 10, 2022
Document And Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2022
Document Transition Report	false
Entity File Number	001-37853
Entity Registrant Name	First Wave BioPharma, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	46-4993860
Entity Address, Address Line One	777 Yamato Road, Suite 502
Entity Address, City or Town	Boca Raton
Entity Address, State or Province	FL
Entity Address, Postal Zip Code	33431
City Area Code	561
Local Phone Number	589-7020
Title of 12(b) Security	Common stock, par value $0.0001 per share
Trading Symbol	FWBI
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		5,795,404
Entity Central Index Key	0001604191
Current Fiscal Year End Date	--12-31
Document Fiscal Period Focus	Q3
Document Fiscal Year Focus	2022
Amendment Flag	false

XML

Condensed Consolidated Balance Sheets - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Current Assets:
Cash and cash equivalents	$ 1,657,013	$ 8,248,684
Other receivables	191,984
Prepaid expenses	561,459	1,176,268
Deferred offering costs	138,684
Total Current Assets	2,549,140	9,424,952
Property, equipment, and leasehold improvements, net	51,157	73,110
Other Assets:
Goodwill	1,714,787	1,911,705
Restricted cash	21,505
Operating lease right-of-use assets	274,516	336,197
Deposits	34,298	44,012
Total Other Assets	2,045,106	2,291,914
Total Assets	4,645,403	11,789,976
Current Liabilities:
Accounts payable	3,582,988	2,707,731
Accrued expenses	272,268	393,253
Accrued dividend payable	763,556	465,361
Note payable		641,236
Operating lease liabilities	64,397	77,989
Payable related to acquisition - current	2,000,000	8,000,000
Other current liabilities	10,951	14,818
Total Current Liabilities	6,694,160	12,300,388
Non-current operating lease liabilities	231,292	311,138
Payable related to acquisition - long term		7,000,000
Total Liabilities	6,925,452	19,611,526
Commitments and Contingencies
Stockholders' Deficit:
Common stock - Par value $0.0001 per share; 50,000,000 shares authorized; 2,307,008 and 495,194 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively	231	50
Additional paid-in capital	163,722,141	147,306,582
Accumulated deficit	(164,547,700)	(153,904,047)
Accumulated other comprehensive loss	(1,454,721)	(1,224,135)
Total Stockholders' Deficit	(2,280,049)	(7,821,550)
Total Liabilities and Stockholders' Deficit	4,645,403	11,789,976
Series B preferred stock
Stockholders' Deficit:
Preferred stock	0	0
Series C preferred stock
Stockholders' Deficit:
Preferred stock	0	0
Series D preferred stock
Stockholders' Deficit:
Preferred stock	0	0
Series E preferred stock
Stockholders' Deficit:
Preferred stock	$ 0	$ 0

XML

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Sep. 30, 2022	Feb. 13, 2022	Dec. 31, 2021
Common stock, par value (in dollars per share)	$ 0.0001		$ 0.0001
Common stock, shares authorized (in shares)	50,000,000	25,000,000	50,000,000
Common stock, shares issued (in shares)	2,307,008		495,194
Common stock, shares outstanding (in shares)	2,307,008		495,194
Preferred stock, par value (in dollars per share)	$ 0.0001
Preferred stock, shares designated (in shares)	10,000,000
Series B preferred stock
Preferred stock, par value (in dollars per share)	$ 0.0001		$ 0.0001
Preferred stock, shares designated (in shares)	5,194.805195		5,194.805195
Preferred stock, shares issued (in shares)	631.34		662.25
Preferred stock, shares outstanding (in shares)	631.34		662.25
Series C preferred stock
Preferred stock, par value (in dollars per share)	$ 0.0001		$ 0.0001
Preferred stock, shares designated (in shares)	57,000		57,000
Preferred stock, shares issued (in shares)	0		0
Preferred stock, shares outstanding (in shares)	0		0
Series D preferred stock
Preferred stock, par value (in dollars per share)	$ 0.0001		$ 0.0001
Preferred stock, shares designated (in shares)	150		150
Preferred stock, shares issued (in shares)	0		0
Preferred stock, shares outstanding (in shares)	0		0
Series E preferred stock
Preferred stock, par value (in dollars per share)	$ 0.0001		$ 0.0001
Preferred stock, shares designated (in shares)	150		150
Preferred stock, shares issued (in shares)	0		0
Preferred stock, shares outstanding (in shares)	0		0

XML

Condensed Consolidated Statements of Operations and Comprehensive Loss - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Operating expenses:
Research and development expenses	$ 791,067	$ 3,052,791	$ 8,674,480	$ 11,216,616
Research and development (recovery) expenses- intellectual property acquired	(8,085,045)	21,325,527	(8,085,045)	21,325,527
General and administrative expenses	2,904,448	6,021,160	9,808,960	15,347,764
Total operating (recovery) expenses	(4,389,530)	30,399,478	10,398,395	47,889,907
Income (loss) from operations	4,389,530	(30,399,478)	(10,398,395)	(47,889,907)
Other income (expenses):
Interest expense	(863)	(742)	(9,686)	(8,840)
Interest income	2,664		3,729
Other (expense) income		(568)	(239,301)	1,032
Change in fair value of liability				532,353
Total other income (expenses)	1,801	(1,310)	(245,258)	524,545
Net income (loss)	4,391,331	(30,400,788)	(10,643,653)	(47,365,362)
Other comprehensive income (loss):
Foreign currency translation adjustment	(35,235)	(41,604)	(230,586)	(154,561)
Total comprehensive income (loss)	4,356,096	(30,442,392)	(10,874,239)	(47,519,923)
Net income (loss)	4,391,331	(30,400,788)	(10,643,653)	(47,365,362)
Deemed dividend on preferred stock issuances				(4,507,125)
Deemed dividend on preferred stock exchanges				(21,008,253)
Deemed dividend on warrant modifications	(47,300)		(47,300)
Preferred stock dividends	(110,278)	(118,089)	(298,195)	(349,132)
Net income (loss) applicable to common shareholders	$ 4,233,753	$ (30,518,877)	$ (10,989,148)	$ (73,229,872)
Basic weighted average shares outstanding	1,601,415	311,411	952,794	253,118
Diluted weighted average shares outstanding	1,625,736	311,411	952,794	253,118
Net income (loss) per share - basic	$ 2.64	$ (98.00)	$ (11.53)	$ (289.31)
Net income (loss) per share - diluted	$ 2.60	$ (98.00)	$ (11.53)	$ (289.31)

XML

Condensed Consolidated Statements of Changes in Stockholders' Deficit (unaudited) - USD ($)	Common Stock, Pre-funded Warrants, and Cash Warrants [Member] Common Stock	Common Stock, Pre-funded Warrants, and Cash Warrants [Member] Additional Paid-in Capital	Common Stock, Pre-funded Warrants, and Cash Warrants [Member]	Issuance of Series D Preferred Stock And Warrants Convertible preferred stock Series D Convertible Preferred Stock	Issuance of Series D Preferred Stock And Warrants Common Stock	Issuance of Series D Preferred Stock And Warrants Additional Paid-in Capital	Issuance of Series D Preferred Stock And Warrants	Issuance Of Series E Preferred Stock And Warrants Convertible preferred stock Series E Convertible Preferred Stock	Issuance Of Series E Preferred Stock And Warrants Common Stock	Issuance Of Series E Preferred Stock And Warrants Additional Paid-in Capital	Issuance Of Series E Preferred Stock And Warrants	Conversion of Series B Preferred Shares Into Common Stock Convertible preferred stock Series B Convertible Preferred Stock	Conversion of Series B Preferred Shares Into Common Stock Common Stock	Convertible preferred stock Series B Convertible Preferred Stock	Convertible preferred stock Series C Convertible Preferred Stock	Convertible preferred stock Series E Convertible Preferred Stock	Convertible preferred stock Series D Convertible Preferred Stock	Common Stock	Additional Paid-in Capital Series E Convertible Preferred Stock	Additional Paid-in Capital Series D Convertible Preferred Stock	Additional Paid-in Capital	Accumulated Deficit	Accumulated Other Comprehensive Loss	Series E Convertible Preferred Stock	Series D Convertible Preferred Stock	Total
Balance at the beginning (in shares) at Dec. 31, 2020														2,774				103,834
Balance at the beginning at Dec. 31, 2020																		$ 10			$ 93,838,041	$ (95,366,198)	$ (1,112,546)			$ (2,640,693)
Issuance of Series C preferred stock and warrants for cash, net of offering costs (in shares)															10,667	10,667	10,667
Issuance of Series C preferred stock and warrants for cash, net of offering costs															$ 1	$ 1	$ 1				7,105,167					7,105,168
Beneficial conversion feature of Series C preferred stock																					4,507,125					4,507,125
Issuance of Series C preferred stock upon exchange of Series B preferred stock (in shares)														(1,839)	19,140	19,140	19,140
Issuance of Series C preferred stock upon exchange of Series B preferred stock															$ 1	$ 1	$ 1				(1,431)					(1,430)
Warrants issued in connection with exchange of Series B preferred stock into Series C preferred stock																					21,009,683					21,009,683
Deemed dividend of Series C preferred stock																					(4,507,125)					(4,507,125)
Common stock issued upon conversion of Series B preferred stock (in shares)														(259)				8,609
Common stock issued upon conversion of Series B preferred stock																		$ 1			(1)
Issuance of common stock, pre-funded warrants and warrants in registered direct offering, net of issuance costs (in shares)															(33,097)	(33,097)	(33,097)
Issuance of Series C preferred stock to for license acquired (in shares)															3,290	3,290	3,290
Issuance of Series C preferred stock to for license acquired															$ 1	$ 1	$ 1				2,467,648					2,467,649
Deemed dividend on preferred stock issuances																										(4,507,125)
Deemed dividend related to exchange of Series B preferred stock																					(21,008,253)					(21,008,253)
Exercise of pre-funded warrants into common stock (in shares)																		31,521
Exercise of pre-funded warrants into common stock																		$ 3			4,906,627					4,906,630
Deemed dividend on preferred stock exchanges																										(21,008,253)
Dividends on preferred stock																					(349,132)					(349,132)
Common stock and pre-funded warrants issued upon conversion of Series C preferred stock (in shares)																		104,182
Common stock and pre-funded warrants issued upon conversion of Series C preferred stock															$ (3)	(3)	(3)	$ 10			(7)
Issuance of common stock, pre-funded warrants and warrants for cash, net of offering costs (in shares)																		54,182
Issuance of common stock, pre-funded warrants and warrants for cash, net of offering costs																		$ 6			14,156,044					14,156,050
Effect of cancelled shares from the 10-for-1 reverse stock split (in shares)																		(56)
Issuance of common stock at-the-market for cash, net of offering costs (in shares)																		55,041
Issuance of common stock at-the-market for cash, net of offering costs																		$ 6			8,325,189					8,325,195
Common stock issued for intellectual property acquired, net (in shares)																		(20,800)
Common stock issued for intellectual property acquired, net																		$ 2			3,999,998					4,000,000
Common stock cancelled in connection with acquisition of First Wave Bio, Inc.																		$ (1)			1
Common stock cancelled in connection with acquisition of First Wave Bio, Inc. (in shares)																		(11,097)
Common stock and warrants issued to consultants (in shares)																		3,241
Issuance of common stock in connection with settlement with former investment bank (in shares)																		250
Issuance of common stock in connection with settlement with former investment bank																					94,499					94,499
Common stock and warrants issued to consultants																					1,215,859					1,215,859
Stock-based compensation																					1,268,710					1,268,710
Foreign currency translation adjustment																							(154,561)			(154,561)
Net loss																						(47,365,362)				(47,365,362)
Balance at the end (in shares) at Sep. 30, 2021														676				370,507
Balance at the end at Sep. 30, 2021																		$ 37			137,028,642	(142,731,560)	(1,267,107)			(6,969,988)
Balance at the beginning (in shares) at Jun. 30, 2021														676				275,283
Balance at the beginning at Jun. 30, 2021																		$ 28			120,593,171	(112,330,772)	(1,225,503)			7,036,924
Issuance of Series C preferred stock upon exchange of Series B preferred stock																					(118,089)					(118,089)
Dividends on preferred stock (in shares)															5,639
Common stock and pre-funded warrants issued upon conversion of Series C preferred stock (in shares)																		20,800
Issuance of common stock, pre-funded warrants and warrants for cash, net of offering costs (in shares)																		34,848
Issuance of common stock, pre-funded warrants and warrants for cash, net of offering costs																		$ 3			5,096,757					5,096,760
Effect of cancelled shares from the 10-for-1 reverse stock split (in shares)																		(56)
Issuance of common stock at-the-market for cash, net of offering costs (in shares)																		50,055
Issuance of common stock at-the-market for cash, net of offering costs																		$ 5			7,150,842					7,150,847
Common stock issued for intellectual property acquired, net (in shares)															(5,639)
Common stock issued for intellectual property acquired, net																		2			3,999,998					4,000,000
Common stock cancelled in connection with acquisition of First Wave Bio, Inc.																		$ (1)			1
Common stock cancelled in connection with acquisition of First Wave Bio, Inc. (in shares)																		(11,096)
Common stock and warrants issued to consultants																					123,548					123,548
Common stock and warrants issued to consultants (in shares)																		673
Stock-based compensation																					182,414					182,414
Foreign currency translation adjustment																							(41,604)			(41,604)
Net loss																						(30,400,788)				(30,400,788)
Balance at the end (in shares) at Sep. 30, 2021														676				370,507
Balance at the end at Sep. 30, 2021																		$ 37			137,028,642	(142,731,560)	(1,267,107)			(6,969,988)
Balance at the beginning (in shares) at Dec. 31, 2021														662				495,194
Balance at the beginning at Dec. 31, 2021																		$ 50			147,306,582	(153,904,047)	(1,224,135)			(7,821,550)
Deemed dividend of Series B preferred stock																					(298,195)					(298,195)
Warrant modification																					47,300					47,300
Deemed dividend on warrant modifications																					(47,300)					(47,300)
Common stock issued upon conversion of Series B preferred stock (in shares)				(150)	33,332			(150)	33,332
Common stock issued upon conversion of Series B preferred stock					$ 3	$ (3)			$ 3	$ (3)
Issuance of common stock, pre-funded warrants and warrants in registered direct offering, net of issuance costs (in shares)	55,000
Issuance of common stock, pre-funded warrants and warrants in registered direct offering, net of issuance costs	$ 6	$ 7,971,926	$ 7,971,932														$ 150			$ 178,336					$ 178,336
Exercise of pre-funded warrants into common stock (in shares)																		161,606
Exercise of pre-funded warrants into common stock																		$ 16			47,997					48,013
Conversion of Series B preferred shares into common stock (in shares)												(31)	6,374
Effect of cancelled shares from the 10-for-1 reverse stock split (in shares)																		(98)
Issuance of common stock at-the-market for cash, net of offering costs (in shares)																		1,519,257
Issuance of common stock at-the-market for cash, net of offering costs																$ 150		$ 153	$ 20,664		7,691,069			$ 20,664		7,691,222
Common stock and warrants issued to consultants (in shares)																		3,011
Common stock and warrants issued to consultants																					118,990					118,990
Stock-based compensation																					684,778					684,778
Foreign currency translation adjustment																							(230,586)			(230,586)
Net loss																						(10,643,653)				(10,643,653)
Balance at the end (in shares) at Sep. 30, 2022														631				2,307,008
Balance at the end at Sep. 30, 2022																		$ 231			163,722,141	(164,547,700)	(1,454,721)			(2,280,049)
Balance at the beginning (in shares) at Jun. 30, 2022														631				756,660
Balance at the beginning at Jun. 30, 2022																		$ 76			156,168,578	(168,939,031)	(1,419,486)			(14,189,863)
Issuance of Series C preferred stock and warrants for cash, net of offering costs (in shares)				150				150
Issuance of Series C preferred stock and warrants for cash, net of offering costs						178,336	$ 178,336			20,664	$ 20,664
Deemed dividend of Series B preferred stock																					(110,278)					(110,278)
Deemed dividend on warrant modifications																										(47,000.000)
Common stock issued upon conversion of Series B preferred stock (in shares)				(150)	33,332			(150)	33,332
Common stock issued upon conversion of Series B preferred stock					$ 3	$ (3)			$ 3	$ (3)
Conversion of Series B preferred shares into common stock (in shares)																		(98)
Issuance of common stock at-the-market for cash, net of offering costs (in shares)																		1,483,782
Issuance of common stock at-the-market for cash, net of offering costs																		$ 149			7,373,206					7,373,355
Stock-based compensation																					91,641					91,641
Foreign currency translation adjustment																							(35,235)			(35,235)
Net loss																						4,391,331				4,391,331
Balance at the end (in shares) at Sep. 30, 2022														631				2,307,008
Balance at the end at Sep. 30, 2022																		$ 231			$ 163,722,141	$ (164,547,700)	$ (1,454,721)			$ (2,280,049)

XML

Condensed Consolidated Statements of Changes in Stockholders' Deficit (unaudited) (Parenthetical) - shares			3 Months Ended		9 Months Ended
	Aug. 26, 2022	Sep. 13, 2021	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Condensed Consolidated Statements of Changes in Stockholders' Deficit (unaudited)
Reverse stock splits (in shares)	30	10	30	10	30	10

XML

Condensed Consolidated Statements of Cash Flows - USD ($)	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Cash flows from operating activities:
Net loss	$ (10,643,653)	$ (47,365,362)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation	21,953	9,390
Amortization		395,661
Change in right-of-use assets	61,681	(4,855)
Change in fair value liability		(532,353)
Stock-based compensation	684,778	1,268,710
Common stock and warrants granted to consultants	118,990	1,310,358
Changes in assets and liabilities:
Other receivables	(191,984)	551,489
Prepaid expenses	614,809	964,310
Lease liabilities	(93,438)	(289,409)
Deposits	9,714	(16,114)
Accounts payable	875,257	2,179,334
Accrued expenses	(120,985)	(282,031)
Payable related to acquisition	(8,085,045)	15,000,000
Other liabilities	(3,867)	385,440
Net cash used in operating activities	(16,751,790)	(26,425,432)
Cash flows from investing activities:
Purchase of property and equipment		(71,448)
Net cash used in investing activities		(71,448)
Cash flows from financing activities:
Proceeds from issuance of preferred stock, net	199,000	7,105,168
Proceeds from issuance of common stock, net	7,971,932	18,156,050
Proceeds from exercise of warrants	48,013	4,906,630
Payment made related to license agreement		(10,250,000)
Payment made related to acquisition	(4,914,955)
Issuance of common stock at-the-market for cash, net of offering costs	7,691,222	8,325,195
Deferred offering costs	(138,684)
Repayments of note payable	(641,236)	(552,405)
Net cash provided by financing activities	10,215,292	27,690,638
Net (decrease) increase in cash and restricted cash	(6,536,498)	1,193,758
Effect of exchange rate changes on cash	(33,668)	(45,254)
Cash, cash equivalents and restricted cash, beginning balance	8,248,684	6,062,141
Cash, cash equivalents and restricted cash, ending balance	1,678,518	7,210,645
Non-cash investing and financing activities:
Deemed dividend on preferred stock issuances		(4,507,125)
Deemed dividend on preferred stock exchanges		(21,008,253)
Deemed dividend on warrant modifications	(47,300)
Accrued dividends on preferred stock	$ (298,195)	(349,132)
Issuance of Series C preferred stock to settle liability related to license agreement		$ 2,467,649

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The Company and Basis of Presentation

9 Months Ended

Sep. 30, 2022

The Company and Basis of Presentation

The Company and Basis of Presentation

Note 1 - The Company and Basis of Presentation

The Company

First Wave BioPharma, Inc. (“First Wave”) and its wholly owned subsidiaries, First Wave Bio, Inc. and AzurRx SAS, are collectively referred to as the “Company”. Effective October 26, 2022, AzurRx SAS was dissolved. The Company is engaged in the research and development of targeted, non-systemic therapies for the treatment of patients with gastrointestinal (“GI”) diseases. Non-systemic therapies are non-absorbable drugs that act locally, i.e., in the intestinal lumen, skin or mucosa, without reaching an individual’s systemic circulation.

The Company is currently focused on developing its pipeline of gut-restricted GI clinical drug candidates, including the biologic adrulipase (formerly MS1819), a recombinant lipase enzyme designed to enable the digestion of fats and other nutrients, and niclosamide, an oral small molecule with anti-viral and anti-inflammatory properties. The Company’s adrulipase programs are focused on the development of an oral, non-systemic, biologic capsule for the treatment of exocrine pancreatic insufficiency (“EPI”) in patients with cystic fibrosis (“CF”) and chronic pancreatitis (“CP”). The Company’s niclosamide programs leverage proprietary oral and topical formulations to address multiple GI conditions, including inflammatory bowel disease (“IBD”) indications and viral diseases.

The Company is developing its product candidates for a host of GI diseases where there are significant unmet clinical needs and limited therapeutic options, resulting in painful, life threatening and discomforting consequences for patients. Since its inception, the Company has devoted substantially all its efforts to research and development, business development, and raising capital, and has financed its operations through issuance of common stock, convertible preferred stock, convertible debt, and other debt/equity instruments.

Risks and Uncertainties

The Company is subject to risks and uncertainties common to early-stage companies in the biotechnology industry, including, but not limited to, development and regulatory success, development by competitors of new technological innovations, dependence on key personnel, protection of proprietary technology, compliance with government regulations, and ability to secure additional capital to fund clinical trials and operations.

The Company has implemented business continuity plans designed to address and mitigate the impact of the COVID-19 pandemic on its business. The extent to which the ongoing COVID-19 pandemic impacts the Company’s business, clinical development and regulatory efforts, corporate development objectives and the value of and market for its Common Stock, will depend on future developments that are highly uncertain and cannot be predicted with confidence at this time, such as the ultimate duration of the pandemic, travel restrictions, quarantines, social distancing and business closure requirements in the U.S., Europe, Asia and other countries, and the effectiveness of actions taken globally to contain and treat the disease. The global economic slowdown, the overall disruption of global healthcare systems and the other risks and uncertainties associated with the pandemic could have a material adverse effect on the Company’s business, financial condition, results of operations and growth prospects.

In February 2022, the Russian Federation and Belarus commenced a military action with the country of Ukraine. As a result of this action, various nations, including the United States, have instituted economic sanctions against the Russian Federation and Belarus. Further, the impact of this action and related sanctions on the world economy are not determinable as of the date of these financial statements and the specific impact on the Company’s financial condition, results of operations, and cash flows is also not determinable as of the date of these financial statements.

In addition, the Company is subject to other challenges and risks specific to its business, its ability to comply with the terms of the extension granted by the Nasdaq hearings panel and to regain compliance with the continued listing requirements of The Nasdaq Capital Market and its ability to execute on its strategy, as well as risks and uncertainties common to companies in the biotechnology and pharmaceutical industries with development and commercial operations, including, without limitation, risks and uncertainties associated with: obtaining regulatory approval of its drug candidates; delays or problems in the manufacture and supply of its drug candidates, loss of single source suppliers or failure to comply with manufacturing regulations; identifying, acquiring or in-licensing additional products or drug candidates; pharmaceutical product development and the inherent uncertainty of clinical success; and the challenges of protecting and enhancing our intellectual property rights; complying with applicable regulatory requirements. In addition, to the extent the ongoing COVID-19 pandemic adversely affects the Company’s business and results of operations, it may also have the effect of heightening many of the other risks and uncertainties discussed above.

Principles of Consolidation

The accompanying unaudited interim condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) and include the accounts of First Wave and its wholly owned subsidiaries, First Wave Bio, Inc. (“FWB”) and AzurRx SAS. Intercompany transactions and balances have been eliminated upon consolidation.

In our opinion, the accompanying unaudited interim condensed consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to present fairly our financial position, results of operations, and cash flows. The consolidated balance sheet at December 31, 2021, has been derived from audited financial statements of that date. The unaudited interim condensed consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain information and footnote disclosure normally included in financial statements prepared in accordance with GAAP have been omitted pursuant to instructions, rules, and regulations prescribed by the SEC. The Company believes that the disclosures provided herein are adequate to make the information presented not misleading when these unaudited interim condensed consolidated financial statements are read in conjunction with the audited financial statements and notes previously distributed in our Annual Report Form 10-K for the year ended December 31, 2021, filed with the SEC on March 31, 2022 (as amended on Form 10-K/A filed with the SEC on May 10, 2022).

Going Concern Uncertainty

The accompanying unaudited interim condensed consolidated financial statements have been prepared as if the Company will continue as a going concern. The Company has incurred significant operating losses and negative cash flows from operations since inception. On September 30, 2022, the Company had cash and cash equivalents of approximately $1.7 million, an accumulated deficit of approximately $164.5 million, and negative working capital of approximately $4.1 million. The Company has incurred recurring losses, has experienced recurring negative operating cash flows, and requires significant cash resources to execute its business plans. Based on its cash on hand at September 30, 2022, and the approximately $5.2 million in net proceeds received from a follow-on offering that closed on October 11, 2022, the Company anticipates having sufficient cash to fund planned operations into the first quarter of 2023, however, the acceleration or reduction of cash outflows by Company management can significantly impact the timing for the need to raise additional capital to complete development of its products. Historically, the Company’s major sources of cash have been comprised of proceeds from various public and private offerings of its capital stock. The Company is dependent on obtaining additional working capital funding from the sale of equity and/or debt securities in order to continue to execute its development plans and continue operations.

Without adequate working capital, the Company may not be able to meet its obligations and continue as a going concern. These conditions raise substantial doubt about the Company’s ability to continue as a going concern one year from the date these financial statements are issued. The financial statements do not include any adjustments that might result from the outcome of this uncertainty.

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Significant Accounting Policies and Recent Accounting Pronouncements

9 Months Ended

Sep. 30, 2022

Significant Accounting Policies and Recent Accounting Pronouncements

Significant Accounting Policies and Recent Accounting Pronouncements

Note 2 - Significant Accounting Policies and Recent Accounting Pronouncements

Use of Estimates

The accompanying unaudited condensed consolidated financial statements are prepared in conformity with GAAP and include certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements (including goodwill and intangible assets), and the reported amounts of revenue and expense during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates.

Reverse Stock Split

On August 26, 2022, the Company effected a reverse stock split, whereby every thirty shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, but without any change in the number of authorized shares of common stock and the par value per share.

On September 13, 2021, the Company effected a reverse stock split, whereby every ten shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, with a corresponding 1-for-10 reduction in the number of authorized shares of common stock, but without any change in the par value per share.

All share and per share amounts have been retroactively restated to reflect the reverse stock splits referenced above.

Reclassifications 

Certain prior period balance sheet amounts have been reclassified to conform to the fiscal 2022 presentation.

Cash, Cash Equivalents and Restricted Cash

The Company considers all highly liquid investments with maturities of three months or less from date of purchase to be cash equivalents. All cash balances were highly liquid on September 30, 2022, and December 31, 2021, respectively. As of September 30, 2022 and December 31, 2021, the Company has classified approximately $0.022 million and $0 million, respectively, as restricted cash.

Concentrations of Credit Risk

Financial instruments that potentially expose the Company to concentrations of credit risk consist of cash. The Company primarily maintains its cash balances with financial institutions in federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. On September 30, 2022, and December 31, 2021, the Company had approximately $1.1 million and $7.5 million, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice.

The Company also has exposure to foreign currency risk as its subsidiary in France has a functional currency in Euros.

Fair Value Measurements

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

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

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

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

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

In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.

The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.

Foreign Currency Translation

The Company’s foreign subsidiary has operations denominated in a foreign currency, and assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.

Goodwill and Intangible Assets

Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through September 30, 2022.

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

Patents 7.2 years

The carrying amounts of finite-lived intangible assets are evaluated for recoverability whenever events or changes in circumstances indicate that the Company may be unable to recover the asset’s carrying amount. Given changes in the projected usage of the patents, the Company recognized impairment charges of approximately $2.4 million at December 31, 2021.

Impairment of Long-Lived Assets

The Company periodically evaluates its long-lived assets for potential impairment in accordance with ASC Topic 360, Property, Plant and Equipment (“ASC 360”). Potential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. The Company has not recognized any impairment charges through September 30, 2022.

Leases

The Company determines if an arrangement is a lease at inception. Operating leases are included in right-of-use (“ROU”) assets, and lease liability obligations are included in the Company’s balance sheets. ROU assets represent the Company’s right to use an underlying asset for the lease term and lease liability obligations represent its obligation to make lease payments arising from the lease. ROU assets and liabilities are recognized at the commencement date based on the present value of lease payments over the lease term. As the Company’s leases typically do not provide an implicit rate, the Company estimates its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The Company uses the implicit rate when readily determinable. The ROU asset also includes any lease payments made and excludes lease incentives and lease direct costs. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. Lease expense is recognized on a straight-line basis over the lease term. Please refer to Note 13 for additional information.

Research and Development

Research and development costs are charged to operations when incurred and are included in operating expense, except for goodwill related to patents. Research and development costs consist principally of compensation of employees and consultants that perform the Company’s research activities, payments to third parties for preclinical and non-clinical activities, expenses with clinical research organizations (“CROs”), investigative sites, consultants and contractors that conduct or provide other services relating to clinical trials, costs to acquire drug product, drug supply and clinical trial materials from contract development and manufacturing organization (“CDMOs”) and third-party contractors relating to chemistry, manufacturing and controls (“CMC”) efforts, the fees paid for and to maintain the Company’s licenses, amortization of intangible assets related to the acquisition of adrulipase, and research and development costs related to adrulipase and niclosamide. Depending upon the timing of payments to the service providers, the Company recognizes prepaid expenses or accrued expenses related to these costs. These accrued or prepaid expenses are based on management’s estimates of the work performed under service agreements, milestones achieved and experience with similar contracts. The Company monitors each of these factors and adjusts estimates accordingly.

Research and Development – Intellectual Property Acquired

The Company records intellectual property in asset acquisitions that have not reached technological feasibility and which have no alternative future use, as an expense at the acquisition date. On December 31, 2020, the Company entered into a license agreement (the “FWB License Agreement”) with FWB, pursuant to which FWB granted the Company an exclusive license to certain patents and patent applications related to a proprietary formulation of niclosamide for use in the fields of ICI-AC and COVID-19 GI infections. The acquisition of intellectual property and patents for the worldwide, exclusive right to develop, manufacture, and commercialize proprietary formulations of niclosamide for the fields of treating ICI-AC and COVID-19 in humans was accounted for as an asset acquisition and initial liabilities of approximately $13.3 million in connection with the license acquisition were recorded as research and development expense, because it was determined to have no alternative future uses and therefore no separate economic value, which included cash payments totaling approximately $10.3 million and the issuance of approximately $3.0 million worth of preferred stock (see Note 12). Upon consummation of the Merger (see Note 4) on September 13, 2021, the FWB License Agreement was effectively canceled and the total purchase price of $22.0 million was recorded as an expense at the Merger date.

On July 29, 2022, the Company reached an agreement to restructure its obligations to the former FWB stockholders (the “July 2022 Term Sheet”). The Company agreed to pay: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022 (the “Second Payment”); and (iii) $2.0 million on the earlier of November 30, 2022 or the completion of one or more qualifying equity offerings. As of September 30, 2022, the Company made payments to the former FWB stockholders of $2.5 million consisting of the upfront payment of $1.5 million and the Second Payment of $1.0 million. In accordance with the terms of the agreement, effective upon the Second Payment, the approximately $10.1 million of remaining fixed payment obligations previously owed to the former FWB shareholders was settled, which was recorded as a decrease to expense in the three months ended September 30, 2022. The $2.0 million payment owed by November 30, 2022 was recorded as an expense upon execution of the July 2022 Term Sheet (see Note 4).

Stock-Based Compensation

The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”) which took effect on May 12, 2014, and the 2020 Omnibus Equity Incentive Plan, which took effect on September 11, 2020 (the “2020 Plan”). From the effective date of the 2020 Plan, no new awards have been or will be made under the 2014 Plan. The Company accounts for its stock-based compensation awards to employees, consultants, and Board members in accordance with ASC Topic 718, Compensation-Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees, consultants, and Board members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.

For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when vesting becomes probable.

The Company estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.

Recent Accounting Pronouncements

In August 2020, the Financial Accounting Standards Board (the “FASB”) issued accounting pronouncement (ASU 2020-06) related to the measurement and disclosure requirements for convertible instruments and contracts in an entity’s own equity. The pronouncement simplifies and adds disclosure requirements for the accounting and measurement of convertible instruments and the settlement assessment for contracts in an entity’s own equity. As a smaller reporting company, as defined by the U.S. Securities and Exchange Commission (the “SEC”), this pronouncement is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2023. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company early adopted ASU 2020-06 effective January 1, 2022.

In June 2016, the FASB issued accounting pronouncement ASU 2016-13 – Measurement of Credit Losses on Financial Statements. The new standard requires that expected credit losses relating to financial assets measured on an amortized cost basis and available-for-sale debt securities be recorded through an allowance for credit losses. It also limits the amount of credit losses to be recognized for available-for-sale debt securities to the amount by which carrying value exceeds fair value and also requires the reversal of previously recognized credit losses if fair value increases. In November 2019, the FASB issued ASU 2019-10 – Financial Instruments – Credit Losses (Topic 326), Derivatives and Hedging (Topic 815), and Leases (Topic 842): Effective Dates, which amended the effective date for certain companies. The standard is effective for public companies eligible to be smaller reporting companies for annual and interim periods beginning after December 15, 2022. Early adoption is available. The Company does not expect the adoption of this standard to have a material effect on its financial statements and related disclosures.

In June 2022, the FASB issued ASU 2022-03 - Fair Value Measurement, or Topic 820: Fair Value Measurement of Equity Securities Subject to Contractual Sale Restrictions, or ASU 2016-13. This new standard clarifies the guidance in Topic 820 when measuring the fair value of an equity security subject to contractual restrictions that prohibit the sale of an equity security and introduces new disclosure requirements for equity securities subject to contractual sale restrictions that are measured at fair value in accordance with Topic 820. The Company has assessed the impact of the update and determined it does not have a material impact on the accompanying financial statements and disclosures.

The Company has evaluated other recently issued accounting pronouncements and has concluded that the impact of recently issued standards that are not yet effective will not have a material impact on the Company’s financial position or results of operations upon adoption.

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Fair Value Disclosures

9 Months Ended

Sep. 30, 2022

Fair Value Disclosures

Fair Value Disclosures

Note 3 - Fair Value Disclosures

Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. U.S. GAAP establishes a hierarchical disclosure framework that prioritizes and ranks the level of observability of inputs used in measuring fair value.

The fair value of the Company’s financial instruments are as follows:

			Fair Value Measured at Reporting Date
			Using
	Carrying
	Amount		Level 1		Level 2		Level 3		Fair Value
September 30, 2022 (unaudited):
Money market funds	$	505,179	$	505,179	$	—	$	—	$	505,179
Note payable		—		—		—		—		—
December 31, 2021:
Money market funds		501,607		501,607		—		—		501,607
Note payable	$	641,236	$	—	$	641,236	$	—	$	641,236

At September 30, 2022 and December 31, 2021, the Company had no other assets or liabilities that are subject to fair value methodology and estimation in accordance with U.S. GAAP.

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Asset Acquisition

9 Months Ended

Sep. 30, 2022

Asset Acquisition

Asset Acquisition

Note 4 – Asset Acquisition

The Asset Acquisition

On September 13, 2021, the Company completed its acquisition of FWB, in accordance with the terms of an Agreement and Plan of Merger dated as of September 13, 2021 (the “Merger Agreement”) by and among the Company, Alpha Merger Sub, Inc., a Delaware corporation and wholly-owned subsidiary of the Company (“Merger Sub”), and FWB. On September 13, 2021, pursuant to the Merger Agreement, Merger Sub was merged with and into FWB (the “Merger”), with FWB being the surviving corporation and becoming a wholly-owned subsidiary of the Company. In connection with the Merger, AzurRx changed its name to First Wave BioPharma, Inc.

At the effective time of the Merger, the former FWB stockholders received an applicable pro rata share of (i) $3.0 million in cash and (ii) 20,800 shares of the Common Stock (equivalent to cash of $4.0 million). The remaining non-contingent purchase price was payable to the former FWB stockholders on a pro rata basis upon the Company’s payment of (i) $8.0 million in cash, payable within 45 days of the Merger, and (ii) $7.0 million in cash, payable by March 31, 2022 for a total purchase price of $22.0 million.

The former FWB stockholders were entitled to up to a total of $207 million of cash milestone payments contingent upon the achievement of specified development, regulatory and sales goals relating to the use of the acquired assets. All milestone payments were payable in cash, provided that 25% of the milestone payments attributable to certain IBD indications could be payable in Common Stock, at the option of the Company. In addition, the former FWB stockholders were entitled to 10% of certain specified revenue received by the Company from any third-party with a pre-existing niclosamide development program relating to COVID.

On October 29, 2021, Fortis Advisors LLC, the hired representative (in such capacity, the “Representative”) of the former stockholders of FWB, in connection with the Merger Agreement filed a complaint against the Company in the Court of Chancery of the State of Delaware, seeking to enforce rights to payment of $8.0 million due October 28, 2021, pursuant to the Merger Agreement and the $2.0 million milestone payment for initiation of the FW-UP Part 2 trial.

On November 15, 2021, the Company reached an agreement (the “November 2021 Settlement Agreement”) with the Representative of the former stockholders of FWB to substantially reduce the immediate payment obligations of the Company and defer certain remaining milestone and other payment obligations over time. The November 2021 Settlement Agreement called for an immediate payment of $2.0 million related to the FW-UP milestone payment. Additionally, it called for periodic installments of the up-front cash payments due of $500,000 per month payable from January 2022 through August 2022, $1.0 million per month payable from September 2022 through July 2023, and payment of 10% in excess of $10.0 million in financing transactions consummated by the Company after the effective date of the November 2021 Settlement Agreement until an aggregate of $15.0 million is paid. In addition, the Company cancelled 332,913 shares of Common Stock held by FWB immediately prior to the Merger for no additional consideration, which shares of Common Stock are authorized and unissued.

During the three and nine months ended September 30, 2022 the Company paid an aggregate of $2.5 million and $4.9 million in cash towards the purchase price. During the year ended December 31, 2021, the Company paid an aggregate of $7.0 million (in cash and shares) towards the purchase price and $2.0 million in milestone payments.

On May 19, 2022, the Representative filed a complaint against the Company in the Court of Chancery in the State of Delaware (the “FWB Action”) for breach of contract and anticipatory repudiation or for unjust enrichment. The FWB Action sought specific performance of the Company’s obligations under the Merger Agreement and the November 2021 Settlement Agreement, including all payments then owed and to be owed to the Representative, and damages at the maximum amount permitted by law. On July 29, 2022, the Company reached an agreement with the Representative to settle the FWB Action and to restructure the Company’s obligations to the former FWB stockholders (the “July 2022 Term Sheet”). The Company agreed to pay the Representative: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022 (the “Second Payment”); and (iii) $2.0 million on the earlier of November 30, 2022 and the completion by the Company of one or more qualifying equity offerings (collectively, the “Payments”). The Representative is also entitled to receive future cash payments conditioned on the achievement of certain development milestones for adrulipase and to a percentage of any consideration received by the Company in the event of a license or sale of adrulipase, subject to a cap. The Representative also is entitled receive a percentage of the consideration received by the Company in the event of a license or sale of niclosamide and will retain its existing milestone payment rights with respect to niclosamide. In the event that the consideration received by the Company in connection with the sale or license of adrulipase or niclosamide consists of securities or other non-cash consideration, the Representative will have the right to elect either to receive its payment in such form of consideration or to cause the licensee or acquirer to assume the obligations described herein. In the event of a “Company Sale” (as defined in the July 2022 Term Sheet), the Representative is entitled to receive a pro rata share of the total consideration received by the Company or its stockholders up to $4.0 million (plus any unpaid Payments whether or not then due) based on a formula set forth in the July 2022 Term Sheet. In certain circumstances, the Representative has the right to treat a “Company Sale” as a sale of ardulipase or niclosamide, as applicable, and to treat the Company Sale as a sale of the related asset and to receive the consideration with respect thereto described herein.

In the July 2022 Term Sheet, the Representative agreed to stay the FWB Action for a period of 90 days and to eliminate the Company’s obligation to pay a portion of any offering proceeds to the Representative. In addition, the Company’s obligation to use commercially reasonable efforts to develop niclosamide will be deferred for a period of 24 months from the date of the July 2022 Term Sheet. Effective upon the Second Payment, the Representative dismissed the FWB Action with prejudice and extinguished the remaining fixed payment obligations owed to the former FWB shareholders.

Accounting Treatment

The Company concluded that the Merger should be accounted for as an asset acquisition under ASC 805 because substantially all the fair value of the assets being acquired are concentrated in a single asset - intellectual property, which does not constitute a business. Because the acquired intellectual property has not received regulatory approval, the $21.3 million non-contingent purchase price was immediately expensed in the Company’s statements of operations as research and development – intellectual property acquired in the year ended December 31, 2021. The $0.9 million of transaction expenses paid at closing were classified in general and administrative expenses in the year ended December 31, 2021. The Common Stock issued for the asset acquisition was valued at $4.0 million, which is equal to the 20,800 common shares issued multiplied by $192.30 per share.

Under the July 2022 Term Sheet, the $1.5 million in cash due and paid on July 29, 2022, as well as the Second Payment due and paid in September 2022, were recorded as a reduction to current liabilities for the three months ended September 30, 2022. Effective upon the Second Payment, the approximately $10.1 million of remaining fixed payment obligations previously owed to the former FWB shareholders was settled. The remaining payment obligation of $2.0 million due by November 30, 2022 was recorded as research and development expense in the three months ended September 30, 2022.

The remaining unachieved potential milestone payments and revenue share are not yet considered probable, therefore have not been accrued as of September 30, 2022. Depending on the status of development at the time a contingent payment is recognized, the Company may determine that the payment should be expensed as research and development or be capitalized as an intangible asset. This determination will be based on the facts and circumstances that exist at the time a contingent payment is recognized.

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Property, Equipment and Leasehold Improvements

9 Months Ended

Sep. 30, 2022

Property, Equipment and Leasehold Improvements

Property, Equipment and Leasehold Improvements

Note 5 – Property, Equipment and Leasehold Improvements

Property, equipment, and leasehold improvements consisted of the following:

	September 30,
	2022		December 31,
	(unaudited)		2021
Computer equipment and software	$	11,540	$	11,540
Office equipment		48,278		48,278
Leasehold improvements		28,000		28,000
Total property, plant, and equipment		87,818		87,818
Less accumulated depreciation		(36,661)		(14,708)
Property, plant and equipment, net	$	51,157	$	73,110

Depreciation expense for the three months ended September 30, 2022 and 2021 was approximately $7,300 and $6,000, respectively, and for the nine months ended September 30, 2022 and 2021 was approximately $22,000 and $9,000, respectively.

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Intangible Assets and Goodwill

9 Months Ended

Sep. 30, 2022

Intangible Assets and Goodwill

Intangible Assets and Goodwill

Note 6 – Intangible Assets and Goodwill

Patents

Pursuant to the Mayoly asset purchase agreement entered in March 2019 (see Note 12), in which the Company purchased all remaining rights, title and interest in and to adrulipase from Mayoly, the Company recorded Patents in the amount of approximately $3.8 million as follows:

Common stock issued at signing to Mayoly	$	1,740,959
Due to Mayoly at December 31, 2019		449,280
Due to Mayoly at December 31, 2020		393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt		1,219,386
Total Patents	$	3,802,745

Intangible assets are as follows:

	September 30,
	2022		December 31,
	(unaudited)		2021
Patents	$	—	$	3,802,745
Less accumulated amortization		—		(1,450,757)
Intangible asset impairment		—		(2,351,988)
Patents, net	$	—	$	—

Amortization expense was approximately $132,000 and $396,000 for the three and nine months ended September 30, 2021, respectively.

During the year ended December 31, 2021, the Company recorded impairment charges of approximately $2.4 million related to patents that the Company determined were no longer sufficient for the commercialization of adrulipase.

Goodwill is as follows:

	Goodwill
Balance on January 1, 2021	$	2,054,048
Foreign currency translation		(142,343)
Balance on December 31, 2021		1,911,705
Foreign currency translation		(196,918)
Balance on September 30, 2022 (unaudited)	$	1,714,787

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Accrued Expenses

9 Months Ended

Sep. 30, 2022

Accrued Expenses

Accrued Expenses

Note 7 - Accrued Expenses

Accrued expenses consisted of the following:

	September 30,
	2022		December 31,
	(unaudited)		2021
Professional fees	$	205,932	$	15,000
Payroll and benefits		40,771		274,153
Consulting fees		25,565		104,100
Total accrued expenses	$	272,268	$	393,253

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Note Payable

9 Months Ended

Sep. 30, 2022

Note Payable

Note Payable

Note 8 – Note Payable

Directors and Officer’s Liability Insurance

On November 30, 2021, the Company entered into a 9-month financing agreement for its directors and officer’s liability insurance in the amount of approximately $957,000 that bears interest at an annual rate of 3.99%. Monthly payments, including principal and interest, are approximately $81,000 per month. The balance due under this financing agreement was approximately $0 and $641,000 at September 30, 2022 and December 31, 2021, respectively.

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Capital Stock

9 Months Ended

Sep. 30, 2022

Capital Stock

Capital Stock

Note 9 – Capital Stock

Common Stock and Preferred Stock

The Company’s certificate of incorporation, as amended and restated on February 14, 2022, (the “Charter”) authorizes the issuance of up to 50,000,000 shares of Common Stock (increased from 25,000,000 shares of Common Stock authorized), par value $0.0001 per share, and 10,000,000 shares of preferred stock, par value $0.0001 per share.

On August 26, 2022, the Company effected a reverse stock split, whereby every thirty shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, but without any change in the number of authorized shares of common stock and the par value per share.

On September 13, 2021, the Company effected a reverse stock split, whereby every ten shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, with a corresponding 1-for-10 reduction in the number of authorized shares of common stock, but without any change in the par value per share. All share and per share amounts have been retroactively restated to reflect the reverse stock splits referenced above.

The Company had 2,307,008 and 495,194 shares of its Common Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 5,194.805195 shares as Series B Preferred Stock and had approximately 631.34 and 662.25 shares of Series B preferred stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 57,000 shares as Series C Preferred Stock and had 0 shares of Series C Preferred Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 150 shares as Series D Preferred Stock and had 0 shares of Series D Preferred Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

The Company has designated 150 shares as Series E Preferred Stock and had 0 shares of Series E Preferred Stock issued and outstanding on September 30, 2022 and December 31, 2021, respectively.

Series B Convertible Preferred Stock

Pursuant to the Certificate of Designation of Rights and Preferences of the Series B Preferred Stock (the “Series B Certificate of Designation”), the Series B Preferred Stock will rank senior to the Common Stock with respect to distributions of assets upon the liquidation, dissolution or winding up of the Company. Each share of Series B Preferred Stock has a stated value of $7,700, subject to adjustment for stock splits, combinations and similar events (the “Series B Stated Value”). Each holder of shares of Series B Preferred Stock, in preference and priority to the holders of all other classes or series of stock of the Company, is entitled to receive dividends, commencing from the date of issuance. Such dividends may be paid by the Company only when, as and if declared by the Board, out of assets legally available therefor, semiannually in arrears on the last day of June and December in each year, commencing December 31, 2020, at the dividend rate of 9.0% per year, which is cumulative and continues to accrue on a daily basis whether or not declared and whether or not the Company has assets legally available therefor. The Company may pay such dividends at its option either in cash or in kind in additional shares of Series B Preferred Stock (rounded down to the nearest whole share), provided the Company must pay in cash the fair value of any such fractional shares in excess of $100.00. On September 30, 2022 and December 31, 2021, aggregate dividends payable amounted to approximately $764,000 and $465,000, respectively.

Series B Preferred Stock Waiver Agreements

Between February 1 and February 7, 2022, the Company entered into waiver agreements (the “Waiver”) with certain holders of Series B Convertible Preferred Stock, par value $0.0001 per share (the “Series B Preferred Stock”), pursuant to which the Company agreed to pay a cash waiver fee equal to ten percent of the stated value of the shares of Series B Preferred Stock held by such holder (other than holders who are insiders who did not receive a cash waiver fee) and such holder agreed to irrevocably waive its Series B Exchange Right (as defined below) with respect to any Subsequent Financing (as defined below) that occurs from and after the date of the Waiver until December 31, 2022.

Pursuant to the Series B Certificate of Designation, in the event of any issuance by the Company or any of its subsidiaries of Common Stock or common stock equivalents for cash consideration or a combination of units thereof (a “Subsequent Financing”), each holder of Series B Preferred Stock has the right, subject to certain exceptions set forth in the Series B Certificate of Designations, at its option, to exchange (in lieu of cash subscription payments) all or some of the Series B Preferred Stock then held (with a value per share of Series B Preferred Stock equal to the stated value of each share of Series B Preferred Stock, or $7,700.00, plus accrued and unpaid dividends thereon, of the Series B Preferred Stock) for any securities or units issued in a Subsequent Financing on a dollar-for-dollar basis (the “Series B Exchange Right”).

During the nine months ended September 30, 2022, the Company entered into Waivers with holders of approximately $2.88 million of stated value of Series B Preferred Stock. The Company also entered into Waivers with Company insiders holding approximately $0.047 million of stated value of Series B Preferred Stock for which the Company did not pay a waiver fee. The cash waivers paid of approximately $0.233 million were recorded as other expense on the Company’s condensed consolidated statements of operations for the nine months ended September 30, 2022.

Series B Exchange Right Permanent Waiver

Effective May 12, 2022, the holders of 81.3% of the outstanding shares of the Series B Preferred Stock permanently waived for themselves and all other holders of the Series B Preferred Stock the Series B Exchange Right with respect to any Subsequent Financing occurring on or after January 1, 2022 (the “Permanent Waiver”). Holders of Series B Preferred Stock as of the April 27, 2022 record date were entitled to notice of and to consent to the Permanent Waiver (the “Record Holders”).

Pursuant to the terms of the Series B Certificate of Designation, the written consent of the holders of at least a majority of the Series B Preferred Stock outstanding was required to consent to the Permanent Waiver (the “Required Consent”). The Company requested that the Record Holders consent to the Permanent Waiver by executing and delivering a joinder to the Waiver Agreement (as defined below). The execution and delivery of the joinder to the Waiver Agreement was deemed, for purposes of Section 228 of the General Corporation Law of the State of Delaware, to be an action by written consent in lieu of a meeting to approve the Permanent Waiver. The Company’s solicitation of consents to the Permanent Waiver terminated in accordance with its terms at 5:00 p.m., Eastern Time, on May 12, 2022 (the “Expiration Date”). The Record Holders who consented to the Permanent Waiver prior to the Expiration Date are referred to herein as the “Consenting Holders”.

The Required Consent was obtained from the Consenting Holders and the solicitation terminated in accordance with its terms as of the Expiration Date. The Permanent Waiver was effective immediately upon the Expiration Date and was binding on all holders of the Series B Preferred Stock, including those holders that did not timely consent to the Permanent Waiver prior to the Expiration Date. The Permanent Waiver will also be applicable to any future holder of Series B Preferred Stock. A notation of the Permanent Waiver was made on the books and records of the Company’s transfer agent and a legend reflecting the Permanent Waiver was placed on any physical share certificate representing shares of Series B Preferred Stock.

Pursuant to the terms of a Waiver Agreement entered into by the Company and the Consenting Holders (the “Waiver Agreement”), the Company permanently reduced the exercise price of the Series B Warrants originally issued on July 16, 2020 (the “Series B Warrants”) held by the Consenting Holders to $0.25 per share or, in the case of Consenting Holders who are officers and directors of the Company, $0.3294 (the “Exercise Price Reduction”). Only Consenting Holders are entitled to the Exercise Price Reduction. Series B Warrants to purchase an aggregate of approximately 251,742 shares of Common Stock received the Exercise Price Reduction which was effective as of the Expiration Date. As a result of the Exercise Price Reduction of the Series B Warrants described above, the Company recorded a deemed dividend of approximately $0.047 million in the nine months ended September 30, 2022.

Series B Exchanges into the January 2021 Offerings

During the nine months ended September 30, 2021, pursuant to the Series B Exchange Right, the Company issued an aggregate of 19,140.14 shares of Series C Preferred Stock and warrants to purchase an aggregate of 63,800 shares of Common Stock in connection with the exchange of approximately 1,839.76 shares of Series B Preferred Stock. The Company analyzed the exchanges pursuant to the Series B Exchange Right from preferred stock to preferred stock qualitatively and determined that the exchanges resulted in a substantive change and should be accounted for as an extinguishment. As such, for the nine months ended September 30, 2021, the Company recognized an aggregate deemed dividend of approximately $21.0 million as calculated by the difference in the carrying value of the Series B Preferred Stock exchanged and the fair value of the Series C Preferred Stock and January 2021 Investor Warrants issued on each exchange date.

Equity Line with Lincoln Park

In November 2019, the Company entered into a purchase agreement (the “Equity Line Agreement”), together with a registration rights agreement (the “Lincoln Park Registration Rights Agreement”), with Lincoln Park. Under the terms of the Equity Line Agreement, Lincoln Park had committed to purchase up to $15,000,000 of Common Stock (the “Equity Line”). Upon execution of the Equity Line Agreement, the Company issued Lincoln Park 1,623 shares of Common Stock (the “Commitment Shares”) as a fee for its commitment to purchase shares of Common Stock under the Equity Line Agreement, which had a grant date fair value of approximately $297,000 and had no effect on expenses or stockholders’ equity.

The Company did not issue shares of Common Stock, during either of the three or nine months ended September 30, 2022 and 2021, in connection with the Equity Line Agreement. The Equity Line Agreement expired by its terms on July 31, 2022.

At The Market Agreement with H.C. Wainwright

On May 26, 2021, the Company entered into an At The Market Offering Agreement (the “ATM Agreement”) with H.C. Wainwright & Co., LLC (“Wainwright”), as sales agent, pursuant to which the Company may issue and sell, from time to time, through Wainwright, shares of its Common Stock, and pursuant to which Wainwright may sell its Common Stock by any method permitted by law deemed to be an “at the market offering” as defined by Rule 415(a)(4) promulgated under the Securities Act of 1933, as amended. The Company will pay Wainwright a commission of 3.0% of the aggregate gross proceeds from each sale of Common Stock. As of May 24, 2022, the Company was authorized to offer and sell up to $8.0 million of its Common Stock pursuant to the ATM Agreement. During the three and nine months ended September 30, 2021, the Company issued and sold an aggregate of 50,055 and 55,040 shares of Common Stock, respectively, under the ATM Agreement for which the Company received gross proceeds of approximately $7.4 million and $8.6 million, respectively, less issuance costs incurred of approximately $228,000 and $274,000, respectively. During each of the three and nine months ended September 30, 2022, the Company issued and sold an aggregate of 1,483,782 and 1,519,257 shares of Common Stock, respectively, under the ATM Agreement for which the Company received gross proceeds of approximately $7.7 million and $8.0 million, respectively, less issuance costs incurred of approximately $293,000 and $309,000, respectively.

July 2022 Private Placement

On July 15, 2022, the Company completed a private placement (the “July 2022 Offering”) in which the Company issued an aggregate of (i) 150 shares of the Company’s Series D Preferred Stock, with a stated value $1,000 per share, convertible into an aggregate of 33,333 shares of the Common Stock, (ii) 150 shares of the Company’s Series E Preferred Stock, with a stated value $1,000 per share, convertible into an aggregate of 33,333 shares of Common Stock, and (iii) Series D Warrants to purchase up to an aggregate of 66,666 shares of Common Stock (the “July 2022 Warrants”). The Series D Preferred Stock are convertible into an aggregate of 33,333 shares of Common Stock at a conversion price of $4.50 per share and the Series E Preferred Shares are convertible, following the August 26, 2022 reverse stock split, into an aggregate of 33,333 shares of Common Stock at a conversion price of $4.50 per share. The July 2022 Warrants have an exercise price of $4.50 per share and will expire five years from the initial exercise date. The Company received gross proceeds of approximately $300,000 from the July 2022 Offering, before deducting the offering expenses payable by the Company.

As compensation to Wainwright, who was the exclusive placement agent in connection with the July 2022 Offering, the Company paid Wainwright a cash fee of 7% of the aggregate gross proceeds raised and reimbursement of certain expenses and legal fees. The Company also issued to designees of Wainwright in a private placement warrants (the “Placement Agent Warrants”) to purchase up to 4,000 shares of Common Stock. The Placement Agent Warrants were cancelled and terminated on October 5, 2022. None of the Placement Agent Warrants were exercised prior to cancellation and termination.

During the three months ended September 30, 2022, all of the Series D Preferred Shares and the Series E Preferred Shares were converted into 66,666 shares of Common Stock.

March 2022 Registered Direct Offering

On March 2, 2022, the Company completed a registered direct offering (the “March 2022 Offering”) priced at the market under Nasdaq rules for an aggregate of 55,000 shares of Common Stock, pre-funded warrants exercisable for an aggregate of up to 161,606 shares of Common Stock (the “March 2022 Pre-Funded Warrants”), and Series C Warrants (the “March 2022 Warrants”) exercisable for an aggregate of up to 216,606 shares of Common Stock. The public offering price for each share of Common Stock and accompanying March 2022 Warrant to purchase one share of Common Stock was $41.55, and the public offering price for each March 2022 Pre-Funded Warrant and accompanying March 2022 Warrant to purchase one share of Common Stock was $41.25. The total net proceeds from the March 2022 Offering were approximately $8.0 million. The March 2022 Warrants have an exercise price of $37.80 per share and will be exercisable for five years from the issuance date. The March 2022 Pre-Funded Warrants are exercisable for one share of Common Stock at an exercise price of $0.30 per share and will expire when exercised in full. Additionally, the Company issued warrants to the placement agent (the “March 2022 Placement Agent Warrants”) to purchase 12,996 shares of Common Stock equal to 6.0% of the aggregate number of shares of Common Stock and March 2022 Pre-Funded Warrants placed in the March 2022 Offering. The March 2022 Placement Agent Warrants have a term of five years from the date of the prospectus supplement relating to the March 2022 Offering and an exercise price of $51.90 per share.

The proceeds from the March 2022 Offering were allocated to the Common Stock, Pre-Funded warrants, and March 2022 Investor Warrants based on their relative fair values. The total proceeds of approximately $9.0 million, net of $1.0 million offering costs, were allocated as follows: approximately $2.3 million to the Common Stock, approximately $0.3 million to the Pre-Funded Warrants, and approximately $6.4 million to the March 2022 Warrants. The total offering costs of approximately $1.0 million were recognized in equity.

July 2021 Offering

On July 22, 2021, the Company entered into an underwriting agreement with Wainwright (the “July 2021 Offering”) pursuant to which the Company agreed to sell, in an upsized firm commitment offering, 30,303 shares of Common Stock to Wainwright at an offering price to the public of $165.00 per share, less underwriting discounts and commissions. On July 27, 2021, pursuant to the terms of the underwriting agreement, Wainwright exercised its 30-day over-allotment option in full to purchase an additional 4,545 shares of Common Stock at the same offering price to the public, less underwriting discounts and commissions. The offering closed on July 27, 2021. The Company received net proceeds from the offering of approximately $5.1 million.

The Company paid Wainwright an underwriting discount equal to 8.0% of the gross proceeds of the offering, and reimbursed Wainwright for a non-accountable expense allowance of $35,000, $125,000 in legal fees and $15,950 for clearing expenses. Additionally, as partial compensation for Wainwright’s services as underwriter in the offering, the Company issued to Wainwright (or its designees) warrants to purchase 2,437 shares of Common Stock equal to 7.0% of the aggregate number of shares of Common Stock sold in the offering (the “Wainwright Warrants”). The Wainwright Warrants have a term of five years from the date of the offering and an exercise price of $206.25 per share (equal to 125% of the offering price per share), subject to adjustments as provided in the terms of the Wainwright Warrants. The Company concluded the freestanding Wainwright Warrants did not contain any provisions that would require liability classification and therefore should be classified in stockholder’s equity.

March 2021 Registered Direct Offering

On March 10, 2021, the Company completed a registered direct offering (the “March 2021 Offering”) priced at the market under Nasdaq rules for an aggregate of 19,333 shares of Common Stock, pre-funded warrants to purchase up to 6,861 shares of Common Stock (the “March 2021 Pre-Funded Warrants”), with an exercise price of $3.00 per share and no expiration term, and warrants (the “March 2021 Warrants”) to purchase an aggregate of 13,097 shares of Common Stock with an exercise price of $363.00 per share and an expiration term of five years from the date of issuance. The price per share of this offering was $381.75. The Company also issued warrants to the placement agent (the “March 2021 Placement Agent Warrants”) exercisable for up to 1,833 shares of Common Stock, which is equal to 7.0% of the amount determined by dividing the gross proceeds of the March 2021 Offering by the offering price per share of Common Stock, or $381.75. The March 2021 Placement Agent Warrants have substantially the same terms as the March 2021 Warrants, except they are exercisable at $477.18 per share, or 125% of the effective purchase price per share of Common Stock issued. The Company concluded that the freestanding March 2021 Warrants and the March 2021 Placement Agent Warrants did not contain any provisions that would require liability classification and therefore should be classified in stockholder’s equity.

The proceeds from the March 2021 Offering were allocated to the Common Stock, March 2021 Pre-Funded Warrants, and March 2021 Warrants based on their relative fair values. The total proceeds of approximately $9.1 million, net of $0.9 million offering costs, were allocated as follows: approximately $3.9 million to the Common Stock, approximately $2.6 million to the pre-funded warrants, and approximately $3.5 million to the March 2021 Warrants. The total offering costs of approximately $0.9 million were recognized in equity.

Common Stock Issuances

Issuances for the Three and Nine Months Ended September 30, 2022

During the three months ended September 30, 2022, the Company issued and sold an aggregate of 1,483,782 shares of Common Stock under the ATM Agreement for which the Company received net proceeds of approximately $7.4 million.

During the three months ended September 30, 2022, the Company issued an aggregate of 66,666 shares of Common Stock upon the conversion of Series E and Series D preferred stock.

During the three months ended September 30, 2022, the Company cancelled an aggregate of 98 shares of Common Stock in connection with the 30-for-1 reverse stock split on August 26, 2022.

During the nine months ended September 30, 2022, the Company issued 55,000 shares of Common Stock under the March 2022 Offering for which the Company received net proceeds of approximately $8.0 million.

During the nine months ended September 30, 2022, the Company issued an aggregate of 161,606 shares of Common Stock upon the conversion of the March 2022 Pre-Funded Warrants issued at a par value of $0.30 (See Note 10).

During the nine months ended September 30, 2022, the Company issued an aggregate of 6,374 shares of Common Stock and accompanying Exchange Warrants upon the exchange of an aggregate of 30.92 shares of Series B Preferred Stock with a stated value of approximately $238,000 plus accrued dividends of approximately $27,000.

During the nine months ended September 30, 2022, the Company issued an aggregate of 3,001 shares of its Common Stock to consultants with a grant date fair value of approximately $119,000 for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the nine months ended September 30, 2022, the Company issued and sold an aggregate of 1,519,257 shares of Common Stock under the ATM Agreement for which the Company received net proceeds of approximately $7.7 million.

During the nine months ended September 30, 2022, the Company cancelled an aggregate of 98 shares of Common Stock in connection with the 30-for-1 reverse stock split on August 26, 2022.

Issuances for the Three and Nine Months Ended September 30, 2021

During the three months ended September 30, 2021, the Company issued an aggregate of 673 shares of its Common Stock to consultants with a grant date fair value of approximately $124,000 for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the three months ended September 30, 2021, the Company issued an aggregate of 34,848 shares of Common Stock in connection with the July 2021 Offering.

During the three months ended September 30, 2021, the Company issued an aggregate of 20,800 shares of Common Stock in connection with the FWB Merger and canceled and 11,097 shares of Common Stock held by FWB immediately prior to the FWB Merger, which shares of Common Stock are authorized and unissued (see Note 4).

During the three months ended September 30, 2021, the Company cancelled an aggregate of 56 shares of Common Stock in connection with the 10-for-1 reverse stock split on September 13, 2021.

During the nine months ended September 30, 2021, the Company issued an aggregate of 3,240 shares of its Common Stock to consultants with a grant date fair value of approximately $1.2 million for investor relations services provided, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the nine months ended September 30, 2021, the Company issued an aggregate 250 shares of its Common Stock with a grant date fair value of approximately $94,000 in connection with the settlement with the Company’s former investment bank, which was recorded as stock-based compensation and included as part of general and administrative expense.

During the nine months ended September 30, 2021, the Company issued an aggregate of 104,182 shares of Common Stock upon the conversion of an aggregate of 33,097.10 shares of Series C Preferred Stock with a stated value of approximately $24.7 million plus accrued dividends of approximately $198,000.

During the nine months ended September 30, 2021, the Company issued an aggregate of 31,521 shares of Common Stock upon the exercise of an aggregate of 31,712 investor warrants, including an aggregate of 13,305 pre-funded warrants (See Note 10).

During the nine months ended September 30, 2021, the Company issued an aggregate of 8,609 shares of Common Stock upon the conversion of an aggregate of 258.08 shares of Series B Preferred Stock with a stated value of approximately $2.0 million plus accrued dividends of approximately $3,000.

During the nine months ended September 30, 2021, the Company issued an aggregate of 54,181 shares of Common Stock in connection with the March 2021 Offering and July 2021 Offering, as detailed below.

Series C Purchase Agreement

On January 5, 2021, the Company closed on a securities purchase agreement (the “Series C Purchase Agreement”), pursuant to which the Company agreed to sell in a registered direct offering 5,333.33 shares of Series C Preferred Stock, at a price of $750.00 per share, initially convertible into an aggregate of 17,777 shares of Common Stock, at an initial stated value of $750.00 per share and a conversion price of $225.00 per share (the “January 2021 Registered Direct Offering”).

Concurrently with the January 2021 Registered Direct Offering, in a private placement offering pursuant to the Series C Purchase Agreement (the “January 2021 Private Placement”), the Company agreed to sell an additional 5,333.33 shares of Series C Preferred Stock at the same price as the Series C Preferred Stock offered in the January 2021 Registered Direct Offering and convertible on the same terms and warrants (the “January 2021 Investor Warrants”) to purchase up to an aggregate of 35,555 shares of Common Stock, with an exercise price of $240.00 per share and a maturity date of July 6, 2026.

The net proceeds to the Company from the offerings described above (the “January 2021 Offerings”), after deducting the placement agent’s fees and expenses, was approximately $7.1 million.

The Company also issued warrants to the placement agent (the “January 2021 Placement Agent Warrants”) exercisable for up to 2,488 shares of Common Stock, which is equal to 7.0% of the amount determined by dividing the gross proceeds of the January 2021 Offerings by the offering price per share of Common Stock, or $225.00. The January 2021 Placement Agent Warrants have substantially the same terms as the January 2021 Investor Warrants, except they are exercisable at $281.25 per share, or 125% of the effective purchase price per share of the Series C Preferred Stock issued.

The proceeds from the January 2021 Offerings were allocated to the Series C Preferred Stock and the January 2021 Investor Warrants based on their relative fair values. The total proceeds of approximately $7.1 million, net of $0.9 million offering costs, were allocated as follows: approximately $4.6 million to the Series C Preferred Stock and approximately $3.4 million to the January 2021 Investor Warrants. After allocation of the proceeds, the effective conversion price of the Series C Preferred Stock was determined to be beneficial and, as a result, the Company recorded a deemed dividend of approximately $4.5 million equal to the intrinsic value of the beneficial conversion feature and recognized on the closing date and recorded as a reduction of income available to common stockholders in computing basic and diluted loss per share. The total offering costs of approximately $0.9 million were recognized in equity.

During the nine months ended September 30, 2021, all outstanding shares of Series C Preferred Stock were converted to Common Stock.

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Warrants

9 Months Ended

Sep. 30, 2022

Warrants

Warrants

Note 10 – Warrants

Warrant activity for the nine months ended September 30, 2022 and 2021 was as follows:

		Weighted		Weighted
		Average		Average
	Number of	Exercise Price		Remaining
	Warrants	Per Share		Term in Years
Outstanding and exercisable on January 1, 2022	183,999	$	284.70	3.95
Issued	464,245		20.36	4.49
Expired	(4,279)		1,125.78	—
Exercised	(161,606)		0.30	4.42
Warrants outstanding and exercisable on September 30, 2022	482,359	$	90.19	4.07
Warrants outstanding and exercisable on January 1, 2021	83,687	$	366.00	4.04
Issued	133,114		233.03	4.11
Expired	(1,698)		1,080.16	—
Exercised	(31,712)		159.32	4.10
Warrants outstanding and exercisable on September 30, 2021	183,391	$	298.47	4.16

The outstanding warrants expire from 2022 through 2027.

In connection with the March 2022 Offering, the Company entered into a warrant amendment agreement with an investor pursuant to which the Company agreed to amend the investor’s existing warrants to purchase up to 35,555 shares of Common Stock at an exercise price of $240.00 per share issued in January 2021 and warrants to purchase up to 13,097 shares of Common stock at an exercise price of $363.00 per share issued in March 2021 (the “Existing Warrants”), in consideration for such investor’s purchase of $9.0 million of securities in the March 2022 Offering and payment of $0.8430 per share for each share of common stock issuable upon exercise of the Existing Warrants to (i) lower the exercise price of the Existing Warrants to $37.80 per share and (ii) extend the termination date of the Existing Warrants to March 2, 2027.

During the nine months ended September 30, 2022, the Company issued March 2022 Warrants, March 2022 Pre-Funded Warrants, and March 2022 Placement Agent Warrants to purchase 391,205 shares of Common Stock in connection with the March 2022 Offering, Exchange Warrants to purchase 6,374 shares of Common Stock in connection with a Series B Preferred Stock exchange (See Note 9), as well as July 2022 Warrants to purchase 66,666 shares of Common Stock in connection with the July 2022 Offering.

During the nine months ended September 30, 2021, the Company issued warrants, pre-funded warrants, and placement agent warrants to purchase 44,486 and 21,789 shares of the Company’s Common Stock in connection with the January 2021 Offerings and the March 2021 Offering, respectively, placement agent warrants to purchase 2,437 shares of the Company’s Common Stock in connection with the July 2021 Offering, warrants to purchase 63,736 shares of the Company’s Common Stock in connection with exchanges made pursuant to the Series B Exchange Right (See Note 9), as well as warrants to purchase 666 shares of Common Stock issued to a consultant.

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Equity Incentive Plan

9 Months Ended

Sep. 30, 2022

Equity Incentive Plan

Equity Incentive Plan

Note 11 – Equity Incentive Plan

The Company’s Board and stockholders adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”), which took effect on May 12, 2014. Upon adoption of the 2020 Plan on September 11, 2020, the Company ceased making grants under the 2014 Plan.

The Company’s Board and stockholders adopted and approved the 2020 Omnibus Equity Incentive Plan (the “2020 Plan”), which took effect on September 11, 2020. The initial number of shares of Common Stock available for issuance under the 2020 Plan is 33,333 shares, which will, on January 1 of each calendar year, unless the Board decides otherwise, automatically increase to equal ten percent (10)% of the total number of shares of Common Stock outstanding on December 31 of the immediately preceding calendar year, calculated on an As Converted Basis. As Converted Shares include all outstanding shares of Common Stock and all shares of Common Stock issuable upon the conversion of outstanding preferred stock, warrants and other convertible securities, but will not include any shares of Common Stock issuable upon the exercise of options and other convertible securities issued pursuant to either the 2014 Plan or the 2020 Plan. The number of shares permitted to be issued as “incentive stock options” (“ISOs”) is 50,000 under the 2020 Plan.

As of January 1, 2022, the number of shares of Common Stock available for issuance under the 2020 Plan automatically increased to 70,478.

As of September 30, 2022, there were an aggregate of 70,478 shares available under the 2020 Plan, of which 22,946 shares were issued and outstanding and 47,532 shares were available for potential issuances.

As of September 30, 2022, there were an aggregate of 8,680 shares available under the 2014 Plan, of which 5,012 shares were issued and outstanding and 2,094 shares are reserved subject to issuance of restricted stock and restricted stock unit awards (“RSUs”).

During the nine months ended September 30, 2022 and 2021, stock option activity under the 2014 Plan and 2020 Plan was as follows:

		Average		Remaining
	Number	Exercise		Contract	Intrinsic
	of Shares	Price		Life (Years)	Value
Outstanding at January 1, 2022	13,737	$	353.73	7.28	$	—
Granted	22,938		41.17	7.50		—
Canceled	(3,745)		355.14	—		—
Forfeited	(4,972)		120.20	—		—
Outstanding at September 30, 2022	27,958	$	138.63	8.45	$	—
Exercisable at September 30, 2022	13,740	$	215.59	7.75	$	—
Outstanding at January 1, 2021	13,567	$	373.80	7.94	$	—
Granted	5,841		258.30	10.00		—
Canceled	(4,482)		314.10	2.87		—
Outstanding at September 30, 2021	14,926	$	346.50	7.57	$	—
Exercisable at September 30, 2021	9,342	$	412.80	6.78	$	—

During the nine months ended September 30, 2022 and 2021, the Board approved the grant of options to purchase 22,938 and 5,841 shares of Common Stock, respectively. All option grants were pursuant to the 2020 Plan. In general, options granted under the 2020 Plan vest monthly over a 36-month period.

During the nine months ended September 30, 2022 and 2021, stock options to purchase an aggregate of 3,745 and 4,482 shares of Common Stock under the 2020 Plan were cancelled. During the nine months ended September 30, 2022, stock options to purchase 4,972 shares of Common Stock were forfeited.

For the nine months ended September 30, 2022 and 2021, the fair value of each option grant has been estimated on the date of grant using the Black-Scholes Option Pricing Model with the following weighted-average assumptions:

	2022		2021
Contractual term (in years)	6.50		10.00
Expected Volatility	90.92	%	88.71	%
Risk-free interest rate	1.12	%	1.29	%
Expected Dividend yield	0	%	0	%

Using the Black-Scholes Option Pricing Model, the estimated weighted average fair value of an option to purchase one share of common stock granted during the nine months ended September 30, 2022 and 2021 was $31.96 and $201.24, respectively.

As of September 30, 2022, the Company had unrecognized stock-based compensation expense of approximately $0.9 million. Approximately $0.4 million of this unrecognized expense will be recognized over the average remaining vesting term of the stock options of 8.44 years. Approximately $0.5 million of this unrecognized expense will vest upon achieving certain clinical and/or corporate milestones. The Company will recognize the expense related to these milestones when the milestones become probable.

As of September 30, 2021, the Company had unrecognized stock-based compensation expense of approximately $1.1 million. Approximately $0.9 million of this unrecognized expense will be recognized over the average remaining vesting term of the stock options of 1.85 years. Approximately $0.3 million of this unrecognized expense will vest upon achieving certain clinical and/or corporate milestones. The Company will recognize the expense related to these milestones when the milestones become probable.

As of September 30, 2022 and 2021, the Company had 916 shares of restricted stock that had not yet vested and unrecognized restricted common stock expense of approximately $394,000. Approximately $197,000 of this unrecognized expense vests upon the first commercial sale in the United States of Adrulipase and approximately $197,000 of this unrecognized expense vests upon the total market capitalization of the Company exceeding $1.0 billion for 20 consecutive trading days. These milestones were not considered probable as of September 30, 2022.

The total stock-based compensation expense for employees and non-employees is included in the accompanying condensed consolidated statements of operations and as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2022		2021		2022		2021
Research and development	$	22,623	$	126,611	$	93,870	$	556,688
General and administrative		69,018		55,803		590,908		712,022
Total stock-based compensation expense	$	91,641	$	182,414	$	684,778	$	1,268,710

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Agreements

9 Months Ended

Sep. 30, 2022

Agreements

Agreements

Note 12 – Agreements

License Agreement with First Wave Bio, Inc. (FWB)

On December 31, 2020, the Company entered into the FWB License Agreement, pursuant to which FWB granted us a worldwide, exclusive right to develop, manufacture, and commercialize FWB’s proprietary immediate release and enema formulations of niclosamide (the “Niclosamide Product”) for the fields of treating ICI-AC and COVID-19 in humans.

In consideration of the license and other rights granted by FWB, the Company agreed to pay FWB a $9.0 million upfront cash payment due within 10 days, which was paid in January 2021, and was obligated to make an additional payment of $1.25 million due on June 30, 2021, which was paid in July 2021. In addition, the Company was obligated to pay potential milestone payments to FWB totaling up to $37.0 million for each indication, based upon the achievement of specified development and regulatory milestones. In September 2021, the Company achieved a milestone related to clinical development of niclosamide in the COVID-19 field and has expensed $1.0 million in research and development. Under the FWB License Agreement, the Company was obligated to pay FWB royalties as a mid-single digit percentage of net sales of the Niclosamide Product, subject to specified reductions. The Company was also obligated to issue to FWB junior convertible preferred stock, initially convertible into $3.0 million worth of Common Stock based upon the volume weighted average price of the Common Stock for the five-day period immediately preceding the date of the FWB License Agreement, or $273.54 per share, convertible into an aggregate of 10,967 shares of Common Stock.

On January 8, 2021, the Company entered into a securities purchase agreement with FWB (the “FWB Purchase Agreement”) to issue junior convertible preferred stock to FWB. Pursuant to the FWB Purchase Agreement, the Company issued to FWB 3,290.1960 shares of Series C Preferred Stock, at an initial stated value of $750.00 per share and a conversion price of $225.00 per share, which is convertible into an aggregate of 10,967 shares of Common Stock. The shares of Series C Preferred Stock automatically converted into Common Stock upon the stockholder approval on February 24, 2021. The FWB Purchase Agreement contains demand and piggyback registration rights with respect to the Common Stock issuable upon conversion.

The conversion price of the Series C Preferred Stock was determined to be beneficial and, as a result, the Company recorded a deemed dividend of approximately $230,000 equal to the intrinsic value of the beneficial conversion feature and recognized on the issuance date and recorded as a reduction of income available to common stockholders in computing basic and diluted loss per share.

Upon the 2021 Stockholder Approval on February 24, 2021, the Company recognized a change in fair value of approximately $0.5 million based on the difference in fair value of the $3.0 million liability initially recorded pursuant to the FWB License Agreement as of December 31, 2020 and the fair value of approximately $2.5 million of Series C Preferred Stock issued pursuant to the FWB Purchase Agreement to settle the liability.

Following the 2021 Stockholder Approval, the shares of Series C Preferred Stock were automatically converted into Common Stock.

Upon consummating the Merger on September 13, 2021, the FWB License Agreement was effectively canceled.

Mayoly Agreement

On March 27, 2019, the Company and Laboratories Mayoly Spinder (“Mayoly”) entered into an Asset Purchase Agreement (the “Mayoly APA”), pursuant to which the Company purchased substantially all remaining rights, title and interest in and to adrulipase. Further, upon execution of the Mayoly APA, the Joint Development and License Agreement (the “JDLA”) previously executed by AzurRx SAS and Mayoly was assumed by the Company. In addition, the Company granted to Mayoly an exclusive, royalty-bearing right to revenue received from commercialization of adrulipase within certain territories.

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Leases

9 Months Ended

Sep. 30, 2022

Leases

Leases

Note 13 – Leases

The Company leases its offices under operating leases which are subject to various rent provisions and escalation clauses.

The Company is a party to two real property operating leases for the rental of office space. The Company has office space of 3,472 square feet in Boca Raton, Florida that is used for its corporate headquarters with a term through August 31, 2026. The Company also has office space in in Brooklyn, New York on a month-to-month basis. The Company was previously a party to office space in Hayward, California with a term through May 31, 2022, which was not renewed upon its expiration.

The Company’s leases expire at various dates through 2026. The escalation clauses are indeterminable and considered not material and have been excluded from minimum future annual rental payments.

Lease expense was approximately $36,000 and $79,000, respectively, for the three months ended September 30, 2022 and 2021 and $115,000 and $186,000, respectively, for the nine months ended September 30, 2022 and 2021.

The weighted-average remaining lease term and weighted-average discount rate under operating leases as of September 30, 2022 are:

	September 30,
	2022
Lease term and discount rate
Weighted-average remaining lease term (years)	3.9
Weighted-average discount rate	7.00	%

Maturities of operating lease liabilities as of September 30, 2022, were as follows:

2022 (remainder of year)	$	20,563
2023		83,691
2024		86,202
2025		88,788
2026		60,593
Total lease payments		339,837
Less imputed interest		(44,148)
Present value of lease liabilities	$	295,689

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Net Income (Loss) per Common Share

9 Months Ended

Sep. 30, 2022

Net Income (Loss) per Common Share

Net Income (Loss) per Common Share

Note 14 - Net Income (Loss) per Common Share

Basic net income (loss) per share is computed by dividing net income (loss) available to common stockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per share reflect, in periods in which they have a dilutive effect, the impact of common shares issuable upon exercise of stock options and warrants and conversion of convertible preferred stock that are not deemed to be anti-dilutive. The dilutive effect of the outstanding stock options, warrants and preferred stock is computed using the treasury stock method. In periods where the Company records a net loss, unvested restricted common stock and potential common stock equivalents are not included in the calculation of diluted net loss per share as their effect would be anti-dilutive.

For the three months ended September 30, 2022, stock options in the amount of 27,958 and warrants in the amount of 482,359 were excluded from the calculation of diluted net income per share as they did not have a dilutive effect. For the three months ended September 30, 2022, convertible preferred stock in the amount of 24,321 shares were included in the calculation of diluted net income per share.

Basic and diluted net income (loss) per share was calculated as follows:

	Three Months Ended				Nine Months Ended
	September 30, 2022		September 30, 2021		September 30, 2022		September 30, 2021
Net income (loss)	$	4,391,331	$	(30,400,788)	$	(10,643,653)	$	(47,365,362)
Basic weighted average shares outstanding		1,601,415		311,411		952,794		253,118
Convertible preferred stock		24,321		—		—		—
Diluted weighted average shares outstanding		1,625,736		311,411		952,794		253,118
Basic net income (loss) per share	$	2.64	$	(98.00)	$	(11.53)	$	(289.31)
Diluted net income (loss) per share	$	2.60	$	(98.00)	$	(11.53)	$	(289.31)

All shares of Common Stock that may potentially be issued in the future are as follows:

	September 30, 2022	September 30, 2021
	(unaudited)	(unaudited)
Common stock warrants	482,359	183,391
Stock options	27,958	14,926
Convertible preferred stock (1)	24,321	24,045
Total shares of common stock issuable	534,638	222,362

(1) Convertible preferred stock is assumed to be converted at the rate of $231.00 per common share, which is the conversion price as of September 30, 2022.

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Employee Benefit Plans

9 Months Ended

Sep. 30, 2022

Employee Benefit Plans

Employee Benefit Plans

Note 15 - Employee Benefit Plans

401(k) Plan

Since 2015, the Company has sponsored a multiple employer defined contribution benefit plan, which complies with Section 401(k) of the Internal Revenue Code covering substantially all employees of the Company.

All employees are eligible to participate in the plan. Employees may contribute from 1% to 100% of their compensation and the Company matches an amount equal to 100% on the first 6% of the employee contribution and may also make discretionary profit-sharing contributions.

Employer contributions under this 401(k) plan amounted to approximately $21,000 and $26,000 for the three months ended September 30, 2022 and 2021, respectively, and approximately $97,000 and $81,000 for the nine months ended September 30, 2022 and 2021, respectively.

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Subsequent Events

9 Months Ended

Sep. 30, 2022

Subsequent Events

Subsequent Events

Note 16 - Subsequent Events

The Company evaluated subsequent events and transactions that occurred after the balance sheet date up to the date that the financial statements were available to be issued. The Company did not identify any subsequent events that would have required adjustment or disclosure in the financial statements except for the item noted below.

Dissolution of AzurRx SAS

Effective October 26, 2022, AzurRx SAS was dissolved.

Public Offering

On October 6, 2022, the Company entered into a securities purchase agreement with investors pursuant to which the Company agreed to sell, in a best efforts public offering (the “October 2022 Offering”) priced at the market under Nasdaq rules, an aggregate of (i) 255,000 shares of Common Stock, (ii) pre-funded warrants (the “October 2022 Pre-Funded Warrants”) to purchase up to an aggregate of 3,183,396 shares of Common Stock and (iii) common warrants (the “October 2022 Warrants”) to purchase up to an aggregate of 3,438,396 shares of Common Stock. The public offering price for each share of Common Stock and accompanying October 2022 Warrant to purchase one share of Common Stock was $1.745, and the public offering price for each October 2022 Pre-Funded Warrant and accompanying October 2022 Warrant to purchase one share of Common Stock was $1.7449. The October 2022 Pre-Funded Warrants have an exercise price of $0.0001 per share, were exercisable immediately upon issuance and will expire when exercised in full. The October 2022 Warrants have an exercise price of $1.62 per share, were exercisable immediately upon issuance and will expire five years from the initial exercise date.

The net proceeds of the October 2022 Offering, after deducting the placement agent’s fees and expenses and other offering expenses payable by the Company and excluding the net proceeds, if any, from the exercise of the October 2022 Warrants, is $5.2 million. The Company intends to use the net proceeds from the October 2022 Offering to make the final upfront payment owed to the former stockholders of FWB pursuant to the July 2022 Settlement Agreement. The Company intends to use the remaining net proceeds from the October 2022 Offering for working capital and general corporate purposes. The October 2022 Offering closed on October 11, 2022.

July 2022 Offering

On October 5, 2022, the Company entered into termination agreements with Wainwright to void 4,000 warrant shares issued to Wainwright pursuant to the July 2022 Offering.

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Significant Accounting Policies and Recent Accounting Pronouncements (Policies)

9 Months Ended

Sep. 30, 2022

Significant Accounting Policies and Recent Accounting Pronouncements

Use of Estimates

Use of Estimates

The accompanying unaudited condensed consolidated financial statements are prepared in conformity with GAAP and include certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements (including goodwill and intangible assets), and the reported amounts of revenue and expense during the reporting period, including contingencies. Accordingly, actual results may differ from those estimates.

Reverse Stock Split

Reverse Stock Split

On August 26, 2022, the Company effected a reverse stock split, whereby every thirty shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, but without any change in the number of authorized shares of common stock and the par value per share.

On September 13, 2021, the Company effected a reverse stock split, whereby every ten shares of the Company’s issued and outstanding common stock was converted automatically into one issued and outstanding share of common stock, with a corresponding 1-for-10 reduction in the number of authorized shares of common stock, but without any change in the par value per share.

All share and per share amounts have been retroactively restated to reflect the reverse stock splits referenced above.

Reclassifications

Reclassifications 

Certain prior period balance sheet amounts have been reclassified to conform to the fiscal 2022 presentation.

Cash, Cash Equivalents and Restricted Cash

Cash, Cash Equivalents and Restricted Cash

The Company considers all highly liquid investments with maturities of three months or less from date of purchase to be cash equivalents. All cash balances were highly liquid on September 30, 2022, and December 31, 2021, respectively. As of September 30, 2022 and December 31, 2021, the Company has classified approximately $0.022 million and $0 million, respectively, as restricted cash.

Concentrations of Credit Risk

Concentrations of Credit Risk

Financial instruments that potentially expose the Company to concentrations of credit risk consist of cash. The Company primarily maintains its cash balances with financial institutions in federally insured accounts in the U.S. The Company may from time to time have cash in banks in excess of FDIC insurance limits. On September 30, 2022, and December 31, 2021, the Company had approximately $1.1 million and $7.5 million, respectively, in one account in the U.S. in excess of these limits. The Company has not experienced any losses to date resulting from this practice.

The Company also has exposure to foreign currency risk as its subsidiary in France has a functional currency in Euros.

Fair Value Measurements

Fair Value Measurements

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

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

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

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

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

In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, an instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the overall fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the financial instrument.

The Company recognizes transfers between levels as if the transfers occurred on the last day of the reporting period.

Foreign Currency Translation

Foreign Currency Translation

The Company’s foreign subsidiary has operations denominated in a foreign currency, and assets and liabilities are translated to U.S. dollars, which is the functional currency, at period end exchange rates. Income and expense items are translated at average rates of exchange prevailing during the periods presented. Gains and losses from translation adjustments are accumulated in a separate component of stockholders’ equity.

Goodwill and Intangible Assets

Goodwill and Intangible Assets

Goodwill represents the excess of the purchase price of the acquired business over the fair value of amounts assigned to assets acquired and liabilities assumed. Goodwill and other intangible assets with indefinite useful lives are reviewed for impairment annually or more frequently if events or circumstances indicate impairment may be present. Any excess in carrying value over the estimated fair value is charged to results of operations. The Company has not recognized any impairment charges through September 30, 2022.

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

Patents 7.2 years

The carrying amounts of finite-lived intangible assets are evaluated for recoverability whenever events or changes in circumstances indicate that the Company may be unable to recover the asset’s carrying amount. Given changes in the projected usage of the patents, the Company recognized impairment charges of approximately $2.4 million at December 31, 2021.

Impairment of Long-Lived Assets

Impairment of Long-Lived Assets

The Company periodically evaluates its long-lived assets for potential impairment in accordance with ASC Topic 360, Property, Plant and Equipment (“ASC 360”). Potential impairment is assessed when there is evidence that events or changes in circumstances indicate that the carrying amount of an asset may not be recovered. Recoverability of these assets is assessed based on undiscounted expected future cash flows from the assets, considering a number of factors, including past operating results, budgets and economic projections, market trends and product development cycles. If impairments are identified, assets are written down to their estimated fair value. The Company has not recognized any impairment charges through September 30, 2022.

Leases

Leases

The Company determines if an arrangement is a lease at inception. Operating leases are included in right-of-use (“ROU”) assets, and lease liability obligations are included in the Company’s balance sheets. ROU assets represent the Company’s right to use an underlying asset for the lease term and lease liability obligations represent its obligation to make lease payments arising from the lease. ROU assets and liabilities are recognized at the commencement date based on the present value of lease payments over the lease term. As the Company’s leases typically do not provide an implicit rate, the Company estimates its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The Company uses the implicit rate when readily determinable. The ROU asset also includes any lease payments made and excludes lease incentives and lease direct costs. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. Lease expense is recognized on a straight-line basis over the lease term. Please refer to Note 13 for additional information.

Research and Development

Research and Development

Research and development costs are charged to operations when incurred and are included in operating expense, except for goodwill related to patents. Research and development costs consist principally of compensation of employees and consultants that perform the Company’s research activities, payments to third parties for preclinical and non-clinical activities, expenses with clinical research organizations (“CROs”), investigative sites, consultants and contractors that conduct or provide other services relating to clinical trials, costs to acquire drug product, drug supply and clinical trial materials from contract development and manufacturing organization (“CDMOs”) and third-party contractors relating to chemistry, manufacturing and controls (“CMC”) efforts, the fees paid for and to maintain the Company’s licenses, amortization of intangible assets related to the acquisition of adrulipase, and research and development costs related to adrulipase and niclosamide. Depending upon the timing of payments to the service providers, the Company recognizes prepaid expenses or accrued expenses related to these costs. These accrued or prepaid expenses are based on management’s estimates of the work performed under service agreements, milestones achieved and experience with similar contracts. The Company monitors each of these factors and adjusts estimates accordingly.

Research and Development – Intellectual Property Acquired

The Company records intellectual property in asset acquisitions that have not reached technological feasibility and which have no alternative future use, as an expense at the acquisition date. On December 31, 2020, the Company entered into a license agreement (the “FWB License Agreement”) with FWB, pursuant to which FWB granted the Company an exclusive license to certain patents and patent applications related to a proprietary formulation of niclosamide for use in the fields of ICI-AC and COVID-19 GI infections. The acquisition of intellectual property and patents for the worldwide, exclusive right to develop, manufacture, and commercialize proprietary formulations of niclosamide for the fields of treating ICI-AC and COVID-19 in humans was accounted for as an asset acquisition and initial liabilities of approximately $13.3 million in connection with the license acquisition were recorded as research and development expense, because it was determined to have no alternative future uses and therefore no separate economic value, which included cash payments totaling approximately $10.3 million and the issuance of approximately $3.0 million worth of preferred stock (see Note 12). Upon consummation of the Merger (see Note 4) on September 13, 2021, the FWB License Agreement was effectively canceled and the total purchase price of $22.0 million was recorded as an expense at the Merger date.

On July 29, 2022, the Company reached an agreement to restructure its obligations to the former FWB stockholders (the “July 2022 Term Sheet”). The Company agreed to pay: (i) $1.5 million in cash on July 29, 2022; (2) $1.0 million in cash no later than September 29, 2022 (the “Second Payment”); and (iii) $2.0 million on the earlier of November 30, 2022 or the completion of one or more qualifying equity offerings. As of September 30, 2022, the Company made payments to the former FWB stockholders of $2.5 million consisting of the upfront payment of $1.5 million and the Second Payment of $1.0 million. In accordance with the terms of the agreement, effective upon the Second Payment, the approximately $10.1 million of remaining fixed payment obligations previously owed to the former FWB shareholders was settled, which was recorded as a decrease to expense in the three months ended September 30, 2022. The $2.0 million payment owed by November 30, 2022 was recorded as an expense upon execution of the July 2022 Term Sheet (see Note 4).

Stock-Based Compensation

Stock-Based Compensation

The Company’s board of directors (the “Board”) and stockholders have adopted and approved the Amended and Restated 2014 Omnibus Equity Incentive Plan (the “2014 Plan”) which took effect on May 12, 2014, and the 2020 Omnibus Equity Incentive Plan, which took effect on September 11, 2020 (the “2020 Plan”). From the effective date of the 2020 Plan, no new awards have been or will be made under the 2014 Plan. The Company accounts for its stock-based compensation awards to employees, consultants, and Board members in accordance with ASC Topic 718, Compensation-Stock Compensation (“ASC 718”). ASC 718 requires all stock-based payments to employees, consultants, and Board members, including grants of employee stock options, to be recognized in the statements of operations by measuring the fair value of the award on the date of grant and recognizing this fair value as stock-based compensation using a straight-line method over the requisite service period, generally the vesting period.

For awards with performance conditions that affect their vesting, such as the occurrence of certain transactions or the achievement of certain operating or financial milestones, recognition of fair value of the award occurs when vesting becomes probable.

The Company estimates the grant date fair value of stock option awards using the Black-Scholes option-pricing model. The use of the Black-Scholes option-pricing model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the Common Stock consistent with the expected life of the option, risk-free interest rates and expected dividend yields of the Common Stock.

Recent Accounting Pronouncements

Recent Accounting Pronouncements

In August 2020, the Financial Accounting Standards Board (the “FASB”) issued accounting pronouncement (ASU 2020-06) related to the measurement and disclosure requirements for convertible instruments and contracts in an entity’s own equity. The pronouncement simplifies and adds disclosure requirements for the accounting and measurement of convertible instruments and the settlement assessment for contracts in an entity’s own equity. As a smaller reporting company, as defined by the U.S. Securities and Exchange Commission (the “SEC”), this pronouncement is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2023. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company early adopted ASU 2020-06 effective January 1, 2022.

In June 2016, the FASB issued accounting pronouncement ASU 2016-13 – Measurement of Credit Losses on Financial Statements. The new standard requires that expected credit losses relating to financial assets measured on an amortized cost basis and available-for-sale debt securities be recorded through an allowance for credit losses. It also limits the amount of credit losses to be recognized for available-for-sale debt securities to the amount by which carrying value exceeds fair value and also requires the reversal of previously recognized credit losses if fair value increases. In November 2019, the FASB issued ASU 2019-10 – Financial Instruments – Credit Losses (Topic 326), Derivatives and Hedging (Topic 815), and Leases (Topic 842): Effective Dates, which amended the effective date for certain companies. The standard is effective for public companies eligible to be smaller reporting companies for annual and interim periods beginning after December 15, 2022. Early adoption is available. The Company does not expect the adoption of this standard to have a material effect on its financial statements and related disclosures.

In June 2022, the FASB issued ASU 2022-03 - Fair Value Measurement, or Topic 820: Fair Value Measurement of Equity Securities Subject to Contractual Sale Restrictions, or ASU 2016-13. This new standard clarifies the guidance in Topic 820 when measuring the fair value of an equity security subject to contractual restrictions that prohibit the sale of an equity security and introduces new disclosure requirements for equity securities subject to contractual sale restrictions that are measured at fair value in accordance with Topic 820. The Company has assessed the impact of the update and determined it does not have a material impact on the accompanying financial statements and disclosures.

The Company has evaluated other recently issued accounting pronouncements and has concluded that the impact of recently issued standards that are not yet effective will not have a material impact on the Company’s financial position or results of operations upon adoption.

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Fair Value Disclosures (Tables)

9 Months Ended

Sep. 30, 2022

Fair Value Disclosures

Summary of financial instruments

			Fair Value Measured at Reporting Date
			Using
	Carrying
	Amount		Level 1		Level 2		Level 3		Fair Value
September 30, 2022 (unaudited):
Money market funds	$	505,179	$	505,179	$	—	$	—	$	505,179
Note payable		—		—		—		—		—
December 31, 2021:
Money market funds		501,607		501,607		—		—		501,607
Note payable	$	641,236	$	—	$	641,236	$	—	$	641,236

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Property, Equipment and Leasehold Improvements (Tables)

9 Months Ended

Sep. 30, 2022

Property, Equipment and Leasehold Improvements

Summary of property, equipment and leasehold improvements

	September 30,
	2022		December 31,
	(unaudited)		2021
Computer equipment and software	$	11,540	$	11,540
Office equipment		48,278		48,278
Leasehold improvements		28,000		28,000
Total property, plant, and equipment		87,818		87,818
Less accumulated depreciation		(36,661)		(14,708)
Property, plant and equipment, net	$	51,157	$	73,110

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Intangible Assets and Goodwill (Tables)

9 Months Ended

Sep. 30, 2022

Intangible Assets and Goodwill

Schedule of patents

Common stock issued at signing to Mayoly	$	1,740,959
Due to Mayoly at December 31, 2019		449,280
Due to Mayoly at December 31, 2020		393,120
Assumed Mayoly liabilities and forgiveness of Mayoly debt		1,219,386
Total Patents	$	3,802,745

Schedule of intangible assets

	September 30,
	2022		December 31,
	(unaudited)		2021
Patents	$	—	$	3,802,745
Less accumulated amortization		—		(1,450,757)
Intangible asset impairment		—		(2,351,988)
Patents, net	$	—	$	—

Schedule of goodwill

	Goodwill
Balance on January 1, 2021	$	2,054,048
Foreign currency translation		(142,343)
Balance on December 31, 2021		1,911,705
Foreign currency translation		(196,918)
Balance on September 30, 2022 (unaudited)	$	1,714,787

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Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2022

Accrued Expenses

Summary of accrued expenses

	September 30,
	2022		December 31,
	(unaudited)		2021
Professional fees	$	205,932	$	15,000
Payroll and benefits		40,771		274,153
Consulting fees		25,565		104,100
Total accrued expenses	$	272,268	$	393,253

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Warrants (Tables)

9 Months Ended

Sep. 30, 2022

Warrants

Schedule of warrant activity

		Weighted		Weighted
		Average		Average
	Number of	Exercise Price		Remaining
	Warrants	Per Share		Term in Years
Outstanding and exercisable on January 1, 2022	183,999	$	284.70	3.95
Issued	464,245		20.36	4.49
Expired	(4,279)		1,125.78	—
Exercised	(161,606)		0.30	4.42
Warrants outstanding and exercisable on September 30, 2022	482,359	$	90.19	4.07
Warrants outstanding and exercisable on January 1, 2021	83,687	$	366.00	4.04
Issued	133,114		233.03	4.11
Expired	(1,698)		1,080.16	—
Exercised	(31,712)		159.32	4.10
Warrants outstanding and exercisable on September 30, 2021	183,391	$	298.47	4.16

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Equity Incentive Plan (Tables)

9 Months Ended

Sep. 30, 2022

Equity Incentive Plan

Schedule of stock option activity

		Average		Remaining
	Number	Exercise		Contract	Intrinsic
	of Shares	Price		Life (Years)	Value
Outstanding at January 1, 2022	13,737	$	353.73	7.28	$	—
Granted	22,938		41.17	7.50		—
Canceled	(3,745)		355.14	—		—
Forfeited	(4,972)		120.20	—		—
Outstanding at September 30, 2022	27,958	$	138.63	8.45	$	—
Exercisable at September 30, 2022	13,740	$	215.59	7.75	$	—
Outstanding at January 1, 2021	13,567	$	373.80	7.94	$	—
Granted	5,841		258.30	10.00		—
Canceled	(4,482)		314.10	2.87		—
Outstanding at September 30, 2021	14,926	$	346.50	7.57	$	—
Exercisable at September 30, 2021	9,342	$	412.80	6.78	$	—

Schedule of option pricing model with the following weighted-average assumptions

	2022		2021
Contractual term (in years)	6.50		10.00
Expected Volatility	90.92	%	88.71	%
Risk-free interest rate	1.12	%	1.29	%
Expected Dividend yield	0	%	0	%

Schedule of stock-based compensation expense

	Three Months Ended September 30,				Nine Months Ended September 30,
	2022		2021		2022		2021
Research and development	$	22,623	$	126,611	$	93,870	$	556,688
General and administrative		69,018		55,803		590,908		712,022
Total stock-based compensation expense	$	91,641	$	182,414	$	684,778	$	1,268,710

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Leases (Tables)

9 Months Ended

Sep. 30, 2022

Leases

Weighted-average remaining lease term and weighted-average discount rate under operating leases

	September 30,
	2022
Lease term and discount rate
Weighted-average remaining lease term (years)	3.9
Weighted-average discount rate	7.00	%

Maturities of operating lease liabilities

Maturities of operating lease liabilities as of September 30, 2022, were as follows:

2022 (remainder of year)	$	20,563
2023		83,691
2024		86,202
2025		88,788
2026		60,593
Total lease payments		339,837
Less imputed interest		(44,148)
Present value of lease liabilities	$	295,689

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Net Income (Loss) per Common Share (Tables)

9 Months Ended

Sep. 30, 2022

Net Income (Loss) per Common Share

Schedule of basic and diluted net income (loss) per share

	Three Months Ended				Nine Months Ended
	September 30, 2022		September 30, 2021		September 30, 2022		September 30, 2021
Net income (loss)	$	4,391,331	$	(30,400,788)	$	(10,643,653)	$	(47,365,362)
Basic weighted average shares outstanding		1,601,415		311,411		952,794		253,118
Convertible preferred stock		24,321		—		—		—
Diluted weighted average shares outstanding		1,625,736		311,411		952,794		253,118
Basic net income (loss) per share	$	2.64	$	(98.00)	$	(11.53)	$	(289.31)
Diluted net income (loss) per share	$	2.60	$	(98.00)	$	(11.53)	$	(289.31)

Schedule of Common Stock that may potentially be issued in the future

	September 30, 2022	September 30, 2021
	(unaudited)	(unaudited)
Common stock warrants	482,359	183,391
Stock options	27,958	14,926
Convertible preferred stock (1)	24,321	24,045
Total shares of common stock issuable	534,638	222,362

(1) Convertible preferred stock is assumed to be converted at the rate of $231.00 per common share, which is the conversion price as of September 30, 2022.

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The Company and Basis of Presentation (Details) - USD ($)	9 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
The Company and Basis of Presentation
Cash and cash equivalents	$ 1,657,013	$ 8,248,684
Accumulated deficit	(164,547,700)	$ (153,904,047)
Working capital	4,100,000
Proceeds from issuance of shares	$ 5,200,000

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Significant Accounting Policies and Recent Accounting Pronouncements (Details) - USD ($)										1 Months Ended	3 Months Ended		9 Months Ended		12 Months Ended
	Nov. 30, 2022	Sep. 30, 2022	Sep. 29, 2022	Aug. 26, 2022	Jul. 29, 2022	Jul. 22, 2022	May 19, 2022	Sep. 13, 2021	Dec. 31, 2020	Jul. 31, 2022	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Significant accounting policies and recent accounting pronouncements
Number of shares reduced due to reverse stock split				30				10			30	10	30	10
Restricted cash		$ 22,000.000									$ 22,000.000		$ 22,000.000		$ 0
Cash in US banks in excess of FDIC insurance limits		1,100,000									1,100,000		$ 1,100,000		7,500,000
Finite-lived intangible asset, useful life (year)													7 years 2 months 12 days
Intangible asset impairment															$ 2,400,000
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration]															Other Nonoperating Income (Expense)
Asset impairment charges													$ 0
First Wave License Agreement
Significant accounting policies and recent accounting pronouncements
Asset acquisition consideration transferred									$ 13,300,000
Payments to acquire intangible assets									10,300,000
Cash consideration									$ 3,000,000.0				3,000,000.0
First Wave Bio Inc [Member]
Significant accounting policies and recent accounting pronouncements
Asset acquisition consideration transferred	$ 2,000,000.0		$ 1,000,000.0		$ 1,500,000						2,500,000		$ 4,900,000		$ 7,000,000.0
Cash consideration								$ 4,000,000.0		$ 1,500,000
Asset Acquisition, Consideration Transferred, Contingent Consideration							$ 4,000,000.0
Asset acquisition total purchase price								22,000,000.0
Payments made								$ 3,000,000.0
First Wave Bio Inc [Member] | Former Stockholders
Significant accounting policies and recent accounting pronouncements
Initial payment						$ 1,500,000
Second payment			$ 1,000,000.0
Third payment on completion of one or more qualifying equity offerings	2,000,000.0
Upfront payment paid		1,500,000
Second payment paid		1,000,000.0
Extinguishment of remaining fixed payment obligations											$ 10,100,000
Third payment recorded as expense	$ 2,000,000.0
Payments made		$ 2,500,000

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Fair Value Disclosures (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Fair value disclosures
Money market funds	$ 1,657,013	$ 8,248,684
Note payable		641,236
Carrying Amount
Fair value disclosures
Note payable		641,236
Fair Value, Inputs, Level 2
Fair value disclosures
Note payable		641,236
Money Market Funds
Fair value disclosures
Money market funds	505,179	501,607
Money Market Funds | Carrying Amount
Fair value disclosures
Money market funds	505,179	501,607
Money Market Funds | Fair Value, Inputs, Level 1
Fair value disclosures
Money market funds	$ 505,179	$ 501,607

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Asset Acquisition (Details) - USD ($)									1 Months Ended	3 Months Ended	9 Months Ended	11 Months Ended	12 Months Ended
	Nov. 30, 2022	Sep. 30, 2022	Sep. 29, 2022	Jul. 29, 2022	May 19, 2022	Nov. 15, 2021	Oct. 29, 2021	Sep. 13, 2021	Jul. 31, 2022	Sep. 30, 2022	Sep. 30, 2022	Jul. 31, 2023	Dec. 31, 2021	Mar. 02, 2022	Mar. 10, 2021
Shares issued price per share (in dollars per share)														$ 41.25	$ 381.75
First Wave Bio Inc [Member]
Payment to acquire								$ 3,000,000.0
Asset acquired equity issued (in shares)								20,800
Asset acquisition total purchase price								$ 22,000,000.0
Asset acquisition consideration transferred liabilities incurred								$ 8,000,000.0			$ 7,000,000.0
Maximum term for the payment of purchase price								45 days
Milestone payment									$ 2,000,000.0
Asset Acquisition, Potential Milestone Payments		$ 10,100,000								$ 10,100,000	10,100,000		$ 2,000,000.0
Asset acquisition consideration transferred	$ 2,000,000.0		$ 1,000,000.0	$ 1,500,000						$ 2,500,000	4,900,000		7,000,000.0
Cash consideration								$ 4,000,000.0	$ 1,500,000
Asset acquired equity issued (in shares)								20,800
Shares issued price per share (in dollars per share)								$ 192.30
Asset Acquisition, Consideration Transferred, Contingent Consideration					$ 4,000,000.0
First Wave Bio Inc [Member] | Research and development
Non-contingent purchase price													21,300,000
First Wave Bio Inc [Member] | General and administrative expense.
Consideration transaction cost													$ 900,000
First Wave Bio Inc [Member] | Former Stockholders
Payment to acquire		$ 2,500,000
Milestone payment							$ 2,000,000.0
Awarded to other party							$ 8,000,000.0
First Wave Bio Inc [Member] | Development Achievement Threshold [Member]
Asset Acquisition, Potential Milestone Payments								$ 207,000,000
Percentage of cash milestone payments								25.00%
First Wave Bio Inc [Member] | Patent Infringement [Member]
Percentage of cash consideration								10.00%
First Wave Bio Inc [Member] | Settlement Agreement
Milestone payment						$ 2,000,000.0
Awarded to other party						$ 15,000,000.0
Percentage of amount on the transactions consummated by the company						10.00%
Specified amount of transactions for applying percentage						$ 10,000,000.0
Stock cancelled during period, shares, acquisitions (in shares)						332,913
Payment of periodic installments											$ 500,000
First Wave Bio Inc [Member] | Settlement Agreement | Forecast
Payment of periodic installments												$ 1,000,000.0

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Property, Equipment and Leasehold Improvements - Property (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Property, Equipment and Leasehold Improvements
Total property, plant, and equipment	$ 87,818		$ 87,818		$ 87,818
Less accumulated depreciation	(36,661)		(36,661)		(14,708)
Property, plant and equipment, net	51,157		51,157		73,110
Depreciation expense	7,300	$ 6,000	22,000	$ 9,000
Computer equipment and software
Property, Equipment and Leasehold Improvements
Total property, plant, and equipment	11,540		11,540		11,540
Office equipment
Property, Equipment and Leasehold Improvements
Total property, plant, and equipment	48,278		48,278		48,278
Leasehold improvements
Property, Equipment and Leasehold Improvements
Total property, plant, and equipment	$ 28,000		$ 28,000		$ 28,000

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Intangible Assets and Goodwill - Patents (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2020	Dec. 31, 2019
Patents
Patents	$ 3,802,745
Common stock issued at signing to Mayoly
Patents
Patents			$ 1,740,959
Due to Mayoly
Patents
Patents		$ 393,120	$ 449,280
Assumed Mayoly liabilities and forgiveness of Mayoly debt
Patents
Patents	$ 1,219,386

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Intangible Assets and Goodwill - Intangible Assets (Details)	Dec. 31, 2021 USD ($)
Intangible Assets and Goodwill
Patents	$ 3,802,745
Less accumulated amortization	(1,450,757)
Intangible asset impairment	$ (2,351,988)

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Intangible Assets and Goodwill (Details) - USD ($)	3 Months Ended	9 Months Ended	12 Months Ended
	Sep. 30, 2021	Sep. 30, 2021	Dec. 31, 2021
Intangible Assets and Goodwill
Amortization expense	$ 132,000	$ 396,000
Intangible asset impairment			$ 2,400,000
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration]			Other Nonoperating Income (Expense)

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Intangible Assets and Goodwill - Goodwill (Details) - USD ($)	9 Months Ended	12 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Intangible Assets and Goodwill
Balance	$ 1,911,705	$ 2,054,048
Foreign currency translation	(196,918)	(142,343)
Balance	$ 1,714,787	$ 1,911,705

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Accrued Expenses (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Accrued Expenses
Professional fees	$ 205,932	$ 15,000
Payroll and benefits	25,565	104,100
Consulting fees	40,771	274,153
Total accrued expenses	$ 272,268	$ 393,253

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Note Payable (Details) - USD ($)	Nov. 30, 2021	Sep. 30, 2022	Dec. 31, 2021
Note Payable
Note payables		$ 0	$ 641,000
Financing Agreement for Directors and Officer's Liability Insurance
Note Payable
Debt Instrument, term	9 months
Debt Instrument, face amount	$ 957,000
Debt instrument, interest Rate	3.99%
Debt instrument, periodic payment	$ 81,000

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Capital Stock (Details)												1 Months Ended		3 Months Ended		9 Months Ended		12 Months Ended
	Aug. 26, 2022 $ / shares shares	Jul. 27, 2022 USD ($) shares	Jul. 22, 2022 USD ($) $ / shares shares	Jul. 15, 2022 USD ($) $ / shares shares	May 12, 2022 $ / shares shares	Mar. 02, 2022 USD ($) $ / shares shares	Feb. 07, 2022 USD ($) $ / shares	Sep. 13, 2021 shares	May 26, 2021 shares	Mar. 10, 2021 USD ($) $ / shares shares	Jan. 06, 2021 USD ($)	Mar. 31, 2021 USD ($)	Jan. 31, 2021 $ / shares shares	Sep. 30, 2022 USD ($) $ / shares shares	Sep. 30, 2021 USD ($) $ / shares shares	Sep. 30, 2022 USD ($) $ / shares shares	Sep. 30, 2021 USD ($) $ / shares shares	Dec. 31, 2021 USD ($) $ / shares shares	Dec. 31, 2020 USD ($) shares	Jul. 31, 2022	Feb. 13, 2022 shares	Nov. 30, 2019 USD ($) shares
Common stock, shares authorized (in shares)														50,000,000		50,000,000		50,000,000			25,000,000
Common stock, par or stated value per share (in dollars per share) | $ / shares														$ 0.0001		$ 0.0001		$ 0.0001
Preferred stock, shares designated (in shares)														10,000,000		10,000,000
Preferred stock, par or stated value per share (in dollars per share) | $ / shares														$ 0.0001		$ 0.0001
Number of shares reduced due to reverse stock split	30							10						30	10	30	10
Common stock, shares, issued, total (in shares)														2,307,008		2,307,008		495,194
Common stock, shares, outstanding, ending balance (in shares)														2,307,008		2,307,008		495,194
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares						$ 37.80
Purchase of aggregate common stock														482,359	183,391	482,359	183,391	183,999	83,687
Deemed dividend on warrant modifications | $														$ (47,000.000)		$ (47,300)
Class of warrant or right, number of securities called by warrants or rights (in shares)						1									666		666
Stock issued during period, value, new issues | $														$ 7,373,355	$ 7,150,847	7,691,222	$ 8,325,195
Proceeds from Issuance of Common Stock | $						$ 8,000,000.0										7,971,932	$ 18,156,050
Issuance of common stock, pre-funded warrants and warrants in registered direct offering, net of issuance costs (in shares)						55,000				19,333
Shares issued, price per share (in dollars per share) | $ / shares						$ 41.25				$ 381.75
Warrants and rights outstanding, term (year)						5 years				5 years
Proceeds from Issuance or Sale of Equity, Total | $																$ 5,200,000
Preferred stock, convertible, conversion price (in dollars per share) | $ / shares	$ 4.50
Conversion of stock, shares issued (in shares)															34,848
Canceled														98	56	98
Reverse stock split ratio														30	10	30
Payments of Stock Issuance Costs | $																$ 138,684
Pre-funded warrants to purchase of common stock										6,861
FWB
Conversion of stock, shares issued (in shares)															11,097
Class of Warrant or Rights, Investor and Pre_funded Warrants
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares										$ 3.00
Class of warrant or right, number of securities called by warrants or rights (in shares)										13,097
January 2021 Investor Warrants
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares													$ 240.00
Class of warrant or right, number of securities called by warrants or rights (in shares)													35,555
Proceeds from Issuance or Sale of Equity, Total | $											$ 3,400,000
Series C Warrants
Class of warrant or right, number of securities called by warrants or rights (in shares)						216,606
Pre-Funded Warrant
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares						$ 51.90								$ 0.9		$ 0.9
Class of warrant or right, number of securities called by warrants or rights (in shares)						161,606
Shares issued, price per share (in dollars per share) | $ / shares						$ 41.55
Warrants and rights outstanding, term (year)						5 years
Class of Warrant or Right, Number of Securities Called by Each Warrant or Right (in shares)						1
Offering costs | $						$ 2,300,000
Proceeds from Issuance or Sale of Equity, Total | $						$ 300,000
January 2021 Placement Agent Warrants
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares															$ 281.25		$ 281.25
Class of warrant or right, number of securities called by warrants or rights (in shares)															2,488		2,488
Shares issued, price per share (in dollars per share) | $ / shares															$ 225.00		$ 225.00
Percentage Of Common Stock Issued In Offering																	7.00%
March 2022 Prefunded Warrants [Member]
Class of warrant or right, number of securities called by warrants or rights (in shares)						1
Proceeds from Issuance or Sale of Equity, Total | $						$ 6,400,000
March 2021 Placement Agent Warrants
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares										$ 477.18
Class of Warrant or Right, Number of Securities Called by Each Warrant or Right (in shares)										1,833
Equity Offering, Price Per Share (in dollars per share) | $ / shares										$ 381.75
Percentage of warrants issued										7.00%
Percentage of exercise price of warrants										125.00%
Waiver
Purchase of aggregate common stock					251,742
Waiver | Warrants.
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares					$ 0.25
Series C Preferred Stock Converted into Common Stock
Conversion of Series B preferred shares into common stock (in shares)																	104,182
Conversion of Stock, Shares Converted (in shares)																	33,097.10
Issuance of stock upon conversion of securities | $																	$ 24,700,000
Conversion of Stock, Amount Converted, Accrued Dividends | $																	$ 198,000
Series B Preferred Stock Converted into Common Stock
Conversion of stock, shares issued (in shares)																	8,609
Conversion of Stock, Shares Converted (in shares)																	258.08
Issuance of stock upon conversion of securities | $																	$ 2,000,000.0
Conversion of Stock, Amount Converted, Accrued Dividends | $																	$ 3,000
Series B Preferred Stock Exchanged for Common Shares
Conversion of Stock, Shares Converted (in shares)																30.92
Issuance of stock upon conversion of securities | $																$ 238,000
Conversion of Stock, Amount Converted, Accrued Dividends | $																$ 27,000
Series B Preferred Stock Exchanged for Common Shares | Series C Warrants
Conversion of stock, shares issued (in shares)																6,374
Consultants [Member]
Stock Issued During Period, Shares, Settlement (in shares)															673	3,001	3,240
Stock Issued During Period, Value, Settlement | $															$ 124,000	$ 119,000	$ 1,200,000
Officers and Directors | Waiver
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares					$ 0.3294
Former Investor Bank
Stock Issued During Period, Value, Settlement | $												$ 94,000
Shares issued for settlement (in shares)																	250
Equity Line Agreement | Lincoln Park
Common stock, shares, issued, total (in shares)																						1,623
Fair value of commitment shares on grant date | $																						$ 297,000
At The Market Offering Agreement
Stock issued during period, value, new issues | $														$ 7,400,000		$ 7,700,000
Stock issued during period, shares, new issues (in shares)														1,483,782		1,519,257
At The Market Offering Agreement | Wainwright
Stock Sales Agreement, Commission on Shares Sold, Percentage									3.00%
Stock Sales Agreement, Number of Shares Authorized (in shares)									8,000,000.0
Market Agreement | H C Wainwright Co L L C
Proceeds from Issuance of Common Stock | $														$ 7,700,000	7,400,000	$ 8,000,000.0	$ 8,600,000
Stock issuance costs | $														$ 293,000	$ 228,000	$ 309,000	$ 274,000
Stock issued during period, shares, new issues (in shares)														1,483,782	50,055	1,519,257	55,040
March 2021 Offering
Proceeds from Issuance or Sale of Equity Net | $																$ 9,100,000
Offering costs | $										$ 900,000
January 2021 offering
Offering costs | $											900,000
Proceeds from Issuance or Sale of Equity, Total | $											7,100,000						$ 7,100,000
March 2022 offering
Stock issued during period, value, new issues | $																$ 8,000,000.0
Stock issued during period, shares, new issues (in shares)																55,000
Proceeds from Issuance or Sale of Equity Net | $						$ 1,000,000.0				$ 9,000,000.0
Offering costs | $																$ 1,000,000.0
July 2021 offering
Proceeds from Issuance of Common Stock | $		$ 5,100,000
Underwriting option		30 days
Stock issued during period, shares, new issues (in shares)		4,545
July 2021 offering | Wainwright Warrants
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares			$ 206.25
Warrants and rights outstanding, term (year)			5 years
Class of Warrant or Right, Issued, Percentage of Common Stock Issued in Offering			125.00%
July 2021 offering | Wainwright
Class of warrant or right, number of securities called by warrants or rights (in shares)			2,437
Stock issued during period, shares, new issues (in shares)			30,303
Shares issued, price per share (in dollars per share) | $ / shares			$ 165.00
Class of Warrant or Right, Issued, Percentage of Common Stock Issued in Offering			7.00%
Non-accountable Expenses | $			$ 35,000
Legal Fees | $			125,000
Clearance Fees | $			$ 15,950
Underwriting discount			8.00%
Direct offering | Pre-Funded Warrant
Class of warrant or right, number of securities called by warrants or rights (in shares)						12,996								2.6		2.6
Class of Warrant or Right, Issued, Percentage of Common Stock Issued in Offering						6.00%										3.50%
Private Placement
Class of warrant or right, number of securities called by warrants or rights (in shares)				4,000
Gross proceeds from private placement | $				$ 300,000
Percentage of cash fees paid to placement agent				7.00%
Warrant
Class of warrant or right, exercised during period (in shares)																	31,712
Pre-Funded Warrants
Shares issued, price per share (in dollars per share) | $ / shares														$ 0.30		$ 0.30
Conversion of stock, shares issued (in shares)																161,606
Class of warrant or right, exercised during period (in shares)																	13,305
Series B Preferred Stock
Preferred stock, shares designated (in shares)														5,194.805195		5,194.805195		5,194.805195
Preferred stock, par or stated value per share (in dollars per share) | $ / shares														$ 0.0001		$ 0.0001		$ 0.0001
Preferred stock, shares issued, total (in shares)														631.34		631.34		662.25
Preferred stock, stated value per share (in dollars per share) | $ / shares														$ 7,700		$ 7,700
Preferred stock, dividend rate, percentage																			9.00%
Aggregate dividends payable | $																$ 764,000		$ 465,000
Class of warrant or right, number of securities called by warrants or rights (in shares)															63,736		63,736
Conversion of Series B preferred shares into common stock (in shares)																	1,839.76
Preferred stock, dividends, payment of fractional shares amount | $																			$ 100.00
Preferred stock, shares outstanding (in shares)														631.34		631.34		662.25
Series B Preferred Stock | Waiver
Preferred stock, par or stated value per share (in dollars per share) | $ / shares							$ 0.0001
Cash waiver fee (in percentage)							10.00%
Preferred stock, alternate redemption value | $							$ 7,700.00
Value of preferred stock agreed to be waived with holders of preferred stock | $														$ 2,880,000		$ 2,880,000
Value of preferred stock agreed to be waived with insiders | $							$ 47,000.000
Waiver fee paid | $																$ 233,000
Percentage of outstanding shares					81.30%
Series C Preferred Stock
Preferred stock, shares designated (in shares)														57,000		57,000		57,000
Preferred stock, par or stated value per share (in dollars per share) | $ / shares														$ 0.0001		$ 0.0001		$ 0.0001
Preferred stock, shares issued, total (in shares)														0		0		0
Convertible preferred stock, shares issued upon conversion (in shares)															19,140.14		19,140.14
Class of warrant or right, number of securities called by warrants or rights (in shares)															63,800		63,800
Deemed dividends on preferred stock issuances | $											4,500,000						$ 21,000,000.0
Proceeds from Issuance or Sale of Equity, Total | $											$ 4,600,000
Preferred stock, shares outstanding (in shares)														0		0		0
Series C Preferred Stock | January 2021 Placement Agent Warrants
Percentage of effective purchase price per share of preferred stock																	125.00%
Series C Preferred Stock | January 2021 Registered Direct Offering
Convertible preferred stock, shares issued upon conversion (in shares)															17,777		17,777
Stock issued during period, shares, new issues (in shares)																	5,333.33
Shares issued, price per share (in dollars per share) | $ / shares															$ 750.00		$ 750.00
Preferred stock, convertible, conversion price (in dollars per share) | $ / shares															$ 225.00		$ 225.00
Series C Preferred Stock | January 2021 Private Placement
Stock issued during period, shares, new issues (in shares)													5,333.33
Series C Preferred Stock | Private Placement
Number of common shares issuable upon conversion				33,333
Series D Preferred Stock
Preferred stock, shares designated (in shares)														150		150		150
Preferred stock, par or stated value per share (in dollars per share) | $ / shares														$ 0.0001		$ 0.0001		$ 0.0001
Preferred stock, shares issued, total (in shares)														0		0		0
Conversion of stock, shares issued (in shares)														66,666
Preferred stock, shares outstanding (in shares)														0		0		0
Series D Preferred Stock | Private Placement
Number of shares reduced due to reverse stock split				33,333
Preferred stock, stated value per share (in dollars per share) | $ / shares				$ 1,000
Number of common shares issuable upon conversion														66,666		66,666
Convertible preferred stock, shares issued upon conversion (in shares)				66,666
Stock issued during period, shares, new issues (in shares)				150
Preferred stock, convertible, conversion price (in dollars per share) | $ / shares				$ 4.50
Series E Preferred Stock
Preferred stock, shares designated (in shares)														150		150		150
Preferred stock, par or stated value per share (in dollars per share) | $ / shares														$ 0.0001		$ 0.0001		$ 0.0001
Preferred stock, shares issued, total (in shares)														0		0		0
Conversion of stock, shares issued (in shares)														66,666
Preferred stock, shares outstanding (in shares)														0		0		0
Series E Preferred Stock | Private Placement
Preferred stock, par or stated value per share (in dollars per share) | $ / shares				$ 1,000
Number of shares reduced due to reverse stock split	33,333
Number of common shares issuable upon conversion				33,333
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares				$ 4.50
Stock issued during period, shares, new issues (in shares)				150
Warrants and rights outstanding, term (year)																				5 years
Common Stock
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares										$ 363.00
Stock Issued During Period, Shares, Exercise of Warrants (in shares)															20,800		31,521
Common Stock | Pre-Funded Warrant
Class of warrant or right, exercise price of warrants or rights (in dollars per share) | $ / shares						$ 0.30								$ 3.9		$ 3.9
March 2021 and July 2021 Offering
Stock issued during period, shares, new issues (in shares)																	54,181
Maximum | Equity Line Agreement | Lincoln Park
Issuance of available Equity Line Agreement | $																						$ 15,000,000

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Warrants (Details) - USD ($) $ / shares in Units, $ in Millions	9 Months Ended		12 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021	Dec. 31, 2020	Mar. 31, 2022	Mar. 02, 2022	Mar. 31, 2021	Mar. 10, 2021	Jan. 31, 2021
Number of Warrants
Warrants outstanding and exercisable, beginning (in shares)	183,999	83,687	83,687
Issued (in shares)	464,245	133,114
Expired (in shares)	(4,279)	(1,698)
Exercised (in shares)	(161,606)	(31,712)
Warrants outstanding and exercisable, ending (in shares)	482,359	183,391	183,999	83,687
Weighted Average Exercise Price Per Share
Warrants outstanding and exercisable, beginning (in dollars per share)	$ 284.70	$ 366.00	$ 366.00
Issued (in dollars per share)	20.36	233.03
Expired (in dollars per share)	1,125.78	1,080.16
Exercised (in dollars per share)	0.30	159.32
Warrants outstanding and exercisable, ending (in dollars per share)	$ 90.19	$ 298.47	$ 284.70	$ 366.00
Weighted Average Remaining Term in Years
Outstanding and exercisable (in years)	4 years 25 days	4 years 1 month 28 days	3 years 11 months 12 days	4 years 14 days
Issued (in years)	4 years 5 months 26 days	4 years 1 month 9 days
Exercised (in years)	4 years 5 months 1 day	4 years 1 month 6 days
Warrants to purchase of stock		666				1
Warrant exercise price						$ 37.80
Shares issued, price per share (in dollars per share)						$ 41.25		$ 381.75
Warrant amendment agreement
Weighted Average Remaining Term in Years
Warrant exercise price					$ 0.8430		$ 363.00		$ 240.00
Consideration for purchase of securities					$ 9.0
March Offering [Member]
Weighted Average Remaining Term in Years
Shares issued, price per share (in dollars per share)					$ 37.80
Maximum | Warrant amendment agreement
Weighted Average Remaining Term in Years
Warrants to purchase of stock							13,097		35,555

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Warrant - Series B, Pre-funded and Placement agent Warrants (Details) - $ / shares	Sep. 30, 2022	Mar. 02, 2022	Sep. 30, 2021
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock		1	666
Warrant exercise price		$ 37.80
Series B preferred stock
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock			63,736
July 2022 offering
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock	66,666
July 2022 offering | Series B preferred stock
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock	6,374
Warrants, pre-funded warrants, and placement agent warrants | January 2021 offering
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock			44,486
Warrants, pre-funded warrants, and placement agent warrants | March 2021 offering
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock			21,789
Warrants, pre-funded warrants, and placement agent warrants | March 2022 offering
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock	391,205
Warrants, pre-funded warrants, and placement agent warrants | July 2021 offering
Class of Warrant or Right [Line Items]
Warrants to purchase of Common stock			2,437

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Equity Incentive Plan - Additional information (Details)		3 Months Ended		9 Months Ended		21 Months Ended
	Sep. 11, 2020 shares	Sep. 30, 2022 USD ($) shares	Sep. 30, 2021 USD ($) shares	Sep. 30, 2022 USD ($) $ / shares shares	Sep. 30, 2021 USD ($) $ / shares shares	Sep. 30, 2022 USD ($) shares	Jan. 01, 2022 shares
Equity Incentive Plan
Granted				22,938	5,841
Options cancelled		98	56	98
Unrecognized stock-based compensation expense | $		$ 900,000	$ 1,100,000	$ 900,000	$ 1,100,000	$ 900,000
First commercial sale in the United States of Adrulipase
Equity Incentive Plan
Unrecognized expense vests | $				197,000	197,000
Vesting Over Remaining Term
Equity Incentive Plan
Unrecognized stock-based compensation expense | $		400,000	900,000	$ 400,000	$ 900,000	$ 400,000
Average remaining vesting term of the stock options (in years)				8 years 5 months 8 days	1 year 10 months 6 days
Vests upon total market capitalization exceeding one million
Equity Incentive Plan
Consecutive trading days | $						20
Unrecognized expense vests | $				$ 197,000	$ 197,000
Vests upon total market capitalization exceeding one million | Maximum
Equity Incentive Plan
Unrecognized stock-based compensation expense | $		1,000,000,000.0	1,000,000,000.0	1,000,000,000.0	1,000,000,000.0	$ 1,000,000,000.0
Clinical, corporate milestones
Equity Incentive Plan
Unrecognized stock-based compensation expense | $		500,000	300,000	$ 500,000	$ 300,000	500,000
Incentive Stock Options
Equity Incentive Plan
Granted				50,000
Restricted Stock
Equity Incentive Plan
Vested during the period (in shares)				916	916
Restricted Stock | Common Stock
Equity Incentive Plan
Unrecognized stock-based compensation expense | $		$ 394,000	$ 394,000	$ 394,000	$ 394,000	$ 394,000
Stock Option
Equity Incentive Plan
Weighted average fair value of warrants granted (in dollars per share) | $ / shares				$ 31.96	$ 201.24
2020 Equity Incentive Plan
Equity Incentive Plan
Shares available under equity incentive plan (in shares)	33,333						70,478
Percentage of common stock reserved for issuance equity incentive plan	10.00%
Shares reserved subject to issuance (in shares)		47,532		47,532		47,532
Options to purchase shares of common stock (in shares)		22,946		22,946		22,946
Vesting period				36 months
Options cancelled				3,745	4,482
Options forfeited				4,972
Equity Incentive Plan2014
Equity Incentive Plan
Shares available under equity incentive plan (in shares)		8,680		8,680		8,680
Options to purchase shares of common stock (in shares)		5,012		5,012		5,012
The 2014 Omnibus Equity Incentive Plan | Restricted Stock
Equity Incentive Plan
Shares reserved subject to issuance (in shares)		2,094		2,094		2,094

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Equity Incentive Plan - Stock option activity (Details) - $ / shares	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021	Dec. 31, 2020
Numbers of Shares
Granted (in shares)			22,938	5,841
Canceled (in shares)	(98)	(56)	(98)
Incentive Stock Options
Numbers of Shares
Granted (in shares)			50,000
Equity Incentive Plan 2014 And Plan 2020 | Incentive Stock Options
Numbers of Shares
Outstanding at beginning (in shares)			13,737	13,567	13,567
Granted (in shares)			22,938	5,841
Canceled (in shares)			(3,745)
Forfeited (in shares)			(4,972)	(4,482)
Outstanding at ending (in shares)	27,958	14,926	27,958	14,926	13,737	13,567
Exercisable (in shares)	13,740	9,342	13,740	9,342
Average Exercise Price
Outstanding at beginning (in dollars per share)			$ 353.73	$ 373.80	$ 373.80
Granted (in dollars per share)			41.17	258.30
Canceled (in dollars per share)			355.14
Forfeited (in dollars per share)			120.20	314.10
Outstanding at ending (in dollars per share)	$ 138.63	$ 346.50	138.63	346.50	$ 353.73	$ 373.80
Exercisable (in dollars per share)	$ 215.59	$ 412.80	$ 215.59	$ 412.80
Remaining Contract Life (Years)
Stock option outstanding, remaining contractual life (Years)			8 years 5 months 12 days	7 years 6 months 25 days	7 years 3 months 10 days	7 years 11 months 8 days
Granted (in years)			7 years 6 months	10 years
Canceled (in years)			0 years
Forfeited (in years)			0 years	2 years 10 months 13 days
Exercisable (in years)			7 years 9 months	6 years 9 months 10 days

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Equity Incentive Plan - Weighted-average assumptions (Details) - Stock Option	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Contractual term (in years)	6 years 6 months	10 years
Expected Volatility	90.92%	88.71%
Risk-free interest rate	1.12%	1.29%
Expected Dividend yield	0.00%	0.00%

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Equity Incentive Plan - Total stock-based compensation expense (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Equity Incentive Plan
Total stock-based compensation expense	$ 91,641	$ 182,414	$ 684,778	$ 1,268,710
Research and development
Equity Incentive Plan
Total stock-based compensation expense	22,623	126,611	93,870	556,688
General and administrative expense.
Equity Incentive Plan
Total stock-based compensation expense	$ 69,018	$ 55,803	$ 590,908	$ 712,022

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Agreements (Details) - USD ($)				1 Months Ended	3 Months Ended		9 Months Ended		12 Months Ended
	Feb. 24, 2021	Jan. 08, 2021	Dec. 31, 2020	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2020	Aug. 26, 2022	Mar. 02, 2022	Jun. 30, 2021	Mar. 10, 2021
Agreements
Research and development expense, total					$ 791,067	$ 3,052,791	$ 8,674,480	$ 11,216,616
Preferred stock, convertible, conversion price (in dollars per share)										$ 4.50
Shares issued, price per share (in dollars per share)											$ 41.25		$ 381.75
Fair value, option, changes in fair value, gain (loss)								$ 532,353
Series C Preferred Stock
Agreements
Convertible preferred stock, shares issued upon conversion (in shares)				19,140.14		19,140.14		19,140.14
Series C Preferred Stock | First Wave Purchase Agreement
Agreements
Deemed dividends on preferred stock issuances		$ 230,000
First Wave License Agreement
Agreements
Upfront cash payment to be paid in first ten days			$ 9,000,000.0						$ 9,000,000.0
Upfront cash payment term									10 days
Asset acquisition, additional cash to be paid												$ 1,250,000
Asset acquisition, contingent consideration, liability, total					$ 37,000,000.0		37,000,000.0
Research and development expense, total				$ 1,000,000.0
Asset acquisition, consideration transferred, equity interest issued and issuable			3,000,000.0				$ 3,000,000.0
Period for conversion of common stock							5 days
Fair value, option, changes in fair value, gain (loss)	$ 500,000
Convertible preferred stock, nonredeemable or redeemable, issuer option, value			3,000,000.0						$ 3,000,000.0
Redeemable noncontrolling interest, equity, common, fair value			$ 2,500,000						$ 2,500,000
First Wave License Agreement | Convertible Preferred Stock
Agreements
Preferred stock, convertible, conversion price (in dollars per share)					$ 273.54		$ 273.54
Convertible preferred stock, shares issued upon conversion (in shares)					10,967		10,967
First Wave License Agreement | Series C Preferred Stock
Agreements
Preferred stock, convertible, conversion price (in dollars per share)		$ 225.00
Convertible preferred stock, shares issued upon conversion (in shares)		10,967
Stock issued during period, shares, new issues (in shares)		3,290.1960
Shares issued, price per share (in dollars per share)		$ 750.00

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Leases (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2022 USD ($) ft² property	Sep. 30, 2021 USD ($)	Sep. 30, 2022 USD ($) ft² property	Sep. 30, 2021 USD ($)
Leases [Line Items]
Number of real property operating leases | property	2		2
Operating lease, expense | $	$ 36,000	$ 79,000	$ 115,000	$ 186,000
Boca Raton, Florida
Leases [Line Items]
Area of real estate property (Square Foot) | ft²	3,472		3,472

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Leases - Weighted-average remaining lease term (Details)	Sep. 30, 2022
Leases
Weighted-average remaining lease term (years)	3 years 10 months 24 days
Weighted-average discount rate	7.00%

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Leases - Maturities of operating lease liabilities (Details)	Sep. 30, 2022 USD ($)
Leases
2022 (remainder of year)	$ 20,563
2023	83,691
2024	86,202
2025	88,788
2026	60,593
Total lease payments	339,837
Less imputed interest	(44,148)
Present value of lease liabilities	$ 295,689

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Net Income (Loss) per Common Share - Basic and diluted net income (loss) per share (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Net income (loss)	$ 4,391,331	$ (30,400,788)	$ (10,643,653)	$ (47,365,362)
Basic weighted average shares outstanding	1,601,415	311,411	952,794	253,118
Shares of common stock issuable			534,638	222,362
Diluted weighted average shares outstanding	1,625,736	311,411	952,794	253,118
Basic net income (loss) per share	$ 2.64	$ (98.00)	$ (11.53)	$ (289.31)
Diluted net income (loss) per share	$ 2.60	$ (98.00)	$ (11.53)	$ (289.31)
Convertible preferred stock
Shares of common stock issuable	24,321		24,321	24,045

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Net Income (Loss) per Common Share - Common Stock that may potentially be issued (Details) - $ / shares	3 Months Ended	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2022	Sep. 30, 2021	Aug. 26, 2022
Net Income (Loss) per Common Share
Total shares of common stock issuable		534,638	222,362
Preferred stock, convertible, conversion price (in dollars per share)				$ 4.50
Common stock warrants
Net Income (Loss) per Common Share
Total shares of common stock issuable		482,359	183,391
Stock options
Net Income (Loss) per Common Share
Total shares of common stock issuable		27,958	14,926
Convertible preferred stock
Net Income (Loss) per Common Share
Total shares of common stock issuable	24,321	24,321	24,045
Preferred stock, convertible, conversion price (in dollars per share)	$ 231.00	$ 231.00

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Employee Benefit Plans (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Employee Benefit Plans
Defined contribution plan, employers matching contribution, annual vesting percentage			6.00%
Defined benefit plan, plan assets, contributions by employer	$ 21,000	$ 26,000	$ 97,000	$ 81,000
Minimum
Employee Benefit Plans
Defined contribution plan, maximum annual contributions per employee, percent			1.00%
Maximum
Employee Benefit Plans
Defined contribution plan, maximum annual contributions per employee, percent			100.00%

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Subsequent Events (Details) - USD ($) $ / shares in Units, $ in Millions			3 Months Ended	9 Months Ended
	Oct. 06, 2022	Jul. 15, 2022	Sep. 30, 2022	Sep. 30, 2022	Oct. 05, 2022	Jul. 31, 2022	Mar. 02, 2022	Mar. 10, 2021
Subsequent Event [Line Items]
Warrant exercise price							$ 37.80
Warrants term							5 years	5 years
At The Market Offering Agreement
Subsequent Event [Line Items]
Stock issued during period, shares, new issues (in shares)			1,483,782	1,519,257
Series D Preferred Stock | Private Placement
Subsequent Event [Line Items]
Stock issued during period, shares, new issues (in shares)		150
Series E Preferred Stock | Private Placement
Subsequent Event [Line Items]
Stock issued during period, shares, new issues (in shares)		150
Warrant exercise price		$ 4.50
Warrants term						5 years
Subsequent Event | October 2022 Offering
Subsequent Event [Line Items]
Stock issued during period, shares, new issues (in shares)	255,000
Proceeds from issuance of warrants	$ 5.2
Subsequent Event | October 2022 Pre-Funded Warrants
Subsequent Event [Line Items]
Stock issued during period, shares, new issues (in shares)	3,183,396
Warrant exercise price	$ 0.0001
Warrant to purchase of shares	1
Share price	$ 1.7449
Subsequent Event | October 2022 Warrants
Subsequent Event [Line Items]
Stock issued during period, shares, new issues (in shares)	3,438,396
Warrant exercise price	$ 1.62
Warrant to purchase of shares	1
Share price	$ 1.745
Warrants term	5 years
Subsequent Event | July 2022 Offerings
Subsequent Event [Line Items]
Warrant to purchase of shares					4,000