10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended: June 30, 2019

or

[  ] TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from _____________ to _____________.

Commission File Number: 000-13789

ADHERA THERAPEUTICS, INC.

(Exact name of registrant as specified in its charter)

Delaware	11-2658569
(State or other jurisdiction of incorporation or organization)	(IRS Employer Identification No.)
4721 Emperor Boulevard, Suite 350 Durham, NC	27703
(Address of principal executive offices)	(Zip Code)

(919) 578-5901

(Registrant’s telephone number, including area code)

N/A

(Former name, former address and former fiscal year, if changed since last report)

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 [X] 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 [X] No [  ]

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

Large accelerated filer	[  ]	Accelerated filer	[  ]
Non-accelerated filer	[  ] (Do not check if a smaller reporting company)	Smaller reporting company	[X]
		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 7(a)(2)(B) of the Securities Act: [  ]

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

As of August 12, 2019, there were 10,869,530 shares of the registrant’s common stock outstanding.

ADHERA THERAPEUTICS, INC.

FORM 10-Q

FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2019

TABLE OF CONTENTS

		Page
PART I - FINANCIAL INFORMATION
ITEM 1	Financial Statements (unaudited)	3
	Condensed Consolidated Balance Sheets as of June 30, 2019 and December 31, 2018	3
	Condensed Consolidated Statements of Operations for the Three and Six Months Ended June 30, 2019 and 2018	4
	Condensed Consolidated Statements of Stockholders’ Equity (Deficit) for the Six Months Ended June 30, 2019 and 2018	5
	Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2019 and 2018	6
	Notes to Condensed Consolidated Financial Statements	7
ITEM 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	19
ITEM 3.	Quantitative and Qualitative Disclosures about Market Risk	24
ITEM 4.	Controls and Procedures	25
PART II - OTHER INFORMATION
ITEM 1.	Legal Proceedings	26
ITEM 1A.	Risk Factors	27
ITEM 2.	Unregistered Sales of Equity Securities and Use of Proceeds	27
ITEM 6.	Exhibits	27
SIGNATURES		28

2

PART I – FINANCIAL INFORMATION

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except for share and per share amounts)

	June 30, 2019			December 31, 2018
	(Unaudited)
ASSETS
Current assets
Cash	$	1,644		$	3,918
Accounts receivable, net of allowance		94			48
Inventory		232			242
Prepaid expenses and other assets		184			469
Total current assets		2,154			4,677
Operating lease right of use asset		178			-
Furniture and fixtures, net of depreciation		67			72
Intangible assets, net of amortization		357			392
		602			464
Total assets	$	2,756		$	5,141
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)
Current liabilities
Accounts payable	$	955		$	270
Due to related party		4			28
Accrued expenses		1,063			852
Current portion of operating lease liability		78			-
Accrued dividends		1,800			1,064
Loan payable		1,260			-
Total current liabilities		5,160			2,214
Other lease liability, net of current portion		107			-
Total liabilities		5,267			2,214
Commitments and contingencies (Note 9)
Stockholders’ equity (deficit)
Preferred stock, $0.01 par value; 100,000 shares authorized
Series C convertible preferred stock, $0.01 par value; $5,100 liquidation preference; 1,200 shares authorized; 100 shares issued and outstanding as of June 30, 2019 and December 31, 2018		-			-
Series D convertible preferred stock, $0.01 par value; $300 liquidation preference; 220 shares authorized; 40 shares issued and outstanding as of June 30, 2019 and December 31, 2018		-			-
Series E convertible preferred stock, $0.01 par value; $5,000 liquidation preference; 3,500 shares authorized; 3,478 and 3,488 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively		-			-
Series F convertible preferred stock, $0.01 par value; $5,000 liquidation preference; 2,200 shares authorized; 381 shares issued and outstanding as of June 30, 2019 and December 31, 2018		-			-
Common stock, $0.006 par value; 180,000,000 shares authorized, 10,869,530 and 10,761,684 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively		65			65
Additional paid-in capital		29,346			28,710
Accumulated deficit		(31,922	)		(25,848	)
Total stockholders’ equity (deficit)		(2,511	)		2,927
Total liabilities and stockholders’ equity (deficit)	$	2,756		$	5,141

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

3

ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

(in thousands, except for share and per share amounts)

	For the Three Months Ended						For the Six Months Ended
	June 30,						June 30,
	2019			2018			2019			2018
Net sales	$	66		$	-		$	69		$	-
Cost of sales		81			-			198			-
Gross Margin		(15	)		-			(129	)		-
Operating expenses
Sales, marketing and commercial operations		1,148			2,586			2,207			2,586
Research and development		-			-			-			173
General and administrative		1,599			1,059			2,966			1,979
Amortization		17			123			35			247
Total operating expenses		2,764			3,768			5,208			4,985
Loss from operations		(2,779	)		(3,768	)		(5,337	)		(4,985	)
Other expense
Interest expense		(1	)		(5	)		(1	)		(149	)
Loss on settlement		-			(875	)		-			(875	)
		(1	)		(880	)		(1	)		(1,024	)
Loss before provision for income taxes		(2,780	)		(4,648	)		(5,338	)		(6,009	)
Provision for income taxes		-			-			-			-
Net loss		(2,780	)		(4,648	)		(5,338	)		(6,009	)
Preferred Stock Dividends		(357	)		(271	)		(739	)		(271	)
Net Loss Applicable to Common Stockholders	$	(3,137	)	$	(4,919	)	$	(6,077	)	$	(6,280	)
Net loss per share – Common Shareholders - basic and diluted	$	(0.29	)	$	(0.45	)	$	(0.56	)	$	(0.59	)
Weighted average shares outstanding - basic and diluted		10,860,049			10,821,230			10,811,138			10,672,082

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

4

ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY (DEFICIT)

(in thousands, except for share amounts)

	Series E Preferred Stock					Series F Preferred Stock				Common Stock				Additional			Additional Paid-in
	Number			Par Value		Number		Par Value		Number		Par Value		Paid-in Capital			Capital Warrants		Accumulated Deficit			Total
Balance, December 31, 2017		-		$	-		-	$	-		10,521,278	$	63	$	8,414		$	-	$	(8,029	)	$	448
Share based compensation		-			-		-		-		-		-		119			-		-			119
Net loss		-			-		-		-		-		-		-			-		(1,361	)		(1,361	)
Balance, March 31, 2018		-			-		-		-		10,521,278		63		8,533			-		(9,390	)		(794	)
Issuance of Series E Preferred Stock, net of fees		2,812			-		-		-		-		-		12,258			-		-			12,258
Warrants issued with Series E Preferred Stock		-			-		-		-		-		-		(31,107	)		31,107		-			-
Issuance of Series E Preferred for debt and accounts payable		687			-		-		-		-		-		3,438			-		-			3,438
Conversion of Series C Preferred stock for common stock		-			-		-		-		433,334		3		(3	)		-		-			-
Conversion of Series D Preferred stock for common stock		-			-		-		-		25,000		-		-			-		-			-
Warrants issued for settlement of liability		-			-		-		-		-		-		-			1,494		-			1,494
Shares issued for settlement of litigation		-			-		-		-		210,084		1		249			-		-			250
Shares issued for License Agreement		-			-		-		-		51,988		-		75			-		-			75
Accrued dividend		-			-		-		-		-		-		-			-		(271	)		(271	)
Share based compensation		-			-		-		-		-		-		374			-		-			374
Cancellation of Series E Preferred Stock		(9	)		-		-		-		-		-		(46	)		-		-			(46	)
Net loss		-			-		-		-		-		-		-			-		(4,648	)		(4,648	)
Balance, June 30, 2018		3,490		$	-		-	$	-		11,241,684	$	67	$	(6,229	)	$	32,601	$	(14,309	)	$	12,130

	Series E Preferred Stock					Series F Preferred Stock				Common Stock				Additional			Additional Paid-in
	Number			Par  Value		Number		Par Value		Number		Par  Value		Paid-in Capital			Capital - Warrants		Accumulated Deficit			Total
Balance, December 31, 2018		3,488		$	-		381	$	-		10,761,684	$	65	$	(5,384	)	$	34,094	$	(25,848	)	$	2,927
Accrued dividend		-			-		-		-		-		-		-			-		(382	)		(382	)
Share based compensation		-			-		-		-		-		-		395			-		-			395
Net loss		-			-		-		-		-		-		-			-		(2,558	)		(2,558	)
Balance, March 31, 2019		3,488			-		381		-		10,761,684		65		(4,989	)		34,094		(28,788	)		382
Conversion of Series E Preferred stock for common stock		(10	)		-		-		-		107,846		-		-			-		3			3
Accrued dividend		-			-		-		-		-		-		-			-		(357	)		(357	)
Share based compensation		-			-		-		-		-		-		241			-		-			241
Net loss															-			-		(2,780	)		(2,780	)
Balance, June 30, 2019		3,478		$	-		381	$	-		10,869,530	$	65	$	(4,748	)	$	34,094	$	(31,922	)	$	(2,511	)

The accompanying notes are an integral part of these consolidated financial statements.

5

ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(in thousands)

	For the Six Months Ended June 30,
	2019			2018
Cash Flows Used in Operating Activities:
Net loss	$	(5,338	)	$	(6,009	)
Adjustments to reconcile net loss to net cash used in operating activities:
Share based compensation		636			493
Common shares issued for settlement		-			250
Preferred shares issued for note settlement		-			375
Common shares issued to license agreement		-			75
Amortization of intangibles		35			247
Bad debt expense		41			-
Amortization of debt discount		-			113
Depreciation		5			-
Non-cash interest expense		1			37
Non-cash lease expense		62			-
Loss on settlement		-			875
Changes in operating assets and liabilities:
Accounts receivable		(87	)		-
Inventory		10			(80	)
Prepaid expenses and other assets		285			(193	)
Accounts payable		685			161
Accrued expenses		218			(330	)
Accrued fee payable		-			(320	)
Deferred revenue		-			200
Due to related party		(24	)		250
Lease liability		(62	)		-
Net Cash Used in Operating Activities		(3,533	)		(3,856	)
Cash Flows Used in Investing Activities:
Purchase of furniture and fixtures		-			(10	)
Net Cash Used in Investing Activities		-			(10	)
Cash Flows Provided By Financing Activities:
Proceeds from sale of preferred stock, net offering expenses		-			12,258
Proceeds from loan payable		1,495			-
Loan payable issuance costs		(236	)		-
Payments for notes payable		-			(144	)
Net Cash Provided by Financing Activities		1,259			12,114
Net (decrease) increase in cash		(2,274	)		8,248
Cash – Beginning of Period		3,918			106
Cash - End of Period	$	1,644		$	8,354
Supplemental Cash Flow Information:
Non-cash Investing and Financing Activities:
Capitalization of operating lease right of use asset	$	240		$	-
Issuance of warrants for liabilities, related party		-			1,494
Preferred share settlement of debt and accrued liabilities		-			3,438
Issuance of warrants		-			31,107
Accrued dividends		739			271
Conversion of Series E accrued dividend for common stock		3			-

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

6

ADHERA THERAPEUTICS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2019

(Unaudited)

Note 1 – Nature of Operations, Basis of Presentation and Significant Accounting Policies

Business Overview

Adhera Therapeutics, Inc. (formerly known as Marina Biotech, Inc.) and its wholly-owned subsidiaries, MDRNA Research, Inc. (“MDRNA”), Cequent Pharmaceuticals, Inc. (“Cequent”), Atossa Healthcare, Inc. (“Atossa”), and IThenaPharma, Inc. (“IThena”) (collectively “Adhera,” the “Company,) is an emerging specialty pharmaceutical company that leverages innovative distribution models and technologies to improve the quality of care for patients in the United States suffering from chronic diseases. The Company is focused on fixed dose combination (“FDC”) therapies in hypertension, with plans to expand the portfolio of drugs we commercialize to include other therapeutic areas.

The Company’s mission is to provide effective and patient centric treatment for hypertension while actively seeking additional assets that can be commercialized through our proprietary Total Care System (“TCS”). At the core of our TCS system is DyrctAxess, our patented technology platform. DyrctAxess is designed to offer enhanced efficiency, control and access to the information necessary to empower patients, physicians and manufacturers to achieve optimal care.

The Company is focused on demonstrating the therapeutic and commercial value of TCS through the commercialization of Prestalia^®, a single-pill FDC of perindopril arginine (“perindopril”) and amlodipine besylate (“amlodipine”) which is used as a first-line treatment for hypertension. Prestalia was developed in coordination with Les Laboratories, Servier, a French pharmaceutical conglomerate, that sells the formulation outside the United States under the brand names Coveram^® and/or Viacoram^®. Prestalia^® was approved by the U.S. Food and Drug Administration (“FDA”) in January 2015 and was licensed by the Company from Symplmed in June 2017. By combining Prestalia^®, DyrctAxess and an independent pharmacy network, the Company has created a proprietary system for drug adherence including patient counseling and prescription reminder services, as well as improving the distribution of blood pressure monitors for therapeutic drug monitoring (“TDM”).

In 2018, the Company discontinued all significant clinical development activities and is evaluating disposition options for its development assets, including but not limited to: (i) a next generation celecoxib program of drug candidates for the treatment of acute and chronic pain; (ii) an FDC used to suppress polyps in the precancerous syndrome and orphan indication Familial Adenomatous Polyposis; (iii) an FDC to treat Colorectal Cancer; and (iv) an FDC for irritable bowel disease (IBD). The Company plans to license or divest these development assets since they no longer align with the Company’s focus on the commercialization of Prestalia.

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions pursuant to the rules and regulations of the Securities and Exchange Commission. Accordingly, they do not include all of the information and note disclosures required by U.S. generally accepted accounting principles (“U.S. GAAP”) for complete audited financial statements. This quarterly report should be read in conjunction with the consolidated financial statements in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018. The information furnished in this report reflects all adjustments (consisting of normal recurring adjustments), which are, in the opinion of management, necessary for a fair presentation of our financial position, results of operations and cash flows for each period presented. The results of operations for the three or six months ended June 30, 2019 are not necessarily indicative of the results for the year ending December 31, 2019 or for any future period.

7

Principles of Consolidation

The condensed consolidated financial statements include the accounts of Adhera Therapeutics, Inc. and the wholly-owned subsidiaries, Ithena, Cequent, MDRNA, and Atossa, and eliminate any inter-company balances and transactions.

Going Concern and Management’s Liquidity Plans

The accompanying condensed consolidated financial statements have been prepared on the basis that the Company will continue as a going concern, which contemplates realization of assets and the satisfaction of liabilities in the normal course of business. As of June 30, 2019, the Company had cash and cash equivalents of $1.6 million and has negative working capital of approximately $3.0 million.

The Company has incurred recurring losses and negative cash flows from operations since inception and has funded its operating losses through the sale of common stock, preferred stock, warrants to purchase common stock, convertible notes and promissory notes. The Company incurred a net operating loss of approximately $2.8 million and $5.3 million for the three and six months ended June 30, 2019, respectively. The Company had an accumulated deficit of approximately $31.9 million as of June 30, 2019.

The Company expects to continue to incur operating losses as it executes the commercialization plans for Prestalia^®, as well as other strategic and business development initiatives. If the Company is unable to obtain additional financing in the future, there may be a negative impact on the financial viability of the Company. The Company plans to increase working capital by managing its cash flows and expenses, divesting development assets and raising additional capital through private or public equity or debt financing. There can be no assurance that such financing or partnerships will be available or on terms which are favorable to the Company. While management of the Company believes that it has a plan to fund ongoing operations, there is no assurance that its plan will be successfully implemented. Failure to raise additional capital through one or more financings, divesting development assets or reducing discretionary spending could have a material adverse effect on the Company’s ability to achieve its intended business objectives. These factors raise substantial doubt about the Company’s ability to continue as a going concern. The condensed consolidated financial statements do not contain any adjustments that might result from the resolution of any of the above uncertainties.

Summary of Significant Accounting Policies

Use of Estimates

The preparation of the accompanying condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reported period. Significant areas requiring the use of management estimates include revenue and related discounts and allowances and accruals related to our operating activity including legal and other consulting expenses. Actual results could differ materially from such estimates under different assumptions or circumstances.

Fair Value of Financial Instruments

The Company considers the fair value of cash, accounts payable, accounts receivable and accrued expenses not to be materially different from their carrying value. These financial instruments have short-term maturities. We follow authoritative guidance with respect to fair value reporting issued by the Financial Accounting Standards Board (“FASB”) for financial assets and liabilities, which defines fair value, provides guidance for measuring fair value and requires certain disclosures. The guidance does not apply to measurements related to share-based payments. The guidance discusses valuation techniques, such as the market approach (comparable market prices), the income approach (present value of future income or cash flow), and the cost approach (cost to replace the service capacity of an asset or replacement cost). The guidance establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The following is a brief description of those three levels:

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

8

Level 2:	Inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.
Level 3:	Unobservable inputs in which little or no market data exists, therefore developed using estimates and assumptions developed by us, which reflect those that a market participant would use.

There were no liabilities measured at fair value as of June 30, 2019 or December 31, 2018.

Accounts Receivable, net

Accounts receivable consists of amounts due from wholesale distributors and specialty pharmacy providers. The Company records an allowance for doubtful accounts at the time potential collection risk is identified. The Company estimates its allowance based on historical experience, assessment of specific risks and discussions with individual customers.  The Company believes the reserve is adequate to mitigate current collection risks. During the three and six months ended June 30, 2019 and 2018, the Company recorded an additional allowance of approximately $41,000 and $0, respectively.

Goodwill and Intangible Assets

The Company periodically reviews the carrying value of intangible assets, including goodwill, to determine whether impairment may exist. Goodwill and certain intangible assets are assessed annually, or when certain triggering events occur, for impairment using fair value measurement techniques. These events could include a significant change in the business climate, legal factors, a decline in operating performance, competition, sale or disposition of a significant portion of the business, or other factors. Specifically, goodwill impairment is determined using a two-step process. The first step of the goodwill impairment test is used to identify potential impairment by comparing the fair value of a reporting unit with its carrying amount, including goodwill. The Company uses level 3 inputs and a discounted cash flow methodology to estimate the fair value of a reporting unit. A discounted cash flow analysis requires one to make various judgmental assumptions including assumptions about future cash flows, growth rates, and discount rates. The assumptions about future cash flows and growth rates are based on the Company’s budget and long-term plans. Discount rate assumptions are based on an assessment of the risk inherent in the respective reporting units. If the fair value of a reporting unit exceeds its carrying amount, goodwill of the reporting unit is considered not impaired and the second step of the impairment test is unnecessary. If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit (including any unrecognized intangible assets) as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit.

During the year ended December 31, 2018, the Company determined that goodwill was impaired and recognized a loss on impairment of approximately $3.5 million. The impairment determination was primarily a result of the decision to divest assets that no longer aligned with the Company’s strategic objectives. No impairment charges were recognized for the three and six-month period ended June 30, 2019 or 2018.

Impairment of Long-Lived Assets

The Company reviews long-lived assets for impairment indicators throughout the year and performs detailed testing whenever impairment indicators are present. In addition, we perform detailed impairment testing for indefinite-lived intangible assets, at least annually, at December 31. When necessary, the Company records charges for impairments. Specifically:

● For finite-lived intangible assets, such as developed technology rights, and for other long-lived assets, we compare the undiscounted amount of the projected cash flows associated with the asset, or asset group, to the carrying amount. If the carrying amount is found to be greater, we record an impairment loss for the excess of book value over fair value. In addition, in all cases of an impairment review, we re-evaluate the remaining useful lives of the assets and modify them, as appropriate; and

● For indefinite-lived intangible assets, such as acquired in-process R&D assets, each year and whenever impairment indicators are present, we determine the fair value of the asset and record an impairment loss for the excess of book value over fair value, if any.

9

The Company did not recognize any loss on impairment for the three or six-month periods ended June 30, 2019 or 2018.

Revenue Recognition

Customers Concentration

The Company sells its prescription drug (Prestalia^®) directly to specialty contracted retail pharmacies and indirectly through wholesalers. For the three months ended June 30, 2019, the Company’s three largest customers accounted for 46%, 31% and 23% of the Company’s total gross sales. For the six months ended June 30, 2019, the Company’s three largest customers accounted for 39%, 37%, and 24% of the Company’s total gross sales. The Company works with a third-party pharmacy network manager to attract, retain, and manage the Company’s pharmacy customers and distribution channels. The Company had no sales for the three or six-month periods ending June 30, 2018.

Revenue, Net

The Company adopted the new revenue recognition guidelines in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606), effective with the quarter ended March 31, 2018.

The Company sells its medicines primarily to wholesale distributors and specialty pharmacy providers under agreements with payment terms typically less than 90 days. These customers subsequently resell the Company’s medicines to health care patients. Revenue is recognized when performance obligations under the terms of a contract with a customer are satisfied. The majority of the Company’s contracts have a single performance obligation to transfer medicines. Accordingly, revenues from medicine sales are recognized when the customer obtains control of the Company’s medicines, which occurs at a point in time, typically upon delivery to the customer. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring medicines and is generally based upon a list or fixed price less allowances for medicine returns, rebates and discounts. Company records an estimate of unrealized revenue reductions, and the related liability, for bottles sold to pharmacies but not yet prescribed.

Medicine Sales Discounts and Allowances

The nature of the Company’s contracts gives rise to variable consideration because of allowances for medicine returns, rebates and discounts. Allowances for medicine returns, rebates and discounts are recorded at the time of sale to wholesale pharmaceutical distributors and pharmacies. The Company applies significant judgments and estimates in determining some of these allowances. If actual results differ from its estimates, the Company will be required to make adjustments to these allowances in the future. The Company’s adjustments to gross sales are discussed further below.

Patient Access Programs

The Company offers discounts to patients under which the patient receives a discount on his or her prescription. In circumstances when a patient’s prescription is rejected by a third-party payer, the Company will pay for the full cost of the prescription. The Company reimburses pharmacies for this discount directly or through third-party vendors. The Company reduces gross sales by the amount of actual co-pay and other patient assistance in the period based on the invoices received. The Company also records an accrual to reduce gross sales for estimated co-pay and other patient assistance on units sold to distributors or pharmacies that have not yet been prescribed/dispensed to a patient. The Company calculates accrued co-pay and other patient assistance fee estimates using the expected value method. The estimate is based on contract prices, estimated percentages of medicine that will be prescribed to qualified patients, average assistance paid based on reporting from the third-party vendors and estimated levels of inventory in the distribution channel. Accrued co-pay and other patient assistance fees are included in “accrued expenses” on the condensed consolidated balance sheet. Patient assistance programs include both co-pay assistance and fully bought down prescriptions.

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Sales Returns

Consistent with industry practice, the Company maintains a return policy that allows customers to return medicines within a specified period prior to and subsequent to the medicine expiration date. Generally, medicines may be returned for a period beginning six months prior to its expiration date and up to one year after its expiration date. The right of return expires on the earlier of one year after the medicine expiration date or the time that the medicine is dispensed to the patient. The majority of medicine returns result from medicine dating, which falls within the range set by the Company’s policy and are settled through the issuance of a credit to the customer. The Company calculates sales returns using the expected value method. The estimate of the provision for returns is based upon industry experience. This period is known to the Company based on the shelf life of medicines at the time of shipment. The Company records sales returns in “accrued expenses” and as a reduction of revenue.

Cost of Goods Sold

Distribution Service Fees

The Company includes distribution service fees paid for inventory management services as cost of goods sold. The Company calculates accrued distribution service fee estimates using the most likely amount method. The Company accrues estimated distribution fees based on contractually determined amounts. Accrued distribution service fees are included in “accrued expenses” on the condensed consolidated balance sheet.

Shipping Fees

The Company includes fees incurred by pharmacies for shipping medicines to patients as cost of goods sold. The Company calculates accrued shipping fee estimates using the expected value method. The Company records accrued shipping fees in “accrued expenses” on the condensed consolidated balance sheet.

Non-Commercial Product

The Company records the cost of non-commercial product distributed to patients as a cost of goods sold.

Royalties on Product Sales

The Company records royalty fees on the sale of commercial product as a cost of goods sold.

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (“ASU No. 2016-02”). Under ASU No. 2016-02, an entity is required to recognize right-of-use assets and lease liabilities on its balance sheet and disclose key information about leasing arrangements. For leases with a term of twelve months or less, the lessee is permitted to make an accounting policy election not to recognize lease assets and lease liabilities by class of underlying assets. ASU No. 2016-02 became effective for the Company beginning in the first quarter of 2019. The Company adopted this standard on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. The Company elected to not recognize lease assets and liabilities for leases with an initial term of twelve months or less.

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Net Income (Loss) per Common Share

Basic net loss per share is calculated by dividing the net loss by the weighted average number of common shares outstanding during the period. Diluted net loss per share is computed by dividing the net loss by the weighted average number of common shares and common stock equivalents outstanding for the period. Common stock equivalents are only included when their effect is dilutive. Potentially dilutive securities which include outstanding warrants, stock options and preferred stock have been excluded from the computation of diluted net loss per share as their effect would be anti-dilutive. For all periods presented, basic and diluted net loss were the same.

The following table presents the computation of net loss per share (in thousands, except share and per share data):

	Three Months ended June 30,						Six Months ended June 30,
	2019			2018			2019			2018
Numerator
Net loss	$	(2,780	)	$	(4,648	)	$	(5,338	)	$	(6,009	)
Preferred stock dividends	$	(357	)	$	(271	)	$	(739	)	$	(271	)
Net Loss allocable to common stock holders	$	(3,137	)	$	(4,919	)	$	(6,077	)	$	(6,280	)
Denominator
Weighted average common shares outstanding used to compute net loss per share, basic and diluted		10,860,049			10,821,230			10,811,138			10,672,082
Net loss per share of common stock, basic and diluted
Net loss per share	$	(0.29	)	$	(0.45	)	$	(0.56	)	$	(0.59	)

Potentially dilutive securities not included in the calculation of diluted net loss per common share because to do so would be anti-dilutive are as follows:

	Three and Six Months Ended June 30,
	2019		2018
Stock options outstanding		4,992,807		1,122,457
Warrants		36,267,329		33,028,829
Series C Preferred Stock		68,000		68,000
Series D Preferred Stock		3,000		3,000
Series E Preferred Stock		34,780,000		34,990,000
Series F Preferred Stock		3,810,000		-
Total		79,921,136		69,212,286

NOTE 2 – Inventory

Inventory consists of raw material and finished goods stated at the lower of cost or net realizable value with cost determined on a first-in, first-out basis. The Company reviews the composition of inventory at each reporting period in order to identify obsolete, slow-moving, quantities in excess of expected demand, or otherwise non-saleable items.

Inventory as of the following as of June 30, 2019 and December 31, 2018 are as follows:

	June 30, 2019		December 31, 2018
	(in thousands)
Raw Materials	$	173	$	147
Finished Goods		59		95
Inventory, Net	$	232	$	242

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Note 3 - Intangible Assets

Intangible Asset Summary

Intangible assets as of June 30, 2019 are as follows:

	Net Book Value June 30, 2019		Remaining Estimated Useful Life (Years)		Annual Amortization Expense
	(in thousands)
Intangible asset - Prestalia	$	292		4.50	$	65
Intangible asset - DyrctAxess		65		12.09		5
Total	$	357			$	70

Amortization expense for the three months ended June 30, 2019 and June 30, 2018 was approximately $17,000 and $123,000, respectively. Amortization expense for the six months ended June 30, 2019 and June 30, 2018 was approximately $35,000 and $247,000 respectively.

Note 4 – Term Loan

On June 28, 2019, the Company entered into term loan subscription agreements with certain accredited investors, pursuant to which the Company issued secured promissory notes (the “Notes”) in the aggregate principal amount of approximately $1.5 million. The Company paid $236,000 in debt issuance costs which was recorded as a debt discount to be amortized as interest expense over the term of the loan using the effective interest rate method.

The Notes shall accrue interest at a rate of 12.0% per annum. Interest will be payable quarterly with the first interest payment to be made on the six-month anniversary of the date of the closing and each subsequent payment every three months thereafter.

The unpaid principal balance of the Notes, plus accrued and unpaid interest thereon, will mature on the earliest to occur of: (i) June 28, 2020 (subject to extension for up to sixty (60) days based upon the mutual agreement of the Company and the holders of a majority of the unpaid principal balance of all outstanding Notes) or (ii) at any time following an Event of Default. The Notes may not be prepaid without the prior written consent of the holders of the Notes. The Notes are secured by a first lien and security interest on all the assets of the Company and certain of its wholly owned subsidiaries.

The Company recognized approximately $1,000 in interest expense related to Notes for the three and six months ended June 30, 2019.

Note 5 - Related Party Transactions

Due to Related Party

The Company and other related entities have had a commonality of ownership and/or management control, and as a result, the reported operating results and/or financial position of the Company could significantly differ from what would have been obtained if such entities were autonomous.

The Company had a Master Services Agreement (“MSA”) with Autotelic Inc., a related party that is partly owned by one of the Company’s former Board members and executive officers, namely Vuong Trieu, Ph.D., effective November 15, 2016. The MSA stated that Autotelic Inc. will provide business functions and services to the Company and allowed Autotelic Inc. to charge the Company for these expenses paid on its behalf. The MSA included personnel costs allocated based on amount of time incurred and other services such as consultant fees, clinical studies, conferences and other operating expenses incurred on behalf of the Company. The MSA required a 90-day written termination notice in the event either party requires to terminate such services. We and Autotelic Inc. agreed to terminate the MSA effective October 31, 2018. Dr. Trieu resigned as a director of our company effective October 1, 2018.

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During the period commencing November 15, 2016 (the “Effective Date”) and ending on the date that the Company had completed an equity offering of either common or preferred stock in which the gross proceeds therefrom is no less than $10 million (the “Equity Financing Date”), the Company paid Autotelic the following compensation: cash in an amount equal to the actual labor cost (paid on a monthly basis), plus 100% markup in warrants for shares of the Company’s common stock with a strike price equal to the fair market value of the Company’s common stock at the time said warrants were issued. The Company also paid Autotelic for the services provided by third party contractors plus 20% mark up. The warrant price per share was calculated based on the Black-Scholes model.

After the Equity Financing Date, the Company paid Autotelic Inc. a cash amount equal to the actual labor cost plus 100% mark up of provided services and 20% mark up of provided services by third party contractors or material used in connection with the performance of the contracts, including but not limited to clinical trial, non-clinical trial, Contract Manufacturing Organizations, FDA regulatory process, Contract Research Organizations and Chemistry and Manufacturing Controls.

In accordance with the MSA, Autotelic Inc. billed the Company for personnel and service expenses Autotelic Inc. incurred on behalf of the Company. For the six months ended June 30, 2019 and 2018, Autotelic Inc. billed a total of $0 and approximately $616,000, respectively, including personnel costs of $0 and $284,000, respectively. An unpaid balance of approximately $4,000 is included in due to related party in the accompanying balance sheets for both periods ending June 30, 2019 and December 31, 2018.

In April 2018, and in connection with the closing of our private placement on that date, we entered into a Compromise and Settlement Agreement with Autotelic Inc. pursuant to which we agreed to issue to Autotelic Inc. an aggregate of 162.59 shares of Series E Preferred Stock to settle accounts payable of $813,000 and Warrants to purchase up to 1,345,040 shares of common stock to satisfy accrued and unpaid fees in the aggregate amount of approximately $740,000, and other liabilities, owed to Autotelic Inc. as of June 30, 2018 pursuant to the MSA. The warrants have a five-year term, an initial exercise price of $0.55, and have a fair value of approximately $1.5 million resulting in a loss on settlement of debt of approximately $750,000.

Transactions with BioMauris, LLC/Erik Emerson

Until February of 2019, the Company had engaged the services of BioMauris, LLC, of which Erik Emerson, our former Chief Commercial Officer and a current director of Adhera, is Executive Chairman.

During the six months ended June 30, 2019 and 2018, the Company recorded approximately $65,000 and $309,000, respectively, for related party expenses incurred under the agreement. As of December 31, 2018, the Company recorded approximately, $24,000 as a related party liability on the accompanying balance sheet for amounts due BioMauris, LLC. No related party liability was recorded as of June 30, 2019.

Beginning in the second quarter of 2019 when components of the financial transaction took place and fully effective in July 2019, Erik Emerson, a member our Board of Directors and our former Chief Commercial Officer, became the owner of an equity interest of approximately 22% in Pharma Hub Network, our third-party network manager. During the six months ended June 30, 2019 and 2018, the Company paid approximately $17,000 and $0, respectively, to Pharma Hub Network. An unpaid balance of $27,000 and $0 was included in accounts payable and accrued expenses in the accompanying balance sheets as of June 30, 2019 and December 31, 2018, respectively.

Note 6 - Stockholders’ Equity

Series E Convertible Preferred Stock Private Placement

In April and May 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 2,812 shares of our Series E Preferred, at a purchase price of $5,000 per share of Series E Preferred. Each share of Series E Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year warrant to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series E Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. The Series E Preferred accrues 8% dividends per annum and are payable in cash or stock at the Company’s discretion. The Series E Preferred has voting rights, dividend rights, liquidation preferences, conversion rights and anti-dilution rights as described in the Certificate of Designation of Preferences, Rights and Limitations of the Preferred Stock, which we filed with the Secretary of State of Delaware in April 2018. The Warrants have full-ratchet anti-dilution protection, are exercisable for a period of five years and contain customary exercise limitations.

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In April 2019, the Company issued 107,846 unregistered shares of our common stock to a holder of our Series E Convertible Preferred Stock in connection with the conversion of $53,923 of “Stated Value” of our Series E Convertible Preferred Stock.

As of June 30, 2019, the Company had recorded accrued dividends of approximately $1.7 million on Series E Preferred Stock.

Series F Convertible Preferred Stock Private Placement

In July 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 308 shares of our Series F Preferred, at a purchase price of $5,000 per share of Series F Preferred. Each share of Series F Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year warrant (the “Warrants”, and collectively with the Preferred Stock, the “Securities”) to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series F Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. The Series F Preferred accrues 8% dividends per annum and are payable in cash or stock at the Company’s discretion. The Series F Preferred has voting rights, dividend rights, liquidation preferences, conversion rights and anti-dilution rights as described in the Certificate of Designation of Preferences, Rights and Limitations of the Preferred Stock, which we filed with the Secretary of State of Delaware in July 2018. The Warrants have full-ratchet anti-dilution protection, are exercisable for a period of five years and contain customary exercise limitations.

The Company received proceeds of approximately $1.4 million from the sale of the Securities, after deducting placement agent fees and estimated expenses payable by us of approximately $180,000 associated with such closing. We used the proceeds of the offering for funding our commercial operations to the sale and promotion of our Prestalia product, working capital needs, capital expenditures, the repayment of certain liabilities and other general corporate purposes. In connection with the private placement described above, we also issued to the placement agent for such private placement a Warrant to purchase 308,000 shares of our common stock. The Warrant has a five-year term and an initial exercise price of $0.55 per share.

On November 9, 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 73 shares of our Series F Preferred Stock, at a purchase price of $5,000 per share of Preferred Stock. Each share of Series F Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year warrant to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series F Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. We received total net proceeds of approximately $0.31 million from the issuance of the securities described above, after deducting placement agent fees and estimated expenses payable by us associated with such closing. In connection with the private placement described above, we also issued to the placement agent for such private placement a Warrant to purchase 73,000 shares of our common stock. The Warrant has a five-year term and an initial exercise price of $0.55 per share.

As of June 30, 2019, the Company had recorded accrued dividends of approximately $138,000 on Series F Preferred Stock.

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Warrants

As of June 30, 2019, there were 36,267,329 warrants outstanding, with a weighted average exercise price of $0.79 per share, and annual expirations as follows:

Expiring in 2019	600,000
Expiring in 2020	1,189,079
Expiring in 2021	343,750
Expiring in 2022	66,667
Expiring in 2023	33,729,180
Expiring thereafter	338,653
Total	36,267,329

The above includes price adjustable warrants totaling 34,737,030 shares.

No warrants expired during the six months ended June 30, 2019.

Tender Offer

On May 28, 2019, the Company filed a Tender Offer Statement on Schedule TO. The Schedule TO related to the offer (the “Offer”) by the Company to all holders of the Company’s outstanding warrants that were issued to investors in connection with the Company’s private placement of its Series E Convertible Preferred Stock and Series F Convertible Preferred Stock during 2018, which warrants are exercisable for shares of the Company’s common stock at an exercise price of $0.50 per share (subject to adjustment) with respect to the warrants that were issued in connection with the Company’s private placement of its Series E Convertible Preferred Stock and $0.55 per share with respect to the warrants that were issued in connection with the Company’s private placement of its Series F Convertible Preferred Stock, to receive two (2) shares of common stock in exchange for every warrant tendered by the holders thereof.

On June 6, 2019, the Company amended the Schedule TO to change the conversion terms on the issuance of warrant.

As of June 30, 2019, no warrants have been accepted for exchange or been exchanged pursuant to the Offer. See Note 11 – Subsequent Events.

Note 7 - Stock Incentive Plans

Stock Options

The following table summarizes stock option activity for the six months ended June 30, 2019:

	Options Outstanding
	Shares			Weighted Average Exercise Price
Outstanding, December 31, 2018		5,613,057		$	0.83
Options granted		1,635,000			0.37
Options expired / forfeited		(2,255,250	)		1.03
Outstanding, June 30, 2019		4,992,807			0.77
Exercisable, June 30, 2019		2,186,414		$	0.81

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The following table summarizes additional information on stock options outstanding at June 30, 2019.

	Options Outstanding						Options Exercisable
Range of Exercise Prices	Number Outstanding		Weighted- Average Remaining Contractual Life (Years)		Weighted Average Exercise Price		Number Exercisable		Weighted Average Exercise Price
$0.28 - $1.00		4,352,000		8.85	$	0.57		2,024,500	$	0.66
$1.50 - $1.80		493,207		8.18	$	1.79		134,314	$	1.78
$2.60 - $10.70		147,600		2.79	$	3.43		27,600	$	7.27
Totals		4,992,807		8.60	$	0.77		2,186,414	$	0.81

Weighted-Average Exercisable Remaining Contractual Life (Years) 8.06

During the six months ended June 30, 2019, the Company granted an aggregate of 1,635,000 stock options to employees.

Total expense related to stock options was approximately $241,000 and $374,000 for the three months ended June 30, 2019 and 2018, respectively and approximately $636,000 and $493,000 for the six months ended June 30, 2019 and 2018, respectively.

As of June 30, 2019, the Company had approximately $474,000 of total unrecognized compensation expense related to unvested stock options.

As of June 30, 2019, the intrinsic value of options outstanding was zero.

Note 8 - Intellectual Property and Collaborative Agreements

License of DiLA² Assets

On March 16, 2018, the Company entered into an exclusive sublicensing agreement for certain intellectual property rights to its DiLA² delivery system. The agreement included an upfront payment of $200,000 and future additional consideration for sales and development milestones. The upfront fee was contingent upon the Company obtaining a third-party consent to the agreement within ninety days of execution. As of June 30, 2019 and December 31, 2018, the Company had not obtained consent for the sublicense and has classified the upfront payment as an accrued liability on its balance sheet.

Note 9 - Commitments and Contingencies

Litigation

Because of the nature of the Company’s it is subject to claims and/or threatened legal actions, which arise out of the normal course of business. Other than the disclosure below, as of the date of this filing, the Company is not aware of any pending lawsuits against them, its officers or directors.

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Paragraph IV Challenge

The Company’s Prestalia product was involved in a paragraph IV challenge regarding patents issued to perindopril arginine. This challenge, which was pending in the United States District Court for the District of Delaware (No. 1:17-cv-00276), was captioned Apotex Inc. and Apotex Corp. v. Symplmed Pharmaceuticals, LLC and Les Laboratoires Servier. The challengers (Apotex Inc. and Apotex Corp. (“Apotex”)) filed an Abbreviated New Drug Application seeking FDA approval to market a generic version of Prestalia and included a Paragraph (IV) certification. In the litigation, Apotex sought a declaratory judgment that no valid claims of the two patents Symplmed listed in the FDA Orange Book as having claims covering Prestalia, U.S. Patent No. 6,696,481 and 7,846,961, will be infringed by the Apotex proposed generic version of Prestalia and that the claims of those patents are invalid. The challenge was designed to provide Apotex with an opportunity to enter the market with a generic version of Prestalia, ahead of the expiration of the patents with claims covering that product.

Apotex entered into negotiations with Symplmed Pharmaceuticals, LLC (which entity sold its assets relating to Prestalia to us in June 2017, including its License and Commercialization Agreement with Les Laboratories Servier) and Les Laboratories Servier (which entity owns or controls intellectual property rights relating to pharmaceutical products containing as an active pharmaceutical ingredient perindopril in combination with other active pharmaceutical ingredients, which rights have been licensed to Symplmed Pharmaceuticals) to resolve the challenge in the second quarter of 2017. Such parties, along with us, have reached an agreement on terms that result in a delay to the challengers’ ability to enter the market with a generic version of Prestalia, while still providing the challenger with the right to enter the market prior to the expiration of the patent covering such product. Specifically, the parties have entered into a Confidential Settlement Agreement in connection with the settlement of the matter, pursuant to which, among other things, the parties entered into a Confidential License Agreement, whereby Symplmed, Servier and our company agreed to grant to Apotex a non-transferable, non-sublicensable, perpetual, irrevocable, royalty-free, non-exclusive license to the two patents listed in the FDA Orange Book as having claims covering Prestalia to make, use and market a generic version of Prestalia, or import a generic version of Prestalia from India into the United States, on or after January 1, 2021.

As a result of the foregoing, the matter is now settled.

Leases

The Company entered into a Standard Form Office Lease with ROC III Fairlead Imperial Center, LLC, as landlord, pursuant to which we lease our corporate headquarters located at 4721 Emperor Boulevard, Suite 350, Durham, North Carolina 27703 for a term of 37 months starting on October 1, 2018. Our base monthly rent for such space is currently $6,458, which amount will increase to $7,057 for the final month of the term. Other than the lease for our corporate headquarters, we do not own or lease any real property or facilities that are material to our current business operations. As we expand our business operations, we may seek to lease additional facilities of our own in order to support our operational and administrative needs under our current operating plan.

The Company adopted ASU No. 2016-02 on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. However, the new standard required the Company to establish approximately $0.2 million of liabilities and corresponding right-of-use assets of approximately $0.2 million on its condensed consolidated balance sheet for operating leases on rented office properties that existed as of the January 1, 2019, adoption date. The total right-of-use asset was approximately $178,000 as of June 30, 2019 and is reflected in the operating lease right of use asset on the accompanying condensed consolidated balance sheet. The total related liability was approximately $185,000 as of June 30, 2019, of which approximately $78,000 is included in current portion of operating lease liability and approximately $107,000 is reflected in operating lease liability, net of current portion on the accompanying condensed consolidated balance sheet.

Note 11 - Subsequent Events

Except for the events discussed below, there were no subsequent events that required recognition or disclosure. The Company evaluated subsequent events through the date the financial statements were issued and filed with the Securities and Exchange Commission.

On July 2, 2019, the Company announced the termination of the exchange offer contemplated by that certain Tender Offer Statement on Schedule TO that was originally filed on May 28, 2019. As a result of the termination of the Offer, no Warrants were accepted for exchange or exchanged pursuant to the Offer.

On July 3, 2019, July 17, 2019, and August 5, 2019, the Company completed a second, third, and fourth closing of term loan subscription agreements with certain accredited investors, pursuant to which the Company issued secured promissory notes in the aggregate principal amount of approximately $4.2 million. The terms of such additional closings of the loan are as described in Note 4 of this filing.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Forward-Looking Statements

This Quarterly Report on Form 10-Q includes a number of forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, 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”), that reflect management’s current views with respect to future events and financial performance. The following discussion should be read in conjunction with the financial statements and related notes contained in our Annual Report on Form 10-K, as filed with the Securities and Exchange Commission (“SEC”) on April 16, 2019. Forward-looking statements are projections in respect of future events or financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or the negative of these terms or other comparable terminology.

Forward-looking statements are inherently subject to risks and uncertainties, many of which we cannot predict with accuracy and some of which we might not even anticipate. Although we believe that the expectations reflected in such forward-looking statements are based upon reasonable assumptions at the time made, we can give no assurance that such expectations will be achieved. Future events and actual results, financial and otherwise, may differ materially from the results discussed in the forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements. We undertake no obligation to publicly update or revise any forward-looking statements after the date of this Quarterly Report on Form 10-Q or to conform them to actual results, new information, future events or otherwise, except as otherwise required by securities and other applicable laws.

The following factors, among others, could cause our or our industry’s future results to differ materially from historical results or those anticipated:

● our ability to obtain additional and substantial funding for our company on an immediate basis, whether pursuant to a capital raising transaction arising from the sale of our securities, a strategic transaction or otherwise;

● our ability to attract and/or maintain commercialization and manufacturing partners;

● the ability of our company or partners to successfully execute our commercialization activities;

● the ability of our company or partners to obtain required governmental approvals, including product patent approvals;

● the ability of our company and/or a partner to develop and commercialize products that can compete favorably with those of our competitors;

● our ability to satisfy our disclosure obligations under the Exchange Act of 1934 and to maintain the registration of our common stock thereunder;

● our ability to attract and retain qualified officers, employees and consultants as necessary; and

● costs associated with any product liability claims, patent prosecution, patent infringement lawsuits and other lawsuits.

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These statements are only predictions and involve known and unknown risks, uncertainties and other factors, including the risks in the section entitled “Risk Factors” set forth in our Annual Report on Form 10-K for the year ended December 31, 2018, as filed with the SEC on April 16, 2019, any of which may cause our company’s or our industry’s actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. These risks may cause our or our industry’s actual results, levels of activity or performance to be materially different from any future results, levels of activity or performance expressed or implied by these forward-looking statements.

Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity or performance. Moreover, neither we nor any other person assumes responsibility for the accuracy and completeness of these forward-looking statements. We are under no duty to update any forward-looking statements after the date of this report to conform these statements to actual results.

As used in this quarterly report and unless otherwise indicated, the terms “we,” “us,” “our” or the “Company” refer to Adhera Therapeutics, Inc., a Delaware corporation, and its wholly-owned subsidiaries, MDRNA Research, Inc., Cequent Pharmaceuticals, Inc., Atossa Healthcare, Inc., and IthenaPharma, Inc. Unless otherwise specified, all dollar amounts are expressed in United States dollars. Our common stock is currently listed on the OTC Market, OTCQB tier, under the symbol “ATRX.”

Corporate Overview

Nature of Business

We are an emerging specialty pharmaceutical company that leverages innovative distribution models and technologies to improve the quality of care for patients in the United States suffering from chronic diseases. We are focused on fixed dose combination (“FDC”) therapies in hypertension, with plans to expand the portfolio of drugs we commercialize to include other therapeutic areas.

Our mission is to provide effective and patient centric treatment for hypertension and resistant hypertension while actively seeking additional assets that can be commercialized through our proprietary Total Care System (“TCS”). At the core of our TCS is DyrctAxess, our patented technology platform. DyrctAxess is designed to offer enhanced efficiency, control and access to the information necessary to empower patients, physicians and manufacturers to achieve optimal care.

We began marketing Prestalia^®, a single-pill FDC of perindopril arginine (“perindopril”) and amlodipine besylate (“amlodipine”) in June of 2018. By combining Prestalia, DyrctAxess and an independent pharmacy network, we have created a proprietary system for drug adherence and the effective treatment of hypertension, improving the distribution of FDC hypertensive drugs, such as our FDA-approved product Prestalia, as well as improving the distribution of devices for therapeutic drug monitoring (“TDM”) (e.g., blood pressure monitors), as well as patient counseling and prescription reminder services. We are focused on demonstrating the therapeutic and commercial value of our TCS through the commercialization of Prestalia. Prestalia was developed in coordination with Les Laboratories Servier, a French pharmaceutical conglomerate, that sells the formulation outside the United States under the brand names Coveram^® and/or Viacoram^®. Prestalia was approved by the U.S. Food and Drug Administration (“FDA”) in January 2015 and is distributed through our DyrctAxess platform, which we acquired in 2017.

By combining Prestalia, DyrectAxess, and a specialty pharma network, we have created a proprietary platform for drug adherence and the effective treatment of hypertension, improving the distribution of FDC hypertensive drugs, such as our FDA-approved product Prestalia, devices for therapeutic drug monitoring (e.g., blood pressure and other cardiac monitors), as well as patient counseling and prescription reminder services.

As our strategy is to be a commercial pharmaceutical company, we will drive a primary corporate focus on revenue generation through our commercial assets, while continuing to develop our technology platform and TCS. We intend to create value through the expanded commercialization of our FDA-approved product, Prestalia^®, while continuing to develop and leverage our TCS to further strengthen our commercial presence.

20

Results of Operations

Comparison of the Three Months Ended June 30, 2019 to the Three Months Ended June 30, 2018

Net Sales

We recorded net sales of approximately $66,000, net of related discounts for the three months ended June 30, 2019 compared to no sales for the three-month period ended June 30, 2018. The increase in sales represents revenues from the sale of Prestalia^®.

Cost of Sales

Cost of sales were $81,000 for the three months ended June 30, 2019 and represents cost of sales from the sale of Prestalia^®. We had no sales or cost of sales during the three months ended June 30, 2018.

Operating Expenses

Our operating expenses for the three months ended June 30, 2019 and 2018 are summarized as follows:

	Three Months Ended
	June 30, 2019		June 30, 2018
	(in thousands)
Sales and marketing	$	1,148	$	2,586
General and administrative expenses		1,599		1,059
Amortization		17		123
Total operating expenses	$	2,764	$	3,768

Sales, Marketing and Commercial Operations

For the three months ended June 30, 2019, sales, marketing and commercial operations expense decreased by approximately $1.4 million, as compared to the prior period, primarily due to the 2018 commercial launch including marketing and sales activities related to Prestalia^® and a reduction in costs associated with our go to market model.

General and Administrative

General and administrative (“G&A”) expense increased by approximately $0.5 million for the three months ended June 30, 2019, as compared to the three months ended June 30, 2018, primarily due to an increase in share-based compensation of approximately $0.2 million and an increase in personnel related expenses including severance payments made to former executive management.

Amortization Expense

Amortization of intangible assets decreased by approximately $106,000 for the three-month period ended June 30, 2019 primarily due to the write-off of intangibles in 2018 as a result of our decision to divest assets that no longer align with our strategic objectives.

Other Expense

	Three Months Ended
	June 30, 2019			June 30, 2018
Interest expense	$	(1	)	$	(5	)
Loss on settlement		-			(875	)
Total other expense, net	$	(1	)	$	(880	)

21

Total net other expense for the three months ended June 30, 2019 decreased $0.9 million compared to the three months ended June 30, 2018 primarily due to a loss on settlement of a related party liability during the three months ended June 30, 2018.

Comparison of the Six Months Ended June 30, 2019 to the Six Months Ended June 30, 2018

Net Sales

We recorded net sales of approximately $69,000 for the six months ended June 30, 2019 and represents revenues from the sale of Prestalia^®. We had no sales during the six months ended June 30, 2018.

Cost of Sales

Cost of sales were approximately $198,000 for the six months ended June 30, 2019 and represents cost of sales from the sale of Prestalia^®. We had no sales or cost of sales during the six months ended June 30, 2018.

Operating Expenses

Our operating expenses for the six months ended June 30, 2019 are summarized as follows in comparison to our expenses for the six months ended June 30, 2018.

	Six Months Ended
	June 30, 2019		June 30,2018
	(in thousands)
Sales and marketing	$	2,207	$	2,586
Research and development		-		173
General and administrative expenses		2,966		1,979
Amortization		35		247
Total operating expenses	$	5,208	$	4,985

Sales, Marketing and Commercial Operations

For the six months ended June 30, 2019, sales, marketing and commercial operations expense decreased by approximately $379,000, as compared to the prior period, primarily due to a reduction in commercial launch activities related to the sales of Prestalia^® and a reduction in costs associated with our go to market model.

Research and Development

For the six months ended June 30, 2019, research and development expense decreased by approximately $173,000, as compared to the six months ended June 30, 2018 due to the transition of our strategic focus from R&D activities to sales, marketing and commercial operations activities beginning in the second quarter of 2018.

General and Administrative

General and administrative (“G&A”) expense increased by approximately $1.0 million for the six months ended June 30, 2019, as compared to the six months ended June 30, 2018, primarily due to an increase in share based compensation of approximately $0.2 million and an increase in personnel related expenses including severance payments made to executive management.

22

Amortization Expense

Amortization of intangible assets decreased by approximately $212,000 for the six-month period ended June 30, 2019 primarily due to the write-off of intangibles in 2018 as a result of our decision to divest assets that no longer align with our strategic objectives.

Other Expense

	Six Months Ended
(in thousands)	June 30, 2019			June 30, 2018
Interest expense	$	(1	)	$	(149	)
Loss on settlement		-			(875	)
Total other expense, net	$	(1	)	$	(1,024	)

Total net other expense for the six months ended June 30, 2019 decreased approximately $1.0 million compared to the six months ended June 30, 2018 primarily due to a loss on settlement of a related party liability and interest expense on notes payable during the three months ended June 30, 2018 as compared to the same period of 2019.

Liquidity & Capital Resources

Working Capital

(in thousands)	June 30, 2019			December 31, 2018
Current assets	$	2,154		$	4,677
Current liabilities		(5,160	)		(2,214	)
Working capital (deficit)	$	(3,006	)	$	2,463

Negative working capital as of June 30, 2019 was approximately $3.0 million as compared to working capital of approximately $2.5 million as of December 31, 2018. The decrease in working capital is primarily related to an increase in our current liabilities as of June 30, 2019 including approximately $1.3 million of notes payable, an increase in accrued dividends for our convertible preferred stock of approximately $0.8 million and an increase in accounts payable and accrued expenses related to our operating activities.

Cash Flows and Liquidity

Net cash used in Operating Activities

Net cash used in operating activities was approximately $3.5 million during the six months ended June 30, 2019. This was primarily due to our net operating loss of approximately $5.3 million, partially offset by non-cash share-based compensation of approximately $0.6 million and other changes in operating assets and liabilities including an increase in accounts payable and accrued expenses.

Comparatively, net cash used in operating activities was approximately $3.9 million during the six months ended June 30, 2018. This was primarily due to the net operating loss of approximately $6.0 million offset by non-cash charges of approximately $2.5 million and other changes in working capital of approximately $0.3 million. Non-cash charges for the three-months ended June 30, 2018 included the fair value of equity issued for settlement of an outstanding liability including a loss on the settlement of approximately $0.9 million.

23

Net cash used in Investing Activities

There was no cash used in or provided by investing activities for the six months ended June 30, 2019. Cash used in investing activities for the period ended June 30, 2018 was approximately $10,000 for the purchase of furniture for the corporate office.

Net cash provided by Financing Activities

Net cash provided by financing activities for the six months ended June 30, 2019 was approximately $1.3 million from the issuance of promissory notes to certain accredited investors on June 28, 2019. For the six months ended June 30, 2018, cash provided by financing activities was $12.1 million primarily due to the issuance of preferred stock.

We will need to raise additional operating capital during the third quarter of 2019 in order to maintain our operations and to realize our business plan. Without additional sources of cash and/or the deferral, reduction, or elimination of significant planned expenditures, we will not have the cash resources to continue as a going concern thereafter.

Future Financing

We will require immediate substantial additional funds to implement our strategic initiatives and continue the commercialization of Prestalia^®. Historically, we have raised additional capital to supplement our commercialization, clinical development and operational expenses. We will need to raise substantial additional funds required through equity financing, debt financing, strategic alliances or other sources, which may result in further dilution in the equity ownership of our shares. There can be no assurance that additional financing will be available when needed or, if available, that it can be obtained on commercially reasonable terms. Failure to raise additional capital through one or more financings, divesting development assets or reducing discretionary spending could have a material adverse effect on our ability to achieve our intended business objectives. These factors raise substantial doubt about our ability to continue as a going concern.

Off-Balance Sheet Arrangements

As of June 30, 2019, we did not have any off-balance sheet arrangements, as defined in Item 303(a)(4)(ii) of SEC Regulation S-K.

Critical Accounting Policies and Estimates

Our significant accounting policies are more fully described in the notes to our financial statements included herein for the period ended June 30, 2019 and in the notes to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2018.

New and Recently Adopted Accounting Pronouncements

Any new and recently adopted accounting pronouncements are more fully described in Note 1 to our financial statements included herein for the period ended June 30, 2019.

ITEM 3 QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

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ITEM 4 CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures (as that term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) that are designed to ensure that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosures. In designing disclosure controls and procedures, our management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible disclosure controls and procedures. The design of any disclosure controls and procedures also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Any controls and procedures, no matter how well designed and operated, can provide only reasonable, not absolute, assurance of achieving the desired control objectives.

Our management, with the participation of our principal executive officer and principal financial officer, has evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation and subject to the foregoing, our principal executive officer and principal financial officer concluded that, our disclosure controls and procedures were not effective due to the material weakness(es) in internal control over financial reporting described below.

Material Weakness in Internal Control over Financial Reporting

Management conducted an assessment of the effectiveness of our internal control over financial reporting as of June 30, 2019 based on the framework established in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this assessment, management has determined that our internal control over financial reporting as of June 30, 2019 was not effective.

A material weakness, as defined in the standards established by the Sarbanes-Oxley Act of 2002 (the “Sarbanes-Oxley Act”), is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.

The ineffectiveness of our internal control over financial reporting was due to the following material weaknesses which are indicative of many small companies with small number of staff:

● Inadequate segregation of duties consistent with control objectives;

● Lack of qualified accounting personnel to prepare and report financial information in accordance with GAAP; and

● Lack of documentation on policies and procedures that are critical to the accomplishment of financial reporting objectives.

Management’s Plan to Remediate the Material Weakness

Management has been implementing and continues to implement measures designed to ensure that control deficiencies contributing to the material weakness are remediated, such that these controls are designed, implemented, and operating effectively. The remediation actions planned include:

● Identify gaps in our skills base and the expertise of our staff required to meet the financial reporting requirements of a public company; and

● Continue to develop policies and procedures on internal control over financial reporting and monitor the effectiveness of operations on existing controls and procedures.

During the three months ended June 30, 2019, we continued to execute upon our planned remediation actions which are all intended to strengthen our overall control environment. Our Company and all subsidiaries use a well-regarded accounting software which restricts personnel access and standardizes daily accounting procedures on journal entries. The software includes built-in controls and documentation to facilitate accounting review of the books and records. Our Audit Committee continues to exercise oversight responsibilities related to financial reporting and internal control, and we have commenced a search to replace our Chief Financial Officer, who recently resigned. In the meantime, the Company’s Chief Executive Officer will assume the responsibilities of the Chief Financial Officer until we hire a full-time executive. We have hired an external consultant with GAAP expertise to assist in the preparation of financial reporting under management oversight as of May 2, 2019.

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The aforementioned measures taken are expected to lead to an improvement in the timely preparation of financial reports and to strengthen our segregation of duties at the Company. We are committed to maintaining a strong internal control environment, and we believe that these remediation efforts will represent significant improvements in our control environment. Our management will continue to monitor and evaluate the relevance of our risk-based approach and the effectiveness of our internal controls and procedures over financial reporting on an ongoing basis and is committed to taking further action and implementing additional enhancements or improvements, as necessary and as funds allow.

Changes in Internal Control over Financial Reporting

There have been no changes in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter ended June 30, 2019 that have materially affected, or that are reasonably likely to materially affect, our internal control over financial reporting.

PART II – OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

Paragraph IV Challenge

Our Prestalia product was involved in a paragraph IV challenge regarding patents issued to perindopril arginine. This challenge, which was pending in the United States District Court for the District of Delaware (No. 1:17-cv-00276), was captioned Apotex Inc. and Apotex Corp. v. Symplmed Pharmaceuticals, LLC and Les Laboratoires Servier. The challengers (Apotex Inc. and Apotex Corp. (“Apotex”)) filed an Abbreviated New Drug Application seeking FDA approval to market a generic version of Prestalia and included a Paragraph (IV) certification. In the litigation, Apotex sought a declaratory judgment that no valid claims of the two patents Symplmed listed in the FDA Orange Book as having claims covering Prestalia, U.S. Patent No. 6,696,481 and 7,846,961, will be infringed by the Apotex proposed generic version of Prestalia and that the claims of those patents are invalid. The challenge was designed to provide Apotex with an opportunity to enter the market with a generic version of Prestalia, ahead of the expiration of the patents with claims covering that product.

Apotex entered into negotiations with Symplmed Pharmaceuticals, LLC (which entity sold its assets relating to Prestalia to us in June 2017, including its License and Commercialization Agreement with Les Laboratories Servier) and Les Laboratories Servier (which entity owns or controls intellectual property rights relating to pharmaceutical products containing as an active pharmaceutical ingredient perindopril in combination with other active pharmaceutical ingredients, which rights have been licensed to Symplmed Pharmaceuticals) to resolve the challenge in the second quarter of 2017. Such parties, along with us, have reached an agreement on terms that result in a delay to the challengers’ ability to enter the market with a generic version of Prestalia, while still providing the challenger with the right to enter the market prior to the expiration of the patent covering such product. Specifically, the parties have entered into a Confidential Settlement Agreement in connection with the settlement of the matter, pursuant to which, among other things, the parties entered into a Confidential License Agreement, whereby Symplmed, Servier and our company agreed to grant to Apotex a non-transferable, non-sublicensable, perpetual, irrevocable, royalty-free, non-exclusive license to the two patents listed in the FDA Orange Book as having claims covering Prestalia to make, use and market a generic version of Prestalia, or import a generic version of Prestalia from India into the United States, on or after January 1, 2021.

As a result of the foregoing, the matter is now settled.

General

Currently, there is no material litigation pending against our company other than as disclosed above. From time to time, we may become a party to litigation and subject to claims incident to the ordinary course of our business. Although the results of such litigation and claims in the ordinary course of business cannot be predicted with certainty, we believe that the final outcome of such matters will not have a material adverse effect on our business, results of operations or financial condition. Regardless of outcome, litigation can have an adverse impact on us because of defense costs, diversion of management resources and other factors.

26

ITEM 1A. RISK FACTORS

An investment in our common stock involves a number of very significant risks. You should carefully consider the risk factors included in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 2018 (the “Annual Report”), as filed with the SEC on April 16, 2019, in addition to other information contained in those documents and reports that we have filed with the SEC pursuant to the Securities Act and the Exchange Act since the date of the filing of the Annual Report, including, without limitation, this Quarterly Report on Form 10-Q, and the additional risk factor noted below, in evaluating our company and its business before purchasing shares of our common stock. Our business, operating results and financial condition could be adversely affected due to any of those risks.

Risks Relating to Inventory and Product Supply

The company may experience inventory outages as a result of increased demand for Prestalia. The company’s efforts to mitigate this risk may not be successful, resulting in patient supply interruption. Any interruption in the supply of this product could have a material adverse effect on our financial condition, business performance and the results of an investment in our securities.

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

In April 2019, we issued 107,846 unregistered shares of our common stock to a holder of our Series E Convertible Preferred Stock in connection with the conversion of $53,923 of “Stated Value” of our Series E Convertible Preferred Stock. These shares were issued in reliance on the exemption from registration afforded by Section 4(a)(2) of the Securities Act and/or Rule 506(b) of Regulation D promulgated thereunder.

Item 6. Exhibits

Exhibit No.	Description
4.1	Form of Secured Promissory Note issued by Adhera Therapeutics, Inc. to select accredited investors on each of June 28, 2019, July 3, 2019, July 17, 2019 and August 5, 2019 (filed as Exhibit 4.1 to our Current Report on Form 8-K dated June 28, 2019, and incorporated herein by reference).
10.1#	Employment Agreement, dated April 4, 2019, by and between Adhera Therapeutics, Inc. and Nancy R. Phelan (filed as Exhibit 10.1 to our Current Report on Form 8-K dated April 4, 2019, and incorporated herein by reference).
10.2#	Settlement Agreement, dated April 4, 2019, by and between Adhera Therapeutics, Inc. an Robert. C. Moscato, Jr. (filed as Exhibit 10.2 to our Current Report on Form 8-K dated April 4, 2019, and incorporated herein by reference).
10.3	Security Agreement, dated as of June 28, 2019, among Adhera Therapeutics, Inc., IThenaPharma, Inc., Cequent Pharmaceuticals, Inc., MDRNA Research, Inc., the purchasers of secured promissory notes identified on the signature pages thereto, and Jeff S. Phillips as agent (filed as Exhibit 10.1 to our Current Report on Form 8-K dated June 28, 2019, and incorporated herein by reference).
10.4	Form of Subscription Agreement used in connection with the issuance by Adhera Therapeutics, Inc. of Secured Convertible Promissory Notes on each of June 28, 2019, July 3, 2019, July 17, 2019 and August 5, 2019 (filed as Exhibit 10.2 to our Current Report on Form 8-K dated August 5, 2019, and incorporated herein by reference).
31.1	Certification of our Principal Executive Officer and Principal Financial Officer pursuant to Rule 13a-14 and 15d-14 under the Securities Exchange Act of 1934, as amended. (1)
32.1	Certification of our 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. (2)
101INS	XBRL Instance Document (1)
101SCH	XBRL Taxonomy Extension Schema Document (1)
101CAL	XBRL Taxonomy Extension Calculation Linkbase Document (1)
101DEF	XBRL Taxonomy Extension Definition Linkbase Document (1)
101LAB	XBRL Taxonomy Extension Label Linkbase Document (1)
101PRE	XBRL Taxonomy Extension Presentation Linkbase Document (1)
(1)	Filed herewith.
(2)	Furnished herewith.
#	Indicates management contract or compensatory plan or arrangement.

27

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.

	ADHERA THERAPEUTICS, INC.
Date: August 14, 2019	By:	/s/ Nancy R. Phelan.
		Nancy R. Phelan
		Chief Executive Officer and Director
		(Principal Executive Officer, Principal Financial Officer and Principal Accounting Officer)

28

EX-31.1

Exhibit 31.1

ADHERA THERAPEUTICS, INC.

CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Nancy R. Phelan, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Adhera Therapeutics, Inc.;
2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.	I am 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 my supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to me 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 my 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 my 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 that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5.	I have disclosed, based on my 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.

By:	/s/ Nancy R. Phelan
	Nancy R. Phelan
	Chief Executive Officer
	(Principal Executive Officer and Principal Financial Officer)
Date:	August 14, 2019

EX-32.1

Exhibit 32.1

ADHERA THERAPEUTICS, INC.

CERTIFICATION PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with this Quarterly Report on Form 10-Q of Adhera Therapeutics, Inc. (the “Company”) as filed with the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned, in the capacity and on the date indicated below, hereby certifies pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to her knowledge:

1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operation of the Company.

By:	/s/ Nancy R. Phelan
	Nancy R. Phelan
	Chief Executive Officer
	(Principal Executive Officer and Principal Financial Officer)
Date:	August 14, 2019

XML

Document and Entity Information - shares	6 Months Ended
	Jun. 30, 2019	Aug. 12, 2019
Document And Entity Information
Entity Registrant Name	Adhera Therapeutics, Inc.
Entity Central Index Key	0000737207
Document Type	10-Q
Document Period End Date	Jun. 30, 2019
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity's Reporting Status Current	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business Flag	true
Entity Emerging Growth Company	false
Entity Ex Transition Period	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		10,869,530
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2019

XML

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Current assets
Cash	$ 1,644	$ 3,918
Accounts receivable, net of allowance	94	48
Inventory	232	242
Prepaid expenses and other assets	184	469
Total current assets	2,154	4,677
Operating lease right of use asset	178
Furniture and fixtures, net of depreciation	67	72
Intangible assets, net of amortization	357	392
Total Noncurrent Assets	602	464
Total assets	2,756	5,141
Current liabilities
Accounts payable	955	270
Due to related party	4	28
Accrued expenses	1,063	852
Current portion of operating lease liability	78
Accrued dividends	1,800	1,064
Loan payable	1,260
Total current liabilities	5,160	2,214
Other lease liability, net of current portion	107
Total liabilities	5,267	2,214
Commitments and contingencies (Note 9)
Stockholders' equity (deficit)
Common stock, $0.006 par value; 180,000,000 shares authorized, 10,869,530 and 10,761,684 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively	65	65
Additional paid-in capital	29,346	28,710
Accumulated deficit	(31,922)	(25,848)
Total stockholders' equity (deficit)	(2,511)	2,927
Total liabilities and stockholders' equity (deficit)	2,756	5,141
Series C Convertible Preferred Stock [Member]
Stockholders' equity (deficit)
Preferred stock, $0.01 par value; 100,000 shares authorized
Series D Convertible Preferred Stock [Member]
Stockholders' equity (deficit)
Preferred stock, $0.01 par value; 100,000 shares authorized
Series E Convertible Preferred Stock [Member]
Stockholders' equity (deficit)
Preferred stock, $0.01 par value; 100,000 shares authorized
Series F Convertible Preferred Stock [Member]
Stockholders' equity (deficit)
Preferred stock, $0.01 par value; 100,000 shares authorized

XML

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($)	Jun. 30, 2019	Dec. 31, 2018
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	100,000	100,000
Common stock, par value	$ 0.006	$ 0.006
Common stock, shares authorized	180,000,000	180,000,000
Common stock, shares issued	10,869,530	10,761,684
Common stock, shares outstanding	10,869,530	10,761,684
Series C Convertible Preferred Stock [Member]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	1,200	1,200
Preferred stock, liquidation preference value	$ 5,100	$ 5,100
Preferred stock, shares issued	100	100
Preferred stock, shares outstanding	100	100
Series D Convertible Preferred Stock [Member]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	220	220
Preferred stock, liquidation preference value	$ 300	$ 300
Preferred stock, shares issued	40	40
Preferred stock, shares outstanding	40	40
Series E Convertible Preferred Stock [Member]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	3,500	3,500
Preferred stock, liquidation preference value	$ 5,000	$ 5,000
Preferred stock, shares issued	3,478	3,488
Preferred stock, shares outstanding	3,478	3,488
Series F Convertible Preferred Stock [Member]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	2,200	2,200
Preferred stock, liquidation preference value	$ 5,000	$ 5,000
Preferred stock, shares issued	381	381
Preferred stock, shares outstanding	381	381

XML

Condensed Consolidated Statements of Operations (Unaudited) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Income Statement [Abstract]
Net sales	$ 66,000		$ 69,000
Cost of sales	81,000		198,000
Gross Margin	(15,000)		(129,000)
Operating expenses
Sales, marketing and commercial operations	1,148,000	2,586,000	2,207,000	2,586,000
Research and development				173,000
General and administrative	1,599,000	1,059,000	2,966,000	1,979,000
Amortization	17,000	123,000	35,000	247,000
Total operating expenses	2,764,000	3,768,000	5,208,000	4,985,000
Loss from operations	(2,779,000)	(3,768,000)	(5,337,000)	(4,985,000)
Other expense
Interest expense	(1,000)	(5,000)	(1,000)	(149,000)
Loss on settlement		(875,000)		(875,000)
Total Other Expense	(1,000)	(880,000)	(1,000)	(1,024,000)
Loss before provision for income taxes	(2,780,000)	(4,648,000)	(5,338,000)	(6,009,000)
Provision for income taxes
Net loss	(2,780,000)	(4,648,000)	(5,338,000)	(6,009,000)
Preferred Stock Dividends	(357,000)	(271,000)	(739,000)	(271,000)
Net Loss Applicable to Common Stockholders	$ (3,137,000)	$ (4,919,000)	$ (6,077,000)	$ (6,280,000)
Net loss per share - Common Shareholders - basic and diluted	$ (0.29)	$ (0.45)	$ (0.56)	$ (0.59)
Weighted average shares outstanding - basic and diluted	10,860,049	10,821,230	10,811,138	10,672,082

XML

Condensed Consolidated Statement of Stockholders' Equity (Deficit) - USD ($) $ in Thousands	Series E Preferred Stock [Member]	Series F Preferred Stock [Member]	Common Stock [Member]	Additional Paid-in Capital [Member]	Additional Paid-in Capital - Warrants [Member]	Accumulated Deficit [Member]	Total
Balance at Dec. 31, 2017			$ 63	$ 8,414		$ (8,029)	$ 448
Balance, shares at Dec. 31, 2017			10,521,278
Share based compensation				119			119
Net loss						(1,361)	(1,361)
Balance at Mar. 31, 2018			$ 63	8,533		(9,390)	(794)
Balance, shares at Mar. 31, 2018			10,521,278
Balance at Dec. 31, 2017			$ 63	8,414		(8,029)	448
Balance, shares at Dec. 31, 2017			10,521,278
Net loss							(6,009)
Balance at Jun. 30, 2018			$ 67	(6,229)	32,601	(14,309)	12,130
Balance, shares at Jun. 30, 2018	3,490		11,241,684
Balance at Mar. 31, 2018			$ 63	8,533		(9,390)	(794)
Balance, shares at Mar. 31, 2018			10,521,278
Issuance of Series E Preferred Stock, net of fees				12,258			12,258
Issuance of Series E Preferred Stock, net of fees, Shares	2,812
Warrants issued with Series E Preferred Stock				(31,107)	31,107
Issuance of Series E Preferred for debt and accounts payable				3,438			3,438
Issuance of Series E Preferred for debt and accounts payable, Shares	687
Conversion of Series C Preferred stock for common stock			$ 3	(3)
Conversion of Series C Preferred stock for common stock, Shares			433,334
Conversion of Series D Preferred stock for common stock
Conversion of Series D Preferred stock for common stock, Shares			25,000
Warrants issued for settlement of liability					1,494		1,494
Shares issued for settlement of litigation			$ 1	249			250
Shares issued for settlement of litigation, Shares			210,084
Shares issued for License Agreement				75			75
Shares issued for License Agreement, Shares			51,988
Accrued dividend						(271)	(271)
Share based compensation				374			374
Cancellation of Series E Preferred Stock				(46)			(46)
Cancellation of Series E Preferred Stock, Shares	(9)
Net loss						(4,648)	(4,648)
Balance at Jun. 30, 2018			$ 67	(6,229)	32,601	(14,309)	12,130
Balance, shares at Jun. 30, 2018	3,490		11,241,684
Balance at Dec. 31, 2018			$ 65	(5,384)	34,094	(25,848)	2,927
Balance, shares at Dec. 31, 2018	3,488	381	10,761,684
Accrued dividend						(382)	(382)
Share based compensation				395			395
Net loss						(2,558)	(2,558)
Balance at Mar. 31, 2019			$ 65	(4,989)	34,094	(28,788)	382
Balance, shares at Mar. 31, 2019	3,488	381	10,761,684
Balance at Dec. 31, 2018			$ 65	(5,384)	34,094	(25,848)	2,927
Balance, shares at Dec. 31, 2018	3,488	381	10,761,684
Net loss							(5,338)
Balance at Jun. 30, 2019			$ 65	(4,748)	34,094	(31,922)	(2,511)
Balance, shares at Jun. 30, 2019	3,478	381	10,869,530
Balance at Mar. 31, 2019			$ 65	(4,989)	34,094	(28,788)	382
Balance, shares at Mar. 31, 2019	3,488	381	10,761,684
Accrued dividend						(357)	(357)
Share based compensation				241			241
Conversion of Series E Preferred stock for common stock						3	3
Conversion of Series E Preferred stock for common stock, Shares	(10)		107,846
Net loss						(2,780)	(2,780)
Balance at Jun. 30, 2019			$ 65	$ (4,748)	$ 34,094	$ (31,922)	$ (2,511)
Balance, shares at Jun. 30, 2019	3,478	381	10,869,530

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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)	6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018
Cash Flows Used in Operating Activities:
Net loss	$ (5,338,000)	$ (6,009,000)
Adjustments to reconcile net loss to net cash used in operating activities:
Share based compensation	636,000	493,000
Common shares issued for settlement		250,000
Preferred shares issued for note settlement		375,000
Common shares issued to license agreement		75,000
Amortization of intangibles	35,000	247,000
Bad debt expense	41,000	0
Amortization of debt discount		113,000
Depreciation	5,000
Non-cash interest expense	1,000	37,000
Non-cash lease expense	62,000
Loss on settlement		875,000
Changes in operating assets and liabilities:
Accounts receivable	(87,000)
Inventory	10,000	(80,000)
Prepaid expenses and other assets	285,000	(193,000)
Accounts payable	685,000	161,000
Accrued expenses	218,000	(330,000)
Accrued fee payable		(320,000)
Deferred revenue		200,000
Due to related party	(24,000)	250,000
Lease liability	(62,000)
Net Cash Used in Operating Activities	(3,533,000)	(3,856,000)
Cash Flows Used in Investing Activities:
Purchase of furniture and fixtures		(10,000)
Net Cash Used in Investing Activities		(10,000)
Cash Flows Provided By Financing Activities:
Proceeds from sale of preferred stock, net offering expenses		12,258,000
Proceeds from loan payable	1,495,000
Loan payable issuance costs	(236,000)
Payments for notes payable		(144,000)
Net Cash Provided by Financing Activities	1,259,000	12,114,000
Net (decrease) increase in cash	(2,274,000)	8,248,000
Cash - Beginning of Period	3,918,000	106,000
Cash - End of Period	1,644,000	8,354,000
Non-cash Investing and Financing Activities:
Capitalization of operating lease right of use asset	240,000
Issuance of warrants for liabilities, related party		1,494,000
Preferred share settlement of debt and accrued liabilities		3,438,000
Issuance of warrants		31,107,000
Accrued dividends	739,000	271,000
Conversion of Series E accrued dividend for common stock	$ 3,000

XML

Nature of Operations, Basis of Presentation and Significant Accounting Policies

6 Months Ended

Jun. 30, 2019

Accounting Policies [Abstract]

Nature of Operations, Basis of Presentation and Significant Accounting Policies

Note 1 – Nature of Operations, Basis of Presentation and Significant Accounting Policies

Business Overview

Adhera Therapeutics, Inc. (formerly known as Marina Biotech, Inc.) and its wholly-owned subsidiaries, MDRNA Research, Inc. (“MDRNA”), Cequent Pharmaceuticals, Inc. (“Cequent”), Atossa Healthcare, Inc. (“Atossa”), and IThenaPharma, Inc. (“IThena”) (collectively “Adhera,” the “Company,) is an emerging specialty pharmaceutical company that leverages innovative distribution models and technologies to improve the quality of care for patients in the United States suffering from chronic diseases. The Company is focused on fixed dose combination (“FDC”) therapies in hypertension, with plans to expand the portfolio of drugs we commercialize to include other therapeutic areas.

The Company’s mission is to provide effective and patient centric treatment for hypertension while actively seeking additional assets that can be commercialized through our proprietary Total Care System (“TCS”). At the core of our TCS system is DyrctAxess, our patented technology platform. DyrctAxess is designed to offer enhanced efficiency, control and access to the information necessary to empower patients, physicians and manufacturers to achieve optimal care.

The Company is focused on demonstrating the therapeutic and commercial value of TCS through the commercialization of Prestalia^®, a single-pill FDC of perindopril arginine (“perindopril”) and amlodipine besylate (“amlodipine”) which is used as a first-line treatment for hypertension. Prestalia was developed in coordination with Les Laboratories, Servier, a French pharmaceutical conglomerate, that sells the formulation outside the United States under the brand names Coveram^® and/or Viacoram^®. Prestalia^® was approved by the U.S. Food and Drug Administration (“FDA”) in January 2015 and was licensed by the Company from Symplmed in June 2017. By combining Prestalia^®, DyrctAxess and an independent pharmacy network, the Company has created a proprietary system for drug adherence including patient counseling and prescription reminder services, as well as improving the distribution of blood pressure monitors for therapeutic drug monitoring (“TDM”).

In 2018, the Company discontinued all significant clinical development activities and is evaluating disposition options for its development assets, including but not limited to: (i) a next generation celecoxib program of drug candidates for the treatment of acute and chronic pain; (ii) an FDC used to suppress polyps in the precancerous syndrome and orphan indication Familial Adenomatous Polyposis; (iii) an FDC to treat Colorectal Cancer; and (iv) an FDC for irritable bowel disease (IBD). The Company plans to license or divest these development assets since they no longer align with the Company’s focus on the commercialization of Prestalia.

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions pursuant to the rules and regulations of the Securities and Exchange Commission. Accordingly, they do not include all of the information and note disclosures required by U.S. generally accepted accounting principles (“U.S. GAAP”) for complete audited financial statements. This quarterly report should be read in conjunction with the consolidated financial statements in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018. The information furnished in this report reflects all adjustments (consisting of normal recurring adjustments), which are, in the opinion of management, necessary for a fair presentation of our financial position, results of operations and cash flows for each period presented. The results of operations for the three or six months ended June 30, 2019 are not necessarily indicative of the results for the year ending December 31, 2019 or for any future period.

Principles of Consolidation

The condensed consolidated financial statements include the accounts of Adhera Therapeutics, Inc. and the wholly-owned subsidiaries, Ithena, Cequent, MDRNA, and Atossa, and eliminate any inter-company balances and transactions.

Going Concern and Management’s Liquidity Plans

The accompanying condensed consolidated financial statements have been prepared on the basis that the Company will continue as a going concern, which contemplates realization of assets and the satisfaction of liabilities in the normal course of business. As of June 30, 2019, the Company had cash and cash equivalents of $1.6 million and has negative working capital of approximately $3.0 million.

The Company has incurred recurring losses and negative cash flows from operations since inception and has funded its operating losses through the sale of common stock, preferred stock, warrants to purchase common stock, convertible notes and promissory notes. The Company incurred a net operating loss of approximately $2.8 million and $5.3 million for the three and six months ended June 30, 2019, respectively. The Company had an accumulated deficit of approximately $31.9 million as of June 30, 2019.

The Company expects to continue to incur operating losses as it executes the commercialization plans for Prestalia^®, as well as other strategic and business development initiatives. If the Company is unable to obtain additional financing in the future, there may be a negative impact on the financial viability of the Company. The Company plans to increase working capital by managing its cash flows and expenses, divesting development assets and raising additional capital through private or public equity or debt financing. There can be no assurance that such financing or partnerships will be available or on terms which are favorable to the Company. While management of the Company believes that it has a plan to fund ongoing operations, there is no assurance that its plan will be successfully implemented. Failure to raise additional capital through one or more financings, divesting development assets or reducing discretionary spending could have a material adverse effect on the Company’s ability to achieve its intended business objectives. These factors raise substantial doubt about the Company’s ability to continue as a going concern. The condensed consolidated financial statements do not contain any adjustments that might result from the resolution of any of the above uncertainties.

Summary of Significant Accounting Policies

Use of Estimates

The preparation of the accompanying condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reported period. Significant areas requiring the use of management estimates include revenue and related discounts and allowances and accruals related to our operating activity including legal and other consulting expenses. Actual results could differ materially from such estimates under different assumptions or circumstances.

Fair Value of Financial Instruments

The Company considers the fair value of cash, accounts payable, accounts receivable and accrued expenses not to be materially different from their carrying value. These financial instruments have short-term maturities. We follow authoritative guidance with respect to fair value reporting issued by the Financial Accounting Standards Board (“FASB”) for financial assets and liabilities, which defines fair value, provides guidance for measuring fair value and requires certain disclosures. The guidance does not apply to measurements related to share-based payments. The guidance discusses valuation techniques, such as the market approach (comparable market prices), the income approach (present value of future income or cash flow), and the cost approach (cost to replace the service capacity of an asset or replacement cost). The guidance establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The following is a brief description of those three levels:

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

Level 2:	Inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.
Level 3:	Unobservable inputs in which little or no market data exists, therefore developed using estimates and assumptions developed by us, which reflect those that a market participant would use.

There were no liabilities measured at fair value as of June 30, 2019 or December 31, 2018.

Accounts Receivable, net

Accounts receivable consists of amounts due from wholesale distributors and specialty pharmacy providers. The Company records an allowance for doubtful accounts at the time potential collection risk is identified. The Company estimates its allowance based on historical experience, assessment of specific risks and discussions with individual customers.  The Company believes the reserve is adequate to mitigate current collection risks. During the three and six months ended June 30, 2019 and 2018, the Company recorded an additional allowance of approximately $41,000 and $0, respectively.

Goodwill and Intangible Assets

The Company periodically reviews the carrying value of intangible assets, including goodwill, to determine whether impairment may exist. Goodwill and certain intangible assets are assessed annually, or when certain triggering events occur, for impairment using fair value measurement techniques. These events could include a significant change in the business climate, legal factors, a decline in operating performance, competition, sale or disposition of a significant portion of the business, or other factors. Specifically, goodwill impairment is determined using a two-step process. The first step of the goodwill impairment test is used to identify potential impairment by comparing the fair value of a reporting unit with its carrying amount, including goodwill. The Company uses level 3 inputs and a discounted cash flow methodology to estimate the fair value of a reporting unit. A discounted cash flow analysis requires one to make various judgmental assumptions including assumptions about future cash flows, growth rates, and discount rates. The assumptions about future cash flows and growth rates are based on the Company’s budget and long-term plans. Discount rate assumptions are based on an assessment of the risk inherent in the respective reporting units. If the fair value of a reporting unit exceeds its carrying amount, goodwill of the reporting unit is considered not impaired and the second step of the impairment test is unnecessary. If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit (including any unrecognized intangible assets) as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit.

During the year ended December 31, 2018, the Company determined that goodwill was impaired and recognized a loss on impairment of approximately $3.5 million. The impairment determination was primarily a result of the decision to divest assets that no longer aligned with the Company’s strategic objectives. No impairment charges were recognized for the three and six-month period ended June 30, 2019 or 2018.

Impairment of Long-Lived Assets

The Company reviews long-lived assets for impairment indicators throughout the year and performs detailed testing whenever impairment indicators are present. In addition, we perform detailed impairment testing for indefinite-lived intangible assets, at least annually, at December 31. When necessary, the Company records charges for impairments. Specifically:

● For finite-lived intangible assets, such as developed technology rights, and for other long-lived assets, we compare the undiscounted amount of the projected cash flows associated with the asset, or asset group, to the carrying amount. If the carrying amount is found to be greater, we record an impairment loss for the excess of book value over fair value. In addition, in all cases of an impairment review, we re-evaluate the remaining useful lives of the assets and modify them, as appropriate; and

● For indefinite-lived intangible assets, such as acquired in-process R&D assets, each year and whenever impairment indicators are present, we determine the fair value of the asset and record an impairment loss for the excess of book value over fair value, if any.

The Company did not recognize any loss on impairment for the three or six-month periods ended June 30, 2019 or 2018.

Revenue Recognition

Customers Concentration

The Company sells its prescription drug (Prestalia^®) directly to specialty contracted retail pharmacies and indirectly through wholesalers. For the three months ended June 30, 2019, the Company’s three largest customers accounted for 46%, 31% and 23% of the Company’s total gross sales. For the six months ended June 30, 2019, the Company’s three largest customers accounted for 39%, 37%, and 24% of the Company’s total gross sales. The Company works with a third-party pharmacy network manager to attract, retain, and manage the Company’s pharmacy customers and distribution channels. The Company had no sales for the three or six-month periods ending June 30, 2018.

Revenue, Net

The Company adopted the new revenue recognition guidelines in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606), effective with the quarter ended March 31, 2018.

The Company sells its medicines primarily to wholesale distributors and specialty pharmacy providers under agreements with payment terms typically less than 90 days. These customers subsequently resell the Company’s medicines to health care patients. Revenue is recognized when performance obligations under the terms of a contract with a customer are satisfied. The majority of the Company’s contracts have a single performance obligation to transfer medicines. Accordingly, revenues from medicine sales are recognized when the customer obtains control of the Company’s medicines, which occurs at a point in time, typically upon delivery to the customer. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring medicines and is generally based upon a list or fixed price less allowances for medicine returns, rebates and discounts. Company records an estimate of unrealized revenue reductions, and the related liability, for bottles sold to pharmacies but not yet prescribed.

Medicine Sales Discounts and Allowances

The nature of the Company’s contracts gives rise to variable consideration because of allowances for medicine returns, rebates and discounts. Allowances for medicine returns, rebates and discounts are recorded at the time of sale to wholesale pharmaceutical distributors and pharmacies. The Company applies significant judgments and estimates in determining some of these allowances. If actual results differ from its estimates, the Company will be required to make adjustments to these allowances in the future. The Company’s adjustments to gross sales are discussed further below.

Patient Access Programs

The Company offers discounts to patients under which the patient receives a discount on his or her prescription. In circumstances when a patient’s prescription is rejected by a third-party payer, the Company will pay for the full cost of the prescription. The Company reimburses pharmacies for this discount directly or through third-party vendors. The Company reduces gross sales by the amount of actual co-pay and other patient assistance in the period based on the invoices received. The Company also records an accrual to reduce gross sales for estimated co-pay and other patient assistance on units sold to distributors or pharmacies that have not yet been prescribed/dispensed to a patient. The Company calculates accrued co-pay and other patient assistance fee estimates using the expected value method. The estimate is based on contract prices, estimated percentages of medicine that will be prescribed to qualified patients, average assistance paid based on reporting from the third-party vendors and estimated levels of inventory in the distribution channel. Accrued co-pay and other patient assistance fees are included in “accrued expenses” on the condensed consolidated balance sheet. Patient assistance programs include both co-pay assistance and fully bought down prescriptions.

Sales Returns

Consistent with industry practice, the Company maintains a return policy that allows customers to return medicines within a specified period prior to and subsequent to the medicine expiration date. Generally, medicines may be returned for a period beginning six months prior to its expiration date and up to one year after its expiration date. The right of return expires on the earlier of one year after the medicine expiration date or the time that the medicine is dispensed to the patient. The majority of medicine returns result from medicine dating, which falls within the range set by the Company’s policy and are settled through the issuance of a credit to the customer. The Company calculates sales returns using the expected value method. The estimate of the provision for returns is based upon industry experience. This period is known to the Company based on the shelf life of medicines at the time of shipment. The Company records sales returns in “accrued expenses” and as a reduction of revenue.

Cost of Goods Sold

Distribution Service Fees

The Company includes distribution service fees paid for inventory management services as cost of goods sold. The Company calculates accrued distribution service fee estimates using the most likely amount method. The Company accrues estimated distribution fees based on contractually determined amounts. Accrued distribution service fees are included in “accrued expenses” on the condensed consolidated balance sheet.

Shipping Fees

The Company includes fees incurred by pharmacies for shipping medicines to patients as cost of goods sold. The Company calculates accrued shipping fee estimates using the expected value method. The Company records accrued shipping fees in “accrued expenses” on the condensed consolidated balance sheet.

Non-Commercial Product

The Company records the cost of non-commercial product distributed to patients as a cost of goods sold.

Royalties on Product Sales

The Company records royalty fees on the sale of commercial product as a cost of goods sold.

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (“ASU No. 2016-02”). Under ASU No. 2016-02, an entity is required to recognize right-of-use assets and lease liabilities on its balance sheet and disclose key information about leasing arrangements. For leases with a term of twelve months or less, the lessee is permitted to make an accounting policy election not to recognize lease assets and lease liabilities by class of underlying assets. ASU No. 2016-02 became effective for the Company beginning in the first quarter of 2019. The Company adopted this standard on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. The Company elected to not recognize lease assets and liabilities for leases with an initial term of twelve months or less.

Net Income (Loss) per Common Share

Basic net loss per share is calculated by dividing the net loss by the weighted average number of common shares outstanding during the period. Diluted net loss per share is computed by dividing the net loss by the weighted average number of common shares and common stock equivalents outstanding for the period. Common stock equivalents are only included when their effect is dilutive. Potentially dilutive securities which include outstanding warrants, stock options and preferred stock have been excluded from the computation of diluted net loss per share as their effect would be anti-dilutive. For all periods presented, basic and diluted net loss were the same.

The following table presents the computation of net loss per share (in thousands, except share and per share data):

	Three Months ended June 30,						Six Months ended June 30,
	2019			2018			2019			2018
Numerator
Net loss	$	(2,780	)	$	(4,648	)	$	(5,338	)	$	(6,009	)
Preferred stock dividends	$	(357	)	$	(271	)	$	(739	)	$	(271	)
Net Loss allocable to common stock holders	$	(3,137	)	$	(4,919	)	$	(6,077	)	$	(6,280	)
Denominator
Weighted average common shares outstanding used to compute net loss per share, basic and diluted		10,860,049			10,821,230			10,811,138			10,672,082
Net loss per share of common stock, basic and diluted
Net loss per share	$	(0.29	)	$	(0.45	)	$	(0.56	)	$	(0.59	)

Potentially dilutive securities not included in the calculation of diluted net loss per common share because to do so would be anti-dilutive are as follows:

	Three and Six Months Ended June 30,
	2019		2018
Stock options outstanding		4,992,807		1,122,457
Warrants		36,267,329		33,028,829
Series C Preferred Stock		68,000		68,000
Series D Preferred Stock		3,000		3,000
Series E Preferred Stock		34,780,000		34,990,000
Series F Preferred Stock		3,810,000		-
Total		79,921,136		69,212,286

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Inventory

6 Months Ended

Jun. 30, 2019

Inventory Disclosure [Abstract]

Inventory

NOTE 2 – Inventory

Inventory consists of raw material and finished goods stated at the lower of cost or net realizable value with cost determined on a first-in, first-out basis. The Company reviews the composition of inventory at each reporting period in order to identify obsolete, slow-moving, quantities in excess of expected demand, or otherwise non-saleable items.

Inventory as of the following as of June 30, 2019 and December 31, 2018 are as follows:

	June 30, 2019		December 31, 2018
	(in thousands)
Raw Materials	$	173	$	147
Finished Goods		59		95
Inventory, Net	$	232	$	242

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Intangible Assets

6 Months Ended

Jun. 30, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Intangible Assets

Note 3 - Intangible Assets

Intangible Asset Summary

Intangible assets as of June 30, 2019 are as follows:

	Net Book Value June 30, 2019		Remaining Estimated Useful Life (Years)		Annual Amortization Expense
	(in thousands)
Intangible asset - Prestalia	$	292		4.50	$	65
Intangible asset - DyrctAxess		65		12.09		5
Total	$	357			$	70

Amortization expense for the three months ended June 30, 2019 and June 30, 2018 was approximately $17,000 and $123,000, respectively. Amortization expense for the six months ended June 30, 2019 and June 30, 2018 was approximately $35,000 and $247,000 respectively.

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Term Loan

6 Months Ended

Jun. 30, 2019

Debt Disclosure [Abstract]

Term Loan

Note 4 – Term Loan

On June 28, 2019, the Company entered into term loan subscription agreements with certain accredited investors, pursuant to which the Company issued secured promissory notes (the “Notes”) in the aggregate principal amount of approximately $1.5 million. The Company paid $236,000 in debt issuance costs which was recorded as a debt discount to be amortized as interest expense over the term of the loan using the effective interest rate method.

The Notes shall accrue interest at a rate of 12.0% per annum. Interest will be payable quarterly with the first interest payment to be made on the six-month anniversary of the date of the closing and each subsequent payment every three months thereafter.

The unpaid principal balance of the Notes, plus accrued and unpaid interest thereon, will mature on the earliest to occur of: (i) June 28, 2020 (subject to extension for up to sixty (60) days based upon the mutual agreement of the Company and the holders of a majority of the unpaid principal balance of all outstanding Notes) or (ii) at any time following an Event of Default. The Notes may not be prepaid without the prior written consent of the holders of the Notes. The Notes are secured by a first lien and security interest on all the assets of the Company and certain of its wholly owned subsidiaries.

The Company recognized approximately $1,000 in interest expense related to Notes for the three and six months ended June 30, 2019.

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Related Party Transactions

6 Months Ended

Jun. 30, 2019

Related Party Transactions [Abstract]

Related Party Transactions

Note 5 - Related Party Transactions

Due to Related Party

The Company and other related entities have had a commonality of ownership and/or management control, and as a result, the reported operating results and/or financial position of the Company could significantly differ from what would have been obtained if such entities were autonomous.

The Company had a Master Services Agreement (“MSA”) with Autotelic Inc., a related party that is partly owned by one of the Company’s former Board members and executive officers, namely Vuong Trieu, Ph.D., effective November 15, 2016. The MSA stated that Autotelic Inc. will provide business functions and services to the Company and allowed Autotelic Inc. to charge the Company for these expenses paid on its behalf. The MSA included personnel costs allocated based on amount of time incurred and other services such as consultant fees, clinical studies, conferences and other operating expenses incurred on behalf of the Company. The MSA required a 90-day written termination notice in the event either party requires to terminate such services. We and Autotelic Inc. agreed to terminate the MSA effective October 31, 2018. Dr. Trieu resigned as a director of our company effective October 1, 2018.

During the period commencing November 15, 2016 (the “Effective Date”) and ending on the date that the Company had completed an equity offering of either common or preferred stock in which the gross proceeds therefrom is no less than $10 million (the “Equity Financing Date”), the Company paid Autotelic the following compensation: cash in an amount equal to the actual labor cost (paid on a monthly basis), plus 100% markup in warrants for shares of the Company’s common stock with a strike price equal to the fair market value of the Company’s common stock at the time said warrants were issued. The Company also paid Autotelic for the services provided by third party contractors plus 20% mark up. The warrant price per share was calculated based on the Black-Scholes model.

After the Equity Financing Date, the Company paid Autotelic Inc. a cash amount equal to the actual labor cost plus 100% mark up of provided services and 20% mark up of provided services by third party contractors or material used in connection with the performance of the contracts, including but not limited to clinical trial, non-clinical trial, Contract Manufacturing Organizations, FDA regulatory process, Contract Research Organizations and Chemistry and Manufacturing Controls.

In accordance with the MSA, Autotelic Inc. billed the Company for personnel and service expenses Autotelic Inc. incurred on behalf of the Company. For the six months ended June 30, 2019 and 2018, Autotelic Inc. billed a total of $0 and approximately $616,000, respectively, including personnel costs of $0 and $284,000, respectively. An unpaid balance of approximately $4,000 is included in due to related party in the accompanying balance sheets for both periods ending June 30, 2019 and December 31, 2018.

In April 2018, and in connection with the closing of our private placement on that date, we entered into a Compromise and Settlement Agreement with Autotelic Inc. pursuant to which we agreed to issue to Autotelic Inc. an aggregate of 162.59 shares of Series E Preferred Stock to settle accounts payable of $813,000 and Warrants to purchase up to 1,345,040 shares of common stock to satisfy accrued and unpaid fees in the aggregate amount of approximately $740,000, and other liabilities, owed to Autotelic Inc. as of June 30, 2018 pursuant to the MSA. The warrants have a five-year term, an initial exercise price of $0.55, and have a fair value of approximately $1.5 million resulting in a loss on settlement of debt of approximately $750,000.

Transactions with BioMauris, LLC/Erik Emerson

Until February of 2019, the Company had engaged the services of BioMauris, LLC, of which Erik Emerson, our former Chief Commercial Officer and a current director of Adhera, is Executive Chairman.

During the six months ended June 30, 2019 and 2018, the Company recorded approximately $65,000 and $309,000, respectively, for related party expenses incurred under the agreement. As of December 31, 2018, the Company recorded approximately, $24,000 as a related party liability on the accompanying balance sheet for amounts due BioMauris, LLC. No related party liability was recorded as of June 30, 2019.

Beginning in the second quarter of 2019 when components of the financial transaction took place and fully effective in July 2019, Erik Emerson, a member our Board of Directors and our former Chief Commercial Officer, became the owner of an equity interest of approximately 22% in Pharma Hub Network, our third-party network manager. During the six months ended June 30, 2019 and 2018, the Company paid approximately $17,000 and $0, respectively, to Pharma Hub Network. An unpaid balance of $27,000 and $0 was included in accounts payable and accrued expenses in the accompanying balance sheets as of June 30, 2019 and December 31, 2018, respectively.

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Stockholders' Equity

6 Months Ended

Jun. 30, 2019

Equity [Abstract]

Stockholders' Equity

Note 6 - Stockholders’ Equity

Series E Convertible Preferred Stock Private Placement

In April and May 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 2,812 shares of our Series E Preferred, at a purchase price of $5,000 per share of Series E Preferred. Each share of Series E Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year warrant to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series E Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. The Series E Preferred accrues 8% dividends per annum and are payable in cash or stock at the Company’s discretion. The Series E Preferred has voting rights, dividend rights, liquidation preferences, conversion rights and anti-dilution rights as described in the Certificate of Designation of Preferences, Rights and Limitations of the Preferred Stock, which we filed with the Secretary of State of Delaware in April 2018. The Warrants have full-ratchet anti-dilution protection, are exercisable for a period of five years and contain customary exercise limitations.

In April 2019, the Company issued 107,846 unregistered shares of our common stock to a holder of our Series E Convertible Preferred Stock in connection with the conversion of $53,923 of “Stated Value” of our Series E Convertible Preferred Stock.

As of June 30, 2019, the Company had recorded accrued dividends of approximately $1.7 million on Series E Preferred Stock.

Series F Convertible Preferred Stock Private Placement

In July 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 308 shares of our Series F Preferred, at a purchase price of $5,000 per share of Series F Preferred. Each share of Series F Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year warrant (the “Warrants”, and collectively with the Preferred Stock, the “Securities”) to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series F Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. The Series F Preferred accrues 8% dividends per annum and are payable in cash or stock at the Company’s discretion. The Series F Preferred has voting rights, dividend rights, liquidation preferences, conversion rights and anti-dilution rights as described in the Certificate of Designation of Preferences, Rights and Limitations of the Preferred Stock, which we filed with the Secretary of State of Delaware in July 2018. The Warrants have full-ratchet anti-dilution protection, are exercisable for a period of five years and contain customary exercise limitations.

The Company received proceeds of approximately $1.4 million from the sale of the Securities, after deducting placement agent fees and estimated expenses payable by us of approximately $180,000 associated with such closing. We used the proceeds of the offering for funding our commercial operations to the sale and promotion of our Prestalia product, working capital needs, capital expenditures, the repayment of certain liabilities and other general corporate purposes. In connection with the private placement described above, we also issued to the placement agent for such private placement a Warrant to purchase 308,000 shares of our common stock. The Warrant has a five-year term and an initial exercise price of $0.55 per share.

On November 9, 2018, the Company entered into Subscription Agreements with certain accredited investors and conducted a closing pursuant to which we sold 73 shares of our Series F Preferred Stock, at a purchase price of $5,000 per share of Preferred Stock. Each share of Series F Preferred is initially convertible into shares of our common stock at a conversion price of $0.50 per share of common stock. In addition, each investor received a 5-year warrant to purchase 0.75 shares of common stock for each share of common stock issuable upon the conversion of the Series F Preferred purchased by such investor at an initial exercise price equal to $0.55 per share of common stock, subject to adjustment thereunder. We received total net proceeds of approximately $0.31 million from the issuance of the securities described above, after deducting placement agent fees and estimated expenses payable by us associated with such closing. In connection with the private placement described above, we also issued to the placement agent for such private placement a Warrant to purchase 73,000 shares of our common stock. The Warrant has a five-year term and an initial exercise price of $0.55 per share.

As of June 30, 2019, the Company had recorded accrued dividends of approximately $138,000 on Series F Preferred Stock.

Warrants

As of June 30, 2019, there were 36,267,329 warrants outstanding, with a weighted average exercise price of $0.79 per share, and annual expirations as follows:

Expiring in 2019	600,000
Expiring in 2020	1,189,079
Expiring in 2021	343,750
Expiring in 2022	66,667
Expiring in 2023	33,729,180
Expiring thereafter	338,653
Total	36,267,329

The above includes price adjustable warrants totaling 34,737,030 shares.

No warrants expired during the six months ended June 30, 2019.

Tender Offer

On May 28, 2019, the Company filed a Tender Offer Statement on Schedule TO. The Schedule TO related to the offer (the “Offer”) by the Company to all holders of the Company’s outstanding warrants that were issued to investors in connection with the Company’s private placement of its Series E Convertible Preferred Stock and Series F Convertible Preferred Stock during 2018, which warrants are exercisable for shares of the Company’s common stock at an exercise price of $0.50 per share (subject to adjustment) with respect to the warrants that were issued in connection with the Company’s private placement of its Series E Convertible Preferred Stock and $0.55 per share with respect to the warrants that were issued in connection with the Company’s private placement of its Series F Convertible Preferred Stock, to receive two (2) shares of common stock in exchange for every warrant tendered by the holders thereof.

On June 6, 2019, the Company amended the Schedule TO to change the conversion terms on the issuance of warrant.

As of June 30, 2019, no warrants have been accepted for exchange or been exchanged pursuant to the Offer. See Note 11 – Subsequent Events.

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Stock Incentive Plans

6 Months Ended

Jun. 30, 2019

Share-based Payment Arrangement [Abstract]

Stock Incentive Plans

Note 7 - Stock Incentive Plans

Stock Options

The following table summarizes stock option activity for the six months ended June 30, 2019:

	Options Outstanding
	Shares			Weighted Average Exercise Price
Outstanding, December 31, 2018		5,613,057		$	0.83
Options granted		1,635,000			0.37
Options expired / forfeited		(2,255,250	)		1.03
Outstanding, June 30, 2019		4,992,807			0.77
Exercisable, June 30, 2019		2,186,414		$	0.81

The following table summarizes additional information on stock options outstanding at June 30, 2019.

	Options Outstanding						Options Exercisable
Range of Exercise Prices	Number Outstanding		Weighted- Average Remaining Contractual Life (Years)		Weighted Average Exercise Price		Number Exercisable		Weighted Average Exercise Price
$0.28 - $1.00		4,352,000		8.85	$	0.57		2,024,500	$	0.66
$1.50 - $1.80		493,207		8.18	$	1.79		134,314	$	1.78
$2.60 - $10.70		147,600		2.79	$	3.43		27,600	$	7.27
Totals		4,992,807		8.60	$	0.77		2,186,414	$	0.81

Weighted-Average Exercisable Remaining Contractual Life (Years) 8.06

During the six months ended June 30, 2019, the Company granted an aggregate of 1,635,000 stock options to employees.

Total expense related to stock options was approximately $241,000 and $374,000 for the three months ended June 30, 2019 and 2018, respectively and approximately $636,000 and $493,000 for the six months ended June 30, 2019 and 2018, respectively.

As of June 30, 2019, the Company had approximately $474,000 of total unrecognized compensation expense related to unvested stock options.

As of June 30, 2019, the intrinsic value of options outstanding was zero.

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Intellectual Property and Collaborative Agreements

6 Months Ended

Jun. 30, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Intellectual Property and Collaborative Agreements

Note 8 - Intellectual Property and Collaborative Agreements

License of DiLA² Assets

On March 16, 2018, the Company entered into an exclusive sublicensing agreement for certain intellectual property rights to its DiLA² delivery system. The agreement included an upfront payment of $200,000 and future additional consideration for sales and development milestones. The upfront fee was contingent upon the Company obtaining a third-party consent to the agreement within ninety days of execution. As of June 30, 2019 and December 31, 2018, the Company had not obtained consent for the sublicense and has classified the upfront payment as an accrued liability on its balance sheet.

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Commitments and Contingencies

6 Months Ended

Jun. 30, 2019

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Note 9 - Commitments and Contingencies

Litigation

Because of the nature of the Company’s it is subject to claims and/or threatened legal actions, which arise out of the normal course of business. Other than the disclosure below, as of the date of this filing, the Company is not aware of any pending lawsuits against them, its officers or directors.

Paragraph IV Challenge

The Company’s Prestalia product was involved in a paragraph IV challenge regarding patents issued to perindopril arginine. This challenge, which was pending in the United States District Court for the District of Delaware (No. 1:17-cv-00276), was captioned Apotex Inc. and Apotex Corp. v. Symplmed Pharmaceuticals, LLC and Les Laboratoires Servier. The challengers (Apotex Inc. and Apotex Corp. (“Apotex”)) filed an Abbreviated New Drug Application seeking FDA approval to market a generic version of Prestalia and included a Paragraph (IV) certification. In the litigation, Apotex sought a declaratory judgment that no valid claims of the two patents Symplmed listed in the FDA Orange Book as having claims covering Prestalia, U.S. Patent No. 6,696,481 and 7,846,961, will be infringed by the Apotex proposed generic version of Prestalia and that the claims of those patents are invalid. The challenge was designed to provide Apotex with an opportunity to enter the market with a generic version of Prestalia, ahead of the expiration of the patents with claims covering that product.

Apotex entered into negotiations with Symplmed Pharmaceuticals, LLC (which entity sold its assets relating to Prestalia to us in June 2017, including its License and Commercialization Agreement with Les Laboratories Servier) and Les Laboratories Servier (which entity owns or controls intellectual property rights relating to pharmaceutical products containing as an active pharmaceutical ingredient perindopril in combination with other active pharmaceutical ingredients, which rights have been licensed to Symplmed Pharmaceuticals) to resolve the challenge in the second quarter of 2017. Such parties, along with us, have reached an agreement on terms that result in a delay to the challengers’ ability to enter the market with a generic version of Prestalia, while still providing the challenger with the right to enter the market prior to the expiration of the patent covering such product. Specifically, the parties have entered into a Confidential Settlement Agreement in connection with the settlement of the matter, pursuant to which, among other things, the parties entered into a Confidential License Agreement, whereby Symplmed, Servier and our company agreed to grant to Apotex a non-transferable, non-sublicensable, perpetual, irrevocable, royalty-free, non-exclusive license to the two patents listed in the FDA Orange Book as having claims covering Prestalia to make, use and market a generic version of Prestalia, or import a generic version of Prestalia from India into the United States, on or after January 1, 2021.

As a result of the foregoing, the matter is now settled.

Leases

The Company entered into a Standard Form Office Lease with ROC III Fairlead Imperial Center, LLC, as landlord, pursuant to which we lease our corporate headquarters located at 4721 Emperor Boulevard, Suite 350, Durham, North Carolina 27703 for a term of 37 months starting on October 1, 2018. Our base monthly rent for such space is currently $6,458, which amount will increase to $7,057 for the final month of the term. Other than the lease for our corporate headquarters, we do not own or lease any real property or facilities that are material to our current business operations. As we expand our business operations, we may seek to lease additional facilities of our own in order to support our operational and administrative needs under our current operating plan.

The Company adopted ASU No. 2016-02 on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. However, the new standard required the Company to establish approximately $0.2 million of liabilities and corresponding right-of-use assets of approximately $0.2 million on its condensed consolidated balance sheet for operating leases on rented office properties that existed as of the January 1, 2019, adoption date. The total right-of-use asset was approximately $178,000 as of June 30, 2019 and is reflected in the operating lease right of use asset on the accompanying condensed consolidated balance sheet. The total related liability was approximately $185,000 as of June 30, 2019, of which approximately $78,000 is included in current portion of operating lease liability and approximately $107,000 is reflected in operating lease liability, net of current portion on the accompanying condensed consolidated balance sheet.

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Subsequent Events

6 Months Ended

Jun. 30, 2019

Subsequent Events [Abstract]

Subsequent Events

Note 11 - Subsequent Events

Except for the events discussed below, there were no subsequent events that required recognition or disclosure. The Company evaluated subsequent events through the date the financial statements were issued and filed with the Securities and Exchange Commission.

On July 2, 2019, the Company announced the termination of the exchange offer contemplated by that certain Tender Offer Statement on Schedule TO that was originally filed on May 28, 2019. As a result of the termination of the Offer, no Warrants were accepted for exchange or exchanged pursuant to the Offer.

On July 3, 2019, July 17, 2019, and August 5, 2019, the Company completed a second, third, and fourth closing of term loan subscription agreements with certain accredited investors, pursuant to which the Company issued secured promissory notes in the aggregate principal amount of approximately $4.2 million. The terms of such additional closings of the loan are as described in Note 4 of this filing.

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Nature of Operations, Basis of Presentation and Significant Accounting Policies (Policies)

6 Months Ended

Jun. 30, 2019

Accounting Policies [Abstract]

Use of Estimates

Use of Estimates

The preparation of the accompanying condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reported period. Significant areas requiring the use of management estimates include revenue and related discounts and allowances and accruals related to our operating activity including legal and other consulting expenses. Actual results could differ materially from such estimates under different assumptions or circumstances.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

The Company considers the fair value of cash, accounts payable, accounts receivable and accrued expenses not to be materially different from their carrying value. These financial instruments have short-term maturities. We follow authoritative guidance with respect to fair value reporting issued by the Financial Accounting Standards Board (“FASB”) for financial assets and liabilities, which defines fair value, provides guidance for measuring fair value and requires certain disclosures. The guidance does not apply to measurements related to share-based payments. The guidance discusses valuation techniques, such as the market approach (comparable market prices), the income approach (present value of future income or cash flow), and the cost approach (cost to replace the service capacity of an asset or replacement cost). The guidance establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The following is a brief description of those three levels:

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

Level 2:	Inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.
Level 3:	Unobservable inputs in which little or no market data exists, therefore developed using estimates and assumptions developed by us, which reflect those that a market participant would use.

There were no liabilities measured at fair value as of June 30, 2019 or December 31, 2018.

Accounts Receivable, Net

Accounts Receivable, net

Accounts receivable consists of amounts due from wholesale distributors and specialty pharmacy providers. The Company records an allowance for doubtful accounts at the time potential collection risk is identified. The Company estimates its allowance based on historical experience, assessment of specific risks and discussions with individual customers.  The Company believes the reserve is adequate to mitigate current collection risks. During the three and six months ended June 30, 2019 and 2018, the Company recorded an additional allowance of approximately $41,000 and $0, respectively.

Goodwill and Intangible Assets

Goodwill and Intangible Assets

The Company periodically reviews the carrying value of intangible assets, including goodwill, to determine whether impairment may exist. Goodwill and certain intangible assets are assessed annually, or when certain triggering events occur, for impairment using fair value measurement techniques. These events could include a significant change in the business climate, legal factors, a decline in operating performance, competition, sale or disposition of a significant portion of the business, or other factors. Specifically, goodwill impairment is determined using a two-step process. The first step of the goodwill impairment test is used to identify potential impairment by comparing the fair value of a reporting unit with its carrying amount, including goodwill. The Company uses level 3 inputs and a discounted cash flow methodology to estimate the fair value of a reporting unit. A discounted cash flow analysis requires one to make various judgmental assumptions including assumptions about future cash flows, growth rates, and discount rates. The assumptions about future cash flows and growth rates are based on the Company’s budget and long-term plans. Discount rate assumptions are based on an assessment of the risk inherent in the respective reporting units. If the fair value of a reporting unit exceeds its carrying amount, goodwill of the reporting unit is considered not impaired and the second step of the impairment test is unnecessary. If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit (including any unrecognized intangible assets) as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit.

During the year ended December 31, 2018, the Company determined that goodwill was impaired and recognized a loss on impairment of approximately $3.5 million. The impairment determination was primarily a result of the decision to divest assets that no longer aligned with the Company’s strategic objectives. No impairment charges were recognized for the three and six-month period ended June 30, 2019 or 2018.

Impairment of Long-Lived Assets

Impairment of Long-Lived Assets

The Company reviews long-lived assets for impairment indicators throughout the year and performs detailed testing whenever impairment indicators are present. In addition, we perform detailed impairment testing for indefinite-lived intangible assets, at least annually, at December 31. When necessary, the Company records charges for impairments. Specifically:

● For finite-lived intangible assets, such as developed technology rights, and for other long-lived assets, we compare the undiscounted amount of the projected cash flows associated with the asset, or asset group, to the carrying amount. If the carrying amount is found to be greater, we record an impairment loss for the excess of book value over fair value. In addition, in all cases of an impairment review, we re-evaluate the remaining useful lives of the assets and modify them, as appropriate; and

● For indefinite-lived intangible assets, such as acquired in-process R&D assets, each year and whenever impairment indicators are present, we determine the fair value of the asset and record an impairment loss for the excess of book value over fair value, if any.

The Company did not recognize any loss on impairment for the three or six-month periods ended June 30, 2019 or 2018.

Revenue Recognition

Revenue Recognition

Customers Concentration

The Company sells its prescription drug (Prestalia^®) directly to specialty contracted retail pharmacies and indirectly through wholesalers. For the three months ended June 30, 2019, the Company’s three largest customers accounted for 46%, 31% and 23% of the Company’s total gross sales. For the six months ended June 30, 2019, the Company’s three largest customers accounted for 39%, 37%, and 24% of the Company’s total gross sales. The Company works with a third-party pharmacy network manager to attract, retain, and manage the Company’s pharmacy customers and distribution channels. The Company had no sales for the three or six-month periods ending June 30, 2018.

Revenue, Net

The Company adopted the new revenue recognition guidelines in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606), effective with the quarter ended March 31, 2018.

The Company sells its medicines primarily to wholesale distributors and specialty pharmacy providers under agreements with payment terms typically less than 90 days. These customers subsequently resell the Company’s medicines to health care patients. Revenue is recognized when performance obligations under the terms of a contract with a customer are satisfied. The majority of the Company’s contracts have a single performance obligation to transfer medicines. Accordingly, revenues from medicine sales are recognized when the customer obtains control of the Company’s medicines, which occurs at a point in time, typically upon delivery to the customer. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring medicines and is generally based upon a list or fixed price less allowances for medicine returns, rebates and discounts. Company records an estimate of unrealized revenue reductions, and the related liability, for bottles sold to pharmacies but not yet prescribed.

Medicine Sales Discounts and Allowances

The nature of the Company’s contracts gives rise to variable consideration because of allowances for medicine returns, rebates and discounts. Allowances for medicine returns, rebates and discounts are recorded at the time of sale to wholesale pharmaceutical distributors and pharmacies. The Company applies significant judgments and estimates in determining some of these allowances. If actual results differ from its estimates, the Company will be required to make adjustments to these allowances in the future. The Company’s adjustments to gross sales are discussed further below.

Patient Access Programs

The Company offers discounts to patients under which the patient receives a discount on his or her prescription. In circumstances when a patient’s prescription is rejected by a third-party payer, the Company will pay for the full cost of the prescription. The Company reimburses pharmacies for this discount directly or through third-party vendors. The Company reduces gross sales by the amount of actual co-pay and other patient assistance in the period based on the invoices received. The Company also records an accrual to reduce gross sales for estimated co-pay and other patient assistance on units sold to distributors or pharmacies that have not yet been prescribed/dispensed to a patient. The Company calculates accrued co-pay and other patient assistance fee estimates using the expected value method. The estimate is based on contract prices, estimated percentages of medicine that will be prescribed to qualified patients, average assistance paid based on reporting from the third-party vendors and estimated levels of inventory in the distribution channel. Accrued co-pay and other patient assistance fees are included in “accrued expenses” on the condensed consolidated balance sheet. Patient assistance programs include both co-pay assistance and fully bought down prescriptions.

Sales Returns

Consistent with industry practice, the Company maintains a return policy that allows customers to return medicines within a specified period prior to and subsequent to the medicine expiration date. Generally, medicines may be returned for a period beginning six months prior to its expiration date and up to one year after its expiration date. The right of return expires on the earlier of one year after the medicine expiration date or the time that the medicine is dispensed to the patient. The majority of medicine returns result from medicine dating, which falls within the range set by the Company’s policy and are settled through the issuance of a credit to the customer. The Company calculates sales returns using the expected value method. The estimate of the provision for returns is based upon industry experience. This period is known to the Company based on the shelf life of medicines at the time of shipment. The Company records sales returns in “accrued expenses” and as a reduction of revenue.

Cost of Goods Sold

Cost of Goods Sold

Distribution Service Fees

The Company includes distribution service fees paid for inventory management services as cost of goods sold. The Company calculates accrued distribution service fee estimates using the most likely amount method. The Company accrues estimated distribution fees based on contractually determined amounts. Accrued distribution service fees are included in “accrued expenses” on the condensed consolidated balance sheet.

Shipping Fees

The Company includes fees incurred by pharmacies for shipping medicines to patients as cost of goods sold. The Company calculates accrued shipping fee estimates using the expected value method. The Company records accrued shipping fees in “accrued expenses” on the condensed consolidated balance sheet.

Non-Commercial Product

The Company records the cost of non-commercial product distributed to patients as a cost of goods sold.

Royalties on Product Sales

The Company records royalty fees on the sale of commercial product as a cost of goods sold.

Recently Issued Accounting Pronouncements

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (“ASU No. 2016-02”). Under ASU No. 2016-02, an entity is required to recognize right-of-use assets and lease liabilities on its balance sheet and disclose key information about leasing arrangements. For leases with a term of twelve months or less, the lessee is permitted to make an accounting policy election not to recognize lease assets and lease liabilities by class of underlying assets. ASU No. 2016-02 became effective for the Company beginning in the first quarter of 2019. The Company adopted this standard on January 1, 2019, using a modified retrospective approach at the adoption date through a cumulative-effect adjustment to retained earnings. The adoption did not have a material impact on its condensed consolidated statement of operations. The Company elected to not recognize lease assets and liabilities for leases with an initial term of twelve months or less.

Net Income (Loss) Per Common Share

Net Income (Loss) per Common Share

Basic net loss per share is calculated by dividing the net loss by the weighted average number of common shares outstanding during the period. Diluted net loss per share is computed by dividing the net loss by the weighted average number of common shares and common stock equivalents outstanding for the period. Common stock equivalents are only included when their effect is dilutive. Potentially dilutive securities which include outstanding warrants, stock options and preferred stock have been excluded from the computation of diluted net loss per share as their effect would be anti-dilutive. For all periods presented, basic and diluted net loss were the same.

The following table presents the computation of net loss per share (in thousands, except share and per share data):

	Three Months ended June 30,						Six Months ended June 30,
	2019			2018			2019			2018
Numerator
Net loss	$	(2,739	)	$	(4,648	)	$	(5,297	)	$	(6,009	)
Preferred stock dividends	$	(357	)	$	(271	)	$	(739	)	$	(271	)
Net Loss allocable to common stock holders	$	(3,096	)	$	(4,919	)	$	(6,036	)	$	(6,280	)
Denominator
Weighted average common shares outstanding used to compute net loss per share, basic and diluted		10,860,049			10,821,230			10,811,138			10,672,082
Net loss per share of common stock, basic and diluted
Net loss per share	$	(0.29	)	$	(0.45	)	$	(0.56	)	$	(0.59	)

Potentially dilutive securities not included in the calculation of diluted net loss per common share because to do so would be anti-dilutive are as follows:

	Three and Six Months Ended June 30,
	2019		2018
Stock options outstanding		4,992,807		1,122,457
Warrants		36,267,329		33,028,829
Series C Preferred Stock		68,000		68,000
Series D Preferred Stock		3,000		3,000
Series E Preferred Stock		34,780,000		34,990,000
Series F Preferred Stock		3,810,000		-
Total		79,921,136		69,212,286

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Nature of Operations, Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2019

Accounting Policies [Abstract]

Schedule of Computation of Net Loss Per Share

The following table presents the computation of net loss per share (in thousands, except share and per share data):

	Three Months ended June 30,						Six Months ended June 30,
	2019			2018			2019			2018
Numerator
Net loss	$	(2,780	)	$	(4,648	)	$	(5,338	)	$	(6,009	)
Preferred stock dividends	$	(357	)	$	(271	)	$	(739	)	$	(271	)
Net Loss allocable to common stock holders	$	(3,137	)	$	(4,919	)	$	(6,077	)	$	(6,280	)
Denominator
Weighted average common shares outstanding used to compute net loss per share, basic and diluted		10,860,049			10,821,230			10,811,138			10,672,082
Net loss per share of common stock, basic and diluted
Net loss per share	$	(0.29	)	$	(0.45	)	$	(0.56	)	$	(0.59	)

Schedule of Anti-dilutive Securities

Potentially dilutive securities not included in the calculation of diluted net loss per common share because to do so would be anti-dilutive are as follows:

	Three and Six Months Ended June 30,
	2019		2018
Stock options outstanding		4,992,807		1,122,457
Warrants		36,267,329		33,028,829
Series C Preferred Stock		68,000		68,000
Series D Preferred Stock		3,000		3,000
Series E Preferred Stock		34,780,000		34,990,000
Series F Preferred Stock		3,810,000		-
Total		79,921,136		69,212,286

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Inventory (Tables)

6 Months Ended

Jun. 30, 2019

Inventory Disclosure [Abstract]

Schedule of Inventory

Inventory as of the following as of June 30, 2019 and December 31, 2018 are as follows:

	June 30, 2019		December 31, 2018
	(in thousands)
Raw Materials	$	173	$	147
Finished Goods		59		95
Inventory, Net	$	232	$	242

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Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Intangible Assets

Intangible Asset Summary

Intangible assets as of June 30, 2019 are as follows:

	Net Book Value June 30, 2019		Remaining Estimated Useful Life (Years)		Annual Amortization Expense
	(in thousands)
Intangible asset - Prestalia	$	292		4.50	$	65
Intangible asset - DyrctAxess		65		12.09		5
Total	$	357			$	70

Amortization expense for the three months ended June 30, 2019 and June 30, 2018 was approximately $17,000 and $123,000, respectively. Amortization expense for the six months ended June 30, 2019 and June 30, 2018 was approximately $35,000 and $247,000 respectively.

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Stockholders' Equity (Tables)

6 Months Ended

Jun. 30, 2019

Equity [Abstract]

Schedule of Warrant Activity

Warrants

As of June 30, 2019, there were 36,267,329 warrants outstanding, with a weighted average exercise price of $0.79 per share, and annual expirations as follows:

Expiring in 2019	600,000
Expiring in 2020	1,189,079
Expiring in 2021	343,750
Expiring in 2022	66,667
Expiring in 2023	33,729,180
Expiring thereafter	338,653
Total	36,267,329

The above includes price adjustable warrants totaling 34,737,030 shares.

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Stock Incentive Plans (Tables)

6 Months Ended

Jun. 30, 2019

Share-based Payment Arrangement [Abstract]

Schedule of Stock Option Activity

The following table summarizes stock option activity for the six months ended June 30, 2019:

	Options Outstanding
	Shares			Weighted Average Exercise Price
Outstanding, December 31, 2018		5,613,057		$	0.83
Options granted		1,635,000			0.37
Options expired / forfeited		(2,255,250	)		1.03
Outstanding, June 30, 2019		4,992,807			0.77
Exercisable, June 30, 2019		2,186,414		$	0.81

Summary of Additional Information on Stock Options Outstanding

The following table summarizes additional information on stock options outstanding at June 30, 2019.

	Options Outstanding						Options Exercisable
Range of Exercise Prices	Number Outstanding		Weighted- Average Remaining Contractual Life (Years)		Weighted Average Exercise Price		Number Exercisable		Weighted Average Exercise Price
$0.28 - $1.00		4,352,000		8.85	$	0.57		2,024,500	$	0.66
$1.50 - $1.80		493,207		8.18	$	1.79		134,314	$	1.78
$2.60 - $10.70		147,600		2.79	$	3.43		27,600	$	7.27
Totals		4,992,807		8.60	$	0.77		2,186,414	$	0.81

Weighted-Average Exercisable Remaining Contractual Life (Years) 8.06

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Nature of Operations, Basis of Presentation and Significant Accounting Policies (Details Narrative) - USD ($)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
Cash and cash equivalents	$ 1,600,000		$ 1,600,000
Negative working capital	(3,000,000)		(3,000,000)
Net operating loss	(2,779,000)	$ (3,768,000)	(5,337,000)	$ (4,985,000)
Accumulated deficit	(31,922,000)		(31,922,000)		$ (25,848,000)
Liabilities at fair value
Additional allowance	41,000	0	41,000	0
Loss on impairment of goodwill					$ 3,500,000
Impairment of intangible assets
Loss on impairment of long lived asset
Customer Concentration Risk [Member] | Customer 1 [Member] | Sales Revenue, Net [Member]
Customers concentration risk percentage	46.00%		39.00%
Customer Concentration Risk [Member] | Customer 2 [Member] | Sales Revenue, Net [Member]
Customers concentration risk percentage	31.00%		37.00%
Customer Concentration Risk [Member] | Customer 3 [Member] | Sales Revenue, Net [Member]
Customers concentration risk percentage	23.00%		24.00%

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Nature of Operations, Basis of Presentation and Significant Accounting Policies - Schedule of Computation of Net Loss Per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2018	Mar. 31, 2018	Jun. 30, 2019	Jun. 30, 2018
Accounting Policies [Abstract]
Net loss	$ (2,780)	$ (2,558)	$ (4,648)	$ (1,361)	$ (5,338)	$ (6,009)
Preferred stock dividends	(357)		(271)		(739)	(271)
Net Loss allocable to common stock holders	$ (3,137)		$ (4,919)		$ (6,077)	$ (6,280)
Weighted average common shares outstanding used to compute net loss per share, basic and diluted	10,860,049		10,821,230		10,811,138	10,672,082
Net loss per share	$ (0.29)		$ (0.45)		$ (0.56)	$ (0.59)

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Nature of Operations, Basis of Presentation and Significant Accounting Policies - Schedule of Anti-dilutive Securities (Details) - shares	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Anti-dilutive securities	79,921,136	69,212,286	79,921,136	69,212,286
Series C Preferred Stock [Member]
Anti-dilutive securities	68,000	68,000	68,000	68,000
Series D Preferred Stock [Member]
Anti-dilutive securities	3,000	3,000	3,000	3,000
Series E Preferred Stock [Member]
Anti-dilutive securities	34,780,000	34,990,000	34,780,000	34,990,000
Series F Preferred Stock [Member]
Anti-dilutive securities	3,810,000		3,810,000
Stock Options Outstanding [Member]
Anti-dilutive securities	4,992,807	1,122,457	4,992,807	1,122,457
Warrants [Member]
Anti-dilutive securities	36,267,329	33,028,829	36,267,329	33,028,829

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Inventory - Schedule of Inventory (Details) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Inventory Disclosure [Abstract]
Raw Materials	$ 173	$ 147
Finished Goods	59	95
Inventory, Net	$ 232	$ 242

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Intangible Assets (Details Narrative) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense	$ 17	$ 123	$ 35	$ 247

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Intangible Assets - Schedule of Intangible Assets (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2019 USD ($)
Net Book Value, Intangible assets	$ 357
Annual Amortization Expense, Intangible assets	70
Prestalia [Member]
Net Book Value, Intangible assets	$ 292
Estimated Useful Life, Intangible assets	4 years 6 months
Annual Amortization Expense, Intangible assets	$ 65
Dyrct Axess [Member]
Net Book Value, Intangible assets	$ 65
Estimated Useful Life, Intangible assets	12 years 1 month 2 days
Annual Amortization Expense, Intangible assets	$ 5

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Term Loan (Details Narrative) - USD ($) $ in Thousands		6 Months Ended
	Jun. 28, 2019	Jun. 30, 2019
Interest expense		$ 1
Term Loan Subscription Agreements [Member] | Accredited Investors [Member]
Secured promissory notes prinicipal amount	$ 1,500
Debt issuance costs	$ 236
Debt accrued interest rate	12.00%
Maturity date	Jun. 28, 2020

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Related Party Transactions (Details Narrative) - USD ($) $ / shares in Units, $ in Thousands	1 Months Ended	3 Months Ended		6 Months Ended
	Apr. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Jul. 31, 2019	Dec. 31, 2018
Due to related party		$ 4		$ 4			$ 4
Proceeds from notes payable due to related party				1,495
Loss on settlement of debt			$ (875)		(875)
Related party expense				65	309
BioMauris, LLC [Member]
Due to related party							$ 24
Pharma Hub Network [Member]
Repayments of related party debt				17	0
Pharma Hub Network [Member] | Accounts Payable and Accrued Expenses [Member]
Due to related party		$ 27	$ 0	27	0
Pharma Hub Network [Member] | Subsequent Event [Member] | Erik Emerson [Member]
Equity method, ownership percentage						22.00%
Series E Preferred Stock [Member]
Number of stock issued during the period, shares
Autotelic Inc [Member]
Billed expenses				0	616
Personnel cost				$ 0	$ 284
Warrants [Member]
Warrant term				5 years
Exercise price of warrants		$ 0.55		$ 0.55
Fair value of warrant				$ 1,500
Loss on settlement of debt				750
Master Services Agreement [Member]
Proceeds from common or preferred stock, gross				$ 10,000
Compensation description				After the Equity Financing Date, the Company paid Autotelic Inc. a cash amount equal to the actual labor cost plus 100% mark up of provided services and 20% mark up of provided services by third party contractors or material used in connection with the performance of the contracts, including but not limited to clinical trial, non-clinical trial, Contract Manufacturing Organizations, FDA regulatory process, Contract Research Organizations and Chemistry and Manufacturing Controls.
Master Services Agreement [Member] | Related Party [Member]
Service provider percentage				20.00%
Master Services Agreement [Member] | Warrants [Member]
Service provider percentage				100.00%
Settlement Agreement with Autotelic Inc [Member] | Maximum [Member]
Warrants to purchase common shares	1,345,040
Settlement Agreement with Autotelic Inc [Member] | Series E Preferred Stock [Member]
Number of stock issued during the period, shares	162.59
Proceeds from notes payable due to related party	$ 813
Accrued and unpaid fees	$ 740

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Stockholders' Equity (Details Narrative) - USD ($)			1 Months Ended		2 Months Ended	3 Months Ended	6 Months Ended
	Jun. 06, 2019	Nov. 09, 2018	Apr. 30, 2019	Jul. 31, 2018	May 31, 2018	Jun. 30, 2018	Jun. 30, 2019	May 28, 2019
Common stock, conversion price
Warrants outstanding							36,267,329
Warrants [Member]
Weighted average exercise price							$ 0.79
Number of warrants expired
Warrants [Member]
Common stock exercise price, per share							$ 0.55
Warrants outstanding							36,267,329
Adjustable warrants, shares							34,737,030
Series E Convertible Preferred Stock [Member]
Unregistered shares issued during period			107,846
Common stock, conversion price			$ 53,923
Accrued dividends							$ 1,700,000
Series F Convertible Preferred Stock [Member]
Accrued dividends							$ 138,000
Subscription Agreements [Member] | Warrants [Member]
Warrant term		5 years		5 years	5 years
Warrants to purchase of common stock shares		0.75		0.75	0.75
Common stock exercise price, per share		$ 0.55		$ 0.55	$ 0.55
Subscription Agreements [Member] | Warrants [Member] | Private Placement [Member]
Warrants to purchase of common stock shares		73,000		308,000
Subscription Agreements [Member] | Series E Convertible Preferred Stock [Member]
Sale of stock, shares					2,812
Preferred stock stated dividend rate					8.00%
Subscription Agreements [Member] | Series E Convertible Preferred Stock [Member] | Warrants [Member]
Purchase price of preferred stock					$ 5,000
Common stock at a conversion price, per share					$ 0.50
Subscription Agreements [Member] | Series F Convertible Preferred Stock [Member]
Sale of stock, shares		73		308
Purchase price of preferred stock		$ 5,000		$ 5,000
Common stock at a conversion price, per share		$ 0.50		$ 0.50
Preferred stock stated dividend rate				8.00%
Proceeds from private placement		$ 310,000		$ 1,400,000
Placement agent fees and estimated expenses				$ 180,000
Weighted average exercise price		$ 0.55		$ 0.55
Tender Offer [Member]
Number of warrants accepted for exchange
Tender Offer [Member] | Series E Convertible Preferred Stock [Member]
Common stock exercise price, per share								$ 0.50
Tender Offer [Member] | Series F Convertible Preferred Stock [Member]
Common stock exercise price, per share								$ 0.55

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Stockholders' Equity - Schedule of Warrant Activity (Details)	Jun. 30, 2019 shares
Equity [Abstract]
Expiring in 2019	600,000
Expiring in 2020	1,189,079
Expiring in 2021	343,750
Expiring in 2022	66,667
Expiring in 2023	33,729,180
Expiring thereafter	338,653
Total	36,267,329

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Stock Incentive Plans (Details Narrative) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Stock option granted during the period			1,635,000
Employee Stock Option [Member]
Weighted-average exercisable remaining contractual life (years)			8 years 22 days
Stock option granted during the period			1,635,000
Stock option expenses	$ 241	$ 374	$ 636	$ 493
Stock option unrecognized compensation expense	474		474
Stock option outstanding, intrinsic value	$ 0		$ 0

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Stock Incentive Plans - Schedule of Stock Option Activity (Details)	6 Months Ended
	Jun. 30, 2019 $ / shares shares
Share-based Payment Arrangement [Abstract]
Options Outstanding Beginning, Shares | shares	5,613,057
Options Outstanding, granted | shares	1,635,000
Options Outstanding, expired/ forfeited | shares	(2,255,250)
Options Outstanding Ending, Shares | shares	4,992,807
Options Outstanding Exercisable, Shares | shares	2,186,414
Options Outstanding Weighted Average Exercise Price, Beginning | $ / shares	$ 0.83
Options Outstanding Weighted Average Exercise Price, granted | $ / shares	0.37
Options Outstanding Weighted Average Exercise Price, expired/ forfeited | $ / shares	1.03
Options Outstanding Weighted Average Exercise Price, Ending | $ / shares	0.77
Options Outstanding Exercisable Weighted Average Exercise Price | $ / shares	$ 0.81

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Stock Incentive Plans - Summary of Additional Information on Stock Options Outstanding (Details)	6 Months Ended
	Jun. 30, 2019 $ / shares shares
Number of Options Outstanding, Shares | shares	4,992,807
Options Outstanding Weighted-average Remaining Contractual Life (years)	8 years 7 months 6 days
Options Outstanding Weighted Average Exercise Price	$ 0.77
Number of Option Exercisable, Shares | shares	2,186,414
Options Exercisable Weighted Average Exercise Price	$ 0.81
Range One [Member]
Range of Exercise Prices, Lower	0.28
Range of Exercise Prices, Upper	$ 1.00
Number of Options Outstanding, Shares | shares	4,352,000
Options Outstanding Weighted-average Remaining Contractual Life (years)	8 years 10 months 6 days
Options Outstanding Weighted Average Exercise Price	$ 0.57
Number of Option Exercisable, Shares | shares	2,024,500
Options Exercisable Weighted Average Exercise Price	$ 0.66
Range Two [Member]
Range of Exercise Prices, Lower	1.50
Range of Exercise Prices, Upper	$ 1.80
Number of Options Outstanding, Shares | shares	493,207
Options Outstanding Weighted-average Remaining Contractual Life (years)	8 years 2 months 5 days
Options Outstanding Weighted Average Exercise Price	$ 1.79
Number of Option Exercisable, Shares | shares	134,314
Options Exercisable Weighted Average Exercise Price	$ 1.78
Range Three [Member]
Range of Exercise Prices, Lower	2.60
Range of Exercise Prices, Upper	$ 10.70
Number of Options Outstanding, Shares | shares	147,600
Options Outstanding Weighted-average Remaining Contractual Life (years)	2 years 9 months 14 days
Options Outstanding Weighted Average Exercise Price	$ 3.43
Number of Option Exercisable, Shares | shares	27,600
Options Exercisable Weighted Average Exercise Price	$ 7.27

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Intellectual Property and Collaborative Agreements (Details Narrative)	Mar. 16, 2018 USD ($)
Sublicensing Agreement [Member]
Upfront payment of future consideration	$ 200,000

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Commitments and Contingencies (Details Narrative) - USD ($)	6 Months Ended
	Jun. 30, 2019	Jan. 02, 2019	Dec. 31, 2018
Operating lease term of contract	37 months
Operating lease rent expenses	$ 6,458
Operating lease rent increase in future	7,057
Operating lease, right-of-use asset	178,000
Operating lease liabilities	185,000
Operating lease liability, current	78,000
Operating lease liability, noncurrent	$ 107,000
ASU No. 2016-02 [Member]
Operating lease, right-of-use asset		$ 200,000
Operating lease liabilities		$ 200,000

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Subsequent Events (Details Narrative) - Subsequent Event [Member] - Secured Promissory Note [Member] - Accredited Investors [Member] - USD ($)	Aug. 05, 2019	Jul. 17, 2019	Jul. 03, 2019
Second Term Loan Subscription Agreements [Member]
Promissory note, aggregate principal amount			$ 4,200,000
Third Term Loan Subscription Agreements [Member]
Promissory note, aggregate principal amount		$ 4,200,000
Fourth Term Loan Subscription Agreements [Member]
Promissory note, aggregate principal amount	$ 4,200,000