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UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
Form
10-Q
(Mark
One)
☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR
THE QUARTERLY PERIOD ENDED: March 31, 2024
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 000-53497
VIVOS INC
(Exact
name of registrant as specified in its charter)
Delaware |
|
80-0138937 |
(State
or other jurisdiction of
incorporation
or organization) |
|
(I.R.S.
Employer
Identification
No.) |
1030 N Center Parkway,
Kennewick,
WA 99336
(Address
of principal executive offices, Zip Code)
(509)
222-2222
(Registrant’s
telephone number, including area code)
Indicate
by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate
by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes ☐ No ☒
Indicate
by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Yes ☒ No ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting
company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company”,
and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):
|
Large
accelerated filer ☐ |
Accelerated
filer ☐ |
|
|
|
|
|
|
Non-accelerated
filer ☒ |
Smaller
reporting company ☒ |
|
|
|
|
|
|
|
Emerging
growth company ☐ |
|
If
an emerging growth company, indicate by check mark if the company has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
Securities
registered pursuant to Section 12(b) of the Act: None
Title
of Each Class |
|
Trading
Symbol |
|
Name
of Each Exchange on which registered |
|
|
|
|
|
As
of May 9, 2024, there were 401,033,867 shares of the registrant’s common stock outstanding, 2,071,007 shares of the registrant’s
Series A Convertible Preferred Stock outstanding, 200,363 of the registrant’s Series B Convertible Preferred Stock outstanding
and 385,302 of the registrant’s Series C Convertible Preferred Stock outstanding.
TABLE
OF CONTENTS
PART
I – FINANCIAL INFORMATION
VIVOS INC
BALANCE SHEETS
MARCH 31, 2024 (UNAUDITED) AND DECEMBER 31, 2023
| |
MARCH 31, 2024 | | |
DECEMBER 31,2023 | |
| |
(UNAUDITED) | | |
| |
| |
| | |
| |
ASSETS | |
| | | |
| | |
Current Assets: | |
| | | |
| | |
Cash | |
$ | 1,370,829 | | |
$ | 1,592,287 | |
Accounts receivable | |
| 11,500 | | |
| 7,000 | |
Prepaid expenses | |
| - | | |
| 10,837 | |
| |
| | | |
| | |
Total Current Assets | |
| 1,382,329 | | |
| 1,610,124 | |
| |
| | | |
| | |
TOTAL ASSETS | |
$ | 1,382,329 | | |
$ | 1,610,124 | |
| |
| | | |
| | |
LIABILITIES AND STOCKHOLDERS’ EQUITY | |
| | | |
| | |
| |
| | | |
| | |
LIABILITIES | |
| | | |
| | |
Current Liabilities: | |
| | | |
| | |
Accounts payable and accrued expenses | |
$ | 74,766 | | |
$ | 245,004 | |
| |
| | | |
| | |
Total Current Liabilities | |
| 74,766 | | |
| 245,004 | |
| |
| | | |
| | |
Total Liabilities | |
| 74,766 | | |
| 245,004 | |
| |
| | | |
| | |
Commitments and contingencies | |
| - | | |
| - | |
| |
| | | |
| | |
STOCKHOLDERS’ EQUITY | |
| | | |
| | |
Preferred stock, par value, $0.001, 20,000,000 shares authorized, Series A Convertible Preferred,
5,000,000 shares authorized, 2,071,007 shares issued and outstanding, respectively | |
| 2,071 | | |
| 2,071 | |
Additional paid in capital - Series A Convertible preferred stock | |
| 8,842,458 | | |
| 8,842,458 | |
Series B Convertible Preferred, 5,000,000 shares authorized, 200,363 shares issued and outstanding,
respectively | |
| 200 | | |
| 200 | |
Additional paid in capital - Series B Convertible preferred stock | |
| 290,956 | | |
| 290,956 | |
Series C Convertible Preferred, 5,000,000 shares authorized, 385,302 shares issued and outstanding,
respectively | |
| 385 | | |
| 385 | |
Preferred
stock value | |
| 385 | | |
| 385 | |
Additional paid in capital - Series C Convertible preferred stock | |
| 500,507 | | |
| 500,507 | |
Additional paid in capital | |
| 500,507 | | |
| 500,507 | |
Common stock, par value, $0.001, 950,000,000 shares authorized, 390,033,867 and 387,894,033 issued and
outstanding, respectively | |
| 390,034 | | |
| 387,894 | |
Additional paid in capital - common stock | |
| 74,290,272 | | |
| 73,791,430 | |
Accumulated deficit | |
| (83,009,320 | ) | |
| (82,450,781 | ) |
| |
| | | |
| | |
Total Stockholders’ Equity | |
| 1,307,563 | | |
| 1,365,120 | |
| |
| | | |
| | |
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY | |
$ | 1,382,329 | | |
$ | 1,610,124 | |
The accompanying notes are an integral part of these
unaudited condensed financial statements.
VIVOS INC
STATEMENTS OF OPERATIONS (UNAUDITED)
FOR THE THREE MONTHS ENDED MARCH 31, 2024 AND 2023
| |
MARCH 31, 2024 | | |
MARCH 31, 2023 | |
| |
| | |
| |
Revenues, net | |
$ | 4,500 | | |
$ | 6,000 | |
Cost of Goods Sold | |
| (6,000 | ) | |
| (7,536 | ) |
| |
| | | |
| | |
Gross (loss) profit | |
| (1,500 | ) | |
| (1,536 | ) |
| |
| | | |
| | |
OPERATING EXPENSES | |
| | | |
| | |
Professional fees, including stock-based compensation | |
| 403,637 | | |
| 84,216 | |
Payroll expenses | |
| 91,125 | | |
| 72,508 | |
Research and development | |
| 57,447 | | |
| 46,375 | |
General and administrative expenses | |
| 23,420 | | |
| 43,683 | |
| |
| | | |
| | |
Total Operating Expenses | |
| 575,629 | | |
| 246,782 | |
| |
| | | |
| | |
OPERATING LOSS | |
| (577,129 | ) | |
| (248,318 | ) |
| |
| | | |
| | |
NON-OPERATING INCOME (EXPENSE) | |
| | | |
| | |
Interest income | |
| 18,590 | | |
| - | |
| |
| | | |
| | |
Total Non-Operating Income (Expenses) | |
| 18,590 | | |
| - | |
| |
| | | |
| | |
| |
| | | |
| | |
Provision for income taxes | |
| - | | |
| - | |
| |
| | | |
| | |
NET LOSS | |
$ | (558,539 | ) | |
$ | (248,318 | ) |
| |
| | | |
| | |
Net loss per share - basic and diluted | |
$ | (0.00 | ) | |
$ | (0.00 | ) |
| |
| | | |
| | |
Weighted average common shares outstanding | |
| 389,406,447 | | |
| 362,541,528 | |
The accompanying notes
are an integral part of these unaudited condensed financial statements.
VIVOS INC
STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY
(UNAUDITED)
FOR THE THREE MONTHS ENDED MARCH 31, 2024 AND 2023
| |
Shares | | |
Amount | | |
Preferred | | |
Shares | | |
Amount | | |
Preferred | | |
Shares | | |
Amount | | |
Preferred | | |
Shares | | |
Amount | | |
Common | | |
Deficit | | |
Total | |
| |
| | |
Additional | | |
| | |
Additional | | |
| | |
Additional | | |
| | |
| | |
| |
| |
| | |
Paid-In | | |
| | |
Paid-In | | |
| | |
Paid-In | | |
| | |
Additional | | |
| |
| |
Series A | | |
Capital - | | |
Series B | | |
Capital - | | |
Series C | | |
Capital - | | |
| | |
Paid-In | | |
| | |
| |
| |
Preferred | | |
Series A | | |
Preferred | | |
Series B | | |
Preferred | | |
Series C | | |
Common
Stock | | |
Capital - | | |
Accumulated | | |
| |
| |
Shares | | |
Amount | | |
Preferred | | |
Shares | | |
Amount | | |
Preferred | | |
Shares | | |
Amount | | |
Preferred | | |
Shares | | |
Amount | | |
Common | | |
Deficit | | |
Total | |
| |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| |
Balance - December 31, 2022 | |
| 2,071,007 | | |
$ | 2,071 | | |
$ | 8,842,458 | | |
| 200,363 | | |
$ | 200 | | |
$ | 290,956 | | |
| 385,302 | | |
$ | 385 | | |
$ | 500,507 | | |
| 362,541,518 | | |
$ | 362,541 | | |
$ | 71,217,954 | | |
$ | (79,556,028 | ) | |
$ | 1,661,044 | |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Net loss for the period | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (248,318 | ) | |
| (248,318 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Balance - March 31, 2023 | |
| 2,071,007 | | |
$ | 2,071 | | |
$ | 8,842,458 | | |
| 200,363 | | |
$ | 200 | | |
$ | 290,956 | | |
| 385,302 | | |
$ | 385 | | |
$ | 500,507 | | |
| 362,541,518 | | |
$ | 362,541 | | |
$ | 71,217,954 | | |
$ | (79,804,346 | ) | |
$ | 1,412,726 | |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Balance - December 31, 2023 | |
| 2,071,007 | | |
$ | 2,071 | | |
$ | 8,842,458 | | |
| 200,363 | | |
$ | 200 | | |
$ | 290,956 | | |
| 385,302 | | |
$ | 385 | | |
$ | 500,507 | | |
| 387,894,033 | | |
$ | 387,894 | | |
$ | 73,791,430 | | |
$ | (82,450,781 | ) | |
$ | 1,365,120 | |
Balance | |
| 2,071,007 | | |
$ | 2,071 | | |
$ | 8,842,458 | | |
| 200,363 | | |
$ | 200 | | |
$ | 290,956 | | |
| 385,302 | | |
$ | 385 | | |
$ | 500,507 | | |
| 387,894,033 | | |
$ | 387,894 | | |
$ | 73,791,430 | | |
$ | (82,450,781 | ) | |
$ | 1,365,120 | |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Stock issued for: | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Cash | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| 2,000,000 | | |
| 2,000 | | |
| 126,000 | | |
| - | | |
| 128,000 | |
Services | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| 139,834 | | |
| 140 | | |
| 9,342 | | |
| - | | |
| 9,482 | |
Warrants purchased for cash | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| 2,000 | | |
| - | | |
| 2,000 | |
RSUs granted to consultants that have vested | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| 361,500 | | |
| - | | |
| 361,500 | |
Net loss for the period | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (558,539 | ) | |
| (558,539 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Balance - March 31, 2024 | |
| 2,071,007 | | |
$ | 2,071 | | |
$ | 8,842,458 | | |
| 200,363 | | |
$ | 200 | | |
$ | 290,956 | | |
| 385,302 | | |
$ | 385 | | |
$ | 500,507 | | |
| 390,033,867 | | |
$ | 390,034 | | |
$ | 74,290,272 | | |
$ | (83,009,320 | ) | |
$ | 1,307,563 | |
Balance | |
| 2,071,007 | | |
$ | 2,071 | | |
$ | 8,842,458 | | |
| 200,363 | | |
$ | 200 | | |
$ | 290,956 | | |
| 385,302 | | |
$ | 385 | | |
$ | 500,507 | | |
| 390,033,867 | | |
$ | 390,034 | | |
$ | 74,290,272 | | |
$ | (83,009,320 | ) | |
$ | 1,307,563 | |
The accompanying notes are an integral part of these
unaudited condensed financial statements.
VIVOS INC
STATEMENTS OF CASH FLOWS (UNAUDITED)
FOR THE THREE MONTHS ENDED MARCH 31, 2024 AND 2023
| |
2024 | | |
2023 | |
CASH FLOW FROM OPERTING ACTIVIITES | |
| | | |
| | |
Net loss | |
$ | (558,539 | ) | |
$ | (248,318 | ) |
Adjustments to reconcile net loss to net cash used in operating activities | |
| | | |
| | |
Common stock, stock options and warrants for services | |
| 9,482 | | |
| - | |
RSUs issued for services | |
| 361,500 | | |
| - | |
Changes in assets and liabilities | |
| | | |
| | |
Accounts receivable | |
| (4,500 | ) | |
| 11,000 | |
Prepaid expenses and other assets | |
| 10,837 | | |
| (23,604 | ) |
Accounts payable and accrued expenses | |
| (170,238 | ) | |
| (32,703 | ) |
Total adjustments | |
| 207,081 | | |
| (45,307 | ) |
| |
| | | |
| | |
Net cash used in operating activities | |
| (351,458 | ) | |
| (293,625 | ) |
| |
| | | |
| | |
CASH FLOWS FROM FINANCING ACTIVITES | |
| | | |
| | |
Proceeds from common stock and warrants | |
| 130,000 | | |
| - | |
Net cash provided by financing activities | |
| 130,000 | | |
| - | |
| |
| | | |
| | |
NET (DECREASE) INCREASE IN CASH | |
| (221,458 | ) | |
| (293,625 | ) |
| |
| | | |
| | |
CASH - BEGINNING OF PERIOD | |
| 1,592,287 | | |
| 1,706,065 | |
| |
| | | |
| | |
CASH - END OF PERIOD | |
$ | 1,370,829 | | |
$ | 1,412,440 | |
| |
| | | |
| | |
CASH PAID DURING THE PERIOD FOR: | |
| | | |
| | |
Interest expense | |
$ | - | | |
$ | - | |
| |
| | | |
| | |
Income taxes | |
$ | - | | |
$ | - | |
The accompanying notes are an integral part of these
unaudited condensed financial statements.
Vivos
Inc.
Notes
to Condensed Financial Statements
(Unaudited)
NOTE
1: BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES
The
accompanying condensed financial statements of Vivos Inc. (the “Company”) have been prepared without audit, pursuant
to the rules and regulations of the Securities and Exchange Commission. Certain information and disclosures required by accounting principles
generally accepted in the United States have been condensed or omitted pursuant to such rules and regulations. These condensed financial
statements reflect all adjustments that, in the opinion of management, are necessary to present fairly the results of operations of the
Company for the period presented. The results of operations for the three months ended March 31, 2024, are not necessarily indicative
of the results that may be expected for any future period or the fiscal year ending December 31, 2024 and should be read in conjunction
with the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, filed with the Securities and Exchange Commission
on March 18, 2024.
Business
Overview
The
Company was incorporated under the laws of Delaware on December 23, 1994 as Savage Mountain Sports Corporation (“SMSC”).
On September 6, 2006, the Company changed its name to Advanced Medical Isotope Corporation, and on December 28, 2017, the Company began
operating as Vivos Inc. The Company has authorized capital of 950,000,000 shares of common stock, $0.001 par value per share, and 20,000,000
shares of preferred stock, $0.001 par value per share.
Our principal place of business is located at 1030 North Center Parkway,
Kennewick, WA 99336. Our telephone number is (509) 222-2222. Our corporate website address is http://www.radiogel.com. Our common stock
is currently quoted on the OTC Pink Marketplace under the symbol “RDGL.”
The
Company is a radiation oncology medical device company engaged in the development of its yttrium-90 based brachytherapy device, RadioGel™,
for the treatment of non-resectable tumors. A prominent team of radiochemists, scientists and engineers, collaborating with strategic
partners, including national laboratories, universities and private corporations, lead the Company’s development efforts. The Company’s
overall vision is to globally empower physicians, medical researchers and patients by providing them with new isotope technologies that
offer safe and effective treatments for cancer.
In
January 2018, the Center for Veterinary Medicine Product Classification Group ruled that RadioGel ™should be classified
as a device for animal therapy of feline sarcomas and canine soft tissue sarcomas. Additionally, after a legal review, the Company believes
that the device classification obtained from the Food and Drug Administration (“FDA”) Center for Veterinary Medicine
is not limited to canine and feline sarcomas, but rather may be extended to a much broader population of veterinary cancers, including
all or most solid tumors in animals. We expect the result of such classification and label review will be that no additional regulatory
approvals are necessary for the use of IsoPet® for the treatment of solid tumors in animals. The FDA does not have premarket
authority over devices with a veterinary classification, and the manufacturers are responsible for assuring that the product is safe,
effective, properly labeled, and otherwise in compliance with all applicable laws and regulations.
Based
on the FDA’s recommendation, RadioGel™ will be marketed as “IsoPet®” for use by veterinarians
to avoid any confusion between animal and human therapy. The Company already has trademark protection for the “IsoPet®”
name. IsoPet® and RadioGel™ are used synonymously throughout this document. The only distinction between
IsoPet® and RadioGel™ is the FDA’s recommendation that we use “IsoPet®”
for veterinarian usage, and reserve “RadioGel™” for human therapy. Based on these developments, the Company
has shifted its primary focus to the development and marketing of Isopet® for animal therapy, through the Company’s
IsoPet® Solutions division.
IsoPet
Solutions
The
Company’s IsoPet Solutions division was established in May 2016 to focus on the veterinary oncology market, namely engagement of
university veterinarian hospital to develop the detailed therapy procedures to treat animal tumors and ultimately use of the technology
in private clinics. The Company has worked with three different university veterinarian hospitals on IsoPet® testing and
therapy. Washington State University treated five cats for feline sarcoma and served to develop the procedures which are incorporated
in our label. They concluded that the product was safe and effective in killing cancer cells. Colorado State University demonstrated
the CT and PET-CT imaging of IsoPet®. A contract was signed with University of Missouri to treat canine sarcomas and equine
sarcoids starting in November 2017.
The
dogs were treated for canine soft tissue sarcoma. Response evaluation criteria in solid tumors (“RECIST”) is a set
of published rules that define when tumors in cancer patients improve (respond), stay the same (stabilize), or worsen (progress) during
treatment. The criteria were published by an international collaboration including the European Organisation for Research and Treatment
of Cancer (“EORTC”), National Cancer Institute of the United States, and the National Cancer Institute of Canada Clinical
Trials Group.
The
testing at the University of Missouri met its objective to demonstrate the safety of IsoPet®. Using its advanced CT and
PET equipment it was able to demonstrate that the dose calculations were accurate and that the injections perfused into the cell interstices
and did not stay concentrated in a bolus. This results in a more homogeneous dose distribution. There was insignificant spread of Y-90
outside the points of injection demonstrating the effectiveness of the particles and the gel to localize the radiation with no spreading
to the blood or other organs nor to urine or fecal material. This confirms that IsoPet® is safe for same day therapy.
The
effectiveness of IsoPet® for life extension was not the prime objective, but it resulted in valuable insights. Of the
cases one is still cancer-free but the others eventually recurred since there was not a strong focus on treating the margins. The University
of Missouri has agreed to become a regional center to administer IsoPet® therapy and will incorporate the improvements
suggested by the testing program.
The
Company anticipates that future profits, if any, will be derived from direct sales of RadioGel™ (under the name IsoPet®)
and related services, and from licensing to private medical and veterinary clinics in the United States of America (the “USA”,
or, the “U.S.”) and internationally. The Company intends to report the results from the IsoPet® Solutions
division as a separate operating segment in accordance with generally accepted accounting principles (“GAAP”).
Commencing
in July 2019, the Company recognized its first commercial sale of IsoPet®. A veterinarian from Alaska brought his cat
with a re-occurrent spindle cell sarcoma tumor on his face. The cat had previously received external beam therapy, but now the tumor
was growing rapidly. He was given a high dose of 400 Gray with heavy therapy at the margins. This sale met the revenue recognition requirements
under Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic
606 – Revenue from Contracts with Customers (“ASC 606”) as the performance obligation was satisfied. The Company
completed sales for an additional four animals that received the IsoPet® during 2019.
Our
plan is to incorporate the data assembled from our work with Isopet® in animal therapy to support the Company’s
efforts in the development of our RadioGel™ device candidate, including obtaining approval from the FDA to market and
sell RadioGel™ as a Class II medical device. RadioGel™ is an injectable particle-gel for brachytherapy
radiation treatment of cancerous tumors in people and animals. RadioGel™ is comprised of a hydrogel, or a substance
that is liquid at room temperature and then gels when reaching body temperature after injection into a tumor. In the gel are small particles,
less than two microns, of Y-90. Once injected, these inert particles are locked in place inside the tumor by the gel, delivering a very
high local radiation dose. The radiation is beta, consisting of high-speed electrons. These electrons only travel a short distance so
the device can deliver high radiation to the tumor with minimal dose to the surrounding tissue. Optimally, patients can go home immediately
following treatment without the risk of radiation exposure to family members. Since Y-90 has a half-life of 2.7 days, the radioactivity
drops to 5% of its original value after ten days.
Recently
the Company modified its Indication for Use from skin cancel to cancerous tissue or solid tumors pathologically associated with locoregional
papillary thyroid carcinoma and recurrent papillary thyroid carcinoma having discernable tumors associated with metastatic lymph nodes
or extranodal disease in patients who are not surgical candidates or who have declined surgery, or patients who require post-surgical
remnant ablation (for example, after prior incomplete radioiodine therapy). Papillary thyroid carcinoma belongs to the general class
of head and neck tumors for which tumors are accessible by intraoperative direct needle injection. The Company’s Medical Advisory
Board felt that demonstrating efficacy in clinical trials was much easier with this new indication.
Intellectual
Property
Our
original license with Battelle National Laboratory (the “Battelle License”) reached its end of life in 2022. During
the past several years, we have expanded our proprietary knowledge, as well as our trademark and patent protection, in anticipation of
the Battelle License reaching the end of its term.
Our
RadioGelTM trademark protection is in 17 countries. We have expanded our trademark protection from RadioGelTM to
now include IsoPet®. We obtained the International Certificate of Registration for ISOPET, which is the first step to
file in several countries.
We
have filed for trademark protection for the term Precision Radionuclide TherapyTM. We believe this term will be increasingly
important.
The
Company received the Patent Cooperation Treaty (“PCT”) International Search Report on our patent application (No.1811.191).
Seven of our claims were immediately ruled as having novelty, inventive step and industrial applicability. This gives us the basis to
extend for many years the patent protection for our proprietary Y-90 phosphate particles utilized in Isopet® and Radiogel™.
Our
patent team filed our particle patent in more than ten patent offices that collectively cover 63 countries throughout the world. We filed
a continuation-in-part applications number 1774054 in the USA to expand the claims on our particle patent. The U.S. Patent office recently
gave us the Notice of Allowance for our patent to produce our yttrium phosphate microparticles, U.S. Patent Application Serial No: 16-459,466.
We also filed an amendment to correct the wording on our claims at make them consistent with the USE claims. Ref: 4207-0005; European
Patent Application NO. 20 834 229.5; VIVOS INC; Our Ref: FS/53791.
We
filed a hydrogel utility patent in the USA (16309:17/943,311) and internationally (16389:PCT/US22/4374) based on the last 18 months of
development work to optimize our hydrogel component. These include reducing the polymer production time and increasing the output by
a factor of three. We have also further reduced the level of trace contaminants to be well below the FDA guidelines.
We
filed a provisional patent (Serial Number 63436562) to protect our innovative improvements in our shipping container, our vial shield,
our syringe shield, and our Peltier chiller. Our objectives were to reduce shipping costs, decrease radiation exposure, and enhance sterility.
These devices will be preferentially used at Mayo Clinics for human clinical studies at and our IsoPet regional treatment centers. The
Company filed a utility patent in Q4 2023 for this therapy support equipment.
We
anticipate that Precision Radionuclide Therapy will become increasingly important in the future and expand to other isotope and other
indications for use. Therefore, we filed an alternate particle utility patent (Serial number 18/152,137). We will focus our near-term
effort on the Y-90 therapy, which we believe is the best beta emitter; however, we leveraged our hydrogel utility patent to incorporate
other promising isotopes and compounds for a range of future applications. This includes gamma and alpha particle emitters.
Going
Concern
The
accompanying financial statements have been prepared on a going concern basis, which contemplates the realization of assets and satisfaction
of liabilities in the normal course of business. As shown in the accompanying financial statements, the Company has suffered recurring
losses and used significant cash in support of its operating activities and the Company’s cash position is not sufficient to support
the Company’s operations. Research and development of the Company’s brachytherapy product line has been funded with proceeds
from the sale of equity and debt securities as well as a series of grants. The Company requires funding of approximately $2.5 million
annually to maintain current operating activities.
The
Company completed its reverse stock split which was approved by FINRA and went effective on June 28, 2019.
The
Company’s stock offering under Regulation A+ was qualified by the Securities and Exchange Commission (“SEC”)
on June 3, 2020. A second Regulation A+ offering was qualified by the SEC on September 15, 2021, pursuant to the Company’s offering
statement on Form 1-A (File No. 024-11627) (the “Offering Statement”) to raise capital by selling 50,000,000 shares
at a price of $0.10 per share, for a maximum offering of $5,000,000 (the “Regulation A+ Offering”). In July 2022,
the Company amended the Offering Statement, which the Company raised $1,200,000 at $0.08 per share (15,000,000 shares) and sold 20,000,000
warrants for $20,000. An amendment to the Offering Statement was filed and qualified in October 2022, to raise the remaining $3,800,000
of the original offering amount of $5,000,000 at a price of $0.08 per share. A further amendment to the Offering Statement was filed
and qualified in December 2023, as supplemented, to raise the remaining $3,200,000 at an offering price of $0.064 per share. During 2023,
$1,179,245 was raised through the issuance of 16,132,000 shares of common stock and warrants to purchase 18,797,000 shares of common
stock. During the three months ended March 31, 2024, the Company raised $130,000 through the issuance of 2,000,000 shares of common stock
and 2,000,000 warrants.
The
Company’s offerings undertaken pursuant to Regulation A+ have raised approximately $6,000,000 from the sale of shares. The Company
is using the proceeds generated as follows:
For
the animal therapy market:
|
● |
Fund
the effort to communicate the benefits of IsoPet® to the veterinary community and the pet parents. |
|
● |
Conduct
additional clinical studies to generate more data for the veterinary community |
|
● |
Subsidize
some IsoPet® therapies, if necessary, to ensure that all viable candidates are treated. |
|
● |
Assist
new regional clinics with their license and certification training. |
For
the human market:
|
● |
Enhance
the pedigree of the Quality Management System. |
|
● |
Complete
the previously defined pre-clinical testing and additional testing on an animal model closely aligned with our revised indication
for use. Report the results to the FDA in a pre-submission meeting. |
|
● |
Use
the feedback from that meeting to write the (Investigational Device Exemption (“IDE”), which is required to initiate
clinical trials. |
Research
and development of the Company’s brachytherapy product line has been funded with proceeds from the sale of equity and debt securities.
The Company may require additional funding of approximately $5 million annually to maintain current operating activities. Over
the next 12 to 48 months, the Company believes it will cost approximately $9 million to: (1) fund the FDA approval process to conduct
human clinical trials; (2) conduct Phase I, pilot, and clinical trials; (3) activate several regional clinics to administer IsoPet® across
the county; (4) create an independent production center within the current production site to create a template for future
international manufacturing; and (5) initiate regulatory approval processes outside of the United States. The proceeds to be raised from
the Regulation A+ Offering will be used to continue to fund this development.
The
continued deployment of the brachytherapy products and a worldwide regulatory approval effort will require additional resources and personnel.
The principal variables in the timing and amount of spending for the brachytherapy products in the next 12 to 24 months will be the FDA’s
classification of the Company’s brachytherapy products as Class II or Class III devices (or otherwise), and any requirements for
additional studies (which may possibly include clinical studies). Thereafter, the principal variables in the amount of the Company’s
spending and its financing requirements would be: (1) the timing of any approvals; (2) the nature of the Company’s arrangements
with third parties for manufacturing, sales, distribution and licensing of those products; and (3) the products’ success in the
U.S. and elsewhere. The Company intends to fund its activities through strategic transactions such as licensing and partnership agreements,
as well as proceeds to be raised from the Regulation A+ Offering.
Following
receipt of required regulatory approvals and necessary financing to fund our working capital requirements, the Company intends to outsource
material aspects of manufacturing, distribution, sales and marketing for operations within the U.S. Outside of the U.S., the Company
intends to pursue licensing arrangements and/or partnerships to facilitate its global commercialization strategy.
Long-term,
the Company intends to consider resuming research efforts with respect to other products and technologies intended to help improve the
diagnosis and treatment of cancer and other illnesses. These long-term goals are subject to the Company: (1) receiving adequate funding;
(2) receiving regulatory approval for RadioGelTM and other brachytherapy products; and (3) being able to successfully commercialize
its brachytherapy products.
Based
on the Company’s financial history since inception, the Company’s independent registered public accounting firm has expressed
substantial doubt as to the Company’s ability to continue as a going concern. The Company has limited revenue, nominal cash, and
has accumulated deficits since inception. If the Company cannot obtain sufficient additional capital, the Company will be required to
delay the implementation of its business strategy and may not be able to continue operations.
The
Company’s headquarters are in Northeast Washington however there focus of the animal therapy market has been the Northwestern sector
of the United States. The Company continues their marketing to the animal therapy market and attempt to increase the exposure to their
product and generate revenue accordingly.
As
of March 31, 2024, the Company has $1,370,829 cash on hand. There are currently commitments to vendors for products and services purchased.
To continue the development of the Company’s products, the current level of cash may not be enough to cover the fixed and variable
obligations of the Company.
There
is no guarantee that the Company will be able to raise additional funds or to do so at an advantageous price.
The
financial statements do not include any adjustments relating to the recoverability and classification of liabilities that might be necessary
should the Company be unable to continue as a going concern. The Company’s continuation as a going concern is dependent upon its
ability to generate sufficient cash flow to meet its obligations on a timely basis and ultimately to attain profitability. The Company
plans to seek additional funding to maintain its operations through debt and equity financing and to improve operating performance through
a focus on strategic products and increased efficiencies in business processes and improvements to the cost structure. There is no assurance
that the Company will be successful in its efforts to raise additional working capital or achieve profitable operations. The financial
statements do not include any adjustments that might result from the outcome of this uncertainty.
Use
of Estimates
The
preparation of financial statements in accordance with generally accepted accounting principles requires management to make estimates
and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at
the date of financial statements and the reported amounts of revenues and expenses during the reporting period. Estimates the Company
considers include criteria for stock-based compensation expense, and valuation allowances on deferred tax assets. Actual results could
differ from those estimates.
Financial
Statement Reclassification
Certain
account balances from prior periods have been reclassified in these financial statements so as to conform to current period classifications.
Cash
Equivalents
For
the purposes of the statement of cash flows, the Company considers all highly liquid debt instruments purchased with an original maturity
of three months or less to be cash equivalents.
The
Company occasionally maintains cash balances in excess of the FDIC insured limit. The Company does not consider this risk to be material.
Fair
Value of Financial Instruments
Fair
value of financial instruments requires disclosure of the fair value information, whether or not recognized in the balance sheet, where
it is practicable to estimate that value. As of March 31, 2024 and December 31, 2023, the balances reported for cash, prepaid expenses,
accounts receivable, accounts payable, and accrued expenses, approximate the fair value because of their short maturities.
Fair
value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between
market participants at the measurement date. Accounting Standards Codification (“ASC”) Topic 820 established a three-tier
fair value hierarchy which prioritizes the inputs used in measuring fair value. The hierarchy gives the highest priority to unadjusted
quoted prices in active markets for identical assets or liabilities (level 1 measurements) and the lowest priority to unobservable inputs
(level 3 measurements). These tiers include:
Level
1, defined as observable inputs such as quoted prices for identical instruments in active markets;
Level
2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable such as quoted prices
for similar instruments in active markets or quoted prices for identical or similar instruments in markets that are not active; and
Level
3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions,
such as valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.
The
Company measures certain financial instruments including options and warrants issued during the period at fair value on a recurring basis.
Patents
and Intellectual Property
While
patents are being developed or pending, they are not being amortized. Management has determined that the economic life of the patents
to be ten years and amortization, over such 10-year period and on a straight-line basis will begin once the patents have been issued
and the Company begins utilization of the patents through production and sales, resulting in revenues.
The
Company evaluates the recoverability of intangible assets, including patents and intellectual property on a continual basis. Several
factors are used to evaluate intangibles, including, but not limited to, management’s plans for future operations, recent operating
results and projected and expected undiscounted future cash flows.
There
have been no such capitalized costs in the three months ended March 31, 2024 and 2023, respectively. However, a patent was filed on July
1, 2019 (No. 1811.191) filed by Michael Korenko and David Swanberg and assigned to the Company based on the Company’s proprietary
particle manufacturing process. The timing of this filing was important given the Company’s plans to make IsoPet®
commercially available, which it did on or about July 9, 2019. This additional patent protection will strengthen the Company’s
competitive position. It is the Company’s intention to further extend this patent protection to several key countries within one
year, as permitted under international patent laws and treaties.
Revenue
Recognition
In
May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standard Update (“ASU”)
No. 2014-09, Revenue from Contracts with Customers (Topic 606). This standard provides a single set of guidelines for revenue recognition
to be used across all industries and requires additional disclosures. The updated guidance introduces a five-step model to achieve its
core principal of the entity recognizing revenue to depict the transfer of goods or services to customers at an amount that reflects
the consideration to which the entity expects to be entitled in exchange for those goods or services. The Company adopted the updated
guidance effective January 1, 2018 using the full retrospective method.
Under
ASC 606, in order to recognize revenue, the Company is required to identify an approved contract with commitments to preform respective
obligations, identify rights of each party in the transaction regarding goods to be transferred, identify the payment terms for the goods
transferred, verify that the contract has commercial substance and verify that collection of substantially all consideration is probable.
The adoption of ASC 606 did not have an impact on the Company’s operations or cash flows.
The
Company recognized revenue as they (i) identified the contracts with each customer; (ii) identified the performance obligation in each
contract; (iii) determined the transaction price in each contract; (iv) were able to allocate the transaction price to the performance
obligations in the contract; and (v) recognized revenue upon the satisfaction of the performance obligation. Upon the sales of the product
to complete the procedures on the animals, the Company recognized revenue as that was considered the performance obligation.
All
revenue recognized in the three months ended March 31, 2024 and 2023 relate to the procedures performed with respect to the IsoPet®
therapies.
Loss
Per Share
The
Company accounts for its loss per common share by replacing primary and fully diluted earnings per share with basic and diluted earnings
per share. Basic loss per share is computed by dividing loss available to common stockholders (the numerator) by the weighted-average
number of common shares outstanding (the denominator) for the period, and does not include the impact of any potentially dilutive common
stock equivalents since the impact would be anti-dilutive. The computation of diluted earnings per share is similar to basic earnings
per share, except that the denominator is increased to include the number of additional common shares that would have been outstanding
if potentially dilutive common shares had been issued. For the given periods of loss, of the periods ended in the three months ended
March 31, 2024 and 2023, the basic earnings per share equals the diluted earnings per share.
The
following represent common stock equivalents that could be dilutive in the future as of March 31, 2024 and December 31, 2023, which include
the following:
SCHEDULE
OF DILUTIVE EARNINGS PER SHARE
| |
March 31, 2024 | | |
December 31, 2023 | |
Preferred stock | |
| 9,909,570 | | |
| 9,909,570 | |
Restricted stock units | |
| 21,450,000 | | |
| 1,450,000 | |
Common stock options | |
| 2,252,809 | | |
| 2,252,809 | |
Common stock warrants | |
| 28,134,000 | | |
| 26,134,000 | |
Total potential dilutive securities | |
| 61,746,379 | | |
| 39,746,379 | |
Research
and Development Costs
Research
and developments costs, including salaries, research materials, administrative expenses and contractor fees, are charged to operations
as incurred. The cost of equipment used in research and development activities which has alternative uses is capitalized as part of fixed
assets and not treated as an expense in the period acquired. Depreciation of capitalized equipment used to perform research and development
is classified as research and development expense in the year computed.
The
Company incurred $57,447 and $46,375 in research and development costs for the three months ended March 31, 2024 and 2023, respectively,
all of which were recorded in the Company’s operating expenses noted on the statements of operations for the periods then ended.
Advertising
and Marketing Costs
Advertising
and marketing costs are expensed as incurred except for the cost of tradeshows which are deferred until the tradeshow occurs. During
the three months ended March 31, 2024 and 2023, the Company incurred nominal advertising and marketing costs.
Contingencies
In
the ordinary course of business, the Company is involved in legal proceedings involving contractual and employment relationships, product
liability claims, patent rights, and a variety of other matters. The Company records contingent liabilities resulting from asserted and
unasserted claims against it, when it is probable that a liability has been incurred and the amount of the loss is reasonably estimable.
The Company discloses contingent liabilities when there is a reasonable possibility that the ultimate loss will exceed the recorded liability.
Estimated probable losses require analysis of multiple factors, in some cases including judgments about the potential actions of third-party
claimants and courts. Therefore, actual losses in any future period are inherently uncertain. The Company has entered into various agreements
that require them to pay certain fees to consultants and/or employees that have been fully accrued for as of March 31, 2024 and December
31, 2023.
Income
Taxes
To
address accounting for uncertainty in tax positions, the Company clarifies the accounting for income taxes by prescribing a minimum recognition
threshold that a tax position is required to meet before being recognized in the financial statements. The Company also provides guidance
on de-recognition, measurement, classification, interest, and penalties, accounting in interim periods, disclosure and transition.
The
Company files income tax returns in the U.S. federal jurisdiction. The Company did not have any tax expense for the three months ended
March 31, 2024 and 2023. The Company did not have any deferred tax liability or asset on its balance sheets on March 31, 2024 and December
31, 2023.
Interest
costs and penalties related to income taxes, if any, will be classified as interest expense and general and administrative costs, respectively,
in the Company’s financial statements. For the three months ended March 31, 2024 and 2023, the Company did not recognize any interest
or penalty expense related to income taxes. The Company believes that it is not reasonably possible for the amounts of unrecognized tax
benefits to significantly increase or decrease within the next twelve months.
Stock-Based
Compensation
The
Company recognizes compensation costs under FASB ASC Topic 718, Compensation – Stock Compensation and ASU 2018-07. Companies are
required to measure the compensation costs of share-based compensation arrangements based on the grant-date fair value and recognize
the costs in the financial statements over the period during which employees are required to provide services. Share based compensation
arrangements include stock options, restricted share plans, performance-based awards, share appreciation rights and employee share purchase
plans. As such, compensation cost is measured on the date of grant at their fair value. Such compensation amounts, if any, are amortized
over the respective vesting periods of the option grant.
Recent
Accounting Pronouncements
The
Company does not discuss recent pronouncements that are not anticipated to have an impact on or are unrelated to its financial condition,
results of operations, cash flows or disclosures.
NOTE
2: RELATED PARTY TRANSACTIONS
Preferred
and Common Shares Issued to Officers and Directors
In
September 2023, the CEO advanced $10,000 to the Company which was repaid October 4, 2023.
NOTE
3: STOCKHOLDERS’ EQUITY
Common
Stock
The
Company has 950,000,000 shares of common stock authorized, with a par value of $0.001, and as of March 31, 2024 and December 31, 2023,
the Company has 390,033,867 and 387,894,033 shares issued and outstanding, respectively.
Preferred
Stock
As
of March 31, 2024 and December 31, 2023, the Company has 20,000,000 shares of Preferred stock authorized with a par value of $0.001.
The Company’s Board of Directors is authorized to provide for the issuance of shares of preferred stock in one or more series,
fix or alter the designations, preferences, rights, qualifications, limitations or restrictions of the shares of each series, including
the dividend rights, dividend rates, conversion rights, voting rights, term of redemption including sinking fund provisions, redemption
price or prices, liquidation preferences and the number of shares constituting any series or designations of such series without further
vote or action by the shareholders. The issuance of preferred stock may have the effect of delaying, deferring or preventing a change
in control of management without further action by the shareholders and may adversely affect the voting and other rights of the holders
of common stock. The issuance of preferred stock with voting and conversion rights may adversely affect the voting power of the holders
of common stock, including the loss of voting control to others.
On
October 8, 2018 the Company created out of the shares of Preferred Stock, par value $0.001 per share, of the Company, as authorized in
Article IV of the Company’s Certificate of Incorporation, a series of Preferred Stock of the Company, to be named “Series
B Convertible Preferred Stock,” consisting of Five Million (5,000,000) shares.
On
March 27, 2019 the Company created out of the shares of Preferred Stock, par value $0.001 per share, of the Company, as authorized in
Article IV of the Company’s Certificate of Incorporation, a series of Preferred Stock of the Company, to be named “Series
C Convertible Preferred Stock,” consisting of Five Million (5,000,000) shares.
Series
A Convertible Preferred Stock (“Series A Convertible Preferred”)
In
June 2015, the Series A Certificate of Designation was filed with the Delaware Secretary of State to designate 2.5 million shares of
our preferred stock as Series A Convertible Preferred. Effective March 31, 2016, the Company amended the Certificate of Designations,
Preferences and Rights of Series A Convertible Preferred of the Registrant, increasing the maximum number of shares of Series A Convertible
Preferred from 2,500,000 shares to 5,000,000 shares. The following summarizes the current rights and preferences of the Series A Convertible
Preferred:
Liquidation
Preference. The Series A Convertible Preferred has a liquidation preference of $5.00 per share.
Dividends.
Shares of Series A Convertible Preferred do not have any separate dividend rights.
Conversion.
Subject to certain limitations set forth in the Series A Certificate of Designation, each share of Series A Convertible Preferred is
convertible, at the option of the holder, into that number of shares of common stock (the “Series A Conversion Shares”)
equal to the liquidation preference thereof, divided by Conversion Price (as such term is defined in the Series A Certificate of Designation),
currently $4.00.
In
the event the Company completes an equity or equity-based public offering, registered with the SEC, resulting in gross proceeds to the
Company totaling at least $5.0 million, all issued and outstanding shares of Series A Convertible Preferred at that time will automatically
convert into Series A Conversion Shares.
Redemption.
Subject to certain conditions set forth in the Series A Certificate of Designation, in the event of a Change of Control (defined in the
Series A Certificate of Designation as the time at which as a third party not affiliated with the Company or any holders of the Series
A Convertible Preferred shall have acquired, in one or a series of related transactions, equity securities of the Company representing
more than fifty percent 50% of the outstanding voting securities of the Company), the Company, at its option, will have the right to
redeem all or a portion of the outstanding Series A Convertible Preferred in cash at a price per share of Series A Convertible Preferred
equal to 100% of the Liquidation Preference.
Voting
Rights. Holders of Series A Convertible Preferred are entitled to vote on all matters, together with the holders of common stock,
and have the equivalent of five (5) votes for every Series A Conversion Share issuable upon conversion of such holder’s outstanding
shares of Series A Convertible Preferred. However, the Series A Conversion Shares, when issued, will have all the same voting rights
as other issued and outstanding common stock of the Company, and none of the rights of the Series A Convertible Preferred.
Liquidation.
Upon any liquidation, dissolution, or winding-up of the Company, whether voluntary or involuntary (a “Liquidation”),
the holders of Series A Convertible Preferred shall be entitled to receive out of the assets, whether capital or surplus, of the Company
an amount equal to the liquidation preference of the Series A Convertible Preferred before any distribution or payment shall be made
to the holders of any junior securities, and if the assets of the Company is insufficient to pay in full such amounts, then the entire
assets to be distributed to the holders of the Series A Convertible Preferred shall be ratably distributed among the holders in accordance
with the respective amounts that would be payable on such shares if all amounts payable thereon were paid in full.
Certain
Price and Share Adjustments.
a)
Stock Dividends and Stock Splits. If the Company (i) pays a stock dividend or otherwise makes a distribution or distributions
payable in shares of common stock on shares of common stock or any other common stock equivalents; (ii) subdivides outstanding shares
of common stock into a larger number of shares; (iii) combines (including by way of a reverse stock split) outstanding shares of common
stock into a smaller number of shares; or (iv) issues, in the event of a reclassification of shares of the common stock, any shares of
capital stock of the Company, then the conversion price shall be adjusted accordingly.
b)
Merger or Reorganization. If the Company is involved in any reorganization, recapitalization, reclassification, consolidation
or merger in which the Common Stock is converted into or exchanged for securities, cash or other property than each share of Series A
Preferred shall be convertible into the kind and amount of securities, cash or other property that a holder of the number of shares of
common stock issuable upon conversion of one share of Series A Convertible Preferred prior to any such merger or reorganization would
have been entitled to receive pursuant to such transaction.
Series
B Convertible Preferred Stock (“Series B Convertible Preferred”)
In
October 2018, the Series B Certificate of Designation was filed with the Delaware Secretary of State to designate 5.0 million shares
of our preferred stock as Series B Convertible Preferred. The following summarizes the current rights and preferences of the Series B
Convertible Preferred:
Liquidation
Preference. The Series B Convertible Preferred has a liquidation preference of $1.00 per share.
Dividends.
Shares of Series B Convertible Preferred do not have any separate dividend rights.
Conversion.
Subject to certain limitations set forth in the Series B Certificate of Designation, each share of Series B Convertible Preferred is
convertible, at the option of the holder, into that number of shares of common stock (the “Series B Conversion Shares”)
equal to the liquidation preference thereof, divided by Conversion Price (as such term is defined in the Series B Certificate of Designation),
currently $0.08.
Redemption.
Subject to certain conditions set forth in the Series B Certificate of Designation, in the event of a Change of Control (defined in the
Series B Certificate of Designation as the time at which as a third party not affiliated with the Company or any holders of the Series
B Convertible Preferred shall have acquired, in one or a series of related transactions, equity securities of the Company representing
more than fifty percent 50% of the outstanding voting securities of the Company), the Company, at its option, will have the right to
redeem all or a portion of the outstanding Series B Convertible Preferred in cash at a price per share of Series B Convertible Preferred
equal to 100% of the Liquidation Preference.
Voting
Rights. Holders of Series B Convertible Preferred are entitled to vote on all matters, together with the holders of common stock,
and have the equivalent of two (2) votes for every Series B Conversion Share issuable upon conversion of such holder’s outstanding
shares of Series B Convertible Preferred. However, the Series B Conversion Shares, when issued, will have all the same voting rights
as other issued and outstanding common stock of the Company, and none of the rights of the Series A Convertible Preferred.
Liquidation.
Upon any liquidation, dissolution, or winding-up of the Company, whether voluntary or involuntary (a “Liquidation”),
the holders of Series B Convertible Preferred shall be entitled to receive out of the assets, whether capital or surplus, of the Company
an amount equal to the liquidation preference of the Series B Convertible Preferred before any distribution or payment shall be made
to the holders of any junior securities, and if the assets of the Company is insufficient to pay in full such amounts, then the entire
assets to be distributed to the holders of the Series B Convertible Preferred shall be ratably distributed among the holders in accordance
with the respective amounts that would be payable on such shares if all amounts payable thereon were paid in full.
Certain
Price and Share Adjustments.
a)
Stock Dividends and Stock Splits. If the Company (i) pays a stock dividend or otherwise makes a distribution or distributions
payable in shares of common stock on shares of common stock or any other common stock equivalents; (ii) subdivides outstanding shares
of common stock into a larger number of shares; (iii) combines (including by way of a reverse stock split) outstanding shares of common
stock into a smaller number of shares; or (iv) issues, in the event of a reclassification of shares of the common stock, any shares of
capital stock of the Company, then the conversion price shall be adjusted accordingly.
b)
Merger or Reorganization. If the Company is involved in any reorganization, recapitalization, reclassification, consolidation
or merger in which the Common Stock is converted into or exchanged for securities, cash or other property than each share of Series B
Convertible Preferred shall be convertible into the kind and amount of securities, cash or other property that a holder of the number
of shares of common stock issuable upon conversion of one share of Series B Convertible Preferred prior to any such merger or reorganization
would have been entitled to receive pursuant to such transaction.
Series
C Convertible Preferred Stock (“Series C Convertible Preferred”)
In
March 2019, the Series C Certificate of Designation was filed with the Delaware Secretary of State to designate 5.0 million shares of
our preferred stock as Series C Convertible Preferred. The following summarizes the current rights and preferences of the Series C Convertible
Preferred:
Liquidation
Preference. The Series C Convertible Preferred has a liquidation preference of $1.00 per share.
Dividends.
Shares of Series C Convertible Preferred do not have any separate dividend rights.
Conversion.
Subject to certain limitations set forth in the Series C Certificate of Designation, each share of Series C Convertible Preferred is
convertible, at the option of the holder, into that number of shares of common stock (the “Series C Conversion Shares”)
equal to the liquidation preference thereof, divided by Conversion Price (as such term is defined in the Series C Certificate of Designation),
currently $0.08.
The
Series C Convertible Preferred will only be convertible at any time after the date that the Company shall have amended its Certificate
of Incorporation to increase the number of shares of common stock authorized for issuance thereunder or effect a reverse stock split
of the outstanding shares of common stock by a sufficient amount to permit the conversion of all Series C Convertible Preferred into
shares of common stock (“Authorized Share Approval”) (such date, the “Initial Convertibility Date”),
each share of Series C Convertible Preferred shall be convertible into validly issued, fully paid and non-assessable shares of Common
Stock on the terms and conditions set forth in the Series C Certificate of Designation under the definition “Conversion Rights”.
Redemption.
Subject to certain conditions set forth in the Series C Certificate of Designation, in the event of a Change of Control (defined in the
Series C Certificate of Designation as the time at which as a third party not affiliated with the Company or any holders of the Series
C Convertible Preferred shall have acquired, in one or a series of related transactions, equity securities of the Company representing
more than fifty percent 50% of the outstanding voting securities of the Company), the Company, at its option, will have the right to
redeem all or a portion of the outstanding Series C Convertible Preferred in cash at a price per share of Series C Convertible Preferred
equal to 100% of the Liquidation Preference.
Voting
Rights. Holders of Series C Convertible Preferred are entitled to vote on all matters, together with the holders of common stock,
and have the equivalent of thirty-two (32) votes for every Series C Conversion Share issuable upon conversion of such holder’s
outstanding shares of Series C Convertible Preferred. However, the Series C Conversion Shares, when issued, will have all the same voting
rights as other issued and outstanding common stock of the Company, and none of the rights of the Series C Convertible Preferred.
Liquidation.
Upon any liquidation, dissolution, or winding-up of the Company, whether voluntary or involuntary (a “Liquidation”),
the holders of Series C Convertible Preferred shall be entitled to receive out of the assets, whether capital or surplus, of the Company
an amount equal to the liquidation preference of the Series C Convertible Preferred before any distribution or payment shall be made
to the holders of any junior securities, and if the assets of the Company is insufficient to pay in full such amounts, then the entire
assets to be distributed to the holders of the Series C Convertible Preferred shall be ratably distributed among the holders in accordance
with the respective amounts that would be payable on such shares if all amounts payable thereon were paid in full.
Certain
Price and Share Adjustments.
a)
Stock Dividends and Stock Splits. If the Company (i) pays a stock dividend or otherwise makes a distribution or distributions
payable in shares of common stock on shares of common stock or any other common stock equivalents; (ii) subdivides outstanding shares
of common stock into a larger number of shares; (iii) combines (including by way of a reverse stock split) outstanding shares of common
stock into a smaller number of shares; or (iv) issues, in the event of a reclassification of shares of the common stock, any shares of
capital stock of the Company, then the conversion price shall be adjusted accordingly.
b)
Merger or Reorganization. If the Company is involved in any reorganization, recapitalization, reclassification, consolidation
or merger in which the Common Stock is converted into or exchanged for securities, cash or other property than each share of Series C
Convertible Preferred shall be convertible into the kind and amount of securities, cash or other property that a holder of the number
of shares of common stock issuable upon conversion of one share of Series C Convertible Preferred prior to any such merger or reorganization
would have been entitled to receive pursuant to such transaction.
Common
and Preferred Stock Issuances - 2024
From
January 1, 2024 through March 31, 2024, the Company issued 2,000,000 shares of common stock and warrants to purchase 2,000,000 shares
of common stock pursuant to the Regulation A+ Offering for cash proceeds of $130,000.
The
Company issued 139,834 shares of common stock for services rendered valued at $9,482.
Common
and Preferred Stock Issuances – 2023
There
were no shares issued in the three months ended March 31, 2023.
In
April 2023, the Company issued 8,000,000 shares of common stock, 2,665,000 Series A warrants and 8,000,000 Series B warrants in their
Reg A+ for $640,000. The Company sold the warrants for $10,665.
NOTE
4: COMMON STOCK OPTIONS, WARRANTS AND RESTRICTED STOCK UNITS
Common
Stock Options
The
Company recognizes in the financial statements compensation related to all stock-based awards, including stock options and warrants,
based on their estimated grant-date fair value. The Company has estimated expected forfeitures and is recognizing compensation expense
only for those awards expected to vest. All compensation is recognized by the time the award vests.
The
following schedule summarizes the changes in the Company’s stock options:
SCHEDULE
OF CHANGES IN STOCK OPTION
| |
| | |
| | |
Weighted | | |
| | |
Weighted | |
| |
Options
Outstanding | | |
Average | | |
| | |
Average | |
| |
Number
Of Shares | | |
Exercise
Price Per Share | | |
Remaining
Contractual Life | | |
Aggregate
Intrinsic Value | | |
Exercise
Price Per Share | |
Balance
at December 31, 2022 | |
| 2,252,809 | | |
$ | 0.024-0.04
| | |
| 6.70
years | | |
$ | 16,032 | | |
$ | 0.04 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Options
granted | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
Options
exercised | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
Options
expired/canceled | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance
at March 31, 2023 | |
| 2,252,809 | | |
$ | 0.024-0.04
| | |
| 6.45
years | | |
$ | 73,704 | | |
$ | 0.04 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Exercisable
at March 31, 2023 | |
| 2,252,809 | | |
$ | 0.024-0.04
| | |
| 6.45
years | | |
$ | 73,704 | | |
$ | 0.04 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance
at December 31, 2023 | |
| 2,252,809 | | |
$ | 0.024-0.04
| | |
| 5.70
years | | |
$ | 78,886 | | |
$ | 0.04 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Options
granted | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
Options
exercised | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
Options
expired/canceled | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance
at March 31, 2024 | |
| 2,252,809 | | |
$ | 0.024-0.04
| | |
| 5.45
years | | |
$ | 78,660 | | |
$ | 0.04 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Exercisable
at March 31, 2024 | |
| 2,252,809 | | |
$ | 0.024-0.04
| | |
| 5.45
years | | |
$ | 78,660 | | |
$ | 0.04 | |
During
the three months ended March 31, 2024 and 2023, the Company recognized $0 and $0, respectively, worth of stock based compensation related
to the vesting of its stock options.
Common
Stock Warrants
The
following schedule summarizes the changes in the Company’s stock warrants:
SCHEDULE
OF CHANGES IN STOCK WARRANTS
| |
Warrants
Outstanding | | |
Weighted
Average Remaining | | |
| | |
Weighted
Average Exercise | |
| |
Number
Of Shares | | |
Exercise
Price Per Share | | |
Contractual
Life | | |
Aggregate
Intrinsic Value | | |
Price Per
Share | |
Balance at December 31, 2022 | |
| 26,737,500 | | |
| $
0.06-0.10 | | |
| 1.52
years | | |
$ | - | | |
$ | 0.09 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Warrants granted | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
Warrants exercised | |
| - | | |
$ | - | | |
| - | | |
| | | |
$ | - | |
Warrants expired/cancelled | |
| (11,237,500 | ) | |
$ | - | | |
| - | | |
| | | |
$ | - | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance at March 31, 2023 | |
| 15,500,000 | | |
$ | 0.06-0.08 | | |
| 2.23
years | | |
$ | 5,000 | | |
$ | 0.0794 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Exercisable at March 31, 2023 | |
| 15,500,000 | | |
$ | 0.06-0.08 | | |
| 2.23
years | | |
$ | 5,000 | | |
$ | 0.0794 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance at December 31, 2023 | |
| 26,134,000 | | |
$ | 0.06-0.10 | | |
| 3.54
years | | |
$ | - | | |
$ | 0.0827 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Warrants granted | |
| 2,000,000 | | |
$ | 0.075 | | |
| - | | |
| - | | |
$ | - | |
Warrants redeemed | |
| - | | |
$ | - | | |
| - | | |
| - | | |
$ | - | |
Warrants expired/cancelled | |
| - | | |
$ | - | | |
| - | | |
| - | | |
$ | - | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance at March 31, 2024 | |
| 28,134,000 | | |
$ | 0.075 | | |
| 3.75
years | | |
$ | - | | |
$ | 0.075 | |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Exercisable at March 31, 2024 | |
| 28,134,000 | | |
$ | 0.075 | | |
| 3.75
years | | |
$ | - | | |
$ | 0.075 | |
Changes
to these inputs could produce a significantly higher or lower fair value measurement. The fair value of each option/warrant is estimated
using the Black-Scholes valuation model. The following assumptions were used for the periods as follows:
SCHEDULE
OF ASSUMPTIONS USED IN FAIR VALUE MEASUREMENT
| |
March 31, 2024 | | |
March 31, 2023 | |
| |
Three Months Ended | | |
Three Months Ended | |
| |
March 31, 2024 | | |
March 31, 2023 | |
Expected term | |
| - | | |
| - | |
Expected volatility | |
| - | % | |
| - | % |
Expected dividend yield | |
| - | | |
| - | |
Risk-free interest rate | |
| - | % | |
| - | % |
The
Company granted 2,000,000 warrants in their Reg A+ funding in January 2024, with an exercise price of $0.075 and a three-year term.
Restricted
Stock Units
The
following schedule summarizes the changes in the Company’s restricted stock units:
SCHEDULE
OF CHANGES IN RESTRICTED STOCK UNITS
| |
| | |
Weighted Average | |
| |
Number Of Shares | | |
Grant Date Fair Value | |
| |
| | |
| |
Balance at December 31, 2022 | |
| 10,262,500 | | |
$ | 0.08 | |
| |
| | | |
| | |
RSU’s granted | |
| - | | |
$ | - | |
RSU’s vested | |
| - | | |
$ | - | |
RSU’s forfeited | |
| - | | |
$ | - | |
| |
| | | |
| | |
Balance at March 31, 2023 | |
| 10,262,500 | | |
$ | 0.08 | |
| |
| | | |
| | |
Balance at December 31, 2023 | |
| 1,450,000 | | |
$ | 0.09 | |
| |
| | | |
| | |
RSUs forfeited | |
| | | |
| | |
RSUs granted | |
| 20,000,000 | | |
$ | - | |
RSUs vested | |
| (5,000,000 | ) | |
$ | - | |
Balance at March 31, 2024 | |
| 16,450,000 | | |
$ | 0.09 | |
During
the three months ended March 31, 2024 and 2023, the Company recognized $361,500 and $0 worth of expense related to the vesting of its
RSU’s. As of March 31, 2024, the Company had $1,216,450 worth of expense yet to be recognized for RSU’s not yet vested.
On
January 1, 2024, the Company granted 20,000,000
RSUs to their CEO as part of his new employment agreement that vest over a two-year
period. During the three months ended March 31, 2024, 5,000,000 of these restricted stock units vested.
NOTE
5: COMMITMENT
On
June 4, 2019, the Company entered into an Executive Employment Agreement (“Employment Agreement”) with Dr. Michael
K. Korenko, the Company’s Chief Executive Officer. The employment term under the Employment Agreement commenced with an effective
date of June 11, 2019 and expires on December 31, 2020, and December 31 of each successive year if the Employment Agreement is extended,
unless terminated earlier as set forth in the Employment Agreement. The Company on December 31, 2020 extended this agreement through
December 31, 2021 while renegotiating terms of a new Employment Agreement. On May 3, 2021, the Company and the Chief Executive Officer
agreed the terms of a new Employment Agreement with an effective date of January 1, 2021 that has a term of three years and expired December
31, 2023. The Company renewed the Employment Agreement for a term of two years expiring December 31, 2025.
Under
the terms of the Employment Agreement effective January 1, 2024, the Company shall pay to Dr. Korenko a base compensation of $295,500.
In addition, there is a discretionary bonus to be earned in the amount of $10,000 per quarter upon the satisfaction of conditions to
be determined by the Board of Directors of the Company. In addition, the Company granted Dr. Korenko 20,000,000 restricted stock units
on January 1, 2024 that vest over the two year period.
NOTE
6: SUBSEQUENT EVENT
On
May 9, 2024, the Company issued 11,000,000 shares of common stock for $704,000 under their Regulation A+.
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Except
for statements of historical fact, certain information described in this Form 10-Q report contains “forward-looking statements”
that involve substantial risks and uncertainties. You can identify these statements by forward-looking words such as “anticipate,”
“believe,” “could,” “estimate,” “expect,” “intend,” “may,” “should,”
“will,” “would” or similar words. The statements that contain these or similar words should be read carefully
because these statements discuss the Company’s future expectations, including its expectations of its future results of operations
or financial position, or state other “forward-looking” information. Vivos Inc. believes that it is important to communicate
its future expectations to its investors. However, there may be events in the future that the Company is not able to accurately predict
or to control. Further, the Company urges you to be cautious of the forward-looking statements which are contained in this Form 10-Q
report because they involve risks, uncertainties and other factors affecting its operations, market growth, service, products and licenses.
The risk factors in the section captioned “Risk Factors” in Item 1A of the Company’s previously filed Form 10-K, as
well as other cautionary language in this Form 10-Q report, describe such risks, uncertainties and events that may cause the Company’s
actual results and achievements, whether expressed or implied, to differ materially from the expectations the Company describes in its
forward-looking statements. The occurrence of any of the events described as risk factors could have a material adverse effect on the
Company’s business, results of operations and financial position.
The
Company was incorporated under the laws of Delaware on December 23, 1994 as Savage Mountain Sports Corporation (“SMSC”).
On September 6, 2006, the Company changed its name to Advanced Medical Isotope Corporation, and on December 28, 2017, the Company began
operating as Vivos Inc. The Company has authorized capital of 950,000,000 shares of common stock, $0.001 par value per share, and 20,000,000
shares of preferred stock, $0.001 par value per share.
Our principal place of business is located at 1030 North Center Parkway,
Kennewick, WA 99336. Our telephone number is (509) 222-2222. Our corporate website address is http://www.radiogel.com. Our common stock
is currently quoted on the OTC Pink Marketplace under the symbol “RDGL.”
The
Company is a radiation oncology medical device company engaged in the development of its yttrium-90 based brachytherapy device, RadioGel™,
for the treatment of non-resectable tumors. A prominent team of radiochemists, scientists and engineers, collaborating with strategic
partners, including national laboratories, universities and private corporations, lead the Company’s development efforts. The Company’s
overall vision is to globally empower physicians, medical researchers and patients by providing them with new isotope technologies that
offer safe and effective treatments for cancer.
In
January 2018, the Center for Veterinary Medicine Product Classification Group ruled that RadioGel ™should be classified
as a device for animal therapy of feline sarcomas and canine soft tissue sarcomas. Additionally, after a legal review, the Company believes
that the device classification obtained from the Food and Drug Administration (“FDA”) Center for Veterinary Medicine
is not limited to canine and feline sarcomas, but rather may be extended to a much broader population of veterinary cancers, including
all or most solid tumors in animals. We expect the result of such classification and label review will be that no additional regulatory
approvals are necessary for the use of IsoPet® for the treatment of solid tumors in animals. The FDA does not have premarket
authority over devices with a veterinary classification, and the manufacturers are responsible for assuring that the product is safe,
effective, properly labeled, and otherwise in compliance with all applicable laws and regulations.
Based
on the FDA’s recommendation, RadioGel™ will be marketed as “IsoPet®” for use by veterinarians
to avoid any confusion between animal and human therapy. The Company already has trademark protection for the “IsoPet®”
name. IsoPet® and RadioGel™ are used synonymously throughout this document. The only distinction between
IsoPet® and RadioGel™ is the FDA’s recommendation that we use “IsoPet®”
for veterinarian usage, and reserve “RadioGel™” for human therapy. Based on these developments, the Company
has shifted its primary focus to the development and marketing of Isopet® for animal therapy, through the Company’s
IsoPet® Solutions division.
IsoPet
Solutions
The
Company’s IsoPet Solutions division was established in May 2016 to focus on the veterinary oncology market, namely engagement of
university veterinarian hospital to develop the detailed therapy procedures to treat animal tumors and ultimately use of the technology
in private clinics. The Company has worked with three different university veterinarian hospitals on IsoPet® testing and
therapy. Washington State University treated five cats for feline sarcoma and served to develop the procedures which are incorporated
in our label. They concluded that the product was safe and effective in killing cancer cells. Colorado State University demonstrated
the CT and PET-CT imaging of IsoPet®. A contract was signed with University of Missouri to treat canine sarcomas and equine
sarcoids starting in November 2017.
The
dogs were treated for canine soft tissue sarcoma. Response evaluation criteria in solid tumors (“RECIST”) is a set
of published rules that define when tumors in cancer patients improve (respond), stay the same (stabilize), or worsen (progress) during
treatment. The criteria were published by an international collaboration including the European Organisation for Research and Treatment
of Cancer (“EORTC”), National Cancer Institute of the United States, and the National Cancer Institute of Canada Clinical
Trials Group.
The
testing at the University of Missouri met its objective to demonstrate the safety of IsoPet®. Using its advanced CT and
PET equipment it was able to demonstrate that the dose calculations were accurate and that the injections perfused into the cell interstices
and did not stay concentrated in a bolus. This results in a more homogeneous dose distribution. There was insignificant spread of Y-90
outside the points of injection demonstrating the effectiveness of the particles and the gel to localize the radiation with no spreading
to the blood or other organs nor to urine or fecal material. This confirms that IsoPet® is safe for same day therapy.
The
effectiveness of IsoPet® for life extension was not the prime objective, but it resulted in valuable insights. Of the
cases one is still cancer-free but the others eventually recurred since there was not a strong focus on treating the margins. The University
of Missouri has agreed to become a regional center to administer IsoPet® therapy and will incorporate the improvements
suggested by the testing program.
The
Company anticipates that future profits, if any, will be derived from direct sales of RadioGel™ (under the name IsoPet®)
and related services, and from licensing to private medical and veterinary clinics in the United States of America (the “USA”,
or, the “U.S.”) and internationally. The Company intends to report the results from the IsoPet® Solutions
division as a separate operating segment in accordance with generally accepted accounting principles (“GAAP”).
Commencing
in July 2019, the Company recognized its first commercial sale of IsoPet®. A veterinarian from Alaska brought his cat
with a re-occurrent spindle cell sarcoma tumor on his face. The cat had previously received external beam therapy, but now the tumor
was growing rapidly. He was given a high dose of 400 Gray with heavy therapy at the margins. This sale met the revenue recognition requirements
under Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic
606 – Revenue from Contracts with Customers (“ASC 606”) as the performance obligation was satisfied. The Company
completed sales for an additional four animals that received the IsoPet® during 2019.
Our
plan is to incorporate the data assembled from our work with Isopet® in animal therapy to support the Company’s
efforts in the development of our RadioGel™ device candidate, including obtaining approval from the FDA to market and
sell RadioGel™ as a Class II medical device. RadioGel™ is an injectable particle-gel for brachytherapy
radiation treatment of cancerous tumors in people and animals. RadioGel™ is comprised of a hydrogel, or a substance
that is liquid at room temperature and then gels when reaching body temperature after injection into a tumor. In the gel are small particles,
less than two microns, of Y-90. Once injected, these inert particles are locked in place inside the tumor by the gel, delivering a very
high local radiation dose. The radiation is beta, consisting of high-speed electrons. These electrons only travel a short distance so
the device can deliver high radiation to the tumor with minimal dose to the surrounding tissue. Optimally, patients can go home immediately
following treatment without the risk of radiation exposure to family members. Since Y-90 has a half-life of 2.7 days, the radioactivity
drops to 5% of its original value after ten days.
Recently
the Company modified its Indication for Use from skin cancel to cancerous tissue or solid tumors pathologically associated with locoregional
papillary thyroid carcinoma and recurrent papillary thyroid carcinoma having discernable tumors associated with metastatic lymph nodes
or extranodal disease in patients who are not surgical candidates or who have declined surgery, or patients who require post-surgical
remnant ablation (for example, after prior incomplete radioiodine therapy). Papillary thyroid carcinoma belongs to the general class
of head and neck tumors for which tumors are accessible by intraoperative direct needle injection. The Company’s Medical Advisory
Board felt that demonstrating efficacy in clinical trials was much easier with this new indication.
Intellectual
Property
Our
original license with Battelle National Laboratory (the “Battelle License”) reached its end of life in 2022. During
the past several years, we have expanded our proprietary knowledge, as well as our trademark and patent protection, in anticipation of
the Battelle License reaching the end of its term.
Our
RadioGelTM trademark protection is in 17 countries. We have expanded our trademark protection from RadioGelTM to
now include IsoPet®. We obtained the International Certificate of Registration for ISOPET, which is the first step to
file in several countries.
We
have filed for trademark protection for the term Precision Radionuclide TherapyTM. We believe this term will be increasingly
important.
The
Company received the Patent Cooperation Treaty (“PCT”) International Search Report on our patent application (No.1811.191).
Seven of our claims were immediately ruled as having novelty, inventive step and industrial applicability. This gives us the basis to
extend for many years the patent protection for our proprietary Y-90 phosphate particles utilized in Isopet® and Radiogel™.
Our
patent team filed our particle patent in more than ten patent offices that collectively cover 63 countries throughout the world. We filed
a continuation-in-part applications number 1774054 in the USA to expand the claims on our particle patent. The U.S. Patent office recently
gave us the Notice of Allowance for our patent to produce our yttrium phosphate microparticles, U.S. Patent Application Serial No: 16-459,466.
We also filed an amendment to correct the wording on our claims at make them consistent with the USE claims. Ref: 4207-0005; European
Patent Application NO. 20 834 229.5; VIVOS INC; Our Ref: FS/53791.
We
filed a hydrogel utility patent in the USA (16309:17/943,311) and internationally (16389:PCT/US22/4374) based on the last 18 months of
development work to optimize our hydrogel component. These include reducing the polymer production time and increasing the output by
a factor of three. We have also further reduced the level of trace contaminants to be well below the FDA guidelines.
We
filed a provisional patent (Serial Number 63436562) to protect our innovative improvements in our shipping container, our vial shield,
our syringe shield, and our Peltier chiller. Our objectives were to reduce shipping costs, decrease radiation exposure, and enhance sterility.
These devices will be preferentially used at Mayo Clinics for human clinical studies at and our IsoPet regional treatment centers. The
Company filed a utility patent in Q4 2023 for this therapy support equipment.
We
anticipate that Precision Radionuclide Therapy will become increasingly important in the future and expand to other isotope and other
indications for use. Therefore, we filed an alternate particle utility patent (Serial number 18/152,137). We will focus our near-term
effort on the Y-90 therapy, which we believe is the best beta emitter; however, we leveraged our hydrogel utility patent to incorporate
other promising isotopes and compounds for a range of future applications. This includes gamma and alpha particle emitters.
Financing
and Strategy
The
Company’s stock offering under Regulation A+ was qualified by the Securities and Exchange Commission (“SEC”)
on June 3, 2020. A second Regulation A+ offering was qualified by the SEC on September 15, 2021, pursuant to the Company’s offering
statement on Form 1-A (File No. 024-11627) (the “Offering Statement”) to raise capital by selling 50,000,000 shares
at a price of $0.10 per share, for a maximum offering of $5,000,000 (the “Regulation A+ Offering”). In July 2022,
the Company amended the Offering Statement, which the Company raised $1,200,000 at $0.08 per share (15,000,000 shares) and sold 20,000,000
warrants for $20,000. An amendment to the Offering Statement was filed and qualified in October 2022, to raise the remaining $3,800,000
of the original offering amount of $5,000,000 at a price of $0.08 per share. A further amendment to the Offering Statement was filed
and qualified in December 2023, as supplemented, to raise the remaining $3,200,000 at an offering price of $0.064 per share. During 2023,
$1,179,245 was raised through the issuance of 16,132,000 shares of common stock and warrants to purchase 18,797,000 shares of common
stock. During the three months ended March 31, 2024, the Company raised $130,000 through the issuance of 2,000,000 shares of common stock
and 2,000,000 warrants. In May 2024, the Company sold 11,000,000 shares of common stock for $704,000.
The
Company’s offerings undertaken pursuant to Regulation A+ have raised approximately $6,000,000 from the sale of shares. The Company
is using the proceeds generated as follows:
For
the animal therapy market:
|
● |
Fund
the effort to communicate the benefits of IsoPet® to the veterinary community and the pet parents. |
|
● |
Conduct
additional clinical studies to generate more data for the veterinary community |
|
● |
Subsidize
some IsoPet® therapies, if necessary, to ensure that all viable candidates are treated. |
|
● |
Assist
new regional clinics with their license and certification training. |
For
the human market:
|
● |
Enhance
the pedigree of the Quality Management System. |
|
● |
Complete
the previously defined pre-clinical testing and additional testing on an animal model closely aligned with our revised indication
for use. Report the results to the FDA in a pre-submission meeting. |
|
● |
Use
the feedback from that meeting to write the (Investigational Device Exemption (“IDE”), which is required to initiate
clinical trials. |
Research
and development of the Company’s brachytherapy product line has been funded with proceeds from the sale of equity and debt securities.
The Company may require additional funding of approximately $5 million annually to maintain current operating activities. Over the next
12 to 48 months, the Company believes it will cost approximately $9 million to: (1) fund the FDA approval process to conduct human clinical
trials; (2) conduct Phase I, pilot, and clinical trials; (3) activate several regional clinics to administer IsoPet® across
the county; (4) create an independent production center within the current production site to create a template for future international
manufacturing; and (5) initiate regulatory approval processes outside of the United States. The proceeds to be raised from the Regulation
A+ Offering will be used to continue to fund this development.
The
continued deployment of the brachytherapy products and a worldwide regulatory approval effort will require additional resources and personnel.
The principal variables in the timing and amount of spending for the brachytherapy products in the next 12 to 24 months will be the FDA’s
classification of the Company’s brachytherapy products as Class II or Class III devices (or otherwise), and any requirements for
additional studies (which may possibly include clinical studies). Thereafter, the principal variables in the amount of the Company’s
spending and its financing requirements would be: (1) the timing of any approvals; (2) the nature of the Company’s arrangements
with third parties for manufacturing, sales, distribution and licensing of those products; and (3) the products’ success in the
U.S. and elsewhere. The Company intends to fund its activities through strategic transactions such as licensing and partnership agreements,
as well as proceeds to be raised from the Regulation A+ Offering.
Following
receipt of required regulatory approvals and necessary financing to fund our working capital requirements, the Company intends to outsource
material aspects of manufacturing, distribution, sales and marketing for operations within the U.S.. Outside of the U.S., the Company
intends to pursue licensing arrangements and/or partnerships to facilitate its global commercialization strategy.
Long-term,
the Company intends to consider resuming research efforts with respect to other products and technologies intended to help improve the
diagnosis and treatment of cancer and other illnesses. These long-term goals are subject to the Company: (1) receiving adequate funding;
(2) receiving regulatory approval for RadioGelTM and other brachytherapy products; and (3) being able to successfully commercialize
its brachytherapy products.
Based
on the Company’s financial history since inception, the Company’s independent registered public accounting firm has expressed
substantial doubt as to the Company’s ability to continue as a going concern. The Company has limited revenue, nominal cash, and
has accumulated deficits since inception. If the Company cannot obtain sufficient additional capital, the Company will be required to
delay the implementation of its business strategy and may not be able to continue operations.
The
Company’s headquarters are in Northeast Washington however there focus of the animal therapy market has been the Northwestern sector
of the United States. The Company continues their marketing to the animal therapy market and attempt to increase the exposure to their
product and generate revenue accordingly.
As
of March 31, 2024, the Company has $1,370,829 cash on hand. There are currently commitments to vendors for products and services purchased.
To continue the development of the Company’s products, the current level of cash may not be enough to cover the fixed and variable
obligations of the Company.
There
is no guarantee that the Company will be able to raise additional funds or to do so at an advantageous price.
The
financial statements do not include any adjustments relating to the recoverability and classification of liabilities that might be necessary
should the Company be unable to continue as a going concern. The Company’s continuation as a going concern is dependent upon its
ability to generate sufficient cash flow to meet its obligations on a timely basis and ultimately to attain profitability. The Company
plans to seek additional funding to maintain its operations through debt and equity financing and to improve operating performance through
a focus on strategic products and increased efficiencies in business processes and improvements to the cost structure. There is no assurance
that the Company will be successful in its efforts to raise additional working capital or achieve profitable operations. The financial
statements do not include any adjustments that might result from the outcome of this uncertainty.
IsoPet
Regional Clinics
We
currently have regional therapy clinics:
|
● |
Vista
Veterinary Hospital – Kennewick, WA |
|
● |
University
of Missouri – Columbia, MO |
|
● |
Johns
Hopkins University – Baltimore, MD |
|
● |
New
England Equine Practice – Patterson, NY |
|
● |
Myhre
Equine Clinic |
|
● |
Indian
Creek Veterinary Hospital |
|
● |
Hopkinton
Animal Hospital - Weare NH |
Vista
Veterinary Hospital (“Vista”) was selected as the pilot private clinic to initiate commercial sales of IsoPet®.
It is good management practice to implement and learn from a pilot program before spreading to regional clinics across the country. Vista
is in the Tri-Cities Washington area which is convenient for interactions with key personnel of the Company.
Vista
has done well on two audits by the Washington State Department of Health. The Company is working closely with the Washington State Department
of Health to refine and improve the radioactive material license. The Company has added several detailed procedures, which will benefit
future regional clinics. In addition, a second veterinarian has completed all the preliminary requirements to become certified. All that
remains is to demonstrate proficiency in three therapies.
The
testing at the universities and at Vista have demonstrated that IsoPet® is effective on killing cancer tissue near the
injections. It is most effective in early cases before the cancer has begun to spread. Later stage cancers are more difficult to treat
since the tendrils from the primary cancer site are not well defined and therefore can lead to recurrence.
Vista
accepted advanced cancer cases and has gained experience to extend the animal’s lives. The first cat was terminally ill and had
previously had external beam, surgery and chemotherapy. The facial tumor was treated with 400 Gray and the biopsy confirmed that the
cancer was killed. In about seven months the cancer returned in the throat and could not be treated so the cat had to be put down. Dr.
Bauder, the veterinarian pet parent, was still elated about the life extension and is asking us to use him as a reference. The other
cases were also very advanced with multiple tumors and they recurred since they had already spread before therapy. One animal, Yukon,
had a large tumor on her leg that was recommended for amputation. The tumor size decreased 50% after the first treatment, but then stopped
decreasing. For the first time, a second therapy was administered and the tumor has continued to decrease in size. Yukon’s life
was extended for more than a year until she finally succumbed to metastatic cancer in another location.
Since
IsoPet® has shown to be effective in killing cancer at the site of injection the current focus is in optimizing the techniques
to help the pet resorb the necrotic tissue rapidly. In addition, IsoPet® was used to treat a mast cell tumor. When these
cancers are destroyed, they release their mast cell. The animal was treated with a steroid to counter this effect, and to date, is doing
well.
The
Company’s efforts are now to obtain more early-stage cancer patients. The biggest obstacle is to convince the veterinarians of
the pet parents to agree with IsoPet® therapy rather than using a more traditional method such as surgery. This is a slow
process due to the conservative nature of the veterinarian professions. This is the prime motivation to continue with additional clinical
trials and to publish the results.
The
Company worked closely with FX Masse to develop nine certification training modules for use in potential regional clinics. These modules
are necessary to satisfy the radioactive material handling licenses. This approach is very cost effective.
Johns
Hopkins University Veterinary Clinical Trials Network (“Johns Hopkins”), is now an Isopet® regional
clinic. Additionally, Johns Hopkins will also perform new Isopet® animal studies on various specific cancers. They have the required
radioactive material license and have completed their training certification for Isopet®. This important relationship will also help
meet our objective of obtaining high quality data on a range of cancers that can be published in leading journals. These publications
are the optimal way to increase awareness of Isopet®, and to gain broader acceptance from the veterinarian/oncology community. Johns
Hopkins just completed the VX2 Tumor therapy animal study in rabbits and is writing a report on the study. The study further demonstrated
the safety of RadioGelTM, generating the activity decay curves that show that the hydrogel remains at the injection site.
This study also: (1) demonstrated the validity of the Instructions for Use; (2) the validity of the Injection Guidance Table; and (3)
provided a basis for refining the techniques for treating small human cancerous lymph nodes.
Our
objectives are to open several more regional clinics over the next three years, and to participate in a minimum of four conferences annually
to spread the word about IsoPet® in the veterinarian community for treating tumors in small animals and horses. Our Veterinary
Medicine Steering Board provides advice on obtaining new pet patients.
Regulatory
History
Human
Therapy
RadioGel™
has a long regulatory history with the FDA. Initially, the Company submitted a presubmission (Q130140) to obtain FDA feedback about the
proposed product. The FDA requested that the Company file a request for designation with the Office of Combination Products (RFD130051),
which led to the determination that RadioGel™ is a device for human therapy for non-resectable cancers, which must be reviewed
and ultimately regulated by the Center for Devices and Radiological Health (“CDRH”). The Company then submitted a
510(k) notice for RadioGel™ (K133368), which was found Not Substantially Equivalent due to the lack of a suitable predicate, and
RadioGel™ was assigned to the Class III product code NAW (microspheres). Class III products or devices are generally the highest
risk devices and are therefore subject to the highest level of regulatory review, control, and oversight. Class III products or devices
must typically be approved by FDA before they are marketed. Class II devices represent lower risk products or devices than Class III
and require fewer regulatory controls to provide reasonable assurance of the product’s or device’s safety and effectiveness.
In contrast, Class I products and devices are deemed to be lower risk than Class I or II, and are therefore subject to the least regulatory
controls.
A
pre-submission meeting (Q140496) was held with the FDA on June 17, 2014, during which the FDA maintained that RadioGel™ should
be considered a Class III device and therefore subject to pre-market approval. On December 29, 2014, the Company submitted a de novo
petition for RadioGel™ (DEN140043). The de novo petition was denied by the FDA on June 1, 2015, with the FDA providing
numerous comments and questions. On September 29, 2015, the Company submitted a follow-up pre-submission informational meeting request
with the FDA (Q151569). This meeting took place on November 9, 2015, at which time the FDA indicated acceptance of the Company’s
applied dosimetry methods and clarified the FDA’s outstanding questions regarding RadioGel™. Following the November 2015
pre-submission meeting, the Company prepared a new pre-submission package to obtain FDA feedback on the proposed testing methods, intended
to address the concerns raised by the FDA staff and to address the suitability of RadioGel™ for de novo reclassification.
This pre-submission package was presented to the FDA in a meeting on August 29, 2017. During the August 2017 meeting, the FDA clarified
their position on the remaining pre-clinical testing needed for RadioGel™. Specifically, the FDA addressed proposed dosimetry calculating
techniques, dosimetry distribution between injections, hydrogel viscoelastic properties, and the details of the Company’s proposed
animal testing.
The
Company believes that its submissions to the FDA to date have addressed all the FDA staff’s feedback over the past four years.
Of particular importance, the Company has provided corresponding supporting data for proposed future testing of RadioGel™ to address
any remaining questions raised by the FDA. We believe, although no assurances can be given, that the clinical testing modifications presented
to the FDA in August 2017 will result in a de novo reclassification for RadioGel™ by the FDA. In addition, in previous FDA
submittals, the Company proposed applying RadioGel™ for a very broad range of cancer therapies, referred to as Indication for Use.
The FDA requested that the Company reduce its Indications for Use. To comply with that request, the Company expanded its Medical Advisory
Board (“MAB”) and engaged doctors from respected hospitals who have evaluated the candidate cancer therapies based
on three criteria: (1) potential for FDA approval and successful therapy; (2) notable advantage over current therapies; and
(3) probability of wide-spread acceptance by the medical community.
In
November 2020 the Company submitted a request for a Breakthrough Device Designation. Ultimately, this was denied, but the FDA acknowledged,
“The FDA does believe that RadioGel™ meets criterion #2a: Device represents breakthrough technology. Your device does
meet this criterion because it is a novel application of a brachytherapy device outside of the liver.” More importantly the
process resulted in a rapid review of our existing data and approach. It led to a redirection of our efforts on writing the Investigational
Device Exemptions (“IDEs”) and saved the Company much time in the review of that future application.
Based
on advice from the FDA the Company has scheduled a Pre-Submission meeting on November 30, 2021 to discuss a draft of an IDE for Early
Feasibility Medical Device Clinical Studies, including certain First in Human (“FIH”) Studies. Using this process
results in more rapid feedback to prepare the final IDE.
The
FDA was very supportive and had suggested this Q-Submission path for rapid turnaround and dialog. The Mayo Clinic physicians did an excellent
job presenting the need for Radiogel™ to treat recurrent thyroid cancer and to answer a range of questions from the
new FDA review team. The FDA provided many helpful suggestions on a range of subjects from labeling to dosimetry to the Mayo Clinic protocol
for clinical testing, and the need for some additional specific testing. They suggested having another Q-Sub Review and conference call
dedicated to the details of the dosimetry calculations.
In
May of 2022 the Company held another pre-submission meeting with the FDA. They concurred with our dosimetry techniques and requested
one more animal test to confirm that the Y-90 stays at the injection site. We will be proposing a pre-submission meeting to discuss this
new animal test of VX-2 tumors in rabbits at Johns Hopkins. We have a meeting scheduled with the FDA in October to obtain their feedback
on our new animal test plan. In the meantime, the Company is working to complete all the other required pre-clinical testing, such as
biocompatibility since they are required for the submittal of the IDE.
We
held another pre-submission meeting with the FDA on October 17, 2022 to obtain detailed feedback on the proposed VX-2/Rabbit Animal Test
Plan and to submit the Risk Management Report (“RMR”). The RMR analyzed all hypothetical scenarios and concluded that
RadioGel is inherently safe.
We
participated in pre-submission meetings with the FDA on April 10, 2023, and September 29, 2023, to discuss the preliminary results of
the VX2 tumor animal study and to obtain feedback on the genotoxicity protocol.
After
providing addition information to the FDA on December 18, 2023, the FDA classified us as a Breakthrough device to our proposed Indication
for Use.
In
parallel the Company is working with the Mayo Clinic’s principal investigators to improve the clinical trial protocol for their
Institutional Review Board.
The
MAB selected 18 applications for RadioGel™, each of which meet the criteria described above. This large number confirms the wide
applicability of the device and defines the path for future business growth. The Company’s application establishes a single Indication
for Use - treatment of cancerous tissue or solid tumors pathologically associated with locoregional papillary thyroid carcinoma and recurrent
papillary thyroid carcinoma.
We
anticipate that this initial application will facilitate each subsequent application for additional Indications for Use. After the second
Indication for Use, we intend to apply for a broad Indication for Use which we would target to obtain approval to treat all solid tumors.
Human
Therapy
Product
Features
The
Company’s RadioGel™ device has the following product features:
|
● |
Beta
particles only travel a short distance so the device can deliver high radiation to the tumor with minimal dose to the nearby normal
tissues. In medical terms Y-90 beta emitter has a high efficacy rate; |
|
|
|
|
● |
Benefitting
from the short penetration distance, the patient can go home immediately with no fear of exposure to family members, and there is
a greatly reduced radiation risk to the doctor. A simple plastic tube around the syringe, gloves and safety glasses are all that
is required. Other gamma emitting products require much more protection; |
|
|
|
|
● |
A
2.7-day half-life means that only 5% of the radiation remains after ten days. This is in contrast to the industry-standard gamma
irradiation product, which has a half-life of 17 days; |
|
|
|
|
● |
The
short half-life also means that any medical waste can be stored for thirty days then disposed as normal hospital waste; |
|
|
|
|
● |
RadioGel™
can be administered with small diameter needles (27-gauge) so there is minimal damage to the normal tissue. This is in contrast to
the injection of metal seeds, which does considerable damage; and |
|
|
|
|
● |
After
about 120 days the gel resorbs by a normal biological cycle, called the Krebs Cycle. The only remaining evidence of the treatment
are phosphate particles so small in diameter that it requires a high-resolution microscope to find them. This is in contrast to permanent
presence of metal seeds. |
Product
Features
The
Company’s RadioGel™ device has the following product features:
|
● |
Beta
particles only travel a short distance so the device can deliver high radiation to the tumor with minimal dose to the nearby normal
tissues. In medical terms Y-90 beta emitter has a high efficacy rate; |
|
|
|
|
● |
Benefitting
from the short penetration distance, the patient can go home immediately with no fear of exposure to family members, and there is
a greatly reduced radiation risk to the doctor. A simple plastic tube around the syringe, gloves and safety glasses are all that
is required. Other gamma emitting products require much more protection; |
|
|
|
|
● |
A
2.7-day half-life means that only 5% of the radiation remains after ten days. This is in contrast to the industry-standard gamma
irradiation product, which has a half-life of 17 days; |
|
|
|
|
● |
The
short half-life also means that any medical waste can be stored for thirty days then disposed as normal hospital waste; |
|
|
|
|
● |
RadioGel™
can be administered with small diameter needles (27-gauge) so there is minimal damage to the normal tissue. This contrasts with the
injection of metal seeds, which does considerable damage; and |
|
|
|
|
● |
After
about 120 days the gel resorbs by a normal biological cycle, called the Krebs Cycle. The only remaining evidence of the treatment
are phosphate particles so small in diameter that it requires a high-resolution microscope to find them. This contrasts with permanent
presence of metal seeds. |
Steps
from Production to Therapy
Device
Production
During
the next two years, the Company intends to outsource material aspects of manufacturing and distribution. As future product volume increases,
the Company will reassess its make-buy decision on manufacturing and will analyze the cost/benefit of a centrally located facility.
Production
of the Hydrogel
RadioGel™
is manufactured with a proprietary process under ventilated sterile hood by following strict Good Laboratory Practices (“GLP”)
procedures. It is made in large batches that are frozen for up to three months. When the product is ready to ship, a small quantity of
the gel is dissolved in a sterile saline solution. It is then passed through an ultra-fine filter to ensure sterility.
Production
of the Yttrium-90 Phosphate Particles
The
Y-90 particles are produced with simple ingredients via a proprietary process, again following strict GLP procedures. They are then mixed
into a phosphate-buffered saline solution. They can be produced in large batches for several shipments. The number of particles per shipment
is determined by the dose prescribed by the doctor.
Pre-Mixing
– Ready to Use (“RTU”)
The
Company now pre-mixes the particle solution and the hydrogel and places the RTU IsoPet® in standard size vials. This innovation is
cost effective and reduces the probability of any accidental spills or biological contamination at the therapy sites. It also simplified
the certification training for new regional clinics.
Shipment
The
vials are shipped inside the specially designed plastic shipping pigs via FedEx or UPS, all following the proper protocols.
At
the User
The
quantities and activities are in the information on the product label.
The
specific injection technique depends on the Indication for Use. For small tumors, one centimeter in diameter or less, the cancer is treated
with a single injection. For larger tumors, the cancer is treated with a series of small injections from the same syringe or multiple
syringes.
Principal
Markets
The
Company is currently pursuing two synergistic business sectors, medical and veterinary, each of which are summarized below.
Medical
Sector
RadioGel™
is currently fully developed, requiring only FDA approval before commercialization.
Building
on the FDA’s ruling of RadioGel™ as a device, the Company incorporated the FDA suggestions and has invested in
the pre-clinical testing required for IDE submittal. This included two years of effort on biocompatibility testing. The last remaining
animal test has been designed, and the Company has begun the initial scoping phase.
The
Company has been seeking FDA approval of RadioGel™ for almost five years. Recent progress has been delayed due to a lack of adequate
funding. The principal issue preventing approval is that the Company attempted to obtain regulatory approval for a broad range of Indications
for Use, including all non-resectable cancers, without sufficient supporting data.
Veterinary
Sector
There
are approximately 150 million pet dogs and cats in the United States. Nearly one-half of dogs and one-third of cats are diagnosed with
cancer at some point in their lifetime. The Veterinary Oncology & Hematology Center in Norwalk, Connecticut, reports that cancer
is the number one natural cause of death in older cats and dogs, accounting for nearly 50 percent of pet deaths each year. The American
Veterinary Medical Association reports that half of the dogs ten years or older will die because of cancer. The National Cancer Institute
reports that about six million dogs are diagnosed with cancer each year, translating to more than 16,000 a day.
The
Company’s IsoPet® operating division focuses on the veterinary oncology market. Dr. Alice Villalobos, a founding
member of the Veterinary Cancer Society and the Chair of our Veterinary Medicine Advisory Board, has been providing guidance to management
regarding this market. The Veterinary Medicine Advisory Board gives us recommendations regarding the overall strategy for our animal
business sector. Specially, they recommended the university veterinary hospitals for demonstration therapies, the specific cancers to
be treated, and have provided business contact information to the private clinics. Dr. Villalobos has retired. Richard Weller DVM, DACVIM,
is now the Chairman of the Veterinary Medicine Advisory Board. In addition, John E. Hendrich, PhD, DVM is a new member.
Development
of the product and application techniques and animal testing is allowed under FDA regulation. Commercial sales of RadioGelTM for
animals requires confirmation by the FDA Center for Veterinary Medicine (“CVM”). In January 2018, the Center for Veterinary
Medicine Product Classification Group, the entity within the CVM that is responsible for determining the classification of a product,
ruled that RadioGelTM should be classified as a device for animal therapy of feline sarcomas and canine soft tissue sarcomas.
Additionally,
after a legal review, the Company believes that the device classification obtained from the FDA Center for Veterinary Medicine is not
limited to canine and feline sarcomas, but rather may be extended to a much broader population of veterinary cancers, including all or
most all solid tumors in animals. We expect the result of such classification and label approval will be that no additional regulatory
approvals are necessary for the use of RadioGelTM for the treatment of solid tumors in animals. The FDA does not have premarket
authority over devices with a veterinary classification, and the manufacturers are responsible for assuring that the product is safe,
effective, properly labeled, and otherwise in compliance with all applicable laws and regulations.
The
Company currently intends to utilize university veterinary hospitals for therapy development, given that veterinary hospitals offer superior
and plentiful veterinarians and students, many animal patients, radioactive material handling licenses, and are respected by private
veterinary centers and hospitals.
Competitors
The
Company competes in a market characterized by technological innovation, extensive research efforts, and significant competition.
The
pharmaceutical and biotechnology industries are intensely competitive and subject to rapid and significant technological changes. Several
companies are pursuing the development of pharmaceuticals and products that target the same diseases and conditions that our products
target. We cannot predict with accuracy the timing or impact of the introduction of potentially competitive products or their possible
effect on our sales. Certain potentially competitive products to our products may be in various stages of development. Also, there may
be many ongoing studies with currently marketed products and other developmental products, which may yield new data that could adversely
impact the use of our products in their current and potential future Indications for Use. The introduction of competitive products could
significantly reduce our sales, which, in turn would adversely impact our financial and operating results.
There
are a wide variety of cancer treatments approved and marketed in the U.S. and globally. General categories of treatment include surgery,
chemotherapy, radiation therapy and immunotherapy. These products have a diverse set of success rates and side effects. The Company’s
products, including RadioGel™, fall into the brachytherapy treatment category. There are a number of brachytherapy devices
currently marketed in the U.S. and globally. The traditional iodine-125 (“I-125”) and palladium-103 (“Pd-103”)
technologies for brachytherapy are well entrenched with powerful market players controlling the market. The industry-standard I-125-based
therapy was developed by Oncura, which is a unit of General Electric Company. Additionally, C.R. Bard, a major industry player competes
in the I-125 brachytherapy marketplace. These market competitors are also involved in the distribution of Pd-103 based products. Cs-131
brachytherapy products are sold by IsoRay. Several Y-90 therapies have been FDA approved including SIR-Spheres by Sirtex, TheraSphere
by Biocompatibles UK and Zevalin by Spectrum Pharmaceuticals.
Raw
Materials
The
Company currently subcontracts the manufacturing of RadioGelTM at IsoTherapeutics. Eckert and Ziegler is the sole supplier
of the Y-90 used by IsoTherapeutics to manufacture the Company’s RadioGel™. The Company obtains supplies, hardware,
handling equipment and packaging from several different U.S. suppliers. Eckert and Ziegler previously provided Y-90 to the USA from Germany,
but we now receive the material from their Massachusetts operations. We also spent more than a year’s effort to prepare Eckert
and Ziegler to become a full provider of the particles and hydrogel, and they currently are positioned to become an alternate supplier
should the need arise.
During
2021, the Company engaged Akina, Inc. as an alternate supplier of its hydrogel polymer component. We have now expanded to include SciPoly
as another alternate polymer supplier.
Customers
The
Company anticipates that potential customers for our potential brachytherapy products likely would include those institutions and individuals
that currently purchase brachytherapy products or other oncology treatment products.
Government
Regulation
The
Company’s present and future intended activities in the development, manufacturing, and sale of cancer therapy products, including
RadioGel™, are subject to extensive laws, regulations, regulatory approvals and guidelines. Within the United States,
the Company’s therapeutic radiological devices must comply with the U.S. Federal Food, Drug and Cosmetic Act, which is enforced
by FDA. The Company is also required to adhere to applicable FDA Quality System Regulations, also known as the Good Manufacturing Practices,
which include extensive record keeping and periodic inspections of manufacturing facilities.
In
the United States, the FDA regulates, among other things, new product clearances and approvals to establish the safety and efficacy of
these products. We are also subject to other federal and state laws and regulations, including the Occupational Safety and Health Act
and the Environmental Protection Act.
The
Federal Food, Drug, and Cosmetic Act and other federal statutes and regulations govern or influence the research, testing, manufacture,
safety, labeling, storage, record keeping, approval, distribution, use, reporting, advertising and promotion of such products. Noncompliance
with applicable requirements can result in civil penalties, recall, injunction or seizure of products, refusal of the government to approve
or clear product approval applications, disqualification from sponsoring or conducting clinical investigations, preventing us from entering
into government supply contracts, withdrawal of previously approved applications, and criminal prosecution.
In
the United States, medical devices are classified into three different categories over which the FDA applies increasing levels of regulation:
Class I, Class II, and Class III. Most Class I devices are exempt from premarket notification 510(k); most Class II devices require premarket
notification 510(k); and most Class III devices require premarket approval. RadioGel™ is currently classified as a Class
III device.
Approval
of new Class III medical devices is a lengthy procedure and can take a number of years and require the expenditure of significant resources.
There is a shorter FDA review and clearance process for Class II medical devices, the premarket notification or 510(k) process, whereby
a company can market certain Class II medical devices that can be shown to be substantially equivalent to other legally marketed devices.
The
Company intends to apply for a de novo petition with an anticipated expenditure of $10.0 million over the next four years. This
expenditure estimate includes anticipated costs associated with in vitro and in vivo pre-clinical testing, our application for an Investigational
Device Exemption, Phase I and Phase II clinical trials and our application for a de novo petition.
As
a registered medical device manufacturer with the FDA, we are subject to inspection to ensure compliance with FDA’s current Good
Manufacturing Practices, or cGMP. These regulations require that we and any of our contract manufacturers design, manufacture, and service
products, and maintain documents in a prescribed manner with respect to manufacturing, testing, distribution, storage, design control,
and service activities. Modifications or enhancements that could significantly affect the safety or effectiveness of a device or that
constitute a major change to the intended use of the device require a new 510(k) premarket notification for any significant product modification.
The
Medical Device Reporting regulation requires that we provide information to the FDA on deaths or serious injuries alleged to be associated
with the use of our devices, as well as product malfunctions that are likely to cause or contribute to death or serious injury if the
malfunction were to recur. Labeling and promotional activities are regulated by the FDA and, in some circumstances, by the Federal Trade
Commission.
As
a medical device manufacturer, we are also subject to laws and regulations administered by governmental entities at the federal, state,
and local levels. For example, our facility is licensed as a medical device manufacturing facility in the State of Washington and is
subject to periodic state regulatory inspections. Our customers are also subject to a wide variety of laws and regulations that could
affect the nature and scope of their relationships with us.
In
the United States, as a manufacturer of medical devices and devices utilizing radioactive byproduct material, we are subject to extensive
regulation by not only federal governmental authorities, such as the FDA and FAA, but also by state and local governmental authorities,
such as the Washington State Department of Health, to ensure such devices are safe and effective. In Washington State, the Department
of Health, by agreement with the federal Nuclear Regulatory Commission (“NRC”), regulates the possession, use, and
disposal of radioactive byproduct material as well as the manufacture of radioactive sealed sources to ensure compliance with state and
federal laws and regulations. RadioGel™ constitutes both medical devices and radioactive sealed sources and are subject
to these regulations.
Moreover,
our use, management, and disposal of certain radioactive substances and wastes are subject to regulation by several federal and state
agencies depending on the nature of the substance or waste material. We believe that we are in compliance with all federal and state
regulations for this purpose.
Environmental
Regulation
Our
business does not require us to comply with any extraordinary environmental regulations. Our RadioGel™ product is manufactured
in an independently owned and operated facility. Any environmental effects or contamination event that could result would be from the
shipping company during shipment and misuse by the treatment facility upon arrival.
Human
Capital
As
of March 31, 2024, the Company had one full-time personnel. The Company utilizes several independent contractors to assist with its operations.
The Company does not have a collective bargaining agreement with any of its personnel and believes its relations with its personnel are
good.
Available
Information
The
Company prepares and files annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and certain other
information with the SEC. The SEC maintains an Internet site that contains reports, proxy and information statements, and other information
regarding issuers that file electronically with the SEC at http://www.sec.gov. Moreover, the Company maintains a website at http://www.RadioGel.com
that contains important information about the Company, including biographies of key management personnel, as well as information about
the Company’s business. This information is publicly available and is updated regularly.
Results
of Operations
Comparison
of the Three Months Ended March 31, 2024 and 2023
The
following table sets forth information from our statements of operations for the three months ended March 31, 2024 and 2023:
| |
Three Months Ended March 31, 2024 | | |
Three Months Ended March 31, 2023 | |
Revenues | |
$ | 4,500 | | |
$ | 6,000 | |
Cost of goods sold | |
| (6,000 | ) | |
| (7,536 | ) |
Gross (loss) profit | |
| (1,500 | ) | |
| (1,536 | ) |
Operating expenses | |
| (575,629 | ) | |
| (246,782 | ) |
Operating loss | |
| (577,129 | ) | |
| (248,318 | ) |
Non-operating income (expense) | |
| 18,590 | | |
| - | |
Net loss | |
$ | (558,539 | ) | |
$ | (248,318 | ) |
Revenues
and Cost of Goods Sold
Revenue
was $4,500 and $6,000 for the three months ended March 31, 2024 and 2023, respectively. All revenue recognized in the three months ended
March 31, 2024 and 2023 relate to the procedures performed with respect to the IsoPet® therapies.
Management
does not anticipate that the Company will generate sufficient revenue to sustain operations until such time as the Company secures multiple
revenue-generating arrangements with respect to RadioGel™ and/or any of our other brachytherapy technologies.
Operating
Expenses
Operating
expenses for the three months ended March 31, 2024 and 2023, respectively consists of the following:
| |
Three months ended March 31, 2024 | | |
Three months ended March 31, 2023 | |
Professional fees, including stock-based compensation | |
$ | 403,637 | | |
$ | 84,216 | |
Payroll expenses | |
| 91,125 | | |
| 72,508 | |
Research and development | |
| 57,447 | | |
| 46,375 | |
General and administrative expenses | |
| 23,420 | | |
| 43,683 | |
Total operating expenses | |
$ | 575,629 | | |
$ | 246,782 | |
Operating
expenses for the three months ended March 31, 2024 and 2023 was $575,629 and $246,782, respectively. The increase in operating expenses
from 2023 to 2024 can be attributed to the increase in professional fees ($84,216 for the three months ended March 31, 2023 versus $403,637
for the three months ended March 31, 2024) related to the stock based compensation related to the RSUs in 2024 versus 2023; the decrease
in general and administrative expense ($43,683 for the three months ended March 31, 2023 versus $23,420 for the three months ended March
31, 2024); the increase in research and development ($46,375 for the three months ended March 31, 2023 versus $57,447 for the three months
ended March 31, 2024) as the Company continued to ramp up the development of their products in 2023 to include studies that are required
to continue to have their products accepted by the FDA, and an increase in payroll expenses ($72,508 for the three months ended March
31, 2023 versus $91,125 for the three months ended March 31, 2024) related to the CEOs employment contract and bonus.
Non-Operating
Income (Expense)
Non-operating
income (expense) for the three months ended March 31, 2024 and 2023 were as follows:
| |
Three months ended March 31, 2024 | | |
Three months ended March 31, 2023 | |
Interest income | |
$ | 18,590 | | |
$ | - | |
| |
| | | |
| | |
Non-operating income (expense) | |
$ | 18,590 | | |
$ | - | |
Non-operating
income (expense) for the three months ended March 31, 2024 related to interest earned on the Company’s cash accounts.
Net
Loss
Our
net loss for the three months ended March 31, 2024 and 2023 was $(558,539) and $(248,318), respectively.
Liquidity
and Capital Resources
At
March 31, 2024, the Company had working capital of $1,307,563, as compared to working capital of $1,365,120 at December 31, 2023. During
the three months ended March 31, 2024 and 2023, the Company experienced negative cash flow from operations of $351,458 and $293,625 and
had no cash from investing activities. In both 2024 and 2023, there were no investing activities, and in 2024, the Company raised $130,000
from the sales of common stock and warrants as part of our Reg A+. As of March 31, 2024, the Company did not have any commitments for
capital expenditures.
Cash
used in operating activities increased from $293,625 for the three months ended March 31, 2023 to $351,458 for the three months ended
March 31, 2024. Cash used in operating activities was primarily a result of the Company’s non-cash items, such as loss from operations,
stock based compensation, as well as the changes in accounts receivable, prepaid expenses and accounts payable in 2024 compared to only
having net changes from current assets and liabilities and stock based compensation in 2023.
The
Company has generated material operating losses since inception. The Company had a net loss of $248,318 for the three months ended March
31, 2023, and a net loss of $558,539 for the three months ended March 31, 2024. The Company expects to continue to experience net operating
losses for the foreseeable future. Historically, the Company has relied upon investor funds to maintain its operations and develop the
Company’s business. The Company anticipates raising additional capital within the next twelve months for working capital as well
as business expansion, although the Company can provide no assurance that additional capital will be available on terms acceptable to
the Company, if at all. If the Company is unable to obtain additional financing to meet its working capital requirements, it may have
to curtail its business or cease all operations.
The
Company requires funding of at least $5 million per year to maintain current operating activities. Over the next 24 months, the Company
believes it will cost approximately $9 million to: (1) fund the FDA approval process to conduct human clinical trials; (2) conduct Phase
I, pilot, and clinical trials; (3) activate several regional clinics to administer IsoPet® across the county; (4) create
an independent production center within the current production site to create a template for future international manufacturing; and
(5) initiate regulatory approval processes outside of the United States.
The
principal variables in the timing and amount of spending for the brachytherapy products in the next 12 to 24 months will be the FDA’s
classification of the Company’s brachytherapy products as Class II or Class III devices (or otherwise) and any requirements for
additional studies, which may possibly include clinical studies. Thereafter, the principal variables in the amount of the Company’s
spending and its financing requirements would be the timing of any approvals and the nature of the Company’s arrangements with
third parties for manufacturing, sales, distribution and licensing of those products and the products’ success in the U.S. and
elsewhere. The Company intends to fund its activities through strategic transactions such as licensing and partnership agreements or
additional capital raises.
Although
the Company is seeking to raise additional capital and has engaged in numerous discussions with investment bankers and investors, to
date, the Company has not received firm commitments for the required funding. Based upon its discussions, the Company anticipates that
if the Company is able to obtain the funding required to retire outstanding debt, pay past due payables and maintain its current operating
activities, that the terms associated with such funding will result in material dilution to existing shareholders.
Recent
geopolitical events, including the inherent instability and volatility in global capital markets, as well as the lack of liquidity in
the capital markets, could impact the Company’s ability to obtain financing and its ability to execute its business plan.
Our
Chief Executive Officer currently works from his home office in virtual communication with key personnel. Cadwell Laboratories, which
is controlled by Carl Cadwell, a director of the Company, provides office space to management on an as-needed basis until such time as
the Company leases permanent office space.
Accounting
Policies and Estimates
The
preparation of financial statements and related disclosures in conformity with accounting principles generally accepted in the United
States of America requires management to make estimates and assumptions that affect the amounts reported in the unaudited condensed financial
statements and accompanying notes. Management bases its estimates on historical experience and on various other assumptions that are
believed to be reasonable under the circumstances. Actual results could differ from these estimates under different assumptions or conditions.
During the period ended March 31, 2024, we believe there have been no significant changes to the items disclosed as significant accounting
policies in management’s notes to the financial statements in our annual report on Form 10-K for the year ended December 31, 2023,
filed on March 18, 2024.
Off-Balance
Sheet Arrangements
The
Company does not have any off-balance sheet arrangements that are reasonably likely to have a current or future effect on the Company’s
financial condition, revenues, results of operations, liquidity or capital expenditures.
Item
3. Quantitative and Qualitative Disclosures About Market Risk.
This
item is not applicable to us because we are a smaller reporting company as defined by Rule 12b-2 under the Securities Exchange Act of
1934.
Item
4. Controls and Procedures.
Disclosure
Controls and Procedures
Based
on an evaluation as of the date of the end of the period covered by this report, the Company’s Chief Executive Officer and Interim
Chief Financial Officer conducted an evaluation of the effectiveness of the design and operation of the Company’s disclosure controls
and procedures, as required by Exchange Act Rule 13a-15. Based on that evaluation, the Company’s Chief Executive Officer and Interim
Chief Financial Officer concluded that, because of the disclosed material weaknesses in the Company’s internal control over financial
reporting, the Company’s disclosure controls and procedures were ineffective as of the end of the period covered by this report
to ensure that information required to be disclosed by the Company in the reports that the Company files or submits under the Exchange
Act is recorded, processed, summarized and reported within the time periods specified by the SEC’s rules and forms.
Disclosure
controls and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in the
Company’s reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported, within the time periods
specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures
designed to ensure that information required to be disclosed in the Company’s reports filed under the Exchange Act is accumulated
and communicated to management, including the Company’s Chief Executive Officer and the Company’s Interim Chief Financial
Officer, to allow timely decisions regarding required disclosure.
Changes
in Internal Control Over Financial Reporting
There
have been no changes in the Company’s internal control over financial reporting that occurred during the period ended March 31,
2024 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial
reporting.
The
term “internal control over financial reporting” is defined as a process designed by, or under the supervision of, the registrant’s
principal executive and principal financial officers, or persons performing similar functions, and effected by the registrant’s
board of directors, management and other personnel, 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 and includes
those policies and procedures that:
|
(a) |
Pertain
to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets
of the registrant; |
|
|
|
|
(b) |
Provide
reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with
generally accepted accounting principles, and that receipts and expenditures of the registrant are being made only in accordance
with authorizations of management and directors of the registrant; and |
|
|
|
|
(c) |
Provide
reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the registrant’s
assets that could have a material effect on the financial statements. |
PART
II
Item
1. Legal Proceedings
The
Company may, from time to time, be involved in various legal proceedings incidental to the conduct of our business. Historically, the
outcome of all such legal proceedings has not, in the aggregate, had a material adverse effect on our business, financial condition,
results of operations or liquidity.