Liquidity and Cash Flow - Cash decreased from 4,554,335to930,541, reflecting a significant reduction in liquidity[5] - The company's cash balance as of June 30, 2024, was 0.9million,downfrom4.6 million at the beginning of the period[10] - The company expects its current cash balance to fund operations only until September 2024, raising substantial doubt about its ability to continue as a going concern[13] - Net cash used in operating activities for the six months ended June 30, 2024, was 8.4million,comparedto6.2 million in the same period in 2023[10] - The company had a cash balance of approximately 0.9millionasofJune30,2024,and1.0 million as of August 22, 2024, with a working capital deficit of approximately 18.6millionandanaccumulateddeficitofapproximately82.2 million[113] - The company's current cash balance is only sufficient to fund operations into September 2024, raising substantial doubt about its ability to continue as a going concern within one year[113] - Net cash used in operating activities for the six months ended June 30, 2024, was approximately 8.4million,primarilyduetoanetlossofapproximately25.4 million and non-cash impairments of goodwill and ENTADFI of approximately 15.5millionand3.5 million, respectively[117] - Net cash provided by financing activities for the six months ended June 30, 2024, was approximately 4.9million,primarilyfromtheissuanceof5.7 million in notes payable[117] - Negative operating cash flows of 8.4millionforthesixmonthsendedJune30,2024[128]−Cashbalanceof0.9 million as of June 30, 2024, with a working capital deficit of 18.6million[128]−ThecompanyestimatescurrentcashbalancesufficientonlytofundoperationsintoSeptember2024[129]AssetandLiabilityChanges−Accountsreceivableincreasedfrom149,731 to 171,313,indicatinghigheroutstandingcustomerpayments[5]−Inventoriesdecreasedfrom364,052 to 160,272,suggestingimprovedinventorymanagement[5]−Totalcurrentassetsdroppedfrom5,838,271 to 2,035,448,highlightingasubstantialdeclineinshort−termresources[5]−Intangibleassetsdecreasedfrom25,410,887 to 20,310,890,reflectingpotentialwrite−downsoramortization[5]−Goodwillreducedfrom55,676,142 to 36,502,332,indicatingpossibleimpairmentcharges[5]−Totalassetsdeclinedfrom87,518,032 to 59,463,955,signalingasignificantcontractioninthecompany′sassetbase[5]−Thecompanyimpaired15.5 million of goodwill and 3.5millionofENTADFIassetsduringthesixmonthsendedJune30,2024[10]−Totalintangibleassetsdecreasedfrom25,447,699 as of December 31, 2023 to 20,735,171asofJune30,2024,primarilyduetoa3,296,644 impairment on product rights for developed technology[25] - Accumulated amortization for intangible assets increased to 424,281asofJune30,2024,upfrom36,812 at December 31, 2023[26] - Goodwill impairment charges totaled 10.3millionforthethreemonthsand15.5 million for the six months ended June 30, 2024[29] - Total accrued expenses decreased to 1,438,872asofJune30,2024,from2,199,867 at December 31, 2023[31] - The company has a working capital deficit of 18.6millionandanaccumulateddeficitof82.2 million as of June 30, 2024[13] - The company's Series B Convertible Redeemable Preferred Stock could be redeemable for approximately 41.9millionifstockholderapprovalisnotobtainedbyJanuary1,2025[13]−Thecompany′stotalcurrentliabilitiesasofJune30,2024,wereapproximately20.6 million, including accounts payable of 3.2millionandaccruedexpensesof1.4 million[133] - Current liabilities of 20.6millionasofJune30,2024,including15.0 million in notes payable primarily due to Veru[133] - 5.0millionofdebtdueinSeptember2024,with10 million owed to Veru, 5millionofwhichisdueonSeptember30,2024[128][130]RevenueandProfitability−RevenueforQ22024was704,848, compared to no revenue in Q2 2023[7] - Gross profit for Q2 2024 was 100,716,comparedtonogrossprofitinQ22023[7]−NetlossforQ22024was(14,306,704), compared to (6,865,270)inQ22023[7]−TotaloperatingexpensesforQ22024were13,715,735, compared to 6,649,600inQ22023[7]−ImpairmentofgoodwillforQ22024was10,261,000, compared to no impairment in Q2 2023[7] - Total comprehensive loss for Q2 2024 was (14,230,110),comparedto(6,865,270) in Q2 2023[7] - Revenue for the three months ended June 30, 2024 was 0.7million,a10014.3 million, a 108.4% increase compared to the same period in 2023[99] - Revenue for the six months ended June 30, 2024 was 1.4million,a10025.4 million, a 161.8% increase compared to the same period in 2023[105] - Net loss of 14.3millionand25.4 million for the three and six months ended June 30, 2024, with an accumulated deficit of 82.2million[128]−Thecompanyreportedanetlossof14.3 million for the three months ended June 30, 2024, and 25.4millionforthesixmonthsendedJune30,2024[128]ImpairmentsandWrite−Downs−ImpairmentofgoodwillforQ22024was10,261,000, compared to no impairment in Q2 2023[7] - The company impaired 15.5millionofgoodwilland3.5 million of ENTADFI assets during the six months ended June 30, 2024[10] - The company recorded an impairment charge of 1.2millionforthethreemonthsendedJune30,2024,and3.5 million for the six months ended June 30, 2024, related to the ENTADFI asset group[26] - Goodwill impairment charges totaled 10.3millionforthethreemonthsand15.5 million for the six months ended June 30, 2024[29] - The company recorded a goodwill impairment loss of 10.3millionrelatedtothePMXacquisitionanda1.2 million impairment loss on ENTADFI assets for the three months ended June 30, 2024[99][102] - The company recorded a goodwill impairment loss of 15.5millionrelatedtothePMXacquisitionanda3.5 million impairment loss on ENTADFI assets for the six months ended June 30, 2024[105][109] Strategic Initiatives and Acquisitions - The company acquired Proteomedix AG and its diagnostic product Proclarix on December 15, 2023, to complement its prostate-related treatment portfolio[11] - The company paused commercialization of ENTADFI in Q1 2024 and is exploring strategic alternatives, including a potential sale of the assets[11] - The company plans to generate revenue from Proclarix sales and secure additional funding through equity or debt financings, though no commitments are currently in place[13] - The company recorded 0.7millionand1.4 million of revenue from Proteomedix during the three and six months ended June 30, 2024, respectively[20] - Development services generated 0.7millionand1.3 million of revenue during the three and six months ended June 30, 2024, respectively[20] - Proclarix product sales generated 0.1millionofrevenueduringthesixmonthsendedJune30,2024,withnorevenueinthethreemonthsendedJune30,2024[20]−ThecompanyacquiredENTADFIforatotalpossibleconsiderationof100 million, with 20millionpaidupfrontandupto80 million in milestone payments based on net sales[32] - The fair value of non-interest bearing notes payable issued for the ENTADFI acquisition was estimated at 12,947,000usingadiscountrateof8.219,026,771, including 6,000,000atclosingand12,947,000 in fair value of notes payable[34] - WraSer acquisition includes 3.5millioncashatsigning,4.5 million cash at closing, and 1.0 million shares of common stock[36] - WraSer APA amendment reduces post-closing payment by 500,000andstaggers4.5 million cash payment into 2.2millionatclosingand2.3 million in monthly installments[37] - Proteomedix acquisition involves issuance of 3,675,414 shares of common stock and 2,696,729 shares of Series B Convertible Preferred Stock[38] - Total consideration transferred for Proteomedix acquisition is approximately 65.1million[40]−ThecompanyisfocusingoncommercializingProclarix,anext−generationprotein−basedbloodtestforprostatecancer,inEurope[83]−ThecompanyhalteditsvaccinediscoveryanddevelopmentprogramsinQ32023andnowoperatessolelyinthecommercialsegment,dedicatedtoProclarix[83]−ProclarixisCE−markedforsaleintheEuropeanUnion,withexpectedrevenuegenerationby2025[85]−Thecompanyhasnointernalmanufacturingcapabilitiesandreliesonthird−partysuppliers,primarilysingle−sourcesuppliers,forProclarixproduction[85]−ThecompanypausedcommercializationactivitiesforENTADFIduringthefirstquarterof2024andisexploringstrategicalternatives,includingapotentialsaleoftheENTADFIassets[113]−ThecompanyisconsideringstrategicoptionsforENTADFI,includingapotentialsale,andmayabandontheassetsifasaleisnotconsummated[135]RisksandChallenges−Thecompanyfacesrisksrelatedtointellectualpropertydisputes,whichcouldleadtosubstantialcosts[4]−Dependenceonthirdpartiesformanufacturing,distribution,andsalesposesoperationalrisks[4]−Marketacceptanceandcompetitionremaincriticalfactorsinfluencingfutureperformance[4]−Thecompany′sabilitytocontinueasagoingconcernisinsubstantialdoubt,anditwillrequiresubstantialadditionalfundingtofinancelong−termoperations[128][129]−Thecompany′sfuturecapitalrequirementsdependonfactorssuchascommercializationcosts,potentialproductliabilitylawsuits,andthecostsofoperatingasapubliccompany[129]−ThecompanyreceivedanoticefromNasdaqonSeptember18,2023,fornon−compliancewiththeminimumbidpricerequirementof1.00 per share, with a deadline to regain compliance by March 16, 2024, later extended to September 16, 2024[137] - On May 8, 2024, the company was notified by Nasdaq for failing to meet the minimum stockholders' equity requirement of 2,500,000,withreportedequityof1,404,476 as of December 31, 2023[137] - Nasdaq granted an extension until November 4, 2024, to regain compliance with the Minimum Stockholders' Equity Requirement, with potential delisting if compliance is not achieved[137] - The company's acquisition of Proteomedix triggered a "Change of Control" under Nasdaq Listing Rule 5110(a), requiring the company to satisfy initial listing criteria and complete the initial listing process[137] - The company submitted a plan to Nasdaq on June 24, 2024, to achieve compliance with Nasdaq Listing Rules, including releasing a portion of Exchange Shares and Conversion Shares from the Lock-Up Agreement[137] Internal Controls and Governance - The company's disclosure controls and procedures were not effective as of June 30, 2024, due to material weaknesses in internal control over financial reporting[123] - Material weaknesses identified in internal controls, including inadequate segregation of duties and insufficient IT controls, as of June 30, 2024[124] - The company identified material weaknesses in internal control over financial reporting, including inadequate segregation of duties and insufficient accounting resources[124] - The company's disclosure controls and procedures were not effective as of June 30, 2024, due to identified material weaknesses[123] - The company's credit card misuse by former executives and employees led to unauthorized personal expenses, contributing to material weaknesses in internal controls[124] Financing and Debt - The company received 5millionfromtheissuanceofanotepayabletoarelatedpartyduringthesixmonthsendedJune30,2024[10]−Thecompanyissuedanon−convertibledebentureof5.0 million to a related party with an interest rate of 4.0% per annum, extended to October 31, 2024[48] - The company recorded 0.2millionand0.4 million of interest expense on the debenture for the three and six months ended June 30, 2024, respectively[48] - The company financed 0.7millionininsurancepremiumswithanannualinterestrateof7.7978,000[50] - The company assumed a 100,000 CHF obligation related to the Proteomedix acquisition, recorded as a long-term note payable of approximately 111,000[51]−Thecompanyenteredintoasubscriptionagreementfor20millionunitsat0.25 per unit, with a fair value of 886,000asofJune30,2024[52]−Thecompanyissueda5.0 million non-convertible debenture with a 4.0% annual interest rate, extended to mature on October 31, 2024[123] - The company entered into a forbearance agreement with Veru, extending the maturity date of a 5.0milliondebenturetoOctober31,2024[85][86]−ThecompanyagreedtopayVeru1564,236,085[9] - The company has 22,848,876 shares of common stock issued and 22,331,477 shares outstanding as of June 30, 2024[57] - The company repurchased 25,032 and 57,670 shares of common stock during the three and six months ended June 30, 2023, respectively[58] - The company has an at-the-market offering agreement to sell up to 3.9millionofcommonstock,withnosharessoldasofJune30,2024[59]−Thecompanyhas7,899,661outstandingwarrantsexercisableintocommonstock,withafairvalueof0.167 per share as of June 30, 2024[62] - The company increased the number of shares reserved for issuance under the 2022 Equity Incentive Plan to 3,150,000 in May 2023, with 1,488,180 shares available for issuance as of June 30, 2024[63] - The weighted average grant date fair value of stock options granted during the six months ended June 30, 2023 was 1.08,withaggregatefairvaluesof83,000 and 167,000vestedduringthethreeandsixmonthsendedJune30,2024,respectively[64]−Outstandingstockoptionsdecreasedfrom1,904,830asofDecember31,2023to1,130,026asofJune30,2024,withaweightedaverageexercisepriceof2.12 and a remaining contractual life of 4.2 years[65] - The company granted 487,500 restricted shares under the 2022 Plan in May 2023, with vesting schedules of 50% in January 2024, 25% in August 2024, and 25% in August 2025[66] - Nonvested restricted stock decreased from 256,580 shares as of December 31, 2023 to 106,250 shares as of June 30, 2024, with an average grant date fair value of 1.03[67]−Proteomedixextendedtheexpirationdateof12,257vestedstockoptionstoApril18,2026,resultingin18,000 of expense during the three and six months ended June 30, 2024[68] - Stock-based compensation expense for the six months ended June 30, 2024 was 51,875,comparedto458,359 for the same period in 2023[69] - The company entered into an inducement offer on July 11, 2024, resulting in the exercise of 7,458,642 shares of common stock at a reduced price of 0.15pershare,generatingnetproceedsofapproximately0.9 million[80] Expenses and Costs - Total operating expenses for Q2 2024 were 13,715,735,comparedto6,649,600 in Q2 2023[7] - The company expects increased selling, general, and administrative expenses due to efforts to commercialize Proclarix and integrate Proteomedix's operations[94] - Research and development expenses decreased by $0.9 million (100.4%) for the three months