Financial Condition - As of December 31, 2024, the company had cash and cash equivalents of 19.2million,whichisexpectedtofundoperationsintoQ42025basedoncurrentforecasts[191].−Thecompanyhasaccumulatedadeficitofapproximately109.6 million as of December 31, 2024, up from 85.0millionin2023,indicatingongoingfinanciallosses[194].−Thecompanyanticipatessignificantincreasesinoperatingexpensesandcapitalexpendituresin2025duetoramped−upactivitiesrelatedtoBiologicsLicenseApplication(BLA)enablingactivities[195].−Thecompanyexpectstoincuradditionallossesinthefuture,withoperatingexpenseslikelytoincreaseasitconductsmorepreclinicalstudiesandclinicaltrials[190].−Thecompanyhasongoingchallengeswithliquidityandaccesstocapital,whichcouldimpactitsabilitytofundoperationsandclinicalprograms[190].−Thecompany’sabilitytocontinueasagoingconcernisdependentonitsavailablecashandsuccessfulmanagementofitsoperatingrequirements[198].−Thecompanyhasbeenfundedinpartbygovernmentandnon−profitassociationgrants,whicharenotguaranteedsourcesoffuturefunding[199].−ThecompanyanticipatesthatitscurrentcashresourceswillbeinsufficienttofundoperationsbeyondQ42025,necessitatingadditionalfunding[356].RegulatoryChallenges−Thecompanyfacessignificantrisksrelatedtothetransitionfromresearchtocommercialactivities,whichmayrequiresubstantialadditionalcapital[167].−TherearenoFDA−approvedallogeneic,cell−basedtherapiesforAging−relatedFrailtyorotherconditionsthecompanyisstudying,complicatingpotentialregulatoryapproval[172].−TheFDAhasindicatedthattheconceptof"Frailty"willrequireadditionalclinicaldataanddiscussionbeforemarketingauthorizationcanbeobtained[173].−Thelengthyanduncertainprocessofobtainingregulatoryapprovalsforproductcandidatesmayhinderthecompany′sabilitytogeneratesufficientrevenues[245].−Delaysinclinicaltrialsorregulatoryapprovalscouldshortenexclusivecommercializationperiods,allowingcompetitorstoenterthemarketearlier[243].−Thecomplexityofobtainingregulatoryapprovalformesenchymalstemcellsmayresultinlongertimelinescomparedtoconventionaldrugs,impactingcommercializationefforts[246].−Regulatoryapprovalsforproductcandidatesmaybesubjecttolimitationsandrequirecostlypost−marketingtesting,includingPhase4clinicaltrials[258].−TheFDAhashistoricallybeenstringentwithAlzheimer′sdiseasedrugapprovals,withonlytwodrugs,AduhelmR◯andLeqembi™,receivingacceleratedapproval,bothrequiringconfirmatorytrials[251].−ThecompanyhasnothadsuccessindevelopingtherapeuticsforAlzheimer′sdisease,despitesignificantinvestmentfromthebiopharmaceuticalindustry[252].−TheacceptanceofclinicaltrialdatabyregulatoryauthoritiessuchastheU.S.FDAandJapanesePMDAisuncertain,whichcouldimpactthecommercializationofproductcandidates[310].−Changesinregulationsandfuturelegislationcouldpreventordelayregulatoryapprovalofproductcandidates,affectingprofitability[325].CompetitionandMarketRisks−Thecompanyisfacingincreasedcompetitioninthecelltherapyfieldfrombothestablishedcompaniesandacademicinstitutions,whichmayhavegreaterresources[186][187].−Ifthecompany′sproductcandidatesareapproved,potentialcompetitorsmayseektointroducebiosimilarproductsusingabbreviatedapprovalpathways[223].−Thebiotechnologyindustryishighlycompetitive,andthecompany′ssuccessdependsonitsabilitytorespondtorapidtechnologicalchangesandattractskilledpersonnel[222].−Thecompanymayfacechallengesinprotectingitsproprietaryrights,ascompetitorscouldindependentlydevelopsimilartechnologies[225].−Thecompanymayneedtoobtainlicensesfromthirdpartiestoadvanceresearchorcommercialization,andfailuretodosocouldsignificantlyharmitsbusiness[218].IntellectualPropertyRisks−ThecompanyhaspendingpatentapplicationsrelatedtoMSCtechnology,butthesemaynotissueormayissuewithnarrowerclaims,potentiallyallowingcompetitorstodevelopsimilarproducts[206].−Thecompanyfacesrisksregardingtheassignmentofpatentsfromthirdparties,whichcouldaffectitscontroloverpatentedtechnologyanditsabilitytocommercializeproducts[208].−Theextensivetimerequiredforproductdevelopmentmayleadtopatentexpirationsbeforecommercialization,reducingcompetitiveadvantages[209].−TheLeahy−SmithAmericaInventsActtransitionedtheU.S.toa"firstinventortofile"system,increasingtheriskofthirdpartiesobtainingpatentsforinventionsmadeindependently[228].−TheU.S.patentlawchangesmayincreaseuncertaintiesandcostsrelatedtopatentapplicationprosecutionandenforcement,potentiallyadverselyaffectingthecompany′scompetitiveposition[230].−PatenttermsintheU.S.generallylast20yearsfromtheearliestfilingdate,whichmaynotprovidesufficientprotectionagainstcompetitionifpatentsexpirebeforeproductcommercialization[233].−Patenttermextensionsofuptofiveyearsmaybeavailable,butfailuretoobtaintheseextensionscouldleadtoreducedrevenueascompetitorsmaylaunchproductspost−expiration[234].−Thecompanymayfacechallengesinprotectingintellectualpropertyrightsgloballyduetovaryingenforcementlevelsandlegalcomplexitiesinforeignjurisdictions[236].−Compulsorylicensinglawsinmanycountriescouldforcethecompanytograntlicensestothirdparties,impairingitscompetitiveposition[238].−Non−compliancewithproceduralrequirementscouldleadtothelossofpatentrights,significantlyimpactingthecompany′sbusinessandfinancialcondition[240].OperationalRisks−Thecompanyreliesonalimitedsupplyofbonemarrowdonors,whichmayimpactitsabilitytoproducesufficientquantitiesofproductcandidatesforclinicaltrials[178].−Futuregovernmentregulationsorhealthconcernsmayfurtherreducethenumberofavailablebonemarrowdonors,limitingproductioncapabilities[179].−Thecompany’sprocessingandstoragefacilityislocatedinahurricane−pronearea,posingriskstoitsoperationsandproductcandidates[183].−Ethicalconcernssurroundingstemcelltherapymaynegativelyaffectpublicperceptionandregulatoryapprovalofthecompany’sproducts[184].−Thecompanyreliesonresearchinstitutionsforclinicaltrials,whichmayleadtoincreasedcostsanddelaysifagreementsarenotreachedormaintained[254].−Therelianceonthirdpartiesforclinicaltrialsandmanufacturingposesrisks,includingpotentialdelaysandincreasedcostsifthesepartiesfailtomeetobligations[273][280].−Futuredependenceonthird−partymanufacturersmayexposethecompanytosupplyshortagesandpricefluctuations,potentiallyharmingitsoperations[285].−Risksassociatedwiththird−partysuppliersincludesupplyinterruptions,compliancefailures,anddelaysinproductshipments,whichcouldadverselyaffectthecompany′sabilitytomeetclinicaltrialdemands[286][287].LegislativeandHealthcareEnvironment−Legislativechanges,suchastheBudgetControlAct,haveresultedinMedicarepaymentreductionsof22,000 under the Inflation Reduction Act[272]. - Legislative changes may lead to reductions in Medicare and other healthcare funding, impacting the prices for product candidates and their prescription frequency[268]. - The trend towards managed healthcare and cost containment initiatives is expected to exert pricing pressures on future approved products[268]. - The FDA has been directed to clarify the approval framework for generic drugs, which may affect competition in the pharmaceutical market[266]. - State legislatures are implementing regulations to control pharmaceutical pricing, which may include price constraints and access restrictions[267]. - The evolving legislative landscape in healthcare reform may materially impact revenue prospects and operational stability[269]. - Increased scrutiny over drug pricing practices has resulted in Congressional inquiries and proposed legislation aimed at enhancing transparency and reforming reimbursement methodologies[330]. - The company anticipates that future healthcare reforms may impose more rigorous coverage criteria and downward pressure on product pricing, impacting revenue generation and profitability[331]. Stock and Market Risks - Class A common stock closing bid price as of February 18, 2025, was 1.58[364].−Nasdaq′sminimumbidpricerequirementis1.00 per share[364]. - Company executed a reverse stock split on March 26, 2024[364]. - If closing bid price drops below $1.00 before March 26, 2025, immediate delisting proceedings will commence[364]. - Loss of Nasdaq listing would significantly reduce liquidity and adversely affect stock value[364]. - The company is at risk of delisting if share price does not meet requirements[364]. - Current market conditions may impact the ability to maintain share price above the minimum requirement[364].