Onconova Therapeutics(ONTX) - 2025 Q3 - Quarterly Report

Financial Position - As of September 30, 2025, Traws Pharma had cash and cash equivalents of $6.4 million and an accumulated deficit of $632.5 million, indicating significant financial challenges ahead[113]. - The company does not currently have sufficient cash and cash equivalents to support operations for more than one year, raising substantial doubt about its ability to continue as a going concern[163]. - The company has not achieved profitability since inception and expects to continue incurring operating losses for the foreseeable future[163]. - Net cash used in operating activities was $15.4 million for the nine months ended September 30, 2025, compared to $25.8 million for the same period in 2024[158]. - Net cash provided by financing activities was $3.0 million for the nine months ended September 30, 2025, compared to $14.0 million for the same period in 2024[162]. - The company plans to explore various funding sources to alleviate substantial doubt about its ability to continue as a going concern[156]. - Traws Pharma is exploring various funding sources for development and ongoing operations, with no assurance of obtaining sufficient financing on acceptable terms[114]. Clinical Development - Traws Pharma has four clinical programs following the merger with Trawsfynydd Therapeutics, Inc., including Tivoxavir marboxil, aimed at treating influenza and bird flu[115]. - The first-in-man clinical study of Tivoxavir marboxil showed good tolerability, with a single dose maintaining plasma drug levels above the EC90 for over 23 days[117]. - Traws Pharma submitted a request for a meeting with the FDA regarding the potential for accelerated approval of Tivoxavir marboxil under the "Animal Rule" for bird flu treatment[117]. - The proposed Phase 2 study for Tivoxavir marboxil will evaluate its effects on seasonal influenza and H5N1 bird flu, pending regulatory review[118]. - Ratutrelvir (TRX01), acquired in the merger, is designed to inhibit the main protease of SARS-CoV-2, showing non-inferiority to existing treatments in animal studies[119]. - TRX01 Phase 1 clinical trial included 40 participants, with no treatment-related adverse events reported up to the highest dose of 600 mg[120]. - The company plans to report results from both Phase 2 studies evaluating ratutrelvir by year-end 2025[120]. - The Phase 1 study of narazaciclib as a monotherapy is now closed to accrual, with data analysis ongoing[120]. - Narazaciclib's maximum tolerated dose was established at 160 mg once daily in combination with letrozole for low-grade endometrioid endometrial cancer, with no dose-limiting toxicities observed in the initial cohort[120]. - Rigosertib showed an overall response rate of 80% in patients with RDEB-SCC, with complete responses in 50% of evaluable patients[122]. Revenue and Expenses - Revenue for the three months ended September 30, 2025 was $0, a decrease of $57,000 from $57,000 in the same period of 2024[141]. - Research and development expenses decreased by $2.8 million, or 55%, to $2.3 million for the three months ended September 30, 2025, primarily due to a $1.7 million decrease in virology expenses[143]. - General and administrative expenses decreased by $1.7 million, or 50%, to $1.7 million for the three months ended September 30, 2025, mainly due to a $1.0 million decrease in professional and consulting fees[146]. - For the nine months ended September 30, 2025, revenue was $2.8 million, an increase of $2.6 million from $0.2 million in the same period of 2024, primarily due to the recognition of $2.7 million of previously deferred revenue[149]. - Research and development expenses for the nine months ended September 30, 2025 decreased by $3.9 million, or 35%, to $7.1 million, with a significant decrease in oncology expenses[151]. - General and administrative expenses for the nine months ended September 30, 2025 decreased by $2.6 million, or 30%, to $6.2 million, primarily due to a $1.3 million decrease in professional and consulting fees[152]. - The change in fair value of warrant liability was $26.7 million during the nine months ended September 30, 2025, reflecting the remeasurement of the warrant liability[153]. Management and Corporate Actions - Management changes included the appointment of Iain Dukes as CEO and Charles Parker as CFO effective October 1, 2025[135][136][137]. - The company entered into an Asset Purchase Agreement with Viriom for $2,350,000 to acquire assets related to a pyrrolidine antiviral compound[123]. - The At The Market Offering Agreement allows the company to sell shares of common stock up to $50,000,000, with 62,003 shares sold for net proceeds of $0.1 million in Q3 2025[124][127]. - A one-for-25 reverse stock split was executed in September 2024, retroactively adjusting all share and per share amounts[139]. Market and Economic Conditions - The business faces significant risks from macroeconomic factors, including financial market volatility, inflation, and potential government shutdowns[165]. - The ultimate impact of global and domestic economic conditions on the business remains highly uncertain and is subject to ongoing monitoring[166]. - Significant expenses and operating losses are expected as the company seeks regulatory approval for its product candidates[164]. - The company may rely on licensing and co-promotion agreements for commercialization of its products in the future[164].