BIVI 10-K & 10-Q changes, risk factors and insider trading
Biovie Inc. (also BIVIW) · Nasdaq · Pharmaceutical Preparations · CIK 1580149 · All filings on SEC.gov
At a glance
What changed in the latest 10-K
Risk Factors
Removed heading “We effected a reverse stock split on July 7, 2025, and such reverse stock split has caused and could further cause our stock price to decline relative to its value before the reverse stock split and decrease the liquidity of shares of our common stock.”
Largest changes
“Three shareholder derivative lawsuits piggy-backing on the Securities Class Action were filed in the United States District Court for the District of Nevada, allegedly on behalf of the Company, by three putative stockholders: Andrew Hulm on December 30, 2024; William Settel on April 28, 2025 and Cline Wilkerson on September 11, 2025, (collectively the “Related Derivative Lawsuits”). …”see in full comparison
We are, and may in the future become, subject to various legal proceedings and claims that arise in or outside the ordinary course of business. For example,see in full comparisonOnon January 19, 2024, a purportedshareholdersecurities class action complaint, captioned Eric Olmstead v. BioVie Inc. et al., No. 3:24-cv-00035, was filed in the U.S. District Court for the District of Nevada, namingthe Companyus and certain ofitsour officers as defendants. On February 22, 2024, a second, related putative securities class action was filed in the same court asserting similar claims against the same defendants, captioned Way v. BioVie Inc. et al., No. 2:24-cv-00361. On April 15, 2024, the court consolidated these two actions under the caption In re BioVie Inc. Securities Litigation, No. 3:24-cv-00035,24-cv-00035 (the "Securities Class Action"), appointed the lead plaintiff, and approved selection of the lead counsel. On June 21, 2024, the lead plaintiff filed an amended complaint, alleging that the defendants made material misrepresentations and/or omissions of material fact relating tothe Company’sour business, operations, compliance, and prospects, including information relatedrelatedto the NM101 Phase 3 study and trial of bezisterim (NE3107) in mild to moderate probableAlzheimer’s Disease,AD, in violation of Sections 10(b) and 20(a) of the Exchange Act, and Rule 10b-5 promulgated thereunder. The class action is on behalf of purchasers ofthe Company’sour securities during the period from December 7, 2022 through November 28, 2023 and seeks unspecified monetary damages on behalf of the putative class and an award of costs and expenses, including attorney’s fees.In August 2024, theThe defendants filed a motion to dismiss the amendedcomplaint,complaint on August 21, 2024, andthat motion was fully briefed in December 2024. Onon March 27, 2025, the court deniedthethatmotionmotion.to dismiss, and theThe parties are now engaged in fact discovery. On February 13, 2026, the plaintiffsearlyfiledstagesaofmotion for class certification and a motion for leave to file a second amended complaint. Defendants opposed thediscoverymotion forprocess.leaveIn addition,toonamend.DecemberOn30,June20245, 2026, the court granted the plaintiffs’ motion for leave to amend, andAprilthe28,same2025, respectively, two shareholder derivative lawsuits were filed inday theUnitedplaintiffs filedStatestheirDistrict CourtSecondforAmendedtheComplaint.DistrictOnofJuneNevada15,by putative stockholders, allegedly on behalf of the Company, that piggy-back on the securities class action, alleging, among other things, that2026, the defendantsbreachedfiledtheirafiduciaryNoticedutiesofbyNon-OppositioncausingandorReservationfailingof Rights in response topreventthesecurities violationsmotionallegedforinclass certification, and on June 18, 2026, thesecuritiesCourt granted the plaintiffs’ motion and certified the classaction.subject to the defendants’ reservation of rights. The defendants answered the Second Amended Complaint on June 22, 2026. The Company believes thatall of thesethe claims are without merit and intends to defend vigorously against them, but there can be no assurances as to the outcome.
“We effected a reverse stock split on July 7, 2025, and such reverse stock split has caused and could further cause our stock price to decline relative to its value before the reverse stock split and decrease the liquidity of shares of our common stock.”see in full comparison
“At a special meeting of the Company’s stockholders held on June 23, 2025, the Company’s stockholders approved a proposal to grant the Board authority, in its sole discretion, prior to the one-year anniversary of such special meeting, to effect a reverse stock split of the outstanding shares of Common Stock, at a ratio between 1-for-5 and 1-for-10. On June 26, 2025, pursuant to the authority granted by the Company’s stockholders, the Board approved a reverse stock split of our Common Stock at a ratio of 1-for-10 (the “Reverse Stock Split”). The Reverse Stock Split became effective at 12:01 a.m. …”see in full comparison
In the past, when the market price of a stock has been volatile, holders of that stock have sometimes instituted securities class action litigation against the issuer. If any of our stockholders were to bring such a lawsuit againstsee in full comparisonus,us (in addition to the already-filed, consolidated Securities Class Action described above), we could incur substantial costs defending the lawsuit and the attention of our management would be diverted from the operation of our business.
In order to raise additional capital, we may in the future offer additional shares of our Common Stock or other securities convertible into or exchangeable for our Common Stock in any other offering at a price per share that is less than the current market price of our securities, and investors purchasing shares or other securities in the future could have rights superior to existing stockholders.see in full comparisonThe sale of additional shares of our Common Stock or other securities convertible into or exchangeable for our Common Stock would dilute all of our stockholders, and if such sales of convertible securities into or exchangeable into our Common Stock occur at a deemed issuance price that is lower than the current exercise price of our outstanding warrants sold to Acuitas Group Holdings, LLC (“Acuitas”) in August 2022 (the “Acuitas Warrants”), the exercise price for those warrants would adjust downward to the deemed issuance price pursuant to price adjustment protection contained within those warrants.
Full comparison: every changed paragraph (46)
Our business, financial condition, operating results
and prospects are subject to the following risks. Additional risks and uncertainties not presently foreseeable to us may also impair our
business operations. If any of the following risks or the risks described elsewhere in this report actually occurs,occur, our business, financial
condition or operating results could be materially adversely affected. In such case, the trading price of our Company’s Class A
Common Stock, par
value $0.0001 (“Common Stock”) could decline, and our stockholders may lose all or part of their investment.
This Form 10-K contains forward-looking statements
that involve risks and uncertainties. These statements can be identified by the use of forward-looking terminology such as “believes,”
“expects,” “intends,” “plans,” “may,” “will,” “should,” “predict”
or “anticipation” or the negative thereof or other variations thereon or comparable terminology. Actual results could differ
materially from those discussed in the forward- looking statements as a result of certain factors, including those set forth below and
elsewhere in this Form 10-K.
We depend, and will continue
to depend, on third parties, including, but not limited to, contract research organizations (“CROs”), clinical trial sites
and clinical trial principal investigators, contract laboratories, IRBs,independent institutional review boards (“IRBs”), manufacturers,
suppliers, and other third parties to conduct
our clinical trials, including those for our drug candidates bezisterim (NE3107) and BIV201.
We rely heavily on these third parties over
the course of our clinical trials, and we control only certain aspects of their activities.
Nevertheless, we retain ultimate responsibility
for ensuring that each of our studies is conducted in accordance with the protocol and
applicable legal, regulatory, and scientific standards
and regulations, and our reliance on third parties does not relieve us of our regulatory
responsibilities. We and these third parties
are required to comply with cGCPs, which are regulations and guidelines enforced by the FDA
and comparable foreign regulatory authorities
for the conduct of clinical trials on product candidates in clinical development. Regulatory
authorities enforce cGCPs through periodic
inspections and for-cause inspections of clinical trial principal investigators and trial sites.
If, due to the failure of either the
Companyus or a third party, a clinical trial fails to comply with applicable cGCPs, FDA’s IND requirements,
other applicable regulatory
requirements, or requirements set forth in the applicable IRB-approved protocol, the Companywe may be required to conduct
additional clinical
trials to support our marketing applications, which would delay the regulatory approval process. For example, our
drug product candidate
bezisterim (NE3107) was cleared by FDA for use in a Phase 3, randomized, double blind, placebo controlled, parallel
group, multicenter
study in subjects who have mild to moderate AD. Enrollment in that trial began in August 2021, with a planned primary
completion in late
2022/early 2023. On November 29, 2023, the Companywe announced topline efficacy data from its Phase 3 clinical trial (NCT04669028)
of bezisterim
(NE3107) in the treatment of mild to moderate AD. Upon trial completion, as the Companywe began the process of analyzing the trial
data, data,
the Companywe found significant deviations from the protocol and cGCP violations at 15 study sites (virtually all of which were from one geographic
geographic area). This highly unusual level of suspected improprieties led the Companyus to exclude all patients from these sites. We subsequently notified
notified FDA’s OSI of such significant deviations from study protocol, the suspected improprieties, and the study sites involved.
The identification
of significant deviations from study protocol and numerous GCP violations at multiple study sites raised questions
regarding the validity
and robustness of data from these study sites. The unplanned exclusion of so many patients left the trial underpowered
for its primary
endpoints. However, based on the remaining dataset from those other sites determined to be in compliance with the protocol
and GCP’s,
a preliminary signal of efficacy was detected. The Company is considering: (1) employing the adaptive trial feature of
the protocol to continue enrolling patients to achieve statistical significance; and/or (2) designing a new Phase 3 study of bezisterim
(NE3107) that leverages the most recent scientific literature relating to AD along with the company's understanding regarding the effects
of bezisterim (NE3107) in persons with mild-moderate AD.
As of JulyJune 31,30, 2025,2026, the Companywe had cash deposited in
in a certain financial institution in excess of federally insured levels. The CompanyWe regularly monitorsmonitor the financial stability of these financial
financial institutions and believes that it is not exposed to any significant credit risk in cash and cash equivalents. Bank failures,
events involving
limited liquidity, defaults, non-performance, or other adverse developments that affect financial institutions, or concerns
or rumors
about such events, may lead to liquidity constraints. In 2023, certain U.S. government banking regulators took steps to intervene
in the
operations of certain financial institutions due to liquidity concerns, which caused general heightened uncertainties in financial markets.
markets. While previous bank failures have not had a material direct impact on the Company’sour operations, if further liquidity and
financial stability concerns
arise with respect to banks and financial institutions, either nationally or in specific regions, theour Company’s
ability to access cash or enter
into new financing arrangements may be threatened, which could have a material adverse effect on its business,
financial condition and
results of operations.
We are, and may in the future become, subject
to various legal proceedings and claims that arise in or outside the ordinary course of business. For example, Onon January 19, 2024, a
purported shareholdersecurities class action complaint, captioned Eric Olmstead v. BioVie Inc. et al., No. 3:24-cv-00035, was filed
in the
U.S. District Court for the District of Nevada, naming the Companyus and certain of itsour officers as defendants. On February 22, 2024,
a second, related
putative securities class action was filed in the same court asserting similar claims against the same defendants, captioned
Way v.
BioVie Inc. et al., No. 2:24-cv-00361. On April 15, 2024, the court consolidated these two actions under the caption In
re BioVie
Inc. Securities Litigation, No. 3:24-cv-00035,24-cv-00035 (the "Securities Class Action"), appointed the lead plaintiff, and approved
selection of the lead counsel.
On June 21, 2024, the lead plaintiff filed an amended complaint, alleging that the defendants made material
misrepresentations and/or
omissions of material fact relating to the Company’sour business, operations, compliance, and prospects, including information
related related
to the NM101 Phase 3 study and trial of bezisterim (NE3107) in mild to moderate probable Alzheimer’s Disease,AD, in
violation of Sections 10(b) and
20(a) of the Exchange Act, and Rule 10b-5 promulgated thereunder. The class action is on behalf
of purchasers of the Company’sour securities during
the period from December 7, 2022 through November 28, 2023 and seeks unspecified
monetary damages on behalf of the putative class and
an award of costs and expenses, including attorney’s fees. In August
2024, theThe defendants filed a motion to dismiss the amended complaint,complaint on August
21, 2024, and that motion was fully briefed in December 2024. Onon March 27,
2025, the court denied thethat motionmotion. to dismiss, and theThe parties are now engaged in fact discovery. On February 13, 2026, the
plaintiffs earlyfiled stagesa ofmotion for class certification and a motion for leave to file a second amended complaint. Defendants opposed the discoverymotion
for process.leave In
addition,to onamend. DecemberOn 30,June 20245, 2026, the court granted the plaintiffs’ motion for leave to amend, and Aprilthe 28,same 2025, respectively, two shareholder derivative lawsuits were filed inday the Unitedplaintiffs
filed Statestheir District
CourtSecond forAmended theComplaint. DistrictOn ofJune Nevada15, by putative stockholders, allegedly on behalf of the Company, that piggy-back on the securities class
action, alleging, among other things, that2026, the defendants breachedfiled theira fiduciaryNotice dutiesof byNon-Opposition causingand orReservation failingof Rights in response
to prevent the securities
violationsmotion allegedfor inclass certification, and on June 18, 2026, the securitiesCourt granted the plaintiffs’ motion and certified the class action.subject
to the defendants’ reservation of rights. The defendants answered the Second Amended Complaint on June 22, 2026. The Company believes
that all of thesethe claims are without merit and intends to defend
vigorously against them, but there can be no assurances as to the outcome.
Three shareholder derivative lawsuits piggy-backing on the Securities Class Action were filed in the United States District Court for the District of Nevada, allegedly on behalf of the Company, by three putative stockholders: Andrew Hulm on December 30, 2024; William Settel on April 28, 2025 and Cline Wilkerson on September 11, 2025, (collectively the “Related Derivative Lawsuits”). Each Related Derivative Lawsuit names the same current and former officers and directors as defendants and alleges essentially the same claims: that the defendants breached their fiduciary duties by causing or failing to prevent the securities violations alleged in the Securities Class Action, and related claims for unjust enrichment, waste of corporate assets, gross mismanagement, and abuse of control. On September 29, 2025, at the request of the parties, the court consolidated all three Related Derivative Lawsuits under the caption In re BioVie Inc. Derivative Litigation, Case No. 3:24-cv-0602-CSD (the “Consolidated Derivative Action”). On January 27, 2026, at the request of the parties, the court stayed the Consolidated Derivative Action pending resolution of a summary judgment motion by defendants in the Securities Class Action. The Company believes that the claims are without merit and intends to defend vigorously against them, but there can be no assurances as to the outcome.
Although we have insurance coverage that we believe
applies to these actions, the coverage is subject to a $2 million deductible. That means that we are responsible for the first $2 million
of loss arising from these actions, which includes both defense costs and damages, before any insurance coverage will apply.applies. Furthermore,
our insurance coverage may be insufficient, and our assets may be insufficient to cover any amounts that exceed our insurance coverage,
and we may have to pay damage awards or otherwise may enter into a settlement arrangement in connection with such claims. A decision adverse
to our interests in the pending lawsuits, or in similar or related litigation, could result in the payment of substantial damages, or
possibly fines, and could have a material adverse effect on our business, our stock price, cash flow, results of operations and financial
condition. We have not established any reserve for any potential liability relating to the pending lawsuits or any potential future lawsuits.
Any such payments or settlement arrangements in current or future litigation could have a material adverse effect on our business, operating
results or financial condition. In addition, such lawsuits may make it more difficult to finance our operations and affect our ability
to make payments for damages.
We have no products approved for commercial sale
and, to date, we have not generated any revenue. Our ability to generate revenue depends heavily on (a) successful completion of one or
more development programs demonstrating in human clinical trials that BIV201 and bezisterim (NE3107), our product candidates, are safe
and effective; (b) our ability to seek and obtain regulatory approvals, including, without limitation, with respect to the indications
we are seeking; (c) successful commercialization of our product candidates; and (d) market acceptance of our products. There are no assurances
that we will achieve any of the forgoingforegoing objectives. Furthermore, our product candidates are in the development stage, and have not been
fully evaluated in human clinical trials. If we do not successfully develop and commercialize our product candidates we will not achieve
revenues or profitability in the foreseeable future, if at all. If we are unable to generate revenues or achieve profitability, we may
be unable to continue our operations.
Although ourthe Company was incorporated on April
10, 2013, we are a development stage biopharmaceutical company with potential therapies that have not been fully evaluated in clinical
trials, and our operations are subject to all of the risks inherent in the establishment of a new business enterprise, including but not
limited to the absence of an operating history, the lack of commercialized products, insufficient capital, expected substantial and continual
losses for the foreseeable future, limited experience in dealing with regulatory issues, the lack of manufacturing experience and limited
marketing experience, possible reliance on third parties for the development and commercialization of our proposed products, a competitive
environment characterized by numerous, well-established and well capitalized competitors and reliance on key personnel.
Investors are subject to all the risks incident
to the creation and development of a new business and each investor should be prepared to withstand a complete loss of his, her or its
investment. Furthermore, the accompanying financial statements have been prepared assuming that we will continue as a going concern. We
have not emerged from the development stage, and may be unable to raise further equity. These factors raise substantial doubt about our
ability to continue as a going concern. The financial statements included elsewhere in this Form 10-Kreport do not include any adjustments that
might result from the outcome of this uncertainty.
Because we are subject to these risks, you may
have a difficult time evaluating our business and your investment in ourthe Company. Our ability to become profitable depends primarily on
our ability to develop drugs, to obtain approval for such drugs, and if approved, to successfully commercialize our drugs, our research
and development (“R&D”)
efforts, including the timing and cost of clinical trials; and our ability to enter into favorable
alliances with third-parties who can
provide substantial capabilities in clinical development, regulatory affairs, sales, marketing and
distribution.
Once ana New Drug Application (“NDA ”)
is approved, the product covered thereby
becomes a “reference listed drug” (“RLD”), in the FDA’s publication,
“Approved Drug Products with
Therapeutic Equivalence Evaluations,” commonly known as the Orange Book. Other manufacturers
may seek approval of generic versions
of reference listed drugs through submission of abbreviated new drug applications (“ANDAs”)
in the United States. In support
of an ANDA, a generic manufacturer need not conduct clinical trials. Rather, the applicant generally
must show that its product has the
same active ingredient(s), dosage form, strength, route of administration and conditions of use or
labeling as the reference listed drug
and that the generic version is bioequivalent to the reference listed drug, meaning it is absorbed
in the body at the same rate and to
the same extent as the RLD. Generic products may be significantly less costly to bring to market than
the reference listed drug and companies
that produce generic products are generally able to offer them at lower prices. Moreover, generic
versions of RLDs are often automatically
substituted for the RLD by pharmacies when dispensing a prescription written for the RLD. Thus,
following the introduction of a generic
drug, a significant percentage of the sales of any branded product or reference listed drug is
typically lost to the generic product.
The FDA may not approve an ANDA for a generic product until any applicable period of non-patent exclusivity for the reference listed drug has expired. The Federal Food, Drug and Cosmetic Act (“FDCA”) provides a period of five years of non-patent exclusivity for a new drug containing a new chemical entity (“NCE”). An NCE is an active ingredient that has not previously been approved by FDA in any other NDA. Specifically, in cases where such exclusivity has been granted, an ANDA may not be submitted to the FDA until the expiration of five years unless the submission is accompanied by a Paragraph IV certification that a patent covering the reference listed drug is either invalid or will not be infringed by the generic product, in which case the applicant may submit its application four years following approval of the reference listed drug. If an ANDA is submitted to FDA with a Paragraph IV Certification, the generic applicant must also provide a “Paragraph IV Notification” to the holder of the NDA for the RLD and to the owner of the listed patent(s) being challenged by the ANDA applicant, providing a detailed written statement of the basis for the ANDA applicant’s position that the relevant patent(s) is invalid or would not be infringed. If the patent owner brings a patent infringement lawsuit against the ANDA applicant within 45 days of the Paragraph IV Notification, FDA approval of the ANDA will be automatically stayed for 30 months, or until 7-1/2 years after the NDA approval if the generic application was filed between 4 years and 5 years after the NDA approval. Any such stay will be terminated earlier if the court rules that the patent is invalid or would not be infringed.
We have obtained Orphan Drug Designation for BIV201
(terlipressin) in the U.S. for the treatment of hepatorenal syndromeHRS on November 21, 2018 and treatment of ascites due to all etiologies
except cancer
on September 8, 2016. Under the Orphan Drug Act, the FDA may designate a product as an Orphan Drug if it is a drug intended
to treat a
rare disease or condition, defined, in part, as a patient population of fewer than 200,000 in the U.S. In the European Union
(“EU”),
Orphan Drug designation may be granted to drugs intended to treat, diagnose or prevent a life-threatening or chronically debilitating
debilitating disease having a prevalence of no more than five in 10,000 people in the EU, and which meet other specified criteria. The
company that
first obtains FDA approval for a designated Orphan Drug for the associated rare disease may receive a seven-year period of
marketing exclusivity
during which time FDA may not approve another application for the same drug for the same orphan disease or condition.
Orphan Drug Exclusivity
does not prevent FDA approval of another application for the same drug for a different disease or condition, or
of an application for
a different drug for the same rare disease or condition. Orphan Drug exclusive marketing rights may be lost under
several circumstances,
including a later determination by the FDA that the request for designation was materially defective or if the
manufacturer is unable
to assure sufficient quantity of the drug. Similar regulations are available in the EU with a ten-year period of
market exclusivity.
Even though BioVie has obtained two Orphan Drug
Designations for its lead product candidate, terlipressin, for treatment of ascites and for treatment of hepatorenal syndrome,HRS, and may
seek other Orphan
Drug Designations for BIV201, and Orphan Drug Designation for other product candidates, there is no assurance that BioVie
will be the
first to obtain marketing approval for any particular rare indication. Further, even though BioVie has obtained Orphan Drug Designations
Designations for its lead product candidate, or even if BioVie obtains Orphan Drug Designation for other potential product candidates,
such designation
may not effectively protect BioVie from competition because different drugs can be approved for the same condition and
the same drug can
be approved for different conditions and potentially used off-label in the Orphan indication. Even after an Orphan Drug
is approved, the
FDA can subsequently approve another competing drug with the same active ingredient for the same condition for several
reasons, including,
if the FDA concludes that the later drug is clinically superior due to being safer or more effective or because it
makes a major contribution
to patient care. Orphan Drug Designation neither shortens the development time or regulatory review time of
a drug, nor gives the drug
any advantage in the regulatory review or approval process.
In addition, other companies have received Orphan
Drug designations for terlipressin. Mallinckrodt Hospital Products IP Limited received Orphan Drug designation in 2004 for terlipressin
for the treatment of Hepatorenal Syndrome.Syndrome (HRS). Mallinckrodt has already gained FDA approval for its product, lyophilized terlipressin
acetate acetate
for bolus intravenous administration for the treatment of hepatorenal syndromeHRS Type 1 in September 2022. PharmaIN Corporation received
Orphan Drug
Designation in 2012 for PGC-C12E-terlipressin for treatment of ascites due to all etiologies except cancer. In addition, Ferring Pharmaceuticals
Pharmaceuticals Inc. received Orphan Drug designation in 1986 for terlipressin for the treatment of bleeding esophageal varices. If one
of those or any
other company with Orphan Drug Designation for the same drug as ours for the same proposed disease or condition receives
FDA approval
and Orphan Drug Exclusivity before our product is approved, approval of our drug(s) for the orphan indication may be blocked
for seven
years by the other company’s Orphan Exclusivity and they may obtain a competitive advantage even after the exclusivity
period expires
associated with being the first to market.
Developing biopharmaceutical products, including
conducting pre-clinical studies and clinical trials and establishing manufacturing capabilities, requires substantial funding. Additional
financing will be required to fund the research and developmentR&D of our product candidates. We have not generated any product revenues,
and do not expect
to generate any revenues until, and only if, we develop, and receive approval to sell our product candidates from the
FDA and other regulatory
authorities for our product candidates.
We may not have the resources to complete the
development and commercialization of any of our proposed product candidates. We will require additional financing to further the clinical
development of our product candidates. In the event that we cannot obtain the required financing, we will be unable to complete the development
necessary to file an NDA with the FDA for BIV201 or bezisterim (NE3107). This will delay or require termination of researchR&D and development
programs, preclinical
studies and clinical trials, material characterization studies, regulatory processes, the establishment of our own
laboratory or a search
for third party marketing partners to market our products for us, which could have a materially adverse effect
on our business.
The amount of capital we may need will depend
on many factors, including the progress, timing and scope of our research and developmentR&D programs, the progress, timing and scope of
our preclinical studies
and clinical trials, the time and cost necessary to obtain regulatory approvals, the time and cost necessary to
establish our own marketing
capabilities or to seek marketing partners, the time and cost necessary to respond to technological and market
developments, changes made
or new developments in our existing collaborative, licensing and other commercial relationships, and new collaborative,
licensing and
other commercial relationships that we may establish.
Development and extensive testing will be required
to determine the technical feasibility and commercial viability of BIV201 and bezisterim (NE3107). Our success will depend on our ability
to achieve scientific and technological advances and to translate such advances into reliable, commercially competitive drugs on a timely
basis. Drugs that we may develop are not likely to be commercially available, at a minimum, for several years, if ever. Our drug product
candidate, BIV201 (continuous infusion terlipressin), was cleared by the FDA to undergo testing in a mid-stage (Phase 2b) clinical trial
for the treatment of refractory ascites due to cirrhosis. On June 24, 2021, we announced that the first patient has been enrolled in this
study. In March 2023, the open-label trial was stopped after 15 of the planned 30 patients were enrolled, and an evaluation of those completed
patients assessed. Encouraging data from these patients appeared to show that treatment with BIV201 plus SOC resulted in a reduction in
ascites fluid accumulation during treatment versus pre-treatment. In June 2023 and December 2025,2024, the Companywe requested and subsequently received
received guidance from the FDA regarding the design and endpoints for definitive clinical testing of BIV201 for the treatment of chronic liver
liver cirrhosis. TheWe Company isare currently finalizing the protocol design for the Phase 3 study of BIV201 with a focus on demonstrating
clinical benefit
through a composite primary endpoint of complications and disease progression in patients with cirrhosis and ascites
who have recently
recovered from AKI.
Because we have limited human capital and financial
resources, we focus on research programs and drug candidates that we identify for specific indications. As a result, we may forego or
delay pursuit of opportunities with other drug candidates or for other indications that later prove to have greater commercial potential.
Our resource allocation decisions may cause us to fail to capitalize on viable commercial drugs or profitable market opportunities. Our
spending on current and future research and developmentR&D programs and drug candidates for specific indications may not yield any commercially
viable drugs.
If we do not accurately evaluate the commercial potential or target market for a particular drug candidate, we may relinquish valuable
valuable rights to that drug candidate through collaboration, licensing or other royalty arrangements in cases in which it would have
been more
advantageous for us to retain sole development and commercialization rights to such drug candidate.
At any time and for any reason, we may determine
that one or more of our discovery programs or preclinical or clinical drug candidates or programs does not have sufficient potential to
warrant the allocation of resources toward such program or drug candidate. Accordingly, we may choose not to develop a potential drug
candidate or elect to suspend, deprioritize or terminate one or more of our discovery programs or preclinical or clinical drug candidates
or programs. For example, BIV201 has received Orphan Drug designation for Ascites and HRS. On June 23, 2021, we announced that FDA has had
provided guidance
on our planned Phase 3 clinical trial of BIV201 in (HRS-AKI)Ascites and have since reached agreement on the key elements of the
trial design.
Thereafter, we deprioritized HRS-AKIthe program due to focusfunding. onMallinckrodt bezisterimgained (NE3107).FDA approval for its product, lyophilized terlipressin
acetate for bolus intravenous administration for the treatment of hepatorenal syndrome Type 1 in September 2022. When we suspend, deprioritize
or terminate a program or
drug candidate in which we have invested significant resources, we will have expended resources on a program
that will not provide a full
return on our investment and may have missed the opportunity to have allocated those resources to potentially
more productive uses, including
existing or future programs or drug candidates.
We have never manufactured products in the highly
regulated environment of pharmaceutical manufacturing, and our team has limited experience in the manufacture of drug therapies. There
are numerous regulations and requirements that must be maintained to obtain licensure and permitting required prior to the commencement
of manufacturing, as well as additional requirements to continue manufacturing pharmaceutical products. We currently do not own or lease
facilities that could be used to manufacture any products that might be developed by us, and have contracted with an experienced Contract
Manufacturing Organization (“CMO”) to perform the manufacturing of our newinvestigational product candidates BIV201 and bezisterim
(NE3107).
In addition, we do not have the resources at this time to acquire or lease suitable facilities. If we or our CMO fail to comply
with regulations,
to obtain the necessary licenses and knowhow or to obtain the requisite financing in order to comply with all applicable
regulations and
to own or lease the required facilities in order to manufacture our products, we could be forced to cease operations,
which would cause
you to lose all of your investment.
BIV201 and bezisterim (NE3107) and any other product
candidates that we develop may have to compete with other products and product candidates for access to manufacturing facilities. There
are a limited number of manufacturers that operate under cGMP regulations and that are both capable of manufacturing for us and willing
to do so. If we need to find another source of drug substance or drug product manufacturing for BIV201 and bezisterim (NE3107), we may
not be able to identify, or reach agreement with, commercial-scale manufacturers on commercially reasonablyreasonable terms, or at all. If we are
unable to do so, we will need to develop our own commercial-scale manufacturing capabilities, which would: impact commercialization of
BIV201 and bezisterim (NE3107) in the U.S. and other countries where it may be approved; require a capital investment by us that could
be quite costly; and increase our operating expenses.
The process of obtaining FDA approval is costly and time consuming. Current FDA requirements for a new human drug or biological product to be marketed in the United States include, among other things: (a) the successful conclusion of pre-clinical laboratory and animal tests, if appropriate, to gain preliminary information on the product’s safety; (b) filing with the FDA of an IND application to conduct human clinical trials for drugs or biologics; (c) the successful completion of adequate and well-controlled human clinical investigations to establish the safety and efficacy of the product for its recommended use; and (d) filing by a company and acceptance and approval by the FDA of a NDA for a drug product or a Biologics License Application (a “BLA ”) for a biological product to allow commercial distribution of the drug or biologic. A delay in one or more of the procedural steps outlined above could be harmful to us in terms of getting our product candidates through clinical testing and to market, which could have a materially adverse effect on our business.
We currently depend upon the efforts and abilities
of our executive and senior management team of Cuong Do, our Chief Executive Officer–PresidentOfficer-President; Wendy Kim, our Chief Financial Officer;
Dr. Dr
Joseph Palumbo, our Executive Vice President– - Chief Medical Officer; Penelope Markham, our Senior Vice AscitesPresident - Liver Disease
and Long COVID Programs & Strategic
Initiatives–; Chris Reading, our Senior Vice President– - Alzheimer’s Disease Program; Clarence Ahlem, our Senior Vice
President –- Operations President–Operations, Discovery and Parkinson’s Disease Program; ; and David Morse, our Senior
Vice President– - Chief Regulatory Officer; who all serve the Company full-time. The
loss or unavailability of the services of any
of these individuals for any significant period of time could have a material adverse effect
on our business, prospects, financial condition
and results of operations which may cause you to lose all of your investment. We have
not obtained, do not own, nor are we the beneficiary
of key-person life insurance.
The biotechnology and biopharmaceutical industries
are characterized by rapid technological developments and a high degree of competition based primarily on scientific and technological
factors.factors, These factors includeincluding the availability of patent and other protection for technology and products, the ability to commercialize technological
technological developments and the ability to obtain government approval for testing, manufacturing and marketing.
Although there are not currently any therapies
approved by the FDA specifically for the treatment of ascites due to liver cirrhosis, we still face significant competitive and market
risk. Other companies, such as Ocelot Bio, are developing therapies for severe complications of advanced liver cirrhosis, which may in
the future be developed for the treatment of ascites, and these therapies could compete indirectly or directly with our product candidate.
Similarly, other companies, such as Biogen and Eli Lilly, are developing treatments for AD and PD, which could compete indirectly or directly
with our product candidate. There may be other competitive development programs of which we are unaware. Even if our product candidates
are ultimately approved by the FDA, there is no guarantee that once itthey isare on the market doctors will adopt them in favor of current
ascites ascites
treatment procedures such as diuretics and paracentesis with respect to BIV201 and AD and PD with respect to bezisterim (NE3107).
These These
competitive and market risks could have a material adverse effect on our business, prospects, financial condition and results of
operations operations
which may cause you to lose all of your investment.
The successful development of biopharmaceuticals
is highly uncertain. A variety of factorsfactors, including,including pre-clinical study results or regulatory approvals, could cause us to abandon the
development of our product candidates.
Our Articles of Incorporation and Bylaws require us to indemnify our officers and directors against claims associated with carrying out the duties of their offices. We are also required to advance the costs of certain legal defenses upon the indemnitee undertaking to repay such expenses to the extent it is determined that such person was not entitled to indemnification of such expenses. Insofar as indemnification for liabilities arising under the Securities Act of 1933, as amended, may be permitted to our officers, directors, or control persons, the Commission has advised that such indemnification is against public policy and is therefore unenforceable.
We have fiveseven (57) granted and sevensix (76) pending
patent applications for our liquid formulations of terlipressenterlipressin that claim priority to International Patent Application Number PCT/US2020/034269
filed on May 22, 2020 and published
as WO2020/237170. Also, we own two (2) U.S. patents and one (1) European
patent directed to various methods of treating ascites with BIV201, and we are pursuing additional patent coverage in other jurisdictions.
We also have thirteentwelve (1312) issued U.S. patents, fiveseven (57) pending U.S. applications,
three three(3) pending Patent Cooperation
Treaty applications(“PCT”) applications, four (4) issued foreign patents and eightnine (89) pending foreign
patent applications directed to protecting bezisterim
(NE3107) and related compounds and methods of making and using thereof. However,
there can be no assurance that our pending patent applications
will result in issued patents, or that any issued patent claims from pending
or future patent applications will be sufficiently broad
to protect BIV201, bezisterim (NE3107), or any other product candidates or to
provide us with competitive advantages.
We can provide no assurance that any issued patents will provide us with any competitive advantage. We cannot be certain that there is no invalidating prior art of which we and the patent examiner are unaware of or that our interpretation of the relevance of prior art is correct. If a third-party patent or patent application is determined to have an earlier priority date, it may prevent our patent applications from issuing at all or issuing in a form that provides any competitive advantage for our drug candidates. Failure to obtain additional issued patents could have a material adverse effect on our ability to develop and commercialize our drug candidates. Even if our patent applications do issue as patents, third parties may be able to challenge the validity and enforceability of our patents on a variety of grounds, including that such third party’s patents and patent applications have an earlier priority date, and if such challenges are successful, we may be required to obtain one or more licenses from such third parties, if available on commercially reasonable terms, or be prohibited from commercializing our drug candidates.
We seek to protect our proprietary positions by,
among other things, filing patent applications in the United States and abroad related to our current drug candidates and other drug candidates
that we may identify. Obtaining, maintaining, defending and enforcing pharmaceutical patents is costly, time-consuming and complex, and
we may not be able to file and prosecute all necessary or desirable patent applications, or maintain, enforce and license any patents
that may issue from such patent applications, at a reasonable cost or in a timely manner. It is also possible that we will fail to identify
patentable aspects of our research and developmentR&D output before it is too late to obtain patent protection. Moreover, under certain of
our license or
collaboration agreements, we may not have the right to control the preparation, filing, prosecution and maintenance of
patent applications,
or to maintain the rights to patents licensed to or from third parties.
If we were to initiate legal proceedings against
a third party to enforce a patent directed to our drug candidates, or one of our future drug candidates, the defendant could counterclaim
that our patent is invalid or unenforceable. In patent litigation in the United States, defendant counterclaims alleging invalidity or
unenforceability are commonplace. Grounds for a validity challenge could be an alleged failure to meet any of several statutory requirements,
including lack of novelty, obviousness, non-enablement or insufficient written description. Grounds for a presentability assertion could
be an allegation that someone connected with prosecution of the patent withheld material information from the USPTO or made a misleading
statement during prosecution. Third parties may also raise similar claims before the USPTO or an equivalent foreign body, even outside
the context of litigation. Potential proceedings include reexamination, post-grant review, inter partes review, interference proceedings,
derivation proceedings and equivalent proceedings in foreign jurisdictions (e.g., opposition proceedings). Such proceedings could result
in the revocation of, cancellation of, or amendment to our patents in such a way that they no longer cover our technology or any drug
candidates that we may develop. The outcome following legal assertions of invalidity and unenforceability is unpredictable. With respect
to the validity question, for example, we cannot be certain that there is no invalidating prior art of which we and the patent examiner
were unaware of during prosecution. These assertions may also be based on information known to us or the USPTO. If a defendant were to
prevail prevail
on a legal assertion of invalidity or unenforceability, we would lose at least part, and perhaps all, of the patent rights directed
towards towards
the applicable drug candidates or technology related to the patent rendered invalid or unenforceable. Such a loss of patent rights
would would
materially harm our business, financial condition, results of operations and prospects.
Some of our competitors are larger than we are
and have substantially greater resources. They are, therefore, likely to be able to sustain the costs of complex patent litigation or
proceedings more effectively than we can because of their greater financial resources and more mature and developed intellectual property
portfolios. Accordingly, despite our efforts, we may not be able to prevent third parties from infringing, misappropriating or otherwise
violating our intellectual property. Even if resolved in our favor, litigation or other legal proceedings relating to intellectual property
claims could result in substantial costs and diversion of management resources, which could harm our business. In addition, the uncertainties
associated with litigation could compromise our ability to raise the funds necessary to continue our clinical trials, continue our internal
research programs, or in-license needed technology or other drug candidates. There could also be public announcements of the results of
the hearing, motions, or other interim proceedings or developments. If securities analysts or investors perceive those results to be negative,
it could cause the price of shares of our Common Stock to decline. Any of the foregoing events could harm our business, financial condition,
results of operationoperations and prospects.
In the past, when the market price of a stock
has been volatile, holders of that stock have sometimes instituted securities class action litigation against the issuer. If any of our
stockholders were to bring such a lawsuit against us,us (in addition to the already-filed, consolidated Securities Class Action described
above), we could incur substantial costs defending the lawsuit and the attention of our
management would be diverted from the operation
of our business.
In order to raise additional capital, we may in
the future offer additional shares of our Common Stock or other securities convertible into or exchangeable for our Common Stock in any
other offering at a price per share that is less than the current market price of our securities, and investors purchasing shares or other
securities in the future could have rights superior to existing stockholders. The sale of additional shares of our Common Stock or other
securities convertible into or exchangeable for our Common Stock would dilute all of our stockholders, and if such sales of convertible
securities into or exchangeable into our Common Stock occur at a deemed issuance price that is lower than the current exercise price of
our outstanding warrants sold to Acuitas Group Holdings, LLC (“Acuitas”) in August 2022 (the “Acuitas Warrants”),
the exercise price for those warrants would adjust downward to the deemed issuance price pursuant to price adjustment protection contained
within those warrants.
As of June 30, 2025,2026 there were warrants outstanding
to purchase an aggregate of 960,0988,282,037 shares (including 380,000 pre-funded warrants) of our Common Stock at exercise prices ranging from $13.70
$2.50 to $1,250.00$582.00 per share, 84,8722,785,363 shares
issuable upon exercise of outstanding options at exercise prices ranging from $19.00$1.31 to $4,209.00 $774.00
per share and restricted stock units
totaling 7,212.300. We may also grant additional options, warrants or equity awards. To the extent such
shares are issued, the interest of
holders of our Common Stock will be diluted.
Moreover, we are obligated to issue shares of
our Common Stock upon achievement of certain clinical, regulatory and commercial milestones with respect to certain of our drug candidates
(i.e., bezisterim (NE3107), NE3291, NE3413, and NE3789) pursuant to the asset purchase agreement, dated April 27, 2021, by and among the
Company, NeurMedix and Acuitas,Acuitas Group Holdings, LLC (“Acuitas”), as amended on May 9, 2021. The achievement of these milestones
could result in the issuance of up to 180,000
shares of our Common Stock, further diluting the interest of holders of our Common Stock.
As of June 30, 2025,2026, our Articles of Incorporation,
as amended, authorize the issuance of 800,000,000 shares of Common Stock, and we had 1,917,0617,545,474 shares of our Common Stock issued and 1,914,2247,542,638
shares of our Common Stock issued and outstanding. Accordingly, we may issue up to an additional 798,082,939792,454,526 shares of Common Stock. The
future issuance of Common Stock may result in substantial dilution in the percentage of our Common Stock held by our then existing stockholders.
We may value any Common Stock in the future on an arbitrary basis. The issuance of Common Stock for future services or acquisitions or
other corporate actions may have the effect of diluting the value of the shares held by our investors, might have an adverse effect on
any trading market for our Common Stock and could impair our ability to raise capital in the future through the sale of equity securities.
We effected a reverse stock split on July
7, 2025, and such reverse stock split has caused and could further cause our stock price to decline relative to its value before the reverse
stock split and decrease the liquidity of shares of our common stock.
At a special meeting of the Company’s stockholders
held on June 23, 2025, the Company’s stockholders approved a proposal to grant the Board authority, in its sole discretion, prior
to the one-year anniversary of such special meeting, to effect a reverse stock split of the outstanding shares of Common Stock, at a ratio
between 1-for-5 and 1-for-10. On June 26, 2025, pursuant to the authority granted by the Company’s stockholders, the Board approved
a reverse stock split of our Common Stock at a ratio of 1-for-10 (the “Reverse Stock Split”). The Reverse Stock Split
became effective at 12:01 a.m. Eastern Time on July 7, 2025. The Reverse Stock split has caused a decline in the value of our outstanding
Common Stock and there is no assurance that the Reverse Stock Split will not cause further decline in the value of our outstanding
Common Stock. The liquidity of the shares of our Common Stock may be affected adversely by the Reverse Stock Split given the
reduced number of shares that are outstanding following the Reverse Stock Split, especially if the market price of our Common Stock
does not increase as a result of the Reverse Stock Split. In addition, the Reverse Stock Split has increased the number
of stockholders who own odd lots (less than 100 shares) of our Common Stock, creating the potential for such stockholders to experience
an increase in the cost of selling their shares and greater difficulty effecting such sales
The market price and trading volume of our Common
Stock has been volatile. We expect that the market price of our Common Stock will continue to fluctuate significantly for many reasons,
including in response to the risk factors described in this prospectusreport or for reasons unrelated to our specific performance. In recent years,
years, the stock market has experienced extreme price and volume fluctuations. This volatility has affected the market prices of securities issued
issued by many companies for reasons unrelated to their operating performance and may adversely affect the market price and trading volume of
of our Common Stock. Prices for our Common Stock may also be influenced by the depth and liquidity of the market for our Common Stock, investor
investor perceptions about us and our business, our future financial results, the absence of cash dividends on our Common Stock and general economic
economic and market conditions. In the past, securities class action litigation has often been instituted against companies following
periods of
volatility in their stock price. This type of litigation could result in substantial costs and could divert our management
and other resources.
Our management is responsible for establishing
and maintaining adequate internal control over financial reporting. Internal control over financial reporting is a process designed to
provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements in accordance
with U.S. generally accepted accounting principles (“GAAP”).principles. Under standards established by the Public Company Accounting
Oversight Board (“PCAOB”),
a deficiency in internal control over financial reporting exists when the design or operation of
a control does not allow management or
personnel, in the normal course of performing their assigned functions, to prevent or detect misstatements
on a timely basis. The PCAOB
defines a material weakness as a deficiency, or combination of deficiencies, in internal control over financial
reporting, such that there
is a reasonable possibility that a material misstatement of annual or interim financial statements will not
be prevented, or detected
and corrected, on a timely basis.
Our officers have limited public company experience,
which could impair our ability to comply with legal and regulatory requirements such as those imposed by Sarbanes-Oxley Act of 2002. Such
responsibilities include complying with federal securities laws and making required disclosures on a timely basis. Any such deficiencies,
weaknesses or lack of compliance could have a materially adverse effect on our ability to comply with the reporting requirements of the
Exchange Act, which is necessary to maintain our public company status. If we were to fail to fulfill those obligations, our ability to
continue as a U.S. public company would be in jeopardy in which event you could lose your entire investment in ourthe Company.
The existence of the forgoingforegoing provisions and
anti-takeover anti-takeover
measures could limit the price that investors might be willing to pay in the future for shares of our Common Stock. They
could also deter
potential acquirers of our company, thereby reducing the likelihood that you could receive a premium for your Common
Stock in an acquisition.
Management's Discussion & Analysis (MD&A)
New heading “Liver Cirrhosis Program”
Removed heading “Liver Disease Program”
Removed heading “Registered Direct Offerings”
Largest changes
In April 2024, the Company was awarded a clinical trial grant of $13.1 million from thesee in full comparisonU.S. Department of Defense (“DOD”),DOW, awarded through the Peer Reviewed Medical Research Program of the Congressionally Directed Medical Research Programs. In August 2024, theFD&A and theU.S. Army Medical Research and Development Command,Office of Human Research Oversight (“OHRO”)approved the Company’splan, including the FDA approvingplanthe associated Investigation New Drug Application (“IND”),to evaluate bezisterim for the treatment of neurological symptoms that are associated with long COVID and the FDA authorized our IND application for bezisterim allowing the Company to study a novel, anti-inflammatory approach for the treatment of the debilitating neurocognitive symptoms associated with long COVID. The Phase 2 ADDRESS-LC study is a randomized (1:1), placebo-controlled, multicenter trial evaluating the efficacy, safety and tolerability of bezisterim in adult participants with long COVID who have cognitive impairment sequelae and fatigue. The trial commenced in May2025.2025 and completed enrollment in May 2026. The Company currently expects to report topline results in late summer 2026.
“In liver disease, our investigational drug candidate BIV201 (continuous infusion terlipressin) was granted both FDA Fast Track status and FDA Orphan Drug designation for ascites (due to all etiologies except cancer), which is the most common complication related to liver cirrhosis and represents a significant unmet medical need. BIV201 is being evaluated as a treatment option for patients suffering from life-threatening complications of liver cirrhosis and ascites due to hepatitis, nonalcoholic steatohepatitis, and alcoholism. U.S. …”see in full comparison
“In liver disease, our investigational drug candidate BIV201 (continuous infusion terlipressin), which has been granted both FDA Fast Track designation status and FDA Orphan Drug status, is being evaluated as a treatment option for patients suffering from ascites and other life-threatening complications of advanced liver cirrhosis caused by non-alcoholic steatohepatitis (NASH), hepatitis, and alcoholism. The initial target for BIV201 therapy was refractory ascites. …”see in full comparison
Full comparison: every changed paragraph (37)
BioVieWe Inc. (the “Company” or “we”
or “our”) isare a clinical-stage company developing innovative
drug therapies for the treatment of neurological and neurodegenerative
disorders and advanced liver disease.
Neurodegenerative Disease ProgramPrograms
The Company acquired the biopharmaceutical assets
assets of NeurMedix, Inc. (“NeurMedix”) a privately held clinical-stage pharmaceutical company and a related party in
June 2021. The acquired assets included NE3107 (or “bezisterim”). bezisterim.
Bezisterim, the approved generic name for NE3107 is
an investigational, novel, orally administered small molecule that is thought to inhibit
inflammation-driven insulin resistance and
major pathological inflammatory cascades with a novel mechanism of action. There is emerging
scientific consensus that both
inflammation and insulin resistance may play fundamental roles in the development of Alzheimer’sAD disease (“AD”)
and Parkinson’s disease (“PD”),PD, and bezisterim
could, if approved by the U.S. Food and Drug Administration
(“FDA”),FDA, represent an entirely new medical approach to treating these devastating conditions affecting an estimated
6 6
million Americans suffering from AD, 1 million Americans suffering from PDPD, and Long COVID affects approximately 20 million adults in
the US,US andsuffering
from Long COVID, with millions more affected worldwide.
InWith neurodegenerativerespect disease,to the mechanism of action, we believe
bezisterim (NE3107)
inhibits activation of inflammatory ERK and nuclear factor kappa-light-chain-enhancer of activated B cells (“NFκB”)
(including interactions with TNF signaling and other relevant inflammatory
pathways) that lead to neuroinflammation and insulin resistance. By binding to ERK and selectively modulating NFκB activation and
BezisterimTNF-α (NE3107)production doeswithout not interfereinterfering with their homeostatic functions (e.g., insulin signaling and neuron growth and survival).,
we Both
inflammationbelieve andthat insulinbezisterim resistancemay areoffer driversclinical ofimprovements in several disease indications, including PD, AD and PD.long COVID.
The Company recently conducted a Phase 2b clinical trial of bezisterim as a potential first-line therapy for patients with newly diagnosed PD. The SUNRISE-PD trial was designed to evaluate the safety and efficacy of bezisterim on motor and non-motor symptoms in patients with PD who have not been treated with carbidopa/levodopa. The trial was a multicenter, randomized, double-blind, placebo-controlled trial with a hybrid decentralized design and lasted 20 weeks from initial screening through safety follow-up for each participant. The trial commenced in April 2025and completed enrollment in December 2025. In August 2026, the Company announced topline results of the trial. The trial successfully met prespecified endpoints and achieved its objectives, with topline results showing that bezisterim improved blood based inflammatory markers of disease, along with a broad range of biological markers associated with overall cellular health and nerve cell damage. Participants treated with bezisterim experienced greater improvements than those receiving placebo across a series of clinical outcome measures of daily living, motor symptoms, and nonmotor symptoms. We intend to use these results to inform the design of a potentially pivotal Phase 3 registrational trial of bezisterim in PD.
The previous Phase 2 study of bezisterim
(NE3107) for the
treatment of PD (NCT05083260), that we completed in December 2022, was a double-blind, placebo-controlled, safety,
tolerability, and pharmacokinetics
study in PD participants treated with carbidopa/levodopa and bezisterim (NE3107). Forty-five
patients with a defined L-dopa “off
state” were randomized 1:1 to placebo: bezisterim (NE3107) 20 mg twice daily for 28
days. This trial was launched with two design
objectives: 1) the primary objective was safety and a drug-drug interaction study as
requested by the FDA to measure the potential for
adverse interactions of bezisterim (NE3107) with carbidopa/ levodopa; and 2) the
secondary objective was to determine if preclinical indications
of promotoric activity and apparent enhancement of levodopa activity
could be seen in humans. Both objectives were met.
To extend this Phase 2 data in progressed patients,
the Company has designed a new Phase 2 study of bezisterim (NE3107) as a potential first line therapy to treat patients with new onset
PD. In July 2024, the Company submitted the new protocol and received a response from the FDA which permitted the Company to proceed with
the study. The trial commenced in April 2025.
Long COVID is a condition in which symptoms of COVID-19, the acute respiratory disease caused by the SARS-CoV-2 virus, persist for an extended period, generally three months or more. Common symptoms include lingering loss of smell and taste, extreme fatigue, and “brain fog,” though persistent cardiovascular and respiratory problems, muscle weakness, and neurologic issues have also been documented.
In April 2024, the Company was awarded a clinical
trial grant of $13.1 million from the U.S. Department of Defense (“DOD”),DOW, awarded through the Peer Reviewed Medical Research
Program of the Congressionally Directed
Medical Research Programs. In August 2024, the FD&A and the U.S. Army Medical Research and
Development Command, Office of Human Research Oversight (“OHRO”) approved the Company’s plan, including the FDA approvingplan
the associated Investigation New Drug Application (“IND”), to evaluate bezisterim for the treatment of neurological symptoms
that are associated with long COVID and the FDA authorized our IND application
for bezisterim allowing the Company to study a novel, anti-inflammatory approach for the treatment of the debilitating neurocognitive
symptoms associated with long COVID. The Phase 2 ADDRESS-LC study is a randomized (1:1), placebo-controlled, multicenter trial evaluating
the efficacy, safety and tolerability of bezisterim in adult participants with long COVID who have cognitive impairment sequelae and fatigue.
The trial commenced in May 2025.2025 and completed enrollment in May 2026. The Company currently expects to report topline results
in late summer 2026.
As of June 30, 2026, the total cost incurred was approximately $12.9 million and as of August 7, 2026 the total cost reimbursed was $12.9 million. Grant reimbursements recognized for the corresponding research and development expenses in the accompanying statements of operations totaled approximately $7.6 million and $5.3 million for the years ended June 30, 2026 and 2025, respectively.
Liver Disease Program
In liver disease, our investigational drug candidate
BIV201 (continuous infusion terlipressin), which has been granted both FDA Fast Track designation status and FDA Orphan Drug status, is
being evaluated as a treatment option for patients suffering from ascites and other life-threatening complications of advanced liver cirrhosis
caused by non-alcoholic steatohepatitis (NASH), hepatitis, and alcoholism. The initial target for BIV201 therapy was refractory ascites.
These patients suffer from frequent life-threatening complications, generate more than $5 billion in annual treatment costs, and have
an estimated 50% mortality rate within 6 to 12 months.
After receiving guidance from the FDA regarding
the design of Phase 3 clinical testing of BIV201 for the treatment of patients with cirrhosis and ascites, the Company is now targeting
a broader ascites patient population. The Company is currently finalizing the protocol design for the Phase 3 study of BIV201 with a focus
on demonstrating clinical benefit through a composite primary endpoint of complications and disease progression in patients with cirrhosis
and ascites who have recently recovered from acute kidney injury (“AKI”). This patient population is not limited to those
having refractory ascites. BIV201 is administered as a patent-pending liquid formulation with patents issued in US, China, Japan, Chile
and India to date.
C. Alzheimer’s Disease (NCT05083260)
In AD, BioVie has conducted both Phase 2 and Phase 3 trials. Preliminary data from these trials suggest improvements in cognition and biomarkers, supporting further trials to evaluate its potential as a therapy for the six million Americans living with AD.
Results of a Phase 2 investigator-initiated trial (NCT05227820) showing bezisterim treated patients experienced improved cognition and biomarker levels were presented at the Clinical Trials on Alzheimer’s Disease (CTAD) annual conference in December 2022.
On November 29, 2023, the Company announced the
analysis of its unblinded, topline efficacy data from its Phase
3 clinical trial (NCT04669028) of bezisterim in the treatment of mild
to moderate AD. The study had co-primary endpoints lookingmeasuring at cognitioncognitive
impairment using the Alzheimer’s Disease Assessment Scale-Cognitive
Scale (ADAS-Cog 12) and function using the Clinical Dementia
Rating-Sum of Boxes (CDR-SB). Patients were randomly assigned, 1:1 versus
placebo, to receive sequentially 5 mg of bezisterim orally twice
a day for 14 days, then 10 mg orally twice a day for 14 days, followed
by 26 weeks of 20 mg orally twice daily.
Upon trial completion, as the Company began the
process of unblinding the trial data, the Company found significant
deviation from protocol and currentcGCP good clinical practices (“cGCPs”)
violations at 15 study sites (virtually all of which were from one geographic area). This highly unusual
level of suspected improprieties
led the Company to exclude all patients from these sites and to refer the sites to the FDAOSI Office of Scientific Investigations (“OSI”)
for potential
further action. After the patient exclusions, 81 patients remained in the Modified Intent to Treat population, 57 of whom
were in the
Per-Protocol population which included those who completed the trial and were verified to take study drug from pharmacokinetic
data.
The trial was originally designed to be 80% powered
with 125 patients in each of the treatment and placebo arms.
The unplanned exclusion of so many patients left the trial underpowered for
the primary endpoints. In the Per-Protocol population, which
included those patients who completed the trial and who were further verified
to have taken the study drug (based on pharmacokinetic data),
an observed descriptive change from baseline appeared to suggest a slowing
of cognitive lossdecline; these same patients experienced an advantage
in age deceleration vs. placebo as measured by DNA epigenetic change.
changes. Age deceleration is used by longevity researchers to measure the
difference between the patient’s biological age, in this case as
measured by the Horvath DNA methylation Skin Blood Clock, relative
to the patient’s actual chronological age. This test was a non-primary/secondary
endpoint, other-outcome measure, done via blood test
collected at week 30 (end of study). Additional DNA methylation data continues to
be collected and analyzed.
Liver Cirrhosis Program
In liver disease, our investigational drug candidate BIV201 (continuous infusion terlipressin) was granted both FDA Fast Track status and FDA Orphan Drug designation for ascites (due to all etiologies except cancer), which is the most common complication related to liver cirrhosis and represents a significant unmet medical need. BIV201 is being evaluated as a treatment option for patients suffering from life-threatening complications of liver cirrhosis and ascites due to hepatitis, nonalcoholic steatohepatitis, and alcoholism. U.S. treatment costs for liver cirrhosis, including ascites and other complications, are estimated at more than $5 billion annually and have an estimated 50% mortality rate within 6 to 12 months. The FDA has never approved any drug specifically for treating ascites.
After receiving guidance from the FDA regarding the design of Phase 3 clinical testing of BIV201 for the treatment of patients with cirrhosis and ascites, the Company is currently finalizing the protocol design for the Phase 3 study of BIV201 with a focus on demonstrating clinical benefit through a composite primary endpoint of complications and disease progression in patients with cirrhosis and ascites who have recently recovered from AKI. Ascites is a common complication of advanced liver cirrhosis involving the accumulation of large volumes of fluid in the abdomen, often exceeding five liters, due to liver and kidney dysfunction. BIV201 is administered in a continuous infusion of terlipressin as a patent-pending liquid formulation with patents issued in the U.S., China, Japan, Chile, Australia, Mexico and India to date. Terlipressin is used in over 40 countries to treat complications of liver cirrhosis, including Type 1 hepatorenal syndrome and bleeding esophageal varices, and was approved in the U.S. in 2022 to improve kidney function in adults with hepatorenal syndrome experiencing a rapid reduction in kidney function; it is not currently approved in Japan.
The net loss for the year ended June 30, 2025,2026,
was approximately $17.5$22.1 million as compared to the net loss of $32.1$17.5 million for the year ended June 30, 2024.2025. The net decreaseincrease of $14.6$4.6
million was primarily attributed to declineincrease in research and developmentoperating expenses of $13.8$4.6 million, andoffset by a net increase in other income,
net of approximately $465,000.
$55,000.
Total operating expenses for the years ended June
30, 20252026 and 20242025 were approximately $18.1$22.7 million and $32.2,$18.1 million, respectively. The net decreaseincrease of approximately $14.1$4.6 million
was comprised of net increased R&D expenses of approximately $4.7 million was
primarily dueattributed to the increased activities in both the Sunrise
PD Phase 2 study and LC Phase 2 study offset by a decrease in researchgeneral and developmentadministrative expenses as a result of theapproximately completion of clinical trials in the prior fiscal
year.$59,000.
R&D expenses were approximately $14.0 million for the year ended June 30, 2026, an increase of approximately $4.7 million from $9.3 million for the year ended June 30, 2025. The net increase in R&D expenses was attributed to increases in direct study costs of approximately $4.5 million; clinical team compensation of approximately $686,000 that was primarily comprised of stock based compensation and year-end bonuses; and abstracts, publications and conferences of approximately $141,000, offset by approximately $646,000 in Chemistry, Manufacturing and Controls and Discovery expenses that were curtailed.
As the table indicates below, the increase in clinical studies of approximately $4.5 million is attributed to increased activity in both our clinical studies. Sunrise PD Phase 2 study costs increased by approximately $4.0 million as the study completed enrollment in January 2026 and the study close process began with the last patient treated in May 2026. Long Covid Phase 2 study activities increased and the net increase in cost, net of reimbursements totaled approximately $709,000. The study reached full enrollment in May 2026 and the study is currently nearing completion. As of June 30, 2026, the total cost incurred since inception was approximately $12.9 million and as of August 5, 2026 the total cost reimbursed was $12.9 million.
Research and development expenses were approximately $9.3 million and
$23.1 million for the years ended June 30, 2025 and 2024, respectively. The $13.8 million reduction was primarily attributed to the completion
of the clinical studies in the prior fiscal year and comprised of a declines in direct study costs of approximately $7.4 million, and
the related expenses such as the clinical team payroll of approximately $1.4 million, and consultants expenses of approximately $3.0 million,
reflecting a declining use of consultants and a reduction in the use of regulatory and other consultants totaling approximately $496,000.
Other decreases included a decrease in Chemistry, Manufacturing and Controls (“CMC”) and new drug discovery totaling approximately
$1.2 million, and a decrease in travel & conferences of approximately $123,000, as well as publications of approximately $166,000.
The decrease in clinical studies of approximately $7.4 million represented
the net decrease in clinical trial studies expense of approximately $10.8 million due to the completion of the clinical trials in the
prior fiscal year offset primarily by the planning, development and launch of the two new clinical studies, Sunrise PD Phase 2 and Long
Covid Program, totaling approximately $3.3 million. The table below summarizes the approximate expense amounts for the years ended June
30, 2025 and 2024 by study:
Selling, General and Administrative Expenses
General and administrative expenses were approximately $8.5 million and $8.6 million for the year ended June 30, 2026 and 2025, respectively. The net decrease of approximately $59,000 was primarily attributed to increases in the executive team and directors compensation of approximately $344,000 and $179,000, respectively, primarily comprised of stock based compensation and year end bonus; legal expenses of approximately $30,000; and insurance premiums of approximately $80,000, offset by a decrease in consultancy fees of approximately $606,000 and a decline in other expenses such as meetings and travel totaling $8,000, investor and public relations expense of approximately $9,000, shareholder meeting and filing fees of approximately $30,000 and accounting and auditing fees of approximately $29,000.
Selling, general and administrative expenses for the year ended June
30, 2025, was approximately $8.6 million and was comparable to approximately $8.8 million for the year ended June 30, 2024. The net fluctuations
in expenses were primarily comprised of decreases in stock-based compensation for the executive team and directors of approximately $436,000
and $595,000, respectively, and investor and public relation fees of $210,000, offset by increases in directors’ cash compensation
of approximately $101,000, other professional and consultancy fees of approximately $582,000, legal fees of approximately $468,000, and
audit and accounting fees of approximately $82,000.
Other income, net was approximately $524,000$579,000 for
the year ended June 30, 2025,2026 compared to approximatelyother $59,000income, net of $524,000, for the year ended June 30, 2024.2025. The net increase in other income
of of
approximately $465,000$55,000 was comprised of a decrease in the change in fair value of the related derivative liabilities of approximately
$1.8 million, offset by the declinereduction in interest expense,expense netof $2.6approximately million$314,000 due to the payoff of the notes payable
on December 1, 20242024, and
offset by decline in interest income of approximately $284,000.$256,000.
Although management continues to pursue the Company’s
strategic plans, there is no assurance that the Company will be successful in obtaining sufficient financing on terms acceptable to the
Company, if at all, to fund continuing operations. These circumstances raise substantial doubt on the Company’s ability to continue
as a going concern. The financial statements included elsewhere in this Form 10-Kreport do not include any adjustments that might result from the
the outcome of this uncertainty.
Registered Direct Offerings [TO BE UPDATED FOR SUBSEQUENT CLOSE OF CAP RAISE] On August 11, 2025, the Company closed an underwritten public offering of (i) 5,620,000 units (the “Units”), with each Unit consisting of one share of common stock and one warrant (the “Warrants”) and (ii) 380,000 pre-funded units (the “Pre-Funded Units”), with each Pre-Funded Unit consisting of one pre-funded warrant and one Warrant. The underwriter also exercised its over-allotment option in part and purchased an additional 667,300 Warrants. The offering resulted in net proceeds of approximately $10.5 million, after deducting underwriting discounts and commissions and other estimated offering expenses. Each Unit was sold to the public at a price of $2.00 per Unit and each Pre-Funded Unit was sold to the public at a price of $1.9999 per Pre-Funded Unit (which represents the public offering price of each Unit less the $0.0001 per share nominal exercise price for each Pre-Funded Warrant). On August 8, 2025, the Warrants commenced trading on The Nasdaq Capital Market under the symbol “BIVIW.” Each Warrant is immediately exercisable, entitles the holder to purchase one share of common stock at an exercise price of $2.50 per share and expires five years from the date of issuance. Each Pre-Funded Warrant is immediately exercisable, entitles the holder to purchase one share of common stock, and may be exercised at any time until exercised in full. Additionally, upon closing, the Company issued the underwriter warrants to purchase 300,000 shares of Common Stock exercisable at a per share price of $2.50, which was equal to 125% of the public offering price per share. The underwriter’s Warrants are exercisable during a five-year period commencing 180 days from August 11, 2025.
Registered Direct Offerings
On September 25, 2024, the Company closed a best
efforts public offering (the “September 2024 Offering”) of 136,080 shares of its common stock, par value $0.0001 per share,
pre-funded warrants (the “September Pre-funded Warrants”) to purchase 60,000 shares of Common Stock, and warrants to purchase
up to 196,080 shares of Common Stock (the “September Common Warrants”) at a combined public offering price of $15.30 per share,
or September Pre-funded Warrant, and the associated September Common Warrant. 26,500 September Pre-funded Warrants were exercised shortly
thereafter and reflected on the statement of changes in stockholders’ equity as a component of proceeds from issuance of common
stock. The September Common Warrants have an exercise price of $15.30 per share and were immediately
exercisable upon issuance and will expire on the fifth anniversary date of the original issuance date. The gross proceeds to the
Company from the September 2024 Offering was approximately $3.0 million, before deducting placement agent fees and offering expenses of
approximately $747,000. Additionally, upon closing, the Company issued the placement agent warrants (“September Placement Agent’s
Warrants”) to purchase 9,809 shares of Common Stock exercisable at a per share price of $19.10, which was equal to 125% of the public
offering price per share. The September Placement Agent’s Warrants are exercisable during a five-year period commencing 180 days
from September 25, 2024. Subsequently, 189,630 of common warrants from the September 2024 Offering were exercised at $15.30 per
share for proceeds totaling approximately $2.9 million, and 33,500 September Pre-funded Warrants were also exercised. In addition, 667
September Placement Agent’s Warrants were exercised on a cashless exercise basis and 422 common shares were issued.
In October 2024, the Company closed three registered
direct offerings totaling 825,600 shares of its common stock, par value $0.0001 per share, and two concurrent private placements of warrants
to purchase up to 711,000 shares of Common Stock (the “October Common Warrants”) priced at-the-market under Nasdaq rules at
prices ranging from $15.00 to $28.30 per share (the “October Offerings”). The October
Common Warrants have exercise prices ranging from $13.70 to $21.20 per share and are exercisable beginning six months following issuance
and will expire on the fifth anniversary date of the original issuance dates. The gross proceeds to the Company from the October
Offerings totaled approximately $15.9 million, before deducting placement agent fees and offering expenses of approximately $2.5 million.
Additionally, upon closing of the October Offerings, the Company issued placement agent warrants (the “October Placement Agent’s
Warrants”) to purchase 41,321 shares of Common Stock in the aggregate exercisable at a per share price ranging from $18.80 to $35.40,
which was equal to 125% of the offering price per share in the applicable October Offering. The October Placement Agent’s Warrants
are exercisable during a five-year period commencing 180 days from each of the respective closing dates of the October Offerings.
What changed in the latest 10-Q
Risk Factors
Removed heading “Risks Relating to Our Business and Industry”
Removed heading “We rely and will continue to rely on third parties to conduct our clinical trials. If these third parties do not successfully carry out their contractual duties or meet expected deadlines or do not successfully perform and comply with regulatory requirements, we may not be able to obtain regulatory approval of or commercialize our product candidates.”
Largest changes
“We depend, and will continue to depend, on third parties, including, but not limited to, contract research organizations (“CROs”), clinical trial sites and clinical trial principal investigators, contract laboratories, IRBs, manufacturers, suppliers, and other third parties to conduct our clinical trials, including those for our drug candidates bezisterim (NE3107) and BIV201. We rely heavily on these third parties over the course of our clinical trials, and we control only certain aspects of their activities. …”see in full comparison
“We rely and will continue to rely on third parties to conduct our clinical trials. If these third parties do not successfully carry out their contractual duties or meet expected deadlines or do not successfully perform and comply with regulatory requirements, we may not be able to obtain regulatory approval of or commercialize our product candidates.”see in full comparison
“Although we design the clinical trials for our product candidates, our CROs are tasked with facilitating and monitoring these trials. As a result, many aspects of our clinical development programs, including site and investigator selection, and the conduct, timing, and monitoring of the study, is outside our direct control, either partially or in whole. …”see in full comparison
In order to raise additional capital, we may in the future offer additional shares of our Common Stock or other securities convertible into or exchangeable for our Common Stock in any other offering at a price per share that is less than the current market price of our securities, and investors purchasing shares or other securities in the future could have rights superior to existing stockholders.see in full comparisonThe sale of additional shares of our Common Stock or other securities convertible into or exchangeable for our Common Stock would dilute all of our stockholders, and if such sales of convertible securities into or exchangeable into our Common Stock occur at a deemed issuance price that is lower than the current exercise price of our outstanding warrants sold to Acuitas Group Holdings, LLC (“Acuitas”) in August 2022 (the “Acuitas Warrants”), the exercise price for those warrants would adjust downward to the deemed issuance price pursuant to price adjustment protection contained within those warrants.
As ofsee in full comparisonDecemberMarch 31,2025,2026, there were warrants outstanding to purchase an aggregate of 8,282,037 shares (including 380,000 prefunded warrants) of our Common Stock at exercise prices ranging from$0.0001$2.50 to $582.00 per share,80,5932,785,363 shares issuable upon exercise of outstanding options at exercise prices ranging from$19.00$1.31 to$4,209.00$774.00 per share and restricted stock units totaling2,202.1,099. We may also grant additional options, warrants or equity awards. To the extent such shares are issued, the interest of holders of our Common Stock will be diluted.
Full comparison: every changed paragraph (6)
Risks Relating to Our Business and Industry
We rely and will continue to rely on third
parties to conduct our clinical trials. If these third parties do not successfully carry out their contractual duties or meet expected
deadlines or do not successfully perform and comply with regulatory requirements, we may not be able to obtain regulatory approval of
or commercialize our product candidates.
We depend, and will continue
to depend, on third parties, including, but not limited to, contract research organizations (“CROs”), clinical trial sites
and clinical trial principal investigators, contract laboratories, IRBs, manufacturers, suppliers, and other third parties to conduct
our clinical trials, including those for our drug candidates bezisterim (NE3107) and BIV201. We rely heavily on these third parties over
the course of our clinical trials, and we control only certain aspects of their activities. Nevertheless, we retain ultimate responsibility
for ensuring that each of our studies is conducted in accordance with the protocol and applicable legal, regulatory, and scientific standards
and regulations, and our reliance on third parties does not relieve us of our regulatory responsibilities. We and these third parties
are required to comply with cGCPs, which are regulations and guidelines enforced by the FDA and comparable foreign regulatory authorities
for the conduct of clinical trials on product candidates in clinical development. Regulatory authorities enforce cGCPs through periodic
inspections and for-cause inspections of clinical trial principal investigators and trial sites. If, due to the failure of either the
Company or a third party, a clinical trial fails to comply with applicable cGCPs, FDA’s IND requirements, other applicable regulatory
requirements, or requirements set forth in the applicable IRB-approved protocol, the Company may be required to conduct additional clinical
trials to support our marketing applications, which would delay the regulatory approval process. For example, our drug product candidate
bezisterim (NE3107) was cleared by FDA for use in a Phase 3, randomized, double blind, placebo controlled, parallel group, multicenter
study in subjects who have mild to moderate AD. Enrollment in that trial began in August 2021, with a planned primary completion in late
2022/early 2023. On November 29, 2023, the Company announced topline efficacy data from its Phase 3 clinical trial (NCT04669028) of bezisterim
(NE3107) in the treatment of mild to moderate AD. Upon trial completion, as the Company began the process of analyzing the trial data,
the Company found significant deviations from the protocol and cGCP violations at 15 study sites (virtually all of which were from one
geographic area). This highly unusual level of suspected improprieties led the Company to exclude all patients from these sites. We subsequently
notified FDA’s OSI of such significant deviations from study protocol, the suspected improprieties, and the study sites involved.
The identification of significant deviations from study protocol and numerous GCP violations at multiple study sites raised questions
regarding the validity and robustness of data from these study sites. The unplanned exclusion of so many patients left the trial underpowered
for its primary endpoints. However, based on the remaining dataset from those other sites determined to be in compliance with the protocol
and GCP’s, a preliminary signal of efficacy was detected. The Company is considering: (1) employing the adaptive trial feature of
the protocol to continue enrolling patients to achieve statistical significance; and/or (2) designing a new Phase 3 study of bezisterim
(NE3107) that leverages the most recent scientific literature relating to AD along with the company's understanding regarding the effects
of bezisterim (NE3107) in persons with mild-moderate AD.
Although we design the
clinical trials for our product candidates, our CROs are tasked with facilitating and monitoring these trials. As a result, many aspects
of our clinical development programs, including site and investigator selection, and the conduct, timing, and monitoring of the study,
is outside our direct control, either partially or in whole. Our reliance on third parties to conduct clinical trials also results in
less direct control over the collection, management, and quality of data developed through clinical trials than would be the case if we
were relying entirely upon our own employees. Communicating with third parties can also be challenging, potentially leading to mistakes
as well as difficulties in coordinating activities. Our business may be impacted if any of these third parties violates applicable federal,
state, or foreign laws and/or regulations, including but not limited to FDA’s IND regulations, cGCPs, fraud and abuse or false claims
laws, healthcare privacy and data security laws, or provide us or government agencies with inaccurate, misleading, or incomplete data.
In order to raise additional capital, we may in
the future offer additional shares of our Common Stock or other securities convertible into or exchangeable for our Common Stock in any
other offering at a price per share that is less than the current market price of our securities, and investors purchasing shares or other
securities in the future could have rights superior to existing stockholders. The sale of additional shares of our Common Stock or other
securities convertible into or exchangeable for our Common Stock would dilute all of our stockholders, and if such sales of convertible
securities into or exchangeable into our Common Stock occur at a deemed issuance price that is lower than the current exercise price of
our outstanding warrants sold to Acuitas Group Holdings, LLC (“Acuitas”) in August 2022 (the “Acuitas Warrants”),
the exercise price for those warrants would adjust downward to the deemed issuance price pursuant to price adjustment protection contained
within those warrants.
As of DecemberMarch 31, 2025,2026, there were warrants outstanding
to purchase an aggregate of 8,282,037 shares (including 380,000 prefunded warrants) of our Common Stock at exercise prices ranging from $0.0001
$2.50 to $582.00 per share, 80,593
2,785,363 shares issuable upon exercise of outstanding options at exercise prices ranging from $19.00$1.31 to $4,209.00 $774.00
per share and restricted stock
units totaling 2,202.1,099. We may also grant additional options, warrants or equity awards. To the extent such
shares are issued, the interest
of holders of our Common Stock will be diluted.
Management's Discussion & Analysis (MD&A)
New heading “Liver Cirrhosis Program”
Removed heading “Liver Disease Program”
Largest changes
“General and administrative expenses were approximately $2.2 million and $1.6 million for the three months ended March 31, 2026 and 2025, respectively. …”see in full comparison
“General and administrative expenses were approximately $1.9 million and $2.5 million for the three months ended December 31, 2025 and 2024, respectively. …”see in full comparison
In April 2024, the Company was awarded a clinical trial grant of $13.1 million from the U.S. Department of Defense (“DOD”), awarded through the Peer Reviewed Medical Research Program of the Congressionally Directed Medical Research Programs. In August 2024,see in full comparisonthe FDA and theU.S. Army Medical Research and Development Command, Office of Human Research Oversight (“OHRO”) approved the Company’splan, including the FDA approving the associated Investigation New Drug Application (“IND”),plan to evaluate bezisterim for the treatment of neurological symptoms that are associated with long COVID and the FDA authorized our Investigational New Drug (“IND”) application for bezisterim allowing the Company to study a novel, anti-inflammatory approach for the treatment of the debilitating neurocognitive symptoms associated with long COVID. The Phase 2 ADDRESS-LC study is a randomized (1:1), placebo-controlled, multicenter trial evaluating the efficacy, safety and tolerability of bezisterim in adult participants with long COVID who have cognitive impairment sequelae and fatigue. The trial commenced in May 2025.
“Upon trial completion, as the Company began the process of unblinding the trial data, the Company found significant deviation from protocol and current good clinical practices (“cGCPs”) violations at 15 study sites (virtually all of which were from one geographic area). This highly unusual level of suspected improprieties led the Company to exclude all patients from these sites and to refer the sites to the FDA Office of Scientific Investigations (“OSI”) for potential further action. …”see in full comparison
General and administrative expenses were approximatelysee in full comparison$4.2$6.4 million and$4.6$6.2 million for thesixnine months endedDecemberMarch 31,20252026 and2024,2025, respectively. The netdecreaseincrease of approximately$379,000$189,000 was primarily attributed todecreasesincreases instock-based compensation forthe executive team and directorsof approximately $238,000 and $151,000, respectively and consultancy feescompensation of approximately$565,000$78,000 and $214,000, respectively, primarily comprised of stock based compensation;offset by a net increase inlegalfeeexpenses of approximately$546,000 that$423,000 primarilyrepresentedlegal fees relatedattributed to the class actionlitigation.litigation; investor and public relations expenses of $71,000; and insurance premiums of approximately $55,000, offset by a decrease in consultancy fees of approximately $603,000 and a decline in other expenses such as meetings and travel totaling $24,000 and accounting and auditing fees of approximately $14,000.
“In liver disease, our investigational drug candidate BIV201 (continuous infusion terlipressin) was granted both FDA Fast Track status and FDA Orphan Drug designation for ascites (due to all etiologies except cancer), which is the most common complication related to liver cirrhosis and represents a significant unmet medical need. BIV201 is being evaluated as a treatment option for patients suffering from life-threatening complications of liver cirrhosis and ascites due to hepatitis, nonalcoholic steatohepatitis, and alcoholism. U.S. …”see in full comparison
Full comparison: every changed paragraph (36)
Neurodegenerative Disease ProgramPrograms
The Company acquired the biopharmaceutical assets
of NeurMedix, Inc. (“NeurMedix”) a privately held clinical-stage pharmaceutical company and a related party in June 2021. The
acquired assets included NE3107 (or “bezisterim”). Bezisterim, the approved generic name for NE3107 is an investigational,
novel, orally administered small molecule that is thought to inhibit inflammation-driven insulin resistance and major pathological inflammatory
cascades with a novel mechanism of action. There is emerging scientific consensus that both inflammation and insulin resistance may play
fundamental roles in the development of Alzheimer’s disease (“AD”) and Parkinson’s disease (“PD”),
and bezisterim could, if approved by the U.S. Food and Drug Administration (“FDA”), represent an entirely new medical approach
to treating these devastating conditions affecting an estimated 6 million Americans suffering from AD, 1 million Americans suffering from
PDPD, and Long COVID (“LC”) affects approximately 20 million adults in the US,US andsuffering from Long COVID, with millions more affected worldwide.
InWith neurodegenerativerespect disease,to the mechanism of action, we believe
bezisterim (NE3107)
inhibits activation of inflammatory extracellular signal-regulated kinase (“ERK”) and nuclear factor kappa-light-chain-enhancer
of activated B cells (“NFκB”)
(including interactions with tumor necrosis factor (“TNF”) signaling and other
relevant inflammatory pathways) that lead to neuroinflammation and insulin resistance. By binding to ERK and selectively modulating NFκB
Bezisterimactivation (NE3107)and doesTNF-α notproduction interferewithout interfering with their homeostatic functions (e.g., insulin signaling and neuron growth
and survival)., Both
inflammationwe andbelieve insulinthat resistancebezisterim aremay driversoffer ofclinical improvements in several disease indications, including PD, AD and PD.long COVID.
The Phase 2 study of bezisterim (NE3107) for the
treatment of PD (NCT05083260), that we completed in December 2022, was a double-blind, placebo-controlled, safety, tolerability, and pharmacokinetics
study in PD participants treated with carbidopa/levodopa and bezisterim (NE3107). Forty-five patients with a defined L-dopa “off
state” were randomized 1:1 to placebo: bezisterim (NE3107) 20 mg twice daily for 28 days. This trial was launched with two design
objectives: 1) the primary objective was safety and a drug-drug interaction study as requested by the FDA to measure the potential for
adverse interactions of bezisterim (NE3107) with carbidopa/ levodopa; and 2) the secondary objective was to determine if preclinical indications
of promotoric activity and apparent enhancement of levodopa activity could be seen in humans. Both objectives were met.
The Company is conducting a Phase 2b clinical trial of bezisterim as a potential first-line therapy for patients with newly diagnosed PD. The trial is designed to evaluate the safety and efficacy of bezisterim on motor and non-motor symptoms in patients with PD who have not been treated with carbidopa/levodopa. The Phase 2b study is a multicenter, randomized, double-blind, placebo-controlled trial with a hybrid decentralized design, and is expected to span approximately 20 weeks from initial screening through safety follow-up for each participant. The trial commenced in April 2025 and completed enrollment of 60 patients in December 2025. The Company currently expects to report topline results from the trial in mid-year 2026, although the timing of results is subject to change and there can be no assurance that the trial will yield favorable results or support further development.
To extend this Phase 2 data in progressed patients,
the Company has designed a new Phase 2 study of bezisterim (NE3107) as a potential first line therapy to treat patients with new onset
PD. In July 2024, the Company submitted the new protocol and received a response from the FDA which permitted the Company to proceed with
the study. The trial commenced in April 2025.
In April 2024, the Company was awarded a clinical
trial grant of $13.1 million from the U.S. Department of Defense (“DOD”), awarded through the Peer Reviewed Medical Research
Program of the Congressionally Directed Medical Research Programs. In August 2024, the FDA and the U.S. Army Medical Research and
Development Command,
Office of Human Research Oversight (“OHRO”) approved the Company’s plan, including the FDA approving
the associated Investigation New Drug Application (“IND”),plan to evaluate bezisterim for the treatment of
neurological symptoms
that are associated with long COVID and the FDA authorized our Investigational New Drug (“IND”) application
for bezisterim allowing the Company to study a novel, anti-inflammatory approach for the treatment of the debilitating neurocognitive
symptoms associated with long COVID. The Phase 2 ADDRESS-LC study is a randomized (1:1), placebo-controlled, multicenter trial evaluating
the efficacy, safety and tolerability of bezisterim in adult participants with long COVID who have cognitive impairment sequelae and fatigue.
The trial commenced in May 2025.
Liver Disease Program
In liver disease, our investigational drug candidate
BIV201 (continuous infusion terlipressin), which has been granted both FDA Fast Track designation status and FDA Orphan Drug status, is
being evaluated as a treatment option for patients suffering from ascites and other life-threatening complications of advanced liver cirrhosis
caused by non-alcoholic steatohepatitis (NASH), hepatitis, and alcoholism. The initial target for BIV201 therapy was refractory ascites.
These patients suffer from frequent life-threatening complications, generate more than $5 billion in annual treatment costs, and have
an estimated 50% mortality rate within 6 to 12 months.
After receiving guidance from the FDA regarding
the design of Phase 3 clinical testing of BIV201 for the treatment of patients with cirrhosis and ascites, the Company is now targeting
a broader ascites patient population. The Company is currently finalizing the protocol design for the Phase 3 study of BIV201 with a focus
on demonstrating clinical benefit through a composite primary endpoint of complications and disease progression in patients with cirrhosis
and ascites who have recently recovered from acute kidney injury (“AKI”). This patient population is not limited to those
having refractory ascites. BIV201 is administered as a patent-pending liquid formulation with patents issued in US, China, Japan, Chile
and India to date.
C. Alzheimer’s Disease
In AD, BioVie has conducted both Phase 2 and Phase 3 trials. Preliminary data from these trials suggest improvements in cognition and biomarkers, supporting further trials to evaluate its potential as a therapy for the six million Americans living with AD.
Liver Cirrhosis Program
In liver disease, our investigational drug candidate BIV201 (continuous infusion terlipressin) was granted both FDA Fast Track status and FDA Orphan Drug designation for ascites (due to all etiologies except cancer), which is the most common complication related to liver cirrhosis and represents a significant unmet medical need. BIV201 is being evaluated as a treatment option for patients suffering from life-threatening complications of liver cirrhosis and ascites due to hepatitis, nonalcoholic steatohepatitis, and alcoholism. U.S. treatment costs for liver cirrhosis, including ascites and other complications, are estimated at more than $5 billion annually and have an estimated 50% mortality rate within 6 to 12 months.
After receiving guidance from the FDA regarding the design of Phase 3 clinical testing of BIV201 for the treatment of patients with cirrhosis and ascites, the Company is now targeting a broader ascites patient population. The Company is currently finalizing the protocol design for the Phase 3 study of BIV201 with a focus on demonstrating clinical benefit through a composite primary endpoint of complications and disease progression in patients with cirrhosis and ascites who have recently recovered from acute kidney injury (“AKI”). Ascites is a common complication of advanced liver cirrhosis involving the accumulation of large volumes of fluid in the abdomen, often exceeding five liters, due to liver and kidney dysfunction. BIV201 is administered in a continuous infusion of terlipressin as a patent-pending liquid formulation with patents issued in the U.S., China, Japan, Chile and India to date. Terlipressin is used in over 40 countries to treat complications of liver cirrhosis, including Type 1 hepatorenal syndrome and bleeding esophageal varices, and was approved in the U.S. in 2022 to improve kidney function in adults with hepatorenal syndrome experiencing a rapid reduction in kidney function; it is not currently approved in Japan.
On November 29, 2023, the Company announced the
analysis of its unblinded, topline efficacy data from its Phase 3 clinical trial (NCT04669028) of bezisterim in the treatment of mild
to moderate AD. The study had co-primary endpoints looking at cognition using the Alzheimer’s Disease Assessment Scale-Cognitive
Scale (ADAS-Cog 12) and function using the Clinical Dementia Rating-Sum of Boxes (CDR-SB). Patients were randomly assigned, 1:1 versus
placebo, to receive sequentially 5 mg of bezisterim orally twice a day for 14 days, then 10 mg orally twice a day for 14 days, followed
by 26 weeks of 20 mg orally twice daily.
Upon trial completion, as the Company began the
process of unblinding the trial data, the Company found significant deviation from protocol and current good clinical practices (“cGCPs”)
violations at 15 study sites (virtually all of which were from one geographic area). This highly unusual level of suspected improprieties
led the Company to exclude all patients from these sites and to refer the sites to the FDA Office of Scientific Investigations (“OSI”)
for potential further action. After the patient exclusions, 81 patients remained in the Modified Intent to Treat population, 57 of whom
were in the Per-Protocol population which included those who completed the trial and were verified to take study drug from pharmacokinetic
data.
The trial was originally designed to be 80% powered
with 125 patients in each of the treatment and placebo arms. The unplanned exclusion of so many patients left the trial underpowered for
the primary endpoints. In the Per-Protocol population, which included those patients who completed the trial and who were further verified
to have taken the study drug (based on pharmacokinetic data), an observed descriptive change from baseline appeared to suggest a slowing
of cognitive loss; these same patients experienced an advantage in age deceleration vs. placebo as measured by DNA epigenetic change.
Age deceleration is used by longevity researchers to measure the difference between the patient’s biological age, in this case as
measured by the Horvath DNA methylation Skin Blood Clock, relative to the patient’s actual chronological age. This test was a non-primary/secondary
endpoint, other-outcome measure, done via blood test collected at week 30 (end of study). Additional DNA methylation data continues to
be collected and analyzed.
Comparison of the three months ended DecemberMarch 31, 20252026 to the three
months ended DecemberMarch 31, 20242025
The netNet loss for the three months ended
December March 31, 20252026 was approximately $6.1
$5.3 million as compared to the net loss of approximately $7.1 million for the three months
ended December 31, 2024. The net decrease of $1.0$2.8 million for the three months ended DecemberMarch 31, 20252025. The net increase of
$2.5 million for the three months ended March 31, 2026 was comprised of a net
decrease increase in research and development ("R&D")
expenses of approximately $435,000,$1.9 million, and a net decreaseincrease in general and
administrative expenses of approximately $595,000.$565,000.
Total operating expenses for the three months
months ended DecemberMarch 31, 20252026 were approximately $6.3$5.4 million as compared to $7.3$3.0 million for the three months ended DecemberMarch 31,
2024. 2025. The net decrease
increase of approximately $1.0$2.4 million for the three months ended DecemberMarch 31, 2025,2026 was comprised of a net
decrease increase in R&D expenses of
approximately $435,000$1.9 million and a net decreaseincrease in general and administrative expenses of approximately
$595,000. $565,000.
R&D expenses were approximately $3.2 million and $1.3 million for the three months ended March 31, 2026 and 2025, respectively. The net increase of approximately $1.9 million was primarily attributed to the increased activities in our clinical studies of approximately $1.1 million in the sunrise PD Phase 2 study as it became fully enrolled and nearing completion and the Long COVID (“LC”) Phase 2 study of a net increase of approximately $677,000. The net increase in the LC study was caused by the timing of reimbursements as amounts submitted for reimbursement are recorded on a cash basis or when recoverability is determined to be probable.
The table below indicates the approximate cost incurred by study program.
R&D
expenses were approximately $4.3 million and $4.7 million for the three months ended December 31, 2025 and 2024, respectively. The net
decrease of approximately $435,000 was primarily attributed to the Long COVID (“LC”) studies’ decline in net expenses
due to the large start-up contractual payments made to the Contract Research Organizations (“CRO”) and no reimbursements received
during the three months ended December 31, 2024; offset by increased cost from the Sunrise PD Phase 2 study, from the increased activities
in the Sunrise PD Phase 2 study became fully enrolled. The table below indicates the cost incurred by study program.
General and administrative expenses were approximately $2.2 million and $1.6 million for the three months ended March 31, 2026 and 2025, respectively. The net increase of approximately $565,000 was primarily attributed to increases in the executive team and directors compensation of approximately $313,000 and $401,000, respectively, primarily in the form of stock-based compensation, increased insurance premiums of approximately $20,000 and accounting and auditing fees of approximately $16,000; offset by a decrease in legal fees expense of approximately $123,000, as the Company met its required insurance retention limit for the litigation costs of shareholders class action complaint, other professional and consultancy fees of approximately $38,000 and investor and public relation expense of approximately $24,000.
General and administrative expenses were approximately $1.9 million
and $2.5 million for the three months ended December 31, 2025 and 2024, respectively. The net decrease of approximately $595,000 was primarily
attributed to decreases in stock-based compensation for the executive team and directors of approximately $154,000 and $58,000, respectively,
consultancy fees of approximately $593,000, investor and public relation fees of approximately $30,000, filing fees of approximately $41,000,
offset by increased legal fees related to the class action litigation of approximately $331,000, and insurance premiums of approximately
$20,000.
Other income, net was approximately $193,000$115,000 compared
compared to other income, net of approximately $180,000,$200,000, for the three months ended DecemberMarch 31, 20252026 and 2024,2025, respectively. The net
increase decrease in
other income of approximately $13,000$85,000 was primarily comprised of a reduction in interest expense of approximately $61,000
due to the payoff of the notes payable on December 1, 2024, offset by a reduction in interest income of approximately $54,000.$76,000.
Comparison of the sixnine months ended DecemberMarch 31, 20252026 to the sixnine months
months ended DecemberMarch 31, 20242025
The netNet loss for the sixnine months ended December
March 31, 2025 2026
was approximately $11.2$16.4 million comparable to the net loss of approximately $11.3$14.1 million for the sixnine months ended DecemberMarch 31,
2024. 2025. The
net decreaseincrease of approximately $108,000$2.3 million for the sixnine months ended DecemberMarch 31, 20252026 was comprised of the net increase in operating expenses
expenses of approximately $132,000$2.5 million offset by the increase in other income, net of approximately $240,000.$155,000.
Total operating expenses for the sixnine months ended
ended DecemberMarch 31, 20252026 were approximately $11.5$16.9 million as compared to $11.4$14.4 million for the sixnine months ended DecemberMarch 31,
2024. 2025. The net R&Doperating
expense increase of approximately $132,000$2.5 million for the sixnine months ended DecemberMarch 31, 2025,2026, was comprised of net
increased research and developmentR&D expenses
of approximately $511,000$2.4 primarilymillion attributed to the developmentincreased andactivities launch ofin both the
Long COVID program in April 2025 and Sunrise PD Phase 2 studiesstudy inand MayLC 2025Phase offset2 bystudy theand declinean
increase in general and administrative
expenses of approximately $379,000.$189,000.
R&D expenses were approximately
$7.2 $10.4 million
for the sixnine months ended DecemberMarch 31, 2025,2026, an increase of approximately $511,000$2.4 million from $6.7$8.0 million for sixnine months ended
December March 31, 2024.
2025. The net increase in R&D expenses of approximately $511,000 is comprised of increased direct study costs of approximately
$818,000, $2.5 million, clinical team compensation
of approximately $88,000,$282,000, travelabstracts, publications and conferences of approximately $153,000,$176,000, offset by approximately
$541,000 of$619,000 in Chemistry,
Manufacturing and Controls (“CMC”) and Discovery expenses that have been temporarily curtailed.
As the table indicates below, the increase in
clinical studies of approximately $818,000$2.5 weremillion comprisedis ofattributed theto increased activity in both our clinical studies. Sunrise PD Phase 2 study
costs costincreased ofby approximately $2.3$3.4 million
as the study completed enrollment in January 2026 and the declinestudy inis currently nearing completion.
Long Covid Phase 2 study costactivities ofdecreased and the net decrease in cost, net of reimbursements totalingtotaled approximately $1.5$786,000. millionThe
net thatdecrease consistedin costs is caused by the timing of thereimbursements largeas amounts submitted for reimbursement are recorded on a cash basis or
contractualwhen start-uprecoverability feeis paiddetermined to be probable. As of March 31, 2026, the CROtotal cost incurred since inception was approximately $9.4
million and theas lagof inMay receiving4, 2026 the reimbursementstotal duringcost thereimbursed sixwas months$9.4 ended December 31, 2024.million.
General and administrative expenses were approximately $4.2
$6.4 million
and $4.6$6.2 million for the sixnine months ended DecemberMarch 31, 20252026 and 2024,2025, respectively. The net decreaseincrease of approximately $379,000 $189,000
was primarily
attributed to decreasesincreases in stock-based compensation for the executive team and directors of approximately $238,000 and $151,000, respectively
and consultancy feescompensation of approximately $565,000$78,000 and $214,000, respectively,
primarily comprised of stock based compensation; offset by a net increase in legal fee expenses of approximately $546,000 that$423,000 primarily
represented legal fees relatedattributed to the class action litigation.litigation;
investor and public relations expenses of $71,000; and insurance premiums of approximately $55,000, offset by a decrease in consultancy
fees of approximately $603,000 and a decline in other expenses such as meetings and travel totaling $24,000 and accounting and auditing
fees of approximately $14,000.
Other income, net was approximately $390,000$505,000 compared
to other income, net of $150,000,$350,000, for the sixnine months ended DecemberMarch 31, 20252026 and 2024,2025, respectively. The net increase in other income of
of approximately $240,000$155,000 was comprised of a reduction in interest expense of approximately $315,000$314,000 due to the payoff of the notes payable
on December 1, 2024, offset by a reductiondecline in interest income of approximately $79,000.$155,000.
As of DecemberMarch 31, 2025,2026, the Company had working
capital of approximately
$18.8 $15.2 million, cash and cash equivalents totaling approximately $20.5$13.1 million, stockholders’ equity of
approximately $19.3$15.6 million,
and an accumulated deficit of approximately $363.3$368.6 million.
The Company used net cash in operations totaling
approximately $7.5$14.9 million and net cash provided by financing activities was comprised of net proceeds from capital raise activities
of of
approximately $10.5 million.
BIVI insider buying and selling (Form 4)
Since 2026-04-11, insiders reported open-market purchases in 4 Form 4 filings (4 insiders, 2 trade dates, 23,280 shares, about $49.1K) and open-market sales in 0 filings. Net open-market shares: 23,280 (purchases minus sales); net value about $49.1K.Totals add up every open-market (code P and S) line in those filings, using the prices reported in the filings. Awards, option exercises, tax withholding and gifts are listed below but not counted.
| Trade date | Insider | Transaction | Shares | Price | Value |
|---|---|---|---|---|---|
| 2026-08-28 | Palumbo Joseph M |
Open-market purchase | 4,843 | $2.16 | $10.5K |
| 2026-08-28 | Chappell Amy Suzon |
Open-market purchase | 727 | $2.16 | $1.6K |
| 2026-08-28 | Kim Joanne Wendy |
Open-market purchase | 2,500 | $2.18 | $5.5K |
| 2026-08-27 | Do Cuong V |
Open-market purchase | 15,210 | $2.08 | $31.6K |
Well-known investors holding BIVI (13F)
| Investor | Quarter | Shares | Reported value | % of their 13F | Change vs prior quarter |
|---|---|---|---|---|---|
| Renaissance Technologies | 2026-06-30 | 127,918 | $248.2K | 0.0% | Added 88% |
| Citadel Advisors (Ken Griffin) | 2026-06-30 | 95,952 | $186.1K | 0.0% | Added 112% |