CVKD 10-K & 10-Q changes, risk factors and insider trading
Cadrenal Therapeutics, Inc. · Nasdaq · Pharmaceutical Preparations · CIK 1937993 · All filings on SEC.gov
At a glance
What changed in the latest 10-K
Risk Factors
New heading “The following discussion of risk factors contains forward-looking statements. These risk factors may be important to understanding any statement in this Annual Report or elsewhere. The following information should be read in conjunction with Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the consolidated financial statements and related notes beginning on F-1 of this Annual Report.”
New heading “Because of the following factors, as well as other factors affecting our financial condition and operating results, past financial performance should not be considered to be a reliable indicator of future performance, and investors should not use historical trends to anticipate results or trends in future periods.”
New heading “Our financial statements have been prepared assuming that we will continue as a going concern.”
New heading “Any shutdown of the U.S. federal government may adversely affect our business.”
New heading “Our future success depends heavily on FDA review of our Phase 3 trial protocol and commencement of our Phase 3 clinical trial.”
New heading “The 12-LOX platform of assets is subject to significant clinical risks that could impede our ability to advance CAD-1005 or our second-generation oral candidates.”
New heading “Inadequate funding for the FDA, the SEC and other government agencies, including from government shutdowns, or other disruptions to these agencies’ staffing and operations, could hinder their ability to hire and retain key leadership and other personnel, prevent new products and services from being developed or commercialized in a timely manner or otherwise prevent those agencies from performing normal business functions on which the operation of our business may rely, which could negatively impact our business.”
New heading “Our business is dependent on the Old Dominion License Agreement, and the termination, non-renewal or failure to maintain that agreement could materially and adversely affect our business, financial condition and prospects.”
New heading “Use of artificial intelligence in research, development, and commercial activities presents operational, regulatory, ethical, and reputational risks that could adversely affect our business.”
New heading “Even if our product candidates receive FDA approval, there is no guarantee that the trading price of our Common Stock will increase following approval, and in the past, some companies have not necessarily experienced such an increase.”
Removed heading “Global climate change and related regulations could negatively affect our business.”
Largest changes
“We had an accumulated deficit of approximately $39.0 million as of December 31, 2025 and a net loss of approximately $13.2 million for the fiscal year ended December 31, 2025. We expect to incur significant expenses and continued losses from operations for the foreseeable future. We believe that our existing cash and cash equivalents will not be sufficient to meet our anticipated cash requirements for the next twelve months. …”see in full comparison
“Our financial statements have been prepared assuming that we will continue as a going concern.”see in full comparison
“If Nasdaq delists our securities from trading on its exchange at some future date, we would take actions to restore our compliance with The Nasdaq Capital Market’s listing requirements, but we can provide no assurance that any such action taken by us would allow our common stock to become listed again, stabilize the market price or improve the liquidity of our common stock, prevent our common stock from dropping below The Nasdaq Capital Market, minimum bid price requirement or prevent future non-compliance with The Nasdaq Capital Market’s listing requirements. …”see in full comparison
“Global climate change and related regulations could negatively affect our business.”see in full comparison
“The Nasdaq has recently proposed a new rule change to (i) adopt Listing Rule 5550(a)(6) to require issuers listed on the Nasdaq Capital Market to maintain a minimum Market Value of Listed Securities (as defined in Nasdaq Listing Rule 5005(a)(23)) of at least $5 million for a period of thirty (30) consecutive business days, and (ii) amend Rule 5810 to suspend trading and immediately delist from Nasdaq securities of issuers that do not satisfy the proposed new requirements, and Rule 5815 to set forth the procedures for requesting a hearing before a Hearings Panel and the scope of the …”see in full comparison
“Our use of AI may also introduce data-integrity and cybersecurity risks. AI systems used in drug development frequently involve sensitive clinical, genomic, or proprietary datasets, making them potential targets for data-poisoning attacks, model manipulation, or unauthorized access. Compromised AI tools could corrupt datasets, distort model outputs related to safety or efficacy, or expose confidential patient or trial information. …”see in full comparison
Full comparison: every changed paragraph (135)
The following discussion of risk factors contains forward-looking statements. These risk factors may be important to understanding any statement in this Annual Report or elsewhere. The following information should be read in conjunction with Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the consolidated financial statements and related notes beginning on F-1 of this Annual Report.
You should consider carefully the risks and uncertainties described below, in addition to other information contained in this Annual Report, including our consolidated financial statements and related notes. The risks and uncertainties described below are not the only ones we face. Our business, financial condition and operating results can be affected by a number of factors, whether currently known or unknown, including but not limited to those described below. Any one or more of such factors could directly or indirectly cause our actual results of operations and financial condition to vary materially from past or anticipated future results of operations and financial condition. Any of these factors, in whole or in part, could materially and adversely affect our business, financial condition, results of operations and stock price. References to past events are provided by way of example only and are not intended to be a complete listing or a representation as to whether or not such factors have occurred in the past or their likelihood of occurring in the future.
Because of the following factors, as well as other factors affecting our financial condition and operating results, past financial performance should not be considered to be a reliable indicator of future performance, and investors should not use historical trends to anticipate results or trends in future periods.
Our financial statements have been prepared assuming that we will continue as a going concern.
We had an accumulated deficit of approximately $39.0 million as of December 31, 2025 and a net loss of approximately $13.2 million for the fiscal year ended December 31, 2025. We expect to incur significant expenses and continued losses from operations for the foreseeable future. We believe that our existing cash and cash equivalents will not be sufficient to meet our anticipated cash requirements for the next twelve months. We will require additional financing as we continue to execute our business strategy, including the need for additional funds for the commencement of our planned clinical trials. Our audited financial statements for the fiscal year ended December 31, 2025, were prepared under the assumption that we will continue as a going concern; however, we have incurred significant losses from operations to date and we expect our expenses to increase in connection with the commencement of our planned clinical trials. These factors raise substantial doubt about our ability to continue as a going concern for one year after the financial statements are issued. Our auditor’s report on our audited financial statements for the fiscal year ended December 31, 2025 contains an explanatory paragraph with respect to this uncertainty. Our liquidity may be negatively impacted as a result of research and development cost increases in addition to general economic and industry factors. In order to meet our expected obligations, we intend to raise additional funds through partnering and equity and debt financings or a combination of these potential sources of liquidity. There can be no assurance that funding will be available on acceptable terms, on a timely basis, or at all. The various ways that we could raise capital carry potential risks. Any additional financing will likely involve the issuance of our equity securities, which will have a dilutive effect on our stockholders. Any debt financing, if available, may involve restrictive covenants that may impact our ability to conduct our business. If we raise funds through partnering, such as collaborations and licensing arrangements, we might be required to relinquish significant rights to our technologies or grant licenses on terms that are not favorable to us. If we do not succeed in raising additional funds on acceptable terms or at all, we may be unable to complete the planned clinical trials. As such, we cannot conclude that such plans will be effectively implemented within one year after the date that the financial statements included in this Annual Report are filed with the SEC and there is uncertainty regarding our ability to maintain liquidity sufficient to operate our business effectively, which raises substantial doubt about our ability to continue as a going concern.
Any shutdown of the U.S. federal government may adversely affect our business.
A shutdown of the U.S. federal government may adversely affect our business operations and regulatory compliance. During such shutdowns, while the SEC’s EDGAR system remains operational, the unavailability of SEC staff to review filings, issue comments, or declare registration statements effective may delay our ability to complete public offerings, respond to comment letters, or obtain timely regulatory approvals. These delays could impact our access to capital markets, hinder strategic transactions, and create uncertainty around our disclosure obligations. Additionally, the lack of interpretive guidance or exemptive relief during a shutdown may increase legal and compliance risks. We continue to monitor developments and adjust our regulatory strategies accordingly, but there can be no assurance that future shutdowns will not materially affect our operations or financial condition.
We were formed in January 2022 and have had limited operations to date. We have not yet performed any clinical trials. We have to manufacture product, complete clinical trials and receive regulatory approval of NDAs before commercial sales of our product candidates can commence. The likelihood of success of our business plan must be considered in light of the problems, substantial expenses, difficulties, complications and delays frequently encountered in connection with building and expanding clinical development pharmaceutical businesses and the regulatory and competitive environment in which we operate. Pharmaceutical product development is a highly speculative undertaking, involves a substantial degree of risk and is a capital-intensive business.
We are a development-stage company and our
success is dependent upon
our ability to obtain regulatory approval for and commercialize our product candidate, tecarfarin,candidates and we
have not demonstrated an ability to perform
the functions necessary for the approval or successful commercialization of any product
candidate. We have yet to demonstrate our ability
to overcome the risks frequently encountered in our industry and are still subject
to many of the risks common to such enterprises, including
our ability to implement our business plan, market acceptance of our
proposed business and lead product, under-capitalization, cash shortages,
limitations with respect to personnel, financing and other
resources, competition from better funded and experienced companies, and uncertainty
of our ability to generate revenues. In fact,
though individual team members have experience running clinical trials and our Chief Executive Officer has been involved with the
development of tecarfarin for six years, as a companytrials, we have yet to prove
that we can successfully run a clinical trial.trial and our lead product candidate. There is
no assurance that our activities will be successful
or will result in any revenues or profit, and the likelihood of our success must
be considered in light of the stage of our development.
In addition, no assurance can be given that we will be able to consummate
our business strategy and plans, or that financial, technological,
market, or other limitations may force us to modify, alter,
significantly delay, or significantly impede the implementation of such plans.
We have insufficient results for investors to use to
identify historical trends. Investors should consider our prospects in light of the
risk, expenses and difficulties we will
encounter as an early-stage company. Our revenue and income potential are unproven and our business
model is continually evolving. In fact, we have recently changed our focus from the development of tecarfarin to the development of CAD-1005.
We are subject to the risks inherent to the operation of a new business enterprise, and cannot assure you that we will be able to successfully
successfully address these risks.
To date, we have not generated any revenue from
operations and we expect to continue to incur significant operating losses in connection with the development and sale of tecarfarin.our product
candidates. We may continue to incur operating losses until such time, if ever, as we are able to achieve sufficient levels of revenue
from operations.
Our ability to achieve profitability will depend on regulatory approval of our product candidatecandidates andand, if approved,
the market acceptance
of our product offering and our capacity to develop, introduce and sell our product to our targeted markets. In
fact, if the FDA determines that we require larger patients numbers in our planned clinical trial of CAD-1005 in patients with HIT or
additional clinical trials our financing needs will increase and our ability to commercialize our product candidate will be delayed beyond
our currently planned timeline. There can be no assurance
that we will ever generate significant sales or achieve profitability. Accordingly,
the extent of future losses and the time required
to achieve profitability, if ever, cannot be predicted at this point.
Even if we can secure such arrangements, we may
continue to have obligations and expenses that exceed the revenue generated by these marketed products. In addition, we could incur significant
development and other expenses if we were to make alterations to the manufacturing process for tecarfarin,any product candidate including CAD-1005,
for preparation and submission
of a supplemental NDA for such alterations, if required by the FDA, and in connection with the launch
of tecarfarin,such product, if approved. Further,
as we pursue FDA approval for tecarfarin,CAD-1005, we expect that our research and development expenses will
continue to increase significantly
as we advance our pivotalproduct Phasecandidates 3and conduct planned clinical trial.trials.
Our cash and the proceeds from our completed
financings will only fund our operations for a limited time, and we will need to raise additional capital to fund our planned pivotalclinical
Phase 3 clinical trialtrials and to support our development and commercialization efforts for our product candidate, tecarfarin.candidates.
If we do not succeed in raising additional funds
on acceptable terms, we will be unable to commence our planned Phase 3 pivotal clinical trialtrials or obtain approval of our product candidate
candidates from the
FDA and other regulatory authorities.authorities If the FDA determines that we require larger patients numbers in our clinical trial or additional
clinical trials our financing needs will increase and our ability to commercialize our product candidate will be delayed beyond our currently
planned timeline. In addition, we could be forced to delay, discontinue or curtail product development,
forego sales and marketing efforts,
and forego licensing in attractive business opportunities.
We believe that our existing cash and cash equivalents
will not be sufficient in the aggregate to meet our anticipated cash requirements for at least the next twelve months. We will, however,will require
additional financing prior to commencing any clinical trial and as we continue to execute our business strategy, including that we will
require additional funds for the initiation
of enrollment of patients and completion of the planned pivotalclinical Phase 3 trial.trials. Our liquidity may
be negatively impacted as a result of
research and development cost increases in addition to general economic and industry factors. We
anticipate that, to the extent that we
require additional liquidity, it will be funded through the incurrence of other indebtedness,
additional equity financings, or a combination
of these potential sources of liquidity. In addition, we may raise additional funds to
finance future cash needs through grant funding
and/or corporate collaboration and licensing arrangements. If we raise additional funds
by issuing equity securities or convertible debt,
our stockholders will experience dilution. Debt financing, if available, would result
in increased fixed payment obligations and may involve
agreements that include covenants limiting or restricting our ability to take
specific actions, such as incurring additional debt, making
capital expenditures or declaring dividends. If we raise additional funds
through collaboration and licensing arrangements with third
parties, it may be necessary to relinquish valuable rights to our products,
future revenue streams or product candidates or to grant licenses
on terms that may not be favorable to us. The covenants under future
credit facilities may limit our ability to obtain additional debt
financing. We cannot be certain that additional funding will be available
on acceptable terms, or at all. Any failure to raise capital
in the future could have a negative impact on our financial condition and
our ability to pursue our business strategies.
Other than our at-the-market facility with H.C.
Wainwright & Co., LLC (“H.C.W.”) we do not currently have any arrangements or credit facilities in place as a source
of funds, and there can be no assurance that we will be able to use such facility or even if we can use such facility there can be no
assurance that we will be able to raise sufficient additional capital on acceptable terms, or at all. Availability of funding from the at-the-market
at-the-market facility is limited due to certain restrictions. We anticipate that the additional funding we require will be funded through
a combination
of private and public equity offerings, debt financings and strategic collaborations. Debt financing, if obtained, may involve agreements
agreements that include covenants limiting or restricting our ability to take specific actions, including issuing shares of our Common
Stock or
other securities and incurring additional debt, and could increase our expenses and require that our assets secure such debt. Equity
Equity financing, if obtained, could result in dilution to our then existing stockholders and/or require such stockholders to waive certain
rights and preferences. If such financing is not available on satisfactory terms, or is not available at all, we may be required to delay,
scale back or eliminate the development of business opportunities and our operations and financial condition may be materially adversely
affected. We can provide no assurances that any additional sources of financing will be available to us on favorable terms, if at all.
In addition, if we are unable to secure sufficient capital to fund our operations, we might have to enter into strategic collaborations
that could require us to share commercial rights to our products or product candidates with third parties in ways that we currently do
not intend or on terms that may not be favorable to us. If we choose to pursue additional indications and/or geographies for any of our
products or product candidates or otherwise expand more rapidly than we presently anticipate, we may also need to raise additional capital
sooner than expected.
Risks Related to Product Development, Regulatory
Approval, ManufacturingManufacturing, and Commercialization
Our future success depends heavily on FDA review of our Phase 3 trial protocol and commencement of our Phase 3 clinical trial.
We completed our EOP2 meeting with FDA on March 26, 2026. Although we clarified a potential registrational path for our planned Phase 3 pivotal trial of CAD-1005 in patients with HIT, we have not yet received the meeting minutes from the FDA, which may contain additional information not discussed in the meeting. Our Phase 3 trial protocol will still be subject to any further comments we may receive from the FDA upon their review of the protocol. The FDA may also require us to conduct additional studies.
The 12-LOX platform of assets is subject to significant clinical risks that could impede our ability to advance CAD-1005 or our second-generation oral candidates.
Our second-generation oral 12-LOX inhibitors for Type 1 Diabetes and vascular health are in early development; any safety or efficacy failures in these programs could negatively impact the perceived value of the 12-LOX platform of assets as a whole. Since the Phase 2 study of CAD-1005 for patients with HIT was not powered for statistical significance, the observed benefit in thrombotic events could be due to chance rather than the product candidate’s efficacy. In addition, the Phase 2 trial did not complete enrollment, only 24 patients out of a planned 60 were treated in the trial before it was terminated. There can be no assurance that future trials will not have recruitment difficulties given the acute and complex nature of the disease.
Inadequate funding for the FDA, the SEC and other government agencies, including from government shutdowns, or other disruptions to these agencies’ staffing and operations, could hinder their ability to hire and retain key leadership and other personnel, prevent new products and services from being developed or commercialized in a timely manner or otherwise prevent those agencies from performing normal business functions on which the operation of our business may rely, which could negatively impact our business.
Our business depends on timely interactions with the FDA, including the review of regulatory submissions, scheduling of formal meetings, and oversight of clinical trials. In fact, we recently attended an EOP2 meeting with the FDA to discuss a registration pathway for our Phase 3 trial. Disruptions at the FDA and other federal agencies, including substantial leadership departures, personnel cuts, policy changes and those related to the federal government shutdown, may result in reduced staffing or suspension of non-essential FDA operations, which could delay or cancel meetings with the FDA, hinder regulatory guidance, delay the implementation or enforcement of regulatory requirements in a timely fashion or at all, and postpone the review of IND applications, New Drug Applications (NDAs), and Biologics License Applications (BLAs). Any delay in our interactions with the FDA or future meetings will result in delay in us commencing future clinical trials of our lead product candidate CAD-1005 in patients with HIT. These disruptions may also affect the initiation, conduct, and monitoring of other clinical trials, particularly those requiring FDA authorization or ongoing regulatory engagement. Interruptions in FDA activities could materially delay our development timelines, increase operational costs, and adversely impact our ability to complete our planned clinical trials and to advance product candidates toward approval and commercialization. Any such delays or uncertainties may have a significant negative effect on our business, financial condition, and results of operations.
In addition, the current U.S. administration is focused on reducing costs of the federal government generally, including significantly reducing the number of government employees. Without appropriation of additional funding to federal agencies, our business operations related to our product development activities for the U.S. market could be impacted. The ability of the FDA to review and approve new products can be affected by a variety of factors, including government budget and funding levels, the ability to hire and retain key personnel and accept the payment of user fees, and statutory, regulatory and policy changes. Average review times at the agency have fluctuated in recent years as a result. In addition, government funding of the SEC and other government agencies on which our operations may rely is subject to the political process, which is inherently fluid and unpredictable.
If the U.S. federal government should experience another shutdown or if the FDA, National Institutes of Health (“NIH”), SEC or the United States Patent and Trademark Office (“USPTO”) experiences significant decreases in funding or personnel, it could significantly impact the ability of the FDA to issue licenses needed for conduct of our clinical trials, the NIH to conduct research or provide grants, and the abilities of the FDA and the USPTO to timely review and process our regulatory submissions, which could have a material adverse effect on our business. Further, future government shutdowns could impact our ability to access the public markets and obtain necessary capital in order to properly capitalize and continue our operations.
There is substantial uncertainty as to whether and how the new administration will seek to modify or revise the requirements and policies of the FDA and other regulatory agencies with jurisdiction over our product candidates and any products for which we obtain approval. Additionally, the new administration could also issue or promulgate executive orders, regulations, policies or guidance that adversely affect us or create a more challenging or costly environment to pursue the development of new therapeutic candidates. Complying with any new legislation and regulatory requirements could be time-intensive and expensive.
Our business is dependent upon the success
of our lead investigational product candidate, tecarfarin,CAD-1005, which requiresrequire additional clinical testing before we can seek regulatory approval
and potentially launch commercial sales. We do not own any other product candidates or have any other products in clinical development.
Our business and future success depends upon
our ability to obtain
regulatory approval of and then successfully commercialize our product candidate, tecarfarin. Tecarfarin is in
late clinical stage development.candidates. Our main focus and the investment of a significant
portion of our efforts and financial resources is
expected to be in the development of our only product candidate, tecarfarin,CAD-1005, for which we are currently planning a
pivotal Phase 3 clinical trial.
Eventrial thoughfor wethe aretreatment pursuingof HIT with a registrationprimary pathwayendpoint basedof onreduction specificin thrombotic events. Even if the FDA inputagrees
with andour guidance,planned registration pathway, there are many uncertainties known and unknown
that may affect the outcome of the trial. These
include adequate patient enrollment, adequate supply of our product candidate, potential
changes in the regulatory landscape, the results
of the trial being successful, and FDA acceptance of the data to support approval. We
will also rely on third parties to conduct the appropriate
clinical trials, and their failure to perform in accordance with applicable law
would have a negative effect on our regulatory submission.
Our future success depends heavily on our ability
to successfully manufacture, develop, obtain regulatory approval, and commercialize tecarfarin,our product candidates, which may never occur. We
currently generate
no revenues from our product candidate,candidates, and we may never be able to develop or commercialize a marketable drug.
Our business is dependent on the Old Dominion License Agreement, and the termination, non-renewal or failure to maintain that agreement could materially and adversely affect our business, financial condition and prospects.
We do not own the intellectual property rights to our lead product candidate, CAD-1005, and instead license them and rely on the Old Dominion License Agreement for the development, manufacture and commercialization of CAD-1005. As a result, our ability to advance our CAD-1005 clinical program, obtain regulatory approval, and commercialize CAD-1005, if approved, is dependent on our continued rights under such agreement. The Old Dominion License Agreement may be terminated by the Licensor upon the occurrence of certain events, including our failure to meet development or regulatory milestones, to use commercially reasonable efforts, to make required payments (including upfront, milestone or royalty payments), or to comply with other material obligations. In addition, the Licensor may have the right to terminate the agreement for insolvency-related events or, in some circumstances, for convenience. Any termination would result in the loss of our rights to the licensed intellectual property, which would likely force us to discontinue development and commercialization of the CAD-1005. The Old Dominion License Agreement also requires us to make significant payments to the Licensor, including upfront fees, development and regulatory milestone payments, and royalties on future sales. These obligations increase our operating expenses and may reduce our profitability, if achieved, and could require us to raise additional capital.
If we were to lose our rights under the Old Dominion License Agreement, or if the agreement were otherwise terminated or materially modified in a manner adverse to us, we may be unable to continue development or commercialization of CAD-1005 on commercially reasonable terms, if at all. In such event, our business, financial condition, results of operations and prospects would be materially and adversely affected.
All of our current data for our product
candidatecandidates are the results of clinical trials conducted by third parties and do not necessarily provide sufficient evidence that our
products products
are viable as potential pharmaceutical products.products or that we can successfully conduct clinical trials.
We possess toxicology, pharmacokinetic, and other
preclinical data and clinical data on tecarfarinour product candidates from studies and trials conducted several years ago by third parties.parties, Assome of now,which tecarfarinwere several
hasyears been tested in eleven clinical trials and is now in preparation to enter a pivotal Phase 3 trial.ago. There is no guarantee that Phase
1 or Phase 2 resultsresults, as applicable, from the clinical trials for our product candidates
that were conducted by third-parties can or will be replicated by theour pivotalplanned Phaseclinical 3trials study.for such product candidates. Further, as
the clinical trials were conducted by third
parties and were completed prior to our ownership of the technology and data, we cannot be
assured that such trials were conducted in
compliance with applicable statutes, rules, regulations, and guidelines applicable to such
trials.
Previous clinical trials using tecarfarinmay have
had different trial designs, doses,
parameters and endpoints than the planned clinical trials. With respect to our planned Phase 3 clinical trial that is expected to serve
as a basis
for approval of tecarfarin.CAD-1005, Wewe intend to design the Phase 3 protocol based on input from our recentEOP2 meeting with the FDA,FDA. however,Our therePhase
can3 be no assurance that thetrial protocol will still be acceptedsubject byto any further comments we may receive from the FDA.FDA Weupon plantheir toreview use a fixed dose in future clinical trials that we believe
provides good coverage givenof the doseprotocol. ranges tested clinically; however, However,
it is possible that the doseresults selectedseen will not bein the optimal
doseVeralox andPhase so2 drug effectstrial may be limited or not be demonstrated sufficiently in our clinical testing.
As all of ourthe clinical trials for our product
candidates to date were
conducted by third parties, we cannot be assured that such clinical trials were in compliance with applicable
laws, rules and regulations.
WeSince we did not acquire CAD-1005, tecarfarin
and frunexian until December 2025, April of
2022,2022 and September 2025, respectively, we do not have first-hand knowledge of how the Phase
1 and Phase 2 clinical trials for such product candidates, as applicable, were completed.completed to date. As such, we cannot be assured that
that such clinical trials were conducted in full compliance with applicable laws, rules and regulations. Additionally, we cannot be assured
historical data for such trials are accurate and sufficient for acceptance by the FDA. While we are not aware of any issues in relation
to such trials and the performance thereof, we cannot be assured that we may learn in the future that there was a failure to abide by
such laws, rules and regulations, which could potentially expose us to issues with regards to our Phase 3planned clinical trials or otherwise
create risks unknown to us with regards to our technology.
Despite the global burden of cardiovascular disease,
investment in cardiovascular drug development has stagnated over the past two decades, with relative underinvestment compared with other
therapeutic areas. The reasons for this trend are multifactorial, but of primary concern is the high cost of conducting cardiovascular
outcome trials in the current regulatory environment that demands a direct assessment of risks and benefits, using clinically meaningful
cardiovascular endpoints. In addition, clinical trials are difficult to design and implement, can take many years to complete and are
uncertain as to outcome. Success in early phases of pre-clinical and clinical trials does not ensure that later clinical trials will
be successful, and interim results of a clinical trial do not necessarily predict final results. There is no guarantee that our clinical
trials will reach statistical significance on their endpoints, or that any product candidate including CAD-1005 will demonstrate superiority
to warfarincurrent standard of care or any other therapy. A failure
of one or more of clinical trials can occur at any stage of testing. Our
product candidate may prove to have undesirable or unintended
side effects, toxicities or other characteristics that may preclude our
obtaining regulatory approval or prevent or limit commercial
use with respect to one or all intended indications. In addition, we may
experience other numerous unforeseen events during, or as a
result of, the clinical trial process that could delay or prevent our ability
to continue development. Development stage risks include
the following:
Even if we successfully complete our clinical
trials, we may not receive regulatory approval for tecarfarin,our product candidates, and we may not be able to commercialize our product candidate candidates
and our
ability to generate revenue will be limited.
The research, testing, manufacturing, labeling,
packaging, storage,
approval, sale, marketing, advertising and promotion, pricing, export, import and distribution of drug products are
subject to extensive
regulation by the FDA and other regulatory authorities in the United States and other countries, which regulations
differ from country
to country. We are not permitted to market our product candidatecandidates in the United States until we receive approval
of an NDA from the FDA
and and, in non-U.S. marketsmarkets, until we receive the requisite approval from comparable regulatory agencies in such
countries. Of the large number
of drugs in development, only a small number are submitted for approval to the FDA through an NDA and
even fewer are eventually approved
for commercialization. We may not succeed at gaining regulatory approval, which would materially harm
our business.
The process of obtaining regulatory approvals
is expensive, often takes many years, if approval is obtained at all, and can vary substantially based upon, among other things, the
type, complexity and novelty of the product candidates involved, the jurisdiction in which regulatory approval is sought and the substantial
discretion of the regulatory authorities. Changes in regulatory review for a submitted product application may cause delays in approval
or rejection of an application. Regulatory approval obtained in one jurisdiction does not necessarily mean that a product candidate will
receive regulatory approval in all jurisdictions in which we may seek approval, but the failure to obtain approval in one jurisdiction
may negatively impact our ability to seek or gain approval in a different jurisdiction. Obtaining foreign regulatory approvals and compliance
with foreign regulatory requirements could result in significant delays, difficulties and costs for us and could delay or prevent the
introduction of our products in certain countries. If we fail to comply with the regulatory requirements in international markets and/or
fail to receive applicable marketing approvals, our target market will be reduced and our ability to realize the full market potential
of tecarfarinour current product candidates or any future product candidates will be harmed.
CAD-1005 has ODD from the FDA for prophylaxis of thrombosis in patients with heparin-induced thrombocytopenia (HIT) as well as FDA Fast Track designation for the treatment and prevention of HIT and orphan designation from the EMA for the treatment of platelet-activating factor 4 disorders. Tecarfarin has ODD from the FDA for the prevention of systemic thromboembolism (blood clots) of cardiac origin in patients with ESKD and AFib, as well as for the prevention of thrombosis and thromboembolism in patients with an implanted mechanical circulatory support device, which includes LVADs, a mechanical heart pump. However, these orphan designations do not guarantee that the FDA or the EMA will approve the NDAs (or equivalent in the European Union) for such product candidates. Even if we obtain FDA or EMA approval, we may not be able to obtain or maintain orphan drug exclusivity for such product candidates. We may not be the first to obtain marketing approval of CAD-1005 and/or tecarfarin for their respective orphan-designated indications due to the uncertainties associated with developing pharmaceutical products. In addition, exclusive marketing rights in the United States may be limited if we seek approval for an indication broader than the orphan-designated indication or may be lost if the FDA later determines that the request for designation was materially defective or if we are unable to assure sufficient quantities of the product to meet the needs of patients with the rare disease or condition. Further, even if we obtain orphan drug exclusivity for a product, that exclusivity may not effectively protect the product from competition because different drugs with different active moieties may be approved for the same condition, or the competitive product is otherwise outside the scope of exclusivity. Even after an orphan drug is approved, the FDA can subsequently approve the same drug with the same active moiety for the same condition if the FDA concludes that the later drug is clinically superior in that it is shown to be safer, more effective or makes a major contribution to patient care or the manufacturer of the product with orphan exclusivity is unable to maintain sufficient product quantity. Orphan 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, nor does it prevent competitors from obtaining approval of the same product candidate for indications other than those in which orphan designation have been granted.
If a product candidate is intended for the treatment
of a serious or life-threatening condition and the product candidate demonstrates the potential to address unmet medical need for this
condition, the sponsor may apply for FDA Fast Track designation. However, a Fast Track designation does not ensure that the product candidate
will receive marketing approval or that approval will be granted within any particular timeframe. As a result, while weCAS-1005 havehas received
Fast Track designation for the treatment and prevention of HIT and tecarfarin for the prevention of systemic thromboembolism of cardiac
origin in patients with ESKD and AFib,
AFib an, we may not experience a faster development process, review or approval compared to conventional
FDA procedures. In addition, the FDA
may withdraw Fast Track designation if it believes that the designation is no longer supported by
data from our clinical development
program. Fast Track designation alone does not guarantee qualification for the FDA’s priority
review procedures.procedures and does not assure ultimate approval by the FDA.
Even if we obtain regulatory approval,
we will still face ongoing regulatory requirements and tecarfarinour product candidates may face future development and regulatory difficulties.
Even if we receive regulatory approval of tecarfarinour
current product candidates or any future
product candidates, we will be subject to ongoing regulatory obligations, such as post market
surveillance and cGMP requirements, and
continued regulatory review, which may result in significant additional expense. We may also
be subject to penalties if we fail to comply
with regulatory requirements or experience unanticipated problems with product candidates.
In addition, third parties on whom we rely
must comply with regulatory requirements, and any non-compliance on their part may negatively
impact our business, assuming we obtain
regulatory authorization at all.
Any regulatory approvals that we receive for
product candidates will
require surveillance to monitor the safety and efficacy of the product candidate. The FDA may also require a
Risk Evaluation and Mitigation
Strategy (“REMS”) program in order to approve product candidates, which could entail requirements
for a medication guide,
physician communication plans or additional elements to ensure safe use, such as restricted distribution methods,
patient registries and
other risk minimization tools. The FDA could also require a boxed warning, sometimes referred to as a Black Box
Warning on the product
label to identify a particular safety risk, which could affect commercial efforts to promote and sell the product.
In addition, if the
FDA or a comparable foreign regulatory authority approves product candidates, the manufacturing processes, labeling,
packaging, distribution,
adverse event reporting, storage, advertising, promotion, import, export and recordkeeping for product candidates
will be subject to extensive
and ongoing regulatory requirements. These requirements include submissions of safety and other post-marketing
information and reports,
registration, as well as continued compliance with cGMPscGMP and current good clinical practices (“GCPs”)GCP for any clinical trials
that we conduct
post-approval. We are also subject to certain user fees imposed by the regulatory agencies. Later discovery of previously
unknown problems
with product candidates, including adverse events of unanticipated severity or frequency, or with our third-party manufacturers
or manufacturing
processes, or failure to comply with regulatory requirements, may result in, among other things:
The FDA’spolicies of the FDA and other regulatory authorities’
policiesauthorities may change, such as those required by the 21st Century Cures Act, and additional government regulations may be
enacted enacted
that could prevent, limit or delay regulatory approval of tecarfarinour current product candidates or any future product candidates. In
addition, it is unclear what
changes, if any, the new presidential administration may bring. We cannot predict the likelihood, nature
or extent of government regulation
that may arise from future legislation or administrative action, either in the United States or abroad.
If we are slow or unable to adapt
to changes in existing requirements or the adoption of new requirements or policies, or if we are not
able to maintain regulatory compliance,
we may lose any marketing approval that we may have obtained and we may not achieve or sustain
profitability.
As part of the regulatory process, we must conduct
clinical trials for each product candidate to demonstrate safety and efficacy to the satisfaction of the FDA and other regulatory authorities.
As we advance tecarfarinCAD-1005 or any future product candidates we expect that our expenses will increase. The number and design of the clinical
trials that will be required varies depending upon product candidate, the condition being evaluated, current medical strategies and the
trial results themselves. Therefore, it is difficult to accurately estimate the cost of the clinical trials. Clinical trials are very
expensive and difficult to design and implement, in part because they are subject to rigorous regulatory requirements. The clinical trial
process is also time consuming. We estimate that clinical trials of each of our product candidates including tecarfarin,candidates, will take at least several years
years to complete. Furthermore, failure can occur at any stage of the trials, and we could encounter problems that cause us to abandon
or repeat
clinical trials. The commencement and completion of clinical trials may be delayed or prevented by several factors, including:
In addition, we or the FDA may suspend or terminate
our clinical trials at any time if it appears that we are exposing participants to unacceptable health risks or if the FDA finds deficiencies
in our Investigational New Drug, or IND,IND submissions or the conduct of these trials. Therefore, we cannot predict with any certainty
when, if ever, future clinical
trials will commence or be completed.
Delays or difficulty in the enrollment of patients in any or all of our clinical trials could increase our development costs and delay completion of our clinical trials and associated regulatory submissions.
We may not be able to initiate or continue clinical trials for our product candidates if we are unable to locate and enroll a sufficient number of eligible patients to participate in these trials as required by the FDA or other regulatory authorities. The Phase 2 trial of CAD-1005 in patients with HIT enrolled only 24 patients out of a planned 60 and was terminated early. It is unclear whether the trial would have been fully enrolled if it were not terminated early. A pandemic or epidemic would likely make this even more challenging. Even if we are able to enroll a sufficient number of patients in our clinical trials, if the pace of enrollment is slower than we expect, the development costs for our product candidates may increase, and the completion of our trials may be delayed or our trials could become too expensive to complete.
Even if approved, tecarfarinour product candidates
may not have
labeling that allows us to successfully commercialize it.
The commercial success of tecarfarin and any
of our future product candidates
will depend in significant measure upon our ability to obtain approval from the FDA and other regulatory
authorities of labeling describing
a product candidate’s expected features or benefits. Regulatory authorities may approve tecarfarin
a product candidate for fewer or more limited
indications than we request or may approve tecarfarina product candidate with labeling that does not include the labeling claims
necessary or desirable
for the successful commercialization of that indication. Failure to achieve approval from the FDA or other regulatory
authorities of
product labeling containing certain types of information on features or benefits of our products will prevent or substantially limit
limit our advertising and promotion of such features in order to differentiate our product candidates or any future product candidates from
from those products already existing in the market. This may make it difficult or impossible to achieve commercial success.
If any of our product candidatecandidates is approved,
our our
success depends on our commercialization efforts, which may not be achieved. If we are unable to commercialize our product candidate,
or experience significant delays in doing so, our business could be materially harmed.
We will invest a significant portion of our efforts
and financial resources into the development and commercialization of tecarfarin.our product candidates. Product revenues from our product candidate, tecarfarin,candidates
which will not be realized until after regulatory approval, if ever, will depend on the successful development, regulatory approval and
eventual commercialization of these product candidates. The success of our product candidate will depend on several factors, including
the following:
If we do not achieve one or more of these factors
in a timely manner or at all, we could experience significant delays or an inability to successfully commercialize our product candidate,
which would materially harm our business. In addition, even if we obtain regulatory approvals for tecarfarin,any of our product candidates, the
timing or scope of
any approval may prohibit or reduce our ability to commercialize tecarfarinsuch product candidate successfully. For example,
if the approval process takes
too long, we may miss market opportunities and give other companies the ability to develop competing products
or establish market dominance.
Also, any regulatory approval we ultimately obtain may be limited or subject to restrictions or post-approval
commitments that render
tecarfarin such product candidate not commercially viable. For example, regulatory authorities may grant approval contingent
on the performance of costly post-marketing
clinical trials or, outside the U.S., they may not accept or approve the price we intend
to charge for tecarfarin.a product candidate. Further, the FDA or
comparable foreign regulatory authorities may place conditions on approvals, such
as risk management plans and Risk Evaluation and Mitigation
Strategies, orStrategies REMS,(“REMS”), to assure the safe use of the drug. If the
FDA concludes a REMS is needed, the sponsor of the NDA must submit a
proposed REMS; the FDA will not approve the NDA without an approved
REMS, if required. A REMS could include medication guides, physician
communication plans, and/or elements to assure safe use, such as
restricted distribution methods, patient registries and other risk minimization
tools. The FDA may also require a REMS for an approved
product when new safety information emerges. Any of these limitations on approval
or marketing could restrict the commercial promotion,
distribution, prescription or dispensing of tecarfarin.such product candidate. Moreover, product approvals
may be withdrawn for non-compliance with
regulatory standards or if problems occur following the initial marketing of the product. Any
of the foregoing scenarios could materially
harm the commercial success of tecarfarin.our product candidates.
Our potential future product candidate,
tecarfarin,candidates may fail to achieve
the degree of market acceptance by physicians, patients, healthcare payors and others in the medical
community necessary for commercial
success.
The commercial success of any potentialof futureour product
product candidates, including tecarfarin,candidates for which we may obtain marketing approval from the FDA or other regulatory authoritiesauthorities, will
depend upon their acceptance
by the medical community and third-party payors as clinically useful, cost-effective and safe. The degree
of market acceptance of any
drug depends on a number of factors, such as:
We have never submitted an NDA to the FDA or
comparable applications to other regulatory authorities and expect to rely on consultants and third-party contract research organizations,organizations
or CROs,(“CROs”), with expertise in this area to assist us in this process. Securing FDA approval requires the submission of pre-clinical,
clinical clinical
and/or pharmacokinetic data, information about product manufacturing processes and inspection of facilities and supporting information
to the FDA for each therapeutic indication to establish a product candidate’s safety and efficacy for each indication. Regulatory
authorities in other jurisdictions impose similar requirements. If we are unable to successfully complete the approval process with the
FDA or comparable applications of other regulatory authorities, our business will not be successful.
Although we have been granted orphan drug designation
for tecarfarin, this does not mean FDA will approve the NDA. Even if we obtain FDA approval, we may not be able to obtain or maintain
orphan drug exclusivity for tecarfarin. We may not be the first to obtain marketing approval of tecarfarin designation for the orphan-designated
indication due to the uncertainties associated with developing pharmaceutical products. In addition, exclusive marketing rights in the
United States may be limited if we seek approval for an indication broader than the orphan-designated indication or may be lost if the
FDA later determines that the request for designation was materially defective or if we are unable to assure sufficient quantities of
the product to meet the needs of patients with the rare disease or condition. Further, even if we obtain orphan drug exclusivity for
a product, that exclusivity may not effectively protect the product from competition because different drugs with different active moieties
may be approved for the same condition, or the competitive product is otherwise outside the scope of exclusivity. Even after an orphan
drug is approved, the FDA can subsequently approve the same drug with the same active moiety for the same condition if the FDA concludes
that the later drug is clinically superior in that it is shown to be safer, more effective or makes a major contribution to patient care
or the manufacturer of the product with orphan exclusivity is unable to maintain sufficient product quantity. 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, nor does it prevent competitors from obtaining approval of the same product candidate for indications other than those
in which orphan drug designation have been granted.
After approval of tecarfarin,a tecarfarinproduct candidate,
it will remain subject to ongoing regulatory obligations and continued regulatory review, which may result in significant additional
risk risk
and expense.
Management's Discussion & Analysis (MD&A)
New heading “Registered Direct Offering”
New heading “Veralox Asset Purchase”
Removed heading “Private Placement”
Removed heading “Change in fair value of derivative liabilities”
Removed heading “Loss on extinguishment of debt”
Largest changes
“We expect to continue to incur operating losses and negative cash flows for the foreseeable future as we advance our clinical and regulatory activities. Based on our current operating plan, we believe that our existing cash resources will not be sufficient to fund our operating and capital requirements for the next 12 months. To meet anticipated funding needs, we plan to seek additional capital through strategic partnerships, equity offerings, and/or debt financings. However, there can be no assurance that additional funding will be available on acceptable terms or at all. …”see in full comparison
“On December 10, 2025, we entered into the Veralox Purchase Agreement, pursuant to which Veralox sold to us all, or substantially all, of its right title and interest in assets owned or otherwise used or held for use by Veralox in connection with the compound known as CAD-1005, and all back-up and follow-on compounds, including the CAD-2000 series (the “Compounds”), including, without limitation, all intellectual property related to the Compounds, all inventory related to the Compounds, certain contracts including a license agreement, all Permits and other Governmental Authorizations and Books …”see in full comparison
“At the time the initial investigational new drug (IND) application for tecarfarin was filed by its initial sponsor, warfarin was the only marketed oral anticoagulant, and the strategy was to develop tecarfarin as an alternative VKA with superior efficacy and safety over warfarin for a broad range of indications including AFib, deep vein thrombosis (DVT), pulmonary embolism (PE), prevention of pulmonary embolism in patients with venous thrombosis, DVT prevention in patients undergoing certain surgical procedures, thrombosis prevention in patients with mechanical heart valves, and prevention …”see in full comparison
Full comparison: every changed paragraph (38)
The Company Overview
We are a late-stage biopharmaceutical company advancing novel therapies for life-threatening immune and thrombotic conditions. As a result of our acquisition of a 12-LOX platform of assets in December 2025, we transitioned our primary strategic focus to the development of CAD-1005 for the treatment of immune-mediated and thrombotic disorders. Our lead product candidate, CAD-1005, is a first-in-class selective 12-LOX inhibitor being developed to treat HIT, a deadly immune-mediated thrombotic disorder. CAD-1005 has been evaluated in a blinded, placebo-controlled study Phase 2 clinical trial of 24 patients as well as Phase 1 clinical trials in more than 100 patients. On March 26, 2026, we completed our EOP2 meeting with the FDA and clarified a potential registrational path for our planned Phase 3 pivotal trial of CAD-1005 in patients with HIT. Our Phase 3 trial protocol will still be subject to additional information which may be set forth in the final meeting minutes from the FDA and any further comments we may receive from the FDA upon their review of the protocol. CAD-1005 has an ODD from the FDA for prophylaxis of thrombosis in patients with HIT, as well as an FDA Fast Track designation for the treatment and prevention of HIT, and an orphan designation from the EMA for the treatment of platelet-activating factor 4 disorders.
Our broader pipeline includes two additional clinical-stage assets —tecarfarin and frunexian. Tecarfarin is an oral vitamin K antagonist (“VKA”) (a warfarin replacement for patients with complex needs) designed to prevent heart attacks, strokes, and deaths due to blood clots in patients requiring chronic anticoagulation. Specifically, our focus for tecarfarin is for chronic use in patients with kidney dysfunction or left ventricular assist devices (“LVADs”). Tecarfarin has been specifically designed to overcome metabolic factors that can make warfarin less reliable. Frunexian is a first-in-class, Phase 2-ready intravenous (“IV”) Factor XIa inhibitor designed for acute care settings where contact activation of coagulation by medical devices or artificial surfaces is significant. Frunexian is the only IV FXIa inhibitor in clinical development that targets the acute/critical care hospital setting exclusively.
We are developing tecarfarin, our drug candidate, for
unmet needs in anticoagulation therapy. Tecarfarin is a late-stage novel oral and reversible anticoagulant (blood thinner) designed
to prevent heart attacks, strokes, and deaths due to blood clots in patients with rare cardiovascular conditions requiring chronic anticoagulation.
There is a lack of approved anticoagulation therapies
for certain rare cardiovascular conditions requiring chronic anticoagulation, such as patients with left ventricular assist devices (LVADs),
patients with end-stage kidney disease (ESKD) and atrial fibrillation (AFib), and patients with catastrophic or thrombotic anti-phospholipid
syndrome (APS). For patients with these conditions, treatment guidelines, and not FDA-approved labeling, recommended the use of a vitamin
K antagonist (VKA) such as warfarin, despite warfarin’s acknowledged challenges in achieving sufficiently stable and reliable anticoagulation
in these patients. Additionally, direct-acting oral anticoagulants (DOACs) like Eliquis and Xarelto have either not shown clinical benefits
in these and certain other patient populations, or their efficacy and safety remain uncertain.
At the time the initial investigational new drug
(IND) application for tecarfarin was filed by its initial sponsor, warfarin was the only marketed oral anticoagulant, and the strategy
was to develop tecarfarin as an alternative VKA with superior efficacy and safety over warfarin for a broad range of indications including
AFib, deep vein thrombosis (DVT), pulmonary embolism (PE), prevention of pulmonary embolism in patients with venous thrombosis, DVT prevention
in patients undergoing certain surgical procedures, thrombosis prevention in patients with mechanical heart valves, and prevention of
thrombotic complications in patients after a myocardial infarction (heart attack), among others.
While tecarfarin clinical trials were being conducted
by the initial IND sponsor, the DOACs were advancing through clinical trials and ultimately approved after demonstrating that they were
non-inferior to warfarin in certain indications, including AFib in the general population, prevention of pulmonary embolism in patients
with venous thrombus, and prevention of deep vein thrombosis in patients undergoing certain surgical procedures, among others. These DOAC
clinical studies resulted in a change in the standard of care for a large percentage of the population that had been previously treated
with warfarin, and some of the same population that was initially targeted by prior tecarfarin IND sponsor. Thus, the original broad-label
development plan for tecarfarin became much more challenging.
Accordingly, we are focusing the development of
tecarfarin for rare cardiovascular conditions where patients are unable to achieve sufficiently reliable chronic anticoagulation with
warfarin, and where DOACs have either failed or their efficacy and safety remain unproven. These include patients with LVADs, patients
with ESKD and AFib, patients with mechanical heart valves and ESKD or resistant to warfarin, and patients with catastrophic or thrombotic
APS, among others, where the need for VKA-dependent chronic anticoagulation has been underscored by recent clinical studies. While warfarin-treated
patients have fared better than DOAC-treated patients in comparative studies in certain of these cardiovascular conditions, the event
rates in these studies remain unacceptably high and the quality of anticoagulation in warfarin-treated patients has repeatedly been shown
to be sub-optimal – hence, there continues to be unmet medical needs surrounding the use of warfarin in these patients that are
not addressed – or not addressable - by DOACs.
Tecarfarin has an orphan drug designation from
the FDA for the prevention of thrombosis and thromboembolism (blood clots) in patients with an implanted mechanical circulatory support
device, which includes left ventricular assist device (LVAD), a heart pump. Tecarfarin also has orphan drug and fast-track designations
from the FDA for the prevention of systemic thromboembolism of cardiac origin in patients with end-stage kidney disease (ESKD) and atrial
fibrillation (AFib).
Tecarfarin has been evaluated in eleven (11) human
clinical trials in over 1,000 individuals; (269 patients were treated for at least six months and 129 patients were treated for one year
or more). In Phase 1, Phase 2 and Phase 2/3 clinical trials, tecarfarin has generally been well-tolerated in both healthy adult subjects
and patients with chronic kidney disease (CKD). In the Phase 2/3 trial, EMBRACE-AC, the largest tecarfarin trial with 607 patients having
completed it, including those with mechanical heart valves, only 1.6% of the blinded tecarfarin subjects suffered from major bleeding
and there were no thrombotic events.
Private Placement
On July 12, 2023, we entered into a securities
purchase agreement (the “Purchase Agreement”) with an institutional investor (the “Investor”) pursuant to which
we sold to the Investor in a private placement priced at-the-market (the “Private Placement”) consistent with the rules of
the Nasdaq), (i) an aggregate of 86,667 shares of Common Stock, (ii) in lieu of additional share of Common Stock, pre-funded warrants
(the “Pre-Funded Warrants”) to purchase up to an aggregate of 199,047 shares of Common Stock, and (iii) accompanying common
warrants (the “Common Warrants”) to purchase up to an aggregate of 285,715 shares of Common Stock. The combined purchase price
of each share and accompanying Common Warrants was $26.25. The combined purchase price of each Pre-Funded Warrant and accompanying Common
Warrants was $26.25.
The Private Placement closed on July 14, 2023.
We received aggregate gross proceeds from the Private Placement of approximately $7.5 million before deducting the placement agent commissions
and estimated offering expenses payable by us. H.C. Wainwright & Co., LLC (“H.C.W.”) acted as the placement agent in the
Private Placement, and as part of its compensation, we issued to designees of H.C.W. Placement Agent Warrants to purchase up to 18,571
shares of Common Stock.
WarrantRecent InducementDevelopments
Registered Direct Offering
On December 15, 2025, we entered into a securities purchase agreement with certain investors named on the signature pages thereto, pursuant to which we sold to such investors an aggregate of: (i) in a registered direct offering, 207,374 shares of Common Stock and, (ii) in a concurrent private placement, unregistered common warrants to purchase up to 414,748 shares of Common Stock. The offering price per share was $10.85. The registered direct offering and concurrent private placement were consummated on December 16, 2025 and we received gross proceeds therefrom of approximately $2.2 million.
Veralox Asset Purchase
On December 10, 2025, we entered into the Veralox Purchase Agreement, pursuant to which Veralox sold to us all, or substantially all, of its right title and interest in assets owned or otherwise used or held for use by Veralox in connection with the compound known as CAD-1005, and all back-up and follow-on compounds, including the CAD-2000 series (the “Compounds”), including, without limitation, all intellectual property related to the Compounds, all inventory related to the Compounds, certain contracts including a license agreement, all Permits and other Governmental Authorizations and Books and Records (as such terms are defined in the Veralox Purchase Agreement), free and clear of any liens (the Veralox Assets). The transactions contemplated by the Veralox Purchase Agreement were consummated on December 10, 2025.
The purchase price for the Veralox Assets consisted of (i) a cash payment of $200,000, (ii) the assumption by us of certain assumed liabilities; (iii) contingent milestone payments in an amount not to exceed $15 million, and (iv) royalty payments.
On November 1, 2024, we entered into a warrant inducement letter agreement
(the “Warrant Inducement Agreement”) with a holder (the “Holder”) of outstanding warrants (the “Existing
Warrants”) to purchase up to 285,715 shares of Common Stock (the “Existing Warrant Shares”) issued in a private placement
offering on July 14, 2023 pursuant to which such holder exercised the Existing Warrants at a reduced exercise price of $16.50 generating
approximately $4.7 million in gross proceeds. In consideration of the Holder’s agreement to exercise the Existing Warrants (the
“Warrant Exercise”) in accordance with the Warrant Inducement Agreement, we issued to the Holder new unregistered Series A-1
Common Stock purchase warrants to purchase an aggregate of 285,715 shares of Common Stock, equal to 100% of the number of Existing Warrant
Shares issued upon exercise of the Existing Warrants and new unregistered Series A-2 Common Stock purchase warrants to purchase an aggregate
of 285,715 shares of Common Stock, equal to 100% of the number of Existing Warrant Shares issued upon exercise of the Existing Warrants,
at an exercise price of $16.50 per share.
From January 1, 20252026 through March 13,30, 2025,2026, we
sold 72,224168,690 shares
of our Common Stock through our at-the-market (ATM) facility with H.C.W.H.C.W., These sales were made at a weighted average
price of $20.29 per share, resulting in totalgenerating gross proceeds of approximately $1,466,000$1.4 million and
net proceeds of approximately $1,419,000.$1.3 million.
General and administrative expenses for the years
ended December 31, 2024,2025, and 20232024 were $6.8$9.4 million and $3.5$6.8 million, respectively, representing an increase of approximately $3.2$2.6 million,
or 90%.39%. The increase can beis primarily attributedattributable to a $0.9 million increase in personnel-related expenses as we hired a Chief Operating
Officer in February 2024 as well as annual pay raises for management in January 2024, a $1.4$1.6 million increase in expenses related to being
a public company, a $0.7$0.4 million
increase in stock-based compensation, and a $0.2$0.4 million increase in otherconsulting generalexpenses, and administrative
expenses.a $0.1 million increase in professional fees.
Research and development expenses for the years ended December 31, 2025, and 2024 were $4.1 million and $4.2 million, respectively, representing a decrease of $0.1 million, or 2%. The decrease was primarily attributable to a $0.8 million reduction in consulting expenses, partially offset by a $0.5 million increase in expenses associated with the asset purchase agreements completed in September and December 2025, which were expensed as in-process research and development (IPR&D), a $0.2 million increase in personnel expenses, primarily associated with former Chief Medical Officer’s severance agreement entered into in February 2025, a $0.1 million in clinical trial preparation costs, and a $0.1 million increase in stock-based compensation expense. We anticipate research and development expenses to increase when we commence clinical trials.
Research and development expenses for the years
ended December 31, 2024, and 2023 were $4.2 million and $4.1 million, respectively, representing an increase of $0.1 million, or 3%. The
prior year included a $3.0 million expense for the issuance of 40,000 shares of Common Stock (valued at $3.0 million) in January 2023
to HESP LLC, pursuant to the terms of an Amendment to the Asset Purchase Agreement. Excluding the $3.0 million stock issuance expense
in 2023, research and development expenses increased $3.1 million in 2024 compared to 2023 due to a $1.9 million increase in expenses
associated with chemistry, manufacturing, and controls (“CMC”), a $1.0 million increase in consulting fees, and a $0.1 million
increase in personnel-related expenses.
Interest and dividend income for the years ended
December December
31, 2024,2025, and 20232024 were $0.3$0.2 million and $0.2$0.3 million, respectively. This represents the interest and dividend income earned
from our
investments in money market funds. The increase in interest and dividend income in the current years can be attributed to higher balances
in money market funds.
Change in fair value of derivative
liabilities
Concurrent with the closing of the IPO in January
2023, note holders converted debt into Common Stock, and accordingly, the derivative financial liabilities were de-recognized and reclassified
to stockholders’ equity on January 24, 2023.
The derivative liabilities were considered a level
3 fair value financial instrument and were remeasured up to January 24, 2023, which was the date of derecognition. We recorded a non-cash
charge of $0.2 million in January 2023. This charge represented the increase in the fair value of the derivative liabilities since the
previous measurement date of December 31, 2022. We did not have such activity during the year ended December 31, 2024.
Loss on extinguishment of debt
We recorded a $0.7 million loss on the
extinguishment of debt during the year ended December 31, 2023. This loss represented the unamortized debt discount associated with
the convertible notes and the November promissory notes, which were settled concurrent with the IPO. We did not have such activity
during the year ended December 31, 2024.
Since inception, we have incurred losses and
utilized utilized
cash in operations. To date, we have funded our operations from the proceeds of the sale of convertible and promissory notes,
our IPO
completed in January 2023, our Private Placement completed in July 2023, our Warrant Inducement completed in November 2024, our
December 2025 Registered Offering, and the sale
of Common Stock through our ATM facility. We recognized a net loss of $10.7$13.2 million for
the year ended December 31, 20242025 which included
$1.4 $1.9 million of non-cash expenses. Cash used in operating activities for the year ended
December 31, 20242025 totaled $7.4$12.6 million. As of
March 13, 2025, we had cash and cash equivalents of approximately $7.9 million, which is expected to be sufficient to fund our operations
for at least the next twelve months from the date of the filing of this Annual Report on Form 10-K, however, we will require additional
funding to complete our planned Phase 3 clinical trial and submit our NDA.
We expect to continue to incur operating losses and negative cash flows for the foreseeable future as we advance our clinical and regulatory activities. Based on our current operating plan, we believe that our existing cash resources will not be sufficient to fund our operating and capital requirements for the next 12 months. To meet anticipated funding needs, we plan to seek additional capital through strategic partnerships, equity offerings, and/or debt financings. However, there can be no assurance that additional funding will be available on acceptable terms or at all. These factors raise substantial doubt about our ability to continue as a going concern for at least one year following the issuance of the accompanying financial statements. If we are unable to obtain additional financing, we may be required to delay or reduce the scope of our development programs, implement cost-saving measures, or cease operations entirely. The accompanying financial statements do not include any adjustments that might result from this uncertainty.
During the year ended December 31, 2025, cash used in operating activities was $12.6 million. Net loss adjusted for the non-cash items as detailed on the statement of cash flows, used $11.3 million in cash, and the changes in operating assets and liabilities, as detailed on the statement of cash flows, used $1.3 million in cash primarily from a $0.9 million decrease in accounts payable, a $0.2 million decrease in accrued liabilities, and a $0.2 million increase in prepaid expenses.
During the year ended December 31, 2023, cash
used in operating activities was $3.5 million. Net loss adjusted for the non-cash items as detailed on the statement of cash flows, used
$3.7 million in cash, and the changes in operating assets and liabilities, as detailed on the statement of cash flows, provided $0.1 million
in cash primarily from a $0.7 million decrease in deferred equity offering costs, partially offset by a decrease in accrued liabilities
of $0.2 million and a decrease in accounts payable of $0.2 million.
Net cash provided by financing activities was $6.6 million for the year ended December 31, 2025. This consisted primarily of net proceeds of $4.6 million from sales of common stock under our at-the-market equity program and net proceeds of $2.0 million from our December 2025 registered direct offering, with additional proceeds from the exercise of stock options.
DuringNet cash provided by financing activities was
$9.0 million for the year ended December 31, 2024,2024. netThis cash
provided by financing activities totaled $9.0 million, comprisedconsisted of net proceeds from our ATM facility of $4.8 million from sales of common stock under our
at-the-market equity program and net proceeds
from our Warrant Inducement Agreement of $4.2 million.million from our warrant inducement agreement.
During the year ended December 31, 2023, net cash
provided by financing activities totaled $11.9 million as we completed our IPO in January 2023, generating net proceeds of $5.4 million,
and we completed a private placement financing in July 2023, generating net proceeds of $6.5 million. We also received $0.3 million from
the exercise of warrants that we issued in November 2022, which proceeds were used to repay the notes that were issued in November 2022.
This discussion and analysis of our financial
condition and results of operations is based on our financial statements, which have been prepared in accordance with generally accepted
accounting principles in the United States,States or GAAP.(“GAAP”). The preparation of these financial statements requires us
to make estimates
and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets
and liabilities at
the date of the financial statements, as well as the reported expenses incurred during the reporting periods. Significant
estimates and
assumptions made in the accompanying financial statements include but are not limited to the fair value of financial instruments,
the the
fair value of stock-based awards, deferred tax assets and valuation allowance, income tax uncertainties, and certain accruals. Our
estimates estimates
are based on our historical experience and on various other factors that we believe are reasonable under the circumstances,
the results
of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent
from other
sources. Actual results may differ from these estimated under different assumption or conditions.
What changed in the latest 10-Q
Risk Factors
New heading “Our shift to a partnership and out-licensing strategy may not be successful, and we may be unable to advance our pipeline candidates or continue operations if we do not secure additional funding or strategic transactions.”
New heading “The terms of our recent PIPE Transaction may limit our ability to raise additional capital, and failure to satisfy our registration obligations could require us to make payments that would reduce the cash available to fund our operations.”
New heading “The issuance and resale of shares of Common Stock underlying outstanding warrants may result in substantial dilution and could adversely affect the market price of our Common Stock.”
New heading “The Series C-1 Warrants will not become exercisable unless and until we obtain Stockholder Approval, which we may not obtain.”
Largest changes
“Unlike many other Nasdaq continued listing standards, the new MVLS requirement does not provide a compliance or cure period before a Staff Delisting Determination is issued. Additionally, a request for a hearing before the Hearings Panel does not automatically stay the suspension of trading. …”see in full comparison
“The corporate pivot to a partnership model represents management’s primary strategy to alleviate liquidity pressures. However, the consummation of strategic transactions or partnerships is inherently uncertain and subject to third-party negotiations beyond our control. There can be no assurance that we will be able to identify suitable partners, negotiate acceptable terms, obtain non-dilutive financing or complete any strategic transaction on a timely basis or at all. …”see in full comparison
“The terms of our recent PIPE Transaction may limit our ability to raise additional capital, and failure to satisfy our registration obligations could require us to make payments that would reduce the cash available to fund our operations.”see in full comparison
“There can be no assurance that our MVLS will remain at or above the $5 million threshold for periods long enough to comply with the new standard. Our MVLS may be adversely affected by factors outside of our control, including general market conditions, macroeconomic uncertainty, sector-specific developments, investor sentiment, and volatility in the trading price of our Common Stock. …”see in full comparison
“Our shift to a partnership and out-licensing strategy may not be successful, and we may be unable to advance our pipeline candidates or continue operations if we do not secure additional funding or strategic transactions.”see in full comparison
see in full comparisonTheOnNasdaqJulyhas22, 2026, the SEC approved Nasdaq’s recently proposeda newrulechangechanges to (i) adopt NASDAQ Listing Rule 5550(a)(6) to require issuers listed on the Nasdaq Capital Market to maintain a minimum Market Value of Listed Securities (as defined in Nasdaq Listing Rule 5005(a)(23)) (“MVLS”) of at least $5 million for a period of thirty (30) consecutive business days, and (ii) amend Rule 5810 to suspend trading and immediately delist from Nasdaq securities of issuers that do not satisfy the proposed new requirements, and Rule 5815 to set forth the procedures for requesting a hearing before a Hearings Panel and the scope of the Panel’s discretion. MVLS is generally calculated by multiplying the consolidated closing bid price by the number of shares of listed securities outstanding and, where a company has more than one class or series of equity security listed on Nasdaq, the values are aggregated. Under the new rule, if a company’s MVLS remains below $5 million for 30 consecutive business days, Nasdaq will issue a Staff Delisting Determination and immediately suspend trading of the company’s securities.
Full comparison: every changed paragraph (18)
We
had an accumulated deficit of approximately $41.5$44.8 million as of MarchJune 31,30, 2026 and a net loss of approximately $2.5$5.8 million for the three
six months ended MarchJune 31,30, 2026. We expect to incur significant expenses and continued losses from operations for the foreseeable future.
We believe that our existing cash and cash equivalents will not be sufficient to meet our anticipated cash requirements for the next
twelve months. We will require additional financing as we continue to execute our business strategy, including theadditional need for additional
funds forto the commencement ofadvance our plannedproduct candidates to clinical trial readiness or to commence any clinical trials. Our unaudited financial statementstatements for the threesix months ended MarchJune 31,30, 2026,
2026 were prepared under the assumption that we will continue as a going concern; however, we have incurred significant losses from operations
to date and we expect our expenses to increase in connection with the commencementadvancement of our plannedproduct candidates to clinical trials.trials readiness. These factors raise
substantial doubt about our ability to continue as a going concern for one year after the financial statements are issued. Our unaudited
financial statements for the quarter ended MarchJune 31,30, 2026 contain an explanatory paragraph with respect to this uncertainty. In addition,
in connection with the filing of our Annual Report, our independent registered public accounting firm issued a report that included an
explanatory paragraph with respect to this uncertainty. Our liquidity may be negatively impacted as a result of research and development
cost increases in addition to general economic and industry factors. In order to meet our expected obligations,capital weneeds, intendmanagement tois raisefocusing on securing additional
funds throughfunds, partneringwhich andmay include strategic partnerships, out-licensing agreements, non-dilutive grant funding, sales under our ATM facility with H.C.W., equity andofferings, debt financingsfinancings, or a combination ofthereof. theseHowever, potential sources of liquidity. Therethere can be no assurance
that fundingwe will be availableable to complete partnering transactions or financings on terms acceptable terms,to on a timely basis,us or at all.all or that we will be awarded any grant funding. The various ways that we could raise capital carry
potential risks. Any additional financing will likely involve the issuance of our equity securities, which will have a dilutive effect
on our stockholders. Any debt financing, if available, may involve restrictive covenants that may impact our ability to conduct our business.
If we raise funds through partnering, such as collaborations and licensing arrangements, we might be required to relinquish significant
rights to our technologies or grant licenses on terms that are not favorable to us. If we do not succeed in raising additional funds
on acceptable terms or at all, we may be unable to advance our product candidates to clinical trial readiness or to complete the plannedany clinical trials. As such, we cannot conclude that such plans
will be effectively implemented within one year after the date that the financial statements included in this Quarterly Report on Form 10Q are filed
with the SEC and there is uncertainty regarding our ability to maintain liquidity sufficient to operate our business effectively, which
raises substantial doubt about our ability to continue as a going concern.
Our securities are listed on The Nasdaq Capital Market, a national securities exchange. We cannot be assured that we will continue to comply with the rules, regulations or requirements governing the listing of our Common Stock on Nasdaq Capital Market Stock Market LLC (“Nasdaq”) or that our securities will continue to be listed on Nasdaq Capital Market in the future. If Nasdaq should determine at any time that we fail to meet Nasdaq requirements, we may be subject to a delisting action by Nasdaq.
As reported in thisour Quarterly Report on Form
10-Q, at10-Q for the quarter ended March 31, 2026,2026 our stockholders’ equity of $1.8 million isas of March 31, 2026 was below the minimum stockholders’ equity requirement
of at least $2,500,000 for continued listing on The Nasdaq Capital Market pursuant to Nasdaq Listing Rule 5550(b)(1) (the
“Stockholders’ Equity Requirement”). We believe that we have regained compliance with the Stockholders’
Equity Requirement as a result of our receipt of net proceeds of $2.3 million from the exercise of the Existing Warrants in
connection with the Warrant Inducement consummated on April 1, 2026. DespiteAs that we believe we have regained compliance withof the
Stockholders’ Equitydate Requirement, Nasdaq may issue a deficiency letter subsequent toof the filing of this Quarterly Report on
Form 10-Q.10-Q, Nasdaq has not issued a deficiency letter related to our compliance with the Stockholders’ Equity Requirement. Nasdaq will continue to monitor our ongoing compliance with the Stockholders’ Equity Requirement, and if at the
time of our next periodic report we do not evidence compliance, we may be subject to delisting.
TheOn NasdaqJuly has22, 2026, the SEC approved Nasdaq’s recently proposed a new rule change
changes to (i) adopt NASDAQ Listing Rule 5550(a)(6) to require issuers listed on the Nasdaq Capital Market to maintain a minimum Market Value of Listed
Securities (as defined in Nasdaq Listing Rule 5005(a)(23)) (“MVLS”) of at least $5 million for a period of thirty (30) consecutive business days,
and (ii) amend Rule 5810 to suspend trading and immediately delist from Nasdaq securities of issuers that do not satisfy the proposed
new requirements, and Rule 5815 to set forth the procedures for requesting a hearing before a Hearings Panel and the scope of the Panel’s
discretion. MVLS is generally calculated by multiplying the consolidated closing bid price by the number of shares of listed securities outstanding and, where a company has more than one class or series of equity security listed on Nasdaq, the values are aggregated. Under the new rule, if a company’s MVLS remains below $5 million for 30 consecutive business days, Nasdaq will issue a Staff Delisting Determination and immediately suspend trading of the company’s securities.
Unlike many other Nasdaq continued listing standards, the new MVLS requirement does not provide a compliance or cure period before a Staff Delisting Determination is issued. Additionally, a request for a hearing before the Hearings Panel does not automatically stay the suspension of trading. While the Hearings Panel may reverse a Staff Delisting Determination if it concludes that Nasdaq made an error, or in limited circumstances grant an exception of up to 180 calendar days for a company to demonstrate compliance with Nasdaq’s initial listing standards — which are generally more stringent than the continued listing standards — there can be no assurance that any such relief would be granted. A company may further appeal an adverse Hearings Panel decision to the Nasdaq Listing and Hearing Review Council; however, the company’s securities would generally trade in the over-the-counter market during the pendency of any such appeal.
However, on July 29, 2026, Nasdaq’s new continued listing requirement requiring companies to maintain at least $5 million in MVLS was automatically stayed. For now, Nasdaq’s new $5 million MVLS continued listing requirement is not effective. The SEC must decide whether to review the approval and, if it does, whether to affirm, modify, reverse, set aside, or remand the matter for further proceedings. The SEC may also decline review. During that process, the stay remains in place, and there is no prescribed timeline for the SEC to reach a decision. Because filing a petition for SEC review is generally a prerequisite to seeking judicial review, the matter could ultimately proceed to a federal court of appeals. If that occurs, the listing requirement could remain stayed during the pendency of the litigation, potentially delaying implementation for a significant period of time.
There can be no assurance that our MVLS will remain at or above the $5 million threshold for periods long enough to comply with the new standard. Our MVLS may be adversely affected by factors outside of our control, including general market conditions, macroeconomic uncertainty, sector-specific developments, investor sentiment, and volatility in the trading price of our Common Stock. Because the rule is triggered by 30 consecutive business days below the threshold, even a sustained but temporary decline in our stock price could result in non-compliance and the immediate suspension and delisting of our Common Stock.
Our shift to a partnership and out-licensing strategy may not be successful, and we may be unable to advance our pipeline candidates or continue operations if we do not secure additional funding or strategic transactions.
In response to liquidity constraints, management has formally pivoted its operational strategy from independent late-stage clinical development to advancing an out-licensing, portfolio monetization, and corporate partnership model, rather than independently funding late-stage clinical development of our lead assets as we lack the financial resources to independently fund Phase 3 clinical progression for our pipeline candidates. Management’s plans to mitigate these conditions are centered on:
The corporate pivot to a partnership model represents management’s primary strategy to alleviate liquidity pressures. However, the consummation of strategic transactions or partnerships is inherently uncertain and subject to third-party negotiations beyond our control. There can be no assurance that we will be able to identify suitable partners, negotiate acceptable terms, obtain non-dilutive financing or complete any strategic transaction on a timely basis or at all. Even if we enter into a partnership, license or co-development arrangement, our collaborators may not allocate sufficient resources to our programs, may prioritize other programs over ours or may fail to perform as expected. If we are unable to monetize our assets or obtain additional funding, we may be required to delay, scale back or discontinue development programs, liquidate intellectual property or other assets, or cease operations entirely.
The terms of our recent PIPE Transaction may limit our ability to raise additional capital, and failure to satisfy our registration obligations could require us to make payments that would reduce the cash available to fund our operations.
In connection with the PIPE Transaction, we agreed to certain restrictions on issuing Common Stock or common stock equivalents and filing new registration statements for a period following the applicable effective date, subject to limited exceptions. We also agreed not to enter into variable-rate transactions for a period of one year following the applicable effective date, subject to a limited exception permitting sales under our at-the-market facility beginning 60 days after such effective date.
Because we expect to require substantial additional capital, these restrictions could limit our ability to raise capital on favorable terms, or at all, during the restricted periods. In addition, under the registration rights agreement entered into in connection with the private placement, we are required to file and maintain a resale registration statement covering certain warrant shares and may be required to pay liquidated damages if we fail to satisfy specified filing, effectiveness or availability requirements. Any such payments would reduce the cash available to fund our operations and could further adversely affect our liquidity.
The issuance and resale of shares of Common Stock underlying outstanding warrants may result in substantial dilution and could adversely affect the market price of our Common Stock.
In connection with the PIPE Transaction, we issued Pre-Funded Warrants, Series C-1 Warrants and Series C-2 Warrants to purchase a significant number of shares of our Common Stock, and we also issued Placement Agent Warrants. A resale registration statement registering the resale of all of the shares of Common Stock issuable upon exercise of such warrants was declared effective by the SEC on July 20, 2026. The issuance of shares of Common Stock upon exercise of these warrants would dilute existing stockholders. Sales of substantial amounts of our Common Stock in the public market, or the perception that such sales may occur, could adversely affect the market price of our Common Stock. The existence of a significant number of outstanding warrants may also make it more difficult for us to raise additional capital on favorable terms.
The Series C-1 Warrants will not become exercisable unless and until we obtain Stockholder Approval, which we may not obtain.
The Series C-1 Warrants issued in the PIPE Transaction will become exercisable only upon the effective date of Stockholder Approval of the issuance of the shares of Common Stock issuable upon exercise of the Series C-1 Warrants. We cannot assure you that we will obtain the required Stockholder Approval. If Stockholder Approval is not obtained, the Series C-1 Warrants will not become exercisable, the shares underlying the Series C-1 Warrants may not be issued, and we may not receive any proceeds from the cash exercise of those warrants. We may also be required to call one or more additional stockholder meetings to seek approval, which could result in additional costs and delays. Any of these outcomes could adversely affect our liquidity, our ability to fund our operations and the value of the Series C-1 Warrants.
a decreased ability to issue additional securities
or obtain additional financing in the future.
Management's Discussion & Analysis (MD&A)
New heading “Our Product Candidates:”
New heading “Clinical Pipeline Expansion & Updates”
New heading “Cardiac Acute Critical Care (CACC) Franchise”
New heading “The Cardiac Acute Critical Care (CACC) Franchise”
New heading “PIPE Transaction”
New heading “April 2026 Warrant Inducement”
New heading “Results of Operations for the Six Months Ended June 30, 2026 and 2025”
New heading “General and administrative expenses”
New heading “Research and development expenses”
New heading “Interest and dividend income”
Largest changes
“For further discussion regarding our liquidity, capital resources, and the management evaluation that led to our substantial doubt about our ability to continue as a going concern, see Note 1—Liquidity to our financial statements included elsewhere in this Quarterly Report on Form 10-Q.”see in full comparison
“Results of Operations for the Six Months Ended June 30, 2026 and 2025”see in full comparison
“We are late-stage biopharmaceutical company advancing specialized therapies for critical care cardiology and orphan cardiovascular conditions. Our pipeline includes CAD-1005, tecarfarin, and frunexian. CAD-1005 is a novel investigational therapeutic in development for the treatment of heparin-induced thrombocytopenia (“HIT”) and Cardiac Surgery-Associated Acute Kidney Injury (“CSA-AKI”). CAD-1005 is designed to selectively inhibit 12-lipoxygenase (“12-LOX”), an enzyme central to platelet immune activation and thrombo-inflammatory signaling in HIT. …”see in full comparison
Full comparison: every changed paragraph (57)
You should read the following management’s discussion and analysis of our financial condition and results of operations in conjunction with our unaudited financial statements and notes thereto included in Part I, Item 1 of this Quarterly Report on Form 10-Q and with our audited financial statements and notes thereto for the year ended December 31, 2025, included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025 filed on March 31, 2026 ((the “Annual Report”) with the U.S. Securities and Exchange Commission (the “SEC”). This discussion, particularly information with respect to our future results of operations or financial condition, business strategy, plans and objectives for future operations, includes forward-looking statements that involve risks and uncertainties as described under the heading “Special note regarding forward-looking statements” in this Quarterly Report on Form 10-Q. You should review the disclosure under Part 1, Item 1A of the Annual Report for a discussion of important factors that could cause our actual results to differ materially from those anticipated in these forward-looking statements. References in this Quarterly Report on Form 10-Q to “we,” “us,” “our” and similar first-person expressions refer to Cadrenal Therapeutics, Inc. (“Cadrenal”).
Our Product Candidates:
We are late-stage biopharmaceutical company advancing specialized therapies for critical care cardiology and orphan cardiovascular conditions. Our pipeline includes CAD-1005, tecarfarin, and frunexian. CAD-1005 is a novel investigational therapeutic in development for the treatment of heparin-induced thrombocytopenia (“HIT”) and Cardiac Surgery-Associated Acute Kidney Injury (“CSA-AKI”). CAD-1005 is designed to selectively inhibit 12-lipoxygenase (“12-LOX”), an enzyme central to platelet immune activation and thrombo-inflammatory signaling in HIT. CAD-1005 is intended to be used alongside existing standards of care and is being developed to address the underlying biological mechanisms that drive disease progression. CAD-1005 has an Orphan Drug Designation (“ODD”) from the U.S Food and Drug Administration (“FDA”) for prophylaxis of thrombosis in patients with HIT, FDA Fast Track designation for the treatment and prevention of HIT, and an orphan designation from the European Medicines Agency for the treatment of platelet-activating factor 4 disorders. Second-generation 12-LOX oral therapeutics (CAD-2000) are also in development for chronic indications.
Tecarfarin is a late-stage oral vitamin K antagonist designed to prevent heart attacks, strokes, and deaths from blood clots in patients requiring chronic anticoagulation, including those with end-stage kidney disease, those with left ventricular assist devices, and potentially those with Kawasaki disease (“KD”), an acute, self-limited, febrile illness that primarily affects children under 5 years old and is the leading cause of acquired heart disease in developed countries.
Tecarfarin has received ODD and Fast Track designation from the FDA for the prevention of systemic thromboembolism of cardiac origin in patients with end-stage renal disease (“ESKD”) and atrial fibrillation (“AFib”). Tecarfarin also received an ODD from the FDA for the prevention of thromboembolism and thrombosis in patients with implanted mechanical circulatory support devices, including left ventricular assist devices (“LVADs”).
On July 8, 2026, we submitted an application for tecarfarin for “Prevention of the Formation of Life-Threatening Blood Clots Inside Coronary Artery Aneurysms in Children with Kawasaki Disease” for a Rare Pediatric Disease Designation (RPDD) with the FDA.
Frunexian is an investigational intravenous Factor XIa inhibitor designed to provide anticoagulation for patients undergoing major cardiac surgery.
However, as discussed in more detail below, we do not currently have the funding to complete clinical trials for any of our product candidates. While we are continuing to advance our product candidates to clinical trial readiness, we do not plan to commence any trials until we have the funding in place to complete the trial. In order to meet our expected capital needs, management is focusing on securing additional funds, which may include the sale of equity, non-dilutive grants, debt financings, a strategic out-licensing and/or a co-development partnership. However, there can be no assurance that we will be able to complete partnering transactions or financings on terms acceptable to us or at all or that we will be awarded any grant funding.
The
Company
We are a late-stage biopharmaceutical company
advancing novel therapies for life-threatening immune and thrombotic conditions. As a result of our acquisition of a 12-lipoxygenase
(“12-LOX”) platform of assets in December 2025, we shifted our primary strategic focus to developing CAD-1005 for the treatment
of immune-mediated and thrombotic disorders. Our lead product candidate, CAD-1005, is a first-in-class selective 12-LOX inhibitor being
developed to treat heparin-induced thrombocytopenia (“HIT”), a deadly immune-mediated thrombotic disorder. CAD-1005 has been
evaluated in a blinded, placebo-controlled Phase 2 clinical trial of 24 patients and in Phase 1 clinical trials involving more than 100
patients.
We
achieved a major regulatory milestone after completing our End-of-Phase 2 (“EOP2”) meeting with the U.S. Food and Drug Administration
(“FDA”) and receiving guidance on key elements of thea Phase 3 pivotal trial for CAD-1005. The EOP2 meeting with the FDA provided
critical guidance on protocol design, study population, dosing, background therapy, exposure, the safety database, and the primary endpoint
of new or worsening thrombotic events. After considering FDA feedback on a pivotal registration study,study we(a plan120 to advance directly to
apatient randomized, blinded, placebo-controlled Phase 3 study evaluating CAD-1005 added to the current standard of care for patients with HIT.HIT), we have concluded that we do not currently have sufficient funding to commence or complete such a trial and we do not plan to commence any trials until we have the funding in place to complete such trial and therefore our focus has been on preparing for clinical trial readiness.
Clinical Pipeline Expansion & Updates
Tecarfarin
We continue to leverage tecarfarin’s distinct metabolic pathway. Because it is metabolized via carboxylesterase-1 (CES-1) rather than the cytochrome P450 pathway, it avoids severe drug-drug interactions and genetic variations.
Our RPDD application provides a comprehensive scientific rationale for tecarfarin. In vitro and in vivo studies demonstrate that tecarfarin is a highly selective vitamin K epoxide reductase (VKOR) inhibitor with antithrombotic potency equivalent to warfarin. Unlike standard therapies, tecarfarin is metabolized via the human carboxyl esterase subunit 2 (hCE2) pathway rather than the hepatic cytochrome P450 system. This structural modification significantly reduces the risk of CYP2C9-mediated drug-drug interactions and patient-specific metabolic variability. Epidemiological data in the submission confirm that the estimated domestic prevalence of this condition falls well below the statutory threshold of 200,000 persons.
CAD-1005
WeIf expectwe should be successful in obtaining funding that ourwould plannedallow us to commence and complete the pivotal Phase 3 study
evaluating CAD-1005 added to the current standard of care for patients with HIT, we expect that the pivotal Phase 3 study will evaluate CAD-1005 in approximately 120 patients across clinical centers worldwide and is intended to support a projected NDANew Drug Application submission
in 2029. The primary endpoint of the Phase 3 study is expected to be the incidence of new or worsening thrombotic events in patients
with Serotonin Release Assay (SRA)-confirmed HIT, with at least one planned interim analysis. We believe that CAD-1005 is the only treatment
in clinical development that targets the underlying immune drivers of HIT. Our Phase 3 trial protocol will remain subject to additional
information and any further comments we may receive from the FDA during their review of the final protocol. CAD-1005 has an ODD from
the FDA for prophylaxis of thrombosis in patients with HIT, an FDA Fast Track designation for the treatment and prevention of HIT, and
an orphan designation from the EMA for the treatment of platelet-activating factor 4 disorders.
CAD-2000
We are also advancing our preclinical platform asset, CAD-2000, a highly selective, orally bioavailable 12-LOX inhibitor designed to treat chronic cardiorenal inflammatory and thrombotic indications. CAD-2000 serves as a potent oral follow-on companion to our Cardiac Acute Critical Care Franchise, potentially enabling prospective partners to capture extended market share across both acute inpatient settings and chronic outpatient follow-up care.
Cardiac Acute Critical Care (CACC) Franchise
We advanced the mapping for our integrated CACC Franchise. This bundle combines our targeted anticoagulation and renal-protective therapies into a unified bedside protocol. It aims to reduce ICU length of stay and minimize mechanical ventilation days. We are finalizing the regulatory pathway to initiate a multi-center investigator-initiated trial to evaluate health economic outcomes, maximizing the bundle’s attractiveness to potential commercial partners.
Our Strategy
Our updated corporate strategy focuses on advancing our CACC Franchise through early- to mid-stage validation to secure strategic out-licensing, co-development partnerships, or an outright acquisition. We do not intend to independently fund or execute late-stage Phase 3 clinical trials for any of our three product candidates.
This shift in strategy is driven in part by our current capital constraints and historical challenges in securing sufficient capital on acceptable terms to fund the resource-intensive Phase 3 development. As of the date of the filing of this Quarterly Report on Form 10-Q, our existing cash and cash equivalents are insufficient to fund independent Phase 3 clinical trials. If we are unable to secure strategic partnerships, out-licensing agreements, or alternative non-dilutive funding such as grant funding within the next twelve months, we will lack the financial resources to sustain our operations. In such an event, we may be forced to delay, scale back, or eliminate our research and development programs, liquidate asset portfolios, or cease operations entirely. There can be no assurance that any strategic partnership or transaction will be consummated on favorable terms or at all.
For further discussion regarding our liquidity, capital resources, and the management evaluation that led to our substantial doubt about our ability to continue as a going concern, see Note 1—Liquidity to our financial statements included elsewhere in this Quarterly Report on Form 10-Q.
The Cardiac Acute Critical Care (CACC) Franchise
Following a competitor’s recent Phase 3 failure in CSA-AKI, Cadrenal is highlighting the potential of its 12-LOX inhibitor to address a $1 billion+ market opportunity in this critical care space. CAD-1005 is being studied as a "Post-Operative Shield" that uses 12-lipoxygenase (12-LOX) inhibition to target platelet hyperactivation in HIT while simultaneously reducing inflammation-driven injury in patients with CSA-AKI. This dual-mechanism approach is supported by clinical data on CAD-1005 presented last month at the International Society on Thrombosis and Haemostasis (ISTH) 2026 Congress in Paris. The late-breaking Phase 2 data for CAD-1005 demonstrated a compelling medical profile, with an absolute reduction in thrombotic events greater than 25% and a favorable safety profile and renal-protective baseline.
Our overarching corporate strategy focuses on building, validating, and positioning our targeted portfolio for strategic out-licensing, portfolio monetization, or commercial co-development partnerships. We recently announced the comprehensive alignment of our clinical portfolio into a Cardiac Acute Critical Care Franchise. Rather than deploying the extensive capital required for late-stage clinical development on an individual basis, our primary objective is to maximize asset value through early- to mid-stage validation, robust regulatory profiling, and portfolio integration. This franchise is built on three strategic pillars:
Our
broader pipeline includes two additional clinical-stage assets — tecarfarin and frunexian. Tecarfarin is an oral vitamin K antagonist
(“VKA”) (a warfarin replacement for patients with complex needs) designed to prevent heart attacks, strokes, and deaths from
blood clots in patients requiring chronic anticoagulation. Specifically, our focus for tecarfarin is chronic use in patients with kidney
dysfunction and atrial fibrillation, or in those with left ventricular assist devices (“LVADs”). Tecarfarin has been designed
to overcome metabolic factors that can make warfarin less reliable. Frunexian is a first-in-class, Phase 2-ready intravenous (“IV”)
Factor XIa inhibitor designed for acute care settings where contact activation of coagulation by medical devices or artificial surfaces
is significant. Frunexian is the only IV FXIa inhibitor in clinical development that targets the acute/critical care hospital setting
exclusively.
PIPE Transaction
On June 30, 2026, we entered into a securities purchase agreement with an investor, pursuant to which we issued and sold, in a private placement priced at-the-market under the rules of the Nasdaq Stock Market (the “PIPE Transaction”), (i) pre-funded warrants (the “Pre-Funded Warrants”) to purchase up to an aggregate of 960,000 shares (the “Pre-Funded Warrant Shares”) of our common stock, par value $0.001 per share (the “Common Stock”), (ii) Series C-1 Common Stock warrants (the “Series C-1 Warrants”) to purchase up to an aggregate of 960,000 shares (the “Series C-1 Warrant Shares”) of Common Stock, and (iii) Series C-2 Common Stock warrants (the “Series C-2 Warrants” and, together with the Series C-1 Warrants, the “Common Warrants”) to purchase up to an aggregate of 960,000 shares (the “Series C-2 Warrant Shares” and, together with the Pre-Funded Warrant Shares and the Series C-1 Warrant Shares, the “PIPE Warrant Shares”) of Common Stock, at a combined purchase price of $3.1249 per Pre-Funded Warrant and accompanying Common Warrants. On July 1, 2026, we received aggregate gross proceeds of approximately $3.0 million, before deducting placement agent fees and other offering expenses.
The Pre-Funded Warrants have an exercise price of $0.0001 per share, are exercisable immediately, and do not expire until exercised in full. The Series C-1 Warrants and Series C-2 Warrants each have an exercise price of $3.00 per share. The Series C-1 Warrants become exercisable beginning on the effective date of stockholder approval of the issuance of the Series C-1 Warrant Shares (the “Stockholder Approval”) and will expire five years after the later of the effective date of Stockholder Approval or the effective date of a resale registration statement registering for resale all of the Series C-1 Warrant Shares. The Series C-2 Warrants are exercisable immediately upon issuance and expire 24 months after the earliest of the date that (a) the initial registration statement registering for resale all Pre-Funded Warrant Shares and Series C-2 Warrant Shares has been declared effective by the SEC, (b) all of the PIPE Warrant Shares have been sold pursuant to Rule 144 or may be sold pursuant to Rule 144 without the requirement for us to be in compliance with the current public information required under Rule 144 and without volume or manner-of-sale restrictions, (c) following the one year anniversary of the closing of the PIPE Transaction, provided that a holder of PIPE Warrant Shares is not an affiliate of ours, or (d) all of the PIPE Warrant Shares may be sold pursuant to an exemption from registration under Section 4(a)(1) of the Securities Act, without volume or manner-of-sale restrictions (the “Effective Date”). A resale registration statement registering the resale of all of the PIPE Warrant Shares was declared effective by the SEC on July 20, 2026. We intend to seek Stockholder Approval at our 2026 annual meeting of stockholders, currently scheduled for September 24, 2026.
On March 31, 2026, we entered into a warrant
inducement letter agreement (the “Inducement Agreement”) with a holder of warrants to purchase shares of our common stock,
par value $0.001 per share (the “common stock”), issued in a private placement offering that closed on November 4, 2024 (the
“Existing Warrants”). Pursuant to the Inducement Agreement, on April 1, 2026, the holder of the Existing Warrants exercised
for cash the Existing Warrants to purchase up to an aggregate of 571,430 shares of common stock, at the adjusted exercise price of $4.50
per share (reduced from the initial exercise price of $16.50 per share) and, in consideration for the investor’s exercise of the
Existing Warrants, we issued to such investor new unregistered Series B-1 common stock purchase warrants (the “Series B-1 Warrants”)
to purchase an aggregate of 571,430 shares of common stock and new unregistered Series B-2 common stock purchase warrants (the “Series
B-2 Warrants” and, together with the Series B-1 Warrants, the “New Warrants”) to purchase an aggregate of 571,430 shares
of common stock. The New Warrants are immediately exercisable at an exercise price of $4.50 per share. The Series B-1 Warrants and
the Series B-2 Warrants are exercisable for a term of five (5) years and eighteen (18) months, respectively, from the date that a resale
registration statement registering the resale of the shares of common stock issuable upon exercise of the New Warrants (the “Resale
Registration Statement”) is declared effective by the SEC. The Resale Registration Statement was declared effective on April 29,
2026.
The
transactions contemplated by the agreement closed on April 1, 2026. We received aggregate gross proceeds of approximately $2.5 million
from the exercise of the Existing Warrants, before deducting placement agent fees and other expenses payable by us. H.C. Wainwright &
Co., LLC (“H.C.W.”) served as our exclusive placement agent in connection with the transactionsPIPE consummated pursuant to the
Inducement Agreement.Transaction. As compensation for H.C.W. serving as our placement agent in connection with the offering,PIPE Transaction, we paid H.C.W. a cash
fee equal to 7.0% of the aggregate gross proceeds received upon exercise of the Existing Warrants and we issued to designees of H.C.W.
H.C.W unregistered warrants (the “Placement Agent Warrants”) to purchase up to 37,143an aggregate of 62,400 shares of commonCommon stock,Stock, whichequal warrantsto 6.5% of the Pre-Funded Warrant Shares sold in the PIPE Transaction. The Placement Agent Warrants have substantially the same terms as the Series B-1C-1 Warrants,
except that they are immediately exercisable for a term of five years from the Effective Date and have an exercise price of $5.625$3.9063 per share, which is equal to 125% of the exercise price of the New Warrants.share.
April 2026 Warrant Inducement
On March 31, 2026, we entered into a warrant inducement letter agreement (the “Inducement Agreement”) with a holder of warrants to purchase shares of our Common Stock, which warrants were issued in a private placement offering that closed on November 4, 2024 (the “Existing Warrants”). Pursuant to the Inducement Agreement, on April 1, 2026, the holder of the Existing Warrants exercised for cash the Existing Warrants to purchase up to an aggregate of 571,430 shares of Common Stock, at the adjusted exercise price of $4.50 per share (reduced from the initial exercise price of $16.50 per share) and, in consideration for the investor’s exercise of the Existing Warrants, we issued to such investor new unregistered Series B-1 Common Stock purchase warrants (the “Series B-1 Warrants”) to purchase an aggregate of 571,430 shares of Common Stock and new unregistered Series B-2 common stock purchase warrants (the “Series B-2 Warrants” and, together with the Series B-1 Warrants, the “New Warrants”) to purchase an aggregate of 571,430 shares of Common Stock. The New Warrants are immediately exercisable at an exercise price of $4.50 per share. We received aggregate gross proceeds of approximately $2.6 million from the exercise of the Existing Warrants, before deducting placement agent fees and other expenses payable by us. The Series B-1 Warrants and the Series B-2 Warrants are immediately exercisable for a term of five (5) years and eighteen (18) months, respectively, from the date that a resale registration statement registering the resale of the shares of Common Stock issuable upon exercise of the New Warrants (the “Resale Registration Statement”) is declared effective by the SEC. The Resale Registration Statement was declared effective on April 29, 2026.
H.C.W. served as our exclusive placement agent in connection with the transactions consummated pursuant to the Inducement Agreement. As compensation for H.C.W. serving as our placement agent in connection with the offering, we paid H.C.W. a cash fee equal to 7.0% of the aggregate gross proceeds received upon exercise of the Existing Warrants and we issued to designees of H.C.W. warrants to purchase up to 37,143 shares of Common Stock, which warrants have substantially the same terms as the Series B-1 Warrants, except that they have an exercise price of $5.625 per share, which is equal to 125% of the exercise price of the New Warrants.
During the threesix months ended MarchJune 31,30, 2026,
we sold 168,690189,035 shares of commonour stockCommon Stock through our at-the-market (ATM) facility with H.C.W. These sales were made at a weighted average
price of $8.10$7.71 per share, resulting in total gross proceeds of approximately $1,366,535$1,458,088 and net proceeds of approximately$1,382,670. $1,302,565.During the three months ended June 30, 2026, we sold 20,345 shares of our Common Stock through our ATM facility with H.C.W. These sales were made at a weighted average price of $4.50 per share resulting in total gross proceeds of $91,553 and net proceeds of $80,104.
Results
of Operations for the Three Months Ended MarchJune 31,30 2026 and 2025
The
following table summarizes our results of operations for the three months ended MarchJune 31,30, 2026 and 2025.
General and administrative expenses were $2.6 million for the three months ended June 30, 2026, compared to $2.7 million for the three months ended June 30, 2025, a decrease of approximately $0.02 million, or 1%.
General
and administrative expenses were $1.7 million for the three months ended March 31, 2026, compared to $2.3 million for the three months
ended March 31, 2025, a decrease of approximately $0.5 million, or 23%. The decrease was primarily driven by a $0.2 million decrease
in expenses related to being a public company, a $0.1 million decrease in personnel expenses, a $0.1 million decrease in stock-based
compensation, and a $0.1 million decrease in consulting expenses.
Research
and development expenses were $0.8$0.7 million for the three months ended MarchJune 31,30, 2026, compared to $1.7$1.1 million for the three months ended
March 31,June 30, 2025, a decrease of approximately $0.9$0.4 million, or 54%.35%. The decrease was primarily attributable to a $0.5$0.7 million decrease
in expenses associated with chemistry, manufacturing, and controls (“CMC”), aand $0.3 million decrease in personnel expenses,
a $0.2 million decrease in stock-based compensation, and a $0.1 million decrease in trial readiness expenses. These decreases were partially
offset by a $0.2 million increase in consulting expenses and professional fees. We expect research and development expenses to increase
when if we commence clinical trials.
Results of Operations for the Six Months Ended June 30, 2026 and 2025
The following table summarizes our results of operations for the six months ended June 30, 2026 and 2025.
General and administrative expenses
General and administrative expenses for the six months ended June 30, 2026 and 2025 were $4.4 million and $4.9 million, respectively, representing a decrease of approximately $0.5 million, or 11%. The decrease is primarily attributed to a $0.5 million decrease in expenses related to being a public company, a $0.2 million decrease in annual Delaware franchise taxes, and a $0.1 million decrease in consulting expenses. These decreases were offset by $0.3 million increase in personnel-related expenses as a result of our former Chief Financial Officer’s severance agreement entered into in June 2026 and implemented annual pay raises for management in January 2026.
Research and development expenses
Research and development expenses for the six months ended June 30, 2026 and 2025 were $1.5 million and $2.7 million, respectively, representing a decrease of $1.3 million, or 46%. The decrease is primarily attributed to a $1.2 million decrease in expenses associated with CMC, a $0.3 million decrease in stock-based compensation, a $0.2 million decrease in personnel-related expenses, and a $0.1 million decrease in clinical trial preparation costs. These decreases were offset by a $0.5 million increase in consulting expenses.
Interest and dividend income
Interest and dividend income for the six months ended June 30, 2026 and 2025 were $0.1 million and $0.1 million, respectively. This represents the interest and dividend income earned from our investments in money market funds.
Since
inception, we have incurred recurring losses and utilized cash in operations. To date, we have funded our operations from the proceeds
of the sale of convertible and promissory notes, our IPO completed in January 2023, our private placement offering completed in July
2023, our warrant inducements completed in November 2024 and April 2026, our private placement offering in June 2026, our registered direct offering and concurrent private placement
completed in December 2025, and the sale of commonCommon stockStock through our ATM facility with H.C.W.
As of MarchJune 31,30, 2026, we had cash and cash
equivalents of $2.3$2.4 million.million, which does not include the net proceeds we received on July 1, 2026 from the PIPE Transaction. For the threesix months ended MarchJune 31,30, 2026, we reported a net loss of $2.5$5.8 million, which included $0.3
$0.9 million of non-cash expenses, and cash used in operating activities of $3.0$5.2 million. On April 1, 2026, we completed a warrant
inducement transaction resulting in gross proceeds of approximately $2.5 million, which we expect to partially extend our
operational runway. We expect to continue to incur operating losses and negative cash flows for the foreseeable future as we advance
our clinical and regulatory activities. Based on our current operating plan, we believe that our existing cash resources will not be
sufficient to fund our operating and capital requirements for the next 12 months. With our cash position of $3.5$4.2 million as of
early MayAugust 2026, we believe we will be able to fund our operations intothrough Octoberthe 2026first quarter of 2027; however, the current cash will not be
sufficient to advance our product candidates to clinical trial readiness or to commence and complete our plannedany clinical trials and no assurances can be provided and our cash runway could differ
materially from our expectations based on various factors, many of which are out of our control. ToIn order to meet anticipatedour fundingexpected capital needs,
we planmanagement tois seekfocusing on securing additional capitalfunds, throughwhich may include strategic partnerships, out-licensing agreements, non-dilutive grant funding, sales under our ATM facility with H.C.W., equity offerings, debt
financings, or a combination thereof. However, there can be no assurance that additional fundingwe will be availableable to complete partnering transactions or financings on terms acceptable
terms to us or at all.all or that we will be awarded any grant funding. These factors raise substantial doubt about our ability to continue as a going concern for at least one year
following the issuance of the accompanying financial statements. If we are unable to obtain additional financing, we may be required
to delay or reduce the scope of our development programs, implement cost-saving measures, or cease operations entirely. The
accompanying financial statements do not include any adjustments that might result from this uncertainty.
During
the threesix months ended MarchJune 31,30, 2026, cash used in operating activities was $3.0$5.2 million. Net loss adjusted for the non-cash items as
detailed on the statement of cash flows, used $2.2$4.8 million in cash, and the changes in operating assets and liabilities, as detailed
on the statement of cash flows, used $0.8$0.3 million in cash primarily from a $0.7$0.3 million decrease in accrued liabilities and a $0.2 million
increase in prepaid expenses, partially offset by a $0.2 million increase in accounts payable.
During
the threesix months ended MarchJune 31,30, 2025, cash used in operating activities was $4.6$7.7 million. Net loss adjusted for the non-cash items as
detailed on the statement of cash flows, used $3.3$6.4 million in cash, and the changes in operating assets and liabilities, as detailed
on the statement of cash flows, used $1.3 million in cash primarily from a $0.6 million decrease in accruedaccounts liabilities,payable, a $0.2$0.4 million
decrease in accountsaccrued payableliabilities, and a $0.5$0.3 million increase in prepaid expenses.
During
the threesix months ended MarchJune 31,30, 2026, net cash provided by financing activities totaled $1.3$3.6 million primarily consisting of $2.3 net proceeds received from the useApril 2026 warrant inducement and $1.4 million received upon the sales of Common Stock in our ATM facility.
During
the threesix months ended MarchJune 31,30, 2025, net cash provided by financing activities totaled $2.0$3.2 million from the usesale of Common Stock of our ATM facility.facility and proceeds from the exercise of stock options.
CVKD insider buying and selling (Form 4)
Since 2026-04-11, insiders reported open-market purchases in 0 Form 4 filings and open-market sales in 10 filings (1 insider, 22 trade dates, 97,500 shares, about $388.3K; 9 of these filings say the sales were made under a Rule 10b5-1 trading plan). Net open-market shares: -97,500 (purchases minus sales); net value about -$388.3K.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 |
|---|---|---|---|---|---|
| 2026-06-29 | Pham Quang X |
Open-market sale |
7,400 | $3.03 | $22.4K |
| 2026-06-26 | Pham Quang X |
Open-market sale |
9,029 | $3.05 | $27.5K |
| 2026-06-25 | Pham Quang X |
Open-market sale |
2,127 | $3.00 | $6.4K |
| 2026-06-23 | Pham Quang X |
Open-market sale |
2,277 | $3.20 | $7.3K |
| 2026-06-22 | Pham Quang X |
Open-market sale |
9,167 | $3.55 | $32.5K |
| 2026-06-17 | Pham Quang X |
Open-market sale |
513 | $3.16 | $1.6K |
| 2026-06-16 | Pham Quang X |
Open-market sale |
3,613 | $3.18 | $11.5K |
| 2026-06-15 | Pham Quang X |
Open-market sale | 3,666 | $3.58 | $13.1K |
| 2026-06-12 | Pham Quang X |
Open-market sale | 12,996 | $3.94 | $51.2K |
| 2026-06-11 | Pham Quang X |
Open-market sale | 1,462 | $4.12 | $6.0K |
| 2026-06-10 | Pham Quang X |
Open-market sale |
3,500 | $4.21 | $14.7K |
| 2026-06-09 | Pham Quang X |
Open-market sale |
12,992 | $4.06 | $52.7K |
| 2026-06-08 | Pham Quang X |
Open-market sale |
5,893 | $4.38 | $25.8K |
| 2026-06-05 | Pham Quang X |
Open-market sale |
2,064 | $4.42 | $9.1K |
| 2026-06-04 | Pham Quang X |
Open-market sale |
3,898 | $4.41 | $17.2K |
| 2026-06-03 | Pham Quang X |
Open-market sale |
2,323 | $4.26 | $9.9K |
| 2026-06-02 | Pham Quang X |
Open-market sale |
349 | $4.46 | $1.6K |
| 2026-05-29 | Pham Quang X |
Open-market sale |
303 | $5.01 | $1.5K |
| 2026-05-28 | Pham Quang X |
Open-market sale |
2,989 | $4.93 | $14.7K |
| 2026-05-22 | Pham Quang X |
Open-market sale |
1,165 | $5.69 | $6.6K |
| 2026-05-12 | Pham Quang X |
Open-market sale |
3,298 | $5.28 | $17.4K |
| 2026-05-11 | Pham Quang X |
Open-market sale |
6,476 | $5.76 | $37.3K |
Well-known investors holding CVKD (13F)
None of the 59 investors we track reported a position in their latest 13F.