Tonix Pharmaceuticals Holding Corp. quarterly report, Q2 FY2023

Tonix Pharmaceuticals Holding Corp. — Q2 2023 Form 10-Q

Reporting period: Three and six months ended June 30, 2023. The company is a development-stage biopharmaceutical business that also began commercializing two migraine products acquired from Upsher-Smith on June 30. The filing reports no revenue line in its statements of operations; the acquired products had no effect on reported results because the acquisition closed on the final day of the quarter.

Financial results and liquidity

MetricQ2 2023Q2 2022Six months 2023Six months 2022
Research and development expense$22.0 million$16.6 million$48.5 million$35.0 million
General and administrative expense$7.0 million$6.8 million$14.4 million$14.8 million
Operating loss$29.0 million$23.3 million$62.9 million$49.8 million
Net loss$28.4 million$23.1 million$61.4 million$49.6 million
Net loss per common share$2.68$7.64$5.88$17.28

Loss-per-share figures are presented as losses; comparisons are affected by the 1-for-6.25 reverse stock split and changes in weighted-average shares. Q2 weighted-average shares were 10.6 million versus 3.6 million in 2022. Interest and other income, net, was $0.6 million for Q2 and $1.5 million for the first half. The filing does not provide a clear reported gross margin; the newly acquired products’ sales are shown only in unaudited pro forma information.

  • Cash and liquidity: Cash and cash equivalents were $25.6 million at June 30, down from $120.2 million at year-end 2022. Working capital was $32.9 million; total assets were $159.7 million.
  • Cash flows, first half: $56.3 million used in operations, $27.8 million used in investing, and $10.5 million used in financing. Investing included $22.2 million paid for the Upsher-Smith acquisition and $5.6 million for property and equipment. Financing outflows were mainly $14.0 million of share repurchases.
  • Debt and obligations: The balance sheet reports no borrowing debt. Lease liabilities totaled about $1.3 million, including current and long-term amounts. Contract research organization commitments were approximately $62.8 million for future work.

Changes from the prior comparable period

  • Q2 net loss increased about 23% year over year; first-half net loss increased about 24%. R&D expense rose 33% in Q2 and 39% in the first half, reflecting clinical, staffing, facility, and other development costs.
  • Cash used in operations increased to $56.3 million from $52.2 million in the first half of 2022. Financing shifted from $85.2 million of net inflows in the prior-year period to a $10.5 million outflow, principally because of repurchases and substantially lower equity proceeds.
  • The June 30 Upsher-Smith acquisition added Zembrace SymTouch and Tosymra, $13.7 million of inventory, $10.1 million of developed-technology intangibles, and $1.0 million of goodwill. Preliminary total consideration was $26.5 million, including a $1.3 million inventory adjustment and a $3.0 million deferred payment.
  • Unaudited pro forma results, assuming the acquisition occurred at the start of each period, show net product sales of $3.5 million for Q2 2023 and $7.6 million for the first half of 2023. These are not Tonix’s reported-period sales and are not necessarily indicative of future results.

Outlook, risks, and notable items

  • Going concern: Management states that cash at June 30 plus subsequent equity-offering proceeds is expected to fund operating and capital requirements into Q4 2023, but not beyond. The filing says substantial doubt exists about the company’s ability to continue as a going concern and that it will need additional capital. Without funding, it may delay, reduce, or eliminate development programs.
  • Subsequent financing: An offering closed August 1, 2023, generating approximately $6.2 million net. It included 2.53 million common shares, pre-funded warrants for up to 4.47 million shares, and common warrants for up to 7.0 million shares, creating potential dilution.
  • Development outlook: Management expected topline results in Q3 2023 for TNX-102 SL in fibromyalgia-type Long COVID, and in Q4 2023 for TNX-102 SL in fibromyalgia, TNX-601 ER in major depressive disorder, and TNX-1900 in chronic migraine. A Phase 2 study of TNX-1300 and a Phase 1 study of TNX-1500 were expected to begin in Q3 2023. These candidates remain investigational.
  • Acquisition transition costs: Upsher-Smith’s transition services carry base fees of $100,000 monthly for six months and $150,000 monthly for the next three months, plus additional service-category fees of up to $150,000 monthly. Purchase-price allocation remains preliminary.
  • Other notable items: The company repurchased about $14.0 million of stock in the first half while reporting limited runway. A 1-for-6.25 reverse split took effect May 10, 2023; the company said it regained Nasdaq minimum-bid compliance on May 24. No material legal proceedings or material changes to previously disclosed risk factors were reported.

Important facts for investors to verify

  • Whether additional financing is available and on what terms, and the resulting cash runway after the August offering.
  • Current shares outstanding and the status, exercise terms, and potential dilution from the pre-funded and common warrants.
  • Actual post-acquisition sales, costs, and commercial performance of Zembrace and Tosymra; the filing’s pro forma sales are not reported Tonix revenue.
  • Progress and results of the clinical programs against the timelines described, and any changes in development spending.
  • Final Upsher-Smith purchase-price allocation, inventory-adjustment settlement, deferred payment, and transition-service costs.