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Beyond Air, Inc. - Quarter Report: 2022 December (Form 10-Q)

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended December 31, 2022

 

OR

 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from _________to _________

 

Commission File Number: 001-38892

 

BEYOND AIR, INC.

(Exact name of registrant as specified in its charter)

 

Delaware   47-3812456

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

     
900 Stewart Avenue, Suite 301    
Garden City, NY   11530
(Address of principal executive offices)   (Zip Code)

 

516-665-8200

(Registrant’s telephone number, including area code)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class:   Trading Symbol   Name of each exchange on which registered:
Common Stock, par value $0.0001 per share   XAIR   The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act:

 

Large accelerated filer ☐   Accelerated filer ☐
Non-accelerated filer   Smaller reporting company
    Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No

 

As of February 9, 2023, there were 30,091,307 shares of common stock, par value $0.0001 per share, outstanding.

 

 

 

 

 

 

BEYOND AIR, INC. AND SUBSIDIARIES

INDEX TO FORM 10-Q FILING

FOR THE PERIOD ENDED DECEMBER 31, 2022

 

Table of Contents

 

  Page
   
PART I FINANCIAL INFORMATION 3
   
ITEM 1. Condensed Consolidated Financial Statements (Unaudited) 3
   
ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 23
   
ITEM 3. Quantitative and Qualitative Disclosures About Market Risk 34
   
ITEM 4. Controls and Procedures 34
   
PART II OTHER INFORMATION 35
   
ITEM 1. Legal Proceedings 35
   
ITEM 1A. Risk Factors 35
   
ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds 35
   
ITEM 3. Defaults Upon Senior Securities 35
   
ITEM 4. Mine Safety Disclosures 35
   
ITEM 5. Other Information 35
   
ITEM 6. Exhibits 36
   
SIGNATURES 37

 

2
 

 

PART I FINANCIAL INFORMATION

 

ITEM 1. Financial Statements.

 

CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

INDEX

 

  Page
   
Condensed Consolidated Balance Sheets 4
   
Condensed Consolidated Statements of Operations and Comprehensive Loss 5
   
Condensed Consolidated Statements of Changes in Stockholders’ Equity 6
   
Condensed Consolidated Statements of Cash Flows 8
   
Notes to Condensed Consolidated Financial Statements 9– 22

 

3
 

 

BEYOND AIR, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(amounts in thousands, except share and per share data)

 

   December 31, 2022   March 31, 2022 
   (Unaudited)     
ASSETS          
Current assets          
Cash and cash equivalents  $25,478   $80,242 
Marketable securities   27,641    - 
Restricted cash   10,085    9,988 
Inventory, net   955    350 
Grant receivable   355    322 
Other current assets and prepaid expenses   1,500    2,044 
Total current assets   66,015    92,945 
Licensed right to use technology   1,683    1,837 
Right-of-use lease assets   2,426    2,216 
Property and equipment, net   3,624    1,995 
Other assets   211    207 
TOTAL ASSETS  $73,959   $99,199 
           
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Current liabilities          
Accounts payable  $1,411   $1,129 
Accrued expenses   9,777    8,374 
Operating lease liability   349    281 
Loan payable, current portion   60    927 
Total current liabilities   11,597    10,712 
Operating lease liability   2,282    2,079 
Long-term debt, net   140    200 
Other long-term liabilities   4,500    8,000 
Total liabilities   18,519    20,990 
           
Stockholders’ equity          
Preferred Stock, $0.0001 par value per share: 10,000,000 shares authorized, 0 shares issued and outstanding   -    - 
Common Stock, $0.0001 par value per share: 100,000,000 shares authorized, 30,013,907 and 29,886,173 shares issued and outstanding as of December 31, 2022 and March 31, 2022, respectively   3    3 
Treasury stock   (25)   (25)
Additional paid-in capital   210,097    196,269 
Accumulated deficit   (159,288)   (123,639)
Accumulated other comprehensive income   159    96 
Total stockholders’ equity attributable to Beyond Air, Inc   50,946    72,704 
Non-controlling interests   4,494    5,505 
Total equity   55,440    78,209 
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY  $73,959   $99,199 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

4
 

 

BEYOND AIR, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(amounts in thousands, except share and per share data)

(UNAUDITED)

 

   2022   2021   2022   2021 
   For the Three Months Ended   For the Nine Months Ended 
   December 31,   December 31, 
   2022   2021   2022   2021 
                 
Revenue  $-   $-   $-   $- 
                     
Cost of revenue   68    -    247    - 
                     
Gross profit / (loss)   (68)   -    (247)   - 
                     
Operating expenses:                    
                     
Research and development   5,000    2,543    12,679    8,091 
General and administrative   8,941    4,943    25,144    12,188 
Operating expenses   13,941    7,486    37,823    20,279 
                     
Operating loss   (14,010)   (7,486)   (38,070)   (20,279)
                     
Other income (loss)                    
Interest expense   (46)   (57)   (142)   (377)
Foreign exchange gain / (loss)   286    (8)   (108)   2 
Estimated liability for contingent loss   (248)   -    (248)   (2,742)
Other income / (expense)   219    (412)   317    - 
 Total other expense   211    (476)   (180)   (3,118)
                     
Benefit from income taxes   -    -    -    - 
                     
Net loss  $(13,798)  $(7,962)  $(38,250)  $(23,397)
                     
Less : net loss attributable to non-controlling interests   (1,051)   (223)   (2,601)   (223)
                     
Net loss attributable to Beyond Air, Inc.  $(12,747)  $(7,739)  $(35,649)  $(23,174)
                     
Foreign currency translation gain and loss   (184)   -    159    - 
Comprehensive loss attributable to Beyond Air, Inc.  $(12,931)  $(7,739)  $(35,490)  $(23,174)
                     
Net basic and diluted loss per share attributable to Beyond Air, Inc.  $(0.43)  $(0.29)  $(1.19)  $(0.95)
                     
Weighted average number of shares, outstanding, basic and diluted   29,921,254    26,822,302    29,902,694    24,319,771 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

5
 

 

BEYOND AIR, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

(UNAUDITED)

FOR THE THREE AND NINE MONTHS ENDED DECEMBER 31, 2022

(amounts in thousands, except share data)

 

   Number   Amount   Stock   Capital   Deficit   Income   Interest   Equity 
   Common Stock   Treasury  

Additional

Paid-in

   Accumulated  

Accumulated

Other

Comprehensive

   Non-
Controlling
   Total 
   Number   Amount   Stock   Capital   Deficit   Income   Interest   Equity 
Balance as of April 1, 2022   29,886,173   $3   $(25)  $196,269   $(123,639)  $96   $5,505   $78,209 
Issuance of common stock upon exercise of options – cashless   1,831    -    -    -    -    -    -    - 
Stock-based compensation   -    -    -    4,178    -    -    445    4,624 
Other comprehensive income   -    -    -    -    -    172    -    172 
Net loss   -    -    -    -    (10,934)   -    (720)   (11,654)
Balance as of June 30, 2022   29,888,004   $3   $(25)  $200,448   $(134,573)  $268   $5,230   $71,351 

 

   Common Stock   Treasury  

Additional

Paid-in

   Accumulated  

Accumulated

Other

Comprehensive

   Non-
Controlling
   Total 
   Number   Amount   Stock   Capital   Deficit   Income   Interest   Equity 
Balance as of July 1, 2022   29,888,004   $3   $(25)  $200,448   $(134,573)  $268   $5,230   $71,351 
At the Market issuance of common stock, net   19,300    -    -    214    

-

    

-

    

-

    214 
Issuance of common stock upon exercise of options – cashless   3,903    -    -    -    -    -    -    - 
Stock-based compensation   -    -    -    4,268    -    -    446    4,714 
Other comprehensive income   -    -    -    -    -    171    -    171 
Net loss   -    -    -    -    (11,968)   -    (830)   (12,797)
Balance as of September 30, 2022   29,911,207   $3   $(25)  $204,930   $(146,541)  $438   $4,847   $63,652 

 

   Common Stock   Treasury  

Additional

Paid-in

   Accumulated  

Accumulated

Other

Comprehensive

   Non-Controlling   Total 
   Number   Amount   Stock   Capital   Deficit   Income   Interest   Equity 
Balance as of October 1, 2022   29,911,207   $3   $(25)  $204,930   $(146,541)  $438   $4,847   $63,652 
Issuance of common stock upon vesting of RSU’s   102,700    -    -    -    -    -    -    - 
Stock-based compensation   -    -    -    5,167    -    -    699    5,866 
Other comprehensive income   -    -    -    -    -    (280)   -    (280)
Net loss   -    -    -    -    (12,747)   -    (1,051)   (13,798)
Balance as of December 31, 2022   30,013,907   $3   $(25)  $210,097   $(159,288)  $159   $4,495   $55,440 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

6
 

 

BEYOND AIR, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

(UNAUDITED)

FOR THE THREE AND NINE MONTHS ENDED DECEMBER 31, 2021

(amounts in thousands, except share data)

 

   Number   Amount   Stock   Capital   Deficit   Equity 
          Additional         
   Common Stock   Treasury   Paid-in   Accumulated   Total 
   Number   Amount   Stock   Capital   Deficit   Equity 
Balance as of April 1, 2021   21,828,244   $2   $(25)  $110,948   $(80,462)  $30,464 
At the market stock issuance of common stock, net   1,239,405    -    

-

    7,481    

-

    7,482 
Issuance of common stock pursuant to a Purchase Agreement, net   200,000    -    

-

    1,031    

-

    1,031 
Stock-based compensation   

-

    

-

    

-

    1,216    

-

    1,216 
Net loss   

-

    

-

    

-

    

-

    (6,743)   (6,743)
Balance as of June 30, 2021   23,267,649   $2   $(25)  $120,677   $(87,205)  $33,450 

 

           Additional         
   Common Stock   Treasury   Paid-in   Accumulated   Total 
   Number   Amount   Stock   Capital   Deficit   Equity 
Balance as of July 1, 2021   23,267,649   $2   $(25)  $120,677   $(87,205)  $33,450 
At the market stock issuance of common stock, net   1,659,664    -    

-

    14,958    

-

    14,958 
Issuance of common stock upon exercise of warrants   271,811    -    

-

    (0)   

-

    - 
Issuance of common stock upon exercise of stock options   10,625    -    

-

    50    

-

    50 
Stock-based compensation   

-

    

-

    

-

    1,155    

-

    1,155 
Net loss   

-

    

-

    

-

    

-

    (8,692)   (8,692)
Balance as of September 30, 2021   25,209,749   $3   $(25)  $136,840   $(95,897)  $40,921 

 

   Number   Amount   Stock   Capital   Deficit   Interests   Equity 
   Common Stock   Treasury   Additional
Paid-in
   Accumulated   Non-
Controlling
   Total 
   Number   Amount   Stock   Capital   Deficit   Interests   Equity 
Balance as of October 1, 2021   25,209,749   $3   $(25)  $136,840   $(95,897)  $-    40,921 
At the market stock issuance of common stock, net   1,154,355    -    

-

    14,049    

-

    

-

    14,049 
Issuance of common stock pursuant to a Purchase Agreement, net   900,000    -    

-

    10,107    

-

    

-

    10,107 
Issuance of common stock upon exercise of warrants   748,110    -    

-

    1,391    

-

    

-

    1,391 
Issuance of common stock upon exercise of stock options   149,232    -    

-

    149    

-

    

-

    149 
Stock-based compensation   

-

    

-

    

-

    2,116    

-

    

-

    2,116 
Beyond Cancer issuance of stock (including $1.1 million from related parties)   

-

    

-

    

-

    24,000    

-

    6,000    30,000 
Net Loss   

-

    

-

    

-

    

-

    (7,739)   (223)   (7,962)
Balance as of December 31, 2021   28,161,446   $3   $(25)  $188,652   $(103,636)  $5,777    90,771 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

7
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

(amounts in thousands)

 

   2022   2021 
   For the Nine Months Ended 
   December 31, 
   2022   2021 
         
Cash flows from operating activities          
Net loss  $(38,250)  $(23,397)
Adjustments to reconcile net loss to net cash used in operating activities          
Depreciation and amortization   439    193 
Amortization of licensed right to use technology   154    29 
Stock-based compensation   15,204    4,487 
Amortization of debt discount and accretion of debt issuance costs   -    528 
Amortization of operating lease assets   237    166 
Unrealized gain on marketable securities   (38)   - 
Foreign currency adjustments   144    (7)
Disposal of clinical and medical equipment   235    - 
Provision for inventory losses   49    - 
Changes in:          
Grant receivable   (33)   233 
Inventory   (607)   - 
Other current assets and prepaid expenses   491    (254)
Accounts payable   (338)   286 
Accrued expenses   (2,256)   2,501 
Net cash used in operating activities   (24,569)  $(15,234)
           
Cash flows from investing activities          
Purchase of marketable securities   (32,777)   - 
Proceeds from sale of marketable securities   5,188    - 
Security deposits made on operating leases   (4)   (73)
Purchase of property and equipment   (1,855)   (1,038)
Net cash used in investing activities   (29,447)  $(1,111)
           
Cash flows from financing activities          
Proceeds from issuance of common stock in connection with a Purchase agreement   -    11,138 
Proceeds from issuance of common stock through at the Market offerings   214    36,489 
Proceeds from issuance of common stock through exercise of warrants   -    1,391 
Proceeds from the sale of common stock – Beyond Cancer        25,200 
Proceeds from issuance of common stock through exercise of stock options   -    199 
Payment of loan   (927)   (635)
Net cash (used in) / provided by financing activities   (713)  $73,783 
Effect of exchange rate changes on cash and cash equivalents   63    - 
           
Increase (decrease) in cash, cash equivalents and restricted cash   (54,667)   57,439 
Cash, cash equivalents and restricted cash at beginning of period   90,230    35,268 
Cash, cash equivalents and restricted cash at end of period  $35,563   $92,707 
Supplemental disclosure of non-cash investing and financing activities          
Right-of-use assets  $466   $602 
Operating lease liability  $

466

   $602 
Accelerated amortization of debt discount costs on retirement of debt  $-   $

390

 
Supplemental disclosure of cash flow items:          
Interest paid  $25   $334 
Income taxes paid  $87   $68 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

8
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 1 ORGANIZATION AND BUSINESS

 

Beyond Air, Inc. (together with its subsidiaries, “Beyond Air” or the “Company”) was incorporated on April 28, 2015 under Delaware law. On June 25, 2019, the Company’s name was changed to Beyond Air, Inc. from AIT Therapeutics, Inc.

 

The Company is a commercial stage medical device and biopharmaceutical company developing a platform of nitric oxide (“NO”) generators and delivery systems (the “LungFit® platform”) capable of generating NO from ambient air. The Company’s first device, LungFit® PH (“LungFit® PH”) received premarket approval from the U.S. Food and Drug Administration (the “FDA”), for the treatment of term and near-term neonates with hypoxic respiratory failure, commonly referred to as persistent pulmonary hypertension of the newborn (“PPHN”), in June 2022. The NO generated by the LungFit® PH system is indicated to improve oxygenation and reduce the need for extracorporeal membrane oxygenation in term and near-term (>34 weeks gestation) neonates with hypoxic respiratory failure associated with clinical or echocardiographic evidence of pulmonary hypertension in conjunction with ventilatory support and other appropriate agents. The LungFit® platform can generate NO up to 400 parts per million (“ppm”) for delivery to a patient’s lungs directly or via a ventilator. LungFit® can deliver NO either continuously or for a fixed amount of time at various flow rates and has the ability to either titrate dose on demand or maintain a constant dose. In July 2022, the Company commenced marketing LungFit® PH in the United States for PPHN as a medical device.

 

The Company believes that LungFit® can be used to treat patients on ventilators that require NO, as well as patients with chronic or acute severe lung infections via delivery through a breathing mask or similar apparatus. Furthermore, the Company believes that there is a high unmet medical need for patients suffering from certain severe lung infections that the LungFit® platform can potentially address. The Company’s other areas of focus with the LungFit® platform beyond PPHN are viral community-acquired pneumonia (“VCAP”) including COVID-19, bronchiolitis, nontuberculous mycobacteria (“NTM”) lung infection and those with various severe lung infections with underlying chronic obstructive pulmonary disease (“COPD”). The Company’s current product candidates will be subject to premarket reviews and approvals by the FDA, certification through the conduct of a conformity assessment by a notified body in the European Union (the “EU”), as well as comparable foreign regulatory authorities’ reviews or approvals in other countries or regions.

 

On November 4, 2021, Beyond Air reorganized its oncology business into a new private company called Beyond Cancer, Ltd (“Beyond Cancer”). Beyond Air’s preclinical oncology team and the exclusive right to the intellectual property portfolio utilizing ultra-high concentration of gaseous nitric oxide (“UNO”) for the treatment of solid tumors now reside with Beyond Cancer. The new subsidiary secured $30 million in private placement of common shares, including $4.8 million in conjunction with the retirement of long-term debt, providing investors with 20% equity ownership in Beyond Cancer. Beyond Air retained 80% ownership in Beyond Cancer (see Note 12).

 

9
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 2 SIGNIFICANT ACCOUNTING POLICIES AND OTHER RISKS AND UNCERTAINTIES

 

Basis of Presentation

 

The unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) for interim financial information and with the instructions to the Form 10-Q. Accordingly, they do not include all the information and footnotes required to be presented for complete financial statements. The accompanying unaudited condensed consolidated financial statements reflect all adjustments (consisting only of normal recurring items) which are, in the opinion of management, necessary for a fair presentation of the results for the interim periods presented. The accompanying consolidated balance sheet as of March 31, 2022 (the “2022 Annual Report”) was filed with the U.S. Securities and Exchange Commission (the “SEC”) on June 29, 2022. The unaudited condensed consolidated financial statements and related disclosures should be read in conjunction with the Company’s financial statements and the related notes thereto included in the 2022 Annual Report on Form 10-K.

 

Principles of Consolidation

 

These consolidated financial statements include the accounts of the Company and the accounts of all the Company’s subsidiaries and a variable interest entity (“VIE”) for which the Company is the primary beneficiary. As the Company has both the power to direct activities of Beyond Cancer that most significantly impact Beyond Cancer’s economic performance and the right to receive benefits and losses that may potentially be significant, these financial statements are fully consolidated with those of the Company. The non-controlling owners’ 20% interest in Beyond Cancer’s net assets and result of operations is reported as “non-controlling interest” on the Company’s consolidated balance sheets and as “net income (loss) attributable to non-controlling interest” in the Company’s consolidated statement of operations and comprehensive income (loss). All intercompany balances and transactions have been eliminated in the accompanying financial statements.

 

Reclassifications

 

Certain prior period amounts have been reclassified to conform to the current period presentation. These reclassifications had no effect on the reported results of operations.

 

Use of Estimates

 

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses for the reporting period. Actual results could differ from those estimates. On an ongoing basis, the Company evaluates its significant estimates including accruals for expenses under consulting, licensing agreements, and clinical trials, stock-based compensation, contingency recognition and the determination of deferred tax attributes and the valuation allowance thereon.

 

Liquidity Risks and Uncertainties

 

The Company used cash in operating activities of $24.6 million for the nine months ended December 31, 2022, and has accumulated losses attributable to the stockholders of Beyond Air of $159.3 million. The Company had cash, cash equivalents, marketable securities and certain restricted cash of $55.7 million as of December 31, 2022 ($33.3 million excluding Beyond Cancer (see Note 2)). Based on management’s current business plan and taking into consideration cash designated for the Beyond Cancer program, the Company estimates that its cash and liquidity is sufficient to finance its operating requirements for at least one year from the date of filing these consolidated financial statements.

 

The Company’s future capital needs and the adequacy of its available funds will depend on many factors, including, but not necessarily limited to, the success and costs of commercialization of the Company’s approved product and the actual cost and time necessary for current and anticipated preclinical studies, clinical trials and other actions needed to obtain certification or regulatory approval of the Company’s product candidates.

 

The Company’s access to capital and liquidity currently includes a $40 million stock purchase agreement with Lincoln Park Capital Fund, LLC (“LPC”) (the “New Stock Purchase Agreement”), of which approximately $18.1 million remains available as of December 31, 2022. The New Stock Purchase Agreement provides for issuances through May 2023 at the Company’s discretion as long as certain requirements are met (see Note 5).

 

The Company entered into an At-The-Market Offering Sales Agreement, dated February 4, 2022 (the “2022 ATM”) for $50 million, of which $49.8 million in funds are available under this agreement as of December 31, 2022 (see Note 5).

 

The Company may be required to raise additional funds through equity or debt securities offerings or strategic collaboration and/or licensing agreements in order to fund operations if it is unable to generate enough product or royalty revenues, if any. Such financing may not be available on acceptable terms, or at all, and the Company’s failure to raise capital when needed could have a material adverse effect on its strategic objectives, results of operations and financial condition.

 

Other Risks and Uncertainties

 

The Company is subject to risks common to development and early-stage medical device companies including, but not limited to, new technological innovations, certifications or regulatory approval, dependence on key personnel, protection of proprietary technology, compliance with government regulations, product liability, uncertainty of market acceptance of approved products and the potential need to obtain additional financing. The Company is also dependent on third-party suppliers and, in some cases single-source suppliers.

 

The Company’s products require approval or clearance from the FDA prior to commencement of commercial sales in the United States. There can be no assurance that the Company’s products beyond LungFit® PH in the U.S. will receive the required approvals or clearances. Certifications, approvals or clearances are also required in foreign jurisdictions in which the Company may license or sell its products. If the Company is denied such certifications or approvals or clearances or such certifications, approvals or clearances are delayed, such denial or delay may have a material adverse impact on the Company’s results of operations, financial position and liquidity. Further, there can be no assurance that the Company’s product will be accepted in the marketplace, nor can there be any assurance that any future products can be developed or manufactured at an acceptable cost and with appropriate performance characteristics, or that such products will be successfully marketed, if at all.

 

10
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 2 SIGNIFICANT ACCOUNTING POLICIES AND OTHER RISKS AND UNCERTAINTIES (continued)

 

The development of the Company’s product candidates or commercialization of its approved product could be further disrupted and adversely affected by a resurgence of the COVID-19 pandemic. The Company experienced significant delays in the supply chain for LungFit® due to the redundancy in parts and suppliers with ventilator manufacturing which has since been remedied. Residual effects from the COVID-19 pandemic on the global supply chain having an effect on our ability to manufacture have been addressed, but the stability of the situation is unclear. The Company continuously assesses the impact COVID-19 may have on the Company’s business plans and its ability to conduct the preclinical studies and clinical trials as well as on the Company’s reliance on third-party manufacturing and global supply chains. However, there can be no assurance that the Company will be able to avoid part or all of any impact from COVID-19 or its consequences if a resurgence occurs.

 

Cash and Cash Equivalents, Short-Term Investments and Restricted Cash

 

The Company considers all highly liquid investments with original maturities of three months or less at the date of purchase and an investment in a U.S. government money market fund to be cash equivalents. The Company maintains its cash, cash equivalents and marketable securities in highly rated financial institutions in Israel, Ireland and the U.S., the balances of which, at times, may exceed federally insured limits.

 

Marketable securities include investment in fixed income bonds and U.S. Treasury securities that are considered to be highly liquid and easily tradeable. The marketable securities are considered trading securities and are measured at fair value and are accounted for in accordance with ASC 320. The marketable securities are valued using inputs observable in active markets for identical securities and are therefore classified as Level 1 within the Company’s fair value hierarchy.

 

As of December 31, 2022 and March 31, 2022, restricted cash was $10.1 million and $10.0 million, respectively. In both reporting periods, $2.6 million was designated for a contract manufacturer to be used for materials and parts that require long lead times and $7.4 million was held as collateral to secure a supersedeas bond for an appeal of a lawsuit (see Note 11).

 

The following table is the reconciliation of cash, cash equivalents, marketable securities by major security type and restricted cash (in thousands) as shown on the Company’s condensed consolidated cash flows for:

 

  

December 31,

2022

  

March 31,

2022

 
Cash and cash equivalents  $25,478   $80,242 
Restricted Cash   

10,085

    

9,988

 
Total cash, cash equivalents and restricted cash  $

35,563

   $

90,230

 
Marketable securities :          
Marketable debt securities          
Corporate debt securities   4,558    - 
US government securities   5,961    - 
Mutual funds   17,122    - 
Total marketable securities  $

27,641

   $- 
           
Total cash, cash equivalents, short-term investments and restricted cash  $

63,204

   $90,230 

 

The following table summarizes our short-term marketable securities with unrealized gains and losses as of December 31, 2022, aggregated by major security type:

 

(in thousands)  Fair Value  

Unrealized
Gains and

(Losses)

 
Corporate debt securities   4,558                 (7)
US government securities   5,961    44 
Mutual Funds   17,122    - 
Total short-term marketable securities  $

27,641

   $38 

 

All marketable securities are A- or higher rated. No marketable securities have maturities greater than 12 months.

 

11
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 2 SIGNIFICANT ACCOUNTING POLICIES AND OTHER RISKS AND UNCERTAINTIES (continued)

 

Revenue Recognition

 

The Company recognizes revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services. To determine revenue recognition for contracts with customers, the Company performs the following five steps: (i) identify the contract(s) with a customer, (ii) identify the performance obligation(s) in the contract, (iii) determine the transaction price, (iv) allocate the transaction price to the performance obligation(s) in the contract and (v) recognize revenue when (or as) the Company satisfies the performance obligation(s). At contract inception, the Company assesses the goods or services promised within each contract, assesses whether each promised good or service is distinct and identifies those promised goods or services that are performance obligations.

 

The Company will be required to use judgment to determine (a) the number of performance obligations based on the determination under step (ii) above and whether those performance obligations are distinct from other performance obligations in the contract (b) the transaction price under step (iii) above and (c) the stand-alone selling price for each performance obligation identified in the contract for the allocation of the transaction price in step (iv) above. The Company will also be required to use judgment to determine whether milestones or other variable consideration, except for royalties, should be included in the transaction price. The transaction price is allocated to each performance obligation on an estimated stand-alone selling price basis, for which the Company recognizes revenue as or when the performance obligations under contract are satisfied. Where a portion of non-refundable up-front fees or other payments received are allocated to continuing performance obligations under the terms of a license arrangement, such fees or other payments are recorded as contract liabilities and recognized as revenue when (or as) the underlying performance obligation is satisfied.

 

Grant Receivable

 

Under a collaboration arrangement with the Cystic Fibrosis Foundation (“CFF”), grant milestones are achieved subject to certain performance steps and requirements under a development program. Grant milestones are recorded as reimbursements against the applicable portion of the Company’s research and development expenses. Such reimbursements are reflected as a reduction of research and development expenses in the Company’s consolidated statements of operations and comprehensive income (loss), as the performance of research and development services for reimbursement is not considered to be an ongoing component or central to the Company’s operations. See Note 10.

 

Segment Reporting

 

Commencing with the creation of Beyond Cancer in November 2021 (see Note 12), the Company’s operations became classified into two segments, Beyond Air and Beyond Cancer. Each segment has its own management team, board of directors, corporate officers and legal entities. As of December 31, 2022, Beyond Air, Inc. owns 80% of the common stock of Beyond Cancer. The segment reporting is based on the manner in which the Company’s CEO as chief operating decision maker assesses performance and allocates resources across the organization. The Beyond Air segment includes unallocated corporate expenses associated with the public company fees as well as all corporate related assets and liabilities.

 

The following table summarizes segment financial information by business segment for the three and nine months ended December 31, 2022:

 

 

(in thousands)  Beyond Air   Beyond Cancer    Total  
Cash, cash equivalents, marketable securities and certain restricted cash  $33,276   $22,442    $ 55,719  
All other assets   17,609    632      18,240  
Total assets  $

50,885

   $

23,074

    $ 73,959  
Total liabilities   (17,923)   (596)     (18,519 )
Net assets – net liabilities  $32,962   $22,478    $ 55,440  
Non-controlling interests  $-   $4,495    $ 4,495  
                   

(in thousands)

                  
Net loss for the nine months ended December 31, 2022  $(25,246)  $(13,004)   $ (38,250 )
Operating activities included in net loss:                  
Depreciation and amortization  $424   $15    $ 439  
Stock-based compensation expense  $7,252   $7,952    $ 15,204  
                   
Cash used in operations  $(19,323)  $(5,246)   $ (24,569 )

 

(in thousands)  Beyond Air   Beyond Cancer      Total  
Net loss for the three months ended December 31, 2022  $(8,543)  $(5,255)   $ (13,798 )
Operating activities included in net loss:                  
Depreciation and amortization  $192   $12    $ 204  
Stock-based compensation expense  $2,377   $3,494    $ 5,871  
                   
Cash used in operations  $(6,688)  $(1,822)   $ (8,509 )

 

Research and Development

 

Research and development expenses are charged to the statement of operations as incurred. Research and development expenses include salaries, benefits, stock-based compensation and costs incurred by outside laboratories, manufacturers, clinical research organizations, consultants, and accredited facilities in connection with preclinical studies and clinical trials. Research and development expenses are partially offset by the benefit of tax incentive payments for qualified research and development expenditures from the Australian tax authority (“AU Tax Rebates”). The Company does not record AU Tax Rebates until payment is received due to the uncertainty of receipt. In the nine months ended December 31, 2022 and December 31, 2021, the Company received an AU Tax Rebate in the amount of $182 thousand and $0, respectively. The entirety of the $182 thousand was received in the three months ended June 30, 2022.

 

12
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 2 SIGNIFICANT ACCOUNTING POLICIES AND OTHER RISKS AND UNCERTAINTIES (continued)

 

Stock-Based Compensation

 

The Company measures the cost of employee and non-employee services received in exchange for an award of equity instruments based on the grant date fair value of the award. Fair value for restricted stock unit awards is valued using the closing price of the Company’s common stock on the date of grant. The grant date fair value is recognized over the requisite service period during which an employee and non-employee is required to provide service in exchange for the award, using the accelerated method. The grant date fair value of employee and non-employee share options is estimated using the Black-Scholes option pricing model. The risk-free interest rate assumptions were based upon the observed interest rates appropriate for the expected term of the equity instruments. The expected dividend yield was assumed to be zero as the Company has not paid any dividends since its inception and does not anticipate paying dividends in the foreseeable future. Due to the Company’s limited trading history, the Company utilizes weighting of its historical volatility and the implied volatility based on an aggregate of guideline companies. The Company uses the simplified method to estimate the expected term.

 

Property and Equipment

 

Property and equipment are stated at cost less accumulated depreciation and accumulated amortization. Depreciation and amortization are calculated using the straight-line method over the estimated useful life of the assets as follows:

 

Computer equipment Three years
Furniture and fixtures Five years
Clinical and medical equipment Five years
Equipment deployable as part of a service offering Five years
Leasehold improvements Shorter of term of lease or estimated useful life of the asset

 

Licensed Right to Use Technology

 

Licensed right to use technology that is considered platform technology with alternative future uses is recorded as an intangible asset and is amortized on a straight-line method over its estimated useful life, determined to be thirteen years (see Note 11).

 

Supplier Concentration

 

The Company relies on third-party suppliers to provide materials for its devices and consumables. In the nine months ended December 31, 2022, the Company purchased approximately 78% if its materials from two third-party vendors, with these vendors representing 65% and 13%, respectively. In the nine months ended December 31, 2021, the Company had no significant supplier concentration.

 

Long-Lived Assets

 

The Company assess the impairment of long-lived assets on an ongoing basis and whenever events or changes in circumstances indicate that the carrying value may not be recoverable. Factors that the Company considers as potential triggers of an impairment review include the following:

 

significant underperformance relative to expected historical or projected future operating results,
significant changes in the manner of the Company’s use of the acquired assets or the strategy for its overall business,
significant negative regulatory or economic trends, and
significant technological changes, which would render the platform technology, equipment, and manufacturing processes obsolete.

 

13
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 2 SIGNIFICANT ACCOUNTING POLICIES AND OTHER RISKS AND UNCERTAINTIES (continued)

 

Recoverability of assets that will continue to be used in the Company’s operations is measured by comparing the carrying value to the future net undiscounted cash flows expected to be generated by the asset or asset group. Future undiscounted cash flows include estimates of future revenues, driven by market growth rates, and estimates of future costs. There were no events during the reporting periods that were deemed to be a triggering event that would require an impairment assessment.

 

Income Taxes

 

The Company accounts for income taxes using the asset and liability method. Accordingly, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in the tax rate is recognized in income or expense in the period that the change is effective. Tax benefits are recognized when it is probable that the deduction will be sustained. A valuation allowance is established when it is more likely than not that all or a portion of a deferred tax asset will either expire before the Company is able to realize the benefit, or that future deductibility is uncertain. As of December 31, 2022 and March 31, 2022, the Company recorded a valuation allowance to the full extent of the Company’s net deferred tax assets since the likelihood of realization of the benefit does not meet the more-likely-than-not threshold.

 

The Company’s reserves related to taxes are based on a determination of whether and how much of a tax benefit taken by the Company in its tax filings or positions is more likely than not to be realized following resolution of any potential contingencies present related to the tax benefit. As of December 31, 2022, the Company had no unrecognized tax benefits or related interest and penalties accrued. The Company has not, as yet, conducted a study of research and development (“R&D”) credit carryforwards. This study may result in an adjustment to the Company’s R&D credit carryforwards; however, until a study is completed and any adjustment is known, no amounts are being presented as an uncertain tax position. The Company’s uncertain tax positions are related to years that remain subject to examination by relevant tax authorities. Since the Company is in a loss carryforward position, the Company is generally subject to examination by the U.S. federal, state and local income tax authorities for all tax years in which a loss carryforward is available.

 

14
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 3 FAIR VALUE MEASUREMENT

 

The Company’s financial instruments primarily include cash, cash equivalents, restricted cash, accounts payable, and a short-term loan. Due to the short-term nature of these financial instruments, the carrying amounts of these assets and liabilities approximate their fair value. The long-term debt approximates fair value due to the prevailing market conditions for similar debt with remaining maturity and terms.

 

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in an orderly transaction between market participants at the reporting date. The accounting guidance establishes a three-tiered hierarchy, which prioritizes the inputs used in the valuation methodologies in measuring fair value. A fair value hierarchy has been established for valuation inputs that give the highest priority to quoted prices in active markets for identical assets or liabilities and the lowest priority to unobservable inputs. The fair value hierarchy is as follows:

 

  Level 1 - quoted prices in active markets for identical assets or liabilities;
     
  Level 2 - inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities; or
     
  Level 3 - unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

 

The fair value amounts at December 31, 2022 are :

 

(in thousands)  Level 1   Level 2   Level 3 
             
Marketable securities :                              
Corporate debt securities  $4,558   $-  $- 
Government securities   5,961    -    - 
Mutual funds   17,122    -    - 
Marketable Securities  $27,641   $-  $- 

 

NOTE 4 PROPERTY AND EQUIPMENT

 

Property and equipment consist of the following as of December 31, 2022 and March 31, 2022:

 

(in thousands) 

December 31,

2022

   March 31,
2022
 
         
Clinical and medical equipment  $1,441   $1,682 
Equipment deployable as part of a service offering   

1,739

    - 
Computer equipment   496    364 
Furniture and fixtures   464    311 
Leasehold improvements   543    404 
 Property and equipment,gross   4,684    2,762 
Accumulated depreciation and amortization   (1,059)   (767)
 Property and equipment,net  $3,624   $1,995 

 

Depreciation and amortization expense for the three months ended December 31, 2022 and December 31, 2021 was $204 thousand and $70 thousand, respectively Depreciation and amortization expense for the nine months ended December 31, 2022 and December 31, 2021 was $439 thousand and $193 thousand, respectively. In the nine months ended December 31, 2022, upon retirement of clinical equipment determined to have no remaining useful life, $382 thousand of Clinical equipment was removed less $147 thousand of accumulated depreciation and the charge was recorded in R&D in the accompanying statement of operations.

 

NOTE 5 STOCKHOLDERS’ EQUITY

 

On May 14, 2020, the Company entered into the New Stock Purchase Agreement with LPC (the “New Stock Purchase Agreement”), which provides for the issuance of up to $40 million of its common stock which the Company may sell from time to time in its sole discretion to LPC over 36 months, provided that the closing price of the Company’s common stock is not below $0.25 per share and subject to certain other conditions and limitations set forth in the New Stock Purchase Agreement. For the nine months ended December 31, 2022 and December 31, 2021, the Company received net proceeds of $0 and $11.1 million from the sale of 0 and 1,100,000 shares of common stock, respectively. As of December 31, 2022, there was a balance of approximately $18.1 million available under the New Stock Purchase Agreement.

 

On February 4, 2022, the Company entered into the 2022 ATM, allowing the Company to sell its common stock for aggregate sales proceeds of up to $50 million from time to time and at various prices, subject to the conditions and limitations set forth in the 2022 ATM. If shares of the Company’s common stock are sold, there is a 3% fee paid to the sales agent.

 

For both the three months and nine months ended December 31, 2022, the Company received net proceeds of $0.2 million from the sale of 19,300 shares of common stock. As of December 31, 2022, there were $49.8 million in funds available under the 2022 ATM.

 

For the three and nine months ended December 31, 2021, the Company received net proceeds of $14.0 million and $36.5 million from the sale of 1,154,355 and 4,053,424 shares of common stock, respectively on its previous ATM entered into in 2020.

 

15
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 5 STOCKHOLDERS’ EQUITY (continued)

 

Restricted Stock Units

 

The fair value for the restricted stock unit awards was valued at the closing price of the Company’s common stock on the date of grant. Restricted stock units vest annually over five years.

 

A summary of the Company’s restricted stock unit awards for the period ended December 31, 2022 is as follows:

 

  

Number Of

Shares

  

Weighted
Average Grant
Date Fair
Value

 
         
Unvested as of April 1, 2022   949,600    6.92 
Granted   -    - 
Vested   (180,100)    (6.39) 
Forfeited   -    - 
Unvested as of December 31, 2022   769,500   $7.04 

 

Stock-based compensation expense related to these stock issuances for the three months ended December 31, 2022 and December 31, 2021 was $588 thousand and $930 thousand, respectively. Stock-based compensation for the nine months ended December 31, 2022 and December 31, 2021 was $1,983 thousand and $1,249 thousand, respectively.

 

As of December 31, 2022, 77,400 of the shares that vested in the three months ended December 31, 2022 had not been issued. All shares have been issued by the reporting date, February 9, 2023.

 

Stock Option Plans

 

The Company’s Fourth Amended and Restated 2013 Beyond Air Equity Incentive Plan (the “2013 BA Plan”) allows for awards to officers, directors, employees, and consultants of stock options, restricted stock units and restricted shares of the Company’s common stock. The vesting terms of the options issued under the 2013 BA Plan are generally four years and expire in ten years from the grant date. The 2013 BA Plan has 7,600,000 shares authorized for issuance. As of December 31, 2022, 258,261 shares were available under the 2013 BA Plan.

 

A summary of the change in options for the nine months ended December 31, 2022, is as follows:

 

  

Number Of

Options

  

Weighted

Average

Exercise

Price

Options

  

Weighted

Average

Remaining

Contractual

Life-

Options

  

Aggregate

Intrinsic

Value

(in thousands)

 
                 
Options outstanding as of April 1, 2022   5,508,631   $5,60    8.1   $6,831 
Granted   180,000    7.51    -    - 
Exercised   (15,000)   5.21    -    - 
Forfeited   (28,500)   5.88    -    - 
Outstanding as of December 31, 2022   5,645,131   $5.66    7.3   $6,103 
Exercisable as of December 31, 2022   3,495,506   $5.07    6.6   $5,271 

 

The Company’s 2021 Beyond Cancer Ltd Equity Incentive Plan (the “2021 BC Plan”) allows for awards to officers, directors, employees, and consultants of stock options, restricted stock units and restricted shares of Beyond Cancer’s common stock. The vesting terms of the options issued under the 2021 BC Plan are generally four years and expire in ten years from the grant date. On December 1, 2021, the Company’s Board of Directors approved to reserve for issuance 2,000,000 shares of common stock. On November 3, 2022, the Company’s Board of Directors approved to reserve for issuance an additional 2,000,000 shares of common stock. As of December 31, 2022, 258,000 shares were available under the 2021 BC Plan.

 

  

Number Of

Options

  

Weighted

Average

Exercise

Price–-

Options

  

Weighted

Average

Remaining

Contractual

Life-

Options

  

Aggregate

Intrinsic

Value

(thousands)

 
                 
Options outstanding as of April 1, 2022   1,763,500   $2.76    9.3   $12,768 
Granted   2,001,500    2.79    -    - 
Exercised   -    -    -    - 
Forfeited   (23,000)   5.91    -    - 
Outstanding as of December 31, 2022   3,742,000   $2.76    9.4   $23,486 
Exercisable as of December 31, 2022   457,000   $2.76    9.0   $2,728 

 

16
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 5 STOCKHOLDERS’ EQUITY (continued)

 

As of December 31, 2022, the Company had unrecognized stock-based compensation expense in the 2013 BA Plan of approximately $6.3 million which is expected to be expensed over the weighted average remaining service period of 1.7 years. For the nine months ended December 31, 2022 and December 31, 2021, the weighted average fair value of options granted was $5.68 and $8.98 per share, respectively.

 

As of December 31, 2022, the Company had unrecognized stock-based compensation expense in the 2021 BC Plan of approximately $22.7 million which is expected to be expensed over the weighted average remaining service period of 2.0 years. For the nine months ended December 31, 2022, the weighted average fair value of options granted was $8.35 per share.

 

The following was utilized to calculate the fair value of options on the date of grant:

 

  

December 31,

2022

  

December 31,

2021

 
Risk-free interest rate   2.5-4.3%   1.3-1.5%
Expected volatility (Beyond Air)   

87.4-89.2

%   89.4-91.1%
Expected volatility (Beyond Cancer)   

104.7-109.1

%   n/a 
Dividend yield   0%   0%
Expected terms (in years)   6.25    6.25 

 

The following summarizes the components of stock-based compensation expense which include stock options and restricted stock units for the three and nine months ended December 31, 2022 and December 31, 2021, respectively:

 

(in thousands)  2022   2021   2022   2021 
   Three Months Ended   Nine Months Ended 
   December 31,   December 31, 
(in thousands)  2022   2021   2022   2021 
Research and development  $1,290   $416   $3,247   $1,160 
General and administrative   4,576    1,700    11,957    3,327 
Total stock-based compensation expense  $ 

5,866

   $2,116   $

15,204

   $4,487 

 

Warrants

 

A summary of the Company’s outstanding warrants as of December 31, 2022 is as follows:

 

Warrant Holders 

Number Of

Warrants

  

Exercise

Price

  

Intrinsic Value

(in thousands)

  

Date of

Expiration

Third-party license agreement   208,333   $4.80   $352   January 2024
March 2020 loan   172,187   $7.26    -   March 2025
NitricGen Agreement   80,000   $6.90    -   January 2028
Total   460,520   $6.08   $352    

 

17
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 5 STOCKHOLDERS’ EQUITY (continued)

 

No warrants were issued or exercised in the three or nine months ended December 31, 2022. For the three months ended December 31, 2021, 509,996 warrants were exercised on a cashless basis in exchange for 368,110 shares and an additional 380,000 warrants were exercised for $1,391 thousand. For the nine months ended December 31, 2021, 925,660 warrants were exercised on a cashless basis in exchange for 639,921 shares and an additional 380,000 warrants were exercised for $1,391 thousand.

 

NOTE 6 OTHER CURRENT ASSETS AND PREPAID EXPENSES

 

A summary of current assets and prepaid expenses as of December 31, 2022 and March 31, 2022 is as follows (in thousands):

 

  

December 31,

2022

  

March 31,

2022

 
Research and development  $

112

   $216 
Insurance   

210

    1,037 
Down payment on tooling   113    - 
Prepaid rents and tenant improvement   

295

    - 
Prepaid marketing materials   24    - 
Value added tax receivable   

222

    282 
Demonstration materials   172    - 
Other   

351

    508 
Total  $

1,500

   $2,044 

 

NOTE 7 ACCRUED EXPENSES

 

A summary of the accrued expenses as of December 31, 2022 and March 31, 2022 is as follows (in thousands):

 

  

December 31,

2022

  

March 31,

2022

 
Research and development  $522   $1,006 
Professional fees   

226

    442 
Employee salaries and benefits   

1,058

    409 
Accrual for contingent liabilities (Note 11)   

2,803

    2,435 
Accrued Circassia Settlement (Note 9)   3,500    2,500 
Accrued NitricGen agreement (Note 11)   

1,500

    1,500 
Other   

169

    82 
Total short-term accrued expenses  $

9,777

   $8,374 
           
Accrued Circassia Settlement payments – long term (Note 9)  $

4,500

   $8,000 
Total other long-term liabilities  $

4,500

   $8,000 

 

18
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 8 BASIC AND DILUTED NET INCOME (LOSS) PER SHARE OF COMMON STOCK

 

The following potentially dilutive securities were not included in the calculation of diluted net income (loss) per share attributable to common stockholders of Beyond Air because their effect would have been anti-dilutive for the periods presented:

 

  

December 31,

2022

  

December 31,

2021

 
         
Common stock warrants   460,520    2,219,631 
Common stock options   

5,645,131

    4,102,631 
Restricted shares   

769,500

    604,200 
          
Total   

6,875,151

    6,926,462 

 

NOTE 9 LICENSE AGREEMENT

 

On January 23, 2019, the Company entered into an agreement for commercial rights (the “Circassia Agreement”) with Circassia Limited and its affiliates (collectively, “Circassia”) for PPHN and future related indications at concentrations of < 80 ppm in the hospital setting in the United States and China. On December 18, 2019, the Company terminated the Circassia Agreement.

 

On May 25, 2021, the Company and Circassia entered into a Settlement Agreement resolving all claims by and between both parties and mutually terminating the Circassia Agreement. Pursuant to the terms of the Settlement Agreement, the Company agreed to pay Circassia $10.5 million in three installments, the first payment of $2.5 million was triggered upon FDA approval (fixing the “Initial Payment Due Date” at July 28, 2022). Thereafter, the Company will pay $3.5 million to Circassia on the first anniversary of the Initial Payment Due Date and $4.5 million on the second anniversary of the Initial Payment Due Date. Additionally, beginning in year three post-approval, Circassia will receive a quarterly royalty payment equal to 5% of LungFit® PH net sales in the US. This royalty will terminate once the aggregate payment reaches $6 million.

 

19
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 10 GRANT COLLABORATON AGREEMENT

 

On February 10, 2021, the Company received a grant for up to $2.17 million from the CFF to advance the clinical development of high concentration NO for the treatment of Nontuberculous Mycobacteria, or NTM pulmonary disease, which disproportionally affects cystic fibrosis patients. Under the terms of the agreement, the funding will be allocated to the ongoing LungFit® GO NTM pilot study. The grant provides milestones based upon the achievement of performance steps and requirements under a development program. The grant provides for royalty payments to CFF upon the commercialization of any product developed under the grant program at a rate of 10% of net sales. The cumulative royalties are capped at four times the grant actually paid to the Company. A total of $1,630 thousand has been recognized as a reduction of R&D costs from this grant to date, including $120 thousand and $458 thousand in the three and nine months ended December 31, 2022, respectively.

 

NOTE 11 COMMITMENTS AND CONTINGENCIES

 

License Agreements

 

On October 22, 2013, the Company entered into a patent license agreement (the “CareFusion Agreement”) with SensorMedics Corporation, a subsidiary of CareFusion Corp. (“CareFusion”), pursuant to which the Company agreed to pay to CareFusion a non-refundable upfront fee of $150 thousand that is credited against future royalty payments, and is obligated to pay 5% royalties of any licensed product net sales, but at least $50 thousand per annum during the term of the agreement. As of December 31, 2022, the Company has not paid any royalties to CareFusion since the Company has not received any revenues from the technology associated with the license under the CareFusion Agreement. The term of the CareFusion Agreement extends through the life of applicable patents and may be terminated by either party with 60 days’ prior written notice in the event of a breach of the CareFusion Agreement, and may be terminated unilaterally by CareFusion with 30 days’ prior written notice in the event that the Company does not meet certain milestones.

 

In August 2015, BA Ltd. entered into an Option Agreement (the “Option Agreement”) with Pulmonox whereby BA Ltd. acquired the option (the “Option”) to purchase certain intellectual property assets and rights. On January 13, 2017, the Company exercised the Option and paid $500 thousand to Pulmonox. The Company becomes obligated to make certain one-time development and sales milestone payments to Pulmonox, commencing with the date on which the Company receives regulatory approval for the commercial sale of the first product candidate qualifying under the Option Agreement. These milestone payments are capped at a total of $87 million across three separate and distinct indications that fall under the agreement, with the majority of them, approximately $83 million, being sales-related based on cumulative sales milestones for each of the three products.

 

20
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 11 COMMITMENTS AND CONTINGENCIES (continued)

 

On January 31, 2018, the Company entered into an agreement (the “NitricGen Agreement”) with NitricGen, Inc. (“NitricGen”) to acquire a global, exclusive, transferable license and associated assets including intellectual property, know-how, trade secrets and confidential information from NitricGen related to the LungFit®. The Company acquired the licensing right to use the technology and agreed to pay NitricGen a total of $2.0 million in future payments based upon achieving certain milestones, as defined in the NitricGen Agreement, and single-digit royalties on sales of the LungFit®. The remaining future milestone payments are $1.8 million of which $1.5 million was paid on January 6, 2023 and was included in accrued expenses as of March 31, 2022 and December 31, 2022.

 

See Note 9 for license settlement commitments.

 

Employment Agreements

 

Certain agreements between the Company and its officers contain a change of control provision for payment of severance arrangements.

 

Supply Agreement and Purchase Order

 

In August 2020, the Company entered into a supply agreement expiring on December 31, 2024. The agreement will renew automatically for successive three-year periods unless and until the Company provides twelve months’ notice of its intent not to renew the agreement. The Company has opened several non-cancellable purchase orders and the outstanding amount remaining under the purchase order as of December 31, 2022 was approximately $4.1 million with this supplier. In addition, this supplier holds $2.6 million of restricted cash to secure long lead time materials on the Company’s behalf.

 

Contingencies

 

On March 16, 2018, Empery Asset Master, Ltd., Empery Tax Efficient, LP and Empery Tax Efficient II, LP, (collectively, “Empery”) filed a complaint in the Supreme Court of the State of New York (the “Trial Court”) against the Company relating to the notice of adjustment of both the exercise price of and the number of warrant shares issuable under warrants issued to Empery in January 2017. Empery alleges that, as a result of certain circumstances in connection with a February 2018 financing transaction, the 166,672 warrants issued to Empery in January 2017 provide for adjustments to both the exercise price of the warrants and the number of warrant shares issuable upon such exercise.

 

On August 20, 2020, the Trial Court denied the Company’s summary judgment motion as to the first and third claims for relief, but dismissed the second claim for declaratory judgment as moot (the “August 20 Decision”). The Appellate Division First Department denied the Company’s appeal of the August 20 Decision on September 30, 2021. Following a three-day bench trial, the Trial Court issued a decision on October 14, 2021, finding in favor of Empery on the two remaining claims, granting reformation of the Warrant Agreement, and awarding Empery damages in the aggregate amount of approximately $5.8 million. On November 12, 2021, the Company filed a notice of appeal. Pending appeal, the Company is required to use approximately $7.4 million of cash as collateral to secure a supersedeas bond for the full amount of damages and interest in case the Company is unsuccessful in its appeal. Management has determined that a loss related to this matter could range from $0 to $7.4 million. On September 30, 2021, the Company recorded an estimate for a contingent loss of $2.4 million, and has recorded a total of $2.6 million including accrued interest as of December 31, 2022 which represents Management’s best estimate of the potential loss. In consultation with outside legal counsel, the Company believes that it has several meritorious defenses against the claims, and the decision of the Trial Court including, but not limited to, the quantification of damages. The Company perfected its appeal in September 2022. Oral argument was held in the New York State Supreme Court, Appellate Division First Department, on February 7, 2023 and a decision is pending.

 

On December 28, 2021 Hudson Bay Master Fund (“Hudson”) filed a lawsuit against us related to the notice of adjustment of the exercise price of and the number of warrant shares issuable under warrants issued to Hudson in January 2017. Hudson received 83,334 warrants in connection with the January 2017 offering.

 

Hudson’s complaint alleges breach of contract and that Hudson is entitled to damages estimated at approximately $2.6 million as a result of certain adjustments to the exercise price and number of warrant shares issuable following the February 2018 financing transaction. Management has determined that a loss related to this matter could range from $0 to $2.6 million. On November 18, 2022, Hudson Bay filed a motion for partial summary judgment arguing that fundamental principles of collateral estoppel prevent the Company from litigating certain findings of fact made by the Trial Court in the Empery case. On January 10, 2023, the Court issued a decision granting partial summary judgment pertaining to collateral estoppel that Beyond Air may not relitigate certain findings of fact, including the price adjustment on the warrant and methodology of calculating damages. On December 31, 2022, the Company recorded an estimate for a contingent loss of $0.2 million associated with the price adjustment. Discovery is ongoing and presently scheduled to be completed in March 2023.

 

The Company believes, in consultation with outside counsel, that it has meritorious defenses to the claims and intends to filed a Notice of Appeal in connection with the Order granting partial summary judgment and continue vigorously defending against these claims.

 

21
 

 

BEYOND AIR, INC. AND ITS SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

NOTE 12 BEYOND CANCER AND RELATED PARTY TRANSACTIONS

 

On November 4, 2021, the Company announced that Beyond Air and Beyond Cancer agreed to terms to which the Company, through its subsidiaries would be licensing certain intellectual property and other assets related to, or necessary for the development, commercialization, manufacture and distribution of certain cancer treatment products and/or technologies to a subsidiary of the Company (the “Transaction”). In connection and concurrently with the closing of the Transaction, Beyond Cancer issued and sold common shares, par value $1.00 to certain investors pursuant to a subscription agreement (the “Offering”). The Offering consisted of an aggregate of 3 million common shares of Beyond Cancer at a purchase price of $10.00 per share. The maximum amount of shares offered had been purchased for a total of $30 million (including $4.8 million from the terminated Loan Facility) for 20% of the equity in Beyond Cancer. Beyond Air retained 80% ownership of Beyond Cancer, which will have exclusive right to the intellectual property portfolio utilizing UNO for the treatment of solid tumors. Beyond Cancer will pay Beyond Air a single digit royalty on all future revenues.

 

Members of the Board of Directors of Beyond Air who are also members of the Board of Directors of Beyond Cancer, and their families, are considered related parties to the Offering. Related parties invested $1.1 million in the Offering.

 

The carrying amount of net assets of the VIE included in the consolidated financial statements, after the elimination of intercompany balances and transactions, was $22.5 million, as of December 31, 2022, compared to $27.5 million at March 31, 2022. (See Note 2, Segment Reporting for additional disclosure of the VIE assets and liabilities.) The Company’s attributed losses as the primary beneficiary was proportional to its equity interest in Beyond Cancer (80%) for the period from inception until December 31, 2022.

 

22
 

 

ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations .

 

Note Regarding Forward-Looking Statements

 

This Quarterly Report on Form 10-Q (this “Form 10-Q”) contains “forward-looking statements.” We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. All statements other than statements of historical facts contained in this Form 10-Q, including statements regarding our future results of operations and financial position, business strategy, prospective product candidates and products, product approvals, timing of our clinical development activities, research and development costs, timing and likelihood of success and the plans and objectives of management for future operations and future results of anticipated products are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements express or implied by the forward-looking statements.

 

In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “expect,” “could,” “intend,” “target,” “project,” “contemplate,” “believe,” “estimate,” “predict,” “potential” or “continue” or the negative of these terms or other similar conditional expressions. The forward-looking statements in this Form 10-Q are only predictions. We have based these forward-looking statements largely on our current expectations and projections about future events and financial trends that we believe may affect our business, financial condition and results of operations. These forward-looking statements speak only as of the date of this Form 10-Q and are subject to a number of important factors that could cause actual results to differ materially from those in the forward-looking statements, including the factors described under the sections in this Form 10-Q titled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” Item 1A “Risk Factors” contained in our most recently filed Annual Report on Form 10-K, as well as the following:

 

  our ability to successfully commercialize our LungFit® PH system in the U.S.;
  our ability to achieve a CE mark for LungFit® in the European Union (the “EU”);
  our expectation to incur losses for the next few years;
  our ability to predict accurately the demand for our products, and products under development and to develop strategies to address markets successfully;
  the possibility that products may contain undetected errors or defects or otherwise not perform as anticipated;
  the anticipated development of markets we sell our products into and the success of our products in these markets;
  our future capital needs and our need to raise additional funds;
  our ability to build a pipeline of product candidates and develop and commercialize our approved products;
  our ability to enroll patients in clinical trials, timely and successfully complete those trials and receive necessary certifications or regulatory approvals;
  our ability to maintain our existing or future collaborations or licenses;
  our ability to protect and enforce our intellectual property rights;
  federal, state, and foreign regulatory requirements, including the FDA regulation of our approved product and product candidates;
  our ability to obtain and retain key executives and attract and retain qualified personnel;
  our ability to successfully manage our growth, including as a commercial-stage company; and
  our ability to address business disruption and related risks resulting from the COVID-19 pandemic and the responses to curb the spear of COVID-19, which could have a material adverse effect on our business plan.

 

Moreover, we operate in an evolving environment. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties.

 

You should read this Form 10-Q and the documents that we reference in this Form 10-Q completely and with the understanding that our actual future results may be materially different from what we expect. We qualify all of our forward-looking statements by these cautionary statements. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise.

 

Beyond Air, Inc., the Beyond Air logo and other trademarks or service marks of Beyond Air, Inc. appearing in this Form 10-Q are the property of Beyond Air, Inc. This Form 10-Q also includes trademarks, tradenames and service marks that are the property of other organizations. Solely for convenience, trademarks and tradenames referred to in this Form 10-Q appear without the ® and ™ symbols, but those references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights, or that the applicable owner will not assert its rights, to these trademarks and tradenames.

 

Introduction

 

We are a commercial-stage medical device and biopharmaceutical company developing a platform of nitric oxide (“NO”) generators and delivery systems (the “LungFit® platform”) capable of generating NO from ambient air. Our first device, LungFit®PH, received premarket approval from the U.S. Food and Drug Administration (the “FDA”), for persistent pulmonary hypertension of the newborn (“PPHN”), in June 2022. The NO generated by the LungFit®  PH system is indicated to improve oxygenation and reduce the need for extracorporeal membrane oxygenation in term and near-term (>34 weeks gestation) neonates with hypoxic respiratory failure associated with clinical or echocardiographic evidence of pulmonary hypertension in conjunction with ventilatory support and other appropriate agents. The LungFit® platform can generate NO up to 400 parts per million (“ppm”) for delivery to a patient’s lungs directly or via a ventilator. LungFit® can deliver NO either continuously or for a fixed amount of time at various flow rates and has the ability to either titrate dose on demand or maintain a constant dose. LungFit® can be used to treat patients on ventilators that require NO, as well as patients with chronic or acute severe lung infections via delivery through a breathing mask or similar apparatus. Furthermore, we believe that there is a high unmet medical need for patients suffering from certain severe lung infections that the LungFit® platform can potentially address. Our current areas of focus with LungFit® are PPHN, viral community-acquired pneumonia (“VCAP”) including COVID-19 (previously acute viral pneumonia), bronchiolitis, nontuberculous mycobacteria (“NTM”) lung infection and those with various severe lung infections with underlying chronic obstructive pulmonary disease (“COPD”). The Company’s current product candidates will be subject to premarket reviews and approvals by the FDA, certification through the conduct of a conformity assessment by a notified body in the EU for the product to be CE marked, as well as comparable foreign regulatory authorities. The Company’s system will be marketed as a medical device in the U.S.

 

An additional program of Beyond Air targets solid tumors, through our majority-owned affiliate Beyond Cancer, Ltd. (“Beyond Cancer”). The LungFit® platform is not utilized for the solid tumor indication due to need for ultra-high concentrations of gaseous nitric oxide (“UNO”). A proprietary delivery system has been developed that can safely deliver UNO in excess of 10,000 ppm directly to a solid tumor. This program has advanced to phase 1 and the first patient was treated in August 2022. Top line results in the first human trial are expected in calendar year 2023.

 

23
 

 

LungFit® PH is the first FDA approved system using our patented ionizer technology to generate on-demand nitric oxide from ambient air and, regardless of dose or flow, deliver it to a ventilator circuit. The device uses a medical air compressor to drive room air through a plasma chamber in the center of the unit where pulses of electrical discharge are created between two electrodes. The system uses the power equivalent to a 60-watt lightbulb to ionize the nitrogen and oxygen molecules, which then combine as NO with low levels of nitrogen dioxide (“NO2”) created as a byproduct. The products are then passed through a Smart Filter, which removes the toxic NO2 from the internal circuit. With respect to PPHN, the novel LungFit® PH is designed to deliver a dosage of NO to the lungs that is consistent with current guidelines for delivery of 20 ppm NO with a range of 0.5 ppm – 80 ppm (low concentration NO) for ventilated patients.

 

We believe the ability of LungFit® PH to generate NO from ambient air provides us with many competitive advantages over the current standard of NO delivery systems in the U.S., the EU, Japan and other markets. For example, LungFit® PH does not require the use of a high-pressure cylinder, does not require cumbersome purging procedures and places less burden on hospital staff in carrying out safety procedures.

 

Our novel LungFit® platform can also deliver a high concentration (>150 ppm) of NO directly to the lungs, which we believe has the potential to eliminate microbial infections including bacteria, fungi and viruses, among others. We believe that current FDA-approved NO vasodilation treatments would have limited success in treating microbial infections given the low concentrations of NO being delivered (<100 ppm). Given that NO is produced naturally by the body as an innate immunity mechanism, at a concentration of 200 ppm, supplemental high dose NO should aid in the body’s fight against infection. Based on our preclinical and clinical studies, we believe that 150 ppm is the minimum therapeutic dose to achieve the desired pulmonary antimicrobial effect of NO. To date, neither the FDA nor comparable foreign regulatory agencies in other countries or regions have approved any NO formulation and/or delivery system for >80 ppm NO.

 

LungFit® PH for the treatment of Persistent Pulmonary Hypertension of the Newborn (PPHN)

 

In June 2022, the FDA approved LungFit® PH to improve oxygenation and reduce the need for extracorporeal membrane oxygenation in term and near-term (>34 weeks gestation) neonates with hypoxic respiratory failure associated with clinical or echocardiographic evidence of pulmonary hypertension in conjunction with ventilatory support and other appropriate agents. LungFit® PH is the inaugural device from the LungFit® platform of NO generators that use patented ionizer technology and is the first FDA-approved product for Beyond Air.

 

We also expect to receive the CE Mark under the Medical Device Regulation (“MDR”) in the EU during the first half of fiscal year 2024. According to the most recent year-end report from Mallinckrodt Pharmaceuticals, sales of NO were $448.5 million in 2021 (down from $574.1 million in 2020) for the United States, Canada, Japan, Mexico and Australia, with ~90% in the United States. Outside of the U.S. there are multiple market participants which translates to considerably lower sales than in the U.S. We believe the U.S. sales potential of LungFit® PH in PPHN to be greater than $400 million and worldwide sales potential to be greater than $700 million. We initiated the first phase of our commercial launch in July 2022 in the U.S. and will continue to work toward a potential launch in the EU and globally in 2023 and beyond.

 

LungFit® PRO for the treatment of viral lung infections in hospitalized patients

 

Viral Community-Acquired Pneumonia (including COVID-19)

 

Viral pneumonia in adults is most commonly caused by rhinovirus, respiratory syncytial virus (“RSV”) and influenza virus. However, newly emerging viruses (including SARS-CoV-1, SARS-CoV-2, avian influenza A, and H1N1 viruses) have been identified as pathogens contributing to the overall burden of adult viral pneumonia. COVID-19 is an infectious disease caused by SARS-CoV-2, that has resulted in a global pandemic, causing millions of hospitalizations and over 6.6 million deaths worldwide as of January 2023 according to the World Health Organization. Excluding the pandemic, there are approximately 350,000 annual viral pneumonia hospitalizations in the US, and up to 16 million annual viral pneumonia hospitalizations globally. For the broader annual viral pneumonia hospitalizations, we believe U.S. market potential to be greater than $1.5 billion and worldwide market potential to be greater than $3 billion.

 

We initiated a pilot study in late 2020 using our novel LungFit® PRO system at 150 ppm to treat patients with VCAP. The trial was a multi-center, open-label, randomized clinical trial in Israel, including patients infected with COVID-19. Patients were randomized in a 1:1 ratio to receive either inhalations of 150 ppm NO given intermittently for 40 minutes four times per day for up to seven days in addition to standard supportive treatment (“NO+SST”) or standard supportive treatment alone (“SST”). Endpoints related to safety (primary endpoint), oxygen saturation and intensive care unit admission, among others, were assessed.

 

24
 

 

In April 2022 we presented detailed study results at the 32nd European Congress of Clinical Microbiology & Infectious Diseases (ECCMID 2022), which took place from April 23, 2022 through April 26, 2022 as a hybrid event both onsite in Lisbon, Portugal and online. At the time of the data cut off, the trial enrolled a total of 40 subject hospitalized for VCAP (SARS-CoV-2, n=39; other viruses n=1). The ITT population included 35 subjects with 16 subjects in the inhaled NO group and 19 subjects in the control group. The primary COVID-19 treatments used during the study were Remdesivir (>30%) and Dexamethasone (>65%). Safety data from the study show that inhaled NO treatment was well tolerated overall with no treatment related adverse events as assessed by the investigators. There were two serious adverse events reported in the group receiving inhaled NO along with SST, which were determined to be related to underlying conditions and unrelated to study drug/device. From an efficacy perspective, results show a trend of shortening length of stay (“LOS”) in favor of the inhaled NO treatment group by a factor 1.8 in favor of inhaled NO treatment. Duration of oxygen support, measured in-hospital and at home, was significantly shorter (p=0.0339) for inhaled NO treated subjects. Subjects with unstable oxygen saturation during hospitalization, 66.7% of the inhaled NO treatment group reached stable saturation of ≥93% during hospital stay as compared to 26.7% in the SST group.

 

After completion of the study and the 180-follow-up period, incremental data were provided in a poster presentation at IDWeek 2022 held from October 19, 2022 through October 23, 2022 in Washington DC. The efficacy results show a trend of shortening LOS in favor of the inhaled NO treatment group. Also, duration of oxygen support, measured in-hospital and at home, was significantly shorter for inhaled NO treated subjects. Additionally, data show a larger decline in c-reactive protein (CRP) from baseline for subjects treated with NO + SST compared to the control group. Analysis of the data provides compelling evidence that high concentration NO delivery with the LungFit PRO generator and delivery system can be a powerful tool against any type of pneumonia, especially COVID-19. The Company anticipates commencing a pivotal study in calendar year 2023 following discussions with the FDA.

 

Bronchiolitis

 

Bronchiolitis is the leading cause of hospital admission in children less than 1 year of age. The incidence is estimated to be 150 million new cases a year worldwide, with 2-3% (over 3 million) of them severe enough to require hospitalization. Worldwide, 95%3 of all cases occur in developing countries. In the U.S., there are approximately 120,000 annual bronchiolitis hospitalizations and approximately 3.2 million annual child hospitalizations globally. Currently, there is no approved treatment for bronchiolitis. The treatment for acute viral lung infections that cause bronchiolitis in infants is largely supportive care and is based primarily on prolonged hospitalization during which the infant receives a constant flow of oxygen to treat hypoxemia, a reduced concentration of oxygen in the blood. In addition, systemic steroids and inhalation with bronchodilators are sometimes utilized until recovery, but we believe that these treatments do not successfully reduce hospital LOS. We believe the U.S. market potential for bronchiolitis to be greater than $500 million and worldwide market potential to be greater than $1.2 billion.

 

25
 

 

Our Bronchiolitis program is currently on hold due to the COVID-19 pandemic. The pivotal study was originally set to be performed in the winter of 2020/21 but was delayed due to the pandemic. We have completed three successful pilot studies for bronchiolitis. A further analysis of the three previously reported pilot studies was presented at the ATS International Conference 2021, which was held virtually from May 14, 2021 through May 19, 2021. Analysis across the studies (n=198 infants, mean age 3.9 months) showed that 150 ppm – 160 ppm NO administered intermittently was generally safe and well tolerated with adverse event rates similar among treatment groups with no reported treatment-related serious adverse events. The short course of treatments with intermittent high concentration inhaled NO was effective in shortening hospital LOS and accelerating time to fit for discharge – a composite endpoint of clinical signs and symptoms to indicate readiness to be evaluated for hospital discharge. This treatment was also effective in accelerating time to stable oxygen saturation – measured as SpO2 ≥ 92% in room air. Additionally, NO at a dose of 85 ppm NO showed no difference compared to control for all efficacy endpoints, while 150 ppm NO showed statistical significance when compared to control.

 

Additionally, long-term safety data for high concentration inhaled NO in bronchiolitis was presented at the Pediatric Academic Societies Meeting 2022 (PAS 22), which was held in Denver, Colorado from April 21, 2022 through April 25, 2022. A total of 101 infants from the three prior pilot studies for bronchiolitis (n=198) participated in the long-term follow-up study. Study endpoints for the long-term safety study included the percentage of subjects re-hospitalized for bronchiolitis related reasons, such as wheezing episodes, pneumonia and asthma and the percentage of subjects re-hospitalized for any reason. Data from the study show the re-hospitalization rate per 100 Patient Exposure Years (PEY) due to bronchiolitis related reasons trended favorably for the inhaled NO group. In addition, the long-term subject re-hospitalization rate for any reason was similar between inhaled NO and control groups. As such, the study concluded that the treatment of hospitalized infants with acute bronchiolitis by intermittent high dose inhaled NO shows a favorable long-term safety profile.

 

We believe that the entirety of data at 150 ppm - 160 ppm NO in both adult and infant patient populations supports further development of LungFit® PRO in a pivotal study for patients hospitalized with VCAP or bronchiolitis.

 

LungFit® GO for the treatment of Nontuberculous mycobacteria (NTM)

 

NTM lung infection is a rare and serious pulmonary disease associated with increased morbidity and mortality. Patients with NTM lung disease may experience a multitude of symptoms such as fever, weight loss, cough, lack of appetite, night sweats, blood in the sputum and fatigue. Patients with NTM lung disease, specifically Mycobacterium abscessus (M. abscessus) representing 20% - 25% of all NTM and other forms of NTM that are refractory to antibiotic therapy, frequently require lengthy and repeated hospital stays to manage their condition. There are no treatments specifically indicated for the treatment of M. abscessus lung disease in North America, Europe or Japan.

 

There are approximately 50,000 to 90,000 people with NTM infections in the U.S. In Asia, the number of patients suffering from NTM surpasses what is seen in the U.S. There is one inhaled antibiotic approved for the treatment of refractory Mycobacterium avium complex (“MAC”). Current guideline-based approaches to treat NTM lung disease involve multi-drug regimens of antibiotics that may cause severe, long lasting side effects, and treatment can be as long as 18 months or more. Median survival for NTM MAC patients is approximately 13 years while median survival for patients with other variations of NTM is typically 4.6 years. The prevalence of human disease attributable to NTM has increased over the past two decades. In a study conducted between 2007 and 2016, researchers found that the prevalence of NTM in the U.S. is increasing at approximately 7.5% per year. M. abscessus treatment costs are estimated to be more than double that of MAC. In total, a 2015 publication by co-authors from several U.S. government departments stated that annual cases in 2014 cost the U.S. healthcare system approximately $1.7 billion. For this indication, we believe U.S. sales potential to be greater than $1 billion and worldwide sales potential to be greater than $2.5 billion.

 

26
 

 

In December 2020 we began a 12-week, multi-center, open-label clinical trial in Australia intended to enroll approximately 20 adult patients with chronic refractory NTM lung disease. We received a grant of up to $2.17 million from the Cystic Fibrosis Foundation (“CFF”) to fund this study and advance the clinical development of inhaled NO to treat NTM pulmonary disease. The trial enrolled both cystic fibrosis (“CF”) and non-CF patients infected with MAC, M. abscessus or any strain of NTM. The study consisted of a run-in period followed by two treatment phases. The run-in period provides a baseline for the efficacy endpoints. The first treatment phase took place over a two-week period and began in the hospital setting where patients were titrated from 150 ppm NO up to 250 ppm NO over several days. During this phase patients received NO for 40 minutes, four times per day while MetHb levels were monitored. Patients were also trained to use LungFit® GO and subsequently discharged to complete the remaining portion of the two-week treatment period at their home at the highest tolerated NO concentration. For the second treatment phase, a 10-week maintenance phase, the administration was twice daily. The study evaluated safety, quality of life, physical function, and bacterial load among other parameters.

 

At the American Thoracic Society International Conference 2022 (ATS 2022), which was held in San Francisco from May 13, 2022 through May 18, 2022 we presented positive interim data from the ongoing study. At the time of data cutoff on April 4, 2022, a total of 15 subjects were enrolled in the pilot study. The mean age of subjects was 62.1 years (range: 22 – 82 years) with the majority female (80%), a distribution consistent with real-world NTM disease. All 15 subjects were successfully titrated to 250 ppm NO in the hospital setting, and no patients required dose reductions during the subsequent at-home portion of the study. Patients were followed up for 12 weeks after the 12-week treatment period was completed.

 

After completion of the study, we presented positive results at the CHEST (The American College of Chest Physicians) annual meeting, held from October 16, 2022 through October 19, 2022, further supporting development of intermittent high dose NO for the treatment of NTM. The study demonstrated that high does nitric oxide treatment was safe and well-tolerated in both the home and hospital settings. During the 10-week at-home treatment period of the study, a total of 2,492 inhalations were self-administered with overall high treatment compliance (>90%). There were no serious adverse events (SAE) related to treatment discontinuations reported over the 12-week treatment or 12-week follow up periods. Key efficacy endpoints showed strong results with improvement seen in the majority of quality-of-life domains. Respiratory function and physical function were maintained during treatment and follow-up. Trends in the reduction of microbial load were observed and one subject achieved culture conversion with three consecutive negative sputum samples. We anticipate commencing a pivotal study in the second half of fiscal year 2025 following discussions with the FDA.

 

Our program in COPD is in the preclinical stage and, subject to obtaining additional financing, is expected to enter clinical trials in calendar year 2024.

 

Ultra-High Concentration NO (UNO) in solid tumors through majority-owned affiliate Beyond Cancer, Ltd.

 

In the fourth calendar quarter of 2021, Beyond Cancer, our newly formed, majority-owned affiliate, raised $30 million in a private placement of common shares. The investors purchased a 20% equity ownership in Beyond Cancer, while Beyond Air maintained 80% equity ownership in Beyond Cancer. The funding is expected to be used to accelerate ongoing preclinical work including the completion of IND-enabling studies, completion of a Phase 1 study, expansion of preclinical programs for combination studies, hiring of additional Beyond Cancer team members, and optimization of the delivery system, as well as for general corporate purposes.

 

Beyond Cancer will benefit from Beyond Air’s NO expertise, IP portfolio, preclinical oncology team, and regulatory progress, and will pay Beyond Air a single digit royalty on all future revenues. Beyond Cancer will be led by a seasoned leadership team with experience in emerging healthcare companies and clinical oncology.

 

27
 

 

UNO has shown anticancer properties in preclinical trials by eliciting an immune response from the host. We have released this preclinical data at several medical/scientific conferences showing the promise of delivering NO at concentrations of 20,000 ppm – 200,000 ppm directly to tumors. Results have shown that local tumor ablation with NO conveyed anti-tumor immunity to the host. In April 2022 we presented new in vivo and in vitro preclinical data at the American Association for Cancer Research (“AACR”) Annual Meeting 2022. The in vivo study assessed the mode of action following a single 5-minute gaseous NO (“gNO”) treatment provided data showing an effect on the primary tumor 14 days post treatment. These data showed that intratumoral injections of concentrations of gNO at 20,000 and 50,000 ppm led to increased recruitment of T cells, B cells, macrophages and dendrocytes to the primary tumor. An elevated number of T cells and B cells were also detected in the spleen and blood 21 days following gNO treatment. In addition, at the same timepoint, a marked reduction in the number of myeloid derived suppressor cells was seen in the spleen. Results from the in vitro study showed that exposure of six different cancer cell lines – including human ovarian and pancreatic and mouse lung, melanoma, colon, and breast– to UNO of gNO ranging from 10,000 ppm to 100,000 ppm for up to 10 minutes resulted in a dose-dependent cytotoxic response. The higher concentration doses of gNO led to near instant cell death, while the lower concentration doses required a longer exposure period to elicit cell death. Cell viability was assessed using two assays: XTT and clonogenic assay. After one minute of exposure to 25,000 ppm gNO, less than 10% viability was observed in all cell lines.

 

The second half of calendar year 2022 was a time of significant progress for Beyond Cancer. On August 23, 2022, we announced that the first patient was treated in a first-in-human Phase 1 study to assess the safety and immune biomarkers of UNO therapy. In November at the annual meeting of the Society for Immunotherapy of Cancer (SITC) we presented promising new in vivo combination data that support the potential of the company’s novel gNO therapy to treat various types of solid tumors in combination with immune checkpoint inhibitor (ICI) therapies, including anti-PD-1. The data presented at SITC demonstrate that UNO in combination with anti-PD-1 treatment leads to significantly higher tumor regression rates and prolonged survival. Also in 2022, on December 13, we announced the publication of pre-clinical data in Cancer Cell International (CCI), which shows that our proprietary tumor ablation technology utilizing UNO results in a potent innate and adaptive immune response that prevents metastases and resulted in a statistically significant survival benefit.

 

Calendar year 2023 began with the announcement of Beyond Cancer’s entry into a sponsored research agreement with Stanford School of Medicine and the appointment of Frederick M. Dirbas, MD, Associate Professor of Surgery, Division of Surgical Oncology, Stanford School of Medicine, and Mark D. Pegram, MD, the Suzy Yuan-Huey Hung Endowed Professor of Medical Oncology at the Stanford School of Medicine to the Beyond Cancer Scientific Advisory Board (SAB). In addition to the research agreement, Dr. Dirbas will serve as Chair of the SAB, which provides guidance for ongoing preclinical studies as well as ongoing and planned future clinical trials in the use of UNO to treat solid tumors. The newly appointed members of the SAB will work to provide input on the clinical development of Beyond Cancer’s UNO technology particularly as it relates to the U.S. regulatory submission.

 

The Company expects to present top line data from the human trial in calendar year 2023.

 

COVID-19

 

The development of our product candidates and the commercialization of our approved product could be further disrupted and adversely affected by a resurgence of the COVID-19 pandemic. We experienced significant delays in the supply chain for the LungFit® system due to the redundancy in parts and suppliers for ventilator manufacturing which has since been remedied. We continuously assess the impact that COVID-19 may have on our business plans and our ability to conduct the preclinical studies and clinical trials as well as on our reliance on third-party manufacturing and our supply chain. However, there can be no assurance that we will be able to avoid part or all of any impact from COVID-19 or its consequences if a resurgence occurs.

 

Critical Accounting Estimates and Policies

 

A critical accounting policy and related estimates are both important to the portrayal of a company’s financial condition and results of operations and requires management’s most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain.

 

Our unaudited consolidated financial statements are presented in accordance with U.S. GAAP, and all applicable U.S. GAAP accounting standards effective as of December 31, 2022 have been taken into consideration in preparing the unaudited consolidated financial statements. The preparation of unaudited consolidated financial statements requires estimates and assumptions that affect the reported amounts of assets, liabilities, expenses and related disclosures. Some of those estimates are subjective and complex, and, consequently, actual results could differ from those estimates. The following accounting policies and estimates have been highlighted as significant because changes to certain judgments and assumptions inherent in these policies could affect our consolidated financial statements:

 

  Contingent loss judgments and estimates,
     
  Research and development expense recognition,
     
  Licensed right to use Technology,
     
  Stock-based compensation valuation and attribution, and
     
  Income taxes

 

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Results of Operations and Comprehensive Loss

 

Below are the results of operations for the three and nine months ended December 31, 2022 and December 31, 2021:

 

(in thousands)

 

   For the Three Months Ended   For the Nine Months Ended 
   December 31,   December 31, 
   2022   2021   2022   2021 
                 
Revenue  $-   $-   $-   $- 
                     
Cost of revenue   68    -    247    - 
                     
Gross profit / (loss)   (68)   -    (247)   - 
                     
Research and development   5,000    2,543    12,679    8,091 
General and administrative   8,941    4,943    25,144    12,188 
Operating expenses   13,941    7,486    37,823    20,279 
                     
Operating loss   (14,010)   (7,486)   (38,070)   (20,279)
                     
Other income (loss)                    
Interest expense   (46)   (57)   (142)   (377)
Foreign exchange gain / (loss)   286    (8)   (108)   2 
Estimated liability of contingent loss   (248)   -    (248)   (2,742)
Other income / (expense)   219    (412)   317    - 
 Total other expense   211    (476)   (180)   (3,118)
                     
Benefit from income taxes   -    -    -    - 
                     
Net loss  $(13,798)  $(7,962)  $(38,250)  $(23,397)
                     
Less : net loss attributable to non-controlling interests   (1,051)   (223)   (2,601)   (223)
                     
Net loss attributable to Beyond Air, Inc.  $(12,747)  $(7,739)  $(35,649)  $(23,174)
                     
Foreign currency translation gain   (184)   -    159    - 
Comprehensive loss attributable to Beyond Air, Inc.  $(12,931)  $

(7,739

)  $(35,490)  $

(23,174

)
                     
Net basic and diluted loss per share attributable to Beyond Air, Inc.  $(0.43)  $(0.29)  $(1.19)  $(0.95)
                     
Weighted average number of shares, outstanding, basic and diluted   29,921,254    26,822,302    29,902,694    24,319,771 

 

Comparison of Three and Nine Months Ended December 31, 2022 with the Three and Nine Months Ended December 31, 2021

 

Revenue

 

On June 28, 2022 the FDA approved LungFit® PH to treat PPHN. No revenue was recognized for the three months or nine months ended December 31, 2022 or for the three or nine months ended December 31, 2021.

 

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Cost of Revenue

 

Cost of revenue of $0.1 million and $0.2 million was recognized for the three and nine months ended December 31, 2022, respectively, compared to $0 for the three and nine months ended December 31, 2021. These costs are primarily related to the establishment of several warehouse locations to optimize deliveries to future customers across the U.S.

 

Research and Development Expenses

 

Research and development expenses for the three months ended December 31, 2022 were $5.0 million as compared to $2.5 million for the three months ended December 31, 2021. The increase of $2.5 million was primarily attributed to scaling up of our spending on UNO for $1.3 million (including $0.9 million in salaries and stock-based compensation and $0.4 million in preclinical studies), $0.8 million spend on pre-clinical work on targeted therapeutic areas in Beyond Air, $0.2 million in people related costs (including salaries, travel and conferences) and $0.2 million other costs.

 

Research and development (“R&D”) expenses for the nine months ended December 31, 2022 were $12.7 million as compared to $8.1 million for the nine months ended December 31, 2021. The increase of $4.6 million was primarily attributed to the $1.7 million increase of R&D infrastructure and preclinical work in UNO, a $2.1 million increase in stock-based compensation, a $0.5 million increase in preclinical work in Beyond Air and $0.3 million in people-related costs (including salaries, conferences and travel) and $0.2 million of other costs, partially offset by the recognition of a ($0.2) million R&D credit received.

 

General and Administrative Expenses

 

General and administrative expenses for the three months ended December 31, 2022 and December 31, 2021 were $8.9 million and $4.9 million, respectively. The increase of $4.0 million was attributed primarily to an increase of $3.0 million due to the creation of the Beyond Cancer entity, notably $2.9 million of stock-based compensation plus an increase of $1.0 million in Beyond Air ($0.8 million increase in salaries and benefits for commercial and support staff, $0.1 million increase in stock-based compensation, $0.3 million increase in travel spend and $0.2 million increase in legal fees, partially offset by the timing of marketing and branding of ($0.3) million).

 

General and administrative expenses for the nine months ended December 31, 2022 and December 31, 2021 were $25.1 million and $12.2 million, respectively. The increase of $12.9 million was attributed primarily to an increase of $8.2 million due to the creation of the Beyond Cancer entity in late Q3 of the prior fiscal year ($1.0 million of salary expense, $6.6 million of stock-based compensation, $0.4 million travel and $0.2 million of office expenses and other) plus an increase of $4.7 million in Beyond Air ($1.7 million increase in salaries and benefits for commercial and support staff, $2.1 million increase in stock-based compensation, $0.2 million increase in insurance, $0.6 million increase in travel spend, $0.3 million increase in IT and physical infrastructure and $0.1 million in consulting was partially offset by a reduction in legal fees of ($0.4) million).

 

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Other Income (Loss)

 

Other Income (Loss) for the three months ended December 31, 2022 and December 31, 2021 was a gain of $0.2 million and a loss of ($0.5) million, respectively. The $0.7 million reduction of other loss is mainly due gains from investments in marketable securities of $0.4 million and foreign exchange gains of $0.4 million, partially offset by the recording of a contingent liability related to a lawsuit for $0.2 million.

 

Other Income (Loss) for the nine months ended December 31, 2022 and December 31, 2021 was a loss of ($0.2) million and a loss of ($3.1) million, respectively. The $2.9 million reduction of other loss is mainly due to the recording of a contingent liability related to a lawsuit in 2021 for $2.4 million, gains from investments in marketable securities for $0.4 million, and a $0.2 million reduction in interest expense, partially offset by the recording of a contingent liability related to a lawsuit for $0.2 million.

 

Net Loss Attributable to Non-controlling Interests

 

Net loss attributed to non-controlling interests for the three months ended December 31, 2022, was $1.1 million, compared to $0.2 million for the three months ended December 31, 2021. Net loss attributed to non-controlling interests for the nine months ended December 31, 2022, was $2.6 million, compared to $0.2 million for the nine months ended December 31, 2021. Non-controlling interests represent 20% of the net loss of our Beyond Cancer subsidiary, which was established in November 2021.

 

Net Loss Attributed to Common Stockholders

 

Net loss attributed to common stockholders of Beyond Air, Inc for the three months ended December 31, 2022, was ($12.8) million or a loss of ($0.43) per share, basic and diluted. Our net loss attributed to common stockholders of Beyond Air, Inc for the three months ended December 31, 2021 was ($7.7) million or a loss of ($0.29) per share, basic and diluted.

 

Net loss attributed to common stockholders of Beyond Air, Inc for the nine months ended December 31, 2022, was ($35.6) million or a loss of ($1.19) per share, basic and diluted. Our net loss attributed to common stockholders of Beyond Air, Inc for the nine months ended December 31, 2021 was ($23.2) million or a loss of ($0.95) per share, basic and diluted.

 

Liquidity and Capital Resources

 

Cash Flows

 

Below is a summary of the Company’s cash flows activities for the nine months ended December 31, 2022 and December 31, 2021:

 

    Nine Months Ended  
    December 31,  
(in thousands)   2022     2021  
             
Net cash provided by (used in):                
Operating activities   $ (24,569 )   $ (15,234 )
Investing activities     (29,447 )     (1,111 )
Financing activities     (713 )     73,783  
Effect of exchange rate changes on cash and cash equivalents     63       -  
Net increase (decrease) in cash, cash equivalents and restricted cash   $ (54,667 )   $ 57,439  

 

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Operating Activities

 

For the nine months ended December 31, 2022 the net cash used in operating activities was $24.6 million which was primarily due to the Company’s net loss of $38.3 million, which includes $15.2 million of stock-based compensation, $1.0 million of depreciation and amortization and $0.5 million decrease in prepaid expenses (mainly related to prepaid insurance), partially offset by ($2.5) million of the payment of the first tranche of the Circassia settlement, ($0.6) million for inventory purchases and ($0.3) million decrease in accounts payable.

 

For the nine months ended December 31, 2021 the net cash used in operating activities was $15.2 million which was primarily due to the Company’s net loss of $23.4 million, which includes $4.5 million of stock-based compensation, $2.6 million of accrued liabilities and $0.5 million for the non-cash accretion of debt issuance costs on the retired debt facility.

 

Investing Activities

 

For the nine months ended December 31, 2022 and December 31, 2021, net cash used in investing activities was ($29.4) million and ($1.1) million, respectively. In the nine months ended December 31, 2022, the Company invested a net amount of $27.6 million of excess cash in high quality, short term, US dollar denominated marketable equities with high liquidity, and $1.9 million for the purchase of property and equipment, including LungFit PH devices. In the nine months ended December 31, 2021, the Company invested $1.1 million, mainly for the purchase of property and equipment.

 

Financing Activities

 

Net cash used in financing activities for the nine months ended December 31, 2022 was $0.7 million, mainly from the ($0.9) million payment of loans related to the financing of directors and officers insurance, partially offset by $0.2 million of funds received from issuance of common stock through the 2022 ATM. Net cash provided by financing activities for the nine months ended December 31, 2021 was $73.7 million, including $11.1 million from the issuance of common stock related to the stock purchase agreement with Lincoln Park Capital Fund (“LPC”), $36.5 million from the issuance of common stock through the At-The-Market Equity Offering Sales Agreement, net cash inflows of $30.0 million from the sale of common stock of Beyond Cancer, $1.4 million from the issuance of common stock for cash upon exercise of warrants partially offset by the net reimbursement of our loan facility of ($4.8) million and other loan payments of ($0.6) million.

 

Contractual Obligations

 

There have been no material changes to our contractual obligations since March 31, 2022. For a summary of our contractual obligations, see Item 7 of Part II of our Annual Report on Form 10-K for the year ended March 31, 2022 (the “2022 Annual Report”), filed with the SEC on June 29, 2022.

 

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Overview

 

We have not generated any revenue from the sale of products, but now that we have obtained regulatory approval for LungFit® PH, we expect to begin generating revenue in fiscal year 2023. We had an operating cash outflows of $24.6 million for the nine months ended December 31, 2022 and we have experienced an accumulated loss of $159.3 million since inception through December 31, 2022. As of December 31, 2022, we had cash and cash equivalents, marketable securities of $53.1 million and $10.1 million restricted cash. We believe that our cash, cash equivalents, and marketable securities as of December 31, 2022 will enable us to fund our operating expenses and capital expenditure requirements for the next 12 month from the financial reporting date.

 

Our future capital needs and the adequacy of our available funds beyond one year from the date of filing these unaudited consolidated financial statements will depend on many factors, including, but not necessarily limited to, the cost and time necessary for the development, clinical studies and certification or regulatory approval of our other medical devices, indications as well as the commercial success of our approved product and any product candidates that receive marketing approval by the FDA. We may be required to raise additional funds through the sale of equity or debt securities or through strategic collaborations and/or licensing agreements in order to fund operations until we are able to generate enough product or royalty revenues, if any. Financing may not be available on acceptable terms, or at all, and our failure to raise capital when needed could have a material adverse effect on our strategic objectives, results of operations and financial condition.

 

On February 4, 2022, we entered into a new At-The-Market Equity Offering Sales Agreement with Truist Securities, Inc. and Oppenheimer & Co, Inc. (the “2022 ATM”). Under the 2022 ATM, we may sell shares of our common stock having aggregate sales proceeds of up to $50 million, from time to time and at various prices. If shares of our common stock are sold, there is a 3% fee paid to the sales agent. As of December 31, 2022, there was a balance of $49.8 million available under the 2022 ATM.

 

On May 14, 2020, we entered into the New Stock Purchase Agreement with LPC, which replaced the former $20 million purchase agreement with LPC, dated August 10, 2018. The New Stock Purchase Agreement provides for the issuance of up to $40 million of our common stock, which we may sell from time to time in our sole discretion, to LPC over a period of 36 months, subject to the conditions and limitations in the New Stock Purchase Agreement. As of December 31, 2022, there was a balance of approximately $18.1 million available under the New Stock Purchase Agreement.

 

Our ability to continue to operate beyond the fourth calendar quarter of 2023 will be largely dependent upon the successful commercial launch of LungFit® PH, as well as obtaining partners in other parts of the world, and the raising of additional funds to finance our activities until we are generating cash flow from operations. Further, there are no assurances that we will be successful in obtaining an adequate level of financing for the development and commercialization of our other product candidates.

 

There are numerous risks and uncertainties associated with the development of our NO delivery system and we are unable to estimate the amounts of increased capital outlays and operating expenses associated with the completion of the research and development of our product candidates.

 

Our future capital requirements will depend on many factors, including:

 

  the effects of the COVID-19 pandemic on our business, the medical community and the global economy;
  the progress and costs of our preclinical studies, clinical trials and other research and development activities;
  the costs of commercializing the LungFit® system;
  the scope, prioritization and number of our clinical trials and other research and development programs;
  the costs and timing of obtaining certification or regulatory approval for our product candidates;
  the costs of filing, prosecuting, enforcing and defending patent claims and other intellectual property rights;
  the costs of, and timing for, strengthening our manufacturing agreements for production of sufficient clinical quantities of our product candidates;
  the potential costs of contracting with third parties to provide marketing and distribution services for us or for building such capacities internally;
  the costs of acquiring or undertaking the development and commercialization efforts for additional, future therapeutic applications of our product candidates;
  the magnitude of our general and administrative expenses; and
  any cost that we may incur under current and future in-and out-licensing arrangements relating to our product candidates.

 

33
 

 

ITEM 3. Quantitative and Qualitative Disclosures About Market Risk

 

We are exposed to market risks in the ordinary course of our business. Market risk represents the risk of loss that may impact our financial position due to adverse changes in financial market prices and rates. Our market risk exposure is primarily a result of foreign currency exchange rates.

 

ITEM 4. Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

We carried out an evaluation, under the supervision and with the participation of our management, including our Chief Executive Officer (our principal executive officer) and Chief Financial Officer (our principal financial officer), of the effectiveness of the design and operation of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by an issuer in the reports that it files or submits under the Exchange Act is accumulated and communicated to the issuer’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based upon our evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2022.

 

Changes in Internal Control Over Financial Reporting

 

During the three months ended December 31, 2022, there were no changes made to our internal controls over financial reporting that materially affected, or that are reasonably likely to materially affect our internal controls over financial reporting.

 

34
 

 

PART II OTHER INFORMATION

 

ITEM 1. Legal Proceedings

 

See Note 11 to our unaudited condensed consolidated financial statements.

 

ITEM 1A. Risk Factors

 

There have been no material changes to the risk factors previously disclosed in Part I, “Item 1A. Risk Factors” of our 2022 Annual Report.

 

ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

None.

 

ITEM 3. Defaults Upon Senior Securities

 

None.

 

ITEM 4. Mine Safety Disclosures

 

Not Applicable.

 

ITEM 5. Other Information

 

None.

 

35
 

 

ITEM 6. Exhibits. 

 

Exhibit No.   Description
     
3.1   Amended and Restated Certificate of Incorporation of AIT Therapeutics, Inc., dated January 9, 2017, filed as Exhibit 3.1 to our Current Report on Form 8-K, as amended and filed with the SEC on March 15, 2017, and incorporated herein by reference.
     
3.2   Certificate of Amendment of the Amended and Restated Certificate of Incorporation, dated June 25, 2019, filed as Exhibit 3.3 to our Annual Report on Form 10-K, as filed with the SEC on June 28, 2019, and incorporated herein by reference.
     
3.3   Form of Second Certificate of Amendment of the Amended and Restated Certificate of Incorporation of Beyond Air, Inc. (included in Appendix C to our Definitive Proxy Statement, filed with the SEC on January 22, 2021 and incorporated herein by reference).
     
3.4   Amended and Restated Bylaws of AIT Therapeutics, Inc., filed as Exhibit 3.2 to our Current Report on Form 8-K, as amended and filed with the SEC on March 15, 2017, and incorporated herein by reference.
     
4.1   Form of Common Stock Certificate, filed as Exhibit 4.1 to our Current Report on Form 8-K, as amended and filed with the SEC on March 15, 2017, and incorporated herein by reference.
     
4.2   Form of Warrant to Purchase Common Stock, by and among AIT Therapeutics, Inc. and the Holders party thereto, filed as Exhibit 10.3 to our Current Report on Form 8-K, as amended and filed with the SEC on March 15, 2017, and incorporated herein by reference.
     
4.3   Form of Warrant to Purchase Common Stock, by and among AIT Therapeutics, Inc. and the Holders party thereto, filed as Exhibit 4.1 to our Current Report on Form 8-K, as filed with the SEC on April 4, 2017, and incorporated herein by reference.
     
4.4   Form of Warrant to Purchase Common Stock, by and among AIT Therapeutics, Inc. and the Holders party thereto, filed as Exhibit 4.1 to our Current Report on Form 8-K, as filed with the SEC on February 22, 2018, and incorporated herein by reference.
     
4.5   Form of Warrant to Purchase Common Stock, filed as Exhibit 4.1 to our Current Report on Form 8-K, as filed with the SEC on March 20, 2020 and incorporated herein by reference.
     
31.1*   Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
     
31.2*   Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
     
32.1**   Certification of Chief Executive Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
     
32.2**   Certification of Chief Financial Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes Oxley Act of 2002.
     
101.INS   Inline XBRL Instance Document – The instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the XBRL document.
     
101.SCH   Inline XBRL Taxonomy Extension Schema Document
     
101.CAL   Inline XBRL Taxonomy Extension Calculation Linkbase Document
     
101.DEF   Inline XBRL Taxonomy Extension Definition Linkbase Document
     
101.LAB   Inline XBRL Taxonomy Extension Label Linkbase Document
     
101.PRE   Inline XBRL Taxonomy Extension Presentation Linkbase Document
     
104   Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

 

* Filed herewith.

** Furnished herewith.

 

36
 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

  BEYOND AIR, INC.
   
  /s/ Steven Lisi
Date: February 9, 2023 Steven Lisi
  President and Chief Executive Officer
  (Principal Executive Officer)
   
  /s/ Douglas Larson
Date: February 9, 2023 Douglas Larson
  Chief Financial Officer
  (Principal Financial and Accounting Officer)

 

37