UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
| x | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended March 31, 2016
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: 000-50484
MEI Pharma, Inc.
(Exact name of registrant as specified in its charter)
| DELAWARE | 51-0407811 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
11975 El Camino Real, Suite 101, San Diego, CA 92130
(Address of principal executive offices) (Zip Code)
(858) 792-6300
(Registrant's telephone number, including area code)
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 x No ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files). Yes x No ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definition of "large accelerated filer," "accelerated filer," and "smaller reporting company" in Rule 12b-2 of the Exchange Act.
| Large accelerated filer | ¨ | Non-accelerated filer | ¨ | |||
| Accelerated filer | x | Smaller reporting entity | ¨ | |||
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No x
As of May 4, 2016, the number of shares outstanding of the issuer's common stock, $0.00000002 par value, was 34,155,997.
MEI PHARMA, INC.
Table of C ontents
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| PART I | FINANCIAL INFORMATION | |||||
| Item 1: | Financial Statements | |||||
Balance Sheets as of March 31, 2016 (unaudited) and June 30, 2015 | 3 | |||||
Statements of Operations (unaudited) for the three and nine months ended March 31, 2016 and 2015 | 4 | |||||
Statements of Cash Flows (unaudited) for the nine months ended March 31, 2016 and 2015 | 5 | |||||
Notes to Financial Statements (unaudited) | 6 | |||||
| Item 2: | Management's Discussion and Analysis of Financial Condition and Results of Operations | 10 | ||||
| Item 3: | Quantitative and Qualitative Disclosures about Market Risk | 15 | ||||
| Item 4: | Controls and Procedures | 15 | ||||
| PART II | OTHER INFORMATION | |||||
| Item 1: | Legal Proceedings | 15 | ||||
| Item 1A: | Risk Factors | 15 | ||||
| Item 2: | Unregistered Sales of Equity Securities and Use of Proceeds | 15 | ||||
| Item 3: | Defaults upon Senior Securities | 15 | ||||
| Item 4: | Mine Safety Disclosures | 15 | ||||
| Item 5: | Other Information | 15 | ||||
| Item 6: | Exhibits | 16 | ||||
| SIGNATURES | 17 | |||||
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PART I FINANCIAL INFORMATION
Item 1: Financial Statements
MEI PHARMA, INC.
BALANCE SHEETS
(In thousands, except share and per share data)
| March 31, 2016 | June 30, 2015 | |||||||
| (unaudited) | ||||||||
| ASSETS | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 14,291 | $ | 18,722 | ||||
Short term investments | 35,111 | 45,057 | ||||||
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Total cash, cash equivalents and short-term investments | 49,402 | 63,779 | ||||||
Prepaid expenses and other current assets | 1,102 | 502 | ||||||
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Total current assets | 50,504 | 64,281 | ||||||
Intangible assets, net | 374 | 401 | ||||||
Property and equipment, net | 53 | 68 | ||||||
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Total assets | $ | 50,931 | $ | 64,750 | ||||
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| LIABILITIES AND STOCKHOLDERS' EQUITY | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 466 | $ | 863 | ||||
Accrued liabilities | 3,559 | 4,096 | ||||||
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Total current liabilities | 4,025 | 4,959 | ||||||
Commitments and contingencies (Note 3) | ||||||||
Stockholders' equity: | ||||||||
Preferred stock, $0.01 par value; 100,000 shares authorized; none outstanding | - | - | ||||||
Common stock, $0.00000002 par value; 113,000,000 shares authorized; 34,155,997 shares issued and outstanding at March 31, 2016 and June 30, 2015 | - | - | ||||||
Additional paid-in-capital | 218,137 | 215,930 | ||||||
Accumulated deficit | (171,231 | ) | (156,139 | ) | ||||
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Total stockholders' equity | 46,906 | 59,791 | ||||||
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Total liabilities and stockholders' equity | $ | 50,931 | $ | 64,750 | ||||
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See accompanying notes to the unaudited financial statements.
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MEI PHARMA, INC.
STATEMENTS OF OPERATIONS
(In thousands, except share and per share data)
(Unaudited)
| Three Months Ended March 31, | Nine Months Ended March 31, | |||||||||||||||
| 2016 | 2015 | 2016 | 2015 | |||||||||||||
Operating expenses: | ||||||||||||||||
Research and development | $ | (3,420 | ) | $ | (6,775 | ) | $ | (9,418 | ) | $ | (20,044 | ) | ||||
General and administrative | (1,990 | ) | (2,185 | ) | (5,765 | ) | (7,039 | ) | ||||||||
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Total operating expenses | (5,410 | ) | (8,960 | ) | (15,183 | ) | (27,083 | ) | ||||||||
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Loss from operations | (5,410 | ) | (8,960 | ) | (15,183 | ) | (27,083 | ) | ||||||||
Other income (expense): | ||||||||||||||||
Interest and dividend income | 39 | 30 | 92 | 52 | ||||||||||||
Income tax expense | - | - | (1 | ) | (1 | ) | ||||||||||
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Net loss | $ | (5,371 | ) | $ | (8,930 | ) | $ | (15,092 | ) | $ | (27,032 | ) | ||||
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Net loss per share, basic and diluted | $ | (0.16 | ) | $ | (0.27 | ) | $ | (0.44 | ) | $ | (1.03 | ) | ||||
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Weighted average shares outstanding - basic and diluted | 34,422,663 | 33,471,920 | 34,393,087 | 26,183,435 | ||||||||||||
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See accompanying notes to the unaudited financial statements.
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MEI PHARMA, INC.
STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
| Nine Months Ended March 31, | ||||||||
| 2016 | 2015 | |||||||
Cash flows from operating activities: | ||||||||
Net loss | $ | (15,092 | ) | $ | (27,032 | ) | ||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
Share-based compensation | 2,207 | 3,730 | ||||||
Depreciation and amortization | 45 | 48 | ||||||
Changes in operating assets and liabilities: | ||||||||
Prepaid expenses and other current assets | (600 | ) | (95 | ) | ||||
Accounts payable | (397 | ) | 1,003 | |||||
Accrued liabilities | (537 | ) | 1,019 | |||||
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Net cash used in operating activities | (14,374 | ) | (21,327 | ) | ||||
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Cash flows from investing activities: | ||||||||
Purchases of property and equipment | (3 | ) | (16 | ) | ||||
Purchases of short-term investments | (40,190 | ) | (65,063 | ) | ||||
Proceeds from maturity of short-term investments | 50,136 | 50,024 | ||||||
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Net cash provided by (used in) investing activities | 9,943 | (15,055 | ) | |||||
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Cash flows from financing activities: | ||||||||
Net proceeds from issuance of common stock | - | 43,070 | ||||||
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Net cash provided by financing activities | - | 43,070 | ||||||
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Net (decrease) increase in cash and cash equivalents | (4,431 | ) | 6,688 | |||||
Cash and cash equivalents at beginning of the period | 18,722 | 13,777 | ||||||
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Cash and cash equivalents at end of the period | $ | 14,291 | $ | 20,465 | ||||
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See accompanying notes to the unaudited financial statements.
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MEI PHARMA, INC.
NOTES TO FINANCIAL STATEMENTS
(Unaudited)
1. The Company
MEI Pharma, Inc., or "the Company", is an oncology company focused on the clinical development of novel therapies for cancer. The Company's common stock is listed on the Nasdaq Capital Market under the symbol "MEIP".
The Company's business purpose is the development of drugs for the treatment of cancer. The Company's portfolio of clinical drug candidates includes Pracinostat, an oral histone deacetylase ("HDAC") inhibitor that is expected to enter a Phase III registration-oriented study for the treatment of elderly patients with newly diagnosed acute myeloid leukemia ("AML") in the second half of calendar year 2016. The Company's clinical development pipeline also includes ME-401 (formerly PWT143), an oral inhibitor of phosphatidylinositide 3-kinase ("PI3K") delta that is expected to enter a Phase Ib study in patients with recurrent chronic lymphocytic leukemia ("CLL") or follicular non-Hodgkin's lymphoma ("fNHL") in the second quarter of calendar year 2016. The Company is also developing ME-344, a mitochondrial inhibitor that is expected to enter an investigator-sponsored clinical study in human epidermal growth factor receptor 2 ("HER2")-negative breast cancer in the second quarter of calendar year 2016. The Company owns exclusive worldwide rights to all of its drug candidates, including Pracinostat, ME-401 and ME-344.
Basis of Presentation
The accompanying unaudited financial statements have been prepared in accordance with accounting principles generally accepted in the United States ("U.S. GAAP") for interim financial information and in accordance with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, the accompanying financial statements do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, the accompanying financial statements reflect all adjustments (consisting of normal recurring adjustments) that are necessary for a fair statement of the financial position, results of operations and cash flows for the periods presented. The Company has evaluated subsequent events through the date the financial statements were issued.
The accompanying unaudited financial statements should be read in conjunction with the audited financial statements and notes thereto as of and for the fiscal year ended June 30, 2015, included in the Company's Annual Report on Form 10-K ("2015 Annual Report") filed with the Securities and Exchange Commission ("SEC") on September 2, 2015. Interim results are not necessarily indicative of results for a full year.
Use of Estimates
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial statements and disclosures made in the accompanying notes to the financial statements. The Company uses estimates that affect the reported amounts (including assets, liabilities and expenses) and related disclosures. Actual results could materially differ from those estimates.
Significant Accounting Policies
On July 1, 2015, we changed our method of estimating the grant date fair value for stock options from a binomial valuation model to a Black-Scholes valuation model. The change was made as a result of the implementation of new accounting software. The overall result from applying either the Black-Scholes or binomial valuation model did not result in a material difference in the stock option valuation.
Recent Accounting Pronouncements
In August 2014, the FASB issued ASU No. 2014-15, Disclosure of Uncertainties About an Entity's Ability to Continue as a Going Concern ("ASU 2014-15"). The standard requires management to perform interim and annual assessments of an entity's ability to continue as a going concern within one year of the date the financial statements are issued and provides guidance on determining when and how to disclose going concern uncertainties in the financial statements. Certain disclosures will be required if conditions give rise to substantial doubt about an entity's ability to continue as a going concern. ASU 2014-15 applies to all entities and is effective for annual and interim reporting periods ending after December 15, 2016, with early adoption permitted. Subsequent to adoption, the Company will apply the guidance in ASU 2014-15 to assess its ability to continue as a going concern.
In February 2016, the FASB issued ASU 2016-02 Leases, which introduces the recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under previous guidance. The new standard establishes a right-of-use ("ROU") model that requires a lessee to record an ROU asset and a lease liability on the balance sheet for all leases with terms longer than 12 months. The new standard is effective for fiscal years beginning after December 15, 2018 and interim periods within those fiscal years with early adoption permitted. We are evaluating the impact that the adoption of this standard will have on our financial statements.
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In March 2016, the FASB issued ASU 2016-09 Improvements to Employee Share-Based Payment Accounting which simplifies several aspects of accounting for share-based payment transactions including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The new standard is effective for fiscal years beginning after December 15, 2016 and interim periods within those fiscal years with early adoption permitted. We are evaluating the impact that the adoption of this standard will have on our financial statements.
2. Net Loss Per Share
Basic and diluted net loss per share are computed using the weighted-average number of shares of common stock outstanding during the period, less any shares subject to repurchase or forfeiture. There were no shares of common stock subject to repurchase or forfeiture for the three and nine months ended March 31, 2016 and 2015.
Because the Company is in a net loss position, it has excluded stock options, unvested RSUs and warrants from the calculation of diluted net loss per share because these securities are antidilutive for all periods presented. As of March 31, 2016 and 2015, the number of securities excluded from the computation of diluted net loss per share totaled 6,766,424 and 5,907,083, respectively.
3. Commitments and Contingencies
The Company has contracted with various consultants and third parties to assist it in pre-clinical research and development and clinical trials work for its leading drug compounds. The contracts are terminable at any time, but obligate the Company to reimburse the providers for any time and costs incurred through the date of termination. The Company also has employment agreements with certain of its current employees that provide for severance payments and accelerated vesting for share-based awards if their employment is terminated under specified circumstances.
As of March 31, 2016, the Company leases approximately 8,800 square feet of office space for the Company's executive and administrative offices. The monthly rental rate is approximately $27,000 during the remaining term of the lease, plus a pro-rata share of certain building expenses. The lease expires in June 2016. Total future minimum payments under the lease are $81,000 through June 30, 2016. In April 2016, the Company signed a lease amendment to extend the lease term through June 30, 2017.
Asset Purchase Agreement
In August 2012, the Company entered into a definitive asset purchase agreement with S*Bio Pte Ltd ("S*Bio"), pursuant to which the Company agreed to acquire certain assets comprised of intellectual property and technology including rights to Pracinostat, in exchange for $500,000 of common stock. On August 22, 2012, the Company completed the asset purchase and issued 195,756 shares of common stock to S*Bio. The Company has also agreed to make certain milestone payments to S*Bio based on the achievement of certain clinical, regulatory and net sales-based milestones, as well as to make certain contingent earnout payments to S*Bio. Milestone payments will be made to S*Bio up to an aggregate amount of $75.2 million if certain U.S., E.U. and Japanese regulatory approvals are obtained and if certain net sales thresholds are met in North America, the E.U. and Japan. The first milestone payment of $200,000 plus shares of the Company's common stock having a value of $500,000 will be due upon the first dosing of a patient in a Phase III clinical trial or other pivotal trial, for any indication. Subsequent milestone payments will be due upon certain regulatory approvals and sales-based events. As of March 31, 2016, the Company has accrued $250,000 for potential future payments.
License Agreement
In September 2012, the Company entered into a license agreement with CyDex Pharmaceuticals, Inc. ("CyDex"). Under the license agreement, CyDex granted to the Company an exclusive, nontransferable license to intellectual property rights relating to Captisol ® for use with the Company's isoflavone-based drug compounds. The Company agreed to pay to CyDex a non-refundable license issuance fee, future milestone payments, and royalties at a low, single-digit percentage on future sales of the Company's approved drugs utilizing Captisol. Contemporaneously with the license agreement, the Company and CyDex entered into a commercial supply agreement pursuant to which the Company agreed to purchase 100% of its requirements for Captisol from CyDex. The Company may terminate both the license agreement and the supply agreement for convenience at any time upon 90 days' prior written notice. As of March 31, 2016, the Company has not accrued any amounts for potential future payments.
4. Short-Term Investments
As of March 31, 2016 and June 30, 2015, the Company's short-term investments consisted of $35.1 million and $45.1 million, respectively, in U.S. government securities. The short-term investments held as of March 31, 2016 and June 30, 2015 had maturity dates of less than one year, are considered to be "held to maturity" and are carried at amortized cost. Due to the short-term maturities of these instruments, the amortized cost approximates the related fair values. As of March 31, 2016 and June 30, 2015, the gross holding gains and losses were immaterial.
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5. Stockholders' Equity
Equity Transactions
Shelf Registration Statement
In April 2014, the Company filed a shelf registration statement on Form S-3 with the SEC ("shelf registration statement"). The shelf registration statement was declared effective by the SEC in April 2014. The shelf registration statement permits the Company to sell, from time to time, up to $150 million of common stock, preferred stock and warrants. As of March 31, 2016, there is $104 million aggregate value of securities available under the shelf registration statement. Pursuant to SEC regulations, if the market value of the Company's public float is below $75 million, the Company cannot sell securities from the shelf registration statement which represent more than one-third of the market value of the Company's non-affiliated public float during any 12-month period. The market value of the Company's non-affiliated public float was less than $75 million as of March 31, 2016. Accordingly, until the Company's non-affiliated public float exceeds $75 million, the Company may not sell shares with a market value greater than one-third of its non-affiliated public float during any 12-month period under the shelf registration statement. No shares were sold under the shelf registration statement in calendar year 2015 or 2016.
Underwritten Registered Offering
In December 2014, the Company completed an underwritten registered offering of 11,500,000 shares of its common stock at a price per share of $4.00, pursuant to the shelf registration statement. The Company received net cash proceeds of $43.1 million associated with the offering, after costs of $2.9 million.
Warrants
As of March 31, 2016, there were outstanding warrants to purchase 315,484 shares of the Company's common stock at an exercise price of $7.14 per share, which expire in May 2017, issued in conjunction with the Company's May 2012 rights offering; outstanding Series A warrants and warrants issued to the Company's placement agent for its May 2011 private placement to purchase up to 215,721 shares of common stock at an exercise price of $6.00 per share, which expire in November 2016; and warrants to purchase 3,230,202 shares of the Company's common stock at an exercise price of $3.12 per share, which expire in December 2017, issued in conjunction with its December 2012 private placement.
6. Share-based Compensation
The Company uses equity-based compensation programs to provide long-term performance incentives for its employees. These incentives consist primarily of stock options and restricted stock units ("RSUs").
MEI Pharma's 2008 Stock Omnibus Equity Compensation Plan (the "2008 Equity Plan") provides for the grant of options and/or other share-based or share-denominated awards to the Company's non-employee directors, officers, employees and advisors. The 2008 Equity Plan was initially adopted in 2008 and was amended and restated in 2011 and 2012. Effective December 3, 2015, the Company's stockholders voted to further amend and restate the 2008 Equity Plan to increase the number of shares of common stock authorized for issuance under the plan to 6,686,000 shares, among other changes. As of March 31, 2016, there were 3,443,920 shares available for future grant under the 2008 Equity Plan.
Total share-based compensation expense for all stock awards consists of the following, in thousands:
| Three Months Ended March 31, | Nine Months Ended March 31, | |||||||||||||||
| 2016 | 2015 | 2016 | 2015 | |||||||||||||
Research and development | $ | 216 | $ | 317 | $ | 681 | $ | 1,177 | ||||||||
General and administrative | 423 | 751 | 1,526 | 2,553 | ||||||||||||
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Total share-based compensation | $ | 639 | $ | 1,068 | $ | 2,207 | $ | 3,730 | ||||||||
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Stock Options
As of March 31, 2016, there were a total of 2,871,683 options outstanding, including options representing the right to purchase a total of 29,603 shares of common stock which were granted to one of the Company's officers outside of the Plan.
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Stock option activity for the nine months ended March 31, 2016 was as follows:
| Number of Options | Weighted- Average Exercise Price | Weighted-Average Remaining Contractual Term (in years) | Aggregate Intrinsic Value | |||||||||||||
Outstanding at June 30, 2015 | 1,614,317 | $ | 7.07 | |||||||||||||
Granted | 1,546,625 | 1.59 | ||||||||||||||
Forfeited / Cancelled | (262,392 | ) | 5.10 | |||||||||||||
Expired | (26,867 | ) | 5.53 | |||||||||||||
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Outstanding at March 31, 2016 | 2,871,683 | $ | 4.32 | 6.2 | $ | 8,607 | ||||||||||
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Vested and exercisable at March 31, 2016 | 1,188,713 | $ | 5.78 | 4.3 | $ | - | ||||||||||
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The fair value of each stock option granted during the nine months ended March 31, 2016 is estimated on the grant date under the fair value method using a Black-Scholes valuation model. Stock options granted to employees during the nine months ended March 31, 2016 vest either ratably each month for a period of 36 months, or 25% one year from the date of grant and ratably each month thereafter for a period of 36 months and expire ten years from the date of grant. Stock options granted to directors during the nine months ended March 31, 2016 vest ratably each month for a period of 12 months from the date of grant and expire ten years from the date of grant. The RSU equity awards are measured using the grant date fair value of the Company's common stock. The estimated fair values of the stock options and RSUs, including the effect of estimated forfeitures, are expensed over the service period.
The following weighted-average assumptions were used to determine the fair value of options granted during the period:
| Nine Months Ended March 31, | ||||||||
| 2016 | 2015 | |||||||
Risk-free interest rate | 1.7 | % | 1.6 | % | ||||
Expected life (years) | 5.8 | 5.0 | ||||||
Expected volatility | 116.8 | % | 115.7 | % | ||||
Dividend yield | 0.0 | % | 0.0 | % | ||||
Weighted-average grant date fair value | $ | 1.35 | $ | 5.00 | ||||
As of March 31, 2016, there was $1.8 million of unrecognized compensation expense related to the unvested portion of stock options. Such compensation expense is expected to be recognized over a weighted-average period of 1.5 years.
Restricted Stock Units
In March 2013, the Compensation Committee of the Board of Directors granted 400,000 RSUs to the Company's Chief Executive Officer, Dr. Daniel P. Gold. Each RSU represents the contingent right to receive one share of the Company's common stock. One-third of the RSUs vested on August 30, 2014, one-third vested on August 30, 2015, and the remaining one-third will vest on August 30, 2016. The shares underlying the RSUs will be delivered to Dr. Gold on the earliest to occur of (i) March 29, 2018, (ii) Dr. Gold's death, disability or separation from service from the Company for any reason, or (iii) a change in control involving the Company.
The fair value of the RSUs on the date of grant was $3.5 million. The grant date fair value per unit was $8.63. As of March 31, 2016, unrecognized compensation expense related to the unvested portion of the Company's RSUs was approximately $0.1 million and is expected to be recognized over a weighted-average period of 0.4 years.
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| Item 2: | Management's Discussion and Analysis of Financial Condition and Results of Operations |
This Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the "Securities Act") and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). All statements other than statements of historical facts contained in this Quarterly Report, including statements regarding the future financial position, business strategy and plans and objectives of management for future operations, are forward-looking statements. The words "believe," "may," "will," "estimate," "continue," "anticipate," "intend," "should," "plan," "expect," and similar expressions, as they relate to us, are intended to identify forward-looking statements. We have based these forward-looking statements largely on current expectations and projections about future events and financial trends that we believe may affect our financial condition, results of operations, business strategy and financial needs. These forward-looking statements are subject to a number of risks, uncertainties and assumptions, including, without limitation, those described in "Risk Factors" in our 2015 Annual Report, and elsewhere in this report, including, among other things:
| • | our inability to obtain required additional financing or financing available to us on acceptable terms, or at all, which may cause us to delay, scale-back or eliminate plans related to development of our drug candidates; |
| • | we are in early stage clinical studies for our product candidates on which our development plans are based; clinical studies by their nature typically have a high level of risk and may not produce successful results; |
| • | the results of pre-clinical studies and completed clinical trials are not necessarily predictive of future results, and our current drug candidates may not have favorable results in later studies or trials; |
| • | our inability to maintain or enter into, and the risks resulting from our dependence upon, contractual arrangements necessary for the clinical development, manufacture, commercialization, marketing, sales and distribution of our product candidates; |
| • | costs and delays in our clinical development programs and/or receipt of U.S. Food and Drug Administration ("FDA") or other required governmental or regulatory approvals, or the failure to obtain such approvals, for our product candidates; |
| • | the FDA's interpretation and our interpretation of data from preclinical and clinical studies may differ significantly; |
| • | our failure to successfully commercialize our product candidates; |
| • | the failure of any products to gain market acceptance; |
| • | our inability to control the costs of manufacturing our products; |
| • | competition and competitive factors; |
| • | our inability to protect our patents or proprietary rights and obtain necessary rights to third party patents and intellectual property to operate our business; |
| • | our inability to operate our business without infringing the patents and proprietary rights of others; |
| • | costs stemming from our defense against third party intellectual property infringement claims; |
| • | general economic conditions; |
| • | technological changes; |
| • | government regulation generally; |
| • | changes in industry practice; and |
| • | one-time events. |
These risks are not exhaustive. Other sections of this report and our other filings with the SEC include additional factors which could adversely impact our business and financial performance. Moreover, we operate in a very competitive and rapidly changing environment. New risk factors emerge from time to time and it is not possible for us to predict all risk factors, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements.
You should not rely upon forward-looking statements as predictions of future events. We cannot assure you that the events and circumstances reflected in the forward-looking statements will be achieved or occur. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance or achievements. The following discussion is qualified in its entirety by, and should be read in conjunction with, the more detailed information set forth in the financial statements and the notes thereto appearing elsewhere in this Quarterly Report on Form 10-Q and the audited financial statements and notes thereto included in our 2015 Annual Report, as filed with the SEC. Operating results are not necessarily indicative of results that may occur in future periods.
Overview and Recent Developments
We are an oncology company focused on the clinical development of novel therapies for cancer. Our common stock is listed on the Nasdaq Capital Market under the symbol "MEIP".
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Our business purpose is the development of drugs for the treatment of cancer. Our portfolio of drug candidates includes Pracinostat, an oral HDAC inhibitor that is expected to enter a Phase III registration-oriented study for the treatment of elderly patients with newly diagnosed AML in the second half of calendar year 2016. Our clinical development portfolio also includes ME-401, an oral inhibitor of PI3K delta that is expected to enter a Phase Ib study in patients with recurrent CLL or fNHL in the second quarter of calendar year 2016. We are also developing ME-344, a mitochondrial inhibitor that is expected to enter an investigator-sponsored clinical study in HER2-negative breast cancer in the second quarter of calendar year 2016. We own exclusive worldwide rights to all of our drug candidates, including Pracinostat, ME-401 and ME-344.
Clinical Development Programs
HDAC Inhibitor Drug Candidate: Pracinostat
Pracinostat is an orally available inhibitor of a group of enzymes called histone deacetylases, or HDACs. HDACs belong to a larger set of proteins collectively known as epigenetic regulators that can alter gene expression by chemically modifying deoxyribonucleic acid ("DNA") or its associated chromosomal proteins. Abnormal activity of these regulators is believed to play an important role in cancer and other diseases.
Pracinostat has been tested in multiple Phase I and Phase II clinical trials in advanced hematologic malignancies and solid tumor indications. The results of these studies suggest that Pracinostat has potential best-in-class pharmacokinetic properties when compared to other oral HDAC inhibitors, with side effects often associated with drugs of this class, the most frequent of which are fatigue and myelosuppression.
Pracinostat has demonstrated clinical evidence of single-agent activity in patients with AML and myelofibrosis. In a Phase I dose-escalation trial in patients with advanced hematologic malignancies, 14% of the evaluable AML patients (two out of 14) achieved a complete remission ("CR"), with the responses enduring for more than 206 and 362 days, respectively. These results were presented at the American Society of Hematology ("ASH") Annual Meeting in December 2010. In a Phase II clinical trial in intermediate or high-risk myelofibrosis, 36% of patients (eight out of 22) demonstrated a clinical response from Pracinostat treatment, with 9% of patients (two out of 22) having a clinical improvement (anemia response) and 27% (six out of 22) experiencing some reduction in splenomegaly. These results were published in the September 2012 issue of Leukemia Research .
Pracinostat has also shown evidence of synergistic activity when used in combination with the hypomethylating agent, azacitidine (marketed as Vidaza®). Results from a pilot study in patients with advanced myelodysplastic syndrome ("MDS") presented at the ASH Annual Meeting in December 2012 showed an overall response rate of 89% (eight out of nine). The combination of Pracinostat and azacitidine was generally well-tolerated in the study; the most frequent side effects were nausea and fatigue.
In June 2013, we initiated a randomized, double-blind, placebo-controlled Phase II clinical study of Pracinostat in combination with azacitidine in intermediate-2 or high-risk patients with previously untreated MDS. The study enrolled 102 evaluable patients, randomized one-to-one, at 19 sites in the U.S. In March 2015, we announced top-line date from the study, which showed that the addition of Pracinostat to azacitidine failed to improve the overall CR rate, the study's primary endpoint, compared to azacitidine alone. There were no new toxicities observed in the study, however fatigue, gastrointestinal toxicities and myelosuppression occurred more frequently in the combination group and resulted in a higher rate of drug discontinuations compared to azacitidine alone, predominantly within the first two cycles of treatment. Exploratory analyses of patients able to tolerate Pracinostat plus azacitidine for at least four cycles suggest superior activity of the combination compared to azacitidine alone, with hazard ratios for overall survival (0.59) and duration of response (0.48) both favoring the Pracinostat plus azacitidine arm. These data were presented at the ASH Annual Meeting in December 2015.
In February 2014, the FDA granted orphan drug designation to Pracinostat for the treatment of AML. The designation provides orphan status to drugs defined by the FDA as those intended for the safe and effective treatment, diagnosis or prevention of rare diseases that affect fewer than 200,000 people in the U.S. Orphan designation qualifies us for certain development incentives, including tax credits for qualified clinical testing, prescription drug user fee exemptions and seven-year marketing exclusivity upon FDA approval. We also intend to seek orphan drug designation in the U.S. and Europe for Pracinostat in combination with azacitidine for the treatment of AML.
In November 2014, we completed enrollment in our open-label Phase II study of Pracinostat in combination with azacitidine in elderly patients with newly diagnosed AML. The study enrolled a total of 50 patients at 15 clinical sites in the U.S. The median age in the study was 76 years. Patients received 60 mg of Pracinostat orally three times a week for three weeks followed by one week of rest and 75 mg/m2 of azacitidine via subcutaneous injection or intravenous infusion for the first seven days of each 28-day cycle.
Results from this study were presented at the ASH Annual Meeting in December 2015. According to the oral presentation by principal investigator Dr. Guillermo Garcia-Manero, MD Anderson Cancer Center, 28 of the 50 patients in the study (56%) achieved the primary endpoint of CR plus complete response with incomplete blood count recovery ("CRi") plus morphologic leukemia-free state, including 21 patients (42%) who achieved a CR. Notably, 19 of the 21 patients who achieved a CR were still alive with a 100% one-year survival rate among all CR patients, indicating a correlation between CR and survival with this low-intensity therapy.
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Median overall survival for all 50 patients in the study has not been reached, with 27 patients still living and a median observation time of approximately 18 months as of March 11, 2016. These data compare favorably to a recent international Phase III study of azacitidine (AZA-001; Dombret H et al. Blood . 2015 May 18), which showed a median overall survival of 10.4 months with azacitidine alone and a CR rate of 19.5% in a similar patient population. Median survival among patients with high-risk cytogenetics in this study (n=21) was 13.3 months, more than double the median survival of the high-risk population in the AZA-001 study (6.4 months).
The combination of Pracinostat and azacitidine was generally well tolerated in the study, with no unexpected toxicities. The most common grade 3/4 treatment-emergent adverse events reported in >10% of all patients included febrile neutropenia, thrombocytopenia, anemia and fatigue.
The results from our AML study demonstrate that many patients are achieving responses within the first two cycles, with fewer discontinuations overall due to adverse events compared to our MDS study. Based on these findings, we believe we have determined a potential registration path forward for Pracinostat plus azacitidine and intend to commit our resources toward further development of this combination in AML. We are now preparing for a Phase III registration-oriented study in elderly patients with newly diagnosed AML, which we expect to initiate in the second half of calendar year 2016.
PI3-Kinase Delta Drug Candidate: ME-401
In September 2013, we acquired exclusive worldwide rights to ME-401 from Pathway Therapeutics, Inc. for an undisclosed upfront cash payment with no future milestone or royalty obligations. In pre-clinical studies, ME-401 is a potent and selective oral inhibitor of PI3K delta, a molecular target that has been shown to play a critical role in the proliferation and survival of certain hematologic cancer cells. ME-401 has a distinct chemical structure from certain other PI3K delta inhibitors, including idelalisib (marketed as Zydelig ® ). Data presented at the ASH Annual Meeting in December 2012 demonstrated that ME-401 has superior pre-clinical activity compared to idelalisib.
Data from a first-in-human, single ascending dose clinical study of ME-401 in healthy subjects demonstrated on-target activity at very low concentrations. In addition, the pharmacokinetic results suggest that ME-401 has the potential for a superior pharmacokinetic and pharmacodynamic profile and an improved therapeutic window compared to idelalisib, with a half-life that supports once-daily dosing. These results were presented at the American Association for Cancer Research Annual Meeting in April 2016. In March 2016, the FDA approved our Investigational New Drug application for ME-401 in B-cell malignancies. We expect to initiate a Phase Ib dose-escalation study of ME-401 in patients with recurrent CLL or fNHL in the second quarter of calendar year 2016.
Mitochondrial Inhibitor Drug Candidate: ME-344
ME-344 is our isoflavone-derived mitochondrial inhibitor drug candidate. In preclinical studies, ME-344 has been shown to cause cell death in multiple human tumor cell lines, including ovarian cancer stem cells, by interfering with mitochondrial energy generation.
Results from our first-in-human, single-agent Phase I clinical trial of ME-344 in patients with refractory solid tumors were published in the April 1, 2015 issue of Cancer . The results indicated that eight of 21 evaluable patients (38%) treated with ME-344 achieved stable disease or better, including five who experienced progression-free survival that was at least twice the duration of their last prior treatment before entry into the study. In addition, one of these patients, a heavily pre-treated patient with small cell lung cancer, achieved a confirmed partial response and remained on study for two years. ME-344 was generally well tolerated at doses equal to or less than 10 mg/kg delivered on a weekly schedule for extended durations. Treatment-related adverse events included nausea, dizziness and fatigue. Dose limiting toxicities were observed at both the 15 mg/kg and 20 mg/kg dose levels, consisting primarily of Grade 3 peripheral neuropathy.
In May 2014, we initiated a Phase Ib clinical trial of ME-344 in combination with topotecan (trade name Hycamtin ® ) in patients with small cell lung and ovarian cancers. The Phase Ib study enrolled a total of 13 small cell lung cancer patients and 28 ovarian cancer patients at nine sites in the U.S. and U.K. We will continue to follow these patients for response and survival, however the combination demonstrated insufficient activity to warrant further development.
In May 2015, we announced new pre-clinical data from a collaboration with the Spanish National Cancer Research Centre in Madrid showing mitochondria-specific effects of ME-344 in cancer cells, including substantially enhanced anti-tumor activity when combined with a vascular endothelial growth factor ("VEGF") inhibitor. These new data demonstrate that the anti-cancer effects when combining ME-344 with a VEGF inhibitor are due to an inhibition of both mitochondrial and glycolytic metabolism. We expect an investigator-sponsored study of ME-344 in combination with the VEGF inhibitor bevacizumab (marketed as Avastin ® ) in HER2-negative breast cancer to initiate in the second quarter of calendar year 2016.
Results of Operations
Three Months Ended March 31, 2016 and 2015
We incurred losses of $5.4 million and $8.9 million for the three months ended March 31, 2016 and 2015, respectively.
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Research and Development : Research and development expenses consist primarily of clinical trial costs (including payments to contract research organizations), pre-clinical study costs, costs to manufacture our drug candidates for non-clinical and clinical studies and salaries and other personnel costs. Research and development expenses decreased by $3.4 million to $3.4 million for the three months ended March 31, 2016 compared to $6.8 million for the three months ended March 31, 2015. The decrease was primarily due to a reduction of $2.1 million in costs associated with Phase II clinical trials for Pracinostat related to MDS and a $0.9 million decrease in drug manufacturing for Pracinostat.
General and Administrative : General and administrative expenses decreased by $0.2 million to $2.0 million for the three months ended March 31, 2016 compared to $2.2 million for the three months ended March 31, 2015. The decrease primarily relates to lower levels of share-based compensation expense during the three months ended March 31, 2016 compared to the three months ended March 31, 2015.
Other income or expense: We received interest and dividend income of $39,000 for the three months ended March 31, 2016 compared to $30,000 for the three months ended March 31, 2015. The increase was due to higher yields during the three months ended March 31, 2016 compared to the three months ended March 31, 2015.
Nine Months Ended March 31, 2016 and 2015
We incurred losses of $15.1 million and $27.0 million for the nine months ended March 31, 2016 and 2015, respectively.
Research and Development : Research and development expenses consist primarily of clinical trial costs (including payments to contract research organizations), pre-clinical study costs, costs to manufacture our drug candidates for non-clinical and clinical studies and salaries and other personnel costs. Research and development expenses decreased by $10.6 million to $9.4 million for the nine months ended March 31, 2016 compared to $20.0 million for the nine months ended March 31, 2015. The decrease was primarily due to a reduction of $6.3 million in costs associated with Phase II clinical trials for Pracinostat related to MDS, a $1.1 million decrease in clinical trial costs for ME-344, and a $1.4 million decrease in drug manufacturing for Pracinostat.
General and Administrative : General and administrative expenses decreased by $1.2 million to $5.8 million for the nine months ended March 31, 2016 compared to $7.0 million for the nine months ended March 31, 2015. The decrease primarily relates to lower levels of share-based compensation expense during the nine months ended March 31, 2016 compared to the nine months ended March 31, 2015.
Other income or expense: We received interest and dividend income of $92,000 for the nine months ended March 31, 2016 compared to $52,000 for the nine months ended March 31, 2015. The increase was due to higher yields during the nine months ended March 31, 2016 compared to the nine months ended March 31, 2015.
Liquidity and Capital Resources
We have accumulated losses of $171.2 million since inception and expect to incur operating losses and generate negative cash flows from operations for the foreseeable future. As of March 31, 2016, we had $49.4 million in cash, cash equivalents and short-term investments. We believe that our existing cash, cash equivalents and short-term investments balances will be sufficient to fund our operations through at least fiscal year 2017. Our current business operations are focused on continuing the clinical development of our drug candidates, Pracinostat, ME-401 and ME-344. Changes to our research and development plans or other changes affecting our operating expenses may affect actual future use of existing cash resources. To date, we have obtained cash and funded our operations primarily through equity financings. In order to continue the development of our drug candidates, at some point in the future we expect to pursue one or more capital transactions, whether through the sale of equity securities or entry into strategic partnerships.
Sources and Uses of Our Cash
Net cash used in operations for the nine months ended March 31, 2016 decreased to $14.4 million compared to $21.3 million in the nine months ended March 31, 2015, due to a decrease in expenses incurred for research and development and general and administrative costs as described above.
Net cash provided by investing activities for the nine months ended March 31, 2016 was $9.9 million compared to net cash used in investing activities of $15.1 million in the nine months ended March 31, 2015, representing maturities of investments in short-term U.S. government securities in excess of purchases.
There was no cash provided by financing activities during the nine months ended March 31, 2016 compared to $43.1 million during the nine months ended March 31, 2015, which reflected net proceeds raised through the issuance of common stock in our December 2014 underwritten registered offering.
Contractual Obligations
We have contracted with various consultants and third parties to assist us in pre-clinical research and development and clinical trials work for our leading drug compounds. The contracts are terminable at any time, but obligate us to reimburse the providers for any time or costs incurred through the date of termination. Additionally, we have employment agreements with certain of our current employees that provide for severance payments and accelerated vesting for share-based awards if their employment is terminated under specified circumstances.
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As of March 31, 2016, we lease approximately 8,800 square feet of office space at a monthly rental rate of approximately $27,000 per month during the term of the lease, through June 2016. In April 2016, the Company signed a lease amendment to extend the lease term through June 30, 2017.
License Agreement
In September 2012, the Company entered into a license agreement with CyDex. Under the license agreement, CyDex granted to the Company an exclusive, nontransferable license to intellectual property rights relating to Captisol® for use with the Company's isoflavone-based drug compounds. The Company agreed to pay to CyDex a non-refundable license issuance fee, future milestone payments, and royalties at a low, single-digit percentage rate on future sales of the Company's approved drugs utilizing Captisol. Contemporaneously with the license agreement, the Company and CyDex entered into a commercial supply agreement pursuant to which the Company agreed to purchase 100% of its requirements for Captisol from CyDex. The Company may terminate both the license agreement and the supply agreement for convenience at any time upon 90 days' prior written notice.
S*Bio Asset Purchase
In August 2012, we entered into a definitive asset purchase agreement with S*Bio, pursuant to which we agreed to acquire certain assets comprised of intellectual property and technology including rights to Pracinostat, in exchange for $500,000 of common stock. On August 22, 2012, we completed the asset purchase and issued 195,756 shares of common stock to S*Bio. We also agreed to make certain milestone payments to S*Bio based on the achievement of certain clinical, regulatory and net sales-based milestones, as well as to make certain contingent earnout payments to S*Bio. Milestone payments will be made to S*Bio up to an aggregate amount of $75.2 million if certain U.S., E.U. and Japanese regulatory approvals are obtained and if certain net sales thresholds are met in North America, the E.U. and Japan. The first milestone payment of $200,000 plus shares of the Company's common stock having a value of $500,000 will be due upon the first dosing of a patient in a Phase III clinical trial or other pivotal trial, for any indication. Subsequent milestone payments will be due upon certain regulatory approvals and sales-based events. As of March 31, 2016, the Company has accrued $250,000 for potential future payments.
Critical Accounting Policies and Management Estimates
We describe our significant accounting policies in Note 1, The Company and Summary of Significant Accounting Policies, of the notes to financial statements included in our 2015 Annual Report. We discuss our critical accounting estimates in Item 7, Management's Discussion and Analysis of Financial Condition and Results of Operations, in our 2015 Annual Report.
On July 1, 2015, we changed our method of estimating the grant date fair value for stock options from a binomial valuation model to a Black-Scholes valuation model. The change was made as a result of the implementation of new accounting software. The change was implemented prospectively and did not have a material impact on the financial statements. Other than this change, there have been no changes in our significant accounting policies or critical accounting estimates since June 30, 2015.
Recent Accounting Pronouncements
In August 2014, the FASB issued ASU No. 2014-15, Disclosure of Uncertainties About an Entity's Ability to Continue as a Going Concern . The standard requires management to perform interim and annual assessments of an entity's ability to continue as a going concern within one year of the date the financial statements are issued and provides guidance on determining when and how to disclose going concern uncertainties in the financial statements. Certain disclosures will be required if conditions give rise to substantial doubt about an entity's ability to continue as a going concern. ASU 2014-15 applies to all entities and is effective for annual and interim reporting periods ending after December 15, 2016, with early adoption permitted. Subsequent to adoption, the Company will apply the guidance in ASU 2014-15 to assess its ability to continue as a going concern.
In February 2016, the FASB issued ASU 2016-02 Leases, which introduces the recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under previous guidance. The new standard establishes a right-of-use ("ROU") model that requires a lessee to record an ROU asset and a lease liability on the balance sheet for all leases with terms longer than 12 months. The new standard is effective for fiscal years beginning after December 15, 2018 and interim periods within those fiscal years with early adoption permitted. We are evaluating the impact that the adoption of this standard will have on our financial statements.
In March 2016, the FASB issued ASU 2016-09 Improvements to Employee Share-Based Payment Accounting which simplifies several aspects of accounting for share-based payment transactions including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The new standard is effective for fiscal years beginning after December 15, 2016 and interim periods within those fiscal years with early adoption permitted. We are evaluating the impact that the adoption of this standard will have on our financial statements.
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| Item 3: | Quantitative and Qualitative Disclosures about Market Risk |
Our exposure to market interest rates relates primarily to the investment of cash balances and short-term investments. We have cash reserves held in U.S. dollars and we place funds on deposit with financial institutions, which are readily available. Our short-term investments consist solely of U.S. government securities with a maturity of three to twelve months.
We place our cash deposits with high credit quality financial institutions and by policy limit the amount of credit exposure to any one corporation or bank. These deposits are in excess of the FDIC insurance limits. We are adverse to principal loss and we ensure the safety and preservation of our invested funds by limiting default risk, market risk and reinvestment risk. We seek to mitigate default risk by depositing funds with high credit quality financial institutions, by limiting the amount of credit exposure to any one corporation or bank, by purchasing short-term investments consisting of U.S. government securities, and by positioning our portfolio to respond appropriately to a significant reduction in a credit rating of any such financial institution.
We do not consider the effects of interest rate movements to be a material risk to our financial condition.
| Item 4: | Controls and Procedures |
At the end of the period covered by this Quarterly Report on Form 10-Q, our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures. 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. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective to ensure that the information required to be disclosed by the Company in reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms.
There were no changes in our internal control over financial reporting during the period covered by this Quarterly Report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II OTHER INFORMATION
| Item 1: | Legal Proceedings |
None.
| Item 1A: | Risk Factors |
There have been no material changes in the Company's risk factors from those included in the Company's Annual Report on Form 10-K for the fiscal year ended June 30, 2015.
| 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.
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| Item 6: | Exhibits |
Exhibit Index
| Exhibits | ||
| 31.1 | Rule 13a-14(a) or Rule 15d-14(a) Certification of Principal Executive Officer | |
| 31.2 | Rule 13a-14(a) or Rule 15d-14(a) Certification of Principal Financial Officer | |
| 32.1 | Certification of Principal Executive Officer and Principal Financial Officer required by Rule 13a-14(b) or Rule 15d-14(b) and section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C 1350). | |
| 101.INS | XBRL Instance Document. | |
| 101.SCH | XBRL Taxonomy Extension Schema Document | |
| 101.CAL | XBRL Taxonomy Extension Calculation Linkbase Document | |
| 101.DEF | XBRL Taxonomy Extension Definition Linkbase Document | |
| 101.LAB | XBRL Taxonomy Extension Label Linkbase Document | |
| 101.PRE | XBRL Taxonomy Extension Presentation Linkbase Document | |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Quarterly Report to be signed on its behalf by the undersigned, thereunto duly authorized.
| MEI Pharma, Inc. |
/s/ Daniel P. Gold |
| Daniel P. Gold |
| President and Chief Executive Officer |
| Date: May 4, 2016 |
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