UNITED STATES
	SECURITIES AND EXCHANGE COMMISSION
	Washington, DC 20549
	 
	FORM 10-K
	 
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	[X]
 
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	ANNUAL REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
	ACT OF 1934
 
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	For the fiscal year ended December 31, 2018
 
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	or
 
	 
 
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	[  ]
 
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	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
	SECURITIES EXCHANGE ACT OF 1934
 
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	Commission file No. 001-37853
	 
	AZURRX BIOPHARMA, INC.
	(Exact name of registrant as specified in its charter)
	 
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	Delaware
 
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	46-4993860
 
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	(State or other jurisdiction of incorporation or
	organization)
 
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	(I.R.S. employer identification number)
 
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	760 Parkside Avenue
	Downstate Biotechnology Incubator, Suite 304
	Brooklyn, New York 11226
	 (Address of principal executive offices)
	 
	(646) 699-7855
	 (Issuer’s telephone number)
	 
	 
	Securities registered pursuant
	to Section 12(b) of the Act:
	 
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	Title of Each Class
 
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	Name of Each Exchange on Which Registered
 
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	Common stock, par value $0.0001 per share
 
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	NASDAQ
 
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	Securities registered under Section 12(g) of the Exchange Act:
	None
	 
	Indicate by check mark if the registrant is a well-known seasoned
	issuer, as defined in Rule 405 of the Securities Act. Yes [  ]
	No [X]
	 
	Indicate by check mark if the registrant is not required to file
	reports pursuant to Section 13 or Section 15(d) of the Act. Yes [
	 ] No [X]
	 
	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 [X] No
	[  ]
	 
	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 if disclosure of delinquent filers pursuant
	to Item 405 of Regulation S-K is not contained herein, and will not
	be contained, to the best of registrant’s knowledge, in
	definitive proxy or information statements incorporated by
	reference in Part III of this Form 10-K or any amendment to this
	Form 10-K. [  ]
	 
	Indicate by check mark whether the registrant is a large
	accelerated filer, an accelerated filer, a non-accelerated filer,
	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.
	 
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	Large accelerated filer
 
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	 [  ]
 
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	Accelerated filer
 
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	[   ]
 
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	Non-accelerated filer
 
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	[X] 
 
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	Smaller reporting company
 
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	[X]
 
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	Emerging growth company 
 
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	[X]
 
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	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
	[X]
	 
	The aggregate market value of common stock held by non-affiliates
	of the registrant, based on the closing price of a share of the
	registrant’s common stock on June 30, 2018, which is the last
	business day of the registrant’s most recently completed
	second fiscal quarter, as reported by the NASDAQ Capital Market on
	such date, was approximately $45,211,000. 
	 
	There were 18,537,958 shares of the registrant’s common stock
	outstanding as of April 1, 2019.
	 
	DOCUMENTS INCORPORATED BY REFERENCE
	 
	Items 10, 11, 12, 13 and 14 of Part III incorporate by
	reference certain information from AzurRx BioPharma, Inc.’s
	definitive proxy statement, to be filed with the Securities and
	Exchange Commission on or before April 30, 2019.
	 
	 
	 
	ANNUAL REPORT ON FORM 10-K
	YEAR ENDED DECEMBER 31, 2018
	 
	TABLE
	OF CONTENTS
	 
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	CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
	 
	This Annual Report on Form 10-K
	(“
	Annual
	Report”
	) contains
	forward-looking statements that involve substantial risks and
	uncertainties. All statements contained in this Annual Report other
	than statements of historical facts, including statements regarding
	our strategy, future operations, future financial position, future
	revenue, projected costs, prospects, plans, objectives of
	management and expected market growth, 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 expressed or
	implied by the forward-looking statements.
	 
	The
	words “anticipate,” “believe,”
	“estimate,” “expect,” “intend,”
	“may,” “plan,” “predict,”
	“project,” “target,”
	“potential,” “will,” “would,”
	“could,” “should,” “continue,”
	and similar expressions are intended to identify forward-looking
	statements, although not all forward-looking statements contain
	these identifying words. These forward-looking statements include,
	among other things, statements about:
	 
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	●
 
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	the availability of capital to satisfy our working capital
	requirements;
 
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	●
 
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	the accuracy of our estimates regarding expense, future revenue and
	capital requirements;
 
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	●
 
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	our plans to develop and commercialize our principal product
	candidates, consisting of MS1819-SD, AZX1101 and
	AZX1103;
 
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	●
 
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	our ability to initiate and complete our clinical trials and to
	advance our principal product candidates into additional clinical
	trials, including pivotal clinical trials, and successfully
	complete such clinical trials;
 
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	●
 
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	regulatory developments in the U.S. and foreign
	countries;
 
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	●
 
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	the performance of our third-party contract manufacturer(s),
	contract research organization(s) and other third-party
	non-clinical and clinical development collaborators and regulatory
	service providers;
 
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	our ability to obtain and maintain intellectual property protection
	for our core assets;
 
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	●
 
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	the size of the potential markets for our product candidates and
	our ability to serve those markets;
 
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	●
 
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	the rate and degree of market acceptance of our product candidates
	for any indication once approved;
 
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	the success of competing products and product candidates in
	development by others that are or become available for the
	indications that we are pursuing;
 
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	the loss of key scientific, clinical and nonclinical development,
	and/or management personnel, internally or from one of our
	third-party collaborators; and
 
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	other risks and uncertainties, including those listed under Part I,
	Item 1A. Risk Factors of this Annual Report.
 
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	These forward-looking statements are only
	predictions and we may not actually achieve the plans, intentions
	or expectations disclosed in our forward-looking statements, so you
	should not place undue reliance on our forward-looking statements.
	Actual results or events could differ materially from the plans,
	intentions and expectations disclosed in the forward-looking
	statements we make. We have based these forward-looking statements
	largely on our current expectations and projections about future
	events and trends that we believe may affect our business,
	financial condition and operating results. We have included
	important factors in the cautionary statements included in this
	Annual Report, particularly in Part I, Item 1A, titled
	“
	Risk
	Factors
	” that could cause
	actual future results or events to differ materially from the
	forward-looking statements that we make. Our forward-looking
	statements do not reflect the potential impact of any future
	acquisitions, mergers, dispositions, joint ventures or investments
	we may make.
	 
	You
	should read this Annual Report and the documents that we have filed
	as exhibits to the Annual Report with the understanding that our
	actual future results may be materially different from what we
	expect. We do not assume any obligation to update any
	forward-looking statements whether as a result of new information,
	future events or otherwise, except as required by applicable
	law. 
	 
	 
	 
	 
	 
	ITEM 1.
	DESCRIPTION OF BUSINESS
	 
	As
	used in this Annual Report, unless otherwise stated or the context
	otherwise requires, references to “
	AzurRx
	,” “
	Company
	,” “
	we
	,” “
	us
	,” “
	our
	,” or similar references mean
	AzurRx BioPharma, Inc. and its subsidiaries on a consolidated
	basis. References to “
	AzurRx
	BioPharma
	” refer to AzurRx BioPharma, Inc. on an
	unconsolidated basis. References to “
	AzurRx SAS
	” refer to AzurRx SAS,
	AzurRx BioPharma’s wholly-owned subsidiary through which we
	conduct our European operations.
	 
	Overview
	 
	AzurRx BioPharma, Inc.
	was incorporated on January 30, 2014 in the State
	of Delaware. In June 2014, the Company acquired 100% of the issued
	and outstanding capital stock of AzurRx SAS (formerly
	“ProteaBio
	Europe SAS”
	), a company
	incorporated in October 2008 under the laws of France. AzurRx and
	its wholly-owned subsidiary, AzurRx SAS (“
	ABS
	”), are collectively referred to as the
	“Company.”
	 
	We
	are engaged in the research and development of non-systemic
	biologics for the treatment of patients with gastrointestinal
	disorders. Non-systemic biologics are non-absorbable drugs that act
	locally, i.e. the intestinal lumen, skin or mucosa, without
	reaching an individual’s systemic circulation.
	 
	Our
	current product pipeline consists of two therapeutic programs under
	development, each of which are described below:
	 
	MS1819-SD
	 
	MS1819-SD
	is a
	yeast derived recombinant lipase for exocrine pancreatic
	insufficiency (“
	EPI
	”) associated with chronic pancreatitis
	(“
	CP
	”) and cystic fibrosis
	(“
	CF
	”). A lipase is an enzyme that breaks up fat
	molecules. MS1819-SD is considered recombinant because it was
	created from new combinations of genetic material in
	yeast 
	called
	 
	Yarrowia
	lipolytica
	. In June 2018, we
	completed an
	 open-label,
	dose escalation Phase IIa trial of MS1819-SD in France, Australia,
	and New Zealand to investigate both the safety of escalating doses
	of MS1819-SD, and the efficacy of MS1819-SD through the analysis of
	each patient’s coefficient of fat absorption
	(“
	CFA
	”) and its change from baseline.
	A total of 11 CP patients with EPI
	were enrolled in the study and final data showed a strong safety
	and efficacy profile.
	 Although the study was not powered for
	efficacy, in a pre-planned analysis, the highest dose cohort of
	MS1819-SD showed statistically significant and clinically
	meaningful increases in CFA compared to baseline with a mean
	increase of 21.8% and a p value of p=0.002 on a per protocol
	basis. Favorable trends were also observed on other evaluated
	endpoints, including the Bristol stool scale, number of daily
	evacuations and stool weight, which were consistent with the CFA
	results
	. Additionally, maximal
	absolute CFA response to treatment was up to 57%, with an inverse
	relationship to baseline CFA.
	 
	In
	October 2018, the U.S. Food and Drug Administration
	(“
	FDA
	”) cleared our Investigational New Drug
	(“
	IND
	”) application for MS1819-SD in patients
	with EPI due to CF. In connection with the FDA’s clearance of
	the IND, in the fourth quarter of 2018 we initiated the
	multi-center Phase II study that was subject to the IND in the
	United States and Europe, which we expect will include
	approximately 30 patients and conclude in 2019. On February 20,
	2019, we announced that we have dosed the first patients in our
	Phase II study to investigate MS1819-SD in CF patients with
	exocrine pancreatic insufficiency.
	 
	B-Lactamase Program
	 
	Our b-lactamase program focuses on products with
	an enzymatic combination of bacterial origin for the prevention of
	hospital-acquired infections and antibiotic-associated diarrhea
	(“
	AAD
	”) by resistant bacterial strains induced by
	parenteral administration of several antibiotic classes. Currently,
	we have two compounds in pre-clinical development in this program,
	AZX1101 and AZX1103. Both AZX1101 and AZX1103 are composed of
	several distinct enzymes that break up individual classes of
	antibiotic molecules. AZX1103 is a b-lactamase enzyme combination
	that has shown positive pre-clinical activity, with degradation of
	amoxicillin in the presence of clavulanic acid in the upper
	gastrointestinal tract in the Gottingen minipig model. Currently,
	we are focused on advancing pre-clinical development of AZX1103 and
	expect to file an IND for AZX1103 with the FDA in 2019. At this
	time, the Company is currently assessing its plans for the
	continuation of the development of AZX1101.
	 
	Recent Developments
	 
	Public Offering of Common Stock
	 
	On May 3, 2018, we completed an underwritten,
	public offering of 4,160,000 shares of our common stock at a public
	offering price per share of $2.50, resulting in gross proceeds of
	$10.4 million (the “
	May 2018 Public
	Offering
	”) with
	associated expenses of approximately $800,000. The May 2018 Public
	Offering was completed pursuant to the terms of an underwriting
	agreement executed by the Company and Oppenheimer & Co. Inc.
	(“
	Oppenheimer
	”) on May 1, 2018. After deducting the
	underwriting discount paid to Oppenheimer, legal fees, and other
	offering expenses payable by us, we received net proceeds of
	approximately $9.6 million.
	 
	 
	 
	In addition to the underwriting discount received
	by Oppenheimer, we also issued unregistered warrants to Oppenheimer
	to purchase up to 208,000 shares of our common stock (the
	“
	Underwriter
	Warrants
	”). The
	Underwriter Warrants, valued at $349,232, became exercisable six
	months from the date of issuance, expire on May 1, 2023 and have an
	exercise price of $2.55 per share. As a result of certain investors
	participating in the Offering, we also paid a financial advisory
	fee to Alexander Capital, LP, consisting of a cash payment of
	approximately $104,000 and the issuance of warrants valued at
	$67,194, substantially similar to the Underwriter Warrants, to
	purchase up to 36,400 shares of our common stock at an exercise
	price of $2.75 per share.
	 
	Update and Completion of the Phase IIa Trial of MS1819-SD and
	Launch of the Phase II OPTION Study
	 
	On
	June 29, 2018, we announced the successful completion of our Phase
	IIa trial of MS1819-SD, and on September 24, 2018, we announced, in
	partnership with Mayoly Spindler, a European pharmaceutical company
	(
	"Mayoly"
	), that, in a
	pre-planned analysis, the highest dose cohort of MS1819-SD
	showed statistically significant and clinically meaningful
	increases in CFA compared to baseline with a mean increase of 21.8%
	and a p value of p=0.002 on a per protocol basis. A total of 11 CP
	patients with EPI were enrolled in the study and final data showed
	a strong safety and efficacy profile. Additionally, maximal
	absolute CFA response to treatment was up to 57%, with an inverse
	relationship to baseline CFA. Favorable trends were also observed
	on other evaluated endpoints, including Bristol stool scale, number
	of daily evacuations and weight of stool, and these were consistent
	with the CFA results.
	 
	On October 16, 2018, we announced that the FDA
	cleared our IND application for MS1819-SD in patients with EPI due
	to CF.
	In connection with the
	FDA’s clearance of the IND, in the fourth quarter of 2018 we
	initiated the multi-center Phase II OPTION study that was subject
	to the IND in the United States and Europe, which we expect will
	include approximately 30 patients and to conclude in 2019. In
	addition, on
	November
	1, 2018, we announced that our Phase II OPTION study protocol
	received positive sanction from the Therapeutics Development
	Network, a collaborative network of CF clinical trial specialists
	supported by the Cystic Fibrosis Foundation, and on February 20,
	2019, we announced that we have dosed the first patients in our
	Phase II Option study.
	 
	Protea Asset Sale and Purchase Agreement
	 
	On December 7, 2018, we entered into an asset sale
	and purchase agreement (the
	“Protea Purchase
	Agreement”
	) with Protea
	Biosciences Group, Inc. and its wholly owned subsidiary, Protea
	Biosciences, Inc.
	(“Protea”
	),
	pursuant to which we agreed to purchase the rights to any milestone
	payments, royalty payments, and contingent consideration due from
	us to Protea now or in the future, arising from the Stock Purchase
	and Sale Agreement previously entered into by us and Protea
	(the
	“Purchased
	Assets”
	).
	 
	Protea
	previously filed for Chapter 11 protection under the United States
	Bankruptcy Code on December 1, 2017. On November 27, 2018, we
	participated in a bankruptcy auction for the Purchased Assets and
	we were chosen as the successful bidder at the conclusion of the
	auction. On December 10, 2018, the transaction was approved by the
	United States bankruptcy court.
	 
	On December 14, 2018 (the
	“Closing
	Date”
	), we closed the
	transactions contemplated by the Protea Purchase Agreement. In
	accordance with the terms of the Protea Purchase Agreement, we
	acquired the Purchased Assets from Protea for an aggregate purchase
	price of $1,550,000 (the
	“Purchase
	Price”
	). We paid $250,000
	of the Purchase Price in cash and the remaining $1,300,000 was paid
	by the issuance of shares of our common stock at a price of $1.77
	per share, a price per share that was $0.01 higher than the closing
	price of our common stock on the Closing Date, as reported on the
	Nasdaq Capital Market, resulting in the issuance of 734,463 shares
	of our common stock to Protea.
	 
	Private Note Offering
	 
	On February 14, 2019, we entered into a Note
	Purchase Agreement (the “
	NPA
	”) with ADEC Private Equity Investments, LLC
	(“
	ADEC
	”), pursuant to which we issued to ADEC two
	Senior Convertible Notes (“
	Note A
	” and “
	Note B
	,” respectively, each a
	“
	Note
	,” and together, the
	“
	Notes
	”), in the principal amount of $1.0 million
	per Note, resulting in gross proceeds to the Company of $2.0
	million. ADEC is controlled by Burke Ross, a significant
	stockholder of the Company.
	 
	 
	 
	The Notes accrue interest at a rate of 10% per
	annum
	;
	provided,
	however
	, that in the event we
	elect to repay the full balance due under the terms of both Notes
	prior to December 31, 2019, then the interest rate will be reduced
	to 6% per annum. The Notes mature on the earlier to occur of (i)
	the tenth business day following the receipt by the Company of
	certain tax credits that we expect to receive prior to July 2019 in
	the case of Note A (the “
	2019 Tax
	Credit
	”) and July 2020 in
	the case of Note B (the “
	2020 Tax
	Credit
	”), respectively,
	or (ii) December 31, 2019 in the case of Note A and December 31,
	2020 in the Case of Note B (the “
	Maturity
	Dates
	”). As a condition
	to entering into the NPA, AzurRx SAS and ADEC also entered into a
	Pledge Agreement, pursuant to which AzurRx SAS agreed to pledge an
	interest in the 2019 and 2020 Tax Credits to ADEC in order to
	guarantee payment of all amounts due under the terms of the
	Notes.
	 
	Prior to their respective Maturity Dates, each of
	the Notes is convertible, at ADEC’s option, into shares of
	our common stock, at a conversion price equal to the principal and
	accrued interest due under the terms of the Notes divided by $2.50
	(“
	Conversion
	Shares
	”);
	provided,
	however
	, that pursuant to the
	term of the Notes, ADEC may not convert all or a portion of the
	Notes if such conversion would result in Mr. Ross and/or entities
	affiliated with him beneficially owning in excess of 19.99% of our
	shares of common stock issued and outstanding immediately after
	giving effect to the issuance of the Conversion
	Shares.
	 
	As additional consideration for entering into the
	NPA, pursuant to a Warrant Amendment Agreement, we agreed to reduce
	the exercise price of all outstanding warrants previously issued by
	us to ADEC and its affiliates (the “
	Warrants
	”) to $1.50 per share. The Warrant Amendment
	does not alter any other terms of the Warrants.
	  
	In connection with the above transaction, we also
	entered into a registration rights agreement with ADEC, pursuant to
	which we agreed to file a registration statement with the
	Securities and Exchange Commission no later than 45 days after the
	closing date of February 14, 2019 in order to register, on behalf
	of ADEC, the Conversion Shares
	.
	ADEC subsequently agreed to extend the date to file a registration
	statement to April 30, 2019.
	 
	Asset Purchase Agreement with Mayoly
	 
	On March 27, 2019, we
	entered into an Asset
	Purchase Agreement with Mayoly
	(the
	“
	Mayoly
	APA
	”)
	,
	pursuant to which we purchased all rights, title
	and interest in and to MS1819-SD. Upon execution of the Mayoly APA,
	the Joint Development and License Agreement (the
	“
	JDLA
	”) previously executed by AzurRx SAS and
	Mayoly was terminated. In addition, we granted to Mayoly an
	exclusive, royalty-bearing right to revenue received from
	commercialization of MS1819-SD within certain
	territories.
	 
	 
	 
	In
	accordance with the Mayoly APA, we provided to Mayoly the following
	consideration for the purchase of MS1819-SD:
	 
	(i)
	we
	assumed certain of Mayoly’s liabilities with respect to
	MS1819-SD;
 
 
	 
	(ii)
	we
	forgave all amounts currently owed to AzurRx SAS by Mayoly under
	the JDLA;
 
 
	 
	(iii)
	we
	agreed to pay, within 30 days after the execution of the Mayoly
	APA, all amounts incurred by Mayoly for the maintenance of patents
	related to MS1819-SD from January 1, 2019 through the date of the
	Mayoly APA;
 
 
	 
	(iv)
	we made an initial payment to Mayoly of €
	800,000, which amount was paid by the issuance of 400,481 shares of
	our common stock at a price of $2.29 per share (the
	“
	Closing Payment
	Shares
	”):
	and
 
 
	 
	(v)
	w
	e agreed to pay to Mayoly an additional €
	1,500,000, payable in a mix of cash and shares of our common stock
	as follows (the “
	Milestone
	Payments
	”): (y) on
	December 31, 2019, a cash payment of € 400,000 and 200,240
	shares of common stock at a price of $2.29 per share (the
	“
	2019
	Escrow Shares
	”) and (z)
	on December 31, 2020, a cash payment of € 350,000 and 175,210
	shares of common stock at a price of $2.29 per share (the
	“
	2020
	Escrow Shares
	” and,
	together with the 2019 Escrow Shares, the
	“
	Escrow
	Shares
	”).
 
 
	 
	The Closing Payment Shares and the Escrow Shares
	were all issued upon execution of the Mayoly APA;
	provided
	,
	however
	, per the terms of the Mayoly APA, the Escrow
	Shares will be held in escrow until the applicable Milestone
	Payment date, at which time the respective Escrow Shares will be
	released to Mayoly.
	 
	Corporate History
	 
	On May 21, 2014, we entered into a stock purchase
	agreement (the “
	SPA
	”) with Protea Biosciences Group, Inc.
	(“
	Protea
	Group
	”) and its
	wholly-owned subsidiary, Protea Biosciences, Inc.
	(“
	Protea Sub
	” and, together with Protea Group,
	“
	Protea
	”), to acquire 100% of the outstanding
	capital stock of AzurRx
	SAS
	(formerly ProteaBio Europe SAS), a wholly-owned subsidiary of
	Protea Sub. On June 13, 2014, we completed the acquisition in
	exchange for the payment of $600,000 and the issuance of shares of
	our Series A Convertible Preferred Stock
	(“
	Series
	A Preferred
	”) convertible
	into 33% of our outstanding common stock and agreed to make certain
	milestone and royalty payments to Protea. Subsequently, on December
	14, 2018, we purchased from Protea Group and Protea Sub the rights
	to any milestone payments, royalty payments, and transaction value
	consideration.
	 
	Product Programs
	 
	Our
	current product pipeline consists of two therapeutic programs under
	development, each of which are described below.
	 
	MS1819-SD
	 
	MS1819-SD is the active pharmaceutical ingredient,
	or API, derived from 
	Yarrowia
	lipolytica
	, an aerobic yeast
	naturally found in various foods such as cheese and olive oil that
	is widely used as a biocatalyst in several industrial processes.
	MS1819-SD is an acid-resistant secreted lipase naturally produced
	by 
	Yarrowia
	lipolytica,
	 known as LIP2,
	that we are developing through recombinant DNA technology for the
	treatment of EPI associated with CP and CF. We previously held the
	exclusive right to commercialize MS1819-SD in the U.S. and Canada,
	South America (excluding Brazil), Asia (excluding China and Japan),
	Australia, New Zealand and Israel pursuant to a sublicense from
	Mayoly
	under the JDLA, which
	also granted us joint commercialization rights for Brazil, Italy,
	China and Japan. As disclosed under
	“Recent Developments -
	Asset Purchase Agreement with Mayoly”
	above, on March 27, 2019, we purchased all rights,
	title and interest in and to MS1819-SD from
	Mayoly.
	 
	Background
	 
	The
	pancreas is both an endocrine gland that produces several important
	hormones, including insulin, glucagon, and pancreatic polypeptide,
	as well as a digestive organ that secretes pancreatic juice
	containing digestive enzymes that assist the absorption of
	nutrients and digestion in the small intestine.
	 
	 
	 
	The
	targeted indication of MS1819-SD is the compensation of EPI, which
	is observed when the exocrine functions of the pancreas are below
	10% of normal. The symptomatology of EPI is essentially due to the
	deficiency of pancreatic lipase, an enzyme that hydrolyses
	triglycerides into monoglycerides and free fatty acids. The
	pancreatic lipase enzymatic activity is hardly compensated by
	extrapancreatic mechanisms, because gastric lipase has nearly no
	lipolytic activity in the pH range of the intestine. On the other
	hand, when they are impaired, the pancreatic amylase and proteases
	(enzymes that break up starches and protein,
	respectively) activities can be compensated by the salivary
	amylase, the intestinal glycosidase, the gastric pepsin, and the
	intestinal peptidases, all of which are components of the gastric
	juice secreted by the stomach walls. Lipid maldigestion due to
	lipase deficiency is responsible for weight loss, steatorrhea
	featured by greasy diarrhea, and fat-soluble vitamin deficiencies
	(i.e. A, D, E and K vitamins).
	 
	CP,
	the most common cause of EPI, is a long-standing inflammation of
	the pancreas that alters its normal structure and functions. In the
	United States, its prevalence rate is of 42 cases per 100,000
	inhabitants, resulting in approximately 132,000 cases.
	Approximately 60% of patients affected with CP display EPI,
	resulting in approximately 80,000 patients requiring substitution
	therapy in the U.S. In Western societies, CP is caused by chronic
	alcoholic consumption in approximately 55-80% of cases. Other
	relatively frequent etiologies include the genetic form of the
	disease that is inherited as an autosomal dominant condition with
	variable penetrance, pancreatic trauma and idiopathic
	causes.
	 
	CF, another dominant etiology of EPI, is a severe
	genetic disease associated with chronic morbidity and life-span
	decrease of most affected individuals. In most Caucasian
	populations, CF prevalence is of 7-8 cases per 100,000 inhabitants,
	but is less common in other populations, resulting in approximately
	30,000 affected individuals in the U.S. CF is inherited as
	monogenic autosomal recessive disease due to the defect at a single
	gene locus that encodes the Cystic Fibrosis Transmembrane Regulator
	protein (“
	CFTR
	”), a regulated chloride channel. Mutation
	of both alleles of this chloride channel gene results in the
	production of thick mucus, which causes a multisystem disease of
	the upper and lower respiratory tracts, digestive system, and the
	reproductive tract. The progressive destruction of the pancreas
	results in EPI that is responsible for malnutrition and contributes
	to significant morbidity and mortality. About 80-90% of patients
	with CF develop EPI, resulting in approximately 25,000-27,000
	patients in the U.S. that require substitution
	therapy.
	 
	Current
	treatments for EPI stemming from CP and CF rely on porcine
	pancreatic extracts, or PPEs, which have been on the market since
	the late 1800s. The PPE market is well established with estimated
	sales in the U.S. of $1.2 billion in 2018 and has been growing for
	the past five years at a compound annual growth rate of
	approximately 20%. In spite of their long-term use, however, PPEs
	suffer from poor stability, formulation problems, possible
	transmission of conventional and non-conventional infectious agents
	due to their animal origins, and possible adverse events at high
	doses in patients with CF and limited effectiveness.
	 
	History of the Program
	 
	In 1998, Mayoly, a European pharmaceutical company
	focusing primarily on gastroenterology disorders, launched a
	program for the discovery and characterization of novel lipases of
	non-animal origin that could be used in replacement therapy for
	EPI. The program was conducted in collaboration with INRA
	TRANSFERT, a subsidiary of the French academic laboratory, National
	Institute for Agricultural Research, or INRA. In 2000, Mayoly and
	INRA discovered that the yeast 
	Yarrowia
	lipolytica
	 secreted a
	lipase named LIP2. During the ensuing years, Mayoly investigated
	the 
	in
	vitro
	 enzymatic activities
	of LIP2 in collaboration with the Laboratory of Enzymology at
	Interfaces and Physiology of Lipolysis (
	"EIPL"
	), a French public-funded
	research laboratory at the French National Scientific Research
	Centre laboratory (
	"CNR"
	),
	which focuses on the physiology and molecular aspects of lipid
	digestion.
	 
	Pre-Clinical Program
	 
	The efficacy of MS1819-SD has been investigated in
	normal minipigs, which are generally considered as a relevant model
	for digestive drug development when considering their physiological
	similarities with humans and their omnivore diet. Experimental
	pancreatitis was induced by pancreatic duct ligation, resulting in
	severe EPI with baseline coefficient of fat absorption
	(“
	CFA
	”) around 60% post-ligature. CFA is a
	measurement obtained by quantifying the amount of fat ingested
	orally over a defined time period and subtracting the amount
	eliminated in the stool to ascertain the amount of fat absorbed by
	the body. Pigs were treated with either MS1819-SD or
	enteric-coated PPE, both administered as a single-daily
	dose.
	 
	At doses ranging from 10.5 to 211mg, MS1819-SD
	increased the CFA by +25 to +29% in comparison to baseline
	(p<0.05 at all doses), whereas the 2.5 mg dose had milder
	activity. Similar efficacy was observed in pigs receiving 100,000 U
	lipase of enteric-coated porcine pancreatic extract. These findings
	demonstrate the 
	in vivo
	 activity of MS1819-SD in a
	relevant 
	in vivo
	 model at a level similar to the PPEs at
	dosages of 10.5mg or greater. The results of a trial are
	statistically significant if they are unlikely to have occurred by
	chance. Statistical significance of the trial results is typically
	based on widely used, conventional statistical methods that
	establish the p-value of the results. A p-value of 0.05 or less is
	required to demonstrate statistical significance. As such, these
	CFA levels are considered to be statistically
	significant.
	 
	To date, two non-clinical toxicology studies have
	been conducted. Both show that MS1819-SD lipase is clinically well
	tolerated at levels up to 1000mg/kg in rats and 250 mg/kg in
	minipigs up to 13 weeks. MS1819-SD is therefore considered
	non-toxic in both rodent and non-rodent species up to a maximum
	feasible dose (“
	MFD
	”) of 1000 mg/kg/day in the rats over six
	months of administration.
	 
	 
	 
	Clinical Program
	 
	We
	believe that there are two principal therapeutic indications for
	EPI compensation by MS1819-SD: (i) adult patients with CP, and (ii)
	children and adults affected by CF. Because of their different
	pathophysiology and clinical presentation, we intend to separately
	investigate each of these indications and have determined, based on
	market size and expected dose requirements, to pursue the
	indication for adults first.
	  
	During
	2010 and 2011, a phase I/IIa clinical trial of MS1819-SD was
	conducted in conjunction with Mayoly in a single center in France.
	The study was an exploratory study mainly designed to investigate
	the safety of MS1819-FD (freeze-dried) and was a randomized, double
	blind, placebo controlled, parallel clinical trial in 12 patients
	affected with CP or pancreatectomy and severe EPI. The primary
	efficacy endpoint of the study was defined as the relative change
	in steatorrhea (an established surrogate biomarker of EPI
	correction) in comparison to baseline. The study found that
	MS1819-SD was well tolerated with no serious adverse events. Only
	two adverse events were observed: constipation (two patients out of
	eight with MS1819-SD) and hypoglycemia (two patients out of eight
	with MS1819-SD, and one patient out of four with placebo). A
	non-statistically significant difference of the primary endpoint,
	possibly due to the small group size, was found between the two
	groups both in intention-to-treat, a group that included three
	patients who received the in-patient facility study diet but did
	not fulfill the protocol’s inclusion criteria, and
	per-protocol analysis. This study was not designed, nor did it
	aim, to demonstrate statistically significant changes of CFA or
	steatorrhea under MS1819-FD.
	 
	We
	received regulatory approval in Australia and New Zealand in 2016,
	with the addition of a 2018 regulatory approval in France, to
	conduct a phase II multi-center dose escalation study of MS1819-SD
	in CP and pancreatectomy. The primary endpoint of this study was to
	evaluate the safety of escalating doses of MS1819-SD in 11 CP
	patients. The secondary endpoint was to investigate the efficacy of
	MS1819-SD in these patients by analysis of the CFA and its change
	from baseline. On September 24, 2018, we announced that in
	pre-planned analyses, both the study’s primary and secondary
	endpoints were reached with a statistically significant (p=0.002)
	improvement in the CFA of 21.8%, in a per protocol analysis, with
	the highest evaluated dose of 2,240 mg/day of MS1819-SD.
	Statistical significance of the trial results is typically based on
	widely used, conventional statistical methods that establishes the
	p-value of the results. A p-value of 0.05 or less is required to
	demonstrate statistical significance. As such, these CFA levels are
	considered to be statistically significant.
	 
	On
	December 19, 2018, we announced that we initiated the Phase II
	OPTION study to investigate MS1819-SD in CF patients with EPI. The
	Phase II multi-center study is designed to investigate the safety,
	tolerability and efficacy of MS1819-SD in a head-to-head comparison
	against the current porcine enzyme replacement therapy standard of
	care. Planned enrollment is expected to include approximately 30 CF
	patients, who are 18 years of age or older, with study completion
	anticipated in 2019. The OPTION study employs a six-week
	non-inferiority CFA primary efficacy endpoint comparing MS1819-SD
	to porcine enzyme replacement therapy. On February 20, 2019, we
	announced that we have dosed the first patients in our Phase II
	OPTION study.
	 
	B-Lactamase Program
	 
	Our b-lactamase program focuses on products with
	an enzymatic combination of bacterial origin for the prevention of
	hospital-acquired infections and antibiotic-associated diarrhea
	(“
	AAD
	”) by resistant bacterial strains induced by
	parenteral administration of several antibiotic classes. Currently,
	we have two compounds in pre-clinical development in this program,
	AZX1101 and AZX1103. Both AZX1101 and AZX1103 are composed of
	several distinct enzymes that break up individual classes of
	antibiotic molecules. AZX1103 is a b-lactamase enzyme combination
	that has shown positive pre-clinical activity, with degradation of
	amoxicillin in the presence of clavulanic acid in the upper
	gastrointestinal tract in the Gottingen minipig model. Currently,
	we are focused on advancing pre-clinical development of AZX1103 and
	expect to file an Investigational New Drug application (an
	“
	IND
	”) for AZX1103 with the U.S. Food and Drug
	Administration (“
	FDA
	”) in 2019.
	 
	AZX1101
	 
	AZX1101
	is a recombinant b-lactamase enzyme combination of bacterial origin
	under development for the prevention of hospital-acquired
	infections by resistant bacterial strains induced by parenteral
	administration of several classes of antibiotics (known as
	nosocomial infections), as well as the prevention of
	antibiotic-associated diarrhea (
	"AAD"
	). 
	 
	 
	Agreements and Collaborations
	 
	Protea Stock Purchase Agreement
	 
	On May 21, 2014, we entered into the SPA with
	Protea to acquire 100% of the outstanding capital stock of
	ProteaBio Europe (the “
	Acquisition
	”). On June 13, 2014, we completed the
	Acquisition in exchange for the payment to Protea of $600,000 and
	the issuance of shares of our Series A Preferred convertible into
	33% of our outstanding common stock. Pursuant to the SPA, Protea
	Sub assigned (i) to Protea Europe all of its rights, assets,
	know-how and intellectual property rights in connection with
	program PR1101 and those granted under that certain Joint Research
	and Development Agreement, by and among Protea Sub, Protea Europe
	and Mayoly, dated March 22, 2010; and (ii) to us all amounts,
	together with any right of reimbursement, due to Protea Sub in
	connection with outstanding shareholder loans.
	 
	Pursuant to the SPA, we were obligated to pay
	certain other contingent consideration upon the satisfaction of
	certain events, including (a) a one-time milestone payment of $2.0
	million due within ten days of receipt of the first approval by the
	FDA of an New Drug Application (“
	NDA
	”) or Biological License Application
	(“
	BLA
	”) for a Business Product (as such term is
	defined in the SPA); (b) royalty payments equal to 2.5% of net
	sales of Business Product up to $100.0 million and 1.5% of net
	sales of Business Product in excess of $100.0 million; and (c) 10%
	of the Transaction Value (as defined in the SPA) received in
	connection with a sale or transfer of the pharmaceutical
	development business of Protea Europe.
	 
	Protea Asset Sale and Purchase Agreement
	 
	On
	December 7, 2018, we entered into the Protea
	Purchase Agreement with Protea Biosciences Group, Inc. and
	Protea, its wholly owned subsidiary, pursuant to which we agreed to
	purchase the rights to any milestone payments, royalty payments,
	and transaction value consideration due from the Company to the
	Protea now or in the future, arising from that certain Stock
	Purchase and Sale Agreement dated May 21, 2014 between the Company
	and the Protea.
	 
	Protea
	previously filed for Chapter 11 protection under the United States
	Bankruptcy Code on December 1, 2017. On November 27, 2018, we
	participated in a bankruptcy auction for the Purchased
	Assets and were chosen as the successful bidder at the
	conclusion of the auction. On December 10, 2018, the
	transaction was approved by Judge Patrick J. Flatley of the United
	States Bankruptcy Court for the Northern District of West
	Virginia.
	 
	On December 14, 2018, we closed the transactions
	contemplated by the Protea Purchase Agreement. In accordance with
	the terms of the Protea Purchase Agreement,
	we purchased the
	Purchased Assets from Protea for an aggregate purchase price of
	$1,550,000. We paid $250,000 of the Purchase Price in cash, and the
	remaining $1,300,000 was paid by the issuance of shares of our
	common stock, at a price of $1.77 per share, a price per share that
	was $0.01 higher than the closing price of our common stock on the
	Closing Date, as reported on the Nasdaq Capital Market, resulting
	in the issuance of 734,463 shares of our common stock to
	Protea.
	 
	Mayoly JDLA and Subsequent Asset Purchase Agreement
	 
	Effective March 22, 2010, Protea and AzurRx SAS
	entered into the JDLA with Mayoly pursuant to which Mayoly
	sublicensed certain of its exclusive rights to a genetically
	engineered yeast strain cell line on which our MS1819-SD is based
	that derive from a Usage and Cross-Licensing Agreement dated
	February 2, 2006 (the “
	INRA
	Agreement
	”) between
	Mayoly and INRA, in charge of patent management acting for and on
	behalf of the National Centre of Scientific Research
	(“
	CNRS
	”) and INRA.
	 
	 
	       
	     Effective January 1,
	2014, Protea entered into an amended and restated JDLA with
	Mayoly
	, pursuant to
	which Protea acquired the exclusive right to Mayoly patents
	and technology, with the right to sublicense, develop, manufacture
	and commercialize human pharmaceuticals based on the MS1819-SD
	lipase within the following territories: U.S. and Canada, South
	America (excluding Brazil), Asia (excluding China and Japan),
	Australia, New Zealand and Israel. The JDLA further provided Mayoly
	the exclusive right to Protea’s patents and technology,
	with the right to sublicense, develop, manufacture and
	commercialize human pharmaceuticals based on the MS1819-SD lipase
	within the following territories: Mexico, Europe (excluding Italy,
	Portugal and Spain) and any other country not granted to us alone,
	or jointly with Mayoly. Prior to the execution of the Mayoly APA,
	rights to the following territories were held jointly with Mayoly:
	Brazil, Italy, Portugal, Spain, China and Japan. In addition, the
	Mayoly Agreement required Protea to pay 70% of all development
	costs and required each of the parties to use reasonable efforts
	to:
	 
	●
	devote
	sufficient personnel and facilities required for the performance of
	its assigned tasks;
 
 
	 
	●
	make
	available appropriately qualified personnel to supervise, analyze
	and report on the results obtained in the furtherance of the
	development program; and
 
 
	 
	●
	deploy
	such scientific, technical, financial and other resources as is
	necessary to conduct the development program.
 
 
	 
	 
	 
	As disclosed under
	“
	Recent Developments –
	Asset Purchase Agreement with Mayoly
	” above, on March
	27, 2019, we entered into the Mayoly APA pursuant to which the JDLA
	was terminated and we acquired all rights, title and interest in
	and to MS1819-SD. In addition, we executed a Patent License
	Agreement with Mayoly pursuant to which we granted to Mayoly an
	exclusive, royalty-bearing right to revenue received from
	commercialization of MS1819-SD within certain
	territories.
	 
	INRA Agreement
	 
	In
	February 2006, INRA, acting on behalf of CNRS and Institut National
	de la Recherche Agronomique, entered into a Usage and
	Cross-licensing Agreement with Mayoly to specify their respective
	rights to the use of (i) French patent application no. FR9810900
	(the
	"INRA CNRS Patent
	Application"
	), (ii) international patent application no.
	WO2000FR0001148 (the
	"Mayoly
	Patent Application"
	), and (iii) the technology and know-how
	associated with both patent applications.
	 
	The
	agreement covers extensions of both patent applications.
	Specifically, the INRA CNRS Patent Application encompasses
	application no. FR9810900 as well as PCT/FR99/02079 with national
	phase entry in the U.S. (no. 09/786,048, now US patent 6,582,951),
	Canada (no. 2,341,776) and Europe (no. 99.940.267.0, now EP 1 108
	043 B1). The Mayoly Patent Application encompasses WO2000FR0001148
	with the national phase entered in Europe (now EP 1 276 874
	B1). 
	 
	The
	agreement provided Mayoly with the world-wide use in human therapy,
	nutraceuticals, and cosmetology and provides INRA with world-wide
	(i) use of lipase as an enzymatic catalyst throughout this field,
	including the production of pharmaceuticals, and (ii) treatment of
	the environment, food production processes, cleaning processes and
	other fields, excluding human therapies, neutraceuticals and
	cosmetology. The agreement provides for shared use in the
	production of lipase in the veterinary field (livestock and pets).
	As consideration for the agreement, Mayoly agreed to pay INRA an
	annual lump sum of €5,000 until marketing. Upon marketing,
	Mayoly agreed to pay INRA a lump sum of €100,000 and
	royalties on net sales of the product. Unless earlier terminated in
	accordance with its terms, the agreement with INRA expires upon the
	expiration of the patents in each country in which the license has
	been granted. The parties may terminate the agreement in the event
	the other party breaches its obligations therein, which termination
	shall become effective three months following written notice
	thereof to the breaching party. The breaching party shall have the
	right to cure such breach or default during such three-month
	period. U
	pon execution of
	the Mayoly APA in March 2019, Mayoly transferred the INRA Agreement
	to us.
	 
	TransChem Sublicense
	 
	On August 7, 2017, we entered into a Sublicense
	Agreement with TransChem pursuant to which TransChem granted to us
	an exclusive license to certain patents (the
	“Licensed
	Patents”
	) relating to
	Helicobacter pylori 5’methylthioadenosine nucleosidase
	inhibitors. We may terminate the Sublicense Agreement and the
	licenses granted therein for any reason and without further
	liability on 60 days’ notice. Unless terminated earlier, the
	Sublicense Agreement will expire upon the expiration of the last
	Licensed Patents. Upon execution, we paid an upfront fee to
	TransChem and agreed to reimburse TransChem for certain expenses
	previously incurred in connection with the preparation, filing, and
	maintenance of the Licensed Patents. We also agreed to pay
	TransChem certain future periodic sublicense maintenance fees,
	which fees may be credited against future royalties. We may also be
	required to pay TransChem additional payments and royalties in the
	event certain performance-based milestones and commercial sales
	involving the Licensed Patents are achieved. The Licensed Patents
	will allow us to develop compounds for treating gastrointestinal,
	lung and other infections that are specific to individual bacterial
	species.
	H.
	pylori
	bacterial infections are
	a major cause of chronic gastritis, peptic ulcer disease, gastric
	cancer and other diseases.
	 
	 
	 
	Intellectual Property
	 
	Our
	goal is to obtain, maintain and enforce patent protection for our
	product candidates, formulations, processes, methods and any other
	proprietary technologies, preserve our trade secrets, and operate
	without infringing on the proprietary rights of other parties, both
	in the United States and in other countries. Our policy is to
	actively seek to obtain, where appropriate, the broadest
	intellectual property protection possible for our current product
	candidates and any future product candidates, proprietary
	information and proprietary technology through a combination of
	contractual arrangements and patents, both in the United States and
	abroad. However, patent protection may not afford us with complete
	protection against competitors who seek to circumvent our
	patents.
	 
	We
	also depend upon the skills, knowledge, experience and know-how of
	our management and research and development personnel, as well as
	that of our advisors, consultants and other contractors. To help
	protect our proprietary know-how, which is not patentable, and for
	inventions for which patents may be difficult to enforce, we
	currently rely and will in the future rely on trade secret
	protection and confidentiality agreements to protect our interests.
	To this end, we require all of our employees, consultants, advisors
	and other contractors to enter into confidentiality agreements that
	prohibit the disclosure of confidential information and, where
	applicable, require disclosure and assignment to us of the ideas,
	developments, discoveries and inventions important to our
	business.
	 
	MS1819-SD
	 
	The MS1819-SD program is protected by the
	following series of issued patents that we have licensed under the
	Mayoly Agreement covering the method for transformation
	of 
	Yarrowia
	lipolytica
	,
	 
	the sequence of the LIP2 enzyme and its production
	process:
	 
	●
	PCT/FR99/02079 patent family (including the
	patents EP1108043 B1, and US6582951) “Method for
	non-homologous transformation of Yarrowia lipolytica,”
	concerns the integration of a gene of interest into the genome of
	a
	Yarrowia
	strain devoid of zeta sequences, by transforming
	said strain using a vector bearing zeta sequences. This modified
	strain is used for the current production process. This patent has
	been issued in the U.S., Canada, and validated in several European
	countries, including Austria, Belgium, Switzerland, Cyprus,
	Germany, Denmark, Spain, Finland, Great Britain, Greece, Ireland,
	France, Italy, Lithuania, Luxembourg, Netherlands, Portugal and
	Sweden. This patent expires September 1, 2019;
 
 
	 
	●
	PCT/FR2000/001148 patent family (including the
	patent EP1276874 B1) “Cloning and expressing an
	acid-resistant extracellular lipase of Yarrowia lipolytica”
	describes the coding sequences of acid-resistant extracellular
	lipases, in particular Candida
	ernobii
	or
	Yarrowia lipolytica
	yeasts and the production of said
	lipases in their recombinant form. This patent has been validated
	in several European countries, including Italy, France and Great
	Britain. This patent expires April 28, 2020;
	and
 
 
	 
	●
	PCT/FR2006/001352 patent family (including the
	patent EP2035556 and patent US8,334,130 and US8,834,867)
	“Method for producing lipase, transformed
	Yarrowia lipolytica
	cell capable of producing said lipase
	and their uses” describes a method for producing
	Yarrowia
	lipolytica
	acid-resistant
	recombinant lipase utilizing a culture medium without any products
	of animal origin or non-characterized mixtures such as tryptone,
	peptone or lactoserum, in addition to its uses. The European
	patents expire June 15, 2026, U.S. patent 8,334,130 expires
	September 11, 2028, and U.S. patent 8,834,867 expires September 15,
	2026.
 
 
	 
	B-Lactamase Program
	 
	To date, we own one patent application covering
	different compositions, which has been filed in France. This
	application was filed internationally (“
	PCT
	”) on October 13, 2015 as PCT/FR2015/052756
	claiming priority to French patent application 1459935 dated
	October 16, 2014. This application was published as WO/2016/059341
	titled “Hybrid Proteinaceous Molecule Capable Of Inhibiting
	At Least One Antibiotic And Pharmaceutical Composition Containing
	It.” At present, all PCT contracting states are
	designated. The term of patent protection available is typically 20
	years from the filing date of the earliest international (PCT)
	application. Patents are territorial rights, meaning that the
	rights conferred are only applicable in the country or region in
	which a patent has been filed and granted, in accordance with the
	law of that country or region. Patent enforcement is only possible
	after a patent is granted and before the expiration of the patent
	term. Any patent issuing from PCT/FR2015/052756 will expire on
	October 13, 2035, unless the patent term is extended pursuant to
	specific laws of the granting country. We expect to file additional
	patent applications covering the production process and formulation
	of AZX1101.
	 
	Manufacturing
	 
	MS1819-SD API is obtained by fermentation in
	bioreactors using our engineered and proprietary
	Yarrowia
	lipolytica
	strain. MS1819-SD is
	currently manufactured at a contract facility located in Capua,
	Italy owned by DSM. The proprietary yeast cell line from which the
	API is derived is kept at a storage facility maintained by Charles
	River. Because the manufacturing process is fairly straightforward,
	we believe there are multiple alternative contract manufacturers
	capable of producing the product we need for clinical trials. The
	Company is in the process of establishing alternative manufacturers
	and manufacturing sites for the product; however, there is no
	guarantee that the processes are easily reproducible and
	transferrable.
	 
	 
	 
	AZX1101
	API and AZX1103 API production are still under development in-house
	with outside contract manufacturing organizations (CMO’s)
	producing material for animal work including proof-of-concept and
	toxicological work. To date, the manufacturing process appears
	fairly straightforward with multiple options leading us to believe
	that there are multiple alternative contract manufacturers capable
	of producing the products we will need for clinical trials however
	there are no guarantees that the processes will scale up or be
	considered acceptable for clinical trial use.
	 
	Competition
	 
	The
	pharmaceutical and biotechnology industries are characterized by
	rapidly evolving technology and intense competition. Many companies
	of all sizes, including major pharmaceutical companies and
	specialized biotechnology companies, are engaged in the development
	and commercialization of therapeutic agents designed for the
	treatment of the same diseases and disorders that we target. Many
	of our competitors have substantially greater financial and other
	resources, larger research and development staff and more
	experience in the regulatory approval process. Moreover, potential
	competitors have or may have patents or other rights that conflict
	with patents covering our technologies.
	 
	With
	respect to MS1819-SD, we will compete with PPEs, a well-established
	market that is currently dominated by a few large pharmaceutical
	companies, including AbbVie Inc., Johnson & Johnson and
	Allergan plc. There are currently six PPE products that have been
	approved by the FDA for sale in the U.S. We believe our ability to
	compete in this market, if we are successful in developing and
	obtaining regulatory approval to market MS1819-SD, will depend on
	our ability (or that of a corporate partner) to convince patients,
	their physicians, healthcare payors and the medical community of
	the benefits of using a non-animal based product to treat EPI, as
	well as by addressing other shortcomings associated with
	PPEs.
	 
	With respect to AZX1101 and AZX1103, we are aware
	of only one beta-lactamase under active development by a U.S.
	specialty pharmaceutical company for the prevention
	of 
	c.
	difficile
	infection, although the compounds being
	developed appear to have very limited efficacy to a narrower set of
	antibiotics rather than the broader group of antibiotics
	expected to be covered by our compound.
	 
	Government Regulation and Product Approval
	 
	Government
	authorities in the United States, at the federal, state and local
	level, and other countries extensively regulate, among other
	things, the research, development, testing, manufacture, quality
	control, approval, labeling, packaging, storage, record-keeping,
	promotion, advertising, distribution, post-approval monitoring and
	reporting, marketing and export and import of products such as
	those we are developing. To date, our research and development
	efforts have been conducted in France. We expect to continue to
	perform substantially all of our basic research activities in
	France in order to leverage our human capital expertise as well as
	to avail ourselves of tax credits awarded by the French government
	to research companies. We expect to continue to conduct early stage
	development work in France, with late stage development work,
	including the MS1819-SD Phase IIb study and subsequent Phase
	III trials in Europe and also in the U.S., as North America is our
	principal target market for any products that we may successfully
	develop. 
	  
	FDA Approval Process
	 
	In the United States, pharmaceutical products are
	subject to extensive regulation by the FDA. The Federal Food, Drug,
	and Cosmetic Act, or the FDC Act, 
	the Public Health
	Services Act or the PHS Act,
	 and other federal and state statutes and
	regulations, govern, among other things, the research, development,
	testing, manufacture, storage, recordkeeping, approval, labeling,
	promotion and marketing, distribution, post-approval monitoring and
	reporting, sampling, and import and export of pharmaceutical
	products. Failure to comply with applicable U.S. requirements may
	subject a company to a variety of administrative or judicial
	sanctions, such as FDA refusal to approve pending new drug
	applications, or NDAs, 
	refusal to approve
	pending biologic license applications, or BLAs,
	 warning letters, product recalls, product
	seizures, total or partial suspension of production or
	distribution, injunctions, fines, civil penalties, and criminal
	prosecution.
	 
	Pharmaceutical
	product development in the U.S. typically involves preclinical
	laboratory and animal tests, the submission to the FDA of either a
	notice of claimed investigational exemption or an IND, which must
	become effective before clinical testing may commence, and adequate
	and well-controlled clinical trials to establish the safety and
	effectiveness of the drug for each indication for which FDA
	approval is sought. Satisfaction of FDA pre-market approval
	requirements typically takes many years and the actual time
	required may vary substantially based upon the type, complexity,
	and novelty of the product or disease.
	 
	 
	 
	Preclinical
	tests include laboratory evaluation of product chemistry,
	formulation, and toxicity, as well as animal trials to assess the
	characteristics and potential safety and efficacy of the product.
	The conduct of the preclinical tests must comply with federal
	regulations and requirements, including good laboratory practices.
	The results of preclinical testing are submitted to the FDA as part
	of an IND along with other information, including information about
	product chemistry, manufacturing and controls, and a proposed
	clinical trial protocol. Long term preclinical tests, such as
	animal tests of reproductive toxicity and carcinogenicity, may
	continue after the IND is submitted.
	 
	Clinical
	trials involve the administration of the investigational new drug
	to healthy volunteers or patients under the supervision of a
	qualified investigator. Clinical trials must be conducted: (i) in
	compliance with federal regulations; (ii) in compliance with good
	clinical practice, or GCP, an international standard meant to
	protect the rights and health of patients and to define the roles
	of clinical trial sponsors, administrators, and monitors; as well
	as (iii) under protocols detailing the objectives of the trial, the
	parameters to be used in monitoring safety, and the effectiveness
	criteria to be evaluated. Each protocol involving testing on U.S.
	patients and subsequent protocol amendments must be submitted to
	the FDA as part of the IND.
	 
	The FDA may order the temporary, or permanent,
	discontinuation of a clinical trial at any time, or impose other
	sanctions if it believes that the clinical trial either is not
	being conducted in accordance with FDA requirements or presents an
	unacceptable risk to the clinical trial patients. The study
	protocol and informed consent information for patients in clinical
	trials must also be submitted to an institutional review board
	(“
	IRB
	”) for approval. An IRB may also require the
	clinical trial at the site to be halted, either temporarily or
	permanently, for failure to comply with the IRB’s
	requirements, or may impose other conditions.
	 
	Clinical
	trials to support NDAs or BLAs for marketing approval are
	typically conducted in three sequential phases, but the phases may
	overlap. In Phase 1, the initial introduction of the drug into
	healthy human subjects or patients, the drug is generally tested to
	assess metabolism, pharmacokinetics, pharmacological actions, side
	effects associated with increasing doses, and, if possible, early
	evidence on effectiveness. Phase II usually involves trials in a
	limited patient population to determine the effectiveness of the
	drug for a particular indication, dosage tolerance, and optimum
	dosage, and to identify common adverse effects and safety risks. If
	a compound demonstrates evidence of effectiveness and an acceptable
	safety profile in Phase II evaluations, Phase III trials are
	undertaken to obtain the additional information about clinical
	efficacy and safety in a larger number of patients, typically at
	geographically dispersed clinical trial sites, to permit the FDA to
	evaluate the overall benefit-risk relationship of the drug and to
	provide adequate information for the labeling of the
	drug.
	 
	After completion of the required clinical testing,
	an NDA is prepared and submitted to the
	FDA 
	for
	small molecule drugs, or a BLA is prepared and submitted for
	biologics. Section 351 of the Public Health Service Act (the
	“
	PHS
	Act
	”) defines a
	biological product as a “virus, therapeutic serum, toxin,
	antitoxin, vaccine, blood, blood component or derivative,
	allergenic product, or analogous product… applicable to the
	prevention, treatment, or cure of a disease or condition of human
	beings.” Similarly, FDA regulations and policies have
	established that biological products include blood-derived
	products, vaccines, in vivo diagnostic allergenic products,
	immunoglobulin products, products containing cells or
	microorganisms, and most protein products (including cytokines and
	enzymes). Biological products subject to the PHS Act also meet the
	definition of drugs under FDC Act, and therefore are regulated
	under provisions of both statutes.
	 FDA approval of the NDA or BLA is required
	before marketing of the product may begin in the U.S. The NDA or
	BLA must include the results of all preclinical, clinical, and
	other testing and a compilation of data relating to the
	product’s pharmacology, chemistry, manufacture, and controls.
	The cost of preparing and submitting an NDA or a BLA is
	substantial.
	 
	Once the submission is accepted for filing, the
	FDA begins an in-depth review. Priority review can be applied to
	drugs that the FDA determines offer major advances in treatment or
	provide a treatment where no adequate therapy exists. The FDA may
	refer applications for novel drug products, or drug products which
	present difficult questions of safety or efficacy, to an advisory
	committee — typically a panel that includes
	clinicians and other experts — for review,
	evaluation, and a recommendation as to whether the application
	should be approved. The FDA is not bound by the recommendation of
	an advisory committee, but it generally follows such
	recommendations. Before approving an NDA or BLA, the FDA will
	typically inspect one, or more, clinical sites to assure compliance
	with GCP. Additionally, the FDA will inspect the facility or the
	facilities at which the drug is manufactured. The FDA will not
	approve the product unless compliance with current good
	manufacturing practices, or GMP — a quality system
	regulating manufacturing — is satisfactory and the
	NDA or BLA contains data that provide substantial evidence
	that the drug is safe and effective in the indication
	studied. 
	The issuance of a
	biologics license is a determination that the product, the
	manufacturing process, and the manufacturing facilities meet
	applicable requirements to ensure the continued safety, purity and
	potency of the biologic product.
	 
	 
	 
	After the FDA evaluates the NDA or BLA and
	the manufacturing facilities, it issues either an approval
	letter 
	(with the U.S. license
	number, in the case of a biologic license)
	 or a complete response letter. A complete
	response letter generally outlines the deficiencies in the
	submission and may require substantial additional testing, or
	information, in order for the FDA to reconsider the application.
	If, or when, those deficiencies have been addressed to the
	FDA’s satisfaction in a resubmission of the NDA or BLA, the
	FDA will issue an approval letter. An approval letter authorizes
	commercial marketing of the drug with specific prescribing
	information for specific indications. As a condition of NDA or
	BLA approval, the FDA may require a risk evaluation and
	mitigation strategy (“
	REMS
	”), to help ensure that the benefits of the
	drug outweigh the potential risks. REMS can include medication
	guides, communication plans for healthcare professionals, and
	elements to assure safe use (“
	ETASU
	”). ETASU can include, but are not limited
	to, special training or certification for prescribing or
	dispensing, dispensing only under certain circumstances, special
	monitoring, and the use of patient registries. The requirement for
	a REMS can materially affect the potential market and profitability
	of the drug. Moreover, product approval may require substantial
	post-approval testing and surveillance to monitor the drug’s
	safety or efficacy. Once granted, product approvals may be
	withdrawn if compliance with regulatory standards is not maintained
	or problems are identified following initial
	marketing.
	 
	The BPCIA
	 
	The Biologics Price Competition and Innovation Act
	(“
	BPCIA
	”) was enacted as part of the Affordable
	Care Act on March 23, 2010. The BPCIA creates an abbreviated
	licensure pathway for biological products shown to be biosimilar
	to, or interchangeable with, an FDA-licensed biological reference
	product. The objectives of the BPCIA are conceptually similar to
	those of the Hatch-Waxman Act, which established abbreviated
	pathways for the approval of small molecule drug products under the
	FDC Act. The implementation of an abbreviated licensure pathway for
	biological products can present challenges given the scientific and
	technical complexities that may be associated with the larger and
	typically more complex structure of biological products, as well as
	the processes by which such products are manufactured. Most
	biological products are produced in a living system such as a
	microorganism, or plant or animal cells, whereas small molecule
	drugs are typically manufactured through chemical
	synthesis.
	 
	A
	“biosimilar” product is a follow-on version of another
	biological product for which marketing approval is sought or has
	been obtained based on a demonstration that it is
	“biosimilar” to the original reference product. Section
	351(k) of the PHS Act, added by the BPCIA, sets forth the
	requirements for an application for a proposed biosimilar product
	and an application or a supplement for a proposed interchangeable
	product. Section 351(i) defines biosimilarity to mean “that
	the biological product is highly similar to the reference product
	notwithstanding minor differences in clinically inactive
	components” and that “there are no clinically
	meaningful differences between the biological product and the
	reference product in terms of the safety, purity, and potency of
	the product.” A 351(k) application must contain, among other
	things, information demonstrating that the biological product is
	biosimilar to a reference product based upon data derived from
	analytical studies, animal studies, and a clinical study or
	studies, unless the FDA determines, in its discretion, that certain
	studies are unnecessary. To meet the additional standard of
	“interchangeability,” an applicant must provide
	sufficient information to demonstrate biosimilarity, and also to
	demonstrate that the biological product can be expected to produce
	the same clinical result as the reference product in any given
	patient and, if the biological product is administered more than
	once to an individual, the risk in terms of safety or diminished
	efficacy of alternating or switching between the use of the
	biological product and the reference product is not greater than
	the risk of using the reference product without such alternation or
	switch. Biosimilar drugs are not generic drugs, which are shown to
	be the same as the reference product. However, biosimilar products
	that are also determined to be interchangeable may be substituted
	for the reference product without the intervention of the
	prescribing healthcare provider.
	 
	             
	In many cases, biosimilars may be brought to market without
	conducting the full suite of clinical trials typically required of
	originators. The law establishes a period of 12 years of data
	exclusivity for reference products in order to preserve incentives
	for future innovation and outlines statutory criteria for
	science-based biosimilar approval standards that take into account
	patient safety considerations. Under this framework, data
	exclusivity protects the data in the innovator’s regulatory
	application by prohibiting others, for a period of 12 years, from
	gaining FDA approval based in part on reliance on or reference to
	the innovator’s data in their application to the FDA.
	Moreover, a biosimilar applicant cannot file their application
	until 4 years after the reference biological product was first
	licensed. The law does not change the duration of patents granted
	on biologic products but does provide procedures for resolving
	patent disputes based on a biosimilar application.
	 
	The FDA maintains lists of biological products,
	including any biosimilar and interchangeable biological products
	licensed by the FDA under the PHS Act in a book titled “Lists
	of Licensed Biological Products with Reference Product Exclusivity
	and Biosimilarity or Interchangeability Evaluations” (the
	“
	Purple Book
	”). The Purple Book includes the date a
	biological product was licensed under 351(a) of the PHS Act and
	whether the FDA evaluated the biological product for reference
	product exclusivity. If the FDA has determined that a biological
	product is protected by a period of reference product exclusivity,
	the list will identify the date of first licensure and the date
	that reference product exclusivity (including any attached
	pediatric exclusivity) will expire. The list will not identify
	periods of orphan exclusivity and their expiration dates for
	biological products as those dates are available at the searchable
	database for Orphan Designated and/or Approved Products. The Purple
	Book also identifies whether a biological product licensed under
	section 351(k) of the PHS Act has been determined by the FDA to be
	biosimilar to or interchangeable with a reference biological
	product. Biosimilar and interchangeable biological products
	licensed under section 351(k) of the PHS Act are listed under the
	reference product to which biosimilarity or interchangeability was
	demonstrated.
	 
	 
	 
	Advertising and Promotion
	 
	Once
	an NDA or BLA is approved, a product will be subject to certain
	post-approval requirements. For instance, the FDA closely regulates
	the post-approval marketing and promotion of drugs, including
	standards and regulations for direct-to-consumer advertising,
	off-label promotion, industry-sponsored scientific and educational
	activities and promotional activities involving the
	internet.
	 
	Drugs
	may be marketed only for the approved indications and in accordance
	with the provisions of the approved labeling. Changes to some of
	the conditions established in an approved application, including
	changes in indications, labeling, or manufacturing processes or
	facilities, require submission and FDA approval of a new NDA
	or BLA or supplement to same, before the change can
	be implemented. An NDA or BLA supplement for a new indication
	typically requires clinical data similar to that in the original
	application, and the FDA uses the same procedures and actions in
	reviewing NDA and BLA supplements as it does in reviewing NDAs
	and BLAs.
	 
	Adverse Event Reporting and GMP Compliance
	 
	Adverse event reporting and submission of periodic
	reports is required following FDA approval of an NDA or BLA. The
	FDA also may require post-marketing testing, known as Phase IV
	testing, risk minimization action plans, and surveillance to
	monitor the effects of an approved product, or the FDA may place
	conditions on an approval that could restrict the distribution or
	use of the product. In addition, quality-control, drug manufacture,
	packaging, and labeling procedures must continue to conform to
	current good manufacturing practices (“
	cGMPs
	”) after approval. Drug manufacturers and
	certain of their subcontractors are required to register their
	establishments with FDA and certain state agencies. Registration
	with the FDA subjects entities to periodic unannounced inspections
	by the FDA, during which the agency inspects manufacturing
	facilities to assess compliance with cGMPs. Accordingly,
	manufacturers must continue to expend time, money, and effort in
	the areas of production and quality-control to maintain compliance
	with cGMPs. Regulatory authorities may withdraw product approvals
	or request product recalls if a company fails to comply with
	regulatory standards, if it encounters problems following initial
	marketing, or if previously unrecognized problems are subsequently
	discovered.
	 
	Pediatric Information
	 
	Under the Pediatric Research Equity Act
	(“
	PREA
	”), NDAs, BLAs or supplements
	to the same must contain data to assess the safety and
	effectiveness of the drug for the claimed indications in all
	relevant pediatric subpopulations and to support dosing and
	administration for each pediatric subpopulation for which the drug
	is safe and effective. The FDA may grant full or partial waivers,
	or deferrals, for submission of data. Unless otherwise required by
	regulation, PREA does not apply to any drug for an indication for
	which orphan designation has been granted.
	 
	The Best Pharmaceuticals for Children Act
	(“
	BPCA
	”) provides NDA and BLA holders a
	six-month extension of any exclusivity — patent or
	non-patent — for a drug if certain conditions are
	met. Conditions for exclusivity include the FDA’s
	determination that information relating to the use of a new drug in
	the pediatric population may produce health benefits in that
	population, the FDA making a written request for pediatric studies,
	and the applicant agreeing to perform, and reporting on, the
	requested studies within the statutory timeframe. Applications
	under the BPCA are treated as priority applications, with all of
	the benefits that designation confers. 
	 
	Foreign Regulatory Issues
	 
	Sales
	of pharmaceutical products outside the United States are subject to
	foreign regulatory requirements that vary widely from country to
	country. Whether or not FDA approval has been obtained, approval of
	a product by a comparable regulatory authority of a foreign country
	must generally be obtained prior to the commencement of marketing
	in that country. Although the time required to obtain such approval
	may be longer or shorter than that required for FDA approval, the
	requirements for FDA approval are among the most detailed in the
	world.
	 
	Employees
	 
	As
	of December 31, 2018, we had twelve full-time employees, of
	whom five were employed by AzurRx SAS and located in France and
	seven were employed by us and located in our offices in Brooklyn,
	NY, Montclair, NJ, and Hayward, CA.
	 
	Available Information
	 
	As a public company, we are required to file our
	annual reports on Form 10-K, quarterly reports on Form 10-Q,
	current reports on Form 8-K, proxy statements on Schedule 14A and
	other information (including any amendments) with the Securities
	and Exchange Commission (the “
	SEC
	”). The SEC maintains an Internet site that
	contains reports, proxy and information statements, and other
	information regarding issuers that file electronically with the
	SEC. You can find our SEC filings at the SEC’s website
	at
	http://www.sec.gov
	.
	 
	Our Internet address is
	www.azurrx.com
	.
	Information contained on our website is not part of this Annual
	Report. Our SEC filings (including any amendments) will be made
	available free of charge on
	www.azurrx.com
	,
	as soon as reasonably practicable after we electronically file such
	material with, or furnish it to, the SEC.
	  
	 
	 
	 
	We
	are subject to various risks that could have a negative effect on
	us and our financial condition. These risks could cause actual
	operating results to differ from those expressed in certain
	“forward looking statements” contained in this Annual
	Report as well as in other communications.
	 
	Risks Related to Our Business and Industry
	 
	We are a development stage company and have a limited operating
	history upon which to base an investment decision.
	 
	We
	are a clinical development stage biopharmaceutical company. Since
	inception, we have engaged primarily in research and development
	activities, have not generated any revenue from product sales and
	have incurred significant net losses. We have not demonstrated our
	ability to perform the functions necessary for the successful
	commercialization of any products. The successful commercialization
	of any of our products will require us to perform a variety of
	functions, including:
	 
	●
	continuing
	to undertake pre-clinical development and clinical
	trials;
 
 
	 
	●
	participating
	in regulatory approval processes;
 
 
	 
	●
	formulating
	and manufacturing products; and
 
 
	 
	●
	conducting
	sales and marketing activities.
 
 
	 
	Our
	operations to date have been limited to organizing and staffing,
	acquiring, developing and securing the proprietary rights for, and
	undertaking pre-clinical development and clinical trials of our
	product candidates. These operations provide a limited basis for
	our stockholders and prospective investors to assess our ability to
	complete development of or commercialize any products and the
	advisability of investing in our securities.
	 
	We
	have incurred significant operating losses and negative cash flows
	from operations since inception, had working capital at December
	31, 2018 of approximately $1,804,000 and had an accumulated deficit
	at December 31, 2018 of approximately $47,517,000. We are dependent
	on obtaining, and are continuing to pursue, the necessary funding
	from outside sources, including obtaining additional funding from
	the sale of securities in order to continue our operations. Without
	adequate funding, we may not be able to meet our obligations. We
	believe these conditions raise substantial doubt about our ability
	to continue as a going concern.
	 
	Our product candidates are at an early stage of development and may
	not be successfully developed or commercialized.
	 
	Our
	three product candidates, MS1819-SD, AZX1101 and AZX1103, are in
	the early stages of development and will require substantial
	further capital expenditures, development, testing, and regulatory
	clearances prior to commercialization. The development and
	regulatory approval process take several years, and it is not
	likely that any such products, even if successfully developed and
	approved by the FDA or any comparable foreign regulatory authority,
	would be commercially available for at least three to five years or
	more. Of the large number of drugs in development, only a small
	percentage successfully completes the regulatory approval process
	and is commercialized. Accordingly, even if we are able to obtain
	the requisite financing to fund our development programs, we cannot
	assure you that our product candidates will be successfully
	developed or commercialized. Our failure to develop, manufacture or
	receive regulatory approval for or successfully commercialize any
	of our product candidates, could result in the failure of our
	business and a loss of all of your investment in our
	company.
	  
	Any product candidates we advance into clinical development are
	subject to extensive regulation, which can be costly and time
	consuming, cause unanticipated delays or prevent the receipt of the
	required approvals to commercialize our product
	candidates.
	 
	The
	clinical development, manufacturing, labeling, storage,
	record-keeping, advertising, promotion, import, export, marketing
	and distribution of our product candidates are subject to extensive
	regulation by the FDA in the United States and by comparable health
	authorities in foreign markets, including Health Canada’s
	Therapeutic Products Directorate, or the TPD, and the European
	Medicines Agency, or the EMA. In the United States, we are not
	permitted to market our product candidates until we receive
	approval of an NDA or BLA from the FDA. The process of obtaining
	such approval is expensive, often takes many years and can vary
	substantially based upon the type, complexity and novelty of the
	products involved. In addition to the significant clinical testing
	requirements, our ability to obtain marketing approval for these
	products depends on obtaining the final results of required
	non-clinical testing, including characterization of the
	manufactured components of our product candidates and validation of
	our manufacturing processes. The FDA may determine that our product
	manufacturing processes, testing procedures or facilities are
	insufficient to justify approval. Approval policies or regulations
	may change and the FDA has substantial discretion in the
	pharmaceutical approval process, including the ability to delay,
	limit or deny approval of a product candidate for many reasons.
	Despite the time and expense invested in clinical development of
	product candidates, regulatory approval is never
	guaranteed.
	 
	 
	 
	The
	FDA, the TPD and/or the EMA can delay, limit or deny approval of a
	product candidate for many reasons, including, but not limited
	to:
	 
	●
	disagreement
	with the design or implementation of our clinical
	trials;
 
 
	 
	●
	failure
	to demonstrate to their satisfaction that a product candidate is
	safe and effective for any indication;
 
 
	 
	●
	failure
	to accept clinical data from trials which are conducted outside
	their jurisdiction;
 
 
	 
	●
	the
	results of clinical trials may not meet the level of statistical
	significance required for approval;
 
 
	 
	●
	we
	may be unable to demonstrate that a product candidate’s
	clinical and other benefits outweigh its safety risks;
 
 
	 
	●
	such
	agencies may disagree with our interpretation of data from
	preclinical studies or clinical trials;
 
 
	 
	●
	failure
	to approve the manufacturing processes or facilities of third-party
	manufacturers with which we or our collaborators contract for
	clinical and commercial supplies; or
 
 
	 
	●
	changes
	in the approval policies or regulations of such agencies may
	significantly change in a manner rendering our clinical data
	insufficient for approval.
 
 
	 
	Any
	delay in obtaining, or inability to obtain, applicable regulatory
	approvals would prevent us from commercializing our product
	candidates.
	 
	If we encounter difficulties enrolling patients in our clinical
	trials, our clinical development activities could be delayed or
	otherwise adversely affected.
	 
	We
	may experience difficulties in patient enrollment in our clinical
	trials for a variety of reasons. The timely completion of
	clinical trials in accordance with their protocols depends, among
	other things, on our ability to enroll a sufficient number of
	patients who remain in the trial until its conclusion. The
	enrollment of patients depends on many factors,
	including:
	 
	●
	the
	patient eligibility criteria defined in the protocol;
 
 
	 
	●
	the
	size of the patient population;
 
 
	 
	●
	the
	proximity and availability of clinical trial sites for prospective
	patients;
 
 
	 
	●
	the
	design of the trial;
 
 
	 
	●
	our
	ability to recruit clinical trial investigators with the
	appropriate competencies and experience;
 
 
	 
	●
	our
	ability to obtain and maintain patient consents; and
 
 
	 
	●
	the
	risk that patients enrolled in clinical trials will drop out of the
	trials before completion.
 
 
	 
	Our
	clinical trials will compete with other clinical trials for product
	candidates that are in the same therapeutic areas as our product
	candidates. This competition will reduce the number and types
	of patients and qualified clinical investigators available to us,
	because some patients who might have opted to enroll in our trials
	may instead opt to enroll in a trial being conducted by one of our
	competitors or clinical trial sites may not allow us to conduct our
	clinical trial at such site if competing trials are already being
	conducted there.  Since the number of qualified clinical
	investigators is limited, we expect to conduct some of our clinical
	trials at the same clinical trial sites that some of our
	competitors use, which will reduce the number of patients who are
	available for our clinical trials in such clinical trial
	site. We may also encounter difficulties finding a clinical
	trial site at which to conduct our trials.
	 
	Delays
	in patient enrollment may result in increased costs or may affect
	the timing or outcome of our planned clinical trials, which could
	prevent completion of these clinical trials and adversely affect
	our ability to advance the development of our product
	candidates.
	 
	Because the results of preclinical studies and early clinical
	trials are not necessarily predictive of future results, any
	product candidate we advance into clinical trials may not have
	favorable results in later clinical trials, if any, or receive
	regulatory approval.
	 
	Pharmaceutical
	development has inherent risk. We will be required to demonstrate
	through well-controlled clinical trials that our product candidates
	are effective with a favorable benefit-risk profile for use in
	their target indications before we can seek regulatory approvals
	for their commercial sale. Our principal product candidate,
	MS1819-SD, has only completed a phase IIa clinical trial, while our
	other products, AZX1101 and AZX1103, have only been tested in a
	pre-clinical setting. Success in pre-clinical studies or early
	clinical trials does not mean that later clinical trials will be
	successful, as product candidates in later-stage clinical trials
	may fail to demonstrate sufficient safety or efficacy despite
	having progressed through initial clinical testing. We also may
	need to conduct additional clinical trials that are not currently
	anticipated. Companies frequently suffer significant setbacks in
	advanced clinical trials, even after earlier clinical trials have
	shown promising results.
	  
	 
	 
	Any product candidate we advance into clinical trials may cause
	unacceptable adverse events or have other properties that may delay
	or prevent their regulatory approval or commercialization or limit
	their commercial potential.
	 
	Unacceptable
	adverse events caused by any of our product candidates in clinical
	trials could cause us or regulatory authorities to interrupt, delay
	or halt clinical trials and could result in the denial of
	regulatory approval by the FDA or other regulatory authorities for
	any or all targeted indications and markets. This, in turn, could
	prevent us from commercializing the affected product candidate and
	generating revenues from its sale. We have not yet completed
	testing of any of our product candidates for the treatment of the
	indications for which we intend to seek product approval in humans,
	and we currently do not know the extent of adverse events, if any,
	that will be observed in patients who receive any of our product
	candidates. If any of our product candidates cause
	unacceptable adverse events in clinical trials, we may not be able
	to obtain regulatory approval or commercialize such product or, if
	such product candidate is approved for marketing, future adverse
	events could cause us to withdraw such product from the
	market.
	 
	Delays in the commencement or completion of our clinical trials
	could result in increased costs and delay our ability to pursue
	regulatory approval.
	 
	Although
	we commenced a Phase II clinical trial for MS1819-SD in late-2018,
	and currently anticipate completing the preclinical work necessary
	to file an IND for AZX1101 by the end of 2019, the commencement of
	clinical trials can be delayed for a variety of reasons, including
	delays in:
	 
	●
	obtaining
	regulatory clearance to commence a clinical trial;
 
 
	 
	●
	identifying,
	recruiting and training suitable clinical
	investigators;
 
 
	 
	●
	reaching agreement on acceptable terms with
	prospective clinical research organizations (“
	CROs
	”) and trial sites, the terms of which can
	be subject to extensive negotiation, may be subject to modification
	from time to time and may vary significantly among different CROs
	and trial sites;
 
 
	 
	●
	obtaining
	sufficient quantities of a product candidate for use in clinical
	trials;
 
 
	 
	●
	obtaining Investigator Review Board
	(“
	IRB
	”) or ethics committee approval to conduct a
	clinical trial at a prospective site;
 
 
	 
	●
	identifying,
	recruiting and enrolling patients to participate in a clinical
	trial;
 
 
	 
	●
	retaining
	patients who have initiated a clinical trial but may withdraw due
	to adverse events from the therapy, insufficient efficacy, fatigue
	with the clinical trial process or personal issues;
	and
 
 
	 
	 
	   
	    Any delays in the commencement of our clinical
	trials will delay our ability to pursue regulatory approval for our
	product candidates. In addition, many of the factors that cause, or
	lead to, a delay in the commencement of clinical trials may also
	ultimately lead to the denial of regulatory approval of a product
	candidate.
	 
	We may be required to suspend, repeat or terminate our clinical
	trials if they are not conducted in accordance with regulatory
	requirements, the results are negative or inconclusive or the
	trials are not well designed.
	 
	Regulatory
	agencies, IRBs or data safety monitoring boards may at any time
	recommend the temporary or permanent discontinuation of our
	clinical trials or request that we cease using investigators in the
	clinical trials if they believe that the clinical trials are not
	being conducted in accordance with applicable regulatory
	requirements, or that they present an unacceptable safety risk to
	participants. Clinical trials must be conducted in accordance
	with current cGCPs or other applicable foreign government
	guidelines governing the design, safety monitoring, quality
	assurance and ethical considerations associated with clinical
	studies. Clinical trials are subject to oversight by the FDA,
	other foreign governmental agencies and IRBs at the study sites
	where the clinical trials are conducted. In addition, clinical
	trials must be conducted with product candidates produced in
	accordance with applicable cGMPs, which are the FDA’s
	regulations governing the design, monitoring and control of
	manufacturing processes and facilities. Clinical trials may be
	suspended by the FDA, other foreign governmental agencies, or us
	for various reasons, including:
	 
	●
	deficiencies
	in the conduct of the clinical trials, including failure to conduct
	the clinical trial in accordance with regulatory requirements or
	clinical protocols;
 
 
	 
	●
	deficiencies
	in the clinical trial operations or trial sites;
 
 
	 
	●
	the
	product candidate may have unforeseen adverse side
	effects;
 
 
	 
	●
	deficiencies
	in the trial design necessary to demonstrate efficacy;
 
 
	 
	●
	fatalities
	or other adverse events arising during a clinical trial due to
	medical problems that may not be related to clinical trial
	treatments;
 
 
	 
	●
	the
	product candidate may not appear to be more effective than current
	therapies; or
 
 
	 
	●
	the
	quality or stability of the product candidate may fall below
	acceptable standards.
 
 
	 
	 
	 
	If
	we elect or are forced to suspend or terminate a clinical trial of
	any other of our product candidates, the commercial prospects for
	that product will be harmed and our ability to generate product
	revenue from that product may be delayed or
	eliminated. Furthermore, any of these events could prevent us
	or our partners from achieving or maintaining market acceptance of
	the affected product and could substantially increase the costs of
	commercializing our product candidates and impair our ability to
	generate revenue from the commercialization of these products
	either by us or by our collaboration partners.
	 
	Because we license some of our product candidates from third
	parties, any dispute with our licensors or non-performance by us or
	by our licensors may adversely affect our ability to develop and
	commercialize the applicable product candidates.
	 
	Some
	of our product candidates, including related intellectual property
	rights, were licensed from third parties. Under the terms of our
	license agreements, the licensors generally have the right to
	terminate such agreements in the event of a material breach by us.
	Our licenses require us to make annual, milestone or other payments
	prior to commercialization of any product and our ability to make
	these payments depends on our ability to generate cash in the
	future. These agreements generally require us to use diligent and
	reasonable efforts to develop and commercialize the product
	candidate.
	  
	If
	there is any conflict, dispute, disagreement or issue of
	non-performance between us and our licensing partner regarding our
	rights or obligations under the license agreement, including any
	conflict, dispute or disagreement arising from our failure to
	satisfy payment obligations under such agreement, our ability to
	develop and commercialize the affected product candidate may be
	adversely affected. Any loss of our rights under our license
	agreements could delay or completely terminate our product
	development efforts for the affected product
	candidate.
	 
	We may form or seek strategic alliances or enter into additional
	licensing arrangements in the future, and we may not realize the
	benefits of such alliances or licensing arrangements.
	 
	From
	time to time, we may form or seek strategic alliances, create joint
	ventures or collaborations or enter into additional licensing
	arrangements with third parties that we believe will complement or
	augment our development and commercialization efforts with respect
	to our product candidates and any future product candidates that we
	may develop. Any of these relationships may require us to
	incur non-recurring and other charges, increase our near and
	long-term expenditures, issue securities that dilute our existing
	stockholders or disrupt our management and business. These
	relationships also may result in a delay in the development of our
	product candidates if we become dependent upon the other party and
	such other party does not prioritize the development of our product
	candidates relative to its other development activities. In
	addition, we face significant competition in seeking appropriate
	strategic partners and the negotiation process is time-consuming
	and complex. Moreover, we may not be successful in our efforts
	to establish a strategic partnership or other alternative
	arrangements for our product candidates because they may be deemed
	to be at too early of a stage of development for collaborative
	effort and third parties may not view our product candidates as
	having the requisite potential to demonstrate safety and
	efficacy. If we license products or businesses, we may not be
	able to realize the benefit of such transactions if we are unable
	to successfully integrate them with our existing operations and
	company culture. We cannot be certain that, following a
	strategic transaction or license, we will achieve the revenue or
	specific net income that justifies such transaction. We rely
	completely on third parties to manufacture our preclinical and
	clinical pharmaceutical supplies and expect to continue to rely on
	third parties to produce commercial supplies of any approved
	product candidate, and our dependence on third party suppliers
	could adversely impact our business.
	 
	We rely completely on third parties to manufacture our preclinical
	and clinical pharmaceutical supplies and expect to continue to rely
	on third parties to produce commercial supplies of any approved
	product candidate, and our dependence on third party suppliers
	could adversely impact our business.
	 
	The
	proprietary yeast strain used to manufacture MS1819-SD API is
	located in a storage facility maintained by Charles River
	Laboratories in Malvern, Pennsylvania, and such manufacturing is
	conducted by DSM Capua SPA in Italy. We are completely
	dependent on these third parties for product supply and our
	MS1819-SD development programs would be adversely affected by a
	significant interruption in our ability to receive such
	materials. Furthermore, our third-party suppliers will be
	required to maintain compliance with cGMPs and will be subject to
	inspections by the FDA or comparable regulatory authorities in
	other jurisdictions to confirm such compliance. In the event that
	the FDA or such other authorities determine that our third-party
	suppliers have not complied with cGMP, our clinical trials could be
	terminated or subjected to a clinical hold until such time as we
	are able to obtain appropriate replacement material. Any
	delay, interruption or other issues that arise in the manufacture,
	packaging, or storage of our products as a result of a failure of
	the facilities or operations of our third-party suppliers to pass
	any regulatory agency inspection could significantly impair our
	ability to develop and commercialize our products.
	 
	 
	 
	We
	do not expect to have the resources or capacity to commercially
	manufacture any of our proposed products, if approved, and will
	likely continue to be dependent upon third party manufacturers. Our
	dependence on third parties to manufacture and supply us with
	clinical trial materials and any approved products may adversely
	affect our ability to develop and commercialize our products on a
	timely basis or at all.
	  
	We rely on third parties to conduct our clinical trials. If these
	third parties do not meet our deadlines or otherwise conduct the
	trials as required, our clinical development programs could be
	delayed or unsuccessful and we may not be able to obtain regulatory
	approval for or commercialize our product candidates when expected
	or at all.
	 
	We
	do not have the ability to conduct all aspects of our preclinical
	testing or clinical trials ourselves. We use CROs to conduct our
	planned clinical trials and will rely upon such CROs, as well as
	medical institutions, clinical investigators and consultants, to
	conduct our trials in accordance with our clinical protocols. Our
	CROs, investigators and other third parties will play a significant
	role in the conduct of these trials and the subsequent collection
	and analysis of data from the clinical trials.
	 
	There
	is no guarantee that any CROs, investigators and other third
	parties upon which we rely for administration and conduct of our
	clinical trials will devote adequate time and resources to such
	trials or perform as contractually required. If any of these third
	parties fail to meet expected deadlines, fail to adhere to our
	clinical protocols or otherwise perform in a substandard manner,
	our clinical trials may be extended, delayed or terminated. If any
	of our clinical trial sites terminate for any reason, we may
	experience the loss of follow-up information on patients enrolled
	in our ongoing clinical trials unless we are able to transfer the
	care of those patients to another qualified clinical trial site. In
	addition, principal investigators for our clinical trials may serve
	as scientific advisors or consultants to us from time to time and
	receive cash or equity compensation in connection with such
	services. If these relationships and any related compensation
	result in perceived or actual conflicts of interest, the integrity
	of the data generated at the applicable clinical trial site may be
	jeopardized.
	 
	We will face intense competition and may not be able to compete
	successfully.
	 
	We
	operate in highly competitive segments of the biotechnology and
	biopharmaceutical markets. We face competition from many different
	sources, including commercial pharmaceutical and biotechnology
	enterprises, academic institutions, government agencies, and
	private and public research institutions. Our product candidates,
	if successfully developed and approved, will compete with
	established therapies, as well as new treatments that may be
	introduced by our competitors. Many of our competitors have
	significantly greater financial, product development, manufacturing
	and marketing resources than us. Large pharmaceutical companies
	have extensive experience in clinical testing and obtaining
	regulatory approval for drugs. In addition, many universities and
	private and public research institutes are active in cancer
	research, some in direct competition with us. We also may compete
	with these organizations to recruit management, scientists and
	clinical development personnel. Smaller or early-stage companies
	may also prove to be significant competitors, particularly through
	collaborative arrangements with large and established companies.
	New developments, including the development of other biological and
	pharmaceutical technologies and methods of treating disease, occur
	in the pharmaceutical and life sciences industries at a rapid pace.
	Developments by competitors may render our product candidates
	obsolete or noncompetitive. We will also face competition from
	these third parties in recruiting and retaining qualified
	personnel, establishing clinical trial sites and patient
	registration for clinical trials and in identifying and
	in-licensing new product candidates.
	 
	Our success will depend upon intellectual property, proprietary
	technologies and regulatory market exclusivity periods, and we may
	be unable to protect our intellectual property.
	 
	Our
	success will depend, in large part, on obtaining and maintaining
	patent protection and trade secret protection for our product
	candidates and their formulations and uses, as well as successfully
	defending these patents against third-party challenges. If we or
	our licensors fail to appropriately prosecute and maintain patent
	protection for our product candidates, our ability to develop and
	commercialize these product candidates may be adversely affected
	and we may not be able to prevent competitors from making, using
	and selling competing products. This failure to properly protect
	the intellectual property rights relating to these product
	candidates could have a material adverse effect on our financial
	condition and results of operations.
	 
	   
	The patent application process is subject to numerous risks and
	uncertainties, and there can be no assurance that we or our
	partners will be successful in protecting our product candidates by
	obtaining and defending patents. These risks and uncertainties
	include the following:
	 
	●
	patent
	applications may not result in any patents being
	issued;
 
 
	 
	●
	patents
	that may be issued or in-licensed may be challenged, invalidated,
	modified, revoked, circumvented, found to be unenforceable, or
	otherwise may not provide any competitive advantage;
 
 
	 
	●
	our
	competitors, many of which have substantially greater resources
	than we or our partners and many of which have made significant
	investments in competing technologies, may seek, or may already
	have obtained, patents that will limit, interfere with, or
	eliminate our ability to make, use, and sell our potential
	products;
 
 
	 
	●
	there
	may be significant pressure on the United States government and
	other international governmental bodies to limit the scope of
	patent protection both inside and outside the United States for
	disease treatments that prove successful as a matter of public
	policy regarding worldwide health concerns;
 
 
	 
	●
	countries
	other than the United States may have patent laws less favorable to
	patentees than those upheld by United States courts, allowing
	foreign competitors a better opportunity to create, develop, and
	market competing products; and
 
 
	 
	●
	we
	may be involved in lawsuits to protect or enforce our patents or
	the patents of our licensors, which could be expensive, time
	consuming and unsuccessful.
 
 
	 
	 
	 
	In
	addition to patents, we and our partners also rely on trade secrets
	and proprietary know-how. Although we have taken steps to protect
	our trade secrets and unpatented know-how, including entering into
	confidentiality agreements with third parties, and confidential
	information and inventions agreements with employees, consultants
	and advisors, third parties may still obtain this information or
	come upon this same or similar information independently. We may
	become subject to claims that we or consultants, advisors or
	independent contractors that we may engage to assist us in
	developing our product candidates have wrongfully or inadvertently
	disclosed to us or used trade secrets or other proprietary
	information of their former employers or their other
	clients.
	 
	We intend to rely on market exclusivity periods that may not be or
	remain available to us.
	 
	We
	intend to rely on our ability to obtain and maintain a regulatory
	period of market exclusivity for any of our biologic product
	candidates that are successfully developed and approved for
	commercialization. Although this period in the United States is
	currently 12 years from the date of marketing approval, reductions
	to this period have been proposed. This exclusivity period in
	Europe is currently 10 years from the date of marketing
	approval by the EMA. Once any regulatory period of exclusivity
	expires, depending on the status of our patent coverage and the
	nature of the product, we may not be able to prevent others from
	marketing products that are biosimilar to or interchangeable with
	our products, which would materially adversely affect
	us.
	   
	If we are unable to establish sales and marketing capabilities or
	fail to enter into agreements with third parties to market,
	distribute and sell any products we may successfully develop, we
	may not be able to effectively market and sell any such products
	and generate product revenue.
	 
	We
	do not currently have the infrastructure for the sales, marketing
	and distribution of any of our product candidates, and must build
	this infrastructure or make arrangements with third parties to
	perform these functions in order to commercialize any products that
	we may successfully develop. The establishment and development of a
	sales force, either by us or jointly with a partner, or the
	establishment of a contract sales force to market any products we
	may develop will be expensive and time-consuming and could delay
	any product launch. If we, or our partners, are unable to establish
	sales and marketing capability or any other non-technical
	capabilities necessary to commercialize any products we may
	successfully develop, we will need to contract with third parties
	to market and sell such products. We may not be able to establish
	arrangements with third-parties on acceptable terms, if at
	all.
	 
	If any product candidate that we successfully develop does not
	achieve broad market acceptance among physicians, patients,
	healthcare payors and the medical community, the revenues that it
	generates from their sales will be limited.
	 
	Even
	if our product candidates receive regulatory approval, they may not
	gain market acceptance among physicians, patients, healthcare
	payors and the medical community. Coverage and reimbursement of our
	product candidates by third-party payors, including government
	payors, generally is also necessary for commercial success. The
	degree of market acceptance of any approved products will depend on
	a number of factors, including:
	 
	●
	the
	efficacy and safety as demonstrated in clinical
	trials;
 
 
	 
	●
	the
	clinical indications for which the product is
	approved;
 
 
	 
	●
	acceptance
	by physicians, major operators of hospitals and clinics and
	patients of the product as a safe and effective
	treatment;
 
 
	 
	●
	acceptance
	of the product by the target population;
 
 
	 
	●
	the
	potential and perceived advantages of product candidates over
	alternative treatments;
 
 
	 
	●
	the
	safety of product candidates seen in a broader patient group,
	including its use outside the approved indications;
 
 
	 
	●
	the
	cost of treatment in relation to alternative
	treatments;
 
 
	 
	●
	the
	availability of adequate reimbursement and pricing by third parties
	and government authorities;
 
 
	 
	●
	relative
	convenience and ease of administration;
 
 
	 
	●
	the
	prevalence and severity of adverse events;
 
 
	 
	●
	the
	effectiveness of our sales and marketing efforts; and
 
 
	 
	●
	unfavorable
	publicity relating to the product.
 
 
	 
	If
	any product candidate is approved but does not achieve an adequate
	level of acceptance by physicians, hospitals, healthcare payors and
	patients, we may not generate sufficient revenue from these
	products and may not become or remain profitable.
	  
	 
	 
	We may incur substantial product liability or indemnification
	claims relating to the clinical testing of our product
	candidates.
	 
	We
	face an inherent risk of product liability exposure related to the
	testing of our product candidates in human clinical trials, and
	claims could be brought against us if use or misuse of one of our
	product candidates causes, or merely appears to have caused,
	personal injury or death. Although we have and intend to maintain
	product liability insurance relating to our clinical trials, our
	coverage may not be sufficient to cover claims that may be made
	against us and we may be unable to maintain such insurance. Any
	claims against us, regardless of their merit, could severely harm
	our financial condition, strain our management and other resources
	or destroy the prospects for commercialization of the product which
	is the subject of any such claim. We are unable to predict if we
	will be able to obtain or maintain product liability insurance for
	any products that may be approved for marketing. Additionally, we
	have entered into various agreements where we indemnify third
	parties for certain claims relating to the testing and use of our
	product candidates. These indemnification obligations may require
	us to pay significant sums of money for claims that are covered by
	these indemnifications.
	 
	If we fail to attract and retain key management and clinical
	development personnel, we may be unable to successfully develop or
	commercialize our product candidates.
	 
	We
	are dependent on our management team and clinical development
	personnel and our success will depend on their continued service,
	as well as our ability to attract and retain highly qualified
	personnel. In particular, the continued service of our senior
	management team, including Johan M. (Thijs) Spoor, our President
	and Chief Executive Officer, Maged Shenouda, our Chief Financial
	Officer, and James Pennington, our Chief Medical Officer, is
	critical to our success. The market for the services of qualified
	personnel in the pharmaceutical industry is highly competitive. The
	loss of service of any member of our senior management team or key
	personnel could prevent, impair or delay the implementation of our
	business plan, the successful conduct and completion of our planned
	clinical trials and the commercialization of any product candidates
	that we may successfully develop. We do not carry key man insurance
	for any member of our senior management team.
	 
	We use biological materials and may use hazardous materials, and
	any claims relating to improper handling, storage or disposal of
	these materials could be time consuming or costly.
	 
	We
	may use hazardous materials, including chemicals and biological
	agents and compounds, that could be dangerous to human health and
	safety or the environment. Our operations also produce hazardous
	waste products. Federal, state and local laws and regulations
	govern the use, generation, manufacture, storage, handling and
	disposal of these materials and wastes. Compliance with applicable
	environmental laws and regulations may be expensive, and current or
	future environmental laws and regulations may impair our product
	development efforts. In addition, we cannot entirely eliminate the
	risk of accidental injury or contamination from these materials or
	wastes. We do not carry specific biological or hazardous waste
	insurance coverage and our property and casualty and general
	liability insurance policies specifically exclude coverage for
	damages and fines arising from biological or hazardous waste
	exposure or contamination. Accordingly, in the event of
	contamination or injury, we could be held liable for damages or
	penalized with fines in an amount exceeding our resources, and our
	clinical trials or regulatory approvals could be
	suspended.
	 
	Although
	we maintain workers’ compensation insurance to cover us for
	costs and expenses we may incur due to injuries to our employees
	resulting from the use of hazardous materials, this insurance may
	not provide adequate coverage against potential liabilities. We do
	not maintain insurance for environmental liability or toxic tort
	claims that may be asserted against us in connection with our
	storage or disposal of biological or hazardous
	materials.
	 
	In
	addition, we may incur substantial costs in order to comply with
	current or future environmental, health and safety laws and
	regulations. These current or future laws and regulations may
	impair our research, development or production efforts. Failure to
	comply with these laws and regulations also may result in
	substantial fines, penalties or other sanctions.
	 
	If we or our partners are sued for infringing intellectual property
	rights of third parties, it will be costly and time consuming, and
	an unfavorable outcome in that litigation would have a material
	adverse effect on our business.
	 
	Our
	success also depends upon our ability and the ability of any of our
	future collaborators to develop, manufacture, market and sell our
	product candidates without infringing the proprietary rights of
	third parties. Numerous United States and foreign issued patents
	and pending patent applications, which are owned by third parties,
	exist in the fields in which we are developing products, some of
	which may be directed at claims that overlap with the subject
	matter of our intellectual property. Because patent applications
	can take many years to issue, there may be currently pending
	applications, unknown to us, which may later result in issued
	patents that our product candidates or proprietary technologies may
	infringe. Similarly, there may be issued patents relevant to our
	product candidates of which we are not aware.
	   
	   
	 
	 
	There
	is a substantial amount of litigation involving patent and other
	intellectual property rights in the biotechnology and
	biopharmaceutical industries generally. If a third party claims
	that we or any of our licensors, suppliers or collaborators
	infringe the third party’s intellectual property rights, we
	may have to:
	 
	●
	obtain
	licenses, which may not be available on commercially reasonable
	terms, if at all;
 
 
	 
	●
	abandon
	an infringing product candidate or redesign our products or
	processes to avoid infringement;
 
 
	 
	●
	pay
	substantial damages, including the possibility of treble damages
	and attorneys’ fees, if a court decides that the product or
	proprietary technology at issue infringes on or violates the third
	party’s rights;
 
 
	 
	●
	pay
	substantial royalties, fees and/or grant cross licenses to our
	technology; and/or
 
 
	 
	●
	defend
	litigation or administrative proceedings which may be costly
	whether we win or lose, and which could result in a substantial
	diversion of our financial and management resources.
 
 
	 
	 
	Healthcare reform and restrictions on reimbursements may limit our
	financial returns.
	 
	Our
	ability or the ability of our collaborators to commercialize any of
	our product candidates that we successfully develop may depend, in
	part, on the extent to which government health administration
	authorities, private health insurers and other organizations will
	reimburse consumers for the cost of these products. These third
	parties are increasingly challenging both the need for and the
	price of new drug products. Significant uncertainty exists as to
	the reimbursement status of newly approved therapeutics. Adequate
	third-party reimbursement may not be available for our product
	candidates to enable us or our collaborators to maintain price
	levels sufficient to realize an appropriate return on their and our
	investments in research and product development.
	 
	Changes in healthcare law and implementing regulations, including
	government restrictions on pricing and reimbursement, as well as
	healthcare policy and other healthcare payor cost-containment
	initiatives, may negatively impact our ability to generate
	revenues.
	 
	The potential pricing and reimbursement environment for our drug
	product candidates and any future products may change in the future
	and become more challenging due to, among other reasons, policies
	advanced by the current or any new presidential administration,
	federal agencies, healthcare legislation passed by Congress, or
	fiscal challenges faced by all levels of government health
	administration authorities.
	 
	If we or any of our independent contractors, consultants,
	collaborators, manufacturers, vendors or service providers fail to
	comply with healthcare laws and regulations, we or they could be
	subject to enforcement actions, which could result in penalties and
	affect our ability to develop, market and sell our product
	candidates and may harm our reputation.
	 
	We
	are subject to federal, state, and foreign healthcare laws and
	regulations pertaining to fraud and abuse and patients’
	rights. These laws and regulations include:
	 
	●
	the
	U.S. federal healthcare program anti-kickback law, which prohibits,
	among other things, persons and entities from soliciting, receiving
	or providing remuneration, directly or indirectly, to induce either
	the referral of an individual for a healthcare item or service, or
	the purchasing or ordering of an item or service, for which payment
	may be made under a federal healthcare program such as Medicare or
	Medicaid;
 
 
	 
	●
	the
	U.S. federal false claims and civil monetary penalties laws, which
	prohibit, among other things, individuals or entities from
	knowingly presenting or causing to be presented, claims for payment
	by government funded programs such as Medicare or Medicaid that are
	false or fraudulent, and which may apply to us by virtue of
	statements and representations made to customers or third
	parties;
 
 
	 
	●
	the U.S. federal Health Insurance Portability and
	Accountability Act (“
	HIPAA
	”), which prohibits, among other things,
	executing a scheme to defraud healthcare
	programs;
 
 
	 
	●
	HIPAA,
	as amended by the Health Information Technology for Economic and
	Clinical Health Act, or HITECH, imposes requirements relating to
	the privacy, security, and transmission of individually
	identifiable health information, and requires notification to
	affected individuals and regulatory authorities of certain breaches
	of security of individually identifiable health
	information;
 
 
	 
	●
	the
	federal Physician Payment Sunshine Act, which requires certain
	manufacturers of drugs, devices, biologics and medical supplies to
	report annually to the Centers for Medicare & Medicaid
	Services, or CMS, information related to payments and other
	transfers of value to physicians, other healthcare providers and
	teaching hospitals, and ownership and investment interests held by
	physicians and other healthcare providers and their immediate
	family members, which is published in a searchable form on an
	annual basis; and
 
 
	 
	●
	state
	laws comparable to each of the above federal laws, such as, for
	example, anti-kickback and false claims laws that may be broader in
	scope and also apply to commercial insurers and other non-federal
	payors, requirements for mandatory corporate regulatory compliance
	programs, and laws relating to patient data privacy and
	security.
 
 
	 
	 
	 
	 
	If
	our operations are found to be in violation of any such health care
	laws and regulations, we may be subject to penalties, including
	administrative, civil and criminal penalties, monetary damages,
	disgorgement, imprisonment, the curtailment or restructuring of our
	operations, loss of eligibility to obtain approvals from the FDA,
	or exclusion from participation in government contracting,
	healthcare reimbursement or other government programs, including
	Medicare and Medicaid, any of which could adversely affect our
	financial results. Although effective compliance programs can
	mitigate the risk of investigation and prosecution for violations
	of these laws, these risks cannot be entirely eliminated. Any
	action against us for an alleged or suspected violation could cause
	us to incur significant legal expenses and could divert our
	management’s attention from the operation of our business,
	even if our defense is successful. In addition, achieving and
	sustaining compliance with applicable laws and regulations may be
	costly to us in terms of money, time and resources.
	 
	We will need to grow the size of our organization, and we may
	experience difficulties in managing this growth.
	 
	As
	of December 31, 2018, we had twelve employees. As our
	development and commercialization plans and strategies develop, and
	as we continue to transition into operating as a public company, we
	expect to need additional managerial, operational, sales,
	marketing, financial and other personnel. Future growth would
	impose significant added responsibilities on members of management,
	including:
	 
	●
	identifying,
	recruiting, integrating, maintaining and motivating additional
	employees;
 
 
	 
	●
	managing
	our internal development efforts effectively, including the
	clinical, FDA and international regulatory review process for our
	product candidates, while complying with our contractual
	obligations to contractors and other third parties;
	and
 
 
	 
	●
	improving
	our operational, financial and management controls, reporting
	systems and procedures.
 
 
	 
	Our
	future financial performance and our ability to commercialize our
	product candidates will depend, in part, on our ability to
	effectively manage any future growth, and our management may also
	have to divert a disproportionate amount of its attention away from
	day-to-day activities in order to devote a substantial amount of
	time to managing these growth activities.
	 
	We
	currently rely, and for the foreseeable future will continue to
	rely, in substantial part on certain independent organizations,
	advisors and consultants to provide certain services, including
	substantially all aspects of regulatory approval, clinical
	management and manufacturing. There can be no assurance that
	the services of independent organizations, advisors and consultants
	will continue to be available to us on a timely basis when needed,
	or that we can find qualified replacements. In addition, if we
	are unable to effectively manage our outsourced activities or if
	the quality or accuracy of the services provided by consultants is
	compromised for any reason, our clinical trials may be extended,
	delayed or terminated, and we may not be able to obtain regulatory
	approval of our product candidates or otherwise advance our
	business. There can be no assurance that we will be able to
	manage our existing consultants or find other competent outside
	contractors and consultants on economically reasonable terms, or at
	all.
	 
	If
	we are not able to effectively expand our organization by hiring
	new employees and expanding our groups of consultants and
	contractors, we may not be able to successfully implement the tasks
	necessary to further develop and commercialize our product
	candidates and, accordingly, may not achieve our research,
	development and commercialization goals.
	Risks Relating to our Finances, Capital Requirements and Other
	Financial Matters
	 
	We are a development stage company with a history of operating
	losses that are expected to continue and we are unable to predict
	the extent of future losses, whether we will generate significant
	revenues or whether we will achieve or sustain
	profitability.
	 
	We
	are a company in the development stage and our prospects must be
	considered in light of the uncertainties, risks, expenses and
	difficulties frequently encountered by companies in their early
	stages of operations. We have generated operating losses since our
	inception, including losses of approximately $13,534,000 and
	$11,096,000 for the years ended December 31, 2018 and 2017,
	respectively. We expect to make substantial expenditures and incur
	increasing operating costs in the future and our accumulated
	deficit will increase significantly as we expand development and
	clinical trial activities for our product candidates. Our losses
	have had, and are expected to continue to have, an adverse impact
	on our working capital, total assets and stockholders’
	equity. Because of the risks and uncertainties associated with
	product development, we are unable to predict the extent of any
	future losses, whether we will ever generate significant revenues
	or if we will ever achieve or sustain profitability.
	 
	 
	 
	We
	have incurred significant operating losses and negative cash flows
	from operations since inception, had working capital at December
	31, 2018 of approximately $1,804,000 and had an accumulated deficit
	at December 31, 2018 of approximately $47,517,000. We are dependent
	on obtaining, and are continuing to pursue, the necessary funding
	from outside sources, including obtaining additional funding from
	the sale of securities, in order to continue our operations.
	Without adequate funding, we may not be able to meet our
	obligations. We believe these conditions raise substantial doubt
	about our ability to continue as a going concern.
	 
	We will need substantial additional funding and may be unable to
	raise capital when needed, which would force us to delay, curtail
	or eliminate one or more of our research and development programs
	or commercialization efforts.
	 
	Our
	operations have consumed substantial amounts of cash since
	inception. During the years ended December 31, 2018 and 2017, we
	incurred research and development expenses of approximately
	$4,986,000 and $2,395,000, respectively. We expect to continue to
	spend substantial amounts on product development, including
	conducting clinical trials for our product candidates and
	purchasing clinical trial materials from our suppliers. We will
	require substantial additional funds to support our continued
	research and development activities, as well as the anticipated
	costs of preclinical studies and clinical trials, regulatory
	approvals and potential commercialization. We could spend our
	available financial resources much faster than we currently
	expect.
	 
	Until
	such time, if ever, as we can generate a sufficient amount of
	product revenue and achieve profitability, we expect to seek to
	finance future cash needs through equity or debt financings or
	corporate collaboration and licensing arrangements. We currently
	have no other commitments or agreements relating to any of these
	types of transactions and we cannot be certain that additional
	funding will be available on acceptable terms, or at all. If we are
	unable to raise additional capital, we will have to delay, curtail
	or eliminate one or more of our research and development
	programs.
	   
	Raising additional funds by issuing securities or through licensing
	or lending arrangements may cause dilution to our existing
	stockholders, restrict our operations or require us to relinquish
	proprietary rights.
	 
	To
	the extent that we raise additional capital by issuing equity
	securities, the share ownership of existing stockholders will be
	diluted. Any future debt financing may involve covenants that
	restrict our operations, including limitations on our ability to
	incur liens or additional debt, pay dividends, redeem our stock,
	make certain investments and engage in certain merger,
	consolidation or asset sale transactions, among other restrictions.
	In addition, if we raise additional funds through licensing
	arrangements, it may be necessary to relinquish potentially
	valuable rights to our product candidates or grant licenses on
	terms that are not favorable to us.
	 
	We have certain convertible promissory notes outstanding, in the
	total amount, including accrued interest, of $2,000,000. If we are
	unable to pay the convertible promissory notes when due, or
	otherwise restructure the convertible promissory notes, we will be
	in default.
	 
	Subsequent
	to the year ended December 31, 2018, in February 2019, we issued
	two convertible promissory notes in the aggregate principal amount
	of $2,000,000. The two convertible promissory notes are due on the
	earlier to occur of (i) the tenth business day following the
	receipt by ABS of the 2019 Tax Credit and 2020 Tax Credit,
	respectively, or (ii) December 31, 2019 and December 31, 2020,
	respectively. In the event we do not have the cash resources to pay
	the convertible promissory notes when due, such notes will be in
	default. As a result, our business, financial condition and future
	prospects could be negatively impacted.
	 
	Risks Associated with our Capital Stock
	 
	The limited public market for our securities may adversely affect
	an investor’s ability to liquidate an investment in
	us.
	 
	Although
	our common stock is currently listed on the Nasdaq Capital Market,
	there is limited trading activity. We can give no assurance
	that an active market will develop, or if developed, that it will
	be sustained. If an investor acquires shares of our common
	stock, the investor may not be able to liquidate our shares should
	there be a need or desire to do so.
	 
	 
	 
	The market price of our common stock may be volatile and may
	fluctuate in a way that is disproportionate to our operating
	performance.
	 
	   
	    Our stock price may experience substantial
	volatility as a result of a number of factors,
	including:
	 
	●
	sales
	or potential sales of substantial amounts of our common
	stock;
 
 
	 
	●
	delay
	or failure in initiating or completing pre-clinical or clinical
	trials or unsatisfactory results of these trials;
 
 
	 
	●
	announcements
	about us or about our competitors, including clinical trial
	results, regulatory approvals or new product
	introductions;
 
 
	 
	●
	developments
	concerning our licensors or product manufacturers;
 
 
	 
	●
	litigation
	and other developments relating to our patents or other proprietary
	rights or those of our competitors;
 
 
	 
	●
	conditions
	in the pharmaceutical or biotechnology industries;
 
 
	 
	●
	governmental
	regulation and legislation;
 
 
	 
	●
	variations
	in our anticipated or actual operating results;
 
 
	 
	●
	change
	in securities analysts’ estimates of our performance, or our
	failure to meet analysts’ expectations; foreign currency
	values and fluctuations; and
 
 
	 
	●
	overall
	economic conditions.
 
 
	 
	Many
	of these factors are beyond our control. The stock markets in
	general, and the market for pharmaceutical and biotechnological
	companies in particular, have historically experienced extreme
	price and volume fluctuations. These fluctuations often have been
	unrelated or disproportionate to the operating performance of these
	companies. These broad market and industry factors could reduce the
	market price of our common stock, regardless of our actual
	operating performance.
	 
	We have never paid and do not intend to pay cash dividends. As
	a result, capital appreciation, if any, will be your sole source of
	gain.
	 
	We
	have never paid cash dividends on any of our capital stock and we
	currently intend to retain future earnings, if any, to fund the
	development and growth of our business. In addition, the terms
	of existing and future debt agreements may preclude us from paying
	dividends. As a result, capital appreciation, if any, of our
	common stock will be your sole source of gain for the foreseeable
	future.
	 
	Provisions in our restated certificate of incorporation, our
	restated by-laws and Delaware law might discourage, delay or
	prevent a change in control of our company or changes in our
	management and, therefore, depress the trading price of our common
	stock.
	 
	Provisions
	of our restated certificate of incorporation, our restated by-laws
	and Delaware law may have the effect of deterring unsolicited
	takeovers or delaying or preventing a change in control of our
	company or changes in our management, including transactions in
	which our stockholders might otherwise receive a premium for their
	shares over then current market prices. In addition, these
	provisions may limit the ability of stockholders to approve
	transactions that they may deem to be in their best interests.
	These provisions include:
	 
	●
	the
	inability of stockholders to call special meetings;
	and
 
 
	 
	●
	the
	ability of our board of directors to designate the terms of and
	issue new series of preferred stock without stockholder approval,
	which could include the right to approve an acquisition or other
	change in our control or could be used to institute a rights plan,
	also known as a poison pill, that would work to dilute the stock
	ownership of a potential hostile acquirer, likely preventing
	acquisitions that have not been approved by our board of
	directors.
 
 
	 
	  
	In
	addition, Section 203 of the Delaware General Corporation Law
	prohibits a publicly-held Delaware corporation from engaging in a
	business combination with an interested stockholder, generally a
	person which together with its affiliates owns, or within the last
	three years, has owned 15% of our voting stock, for a period of
	three years after the date of the transaction in which the person
	became an interested stockholder, unless the business combination
	is approved in a prescribed manner.
	 
	The
	existence of the foregoing provisions and anti-takeover measures
	could limit the price that investors might be willing to pay in the
	future for shares of our common stock. They could also deter
	potential acquirers of our company, thereby reducing the likelihood
	that you could receive a premium for your common stock in an
	acquisition.
	 
	 
	 
	We are eligible to be treated as an “emerging growth
	company,” as defined in the JOBS Act, and we cannot be
	certain if the reduced disclosure requirements applicable to
	emerging growth companies will make our common stock less
	attractive to investors.
	 
	We are an “emerging growth company,”
	as defined in the Jumpstart Our Business Startups Act of 2012 (the
	“
	JOBS
	Act
	”). For as long as we
	continue to be an emerging growth company, we may take advantage of
	exemptions from various reporting requirements that are applicable
	to other public companies that are not emerging growth companies,
	including (i) not being required to comply with the auditor
	attestation requirements of Section 404 of the Sarbanes-Oxley Act,
	(ii) reduced disclosure obligations regarding executive
	compensation in our periodic reports and proxy statements, and
	(iii) exemptions from the requirements of holding a nonbinding
	advisory vote on executive compensation and stockholder approval of
	any golden parachute payments not previously approved. We could be
	an emerging growth company for up to five years, although
	circumstances could cause us to lose that status earlier, including
	if the market value of our common stock held by non-affiliates
	exceeds $700.0 million as of any June 30 before that time
	or if we have total annual gross revenue of $1.0 billion or more
	during any fiscal year before that time, after which, in each case,
	we would no longer be an emerging growth company as of the
	following December 31 or, if we issue more than $1.0 billion in
	non-convertible debt during any three-year period before that time,
	we would cease to be an emerging growth company
	immediately.
	 
	Under
	the JOBS Act, emerging growth companies can also delay adopting new
	or revised accounting standards until such time as those standards
	apply to private companies. We have irrevocably elected not to
	avail ourselves of this exemption from new or revised accounting
	standards and, therefore, will be subject to the same new or
	revised accounting standards as other public companies that are not
	emerging growth companies.
	  
	If securities or industry analysts do not publish research or
	reports about our business, if they adversely change their
	recommendations regarding our shares or if our results of
	operations do not meet their expectations, our share price and
	trading volume could decline.
	 
	The
	trading market for our shares is influenced by the research and
	reports that industry or securities analysts publish about us or
	our business. We do not have any control over these analysts. If
	one or more of these analysts cease coverage of our company or fail
	to publish reports on us regularly, we could lose visibility in the
	financial markets, which in turn could cause our share price or
	trading volume to decline. Moreover, if one or more of the analysts
	who cover us downgrade our stock, or if our results of operations
	do not meet their expectations, our share price could
	decline.
	 
	ITEM 1B.
	U
	N
	RESOLVED STAFF
	COMMENTS
 
	 
	None.
	 
	 
	Facilities
	 
	Our
	executive offices are located in approximately 687 square feet of
	office space at 760 Parkside Avenue, Downstate Biotechnology
	Incubator, Suite 304, Brooklyn, NY 11226 that we occupy under a
	lease expiring on December 31, 2019 with the option for
	multiple year renewals. We have an additional administrative
	office located at 33 Plymouth Street, Suite 101, Montclair NJ 07042
	that we occupy under a lease expiring on December 31, 2020
	with the option for a 2-year renewal. Our U.S. research and
	development offices are located in approximately 1,990 square feet
	of office space at 22320 Foothill Boulevard, Suite 200, Hayward, CA
	94541 that we occupy under a lease expiring on May 31, 2020.
	The operations of AzurRx SAS are conducted at approximately 4,520
	square feet of office space located at 290 chemin de Saint Dionisy,
	Jardin des Entreprises, 30980 Langlade, France, that we occupy
	under a nine-year lease expiring in December 24, 2020.
	 
	 
	ITEM 3.
	 
	L
	EGAL
	PROCEEDINGS
 
	 
	As
	of the date hereof, we know of no material, existing or pending
	legal proceedings against us, nor are we the plaintiff in any
	material proceedings or pending litigation. There are no
	proceedings in which any of our directors, executive officers or
	affiliates, or any registered or beneficial shareholder, is an
	adverse party or has a material interest adverse to our
	interest. From time to time, we may be subject to various
	claims, legal actions and regulatory proceedings arising in the
	ordinary course of business.
	 
	ITEM 4.
	MINE SAFETY DISCLOSURES
	 
	None. 
	 
	 
	 
	 
	 
	ITEM 5.
	MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER
	MATTERS
	 
	Our
	common stock is listed on the Nasdaq Capital Market, or Nasdaq,
	under the symbol “AZRX.”
	  
	Holders
	 
	At
	April 1, 2019, there were 17,762,027 shares of our common stock
	issued and outstanding and approximately 108 shareholders of
	record.
	 
	 
	Securities Authorized for Issuance Under Equity Compensation
	Plans 
	 
	The
	following table provides information as of December 31, 2018
	regarding equity compensation plans approved by our security
	holders and equity compensation plans that have not been approved
	by our security holders:
	 
| 
 
	Plan category
 
 | 
	 
	Number of securities to be issued upon exercise of outstanding
	options, warrants and rights
 
	 
 
 | 
	 
	Weighted-average exercise price of outstanding options,
	warrants and rights
 
	 
 
 | 
	 
	Number of securities remaining available for future issuance under
	equity compensation plans (excluding securities reflected in column
	(a))
 
	 
 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
| 
 
	Equity
	compensation plans approved by security holders
 
 | 
 
	 
	 
	994,000
	 
 
 | 
 
	 
	$
	3.58
	 
 
 | 
 
	 
	 
	471,764
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Equity
	compensation plans not approved by security holders
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Total
 
 | 
 
	 
	 
	994,000
	 
 
 | 
 
	 
	$
	3.58
	 
 
 | 
 
	 
	 
	471,764
	 
 
 | 
 
	Transfer Agent
	 
	The
	transfer agent for our common stock is Colonial Stock Transfer, 66
	Exchange Place, 1st Floor, Salt Lake City, Utah 84111, Tel: (801)
	355-5740.
	 
	Unregistered Sales of Equity Securities
	 
	As
	disclosed under “
	Recent
	Developments- Asset Purchase Agreement with Mayoly
	”
	above, on March 27, 2019, we entered into the Mayoly APA pursuant
	to which we purchased all rights, interest and title to and in
	MS1819-SD. As partial consideration for this purchase, we issued to
	Mayoly an aggregate total of 775,931 unregistered shares of our
	common stock, of which 400,481 shares were issued to Mayoly on
	March 27, 2019 and the remaining 375,450 shares are currently being
	held in escrow and will be released to Mayoly in the following
	installments: (i) 200,240 shares will be released on December 31,
	2019 and (ii) 175,210 shares will be released on December 31,
	2020.
	 
	The issuance of the shares of common stock by the
	Company to Mayoly was exempt from the registration requirements of
	the Securities Act of 1933, as amended (the
	“
	Securities
	Act
	”), in reliance on the
	exemptions provided by Section 4(a)(2) of the Securities Act. The
	shares have not been registered under the Securities Act or any
	other applicable securities laws, and unless so registered, may not
	be offered or sold in the United States except pursuant to an
	exemption from the registration requirements of the Securities
	Act.
	 
	ITEM 6. S
	E
	LECTED FINANCIAL
	DATA
 
	 
	As
	an “emerging growth company” as defined by the rules
	and regulations of the SEC, we are not required to provide this
	information.
	  
	 
	 
	 
	ITEM 7.
	MA
	N
	AGEMENT’S DISCUSSION AND ANALYSIS OF
	FINANCIAL CONDITION AND RESULTS OF OPERATIONS
 
	 
	You should read the following discussion and analysis in
	conjunction with our financial statements, including the notes
	thereto contained in this Annual Report. This discussion contains
	forward-looking statements that involve risks, uncertainties and
	assumptions. Our actual results may differ materially from those
	anticipated in these forward-looking statements as a result of a
	variety of certain factors, including those set forth under
	“Risk Factors Associated with Our Business” and
	elsewhere in this Annual Report.
	 
	Critical Accounting Policies and Estimates
	 
	This Management’s Discussion and Analysis of
	Financial Condition and Results of Operations is based on our
	financial statements, which have been prepared in accordance with
	accounting principles generally accepted in the United States of
	America (“
	U.S. GAAP
	”). 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 consolidated financial statements
	and the reported amount of revenues and expenses during the
	reporting period. In our consolidated financial statements,
	estimates are used for, but not limited to, valuation of financial
	instruments and intangible assets, fair value of long-lived assets
	and contingent consideration, deferred taxes and valuation
	allowance, and the depreciable lives of long-lived
	assets.
	 
	On
	an ongoing basis, we evaluate these estimates and assumptions,
	including those described below. We base our estimates on
	historical experience and on various other assumptions that we
	believe to be reasonable under the circumstances. These estimates
	and assumptions form the basis for making judgments about the
	carrying values of assets and liabilities that are not readily
	apparent from other sources. Actual results could differ from
	those estimates. Due to the estimation processes involved, the
	following summarized accounting policies and their application are
	considered to be critical to understanding our business operations,
	financial condition and operating results.
	 
	Intangible Assets
	 
	Our
	definite-lived intangible assets had a carrying value of
	approximately $570,000 and $1,346,000, at December 31, 2018 and
	2017, respectively. These assets include in-process research and
	development and license agreements. These intangible assets were
	recorded at historical cost and are stated net of
	accumulated amortization.
	 
	             
	 
	 
	The
	in-process research and development and licenses are amortized over
	their remaining estimated useful lives, ranging from 5 to
	12 years, based on the straight-line method. The estimated
	useful lives directly impact the amount of amortization expense
	recorded for these assets on a quarterly and annual
	basis.
	 
	In
	addition, we test for impairment of definite-lived intangible
	assets when events or circumstances indicate that the carrying
	value of the assets may not be recoverable. Judgment is used in
	determining when these events and circumstances arise. If we
	determine that the carrying value of the assets may not be
	recoverable, judgment and estimates are used to assess the fair
	value of the assets and to determine the amount of any impairment
	loss. No events or circumstances arose in the years ended
	December 31, 2018 and 2017 that would indicate that the carrying
	value of any of our definite-lived intangible assets may not be
	recoverable.
	 
	Goodwill
	 
	Goodwill
	relates to the acquisition of ProteaBio Europe during 2014 and
	represents the excess of the total purchase consideration over the
	fair value of acquired assets and assumed liabilities, using the
	purchase method of accounting. Goodwill is not amortized but is
	subject to periodic review for impairment. As a result, the amount
	of goodwill is directly impacted by the estimates of the fair
	values of the assets acquired and liabilities assumed.
	 
	In
	addition, goodwill will be reviewed annually, and whenever events
	or changes in circumstances indicate that the carrying amount of
	the goodwill might not be recoverable. Judgment is used in
	determining when these events and circumstances arise. We perform
	our review of goodwill on our one reporting unit. If we determine
	that the carrying value of the assets may not be recoverable,
	judgment and estimates are used to assess the fair value of the
	assets and to determine the amount of any impairment
	loss.
	 
	The
	carrying value of goodwill at December 31, 2018 and 2017 was
	approximately $1,925,000 and $2,016,000, respectively. If actual
	results are not consistent with our estimates or assumptions, we
	may be exposed to an impairment charge that could be
	material.
	 
	Income Taxes
	 
	We
	use the asset and liability method of accounting for income
	taxes. Deferred tax assets and liabilities are determined
	based on differences between the financial reporting and tax bases
	of assets and liabilities and are measured using the enacted tax
	rates and laws that are expected to be in effect when the
	differences are expected to reverse. The effect on deferred tax
	assets and liabilities of a change in tax rates is recognized in
	the period that such tax rate changes are enacted. The measurement
	of a deferred tax asset is reduced, if necessary, by a valuation
	allowance if it is more likely than not that some portion or all of
	the deferred tax asset will not be realized.
	 
	We
	use a recognition threshold and a measurement attribute for
	the financial statement recognition and measurement of tax
	positions taken or expected to be taken in a tax return. For those
	benefits to be recognized, a tax position must be
	more-likely-than-not to be sustained upon examination by taxing
	authorities. We have not identified any uncertain income tax
	positions that could have a material impact to the consolidated
	financial statements. We are subject to taxation in various U.S.
	and foreign jurisdictions and remain subject to examination by
	taxing jurisdictions for the calendar year 2014 and all subsequent
	periods due to the availability of net operating loss
	carryforwards. To the extent we prevail in matters for which a
	liability has been established or are required to pay amounts in
	excess of our established liability, our effective income tax rate
	in a given financial statement period could be materially affected.
	An unfavorable tax settlement generally would require use of our
	cash and may result in an increase in our effective income tax rate
	in the period of resolution. A favorable tax settlement may reduce
	our effective income tax rate and would be recognized in the period
	of resolution.
	 
	Our
	effective income tax rate may be affected by changes in tax
	law, our level of earnings, and the results of tax
	audits.
	 
	Although
	we believe that the judgments and estimates discussed herein are
	reasonable, actual results could differ, and we may be exposed to
	losses or gains that could be material.
	 
	Jumpstart Our Business Startups Act of 2012
	 
	On
	April 5, 2012, the JOBS Act was enacted. The JOBS Act provides
	that an “emerging growth company” can take advantage of
	the extended transition period provided in Section 7(a)(2)(B)
	of the Securities Act for complying with new or revised accounting
	standards.
	 
	 
	 
	General
	 
	To date, we have not generated any revenue from
	operations, and at December 31, 2018, we had an accumulated deficit
	of approximately $47,517,000, primarily as a result of research and
	development (“
	R&D
	”) expense and general and administrative
	(“
	G&A
	”) expense. Although in the future we may
	generate revenue from a variety of sources, including license fees,
	research and development payments in connection with strategic
	partnerships and/or government grants, our product candidates are
	at an early stage of development and may never be successfully
	developed or commercialized. Accordingly, we expect to continue to
	incur substantial losses from operations for the foreseeable future
	and there can be no assurance that we will ever generate
	significant revenues or net income. 
	 
	R&D Expense
	 
	Conducting
	R&D is central to our business. R&D expense consists
	primarily of:
	 
	●
	employee-related
	expense, which include salaries and benefits, and rent
	expense;
 
 
	●
	license
	fees and annual payments related to in-licensed products and
	intellectual property;
 
 
	●
	expenses
	incurred under agreements with clinical research organizations,
	investigative sites and consultants that conduct or provide other
	services relating to our clinical trials and a substantial portion
	of our preclinical activities;
 
 
	●
	the
	cost of acquiring clinical trial materials from third party
	manufacturers; and
 
 
	●
	costs
	associated with non-clinical activities, patent filings and
	regulatory filings.
 
 
	 
	We
	expect to continue to incur substantial expense related to our
	R&D activities for the foreseeable future as we continue
	product development. Since product candidates in later stages of
	clinical development generally have higher development costs than
	those in earlier stages of clinical development, primarily due to
	the increased size and duration of later stage clinical trials, we
	expect that our R&D expense will increase in the future. In
	addition, if our product development efforts are successful, we
	expect to incur substantial costs to prepare for potential
	commercialization of any late-stage product candidates and, in the
	event one or more of these product candidates receive regulatory
	approval, to fund the launch of the product.
	 
	G&A Expense
	 
	G&A
	expense consists principally of personnel-related costs,
	professional fees for legal, consulting and audit services, rent
	and other general operating expenses not otherwise included in
	R&D. We anticipate G&A expense will increase in future
	periods, reflecting continued and increasing costs associated
	with:
	 
	●
	support
	of our expanded R&D activities;
 
 
	●
	an
	expanding infrastructure and increased professional fees and other
	costs associated with the compliance with the Exchange Act, the
	Sarbanes-Oxley Act and stock exchange regulatory requirements and
	compliance; and
 
 
	●
	business
	development and financing activities.
 
 
	 
	Liquidity and Capital Resources
	 
	We
	have experienced net losses and negative cash flows from operations
	since our inception. As of December 31, 2018, we had cash of
	approximately $1,114,000, working capital of approximately
	$1,804,000, and had sustained cumulative losses attributable to
	common stockholders of approximately $47,517,000. We are dependent
	on obtaining, and are continuing to pursue, the necessary funding
	from outside sources, including obtaining additional funding from
	the sale of securities in order to continue our operations. Without
	adequate funding, we may not be able to meet our obligations. We
	believe these conditions raise substantial doubt about our ability
	to continue as a going concern.
	 
	We have funded our operations to date primarily
	through the completion of our initial public offering in October
	2016 (“
	IPO
	”), the issuance of debt and convertible
	debt securities, as well as the issuance of common stock in various
	private placement transactions and our public offering in May 2018.
	We expect to incur substantial expenditures in the foreseeable
	future for the development of our product candidates. We will
	require additional financing to develop, prepare regulatory filings
	and obtain regulatory approvals, fund operating losses, and, if
	deemed appropriate, establish manufacturing, sales and marketing
	capabilities.
	  
	 
	 
	During the quarter ended June 30, 2017, we issued
	a 12% Senior Secured Original Issue Discount Convertible Debenture
	(the “
	Debenture
	”) to Lincoln Park Capital Fund, LLC
	(“
	LPC
	”), resulting in gross proceeds of $1.0
	million (the “
	Debenture
	Offering
	”). We incurred
	total expense in connection with the consummation of the Debenture
	Offering of approximately $85,000, resulting in net offering
	proceeds of $915,000. The Debenture was repaid in full in July
	2018. In addition, in June and July of 2017 we issued Units
	resulting in net offering proceeds of approximately $4,645,000 and
	in January 2018 we received proceeds of $2,239,617 from the
	exercise of the Reprice Warrants.
	 
	 
	On May
	3, 2018, we completed the May 2018 Public Offering, an
	underwritten, public offering of 4,160,000 shares of our common
	stock at a public offering price per share of $2.50, resulting in
	gross proceeds of $10.4 million with associated expenses of
	approximately $800,000. The May 2018 Public Offering was completed
	pursuant to the terms of an underwriting agreement executed by the
	Company and Oppenheimer on May 1, 2018. After deducting the
	underwriting discount paid to Oppenheimer, legal fees, and other
	offering expenses payable by the Company, the Company received net
	proceeds of approximately $9.6 million.
	 
	On
	February 14, 2019, we sold and issued two Senior Convertible Notes
	to ADEC, resulting in gross proceeds to the Company of $2.0
	million.
	 
	We
	expect to incur substantial expenditures in the foreseeable future
	for the development of our product candidates. We will require
	additional financing to develop, prepare regulatory filings and
	obtain regulatory approvals, fund operating losses, and, if deemed
	appropriate, establish manufacturing, sales and marketing
	capabilities. Our current financial condition raises substantial
	doubt about our ability to continue as a going concern. Our failure
	to raise capital as and when needed would have a material adverse
	impact on our financial condition, our ability to meet our
	obligations, and our ability to pursue our business strategies. We
	will seek funds through additional equity or debt financings,
	collaborative or other arrangements with corporate sources, or
	through other sources of financing.
	 
	We
	are focused on expanding our product pipeline through
	collaborations, and also through acquisitions of products and
	companies. We are continually evaluating potential asset
	acquisitions and business combinations. To finance such
	acquisitions, we might raise additional equity capital, incur
	additional debt, or both.
	 
	Cash Flows for the Years Ended December 31, 2018 and
	2017
	 
	Net cash used in operating activities for the year
	ended December 31, 2018 was $10,869,320, which primarily reflected
	our net loss of $13,533,617
	 
	plus
	adjustments to reconcile net loss to net cash used in operating
	activities of depreciation and amortization expense of $798,446,
	non-cash fair value adjustment of the contingent consideration of
	$210,000, non-cash stock-based compensation of $1,441,475, non-cash
	restricted stock granted to employees and directors of $1,038,822,
	non-cash restricted stock granted/accrued to consultants of
	$360,771, non-cash debt discount - warrants on a 12% Senior Secured
	Original Issue Discount Convertible Debenture issued to LPC in
	April 2017 of $97,837, and a non-cash warrant modification expense
	of $428,748. Changes in assets and liabilities are due to an
	increase in other receivables of $2,187,903 due primarily to the
	French R&D tax credit normally received in the following year
	not yet received for 2017 and to increased billings to Mayoly, an
	increase in prepaid expense of $243,330 due primarily to an
	increase in D&O insurance and the addition of insurance for
	upcoming clinical trials, an increase in deposits of $15,001 due to
	a new office space lease for the startup of U.S. R&D, and a
	decrease in interest payable of $7,192, offset by an increase in
	accounts payable and accrued expense of $741,624 due primarily to
	increased R&D expenses.
	 
	Net
	cash used in operating activities for the year ended December 31,
	2017 was $7,184,638, which primarily reflected our net loss of
	$11,096,383 plus adjustments to reconcile net loss to net cash used
	in operating activities of depreciation and amortization expense of
	$753,998, non-cash fair value adjustment of the contingent
	consideration of $140,000, non-cash stock-based compensation of
	$609,369, non-cash restricted stock granted to consultants,
	employees, and directors of $869,017, non-cash warrant expense of
	$538,945, accreted interest on OID convertible debt of $104,328, a
	beneficial conversion feature of OID convertible debt of $395,589,
	and accreted interest on debt discount - warrants of $280,834,
	non-cash stock granted for OID Debt maturity extension of $90,300,
	and a non-cash warrant modification expense of $397,570. Changes in
	assets and liabilities are due to an increase in prepaid expenses
	of $43,491 and a decrease in accounts payable and accrued expenses
	of $233,777.
	 
	Net
	cash used in investing activities for the year ended December 31,
	2018 was $305,573, which consisted of the cash portion of the
	purchase of Protea assets from bankruptcy of $250,000 and the
	purchase of property and equipment of $55,473. Net cash used in
	investing activities for the year ended December 31, 2017 was
	$32,168, which and $286,203 consisted of the purchase of property
	and equipment.
	 
	 
	 
	Net
	cash provided by financing activities for the year ended December
	31, 2018 was $11,712,128, which consisted
	of $2,324,742 from the issuance of common stock in
	connection with the exercise of certain repriced warrants in
	January 2018, $9,578,063 from the sale of common stock offered in
	our public offering in May 2018, $286,203 from the proceeds of the
	issuance of a note payable offset by repayments of convertible debt
	of $286,529 and repayment of a note payable of
	$190,351.
	  
	Net
	cash provided by financing activities for the year ended December
	31, 2017 was $6,013,218, which consisted of the gross proceeds
	resulting from the issuance of the Debentures to LPC of $1,000,000
	and the net proceeds resulting from the June 2017 Private Placement
	of $5,009,225, proceeds from the issuance of notes payable from a
	financing agreement for our D&O insurance premiums of $296,338
	offset by repayments of notes payable of $292,345.
	 
	Consolidated Results of Operations for the Years Ended December 31,
	2018 and 2017
	 
	We
	have not yet achieved revenue-generating status from any of our
	product candidates or technologies. Since inception, we have
	devoted substantially all of our time and efforts to developing our
	principal product candidates, consisting of AZX1101, AZX1103 and
	MS1819-SD.  As a result, we did not have any revenue during
	the years ended December 31, 2018 or 2017.
	 
	R&D
	expense was $4,985,553 for the year ended December 31, 2018, as
	compared to $2,395,478 for the year ended December 31, 2017, an
	increase of $2,590,075. The increase in R&D expense
	for the year ended December 31, 2018 as compared to the same
	period in 2017 is primarily due to patient enrollment thresholds
	having been met, thus triggering milestone-based payments for the
	ongoing Phase II study of MS1819-SD in chronic pancreatitis, the
	production of new batches of material for both the MS1819-SD
	program and the b-lactamase program, and the startup of an R&D
	function in the U.S. We expect R&D expense to increase in
	future periods as our product candidates continue through clinical
	trials and we seek strategic collaborations.
	 
	G&A
	expense was $8,236,218 for the year ended December 31, 2018, as
	compared to $7,685,706 for the year ended December 31, 2017, an
	increase of $550,512. The increase for the year ended December 31,
	2018 as compared to the same period in 2017 was due primarily to an
	increase in non-cash restricted stock, stock-based compensation,
	and warrants granted accumulating to $581,327 due primarily to
	achieving certain milestones related to such grants, an increase in
	compensation of $390,644 due to the addition of a Chief Financial
	Officer as well as increased bonuses in 2018, offset by a decrease
	in legal and other professional fees of $455,898 due to less usage
	of these services in 2018. We expect G&A expense to increase
	going forward in anticipation of the commercialization of our
	product candidates.
	 
	Fair
	value adjustment of our contingent consideration was $210,000 and
	$140,000, respectively, for the years ended December 31, 2018 and
	2017. The difference in fair value adjustments in year ended
	December 31, 2018 as compared to the same period in 2017 is due
	primarily to increased risk-free and corporate bond rates, a
	greater probability of achieving success due to the completion of
	the Phase IIa study of MS1819-SD, and getting closer to the time of
	expected royalty payments.
	 
	Interest
	expense for the year ended December 31, 2018 was $101,846 as
	compared to $875,199 for the year ended December 31, 2017. The
	lower interest expense is due to having lower amounts of the LPC
	Debenture outstanding during 2018 as compared to 2017.
	 
	Net
	loss was $13,533,617 and $11,096,383, respectively, for the years
	ended December 31, 2018 and 2017. The change in net loss for the
	year ended December 31, 2018 compared to the same period in 2017 is
	due to the changes in expense as noted above.
	 
	Off-Balance Sheet Items
	 
	The
	following table summarizes our contractual obligations over the
	periods indicated, as well as our total contractual
	obligations:
	 
| 
 
	Contractual Obligation
 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 
	Operating
	Leases
 
 | 
 
	 
	$
	354,387
	 
 
 | 
 
	 
	$
	201,370
	 
 
 | 
 
	 
	$
	153,017
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	ITEM 7A.
	QUANT
	I
	TATIVE AND
	QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
	 
	An
	emerging growth company is not required to provide the information
	required by this item.
	 
	 
	ITEM
	8. FINA
	N
	CIAL
	STATEMENTS
 
	 
	The
	audited consolidated financial statements of AzurRx BioPharma,
	Inc., including the notes thereto, together with the report thereon
	of Mazars USA LLP, the Company’s independent registered
	public accounting firm, are included in this Annual Report as a
	separate section beginning on page F-1.
	 
	 
	 
	ITEM 9.
	CHA
	N
	GES IN AND
	DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL
	DISCLOSURE
 
	 
	None.
	ITEM 9A.
	CONT
	R
	OLS AND
	PROCEDURES
 
	 
| 
 
	Evaluation of disclosure controls and procedures.
 
 | 
 
	 
	As required by Rule 13a-15(b) under the Securities
	Exchange Act of 1934, as amended
	(the “
	Exchange
	Act
	”) our Chief Executive
	Officer (“
	CEO
	”) and our Chief Financial Officer
	(“
	CFO
	”) conducted an evaluation as of the end of
	the period covered by this Annual Report on Form 10-K, of the
	effectiveness of our disclosure controls and procedures as defined
	in Rules 13a-15(e) and 15d-15(e) under the Exchange Act. Based on
	that evaluation, our CEO and our CFO each concluded that our
	disclosure controls and procedures are effective to provide
	reasonable assurance that information required to be disclosed in
	the reports that we file or submit under the Exchange Act, (i) is
	recorded, processed, summarized and reported within the time
	periods specified in the Securities and Exchange Commission's rules
	and forms and (ii) is accumulated and communicated to our
	management, including our CEO and our CFO, as appropriate to allow
	timely decisions regarding required disclosure.
	 
| 
 
	Management’s Annual Report on Internal Control over Financial
	Reporting.
 
 | 
 
	 
	Our
	management is responsible for establishing and maintaining adequate
	internal control over financial reporting as such term is
	defined in Exchange Act Rules 13a-15(f) and 15d-15(f). Our
	internal control over financial reporting is a process designed
	under the supervision of our principal executive officer and
	principal financial officer to provide reasonable assurance
	regarding the reliability of financial reporting and preparation of
	our financial statements for external purposes in accordance with
	generally accepted accounting principles.
	 
	Due
	to its inherent limitations, internal control over financial
	reporting may not prevent or detect misstatements and, even when
	determined to be effective, can only provide reasonable, not
	absolute, assurance with respect to financial statement preparation
	and presentation. Projections of any evaluation of
	effectiveness to future periods are subject to risk that controls
	may become inadequate as a result of changes in conditions or
	deterioration in the degree of compliance.
	 
	Under the supervision and with the participation
	of our management, including our principal executive officer and
	principal financial officer, we conducted an evaluation of the
	effectiveness of our internal control over financial reporting
	based on the framework in Internal Control — Integrated
	Framework issued by the Committee of Sponsoring Organizations of
	the Treadway Commission (“
	COSO
	”) issued in May 2013 and related COSO
	guidance. Based on our evaluation under this framework, our
	internal control over financial reporting was effective based upon
	those criteria.
	 
	This
	report does not include an attestation report of the
	Company’s independent registered public accounting firm
	regarding internal control over financial
	reporting. Management’s report was not subject to
	attestation by the independent registered public accounting firm
	pursuant to rules of the SEC that permit the Company to provide
	only management’s report in this Annual Report on Form
	10-K.
	 
| 
 
	Changes in internal controls over financial reporting.
 
 | 
 
	 
	Changes in our internal control over financial reporting identified
	in management’s evaluation pursuant to Rules 13a-15(d) or
	15d-15(d) of the Exchange Act during the period covered by this
	Annual Report on Form 10-K that materially affected, or are
	reasonably likely to materially affect, our internal control over
	financial reporting are improved resources and ability to identify,
	evaluate, and appropriately conclude on accounting and reporting
	treatment.
	 
	ITEM 9B.
	O
	T
	HER
	INFORMATION
 
	 
	None.
	 
	 
| 
 
	ITEM 10.
 
 | 
 
	DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
 
 | 
 
	 
	The
	information required by this item will be incorporated by reference
	from our definitive proxy statement, to be filed with the
	Securities and Exchange Commission on or before April 30,
	2019.
	 
| 
 
	ITEM 11.
 
 | 
 
	EXECUTIVE COMPENSATION
 
 | 
 
	 
	The
	information required by this item will be incorporated by reference
	from our definitive proxy statement, to be filed with the
	Securities and Exchange Commission on or before April 30,
	2019.
	 
| 
 
	ITEM 12.
 
 | 
 
	SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND
	RELATED STOCKHOLDER MATTERS
 
 | 
 
	 
	The
	information required by this item will be incorporated by reference
	from our definitive proxy statement, to be filed with the
	Securities and Exchange Commission on or before April 30,
	2019. 
	 
| 
 
	ITEM 13.
 
 | 
 
	CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR
	INDEPENDENCE
 
 | 
 
	 
	The
	information required by this item will be incorporated by reference
	from our definitive proxy statement, to be filed with the
	Securities and Exchange Commission on or before April 30,
	2019.
	 
| 
 
	ITEM 14.
 
 | 
 
	PRINCIPAL ACCOUNTING FEES AND SERVICES
 
 | 
 
	 
	The
	information required by this item will be incorporated by reference
	from our definitive proxy statement, to be filed with the
	Securities and Exchange Commission on or before April 30,
	2019.
	 
	 
	 
	 
	 
	ITEM 15.
	EXHIBITS
	 
| 
 
	Exhibit No.
 
 | 
 
	 
 
 | 
 
	Description
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Underwriting Agreement (Incorporated by reference from
	Exhibit 1.1 filed with Amendment No 1. to Registration Statement on
	Form S-1, filed July 29, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Underwriting Agreement (Incorporated by reference from Exhibit 1.1
	filed with Current Report on Form 8-K, filed May 4,
	2018).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Amended and Restated Certificate of Incorporation of the Registrant
	(Incorporated by reference from Exhibit 3.1 filed with Registration
	Statement on Form S-1, filed July 13, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Amended and Restated Bylaws of the Registrant (Incorporated by
	reference from Exhibit 3.2 filed with Registration Statement on
	Form S-1, filed July 13, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Common Stock Certificate (Incorporated by reference from
	Exhibit 4.1 filed with Amendment No 1. to Registration Statement on
	Form S-1, filed July 29, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Investor Warrant (Incorporated by reference from Exhibit
	4.2 filed with Registration Statement on Form S-1, filed July 13,
	2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Underwriter Warrant (Incorporated by reference from Exhibit
	4.3 filed with Amendment No 1. to Registration Statement on Form
	S-1, filed July 29, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Underwriter Warrant (Incorporated by reference from Exhibit
	4.1 filed with Current Report on Form 8-K, filed May 4,
	2018).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Stock Purchase Agreement dated May 21, 2014 between the Registrant,
	Protea Biosciences Group, Inc. and its wholly-owned subsidiary,
	Protea Biosciences, Inc (Incorporated by reference from Exhibit
	10.1 filed with Registration Statement on Form S-1, filed July 13,
	2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Amended and Restated Joint Research and Development Agreement dated
	January 1, 2014 between the Registrant and Mayoly (Incorporated by
	reference from Exhibit 10.2 filed with Registration Statement on
	Form S-1, filed July 13, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Amended and Restated AzurRx BioPharma, Inc. 2014 Omnibus Equity
	Incentive Plan (Incorporated by reference from Exhibit 10.3 filed
	with Registration Statement on Form S-1, filed July 13,
	2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Employment Agreement between the Registrant and Mr. Spoor
	(Incorporated by reference from Exhibit 10.4 filed with
	Registration Statement on Form S-1, filed July 13,
	2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Securities Purchase Agreement dated April 11, 2017 between the
	Registrant and Lincoln Park Capital Fund, LLC (Incorporated by
	reference from Exhibit 10.1 filed with Current Report on Form 8-K,
	filed April 12, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	12% Senior Secured Original Issue Discount Convertible Debenture
	between the Registrant and Lincoln Park Capital Fund, LLC
	(Incorporated by reference from Exhibit 10.2 filed with Current
	Report on Form 8-K, filed April 12, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Series A Warrant dated April 11, 2017 between the
	Registrant and Lincoln Park Capital Fund, LLC (Incorporated by
	reference from Exhibit 10.3 filed with Current Report on Form 8-K,
	filed April 12, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Registration Rights Agreement dated April 11, 2017 between the
	Registrant and Lincoln Park Capital Fund, LLC (Incorporated by
	reference from Exhibit 10.4 filed with Current Report on Form 8-K,
	filed April 12, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Securities Purchase Agreement dated June 5, 2017
	(Incorporated by reference from Exhibit 10.1 filed with Current
	Report on Form 8-K, filed June 9, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Registration Rights Agreement dated June 5, 2017
	(Incorporated by reference from Exhibit 10.2 filed with Current
	Report on Form 8-K, filed April 12, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Series A Warrant, dated June 5, 2017 (Incorporated by
	reference from Exhibit 10.3 filed with Current Report on Form 8-K,
	filed June 9, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Series A-1 Warrant, dated June 5, 2017 (Incorporated by
	reference from Exhibit 10.4 filed with Current Report on Form 8-K,
	filed June 9, 2017)
 
 | 
| 
 | 
 
	 
 
 | 
 
	Sublicense Agreement dated August 7, 2017 by and between the
	Registrant and TransChem, Inc. (Incorporated by reference from
	Exhibit 10.1 filed with Current Report on Form 8-K, filed August
	11, 2017).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Employment Agreement between the Registrant and Mr. Shenouda
	(Incorporated by reference from Exhibit 10.1 filed with Current
	Report on Form 8-K, filed October 2, 2017).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Modification to 12% Senior Secured Original Issue Discount
	Convertible Debenture, dated November 10, 2017 (Incorporated by
	reference from Exhibit 10.1 filed with Quarterly Report on Form
	10-Q, filed November 13, 2017).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Exercise Letter (Incorporated by reference from Exhibit
	10.1 filed with Current Report on Form 8-K, filed January 5,
	2018).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Form of Partial Exercise Letter (Incorporated by reference from
	Exhibit 10.2 filed with Current Report on Form 8-K, filed January
	5, 2018).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Asset Sale and Purchase Agreement, dated December 7, 2018, by and
	between Protea Biosciences Group, Inc., Protea Biosciences, Inc.
	and AzurRx Biopharma, Inc. (Incorporated by reference from Exhibit
	10.1 filed with Current Report on Form 8-K, filed December 13,
	2018).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Note Purchase Agreement, dated February 14, 2019 (Incorporated by
	reference from Exhibit 10.1 filed with Current Report on Form 8-K,
	filed February 20, 2019).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Senior Convertible Note A, dated February 14, 2019 (Incorporated by
	reference from Exhibit 10.2 filed with Current Report on Form 8-K,
	filed February 20, 2019).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Senior Convertible Note B, dated February 14, 2019 (Incorporated by
	reference from Exhibit 10.3 filed with Current Report on Form 8-K,
	filed February 20, 2019).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Pledge Agreement, dated February 14, 2019 (Incorporated by
	reference from Exhibit 10.4 filed with Current Report on Form 8-K,
	filed February 20, 2019).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Warrant Amendment, dated February 14, 2019 (Incorporated by
	reference from Exhibit 10.5 filed with Current Report on Form 8-K,
	filed February 20, 2019).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Registration Rights Agreement, dated February 14, 2019
	(Incorporated by reference from Exhibit 10.6 filed with Current
	Report on Form 8-K, filed February 20, 2019).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Asset Purchase Agreement,
	by and between AzurRx BioPharma,
	Inc., AzurRx BioPharma SAS
	and Laboratoires Mayoly Spindler SAS, dated March
	27, 2019, filed herewith.
 
 | 
| 
 | 
 
	 
 
 | 
 
	Patent
	License Agreement, by and between AzurRx BioPharma, Inc.
	and Laboratoires Mayoly Spindler SAS, dated March
	27, 2019, filed herewith.
 
 | 
| 
 | 
 
	 
 
 | 
 
	Code of Ethics of AzurRx BioPharma, Inc. Applicable To Directors,
	Officers And Employees (Incorporated by reference from Exhibit 14.1
	filed with Registration Statement on Form S-1, filed July 13,
	2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Subsidiaries of the Registrant (Incorporated by reference from
	Exhibit 21.1 filed with Registration Statement on Form S-1, filed
	July 13, 2016).
 
 | 
| 
 | 
 
	 
 
 | 
 
	Consent of Mazars USA LLP, dated April 1, 2019, filed
	herewith. 
 
 | 
| 
 | 
 
	 
 
 | 
 
	Certification of CEO as Required by Rule 13a-14(a)/15d-14, filed
	herewith.
 
 | 
| 
 | 
 
	 
 
 | 
 
	Certification of CFO as Required by Rule 13a-14(a)/15d-14, filed
	herewith.
 
 | 
| 
 | 
 
	 
 
 | 
 
	Certification of CEO and CFO as Required by Rule 13a-14(a) and Rule
	15d-14(b) (17 CFR 240.15d-14(b)) and Section 1350 of Chapter 63 of
	Title 18 of the United States Code, filed herewith.
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	101.INS
 
 | 
 
	 
 
 | 
 
	XBRL Instance Document
 
 | 
| 
 
	101.SCH
 
 | 
 
	 
 
 | 
 
	XBRL Taxonomy Extension Schema
 
 | 
| 
 
	101.CAL
 
 | 
 
	 
 
 | 
 
	XBRL Taxonomy Extension Calculation Linkbase
 
 | 
| 
 
	101.DEF
 
 | 
 
	 
 
 | 
 
	XBRL Taxonomy Extension Definition Linkbase
 
 | 
| 
 
	101.LAB
 
 | 
 
	 
 
 | 
 
	XBRL Taxonomy Extension Label Linkbase
 
 | 
| 
 
	101.PRE
 
 | 
 
	 
 
 | 
 
	XBRL Taxonomy Extension Presentation Linkbase
 
 | 
 
	 
	+
	Confidential
	treatment has been granted with respect to portions of this
	exhibit.
 
 
	#
	Certain portions
	of this exhibit (indicated by “[*****]”) have been
	omitted as the Company has determined (i) the omitted information
	is not material and (ii) the omitted information would likely cause
	harm to the Company if publicly disclosed.
 
 
	 
	 
	 
	 
	In
	accordance with Section 13 or 15(d) of the Securities Exchange Act
	of 1934, the Registrant has duly caused this Report to be signed on
	its behalf by the undersigned, there unto duly
	authorized.
	 
	 
| 
 
	 
 
 | 
 
	AZURRX BIOPHARMA, INC.
 
 | 
| 
 
	 
 
	April 1, 2019
 
 | 
 
	 
 
	By:   
	/s/
	Johan M. (Thijs) Spoor 
 
	        Name: Johan M. (Thijs)
	Spoor
 
	        Title: President and
	Chief Executive Officer
 
	 
 
	By:
	 
	/s/ Maged Shenouda
 
	        Name: Maged
	Shenouda
 
	        Title: Chief Financial
	Officer and Director
 
 | 
 
	 
	Pursuant to the requirements of the Securities Exchange Act of
	1934, this Report has been signed by the following persons on
	behalf of the registrant and in the capacities held on the dates
	indicated.
	 
| 
 
	Signature
 
 | 
 
	 
 
 | 
 
	Title
 
 | 
 
	 
 
 | 
 
	Date
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	/s/
	Johan M. (Thijs) Spoor
 
 
 | 
 
	 
 
 | 
 
	President, Chief Executive Officer and Director
 
 | 
 
	 
 
 | 
 
	April 1, 2019
 
 | 
| 
 
	Johan M. (Thijs) Spoor
 
 | 
 
	 
 
 | 
 
	(principal executive officer)
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	/s/
	Maged Shenouda
 
 | 
 
	 
 
 | 
 
	Chief Financial Officer and Director
 
 | 
 
	 
 
 | 
 
	April
	1
	, 2019
 
 | 
| 
 
	Maged Shenouda
 
 | 
 
	 
 
 | 
 
	(principal financial officer and accounting officer)
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	/s/
	Edward J. Borkowski 
 
 | 
 
	 
 
 | 
 
	Chairman of the Board of Directors
 
 | 
 
	 
 
 | 
 
	April
	1
	, 2019
 
 | 
| 
 
	Edward J. Borkowski
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	/s/
	Alastair Riddell
 
 | 
 
	 
 
 | 
 
	Director
 
 | 
 
	 
 
 | 
 
	April
	1
	, 2019
 
 | 
| 
 
	Alastair Riddell
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
| 
 
	/s/
	Charles Casamento
 
 | 
 
	 
 
 | 
 
	Director
 
 | 
 
	 
 
 | 
 
	April
	1
	, 2019
 
 | 
| 
 
	Charles Casamento
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
| 
 
	/s/
	Vern Lee Schramm
 
 | 
 
	 
 
 | 
 
	Director
 
 | 
 
	 
 
 | 
 
	April
	1
	, 2019
 
 | 
| 
 
	Vern Lee Schramm
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
 
 | 
 
	 
	 
	 
	 
	Index
	to Consolidated Financial Statements
	 
| 
 
	 
 
 | 
 
	Page
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	F-1
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	F-2
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	F-3
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	F-4
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	F-5
 
 | 
| 
 
	 
 
 | 
 
	 
 
 | 
| 
 | 
 
	F-6
 
 | 
 
	 
	 
	 
	 
	 
	REPORT OF INDEPENDENT RE
	G
	ISTERED
	PUBLIC ACCOUNTING FIRM
 
	 
	To the Shareholders
	and the Board of Directors of AzurRx BioPharma, Inc.
	 
	Opinion
	on the Consolidated Financial Statements
	 
	We have audited the
	accompanying consolidated balance sheets of AzurRx BioPharma, Inc.
	(the
	“Company”
	)
	as of December 31, 2018 and 2017, and the related consolidated
	statements of operations and comprehensive loss, changes in
	stockholders’ equity, and cash flows for the years then
	ended, and the related notes (collectively referred to as the
	“consolidated financial statements”). In our opinion,
	the consolidated financial statements present fairly, in all
	material respects, the financial position of the Company as of
	December 31, 2018 and 2017, and the results of their operations and
	their cash flows for the years then ended, in conformity with
	accounting principles generally accepted in the United States of
	America.
	 
	The accompanying
	consolidated financial statements have been prepared assuming that
	the Company will continue as a going concern. As discussed in Note
	1 to the consolidated financial statements, the Company has
	incurred significant operating losses and negative cash flows from
	operations since inception. The Company also had an accumulated
	deficit of $47,517,046 at December 31, 2018. The Company is
	dependent on obtaining necessary funding from outside sources,
	including obtaining additional funding from the sale of securities
	in order to continue their operations. These conditions raise
	substantial doubt about its ability to continue as a going concern.
	Management’s plans regarding those matters also are described
	in Note 1. The consolidated financial statements do not include any
	adjustments that might result from the outcome of this
	uncertainty.
	 
	Basis
	for Opinion
	 
	These consolidated
	financial statements are the responsibility of the Company’s
	management. Our responsibility is to express an opinion on the
	Company’s consolidated financial statements based on our
	audits. We are a public accounting firm registered with the Public
	Accounting Oversight Board (United States)
	(“PCAOB”
	) and are required
	to be independent with respect to the Company in accordance with
	the U.S. federal securities laws and the applicable rules and
	regulations of the Securities and Exchange Commission and the
	PCAOB.
	 
	We conducted our
	audits in accordance with the standards of the PCAOB. Those
	standards require that we plan and perform the audit to obtain
	reasonable assurance about whether the consolidated financial
	statements are free of material misstatement, whether due to error
	or fraud. The Company is not required to have, nor were we engaged
	to perform an audit of the Company's internal control over
	financial reporting. As part of our audits we are required to
	obtain an understanding of internal control over financial
	reporting, but not for the purpose of expressing an opinion on the
	effectiveness of the Company's internal control over financial
	reporting. Accordingly, we express no such opinion.
	 
	Our audits included
	performing procedures to assess the risks of material misstatement
	of the financial statements, whether due to error or fraud, and
	performing procedures that respond to those risks. Such procedures
	included examining, on a test basis, evidence regarding the amounts
	and disclosures in the consolidated financial statements. Our
	audits also included evaluating the accounting principles used and
	significant estimates made by management, as well as evaluating the
	overall presentation of the consolidated financial statements. We
	believe that our audits provide a reasonable basis for our
	opinion.
	 
	/s/ Mazars USA LLP
	 
	We have served as
	the Company’s auditor since 2015.
	 
	New York, New
	York
	April 1,
	2019
	 
 
	 
	 
	AZURRX BIOPHA
	R
	MA, INC.
	Consolidated Balance Sheets
 
 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	ASSETS
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Current
	Assets:
 
 | 
 | 
 | 
| 
 
	Cash
 
 | 
 
	 
	$
	1,114,343
	 
 
 | 
 
	 
	$
	573,471
	 
 
 | 
| 
 
	Other
	receivables
 
 | 
 
	 
	 
	3,172,676
	 
 
 | 
 
	 
	 
	1,104,134
	 
 
 | 
| 
 
	Prepaid
	expenses
 
 | 
 
	 
	 
	512,982
	 
 
 | 
 
	 
	 
	274,963
	 
 
 | 
| 
 
	Total
	Current Assets
 
 | 
 
	 
	 
	4,800,001
	 
 
 | 
 
	 
	 
	1,952,568
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Property,
	equipment, and leasehold improvements, net
 
 | 
 
	 
	 
	128,854
	 
 
 | 
 
	 
	 
	133,987
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Other
	Assets:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	 In
	process research & development, net
 
 | 
 
	 
	 
	258,929
	 
 
 | 
 
	 
	 
	307,591
	 
 
 | 
| 
 
	 License
	agreements, net
 
 | 
 
	 
	 
	311,548
	 
 
 | 
 
	 
	 
	1,038,364
	 
 
 | 
| 
 
	 Goodwill
 
 | 
 
	 
	 
	1,924,830
	 
 
 | 
 
	 
	 
	2,016,240
	 
 
 | 
| 
 
	 Deposits
 
 | 
 
	 
	 
	45,233
	 
 
 | 
 
	 
	 
	30,918
	 
 
 | 
| 
 
	Total
	Other Assets
 
 | 
 
	 
	 
	2,540,540
	 
 
 | 
 
	 
	 
	3,393,113
	 
 
 | 
| 
 
	Total
	Assets
 
 | 
 
	 
	$
	7,469,395
	 
 
 | 
 
	 
	$
	5,479,668
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	LIABILITIES AND STOCKHOLDERS' EQUITY
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Current
	Liabilities:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Accounts
	payable and accrued expenses
 
 | 
 
	 
	$
	2,070,396
	 
 
 | 
 
	 
	$
	1,187,234
	 
 
 | 
| 
 
	Accounts
	payable and accrued expenses - related party
 
 | 
 
	 
	 
	670,095
	 
 
 | 
 
	 
	 
	868,105
	 
 
 | 
| 
 
	Note
	payable
 
 | 
 
	 
	 
	255,032
	 
 
 | 
 
	 
	 
	159,180
	 
 
 | 
| 
 
	Convertible
	debt
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	257,365
	 
 
 | 
| 
 
	Interest
	payable
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	7,192
	 
 
 | 
| 
 
	Total
	Current Liabilities
 
 | 
 
	 
	 
	2,995,523
	 
 
 | 
 
	 
	 
	2,479,076
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Contingent
	consideration
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	1,340,000
	 
 
 | 
| 
 
	Total
	Liabilities
 
 | 
 
	 
	 
	2,995,523
	 
 
 | 
 
	 
	 
	3,819,076
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Stockholders'
	Equity:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Convertible
	preferred stock - Par value $0.0001 per share; 10,000,000 shares
	authorized and 0 shares issued and outstanding at December 31, 2018
	and 2017; liquidation preference approximates par
	value
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	Common
	stock - Par value $0.0001 per share; 100,000,000 shares authorized;
	17,704,925 and 12,042,574 shares issued and outstanding,
	respectively, at December 31, 2018 and 2017
 
 | 
 
	 
	 
	1,771
	 
 
 | 
 
	 
	 
	1,205
	 
 
 | 
| 
 
	Additional
	paid in capital
 
 | 
 
	 
	 
	53,139,259
	 
 
 | 
 
	 
	 
	37,669,601
	 
 
 | 
| 
 
	Subscriptions
	receivable
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	(1,071,070
	)
 
 | 
| 
 
	Accumulated
	deficit
 
 | 
 
	 
	 
	(47,517,046
	)
 
 | 
 
	 
	 
	(33,983,429
	)
 
 | 
| 
 
	Accumulated
	other comprehensive loss
 
 | 
 
	 
	 
	(1,150,112
	)
 
 | 
 
	 
	 
	(955,715
	)
 
 | 
| 
 
	Total
	Stockholders' Equity
 
 | 
 
	 
	 
	4,473,872
	 
 
 | 
 
	 
	 
	1,660,592
	 
 
 | 
| 
 
	Total
	Liabilities and Stockholders' Equity
 
 | 
 
	 
	$
	7,469,395
	 
 
 | 
 
	 
	$
	5,479,668
	 
 
 | 
 
	 
	See
	accompanying notes to consolidated financial
	statements
	 
	 
	AZURRX
	BIOPH
	A
	RMA, INC.
	Consolidated Statements of Operations and Comprehensive
	Loss
	 
 
 
 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Research
	and development expenses
 
 | 
 
	 
	$
	4,985,553
	 
 
 | 
 
	 
	$
	2,395,478
	 
 
 | 
| 
 
	General
	& administrative expenses
 
 | 
 
	 
	 
	8,236,218
	 
 
 | 
 
	 
	 
	7,685,706
	 
 
 | 
| 
 
	Fair
	value adjustment, contingent consideration
 
 | 
 
	 
	 
	210,000
	 
 
 | 
 
	 
	 
	140,000
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Loss
	from operations
 
 | 
 
	 
	 
	(13,431,771
	)
 
 | 
 
	 
	 
	(10,221,184
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Other:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	   Interest
	expense
 
 | 
 
	 
	 
	(101,846
	)
 
 | 
 
	 
	 
	(875,199
	)
 
 | 
| 
 
	Total
	other
 
 | 
 
	 
	 
	(101,846
	)
 
 | 
 
	 
	 
	(875,199
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Net
	loss
 
 | 
 
	 
	 
	(13,533,617
	)
 
 | 
 
	 
	 
	(11,096,383
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Other
	comprehensive loss (gain):
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	  Foreign
	currency translation adjustment
 
 | 
 
	 
	 
	(194,397
	)
 
 | 
 
	 
	 
	506,160
	 
 
 | 
| 
 
	Total
	comprehensive loss
 
 | 
 
	 
	$
	(13,728,014
	)
 
 | 
 
	 
	$
	(10,590,223
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Basic
	and diluted weighted average shares outstanding
 
 | 
 
	 
	 
	15,439,310
	 
 
 | 
 
	 
	 
	10,628,835
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Loss
	per share - basic and diluted
 
 | 
 
	 
	$
	(0.88
	)
 
 | 
 
	 
	$
	(1.04
	)
 
 | 
 
	 
	See
	accompanying notes to consolidated financial
	statements
	 
 
	 
	 
	AZURRX B
	I
	OPHARMA, INC.
	Consolidated Statements of Changes in Stockholders'
	Equity
	 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 
	Balance, January 1, 2017
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	 
	9,631,088
	 
 
 | 
 
	 
	$
	963
	 
 
 | 
 
	 
	$
	27,560,960
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	(22,887,046
	)
 
 | 
 
	 
	$
	(1,461,875
	)
 
 | 
 
	 
	 
	3,213,002
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Common
	stock issued in private placement
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	1,542,858
	 
 
 | 
 
	 
	 
	154
	 
 
 | 
 
	 
	 
	5,009,071
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	5,009,225
	 
 
 | 
| 
 
	Stock-based
	compensation
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	609,369
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	609,369
	 
 
 | 
| 
 
	Restricted
	stock granted to employees/directors
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	115,000
	 
 
 | 
 
	 
	 
	12
	 
 
 | 
 
	 
	 
	487,290
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	487,302
	 
 
 | 
| 
 
	Restricted
	stock granted to consultants
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	105,944
	 
 
 | 
 
	 
	 
	11
	 
 
 | 
 
	 
	 
	381,704
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	381,715
	 
 
 | 
| 
 
	Warrants
	issued to consultants
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	538,945
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	538,945
	 
 
 | 
| 
 
	Warrants
	issued in association with convertible debt issuances
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	410,672
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	410,672
	 
 
 | 
| 
 
	Beneficial
	conversion feature on convertible debt issuances
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	395,589
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	395,589
	 
 
 | 
| 
 
	Convertible
	debt converted into common stock
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	189,256
	 
 
 | 
 
	 
	 
	19
	 
 
 | 
 
	 
	 
	717,107
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	717,126
	 
 
 | 
| 
 
	Common
	stock issued for convertible debt extension
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	30,000
	 
 
 | 
 
	 
	 
	3
	 
 
 | 
 
	 
	 
	90,297
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	90,300
	 
 
 | 
| 
 
	Warrant
	modification
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	397,570
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	397,570
	 
 
 | 
| 
 
	Common
	stock subscribed
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	428,428
	 
 
 | 
 
	 
	 
	43
	 
 
 | 
 
	 
	 
	1,071,027
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	1,071,070
	 
 
 | 
| 
 
	Subscriptions
	receivable
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(1,071,070
	)
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(1,071,070
	)
 
 | 
| 
 
	Foreign
	currency translation adjustment
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	506,160
	 
 
 | 
 
	 
	 
	506,160
	 
 
 | 
| 
 
	Net
	loss
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(11,096,383
	)
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(11,096,383
	)
 
 | 
| 
 
	Balance, December 31, 2017
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	 
	12,042,574
	 
 
 | 
 
	 
	$
	1,205
	 
 
 | 
 
	 
	$
	37,669,601
	 
 
 | 
 
	 
	$
	(1,071,070
	)
 
 | 
 
	 
	$
	(33,983,429
	)
 
 | 
 
	 
	$
	(955,715
	)
 
 | 
 
	 
	$
	1,660,592
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Common
	stock issued from public offering
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	4,160,000
	 
 
 | 
 
	 
	 
	416
	 
 
 | 
 
	 
	 
	9,577,647
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	9,578,063
	 
 
 | 
| 
 
	Common
	stock issued to consultants
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	118,818
	 
 
 | 
 
	 
	 
	12
	 
 
 | 
 
	 
	 
	360,759
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	360,771
	 
 
 | 
| 
 
	Common
	stock issued for warrant exercises
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	503,070
	 
 
 | 
 
	 
	 
	49
	 
 
 | 
 
	 
	 
	1,253,623
	 
 
 | 
 
	 
	 
	1,071,070
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	2,324,742
	 
 
 | 
| 
 
	Common
	stock issued for purchase of Protea assets from
	bankruptcy
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	734,463
	 
 
 | 
 
	 
	 
	74
	 
 
 | 
 
	 
	 
	1,299,926
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	1,300,000
	 
 
 | 
| 
 
	Stock-based
	compensation
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	1,441,475
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	1,441,475
	 
 
 | 
| 
 
	Restricted
	stock granted to employees/directors
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	120,000
	 
 
 | 
 
	 
	 
	12
	 
 
 | 
 
	 
	 
	1,038,810
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	1,038,822
	 
 
 | 
| 
 
	Convertible
	debt converted into common stock
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	26,000
	 
 
 | 
 
	 
	 
	3
	 
 
 | 
 
	 
	 
	68,670
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	68,673
	 
 
 | 
| 
 
	Warrant
	modification
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	428,748
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	428,748
	 
 
 | 
| 
 
	Foreign
	currency translation adjustment
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(194,397
	)
 
 | 
 
	 
	 
	(194,397
	)
 
 | 
| 
 
	Net
	loss
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(13,533,617
	)
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	(13,533,617
	)
 
 | 
| 
 
	Balance, December 31, 2018
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	 
	17,704,925
	 
 
 | 
 
	 
	$
	1,771
	 
 
 | 
 
	 
	$
	53,139,259
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	(47,517,046
	)
 
 | 
 
	 
	$
	(1,150,112
	)
 
 | 
 
	 
	$
	4,473,872
	 
 
 | 
 
 
 
	 
	See
	accompanying notes to consolidated financial
	statements
	 
 
	 
	 
	AZURRX
	BIOPHA
	R
	MA, INC.
	Consolidated Statements of Cash Flows
 
 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Cash
	flows from operating activities:
 
 | 
 | 
 | 
| 
 
	   Net
	loss
 
 | 
 
	 
	$
	(13,533,617
	)
 
 | 
 
	 
	$
	(11,096,383
	)
 
 | 
| 
 
	   Adjustments
	to reconcile net loss to net cash used in
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	   operating
	activities:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	         Depreciation
 
 | 
 
	 
	 
	61,909
	 
 
 | 
 
	 
	 
	49,520
	 
 
 | 
| 
 
	         Amortization
 
 | 
 
	 
	 
	736,537
	 
 
 | 
 
	 
	 
	704,478
	 
 
 | 
| 
 
	         Fair
	value adjustment, warrants
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	         Fair
	value adjustment, contingent consideration
 
 | 
 
	 
	 
	210,000
	 
 
 | 
 
	 
	 
	140,000
	 
 
 | 
| 
 
	         Stock-based
	compensation
 
 | 
 
	 
	 
	1,441,475
	 
 
 | 
 
	 
	 
	609,369
	 
 
 | 
| 
 
	         Restricted
	stock granted to employees/directors
 
 | 
 
	 
	 
	1,038,822
	 
 
 | 
 
	 
	 
	487,302
	 
 
 | 
| 
 
	         Restricted
	stock granted to consultants
 
 | 
 
	 
	 
	360,771
	 
 
 | 
 
	 
	 
	381,715
	 
 
 | 
| 
 
	         Warrants
	issued to consultants
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	538,945
	 
 
 | 
| 
 
	         Accreted
	interest on convertible debt
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	104,328
	 
 
 | 
| 
 
	         Convertible
	debt beneficial conversion feature
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	395,589
	 
 
 | 
| 
 
	         Accreted
	interest on debt discount - warrants
 
 | 
 
	 
	 
	97,837
	 
 
 | 
 
	 
	 
	280,834
	 
 
 | 
| 
 
	         Common
	stock issued for convertible debt extension
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	90,300
	 
 
 | 
| 
 
	         Warrant
	modification
 
 | 
 
	 
	 
	428,748
	 
 
 | 
 
	 
	 
	397,570
	 
 
 | 
| 
 
	     Changes
	in assets and liabilities:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	         Other
	receivables
 
 | 
 
	 
	 
	(2,187,903
	)
 
 | 
 
	 
	 
	3,438
	 
 
 | 
| 
 
	         Prepaid
	expenses
 
 | 
 
	 
	 
	(243,330
	)
 
 | 
 
	 
	 
	(43,491
	)
 
 | 
| 
 
	         Deposits
 
 | 
 
	 
	 
	(15,001
	)
 
 | 
 
	 
	 
	5,625
	 
 
 | 
| 
 
	         Accounts
	payable and accrued expenses
 
 | 
 
	 
	 
	741,624
	 
 
 | 
 
	 
	 
	(233,777
	)
 
 | 
| 
 
	         Interest
	payable
 
 | 
 
	 
	 
	(7,192
	)
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	Net
	cash used in operating activities
 
 | 
 
	 
	 
	(10,869,320
	)
 
 | 
 
	 
	 
	(7,184,638
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Cash
	flows from investing activities:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	     Purchase
	of property and equipment
 
 | 
 
	 
	 
	(55,473
	)
 
 | 
 
	 
	 
	(32,168
	)
 
 | 
| 
 
	     Purchase
	of Protea assets from bankruptcy
 
 | 
 
	 
	 
	(250,000
	)
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	Net
	cash used in investing activities
 
 | 
 
	 
	 
	(305,473
	)
 
 | 
 
	 
	 
	(32,168
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Cash
	flows from financing activities:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	     Net
	proceeds from common stock issued for warrant
	exercises
 
 | 
 
	 
	 
	2,324,742
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	     Net
	proceeds from issuances of common stock and warrants
 
 | 
 
	 
	 
	9,578,063
	 
 
 | 
 
	 
	 
	5,009,225
	 
 
 | 
| 
 
	     Proceeds
	of note payable
 
 | 
 
	 
	 
	286,203
	 
 
 | 
 
	 
	 
	296,338
	 
 
 | 
| 
 
	     Repayments
	of note payable
 
 | 
 
	 
	 
	(190,351
	)
 
 | 
 
	 
	 
	(292,345
	)
 
 | 
| 
 
	     Issuances
	of convertible debt
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	1,000,000
	 
 
 | 
| 
 
	     Repayments
	of convertible debt
 
 | 
 
	 
	 
	(286,529
	)
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	Net
	cash provided by financing activities
 
 | 
 
	 
	 
	11,712,128
	 
 
 | 
 
	 
	 
	6,013,218
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	(Decrease)
	Increase in cash
 
 | 
 
	 
	 
	537,335
	 
 
 | 
 
	 
	 
	(1,203,588
	)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Effect
	of exchange rate changes on cash
 
 | 
 
	 
	 
	3,537
	 
 
 | 
 
	 
	 
	3,534
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Cash,
	beginning balance
 
 | 
 
	 
	 
	573,471
	 
 
 | 
 
	 
	 
	1,773,525
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Cash,
	ending balance
 
 | 
 
	 
	$
	1,114,343
	 
 
 | 
 
	 
	$
	573,471
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Supplemental
	disclosures of cash flow information:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	     Cash
	paid for interest
 
 | 
 
	 
	$
	4,010
	 
 
 | 
 
	 
	$
	4,148
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	     Cash
	paid for income taxes
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Non-cash
	investing and financing activities:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	   Conversion
	of convertible debt into common stock
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	717,126
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	  Common
	stock issued for purchase of Protea assets
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	  from
	bankruptcy that extinguished contingent consideration
 
 | 
 
	 
	$
	1,300,000
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	See
	accompanying notes to consolidated financial
	statements
	 
 
	 
	 
	 
	N
	o
	te 1 - The Company and Basis of
	Presentation
 
	 
	The Company
	 
	AzurRx BioPharma, Inc. (“
	AzurRx
	” or “
	Parent
	”) was incorporated on January 30, 2014 in
	the State of Delaware. In June 2014, the Company acquired 100% of
	the issued and outstanding capital stock of AzurRx SAS (formerly
	“
	ProteaBio Europe
	SAS
	”), a company
	incorporated in October 2008 under the laws of France. AzurRx and
	its wholly-owned subsidiary, AzurRx SAS (“
	ABS
	”), are collectively referred to as the
	“
	Company
	.”
	 
	The
	Company is engaged in the research and development of non-systemic
	biologics for the treatment of patients with gastrointestinal
	disorders. Non-systemic biologics are non-absorbable drugs that act
	locally, i.e. the intestinal lumen, skin or mucosa, without
	reaching an individual’s systemic circulation. The
	Company’s current product pipeline consists of two
	therapeutic proteins under development:
	 
	MS1819-SD
	 
	MS1819-SD is a
	yeast derived recombinant lipase for exocrine pancreatic
	insufficiency (
	“EPI”
	) associated with
	chronic pancreatitis (
	“CP”
	) and cystic fibrosis
	(
	“CF”
	). A
	lipase is an enzyme that breaks up fat molecules. MS1819-SD is
	considered recombinant because it was created from new combinations
	of genetic material in yeast called Yarrowia lipolytica. In June
	2018, the Company completed an open-label, dose escalation Phase
	IIa trial of MS1819-SD in France, Australia, and New Zealand to
	investigate both the safety of escalating doses of MS1819-SD, and
	the efficacy of MS1819-SD through the analysis of each
	patient’s coefficient of fat absorption (
	“CFA”
	) and its change from
	baseline. A total of 11 CP patients with EPI were enrolled in the
	study and final data showed a strong safety and efficacy profile.
	Although the study was not powered for efficacy, in a pre-planned
	analysis, the highest dose cohort of MS1819-SD showed statistically
	significant and clinically meaningful increases in CFA compared to
	baseline with a mean increase of 21.8% and a p value of p=0.002 on
	a per protocol basis. Favorable trends were also observed on other
	evaluated endpoints, including the Bristol stool scale, number of
	daily evacuations and stool weight, which were consistent with the
	CFA results. Additionally, maximal absolute CFA response to
	treatment was up to 57%, with an inverse relationship to baseline
	CFA. Favorable trends were also observed on other evaluated
	endpoints, including Bristol stool scale, number of daily
	evacuations and weight of stool, and these were consistent with the
	CFA results. In October 2018, the U.S. Food and Drug Administration
	(
	“FDA”
	) cleared
	the Company’s Investigational New Drug (
	“IND”
	) application for
	MS1819-SD in patients with EPI due to CF. In connection with the
	FDA’s clearance of the IND, in the fourth quarter of 2018 the
	Company initiated a multi-center Phase II study in the United
	States and Europe, which the Company expects will include
	approximately 30 patients and conclude in 2019.
	 
	B-Lactamase Program
	 
	The Company’s
	b-lactamase program focuses on products with an enzymatic
	combination of bacterial origin for the prevention of
	hospital-acquired infections and antibiotic-associated diarrhea
	(
	“AAD”
	) by
	resistant bacterial strains induced by parenteral administration of
	several antibiotic classes. Currently, the Company has two
	compounds in pre-clinical development in this program, AZX1101 and
	AZX1103. Both AZX1101 and AZX1103 are composed of several distinct
	enzymes that break up individual classes of antibiotic molecules.
	AZX1103 is a b-lactamase enzyme combination that has shown positive
	pre-clinical activity, with degradation of amoxicillin in the
	presence of clavulanic acid in the upper gastrointestinal tract in
	the Gottingen minipig model. Currently, the Company is focused on
	advancing pre-clinical development of AZX1103 and expects to work
	towards filing of an IND for AZX1103 with the FDA. The Company is
	currently assessing its plans for the continuation of the
	development of AZX1101.
	 
	 
	 
	Recent Developments
	 
	Public Offering of Common Stock
	 
	On May 3, 2018, the Company completed an underwritten, public
	offering of 4,160,000 shares of its common stock at a public
	offering price per share of $2.50, resulting in gross proceeds of
	$10.4 million (the “
	May 2018 Public
	Offering
	”) with
	associated expenses of approximately $800,000. The May 2018 Public
	Offering was completed pursuant to the terms of an underwriting
	agreement executed by the Company and Oppenheimer & Co. Inc.
	(“
	Oppenheimer
	”) on May 1, 2018. After deducting the
	underwriting discount paid to Oppenheimer, legal fees, and other
	offering expenses payable by us, we received net proceeds of
	approximately $9.6 million.
	 
	In addition to the underwriting discount received by Oppenheimer,
	the Company also issued unregistered warrants to Oppenheimer to
	purchase up to 208,000 shares of the Company’s common stock
	(the “
	Underwriter
	Warrants
	”). The
	Underwriter Warrants, valued at $349,232, became exercisable six
	months from the date of issuance, expire on May 1, 2023 and have an
	exercise price of $2.55 per share. As a result of certain investors
	participating in the Offering, the Company also paid a financial
	advisory fee to Alexander Capital, LP, consisting of a cash payment
	of approximately $104,000 and the issuance of warrants valued at
	$67,194, substantially similar to the Underwriter Warrants, to
	purchase up to 36,400 shares of the Company’s common stock at
	an exercise price of $2.75 per share.
	 
	Update and Completion of the Phase IIa Trial of MS1819-SD and
	Launch of the Phase II OPTION Study
	 
	On June 29, 2018, the Company announced the successful completion
	of its Phase IIa trial of MS1819-SD, and on September 24, 2018, the
	Company announced, in partnership with Mayoly Spindler, a European
	pharmaceutical company (
	"Mayoly"
	), that, in a pre-planned analysis, the
	highest dose cohort of MS1819-SD showed statistically significant
	and clinically meaningful increases in CFA compared to baseline
	with a mean increase of 21.8% and a p value of p=0.002 on a per
	protocol basis. A total of 11 CP patients with EPI were enrolled in
	the study and final data showed a strong safety and efficacy
	profile. Additionally, maximal absolute CFA response to treatment
	was up to 57%, with an inverse relationship to baseline CFA.
	Favorable trends were also observed on other evaluated endpoints,
	including Bristol stool scale, number of daily evacuations and
	weight of stool, and these were consistent with the CFA
	results.
	 
	On October 16, 2018, the Company announced that the FDA cleared its
	IND application for MS1819-SD in patients with EPI due to
	CF.
	In connection with the
	FDA’s clearance of the IND, in the fourth quarter of 2018 the
	Company initiated a multi-center Phase II OPTION study that was
	subject to the IND in the United States and Europe, which the
	Company expects will include approximately 30 patients and conclude
	in 2019. In addition, on
	November 1, 2018, the Company announced that its
	Phase II study protocol to investigate MS1819-SD in CF patients
	with EPI received positive sanction from the Therapeutics
	Development Network, a collaborative network of CF clinical trial
	specialists supported by the Cystic Fibrosis
	Foundation.
	 
	On February 20, 2019, the Company announced that it has dosed the
	first patients in its Phase II OPTION.
	 
	Protea Asset Sale and Purchase Agreement
	 
	On December 7, 2018, the Company entered into an asset sale and
	purchase agreement (the
	“Protea Purchase
	Agreement”
	) with Protea
	Biosciences Group, Inc. and its wholly owned subsidiary, Protea
	Biosciences, Inc.
	(“Protea”
	),
	pursuant to which the Company agreed to purchase the rights to any
	milestone payments, royalty payments, and contingent consideration
	due from the Company to Protea now or in the future, arising from
	the Stock Purchase and Sale Agreement previously entered into
	between us and the Protea (the
	“Purchased
	Assets”
	).
 
	 
	 
	 
	Protea previously filed for Chapter 11 protection under the United
	States Bankruptcy Code on December 1, 2017. On November 27, 2018,
	the Company participated in a bankruptcy auction for the Purchased
	Assets and the Company was chosen as the successful bidder at the
	conclusion of the auction. On December 10, 2018, the transaction
	was approved by the United States bankruptcy court.
	 
	On December 14, 2018 (the
	“Closing
	Date”
	), the Company
	closed the transactions contemplated by the Protea Purchase
	Agreement. In accordance with the terms of the Protea Purchase
	Agreement, the Company acquired the Purchased Assets from Protea
	for an aggregate purchase price of $1,550,000 (the
	“Purchase
	Price”
	). The Company paid
	$250,000 of the Purchase Price in cash and the remaining $1,300,000
	was paid by the issuance of shares of its common stock at a price
	of $1.77 per share, a price per share that was $0.01 higher than
	the closing price of its common stock on the Closing Date, as
	reported on the Nasdaq Capital Market, resulting in the issuance of
	734,463 shares of the Company’s common stock to
	Protea.
	 
	Basis
	of Presentation and Principles of Consolidation
	 
	The accompanying consolidated financial statements
	have been prepared in accordance with accounting principles
	generally accepted in the United States of America
	(“
	U.S. GAAP
	”).
	 
	The financial
	statements for the years ended December 31, 2018 and 2017 include
	the accounts of AzurRx and its wholly-owned subsidiary, AzurRx SAS.
	Intercompany transactions and balances have been eliminated upon
	consolidation.
	 
	The
	accompanying consolidated financial statements have been prepared
	as if the Company will continue as a going concern. The Company has
	incurred significant operating losses and negative cash flows from
	operations since inception, had working capital at December 31,
	2018 of approximately $1,804,000, and had an accumulated deficit of
	approximately $47,517,000 at December 31, 2018. The Company is
	dependent on obtaining, and continues to pursue, the necessary
	funding from outside sources, including obtaining additional
	funding from the sale of securities in order to continue
	operations. Without adequate funding, the Company may not be able
	to meet its obligations. Management believes these conditions raise
	substantial doubt about its ability to continue as a going concern.
	The consolidated financial statements do not include any
	adjustments that might result from the outcome of this
	uncertainty.
	 
	Note 2 - Significant Accounting Policies and Recent Accounting
	Pronouncements
	 
	Use of Estimates
	The accompanying
	consolidated financial statements are prepared in conformity with
	U.S. GAAP and include certain estimates and assumptions which
	affect the reported amounts of assets and liabilities at the date
	of the financial statements (including goodwill, intangible assets
	and contingent consideration), and the reported amounts of revenues
	and expenses during the reporting period, including contingencies.
	Accordingly, actual results may differ from those
	estimates.
	 
	Concentrations
	Financial
	instruments that potentially expose the Company to concentrations
	of credit risk consist of cash. The Company primarily maintains its
	cash balances with financial institutions in federally-insured
	accounts in the U.S. The Company may from time to time have cash in
	banks in excess of FDIC insurance limits. At December 31, 2018 and
	2017, the Company had approximately $754,261 and $78,859,
	respectively, in one account in the U.S. in excess of these limits.
	The Company has not experienced any losses to date resulting from
	this practice.
	 
	The Company also
	has exposure to foreign currency risk as its subsidiary in France
	has a functional currency in Euros.
	 
	 
	 
	Property, Equipment, and Leasehold Improvements
	Property,
	equipment and leasehold improvements are carried on the cost basis
	and depreciated over the estimated useful lives of the related
	assets using the straight-line method. For financial statement
	purposes, depreciation expense is provided using the straight-line
	method over the estimated useful lives of the assets as
	follows:
	 
| 
 
	Laboratory Equipment
 
 | 
 
	5 years
 
 | 
| 
 
	Computer Equipment
 
 | 
 
	5 years
 
 | 
| 
 
	Office Equipment
 
 | 
 
	7-8 years
 
 | 
| 
 
	Leasehold Improvements
 
 | 
 
	Term of lease or estimated useful life of the assets; whichever is
	shorter
 
 | 
 
	 
	Expenditures
	for maintenance and repairs are
	charged to operations as incurred while renewals and betterments
	are capitalized. At December 31, 2018 and 2017, there are no
	restrictions on the Company’s title of property, equipment,
	and leasehold improvements and no amounts have been pledged as
	security for liabilities.
 
	 
	Goodwill and Intangible Assets
	Goodwill represents
	the excess of the purchase price of the acquired business over the
	fair value of amounts assigned to assets acquired and liabilities
	assumed. Goodwill and other intangible assets with indefinite
	useful lives are reviewed for impairment annually or more
	frequently if events or circumstances indicate impairment may be
	present. Any excess in carrying value over the estimated fair value
	is charged to results of operations. The Company has not recognized
	any impairment charges through December 31, 2018.
	 
	Intangible
	assets subject to amortization consist of in process research and
	development and license agreements reported at the fair value at
	date of the acquisition less accumulated amortization. Amortization
	expense is provided using the straight-line method over the
	estimated useful lives of the assets as follows:
| 
 
	In Process Research & Development
 
 | 
 
	12 years
 
 | 
| 
 
	License Agreements
 
 | 
 
	5 years
 
 | 
 
	 
	Research and Development
	Research &
	development costs are charged to operations when incurred and are
	included in operating expenses. Research & development costs
	consist principally of compensation of employees and consultants
	that perform the Company’s research activities, the fees paid
	to maintain the Company’s licenses, and the payments to third
	parties for clinical trial and additional product development and
	testing.
	 
	Fair Value Measurements
	The Company follows
	Accounting Standards Codification
	(“ASC”
	) Topic 820-10, Fair
	Value Measurements and Disclosures
	(“ASC 820”
	), which among
	other things, defines fair value, establishes a consistent
	framework for measuring fair value and expands disclosure for each
	major asset and liability category measured at fair value on either
	a recurring or nonrecurring basis. Fair value is an exit price,
	representing the amount that would be received to sell an asset or
	paid to transfer a liability in an orderly transaction between
	market participants. As such, fair value is a market-based
	measurement that should be determined based on assumptions that
	market participants would use in pricing an asset or
	liability.
	 
	As a basis for
	considering such assumptions, a three-tier fair value hierarchy has
	been established, which prioritizes the inputs used in measuring
	fair value as follows:
	 
	Level 1: Observable
	inputs such as quoted prices (unadjusted) in active markets for
	identical assets or liabilities;
	 
	Level 2: Inputs,
	other than the quoted prices in active markets, that are observable
	either directly or indirectly; and
	 
	Level 3:
	Unobservable inputs in which there is little or no market data,
	which require the reporting entity to develop its own assumptions,
	which reflect those that a market participant would
	use.
	 
	 
	 
	Stock-Based Compensation
	The Company’s
	board of directors and stockholders have adopted and approved the
	Amended and Restated 2014 Omnibus Equity Incentive Plan which took
	effect on May 12, 2014. The Company accounts for its stock-based
	compensation awards to employees and directors in accordance with
	ASC Topic 718, Compensation—Stock Compensation
	(“ASC 718”
	). ASC 718
	requires all stock-based payments to employees, including grants of
	employee stock options, to be recognized in the statements of
	operations based on their grant date fair values. For stock options
	granted to employees and to members of the board of directors for
	their services on the board of directors, the Company estimates the
	grant date fair value of each option award using the Black-Scholes
	option-pricing model. The use of the Black-Scholes option-pricing
	model requires management to make assumptions with respect to the
	expected term of the option, the expected volatility of the common
	stock consistent with the expected life of the option, risk-free
	interest rates and expected dividend yields of the common stock.
	For awards subject to service-based vesting conditions, the Company
	recognizes stock-based compensation expense, net of estimated
	forfeitures, equal to the grant date fair value of stock options on
	a straight-line basis over the requisite service
	period.
	 
	Equity-Based Payments to Non-Employees
	In June 2018, the
	FASB issued ASU No. 2018-07, Improvements to Nonemployee
	Share-Based Payment Accounting, to expand the scope of Topic 718 to
	include share-based payment transactions for acquiring goods and
	services for nonemployees. The ASU is effective for interim and
	annual periods beginning after December 15, 2018, with early
	adoption permitted. As a result of the early adoption of this
	pronouncement, the Company measures these nonemployee awards at
	fair value on the grant date. The adoption of this pronouncement
	did not have a significant impact on the Company’s financial
	statements.
	 
	Income Taxes
	Income taxes are
	recorded in accordance with ASC 740, Accounting for Income Taxes
	(“ASC 740”
	),
	which provides for deferred taxes using an asset and liability
	approach. The Company recognizes deferred tax assets and
	liabilities for the expected future tax consequences of events that
	have been included in the financial statements or tax returns. The
	Company determines its deferred tax assets and liabilities based on
	differences between financial reporting and tax bases of assets and
	liabilities, which are measured using the enacted tax rates and
	laws that will be in effect when the differences are expected to
	reverse. Valuation allowances are provided if, based upon the
	weight of available evidence, it is more likely than not that some
	or all of the deferred tax assets will not be
	realized.
	 
	The Company
	accounts for uncertain tax positions in accordance with the
	provisions of ASC 740. When uncertain tax positions exist, the
	Company recognizes the tax benefit of tax positions to the extent
	that the benefit will more likely than not be realized. The
	determination as to whether the tax benefit will more likely than
	not be realized is based upon the technical merits of the tax
	position as well as consideration of the available facts and
	circumstances. At December 31, 2018 and 2017, the Company does not
	have any significant uncertain tax positions. All tax years are
	still open for audit.
	 
	Impairment of Long-Lived Assets
	The Company
	periodically evaluates its long-lived assets for potential
	impairment in accordance with ASC Topic 360, Property, Plant and
	Equipment
	(“ASC
	360”
	). Potential impairment is assessed when there is
	evidence that events or changes in circumstances indicate that the
	carrying amount of an asset may not be recovered. Recoverability of
	these assets is assessed based on undiscounted expected future cash
	flows from the assets, considering a number of factors, including
	past operating results, budgets and economic projections, market
	trends and product development cycles. If impairments are
	identified, assets are written down to their estimated fair value.
	The Company has not recognized any impairment charges through
	December 31, 2018.
	 
	Foreign Currency Translation
	For foreign
	subsidiaries with operations denominated in a foreign currency,
	assets and liabilities are translated to U.S. dollars, which is the
	functional currency, at period end exchange rates. Income and
	expense items are translated at average rates of exchange
	prevailing during the periods presented. Gains and losses from
	translation adjustments are accumulated in a separate component of
	shareholders’ equity.
	 
	 
	Collaboration
	Agreements
	As more fully
	discussed in Note 15, during the year ended December 31, 2018, the
	Company had joint research collaboration agreements with
	Laboratoires Mayoly Spindler SAS and INRA TRANSFERT. Any payments
	due from the Company’s collaboration partners are recorded as
	a reduction in research and development expenses.
	 
	Sublicense Agreement
	As more fully
	discussed in Note 15, the Company entered into a Sublicense
	Agreement with TransChem, Inc. pursuant to which TransChem granted
	the Company an exclusive license to certain patents and patent
	applications. Any payments made to Transchem for this agreement
	will be recorded as research and development expenses.
	 
	Operating Leases
	The Company
	recognizes rent expense from operating leases with various
	escalation clauses on a straight-line basis over the applicable
	lease term. The Company considers lease renewals in the useful life
	of its leasehold improvements when such renewals are reasonably
	assured.
	 
	Subsequent Events
	The Company
	considered events or transactions occurring after the balance sheet
	date but prior to the date the consolidated financial statements
	are available to be issued for potential recognition or disclosure
	in its consolidated financial statements.
	 
	Recent Accounting Pronouncements
	In July 2017, the
	FASB issued ASU 2017-11, Earnings per Share (Topic 260),
	Distinguishing Liabilities from Equity (Topic 480) and Derivatives
	and Hedging (Topic 815). ASU 2017-11 provides guidance on
	accounting for financial instruments with down round features and
	clarifies the deferral of certain provisions in Topic 480. ASU
	2017-11 will become effective for annual periods beginning after
	December 15, 2018 and interim periods within those periods. Early
	adoption is permitted. The adoption of this pronouncement will not
	have an impact on the Company’s financial
	statements.
	 
	In January 2017,
	the FASB issued guidance to simplify the subsequent measurement of
	goodwill impairment. The new guidance eliminates the two-step
	process that required identification of potential impairment and a
	separate measure of the actual impairment. Goodwill impairment
	charges, if any, would be determined by reducing the goodwill
	balance by the difference between the carrying value and the
	reporting unit’s fair value (impairment loss is limited to
	the carrying value). This standard is effective for annual or any
	interim goodwill impairment tests beginning after December 15,
	2019. The Company believes that the adoption of this pronouncement
	will not have an impact on the Company’s measurement of
	goodwill impairment.
	 
	In February 2016,
	the FASB issued an ASU which requires lessees to recognize lease
	assets and lease liabilities arising from operating leases on the
	balance sheet. This ASU is effective for annual and interim
	reporting periods beginning after December 15, 2018 using a
	modified retrospective approach, with early adoption permitted. The
	Company believes that the adoption of this pronouncement will not
	have a material impact on the Company's financial statements. The
	Company believes that the most significant changes relate to the
	recognition of new right-of-use assets and lease liabilities on the
	balance sheet for office space and research facilities amounting to
	approximately $344,000.
	 
	Note
	3 -
	 
	Fair Value
	Disclosures
	 
	Fair value is the
	price that would be received from the sale of an asset or paid to
	transfer a liability assuming an orderly transaction in the most
	advantageous market at the measurement date. U.S. GAAP establishes
	a hierarchical disclosure framework that prioritizes and ranks the
	level of observability of inputs used in measuring fair
	value.
	 
	At December 31,
	2017, the Company had Level 3 instruments consisting of contingent
	consideration in connection with the Protea Europe SAS acquisition,
	see Note 7.
	 
	 
	 
	The following
	tables summarize the Company’s financial instruments measured
	at fair value on a recurring basis:
	 
| 
 
	 
 
 | 
	 
	Fair Value Measurements at Reporting Date Using
 
	 
 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
| 
 
	At
	December 31, 2017:
 
 | 
 | 
 | 
 | 
 | 
| 
 
	Contingent
	consideration
 
 | 
 
	 
	$
	1,340,000
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	1,340,000
	 
 
 | 
 
	 
	The following table
	provides a reconciliation of the fair value of liabilities using
	Level 3 significant unobservable inputs:
	 
| 
 
	 
 
 | 
 | 
| 
 
	 
 
 | 
 | 
| 
 
	Balance
	at December 31, 2016
 
 | 
 
	 
	$
	1,200,000
	 
 
 | 
| 
 
	Change
	in fair value
 
 | 
 
	 
	 
	140,000
	 
 
 | 
| 
 
	Balance
	at December 31, 2017
 
 | 
 
	 
	 
	1,340,000
	 
 
 | 
| 
 
	Change
	in fair value
 
 | 
 
	 
	 
	210,000
	 
 
 | 
| 
 
	Purchase
	of Protea assets in bankruptcy
 
 | 
 
	 
	 
	(1,550,000
	)
 
 | 
| 
 
	Balance
	at December 31, 2018
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	The contingent
	consideration was valued by incorporating a series of Black-Scholes
	Option Pricing Models (“
	BSM
	”) into a discounted cash flow
	framework. Significant unobservable inputs used in this calculation
	at December 31, 2017 included projected net sales over a period of
	patent exclusivity of 7 year, discounted by (i) the Company’s
	weighted average cost of capital of 32.4%, (ii) the contractual
	hurdle amount of $100 million that replaces the strike price input
	in the traditional BSM, (iii) asset volatility of 83.1% that
	replaces the equity volatility in the traditional BSM, (iv)
	risk-free rates ranging from 1.8% to 2.4%, and (v) an
	option-adjusted spread of 0.6% that is applied to these payments to
	account for the payer’s risk and arrive at a fair value of
	the expected payment.
	The fair value of
	the Company's financial instruments are as follows:
	 
| 
 
	 
 
 | 
 | 
	 
	Fair Value Measured at Reporting Date Using
 
	 
 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 
	At
	December 31, 2018:
 
 | 
 | 
 | 
 | 
 | 
 | 
| 
 
	Cash
 
 | 
 
	 
	$
	1,114,343
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	1,114,343
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	1,114,343
	 
 
 | 
| 
 
	Other
	receivables
 
 | 
 
	 
	$
	3,172,676
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	3,172,676
	 
 
 | 
 
	 
	$
	3,172,676
	 
 
 | 
| 
 
	Note
	payable
 
 | 
 
	 
	$
	255,032
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	255,032
	 
 
 | 
 
	 
	$
	255,032
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	At
	December 31, 2017:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Cash
 
 | 
 
	 
	$
	573,471
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	573,471
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	573,471
	 
 
 | 
| 
 
	Other
	receivables
 
 | 
 
	 
	$
	1,104,134
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	1,104,134
	 
 
 | 
 
	 
	$
	1,104,134
	 
 
 | 
| 
 
	Note
	payable
 
 | 
 
	 
	$
	159,180
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	159,180
	 
 
 | 
 
	 
	$
	159,180
	 
 
 | 
| 
 
	Convertible
	debt
 
 | 
 
	 
	$
	257,365
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	387,201
	 
 
 | 
 
	 
	$
	387,201
	 
 
 | 
 
	 
	The fair value of
	other receivables approximates carrying value as these consist
	primarily of French R&D tax credits that are normally received
	the following year and amounts due from Mayoly, see Note
	15.
	 
	The fair value of
	note payable approximates carrying value due to the terms of such
	instruments and applicable interest rates.
	 
	 
	 
	The fair value of
	convertible debt is based on the par value plus accrued interest
	through the date of reporting due to the terms of such instruments
	and interest rates, or the current interest rates of similar
	instruments.
	 
	Note
	4 - Other Receivables
	 
	Other receivables
	consisted of the following:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	R&D
	tax credits
 
 | 
 
	 
	$
	2,162,373
	 
 
 | 
 
	 
	$
	954,897
	 
 
 | 
| 
 
	Other
 
 | 
 
	 
	 
	1,010,303
	 
 
 | 
 
	 
	 
	149,237
	 
 
 | 
| 
 
	Total
	other receivables
 
 | 
 
	 
	$
	3,172,676
	 
 
 | 
 
	 
	$
	1,104,134
	 
 
 | 
 
	 
	The R&D tax
	credits are the 2017 and 2018 refundable tax credits for research
	conducted in France. Other consists primarily of amounts due from
	Mayoly, see Note 15, and non-income tax related items from French
	government entities.
	 
	Note
	5 - Property, Equipment and Leasehold Improvements
	 
	Property, equipment
	and leasehold improvements consisted of the following:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Laboratory
	equipment
 
 | 
 
	 
	$
	190,406
	 
 
 | 
 
	 
	$
	165,611
	 
 
 | 
| 
 
	Computer
	equipment
 
 | 
 
	 
	 
	75,417
	 
 
 | 
 
	 
	 
	44,364
	 
 
 | 
| 
 
	Office
	equipment
 
 | 
 
	 
	 
	37,262
	 
 
 | 
 
	 
	 
	36,334
	 
 
 | 
| 
 
	Leasehold
	improvements
 
 | 
 
	 
	 
	29,163
	 
 
 | 
 
	 
	 
	29,163
	 
 
 | 
| 
 
	Total
	property, plant and equipment
 
 | 
 
	 
	 
	332,248
	 
 
 | 
 
	 
	 
	275,472
	 
 
 | 
| 
 
	Less
	accumulated depreciation
 
 | 
 
	 
	 
	(203,394
	)
 
 | 
 
	 
	 
	(141,485
	)
 
 | 
| 
 
	Property,
	plant and equipment, net
 
 | 
 
	 
	$
	128,854
	 
 
 | 
 
	 
	$
	133,987
	 
 
 | 
 
	 
	Depreciation
	expense for the years ended December 31, 2018 and 2017 was $61,909
	and $49,250, respectively. Depreciation expense is included in
	general and administrative (“
	G&A
	”) expenses.
	 
	Note
	6 - Intangible Assets and Goodwill
	 
	Intangible assets
	are as follows:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	In
	process research and development
 
 | 
 
	 
	$
	416,600
	 
 
 | 
 
	 
	$
	436,385
	 
 
 | 
| 
 
	Less
	accumulated amortization
 
 | 
 
	 
	 
	(157,671
	)
 
 | 
 
	 
	 
	(128,794
	)
 
 | 
| 
 
	In
	process research and development, net
 
 | 
 
	 
	$
	258,929
	 
 
 | 
 
	 
	$
	307,591
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	License
	agreements
 
 | 
 
	 
	$
	3,398,702
	 
 
 | 
 
	 
	$
	3,560,107
	 
 
 | 
| 
 
	Less
	accumulated amortization
 
 | 
 
	 
	 
	(3,087,154
	)
 
 | 
 
	 
	 
	(2,521,743
	)
 
 | 
| 
 
	License
	agreements, net
 
 | 
 
	 
	$
	311,548
	 
 
 | 
 
	 
	$
	1,038,364
	 
 
 | 
 
	 
	Amortization
	expense for the years ended December 31, 2018 and 2017 was $736,537
	and $704,478, respectively.
	 
	As of December 31,
	2018, amortization expense is expected to be as follows for the
	next five years:
	 
| 
 
	2019
 
 | 
 
	 
	$
	346,264
	 
 
 | 
| 
 
	2020
 
 | 
 
	 
	 
	34,717
	 
 
 | 
| 
 
	2021
 
 | 
 
	 
	 
	34,717
	 
 
 | 
| 
 
	2022
 
 | 
 
	 
	 
	34,717
	 
 
 | 
| 
 
	2023
 
 | 
 
	 
	 
	34,717
	 
 
 | 
 
	 
	 
	Goodwill
	is as follows:
	 
| 
 
	 
 
 | 
 | 
| 
 
	Balance
	at January 1, 2017
 
 | 
 
	 
	$
	1,767,550
	 
 
 | 
| 
 
	Foreign
	currency translation
 
 | 
 
	 
	 
	248,690
	 
 
 | 
| 
 
	Balance
	at December 31, 2017
 
 | 
 
	 
	 
	2,016,240
	 
 
 | 
| 
 
	Foreign
	currency translation
 
 | 
 
	 
	 
	(91,410
	)
 
 | 
| 
 
	Balance
	at December 31, 2018
 
 | 
 
	 
	$
	1,924,830
	 
 
 | 
 
	 
	Note
	7 - Contingent Consideration
	 
	On June 13, 2014,
	the Company completed a stock purchase agreement (the
	“
	SPA
	”) with
	Protea Biosciences Group, Inc. (“
	Protea Group
	”). Pursuant to the
	SPA, the Company was obligated to pay Protea certain contingent
	consideration in U.S. dollars upon the satisfaction of certain
	events, including (i) a onetime milestone payment of $2,000,000 due
	within (10) days of receipt of the first approval by the Food and
	Drug Administration (“
	FDA
	”) of a New Drug Application
	(“
	NDA
	”) or
	Biologic License Application (“
	BLA
	”) for a Business Product (as
	such term is defined in the SPA). (ii) royalty payments equal to
	2.5% of net sales of Business Product up to $100,000,000 and 1.5%
	of net sales of Business Product in excess of $100,000,000, and
	(iii) 10% of the Transaction Value (as defined in the SPA) received
	in connection with a sale or transfer of the pharmaceutical
	development business of Protea Europe, see Note 3. On December 14,
	2018, the Company purchased these assets from Protea Group out of
	bankruptcy for $1,550,000 consisting of $250,000 in cash and
	$1,300,000 in common stock, see Note 1. Accordingly, the contingent
	consideration was extinguished.
	Note 8 - Accounts Payable and Accrued Expenses
	 
	Accounts payable
	and accrued expenses consisted of the following:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Trade
	payables
 
 | 
 
	 
	$
	1,532,110
	 
 
 | 
 
	 
	$
	705,041
	 
 
 | 
| 
 
	Accrued
	expenses
 
 | 
 
	 
	 
	285,061
	 
 
 | 
 
	 
	 
	262,200
	 
 
 | 
| 
 
	Accrued
	payroll
 
 | 
 
	 
	 
	253,225
	 
 
 | 
 
	 
	 
	219,993
	 
 
 | 
| 
 
	Total
	accounts payable and accrued expenses
 
 | 
 
	 
	$
	2,070,396
	 
 
 | 
 
	 
	$
	1,187,234
	 
 
 | 
 
	 
	Note
	9 - Note Payable
	 
	On December 14,
	2018, the Company entered into a 9-month financing agreement for
	its directors and officer’s liability insurance in the amount
	of $286,203 that bears interest at an annual rate of 5.99%. Monthly
	payments, including principal and interest, are $32,599 per month.
	The balance due under this financing agreement at December 31, 2018
	was $255,032.
	 
	On October 30,
	2017, the Company entered into a 9-month financing agreement for
	its directors and officer’s liability insurance in the amount
	of $237,137 that bears interest at an annual rate of 5.537%.
	Monthly payments, including principal and interest, are $26,960 per
	month. The balance due under this financing agreement at December
	31, 2017 was $159,180.
	 
	Note
	10 - Original Issue Discounted Convertible Notes and
	Warrants
	 
	LPC OID Debenture
	On April 11, 2017,
	the Company entered into a Note Purchase Agreement with Lincoln
	Park Capital Fund, LLC (
	“LPC”
	), pursuant to which
	the Company issued a 12% Senior Secured Original Issue Discount
	Convertible Debenture (the
	“Debenture”
	) to LPC. The
	principal and original issue discount of $1,120,000 due under the
	terms of the Debenture were due on the Maturity Date, which is
	defined as the earlier to occur of (i) November 10, 2017 or (ii) on
	the fifth business day following the receipt by the Company or its
	wholly-owned subsidiary, ABS, of certain tax credits that the
	Company received prior to November 10, 2017 (the
	“Tax Credit”
	). In
	connection with the issuance of the Debenture, the Company issued
	to LPC a warrant giving LPC the right to purchase 164,256 shares of
	the Company’s common stock at an exercise price of $4.2592
	per share (
	“LPC Series A
	Warrant”
	) that terminates five years after the date of
	issuance.
	 
	 
	 
	On November 10, 2017, the
	Company and LPC modified the Debenture to extend the Maturity Date
	to November 29, 2017, subject to the Company’s right to
	extend the Maturity Date to July 11, 2018 (the
	“Extension Option”
	) in
	exchange for 30,000 shares of the Company’s common stock
	which were valued at $90,300 and charged to interest expense. The
	Company exercised its Extension Option on November 29, 2017 and
	issued LPC an additional warrant to purchase 164,256 shares of the
	Company’s common stock at an exercise price of $3.17 per
	share (
	“LPC Series B
	Warrant”
	) that terminates five years after the date of
	issuance. The Company accounted for the LPC Series B Warrant
	feature of the Debenture based upon the relative fair value of the
	warrants on the date of issuance of the Debenture of $164,325,
	which was recorded as additional paid in capital and a discount to
	the Debenture.
	 
	The principal and
	original issue discount amount of the Debenture is convertible into
	shares of the Company’s common stock at LPC’s option,
	at a conversion price equal to $3.872 (
	“Conversion Price”
	).
	Provided certain conditions related to compliance with the terms of
	the Debenture are satisfied, the closing price of the
	Company’s common stock exceeds 150% of the Conversion Price,
	the median daily volume for the preceding 30 days exceeds 50,000
	shares per day, among other conditions, the Company may, at its
	option, force conversion of the Debenture for an amount equal to
	the outstanding balance of the principal and original issue
	discount of the Debenture. During the year ended December 31, 2017,
	LPC elected to convert $717,126 of the Debenture pursuant to which
	LPC received 189,256 shares of common stock. On January 10, 2018,
	LPC elected to convert $100,672 of the Debenture pursuant to which
	LPC received 26,000 shares of common stock.
	 
	On July 11, 2018,
	the Company paid off the remaining amount due under the terms of
	this Debenture in the amount of $286,529.
	 
	The obligations
	under the Debenture were guaranteed by ABS, as well as a security
	agreement providing LPC with a secured interest in the Tax
	Credit.
	 
	For the year ended
	December 31, 2018 and 2017, the Company recorded $97,837 and
	$871,051, respectively, of interest expense related to the
	amortization of the debt discount and beneficial conversion feature
	related to the warrant features of the Debenture.
	 
	Convertible Debt
	consisted of:
	 
| 
 
	 
 
 | 
 | 
| 
 
	 
 
 | 
 | 
| 
 
	Convertible
	debt
 
 | 
 
	 
	$
	352,713
	 
 
 | 
| 
 
	Accreted
	OID interest
 
 | 
 
	 
	 
	34,488
	 
 
 | 
| 
 
	Unamortized
	debt discount - warrants
 
 | 
 
	 
	 
	(129,836
	)
 
 | 
| 
 
	Total
	convertible debt
 
 | 
 
	 
	$
	257,365
	 
 
 | 
 
	 
	Note 11 -
	Equity
	 
	On July 13, 2016,
	the Company amended its Certificate of Incorporation to increase
	the authorized shares of its common stock, $0.0001 par value, to
	100,000,000 shares from 9,000,000 shares and increase the
	authorized shares of its preferred stock, $0.0001 par value, to
	10,000,000 shares from 1,000,000 shares.
	 
	Common Stock
	At December 31,
	2018 and 2017, the Company had 17,704,925 and 12,042,574,
	respectively, of shares of its common stock issued and
	outstanding.
	 
	Voting
	Each holder of
	common stock has one vote for each share held.
	 
	 
	Stock Option Plan
	The Company’s
	board of directors and stockholders have adopted and approved the
	Amended and Restated 2014 Omnibus Equity Incentive Plan (the
	“2014 Plan”
	),
	which took effect on May 12, 2014. The 2014 Plan permits the
	Company to award stock options (both incentive stock options and
	non-qualified stock options), stock appreciation rights, restricted
	stock, restricted stock units, performance stock awards,
	performance unit awards, unrestricted stock awards, distribution
	equivalent rights to the Company’s officers, employees,
	directors, consultants and advisers. The maximum number of shares
	of common stock that may be issued pursuant to awards under the
	2014 Plan is ten percent (10%) of the issued and outstanding shares
	of the Company’s common stock on an “as
	converted” basis on a rolling basis. The “as
	converted” shares include all shares of the Company’s
	common stock and all shares of the Company’s common stock
	issuable upon the conversion of outstanding preferred stock and
	other convertible securities, but do not include any shares of
	common stock issuable upon the exercise of options and other
	convertible securities issued pursuant to the Plan. During the
	years ended December 31, 2018 and 2017, the Company granted 539,000
	and 545,000, respectively, of stock options under the 2014 Plan,
	see Note 13.
	 
	Series A Convertible Preferred Stock
	Pursuant to the SPA
	with the Protea Group, on June 13, 2014, the Company issued 100
	shares of Series A Convertible Preferred Stock (
	“Series A Preferred”
	). At
	December 31, 2018 and 2017, there were no Series A Preferred
	outstanding and all terms of the Series A Preferred are still in
	effect.
	 
	The terms of the
	Series A Preferred are described below:
	 
	Voting
	The Series A
	Preferred holders are entitled to vote, together with the holders
	of common stock as one class, on all matters to which holders of
	common stock shall be entitled to vote, in the same manner and with
	the same effect as the common stock holders with the same number of
	votes per share that equals the number of shares of common stock
	into which the Series A Preferred is convertible at the time of
	such vote.
	 
	Dividends
	The holders of the
	Series A Preferred shall be entitled to receive dividends, when,
	as, and if declared by the board of directors, ratably with any
	declaration or payment of any dividend on common stock. To date
	there have been no dividends declared or paid by the board of
	directors.
	 
	Liquidation
	The holders of the
	Series A Preferred shall be entitled to receive, before and in
	preference to, any distribution of any assets of the Company to the
	holders of common stock, an amount equal to $0.0001 per share, plus
	any declared but unpaid dividends. The liquidation preference as of
	December 31, 2018 and 2017 approximates par value.
	 
	Conversion
	The Series A
	Preferred was convertible into 33% of the issued and outstanding
	shares of common stock on a fully diluted basis, assuming the
	conversion, exercise, or exchange for shares of common stock of all
	convertible securities issued and outstanding immediately prior to
	such conversion, including the Series A Preferred stock, all
	outstanding warrants and options, and all outstanding convertible
	debt, notes, debentures, or any other securities which are
	convertible, exercisable, or exchangeable for shares of common
	stock. The Series A Preferred was convertible at the holder’s
	option any time commencing on the one-year anniversary of the
	initial issuance date. The Series A Preferred was subject to
	mandatory conversion at any time commencing on the one-year
	anniversary of the initial issuance date upon the vote or written
	consent by the holders of a majority of the Series A Preferred then
	outstanding or upon the occurrence of certain triggering events,
	including a public offering coupled with an equity-linked financing
	with an offering price that values the Company prior to
	consummation of such financing at not less than $12,000,000 and the
	aggregate gross proceeds to the Company (before deduction of
	underwriting discounts and registration expenses) are not less than
	$6,000,000. On November 11, 2015, the Company and the Protea Group
	agreed that the Series A Preferred would be convertible into
	2,439,365 shares of common stock. During the year ended December
	31, 2016, Protea Group converted 71 shares of Series A Preferred
	into 1,731,949 shares of common stock. As of December 31, 2016, all
	Series A Preferred has been converted into common
	stock.
	 
	 
	Beneficial Conversion
	The Series A
	Preferred was recorded at fair value when issued under purchase
	accounting for the purchase of the Company’s French
	subsidiary. As such, there was no intrinsic value that would result
	in a beneficial conversion feature at date of issuance. The Series
	A Preferred was voluntarily converted and there was no associated
	beneficial conversion.
	 
	 
	Restricted Stock
	During
	the year ended December 31, 2018, 494,067 shares of restricted
	common stock were granted or accrued to employees and consultants
	with a total value of $1,445,311. During the year ended December
	31, 2018, 5,000 shares of restricted common stock granted or
	accrued to employees and consultants were canceled with a total
	value of $15,200. During the year ended December 31, 2018, 435,235
	restricted shares of common stock vested with a value of
	$1,399,593. 120,000 of these shares with a value of $306,300 were
	issued and vested to the Company’s directors as a part of
	Board compensation. During the year ended December 31, 2018, 25,000
	of these shares valued at $106,250 vested due to the Company
	completing a Phase IIa clinical trial for MS1819-SD. During the
	year ended December 31, 2018, 133,833 of these shares valued at
	$497,602 vested due to the acceptance by the FDA of the
	Company’s IND application for MS1819-SD. The restricted
	common stock granted in the year ended December 31, 2018 have
	vesting terms ranging from immediately to three years or based on
	the Company achieving certain milestones as set forth
	below.
	 
	During
	the year ended December 31, 2017, 405,944 shares of restricted
	common stock were granted or accrued to employees and consultants
	with a total value of $1,582,915. During the year ended December
	31, 2017, 248,528 restricted shares of common stock vested with a
	value of $951,217 of which an aggregate of 115,000 shares with a
	value of $460,000 have been issued to the Company’s directors
	as a part of Board compensation.
	 
	As
	of December 31, 2018, the Company had unrecognized restricted
	common stock expense of $662,216. $382,028 of this unrecognized
	expense will be recognized over the average remaining vesting term
	of the restricted common stock of 2.24 years. $178,853 of this
	unrecognized expense vests upon the first CF patient doses with
	MS1819-SD anywhere in the world. $101,333 of this unrecognized
	expense vests upon the enrollment of the first 30 patients in a CF
	trial. Neither of these milestones are considered probable at
	December 31, 2018.
	 
	June 2017 Private Placement
	On June 5, 2017,
	the Company entered into Securities Purchase Agreements (the
	“Purchase
	Agreements”
	) with certain accredited investors
	(“
	Investors
	”),
	pursuant to which the Company issued an aggregate of 1,428,572
	units for $3.50 per unit, with each unit consisting of one share of
	common stock, one warrant to purchase 0.25 shares of common stock
	at $4.00 per share exercisable immediately through December 31,
	2017 (“
	Series A
	Warrant
	”), and one warrant to purchase 0.75 shares of
	common stock at $5.50 per share (“
	Series A-1 Warrant
	”) exercisable
	beginning six months from the date of issuance through June 5, 2022
	(together, “
	Units
	”) (the "
	Financing
	"). At closing of the June
	2017 Private Placement, the Company issued Units resulting in the
	issuance of an aggregate of 1,428,572 shares of common stock,
	Series A Warrants to purchase up to 357,144 shares of common stock,
	and Series A-1 Warrants to purchase up to 1,071,431 shares of
	common stock, resulting in gross proceeds of
	$5,000,000.
	 
	Placement agent
	fees of $350,475 were paid to Alexander Capital L.P.
	(“
	Alexander
	Capital
	”), based on the aggregate principal amount of
	the Units issued to certain investors identified by Alexander
	Capital (“
	Alexander
	Investors
	”), which amount includes both an 8%
	success fee and a 1% expense fee, and Series A-1 Warrants to
	purchase 77,950 shares of common stock were issued to Alexander
	Capital (the “
	Placement
	Agent Warrants
	”), reflecting warrants for that number
	of shares of common stock equal to 7% of the aggregate number of
	shares of common stock purchased by Alexander Investors. The
	Placement Agent Warrants are exercisable at a fixed price of $6.05
	per share beginning December 2, 2017 through June 5, 2022. The
	Company also incurred $4,000 in other fees associated with this
	placement. The placement agent and other fees are netted against
	the proceeds in the Consolidated Statements of Changes in
	Stockholders' Equity.
	 
	 
	 
	 
	On June 20, 2017,
	the Company and Investors executed an amendment to the Purchase
	Agreements to authorize the Company to issue up to $400,000 of
	additional Units, and on July 5, 2017, the Company issued
	additional Units resulting in gross proceeds of $400,000
	(“
	Subsequent
	Closing
	”). Placement agent fees of $36,000 were paid
	to Alexander Capital, as well as additional Placement Agent
	Warrants to purchase 5,760 shares of common stock. In connection
	with the Subsequent Closing, the Company issued 114,283 shares of
	common stock and Series A and A-1 Warrants to purchase 28,572 and
	85,715 shares, respectively. The placement agent fees are netted
	against the proceeds in the Consolidated Statements of Changes in
	Stockholders' Equity.
	 
	The Company also
	entered into a Registration Rights Agreement granting the Investors
	certain registration rights with respect to the shares of common
	stock issued in connection with the June 2017 Private Placement, as
	well as the shares of common stock issuable upon exercise of the
	Series A Warrants and Series A-1 Warrants. All of these shares have
	been registered pursuant to the registration statement on Form S-1
	declared effective by SEC on August 11, 2017.
	 
	Note
	12 - Warrants
	 
	Stock warrant
	transactions for the period January 1, 2017 through December 31,
	2018 were as follows:
	 
| 
 
	 
 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
| 
 
	Warrants outstanding and exercisable at January 1,
	2017
 
 | 
 
	 
	 
	1,858,340
	 
 
 | 
 
	 
	$
	4.76 - $7.37
	 
 
 | 
 
	 
	$
	5.66
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Granted
	during the period
 
 | 
 
	 
	 
	2,205,080
	 
 
 | 
 
	 
	$
	3.17 - $6.50
	 
 
 | 
 
	 
	$
	5.02
	 
 
 | 
| 
 
	Expired
	during the period
 
 | 
 
	 
	 
	(263,607
	)
 
 | 
 
	 
	$
	4.00
	 
 
 | 
 
	 
	$
	4.00
	 
 
 | 
| 
 
	Exercised
	during the period
 
 | 
 
	 
	 
	(428,428
	)
 
 | 
 
	 
	$
	2.50
	 
 
 | 
 
	 
	$
	2.50
	 
 
 | 
| 
 
	Warrants outstanding and exercisable at December 31,
	2017
 
 | 
 
	 
	 
	3,371,385
	 
 
 | 
 
	 
	$
	3.17 - $7.37
	 
 
 | 
 
	 
	$
	5.28
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Warrants outstanding and exercisable at January 1,
	2018
 
 | 
 
	 
	 
	3,371,385
	 
 
 | 
 
	 
	$
	3.17 - $7.37
	 
 
 | 
 
	 
	$
	5.28
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Granted
	during the period
 
 | 
 
	 
	 
	244,400
	 
 
 | 
 
	 
	$
	2.55 - $2.75
	 
 
 | 
 
	 
	$
	2.58
	 
 
 | 
| 
 
	Expired
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
| 
 
	Exercised
	during the period
 
 | 
 
	 
	 
	(503,070
	)
 
 | 
 
	 
	$
	2.50
	 
 
 | 
 
	 
	$
	2.50
	 
 
 | 
| 
 
	Warrants outstanding and exercisable at December 31,
	2018
 
 | 
 
	 
	 
	3,112,715
	 
 
 | 
 
	 
	$
	2.55 - $7.37
	 
 
 | 
 
	 
	$
	4.83
	 
 
 | 
 
	 
| 
 | 
 | 
 | 
 
	Weighted
 
 | 
| 
 | 
 | 
 | 
 
	Average
 
 | 
| 
 | 
 | 
 | 
 
	Exercise Price
 
 | 
| 
 
	 
	$
	2.55 - $3.99
	 
 
 | 
 
	 
	 
	881,372
	 
 
 | 
 
	 
	 
	3.60
	 
 
 | 
 
	 
 
 | 
| 
 
	 
	$
	4.00 - $4.99
	 
 
 | 
 
	 
	 
	196,632
	 
 
 | 
 
	 
	 
	3.01
	 
 
 | 
 
	 
 
 | 
| 
 
	 
	$
	5.00 - $5.99
	 
 
 | 
 
	 
	 
	1,815,041
	 
 
 | 
 
	 
	 
	2.96
	 
 
 | 
 
	 
 
 | 
| 
 
	 
	$
	6.00 - $6.99
	 
 
 | 
 
	 
	 
	187,750
	 
 
 | 
 
	 
	 
	2.76
	 
 
 | 
 
	 
 
 | 
| 
 
	 
	$
	7.00 - $7.37
	 
 
 | 
 
	 
	 
	31,920
	 
 
 | 
 
	 
	 
	1.96
	 
 
 | 
 | 
| 
 
	Total
 
 
 | 
 
	 
	 
	3,112,715
	 
 
 | 
 
	 
	 
	3.12
	 
 
 | 
 
	$4.83
 
 | 
 
	 
	Certain
	Company warrants were expiring December 31, 2017. The Company
	offered the holders of these warrants the opportunity to exercise
	their warrants at a reduced strike price of $2.50, and if so
	elected, would also have the opportunity to exercise other warrants
	that they held at $2.50 and/or reprice other warrants that they
	continue to hold unexercised to $3.25. The offer, which was
	effective December 28, 2017, was for the repricing only and did not
	modify the life of the warrants. Warrant holders of approximately
	428,000 shares exercised their warrants and had other warrants
	modified on approximately 226,000 shares, resulting in a charge of
	approximately $398,000 in December 2017. At December 31, 2017, the
	Company recorded stock subscriptions receivable and common stock
	subscribed in the amount of $1,071,070 which are netted against
	each other within equity.
	 
	 
	 
	In
	addition, in January 2018, the Company offered other warrant
	holders the opportunity to exercise their warrants at a reduced
	strike price of $2.50, and if so elected, would also have the
	opportunity to reprice other warrants that they continued to hold
	unexercised to $3.25. The offer, which was effective January 12,
	2018, was for the repricing only and did not modify the life of the
	warrants. Warrant holders of approximately 503,000 shares exercised
	their warrants and had other warrants modified on approximately
	197,000 shares, which resulted in a charge of approximately
	$429,000 in January 2018.
	 
	All
	cash proceeds on the exercise of the warrants and related stock
	issuances occurred in January 2018 and amounted to approximately
	$2,300,000.
	 
	During
	the year ended December 31, 2018, 244,400 warrants were issued to
	investment bankers in association with the May 2018 Public Offering
	with a value of $416,426.
	 
	During the year ended December 31, 2017, 250,000
	fully vested warrants were issued
	to consultants with a value of $538,945. These
	amounts were earned and expensed as G&A expenses in the year
	ended December 31, 2017.
	 
	During the year ended December 31, 2017,
	1,542,858
	 
	warrants
	were issued in association with the June 2017 Private Placement of
	the Company’s common stock with a value of $2,503,673, which
	had no effect on expenses or stockholders’
	equity.
	 
	During the year ended December 31, 2017,
	83,710
	 
	warrants were issued to investment bankers
	in association with the June 2017
	Private Placement of the Company’s common stock that vested
	immediately with a value of $154,529, which
	had no effect on expenses or stockholders’
	equity.
	 
	The
	weighted average fair value of warrants granted to non-employees
	during the years ended December 31, 2018 and 2017 was $1.70 and
	$2.16, respectively. The fair values were estimated on the grant
	dates using the Black-Scholes option-pricing model with the
	following weighted-average assumptions:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Expected
	life (in years)
 
 | 
 
	 
	 
	5
	 
 
 | 
 
	 
	 
	5
	 
 
 | 
| 
 
	Volatility
 
 | 
 
	 
	 
	84
	%
 
 | 
 
	 
	 
	73 - 90
	%
 
 | 
| 
 
	Risk-free
	interest rate
 
 | 
 
	 
	 
	2.70
	%
 
 | 
 
	 
	 
	1.82% - 2.05
	%
 
 | 
| 
 
	Dividend
	yield
 
 | 
 
	 
	 
	-
	%
 
 | 
 
	 
	 
	-
	%
 
 | 
 
	 
	The expected term
	of the warrants is based on the actual term of the warrants.
	Volatility is based on the historical volatility of several public
	entities that are similar to the Company. The Company bases
	volatility this way because it does not have sufficient historical
	transactions in its own shares on which to solely base expected
	volatility. The risk-free interest rate is based on the U.S.
	Treasury rates at the date of grant with maturity dates
	approximately equal to the expected term at the grant date. The
	Company has not historically declared any dividends and does not
	expect to in the future.
	 
	Note
	13 - Stock-Based Compensation Plan
	 
	Under
	the 2014 Plan, the fair value of options granted is estimated on
	the grant date using the Black-Scholes option valuation model. This
	valuation model for stock-based compensation expense requires the
	Company to make assumptions and judgments about the variables used
	in the calculation, including the expected term (weighted-average
	period of time that the options granted are expected to be
	outstanding), the volatility of the common stock price and the
	assumed risk-free interest rate. The Company recognizes stock-based
	compensation expense for only those shares expected to vest over
	the requisite service period of the award. No compensation cost is
	recorded for options that do not vest and the compensation cost
	from vested options, whether forfeited or not, is not
	reversed.
	 
	 
	 
	During
	the year ended December 31, 2018, 539,000 stock options were
	granted with an exercise price of $3.04 and a term of five years.
	600,750 options vested in the year ended December 31, 2018 having a
	fair value of $1,441,475. 88,750 of these shares valued at $219,913
	vested due to the Company completing a Phase IIa clinical trial for
	MS1819-SD. 482,000 of these shares valued at $1,105,491 vested due
	to the FDA acceptance of the Company’s IND application for
	MS1819-SD. 90,000 stock options were canceled with exercise prices
	ranging from of $3.04 to $3.60. The weighted average fair value of
	stock options granted to employees during the year ended December
	31, 2018 was $2.07.
	 
	During
	the year ended December 31, 2017, 545,000 stock options were
	granted with exercise prices ranging from $3.60 to $4.48 and lives
	ranging from five to ten years. 157,500 options vested in the year
	ended December 31, 2017 having a fair value of $609,369. The
	weighted average fair value of stock options granted to employees
	during the year ended December 31, 2017 was $2.96.
	 
	The
	fair values were estimated on the grant dates using the
	Black-Scholes option-pricing model with the following
	weighted-average assumptions:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Expected
	life (in years)
 
 | 
 
	 
	 
	5
	 
 
 | 
 
	 
	 
	5 - 10
	 
 
 | 
| 
 
	Volatility
 
 | 
 
	 
	 
	85
	%
 
 | 
 
	 
	 
	71% - 90
	%
 
 | 
| 
 
	Risk-free
	interest rate
 
 | 
 
	 
	 
	2.82
	%
 
 | 
 
	 
	 
	1.78% - 2.48
	%
 
 | 
| 
 
	Dividend
	yield
 
 | 
 
	 
	 
	-
	%
 
 | 
 
	 
	 
	-
	%
 
 | 
 
	 
	The expected term
	of the options is based on expected future employee exercise
	behavior. Volatility is based on the historical volatility of
	several public entities that are similar to the Company. The
	Company bases volatility this way because it does not have
	sufficient historical transactions in its own shares on which to
	solely base expected volatility. The risk-free interest rate is
	based on the U.S. Treasury rates at the date of grant with maturity
	dates approximately equal to the expected term at the grant date.
	The Company has not historically declared any dividends and does
	not expect to in the future.
	 
	The
	Company realized no income tax benefit from stock option exercises
	in each of the periods presented due to recurring losses and
	valuation allowances.
	 
	 
	 
	 
	Stock
	option activity under the 2014 Plan is as follows:
	 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
 | 
 | 
| 
 
	Stock options outstanding at January 1, 2017
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 | 
 | 
| 
 
	Granted
	during the period
 
 | 
 
	 
	 
	545,000
	 
 
 | 
 
	 
	$
	4.05
	 
 
 | 
 
	 
	 
	7.13
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Expired
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Exercised
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Stock options outstanding at December 31, 2017
 
 | 
 
	 
	 
	545,000
	 
 
 | 
 
	 
	$
	4.05
	 
 
 | 
 
	 
	 
	7.13
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Exercisable at December 31, 2017
 
 | 
 
	 
	 
	157,500
	 
 
 | 
 
	 
	$
	4.48
	 
 
 | 
 
	 
	 
	9.10
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Non-vested stock options outstanding at January 1,
	2017
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Granted
	during the period
 
 | 
 
	 
	 
	387,500
	 
 
 | 
 
	 
	$
	3.89
	 
 
 | 
 
	 
	 
	6.39
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Expired
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Exercised
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Non-vested stock options outstanding at December 31,
	2017
 
 | 
 
	 
	 
	387,500
	 
 
 | 
 
	 
	$
	3.89
	 
 
 | 
 
	 
	 
	6.39
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
| 
 
	Stock options outstanding at January 1, 2018
 
 | 
 
	 
	 
	545,000
	 
 
 | 
 
	 
	$
	4.05
	 
 
 | 
 
	 
	 
	7.13
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Granted
	during the period
 
 | 
 
	 
	 
	539,000
	 
 
 | 
 
	 
	$
	3.04
	 
 
 | 
 
	 
	 
	5.00
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Expired
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Canceled
	during the period
 
 | 
 
	 
	 
	(90,000
	)
 
 | 
 
	 
	$
	3.26
	 
 
 | 
 
	 
	 
	4.41
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Exercised
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Stock options outstanding at December 31, 2018
 
 | 
 
	 
	 
	994,000
	 
 
 | 
 
	 
	$
	3.58
	 
 
 | 
 
	 
	 
	5.42
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Exercisable at December 31, 2018
 
 | 
 
	 
	 
	749,500
	 
 
 | 
 
	 
	$
	3.74
	 
 
 | 
 
	 
	 
	5.71
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Non-vested stock options outstanding at January 1,
	2018
 
 | 
 
	 
	 
	387,500
	 
 
 | 
 
	 
	$
	3.89
	 
 
 | 
 
	 
	 
	6.39
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Granted
	during the period
 
 | 
 
	 
	 
	539,000
	 
 
 | 
 
	 
	$
	3.04
	 
 
 | 
 
	 
	 
	5.00
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Vested
	during the period
 
 | 
 
	 
	 
	(600,750
	)
 
 | 
 
	 
	$
	3.50
	 
 
 | 
 
	 
	 
	5.00
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Expired
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Canceled
	during the period
 
 | 
 
	 
	 
	(81,250
	)
 
 | 
 
	 
	$
	3.26
	 
 
 | 
 
	 
	 
	4.41
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
| 
 
	Exercised
	during the period
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	-
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	Non-vested stock options outstanding at December 31,
	2018
 
 | 
 
	 
	 
	244,500
	 
 
 | 
 
	 
	$
	3.05
	 
 
 | 
 
	 
	 
	4.53
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	471,764
	shares of common stock were available for future issuance under the
	2014 Plan as of December 31, 2018.
	 
	 
	 
	As
	of December 31, 2018, the Company had unrecognized stock-based
	compensation expense of $511,335. $9,669 of this unrecognized
	expense will be recognized over the average remaining vesting term
	of the options of 0.10 years. $501,666 of this unrecognized expense
	vests upon the first CF patient doses with MS1819-SD anywhere in
	the world. This milestone is not considered probable at December
	31, 2018.
	 
	Note 14 - Interest Expense
	 
	During the years
	ended December 31, 2018 and 2017, the Company incurred $101,846 and
	$875,199, respectively, of interest expense. During the years ended
	December 31, 2018 and 2017, $97,837 and $871,051, respectively, of
	these amounts was in connection with the convertible notes issued
	by the Company in the form of accretion of original issue debt
	discount, amortization of debt discount related to the warrants,
	and beneficial conversion feature. During the years ended December
	31, 2018 and 2017, the Company also incurred $4,010 and $4,148,
	respectively, of miscellaneous interest expense.
	Note
	15 - Agreements
	 
	Mayoly Agreement
	On March 22, 2010,
	ProteaBio Europe SAS entered into a joint research and development
	agreement (the
	“JDLA”
	) with Laboratoires
	Mayoly Spindler SAS
	(“Mayoly”
	) with no
	consideration exchanged, pursuant to which Mayoly sublicensed
	certain of its exclusive rights to a genetically engineered yeast
	strain cell line on which MS1819-SD is based that derive from a
	Usage and Cross-Licensing Agreement dated February 2, 2006 (the
	“INRA
	Agreement”
	) between Mayoly and INRA TRANSFERT, a
	subsidiary of the National Institute for Agricultural Research
	(“INRA”
	) in
	charge of patent management acting for and on behalf of the
	National Centre of Scientific Research
	(“CNRS”
	) and
	INRA.
	 
	Effective January
	1, 2014, ProteaBio Europe SAS entered into an amended and restated
	joint research and development agreement with Mayoly (the
	“Mayoly
	Agreement”
	) with no consideration exchanged, pursuant
	to which the ProteaBio Europe SAS acquired the exclusive right,
	with the right to sublicense, to commercialize human
	pharmaceuticals based on the MS1819-SD lipase within the following
	territories: U.S. and Canada, South America (excluding Brazil),
	Asia (excluding China and Japan), Australia, New Zealand and
	Israel. Rights to the following territories are held jointly with
	Mayoly: Brazil, Italy, Portugal, Spain, China and Japan. The Mayoly
	Agreement requires the ProteaBio Europe SAS to pay 70% of all
	development costs and requires each of the parties to use
	reasonable efforts to:
	 
	●
	devote sufficient
	personnel and facilities required for the performance of its
	assigned tasks;
 
 
	●
	make available
	appropriately qualified personnel to supervise, analyze and report
	on the results obtained in the furtherance of the development
	program; and
 
 
	●
	deploy such
	scientific, technical, financial and other resources as is
	necessary to conduct the development program.
 
 
	 
	During the years
	ended December 31, 2018 and 2017, the Company was reimbursed
	$1,000,889 and $785,509, respectively, from Mayoly under the Mayoly
	Agreement.
	 
	The Mayoly
	Agreement grants the ProteaBio Europe SAS the right to cure any
	breach by Mayoly of its obligations under the INRA agreement. In
	connection with the acquisition of ProteaBio Europe, ProteaBio
	Europe SAS, with the consent of INRA and CNRS, assigned all of it
	rights, title and interest in and to the Mayoly Agreement to the
	AzurRx SAS.
	 
	The Mayoly
	Agreement includes a €1,000,000 payment due to Mayoly upon
	the U.S. FDA approval of MS1819-SD. At this time, based on
	management’s assessment of ASC Topic 450, Contingencies, the
	Company has not recorded any contingent liability related to this
	payment. See Note 21 - Subsequent Events for a description of the
	Asset Purchase Agreement executed by the Company and Mayoly in
	March 2019, which agreement terminated the JDLA.
	 
	 
	 
	INRA
	Agreement
	In February 2006,
	Mayoly and INRA TRANSFERT, on behalf of INRA and CNRS, entered into
	a Usage and Cross-Licensing Agreement granting Mayoly exclusive
	worldwide rights to exploit Yarrowia lipolytica and other lipase
	proteins based on their patents for use in humans. The INRA
	Agreement provides for the payment by Mayoly of royalties on net
	sales, subject to Mayoly’s right to terminate such obligation
	upon the payment of a lump sum specified in the agreement. See Note
	21 - Subsequent Events for a description of the Asset Purchase
	Agreement executed by the Company and Mayoly in March 2019,
	pursuant to which the INRA Agreement was transferred from us to
	Mayoly.
	 
	TransChem Sublicense
	On August 7, 2017,
	the Company entered into a Sublicense Agreement with TransChem,
	Inc.
	(“TransChem”
	), pursuant to
	which TransChem granted the Company an exclusive license to patents
	and patent applications relating to Helicobacter pylori
	5’methylthioadenosine nucleosidase inhibitors (the
	“Licensed
	Patents”
	) currently held by TransChem (the
	“Sublicense
	Agreement”
	). The Company may terminate the Sublicense
	Agreement and the licenses granted therein for any reason and
	without further liability on 60 days’ notice. Unless
	terminated earlier, the Sublicense Agreement will expire upon the
	expiration of the last Licensed Patents. Upon execution, the
	Company paid an upfront fee to TransChem and agreed to reimburse
	TransChem for certain expenses previously incurred in connection
	with the preparation, filing, and maintenance of the Licensed
	Patents. The Company also agreed to pay TransChem certain future
	periodic sublicense maintenance fees, which fees may be credited
	against future royalties. The Company may also be required to pay
	TransChem additional payments and royalties in the event certain
	performance-based milestones and commercial sales involving the
	Licensed Patents are achieved. The Licensed Patents will allow the
	Company to develop compounds for treating gastrointestinal, lung
	and other infections which are specific to individual bacterial
	species. H.pylori bacterial infections are a major cause of chronic
	gastritis, peptic ulcer disease, gastric cancer and other diseases.
	Amounts paid under this Sublicense Agreement during the years ended
	December 31, 2018 and 2017 are $136,880 and $226,880, respectively,
	and are included in R & D expense.
	 
	Employment Agreements
	 
	Johan (Thijs) Spoor
	 
	On January 3, 2016,
	the Company entered into an employment agreement with its President
	and Chief Executive Officer, Johan Spoor. The employment agreement
	provides for a term expiring January 2, 2019. Either party may
	terminate Mr. Spoor’s employment at any time and for any
	reason, or for no reason. During the term and for a period of
	twelve (12) months thereafter, Mr. Spoor shall not engage in
	competition with the Company either directly or indirectly, in any
	manner or capacity.
	 
	The Company will
	pay Mr. Spoor a base salary of $350,000 per year, which
	automatically increased to $425,000 per year upon the consummation
	of the IPO which occurred on October 11, 2016. At the sole
	discretion of the board of directors or the compensation committee
	of the board, following each calendar year of employment, Mr. Spoor
	shall be eligible to receive an additional cash bonus based on his
	attainment of certain financial, clinical development, and/or
	business milestones to be established annually by the board of
	directors or the compensation committee.
	 
	In addition,
	subject to any required consents from third parties, Mr. Spoor
	shall be granted 100,000 shares of restricted common stock, which
	are to be issued as follows: (i) 50,000 restricted shares upon the
	first commercial sale in the United States of MS1819-SD, and (ii)
	50,000 restricted shares upon the total market capitalization of
	the Company exceeding $1 billion dollars for 20 consecutive trading
	days, in each case subject to the earlier determination of a
	majority of the board of directors. In the event of a Change of
	Control (as defined in the agreement), all of the restricted shares
	shall vest in full. The estimated fair value at the date of grant
	was $210,000 and this amount was expensed in 2016.
	 
	Subject to any
	required consents from third parties, Mr. Spoor shall also be
	entitled to 380,000 10-year stock options pursuant to the 2014
	Plan, which options shall vest as follows so long as Mr. Spoor is
	serving as Chief Executive Officer or President at such time: (i)
	100,000 of such stock options shall vest upon consummation of the
	IPO, (ii) 50,000 of such stock options shall vest upon the Company
	initiating a Phase II clinical trial in the United States for
	MS1819-SD (i.e., upon the first individual enrolled in the trial),
	(iii) 50,000 of such stock options shall vest upon the Company
	completing a Phase II clinical trial in the United States for
	MS1819-SD, (iv) 100,000 of such stock options shall vest upon the
	Company initiating a Phase III clinical trial in the United States
	for MS1819-SD, (v) 50,000 of such stock options shall vest upon the
	Company initiating a Phase I clinical trial in the United States
	for any product other than MS1819-SD, and (vi) 30,000 of such stock
	options shall vest upon the determination of a majority of the
	board of directors.
	 
	 
	 
	On June 8, 2016,
	the board of directors clarified Mr. Spoor’s agreement as
	follows: the 380,000 options described have neither been granted
	nor priced since certain key provisions, particularly the
	underlying exercise price, have not been determined. The options
	will be granted at a future date to be determined by the board of
	directors, and the options will be priced at that future date when
	they are granted. In the first quarter of 2017, 100,000 options
	having a value of $386,900 were granted and expensed.
	 
	On September 29,
	2017, Mr. Spoor was granted 100,000 shares of restricted common
	stock subject to vesting conditions as follows: (i) 75% upon FDA
	acceptance of a U.S. IND application for MS1819-SD, and (ii) 25%
	upon the Company completing a Phase IIa clinical trial for
	MS1819-SD, in satisfaction of the Company’s obligation to
	issue the additional 280,000 options to Mr. Spoor described above,
	with an estimated fair value at the grant date of $425,000. All of
	these shares vested and the $425,000 was expensed in 2018 due to
	the Company completing both milestones listed above in
	2018.
	 
	On June 28, 2018,
	Mr. Spoor was granted 200,000 shares of restricted common stock
	subject to vesting conditions as follows: (i) 50% shall vest in
	three equal installments beginning one year from the date of
	issuance, and (ii) the remaining 50% shall vest as follows:
	one-third shall vest upon U.S. acceptance of IND for MS1819-SD,
	one-third upon the first dosing of a CF patient with MS1819-SD
	anywhere in the world, and the remaining one-third upon enrollment
	of the first 30 patients in a CF trial. These restricted shares had
	an estimated fair value at the grant date of $608,000 to be
	expensed when the above milestones are probable. 16,667 of these
	shares vested and $50,667 was expensed in 2018 due to being earned
	over time in 2018. 33,333 of these shares vested and $101,332 was
	expensed in 2018 due to the FDA acceptance of the Company’s
	IND application for MS1819-SD in 2018.
	 
	If the Company
	terminates Mr. Spoor’s employment other than for cause, or he
	terminates for good reason, as both terms are defined in the
	agreement, the Company will pay him twelve (12) months of his base
	salary as severance. If the Company terminates Mr. Spoor’s
	employment other than for cause, or he terminates for good reason,
	in connection with a Change of Control, the Company will pay him
	eighteen (18) months of his base salary in lump sum as
	severance.
	 
	On September 29,
	2017, the Board approved a 2016 annual incentive bonus equal to 40%
	of Mr. Spoor’s current base salary pursuant to his employment
	agreement in the amount of $170,000.
	 
	On June 28, 2018,
	the Board approved a 2017 annual incentive bonus pursuant to his
	employment agreement in the amount of $212,500.
	 
	Maged Shenouda
	 
	On September 26,
	2017, the Company entered into an employment agreement with Maged
	Shenouda, a member of the Company’s Board of Directors,
	pursuant to which Mr. Shenouda serves as the Company’s Chief
	Financial Officer. Mr. Shenouda’s employment agreement
	provides for the issuance of stock options to purchase 100,000
	shares of the Company’s common stock, issuable pursuant to
	the 2014 Plan. These options will vest as follows so long as Mr.
	Shenouda is serving as either Executive Vice-President of Corporate
	Development or as Chief Financial Officer (i) 75% upon FDA
	acceptance of a U.S. IND application for MS1819-SD, and (ii) 25%
	upon the Company completing a Phase IIa clinical trial for
	MS1819-SD. The option is exercisable for $4.39 per share and will
	expire on September 25, 2027. All of these shares vested and the
	$336,500 was expensed in 2018 due to the Company completing both
	milestones listed above in 2018.
	 
	On June 28, 2018,
	Mr. Shenouda was granted stock options to purchase 100,000 shares
	of the Company’s common stock, issuable pursuant to the 2014
	Plan, subject to vesting conditions as follows: (i) 50% upon U.S.
	acceptance of an IND for MS1819-SD, and (ii) 50% upon the first CF
	patient doses with MS1819-SD anywhere in the world. These options
	had an estimated fair value at the grant date of $207,300 to be
	expensed when the above milestones are probable. 50,000 of these
	options vested and $103,650 was expensed in 2018 due to the FDA
	acceptance of the Company’s IND application for MS1819-SD in
	2018.
	 
	On June 28, 2018,
	the Board approved a 2017 annual incentive bonus pursuant to his
	employment agreement in the amount of $82,500.
	 
	 
	 
	Dr. James E. Pennington
	 
	On May 28, 2018,
	the Company entered into an employment agreement with Dr.
	Pennington to serve as the Company’s Chief Medical Officer.
	The employment agreement with Dr. Pennington provides for a base
	annual salary of $250,000. In addition to his salary, Dr.
	Pennington is eligible to receive an annual milestone bonus,
	awarded at the sole discretion of the Board based on his attainment
	of certain financial, clinical development, and/or business
	milestones established annually by the Board or Compensation
	Committee. The employment agreement is terminable by either party
	at any time. In the event of termination by the Company other than
	for cause, Dr. Pennington is entitled to three months’
	severance payable over such period. In the event of termination by
	the Company other than for cause in connection with a Change of
	Control, Dr. Pennington will receive six months’ severance
	payable over such period.
	 
	On June 28, 2018,
	Mr. Pennington was granted stock options to purchase 75,000 shares
	of the Company’s common stock, issuable pursuant to the 2014
	Plan, subject to vesting conditions as follows: (i) 50% upon U.S.
	acceptance of an IND for MS1819-SD, and (ii) 50% upon the first CF
	patient doses with MS1819-SD anywhere in the world. These options
	had an estimated fair value at the grant date of $155,475 to be
	expensed when the above milestones are probable. 37,500 of these
	options vested and $77,738 was expensed in 2018 due to the FDA
	acceptance of the Company’s IND application for MS1819-SD in
	2018.
	 
	Note
	16 - Leases
	 
	The Company leases
	its office and research facilities under operating leases which are
	subject to various rent provisions and escalation clauses expiring
	at various dates through 2020. The escalation clauses are
	indeterminable and considered not material and have been excluded
	from minimum future annual rental payments. Rental expense, which
	is calculated on a straight-line basis, amounted to $147,051 and
	$123,735, respectively, in the years ended December 31, 2018 and
	2017.
	 
	Minimum future
	annual rental payments are as follows:
	 
| 
 
	2019
 
 | 
 
	 
	$
	201,370
	 
 
 | 
| 
 
	2020
 
 | 
 
	 
	$
	153,017
	 
 
 | 
 
	 
	Note
	17 - Income Taxes
	 
	The Company is
	subject to taxation at the federal level in both the United States
	and France and at the state level in the United States. At December
	31, 2018 and 2017, the Company had no tax provision for either
	jurisdictions.
	 
	The Tax Cuts and
	Jobs Act of 2017 (the
	“2017
	Tax Act”
	), which was signed into law on December 22,
	2017, has resulted in significant changes to the U.S. corporate
	income tax system. These changes include a federal statutory rate
	reduction from 35% to 21% and the elimination or reduction in the
	deductibility of certain credits and limitations, such as net
	operating losses, interest expense, and executive compensation. The
	federal statutory rate reduction takes effect on January 1, 2018.
	As a result of the reduction of federal corporate income tax rates,
	the Company has estimated a material reduction of $2,240,000 to its
	deferred tax assets. However, consistent with 2016, its deferred
	tax assets continue to be fully offset by a valuation allowance in
	2017 as the Company cannot currently conclude that it is more
	likely than not that the remaining deferred tax assets will be
	utilized. Consequently, although the future potential benefit from
	its deferred tax assets has been materially reduced by the
	reduction of federal corporate income tax rates, there was no
	effect on its 2017 Consolidated Statement of
	Operations.
	 
	At December 31,
	2018 and 2017, the Company had gross deferred tax assets of
	approximately $12,490,000 and $9,918,000, respectively. As the
	Company cannot determine that it is more likely than not that the
	Company will realize the benefit of the deferred tax asset, a
	valuation allowance of approximately $12,490,000 and $9,918,000,
	respectively, has been established at December 31, 2018 and 2017.
	The change in the valuation allowance in 2018 and 2017 was
	$2,572,000 and $2,043,000, respectively.
	 
	 
	 
	The significant
	components of the Company’s net deferred tax assets consisted
	of:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Gross
	deferred tax assets:
 
 | 
 | 
 | 
| 
 
	   Net
	operating loss carry-forwards
 
 | 
 
	 
	$
	12,019,000
	 
 
 | 
 
	 
	$
	8,848,000
	 
 
 | 
| 
 
	   Temporary
	differences:
 
 | 
 
	 
	 
	 
	 
 
 | 
 
	 
	 
	 
	 
 
 | 
| 
 
	        Stock
	compensation
 
 | 
 
	 
	 
	303,000
	 
 
 | 
 
	 
	 
	128,000
	 
 
 | 
| 
 
	        Accruals
 
 | 
 
	 
	 
	124,000
	 
 
 | 
 
	 
	 
	913,000
	 
 
 | 
| 
 
	        Other
 
 | 
 
	 
	 
	44,000
	 
 
 | 
 
	 
	 
	29,000
	 
 
 | 
| 
 
	   Deferred
	tax asset valuation allowance
 
 | 
 
	 
	 
	(12,490,000
	)
 
 | 
 
	 
	 
	(9,918,000
	)
 
 | 
| 
 
	Net
	deferred tax asset
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	$
	-
	 
 
 | 
 
	 
	Income taxes
	computed using the federal statutory income tax rate differs from
	the Company’s effective tax rate primarily due to the
	following:
	 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	 
 
 | 
 | 
 | 
| 
 
	Income
	taxes benefit (expense) at statutory rate
 
 | 
 
	 
	 
	21
	%
 
 | 
 
	 
	 
	34
	%
 
 | 
| 
 
	State
	income tax
 
 | 
 
	 
	 
	14
	%
 
 | 
 
	 
	 
	11
	%
 
 | 
| 
 
	Non-deductible
	expenses
 
 | 
 
	 
	 
	(6
	%)
 
 | 
 
	 
	 
	(19
	%)
 
 | 
| 
 
	Change
	in valuation allowance
 
 | 
 
	 
	 
	(29
	%)
 
 | 
 
	 
	 
	(26
	%)
 
 | 
| 
 
	 
 
 | 
 
	 
	 
	0
	%
 
 | 
 
	 
	 
	0
	%
 
 | 
 
	 
	At December 31,
	2018, the Company has gross net operating loss (“
	NOL
	”) carry-forwards for U.S.
	federal and state income tax purposes of approximately $21,445,000
	and $21,520,000, respectively. The NOL’s expire between the
	years 2034 and 2038. The Company’s ability to use its NOL
	carryforwards may be limited if it experiences an “ownership
	change” as defined in Section 382 (“
	Section 382
	”) of the Internal
	Revenue Code of 1986, as amended. An ownership change generally
	occurs if certain stockholders increase their aggregate percentage
	ownership of a corporation’s stock by more than 50 percentage
	points over their lowest percentage ownership at any time during
	the testing period, which is generally the three-year period
	preceding any potential ownership change.
	 
	At December 31,
	2018 and 2017, the Company had approximately $15,406,000 and
	$12,374,000, respectively, in net operating losses which it can
	carryforward indefinitely to offset against future French
	income.
	 
	At December 31,
	2018 and 2017, the Company had taken no uncertain tax positions
	that would require disclosure under ASC 740, Accounting for Income
	Taxes.
	 
	Note
	18 - Net Loss per Common Share
	 
	Basic net loss per
	share is computed by dividing net loss available to common
	shareholders by the weighted average number of common shares
	outstanding during the period. Diluted earnings per share reflect,
	in periods in which they have a dilutive effect, the impact of
	common shares issuable upon exercise of stock options and warrants
	and conversion of convertible debt that are not deemed to be
	anti-dilutive. The dilutive effect of the outstanding stock options
	and warrants is computed using the treasury stock
	method.
	 
	At December 31,
	2018, diluted net loss per share did not include the effect of
	3,112,715 shares of common stock issuable upon the exercise of
	outstanding warrants, 416,000 shares of restricted stock not yet
	issued, and 994,000 shares of common stock issuable upon the
	exercise of outstanding options as their effect would be
	antidilutive during the periods prior to conversion.
	 
	At December 31,
	2017, diluted net loss per share did not include the effect of
	3,371,385 shares of common stock issuable upon the exercise of
	outstanding warrants, 545,000 shares of common stock issuable upon
	the exercise of outstanding options, 185,000 shares of restricted
	stock not yet issued, and 100,000 shares of common stock issuable
	upon the conversion of convertible debt as their effect would be
	antidilutive during the periods prior to conversion.
	 
	 
	Note
	19 - Related Party Transactions
	 
	During the year
	ended December 31, 2015, the Company employed the services of JIST
	Consulting (“
	JIST
	”), a company controlled by
	Johan (Thijs) Spoor, the Company’s current Chief Executive
	Officer and president, as a consultant for business strategy,
	financial modeling, and fundraising. Included in accounts payable
	at both December 31, 2018 and 2017 is $478,400 for JIST relating to
	Mr. Spoor’s services. Mr. Spoor received no other
	compensation from the Company other than as specified in his
	employment agreement.
	 
	During the year
	ended December 31, 2015, the Company's President, Christine
	Rigby-Hutton, was employed through Rigby-Hutton Management Services
	(“
	RHMS
	”). Ms.
	Rigby-Hutton resigned from the Company effective April 20, 2015.
	Included in accounts payable at both December 31, 2018 and 2017 is
	$38,453 for RHMS for Ms. Rigby-Hutton’s
	services.
	 
	From October 1,
	2015 through December 31, 2015, the Company used the services of
	Edward Borkowski, a member of the Company’s Board of
	Directors and Audit Committee Chair, as a financial consultant.
	Included in accounts payable at December 31, 2018 and 2017 is $0
	and $90,000, respectively, for Mr. Borkowski’s
	services.
	 
	Starting on October
	1, 2016 until his appointment as the Company’s Chief
	Financial Officer on September 25, 2017, the Company used the
	services of Maged Shenouda as a financial consultant. Expense
	recorded in G&A expense in the accompanying statements of
	operations related to Mr. Shenouda for the year ended December 31,
	2017 was $80,000. Included in accounts payable at December 31, 2018
	and 2017 is $50,000 and $70,000, respectively, for Mr.
	Shenouda’s services.
	 
	On February 3,
	2017, the Board granted 30,000 options each to Messrs. Borkowksi
	and Shenouda, and Dr. Riddell, with a total value of $348,210 of
	which $116,073 and $222,469, respectively, vested and was charged
	to expense in the years ended December 31, 2018 and
	2017.
	 
	During the year
	ended December 31, 2018, the Company recorded cash Board fees of
	$35,000 each for Mr. Borkowski, Dr. Riddell, Mr. Charles Casamento
	and Dr. Vern Schramm. During the year ended December 31, 2017, the
	Company recorded Board fees of $35,000 for Mr. Borkowski and Dr.
	Riddell; $25,000 for Mr. Shenouda; $30,000 for Mr. Charles
	Casamento; and $8,750 for Dr. Vern Schramm.
	 
	During the year
	ended December 31, 2018, as part of Board compensation, the Company
	issued 30,000 shares of restricted common stock each to Mr.
	Borkowski, Dr. Riddell, Mr. Charles Casamento and Dr. Vern Schramm
	with a total value of $306,300 which was vested and charged to
	expense in the year ended December 31, 2018. During the year ended
	December 31, 2017, as part of Board compensation, the Company
	issued 30,000 shares of restricted common stock each to Messr.
	Borkowksi and Dr. Riddell; 22,500 shares of restricted common stock
	to Messr. Shenouda; 25,000 shares of restricted common stock to Mr.
	Casamento; and 7,500 shares to Dr. Schramm with a total value of
	$460,000 which was vested and charged to expense in the year ended
	December 31, 2017.
	 
	Note
	20 - Employee Benefit Plans
	 
	401(k) Plan
	The Company
	sponsors a multiple employer defined contribution benefit plan,
	which complies with Section 401(k) of the Internal Revenue Code
	covering substantially all employees of the Company.
	 
	All employees are
	eligible to participate in the plan. Employees may contribute from
	1% to 100% of their compensation and the Company matches an amount
	equal to 100% on the first 6% of the employee contribution and may
	also make discretionary profit sharing contributions.
	 
	Employer
	contributions under this plan amounted to $40,901 and $23,207 for
	the years ended December 31, 2018 and 2017,
	respectively.
	 
	 
	Note
	21 – Subsequent Events
	 
	Private Note Offering
	 
	On February 14,
	2019, the Company entered into a Note Purchase Agreement (the
	“NPA”
	) with
	ADEC Private Equity Investments, LLC (
	“ADEC”
	), pursuant to which
	the Company issued to ADEC two Senior Convertible Notes
	(
	“Note A”
	and
	“Note B,”
	respectively, each a
	“Note,”
	and together, the
	“Notes”
	), in
	the principal amount of $1.0 million per Note, resulting in gross
	proceeds to the Company of $2.0 million. ADEC is controlled by
	Burke Ross, a significant stockholder of the Company.
	 
	The Notes accrue
	interest at a rate of 10% per annum (the
	“Interest Rate”
	); provided,
	however, that in the event the Company elects to repay the full
	balance due under the terms of both Notes prior to December 31,
	2019, then the interest rate will be reduced to 6% per annum.
	Interest is payable at the time all outstanding Principal Amounts
	owed under each Note is repaid. The Notes shall mature on the
	earlier to occur of (i) the tenth business day following the
	receipt by ABS of certain tax credits that the Company expects to
	receive prior to July 2019 in the case of Note A (the
	“2019 Tax Credit”
	) and July
	2020 in the case of Note B (the
	“2020 Tax Credit”
	),
	respectively, or (ii) December 31, 2019 in the case of Note A and
	December 31, 2020 in the Case of Note B (the
	“Maturity Dates”
	). As a
	condition to entering into the NPA, ABS and ADEC also entered into
	a Pledge Agreement, pursuant to which ABS agreed to pledge an
	interest in the 2019 and 2020 Tax Credits to ADEC in order to
	guarantee payment of all amounts due under the terms of the
	Notes.
	 
	Prior to their
	respective Maturity Dates, each of the Notes is convertible, at
	ADEC’s option, into shares of the Company’s common
	stock, at a conversion price equal to the principal and accrued
	interest due under the terms of the Notes divided by $2.50
	(
	“Conversion
	Shares”
	); provided, however, that pursuant to the term
	of the Notes, ADEC may not convert all or a portion of the Notes if
	such conversion would result in Mr. Ross and/or entities affiliated
	with him beneficially owning in excess of 19.99% of the
	Company’s shares of common stock issued and outstanding
	immediately after giving effect to the issuance of the Conversion
	Shares.
	 
	As additional
	consideration for entering into the NPA, pursuant to a Warrant
	Amendment Agreement, the Company agreed to reduce the exercise
	price of all outstanding warrants previously issued by the Company
	to ADEC and its affiliates (the
	“Warrants”
	) to $1.50 per
	share. The Warrant Amendment does not alter any other terms of the
	Warrants. This will result in a debt discount of $325,320 that will
	be accreted to additional interest expense over the lives of the
	Notes.
	 
	In connection with
	the above transaction, the Company also entered into a registration
	rights agreement with ADEC, pursuant to which the Company agreed to
	file a registration statement with the Securities and Exchange
	Commission no later than 45 days after the closing date of February
	14, 2019 in order to register, on behalf of ADEC, the Conversion
	Shares. ADEC subsequently agreed to extend the date to file a
	registration statement to April 30, 2019.
	 
	First Dosing in the Phase II OPTION Study
	 
	On February 20,
	2019, the Company announced that it has dosed the first patients in
	the Company's Phase II OPTION study to investigate MS1819-SD in CF
	patients with exocrine pancreatic insufficiency. Pursuant to the
	vesting terms of the Company’s restricted stock and options
	granted, this will result in 58,333 shares of restricted stock
	vesting with a value of $178,852 and 242,000 options vesting with a
	value of $501,666 to be charged to expenses in the first quarter of
	2019.
	 
	Common Stock Issuance
	 
	On March 12, 2019,
	the Company issued 27,102 shares of its common stock as payment for
	$45,000 included in accounts payable at December 31, 2018 and
	$15,000 of expense incurred during 2019.
	 
	Asset Purchase Agreement with Mayoly
	 
	On March 27, 2019, the Company
	entered into
	an Asset Purchase Agreement with Mayoly (the “
	Mayoly
	APA
	”),
	pursuant to which the Company purchased all
	rights, title and interest in and to MS1819-SD. Upon execution of
	the Mayoly APA, the JDLA
	previously executed by AzurRx SAS and Mayoly was
	terminated. In addition, the Company granted to Mayoly an
	exclusive, royalty-bearing right to revenue received from
	commercialization of MS1819-SD within certain
	territories.
	 
	In
	accordance with the Mayoly APA, the Company provided to Mayoly the
	following consideration for the purchase of MS1819-SD:
	 
	(i)
	the Company
	assumed certain of Mayoly’s liabilities
	with respect to MS1819-SD;
 
 
	 
	(ii)
	the Company
	forgave all amounts currently owed to AzurRx SAS
	by Mayoly under the JDLA;
 
 
	 
	(iii)
	the Company
	agreed to pay, within 30 days after the
	execution of the Mayoly APA, all amounts incurred by Mayoly for the
	maintenance of patents related to MS1819-SD from January 1, 2019
	through the date of the Mayoly APA;
 
 
	 
	(iv)
	the
	Company
	made an initial payment to Mayoly of €800,000,
	which amount was paid by the issuance of 400,481 shares of the
	Company's common stock at a price of $2.29 per share (the
	“
	Closing Payment
	Shares
	”):
	and
 
 
	 
	(v)
	the Company agreed to pay to Mayoly an additional
	€ 1,500,000, payable in a mix of cash and shares of the
	Company's common stock as follows (the “
	Milestone
	Payments
	”): (y) on
	December 31, 2019, a cash payment of €400,000 and 200,240
	shares of common stock at a price of $2.29 per share (the
	“
	2019
	Escrow Shares
	”) and (z)
	on December 31, 2020, a cash payment of €350,000 and 175,210
	shares of common stock at a price of $2.29 per share (the
	“
	2020
	Escrow Shares
	” and,
	together with the 2019 Escrow Shares, the
	“
	Escrow
	Shares
	”).
 
 
 
	The Closing Payment Shares and the Escrow Shares
	were all issued upon execution of the Mayoly
	APA;
	provided
	,
	however
	, per the terms of the Mayoly APA, the Escrow
	Shares will be held in escrow until the applicable Milestone
	Payment date, at which time the respective Escrow Shares will be
	released to Mayoly.
	 
	Director Shares
	 
	On
	March 31, 2019, as part of Board compensation, the Company issued
	7,500 shares of restricted common stock to each of Mr. Borkowski,
	Dr. Riddell, Mr. Casamento, and Dr. Schramm with a total value of
	$72,600.
	 
 
 
	 
	Exhibit 10.25
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
 
 
	ASSET PURCHASE AGREEMENT
	 
	This
	ASSET PURCHASE AGREEMENT
	(“
	Agreement
	”),
	dated March 27, 2019 (the “
	Effective Date
	”), is entered into
	by and among Laboratoires Mayoly Spindler SAS, a corporation
	created and organized under French laws (“
	Seller
	”) and AzurRx BioPharma,
	Inc., a Delaware corporation (“
	Buyer
	”). Each of the Seller and
	the Buyer are referred to herein as a Party, and collectively as
	the Parties.
	 
	Background
	 
	WHEREAS,
	the Seller and AzurRx BioPharma
	SAS (formerly ProteaBio Europe SAS), Buyer’s wholly-owned
	subsidiary (“
	AzurRx
	SAS
	”), are parties to that certain Joint Development
	and License Agreement, dated as of January 1, 2014 the
	(“
	JDLA
	”).
	 
	WHEREAS
	, the JDLA is being terminated by
	AzurRx SAS/the Buyer by mutual written agreement of the AzurRx
	SAS/Buyer and Seller, as of the Effective Date pursuant to that
	certain Termination Agreement in substantially the form attached
	hereto as
	Exhibit A
	(the
	“
	Termination
	Agreement
	”).
	 
	WHEREAS
	, immediately after (but for
	clarity, on the same date) the Termination Agreement becomes
	effective, Seller desires to sell, transfer and assign to Buyer,
	and Buyer desires to acquire and assume from Seller, all of the
	Purchased Assets and Assumed Liabilities, all as more specifically
	provided herein;
	 
	WHEREAS
	, the Purchased Assets will
	include all of Seller’s and/or its Affiliates’ right,
	title and interest in and to any and all JDLA Assets (as defined
	below);
	 
	WHEREAS
	, upon consummation of the sale
	of the Purchased Assets from Seller to Buyer, Buyer and Seller
	shall enter into that certain Patent License Agreement, in
	substantially the form attached hereto as
	Exhibit B
	(the “
	License Agreement
	”);
	and
	 
	NOW
	,
	THEREFORE
	, in consideration of the
	foregoing and the representations, warranties, covenants and
	agreements contained herein, and for other good and valuable
	consideration, the receipt and sufficiency of which are hereby
	acknowledged, the Parties, intending to be legally bound, hereby
	agree as follows:
	 
	ARTICLE 1
	DEFINITIONS
	 
	Section
	1.1
	 
	Definitions
	 
	All
	terms not defined below are as defined elsewhere in this
	Agreement.
	 
	“
	2019 IP Costs
	” means the total
	amount of fees paid by Seller to Third Parties in connection with
	the maintenance of the Patent Rights in the Purchased Assets from
	January 1, 2019 through the Effective Date.
	 
	“
	2019 Escrow Stock
	” means 200,240
	Restricted Shares, which is equal to the number of Buyer’s
	Restricted Shares that are equal to (a) € 400,000
	divided by
	(b) $2.29,
	calculated at an exchange rate of $.872314 to
	€1.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-1-
 
 
	 
	“
	2020 Escrow Stock
	” means 175,210
	Restricted Shares, which is equal to the number of Buyer’s
	Restricted Shares that are equal to (a) € 350,000
	divided by
	(b) $2.29,
	calculated at an exchange rate of $.872314 to
	€1.
	 
	“
	Active Ingredient
	means any lipase
	produced by the "
	yarrowia
	lipolytica
	recombinant strain with 6 copies of the lip2 gene
	permitting to overexpress the acid resistant Yarrovia Lipolitica
	LIP2 lipase". This strain has been deposited in 2005 at CNCM
	(
	Collection Nationale de Culture
	de Microorganismes
	) under the reference number
	I-3542.
	 
	“Affiliate”
	means, with
	respect to any Person, any other Person which directly or
	indirectly controls, is controlled by, or is under common control
	with, such Person. A corporation or other entity shall be regarded
	as in control of another corporation or entity if it owns or
	directly or indirectly controls more than 50% of the voting
	securities or other ownership interest of the other corporation or
	entity, or if it possesses, directly or indirectly, the power to
	direct or cause the direction of the management and policies of the
	corporation or other entity.
	 
	“
	Applicable Laws
	” means any laws,
	treaties, statutes, ordinances, judgments, decrees, directives,
	rules, injunctions, writs, regulations, binding arbitration
	rulings, orders, judicial or administrative interpretations or
	authorization of any Governmental Authority applicable to the
	transactions contemplated under this Agreement, the manufacture,
	distribution, promotion, marketing, handling, storage and/or sale
	of the Active Ingredient or of a Product, or to any other matters
	set forth in this Agreement; provided that, it shall be understood
	that with respect to the general operation of Seller’s
	business, the applicable laws of France shall be the Applicable
	Laws.
	 
	“
	Assumed Liabilities
	” means any
	Liabilities of the Seller including:
	 
	a) any
	and all Liabilities related to the Purchased Assets, solely and
	exclusively to the extent arising and relating to the period
	beginning after the Effective Date;
	 
	b) any
	and all Liabilities with respect to taxes due solely and
	exclusively (i) in connection with the Purchased Assets and (ii)
	that are arising and relating to the period beginning after the
	Effective Date; and
	 
	c) 
	any and all Liabilities
	to the
	extent arising out of and relating to events, transactions, facts,
	acts or omissions which occurred after the Effective Date, but only
	to the extent such Liabilities solely and exclusively relate to the
	Purchased Assets.
	 
	“
	Business Day
	” means any day other
	than a Saturday, Sunday or other day on which banks in Chatou,
	France or New York, New York, USA, are permitted or required to
	close by law or regulation.
	 
	“
	Books and Records
	” means all of
	the original (or if unavailable a copy) documents, lists, files,
	records, research, studies, information and correspondence with
	Governmental Authorities in whatever form kept, including, but not
	limited to, electronic form, in each case, relating to the
	Development Program, the Active Ingredient, the Product or the
	Purchased Assets, including, but not limited to, all Regulatory
	Documentation, all preclinical data, studies, records, reports and
	research and all clinical study reports, all data sets, copies of
	all trial master files, all financial disclosure forms,
	pharmacovigilance databases and other similar books and records and
	any such records relating to Intellectual Property
	Rights.
	 
	“
	Buyer Stock
	” means the common
	stock of Buyer.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-2-
 
 
	 
	“
	Closing Payment Stock
	” means
	400,481 Restricted Shares, which is equal to the number of
	Buyer’s Restricted Shares that are equal to (a) €
	800,000
	divided by
	(b)
	$2.29, calculated at an exchange rate of $.872314 to
	€1.
	 
	“
	Control
	” or “
	Controlled
	” means, with respect to
	any intellectual property right or other tangible or intangible
	property, that a Party or one of its Affiliates owns or has a
	license or sublicense to such item or right, and has the ability to
	grant access, license or sublicense in or to such right without
	violating the terms of any agreement or other arrangement with any
	Third Party.
	 
	“
	Development Program
	” shall have
	the definition given to such term in the JDLA.
	 
	“
	Encumbrance
	” means any mortgage,
	charge, lien, security interest, easement, right of way, pledge or
	encumbrance of any nature whatsoever.
	 
	“
	Escrow Stock
	” means the 2019
	Escrow Stock and the 2020 Escrow Stock.
	 
	“
	Excluded Liabilities
	” means any
	and all Liabilities of Seller and/or any of its Affiliates that are
	not expressly included in the definition of Assumed Liabilities,
	including, but not limited to:
	 
	(a
	) 
	any
	and all Liabilities relating to the Purchased Assets to the extent
	arising prior to or on the Effective Date;
	 
	(b
	) 
	any
	and all Liabilities with respect to taxes that arose prior to or on
	the Effective Date;
	 
	(c
	) 
	any
	and all Liabilities arising out of or otherwise relating to the
	employment or service of any person;
	 
	(d
	) 
	any
	and all Liabilities under this Agreement or incurred in connection
	with the negotiation or consummation of this
	Agreement;
	 
	(e
	) 
	any and all Liabilities
	to the
	extent arising out of events, transactions, facts, acts or
	omissions which occurred prior to or on the Effective
	Date;
	 
	(f
	) 
	any
	Liabilities related to assets that are not Purchased
	Assets;
	 
	(g
	) 
	all
	Liabilities to [*****] with respect to the Patent Rights;
	and
	 
	(g
	) 
	any
	and all Liabilities for performance under the JDLA prior to the
	Effective Date as defined in the Termination
	Agreement.
	 
	 “
	Fundamental
	Representations
	” means
	Section 4.1
	(“Organization; Authority; Execution and Delivery”),
	Section 4.2
	(“Consents; No Violation, Etc.”) or
	Section 4.4
	(“Title to
	Purchased Assets”) (collectively, the “
	Fundamental
	Representations
	”)).
	 
	“
	Governmental Authority
	” means any
	court, governmental agency, department or commission or other
	governmental authority or instrumentality, including, but not
	limited to, the United States Food and Drug
	Administration.
	 
	“
	INDs and CTAs
	” means any and all
	investigational new drug applications and clinical trial
	applications with respect to the Product.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-3-
 
 
	 
	“
	INRA Consent
	” means the consent to
	assignment of the Reciprocal License from Seller to Buyer, attached
	hereto as Exhibit G.
	 
	“
	Intellectual Property Rights
	”
	means all Patent Rights, copyrights, trademarks, service marks,
	service names, or trade names, including any applications or
	registrations for any of the foregoing, or extensions, renewals,
	continuations, continuations in part, divisionals, reexaminations,
	or re-issues thereof, or amendments or modifications thereto,
	brandmarks, brand names, trade dress, labels, logos, know-how
	(including the Know-How), show-how, technical and non-technical
	information, trade secrets, formulae, techniques, sketches,
	drawings, models, inventions, designs, specifications, processes,
	apparatus, equipment, databases, research, experimental work,
	development, pharmacology and clinical data, software programs and
	applications, software source documents, third-party licenses, and
	any similar type of proprietary intellectual property right vesting
	in the owner and/or licensee thereof pursuant to the Applicable
	Laws or regulations of any relevant jurisdiction or under any
	applicable license or contract, whether now existing or hereafter
	created, together with all modifications, enhancements and
	improvements thereto, in each case, to the extent relating to the
	Development Program, the Active Ingredient, the Product or the
	other Purchased Assets.
	 
	“
	JDLA Assets
	” means all Books and
	Records, Regulatory Documentation, Technology and/or Intellectual
	Property Rights to the extent related to or developed under the
	JDLA, including, but not limited to, any right, title or interest
	in such assets vested in Seller or any of its Affiliates (i) as a
	result of the termination of the JDLA pursuant to the Termination
	Agreement or (ii) under Section 12.1.7 of the JDLA.
	 
	“
	Know-How
	” means any and all
	methods, devices, Technology, trade secrets, inventions,
	compositions, designs, formulae, know-how, show-how, technical and
	training manuals and documentation and other information, including
	processes and analytical methodologies used in development,
	testing, analysis and manufacture, and medical, clinical and
	toxicological testing as well as other scientific data, which is
	related to, made, developed, conceived, and/or used in connection
	with the Development Program, the Active Ingredient, the Product,
	or any ingredient thereof, and/or the formulation, development,
	registration, manufacture, packaging, labeling, import, export,
	receipt, shipment, storage, use, pricing or sale of the
	Product.
	 
	“
	Liabilities
	” means any and all
	debts, liabilities and obligations, whether accrued or fixed,
	absolute or contingent, matured or unmatured, or determined or
	determinable, including those arising under any law, action or
	governmental order and those arising under any contract, agreement,
	arrangement, commitment or undertaking, or otherwise.
	 
	“
	Losses
	” means, collectively, any
	and all damages, losses, taxes, Liabilities, claims judgments,
	penalties, costs and expenses (including reasonable legal fees and
	expenses).
	 
	“
	Parties
	” means collectively the
	Seller and Buyer.
	 
	“
	Party
	” means either the Seller or
	Buyer.
	 
	“Patent Rights
	” means
	patents (including the Patents), patent applications, certificates
	of invention, or applications for certificates of invention,
	together with any extensions, registrations, confirmations,
	reissues, divisions, continuations or continuations-in-part,
	re-examinations, renewals, and foreign counterparts
	thereof.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-4-
 
 
	 
	“
	Patents
	” means (a) all patents and
	patent applications licensed to Seller pursuant to the Reciprocal
	License and (b) patents and patent applications proprietary to
	Seller and listed on
	Exhibit
	D.
	 
	“
	Person
	” means an individual,
	corporation, partnership, limited liability company, trust,
	business trust, association, joint venture, non-profit
	organization, pool, syndicate, sole proprietorship, unincorporated
	organization, university, Governmental Authority or any other form
	of entity not specifically listed herein.
	 
	“
	Product
	” means any product
	utilizing the Active Ingredient.
	 
	“
	Purchased Assets
	”
	means:
	 
	(a)  the
	Intellectual Property Rights;
	 
	(b
	) 
	the
	Transferred Contracts;
	 
	(c
	) 
	any
	inventories of Active Ingredient and/or Product or other supplies
	and other tangible assets used in connection with the development
	of the Active Ingredient and/or the Product;
	 
	(d
	) 
	Regulatory Documentation;
	 
	(e
	) 
	the
	Books and Records;
	 
	(f
	) 
	all
	rights and claims of the Seller, whether mature, contingent or
	otherwise, against any Person, whether in tort, contract or
	otherwise, including, without limitation, causes of action,
	unliquidated rights and claims under or pursuant to all warranties,
	representations and guarantees made by manufacturers, suppliers or
	vendors, claims for refunds, rights of off-set and credits of all
	kinds and all other general intangibles, each to the extent
	relating to the Purchased Assets;
	provided
	,
	however
	, that such rights and
	claims shall not include any rights and claims of Seller under this
	Agreement;
	 
	(h
	) 
	all
	other assets used or useful in the development of the Active
	Ingredient and/or a Product, whether or not reflected on the books
	and records of the Seller to the extent developed under or in
	connection with the JDLA;
	 
	(i
	) 
	the
	JDLA Assets; and
	 
	(i
	) 
	all
	goodwill related to any of the foregoing.
	 
	“
	Reciprocal License
	” means that
	certain Reciprocal License Agreement, dated as of February 2, 2006
	between Seller and INRA Transfert as representative for Institut
	National de la Recherche Agronomique (“
	INRA
	”) and Centre National de la
	Recherche (“
	CNRS
	”), as amended.
	 
	“
	Regulatory Documentation
	” means
	all regulatory applications, submissions and approvals and rights
	of reference for the Active Ingredient and/or Products, and all
	correspondence with any Governmental Authority relating to the
	Active Ingredient and/or the Products or any of the foregoing
	regulatory applications, submissions, rights of reference or
	approvals; including but not limited to any INDs or
	CTAs.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-5-
 
 
	 
	“
	Restricted Shares
	” shares that
	have not been registered for sale under applicable United States
	security laws. A description of typical requirements related to
	Restricted Shares is included as Exhibit G.
	 
	“
	Shared Costs
	” has the meaning given to that term in the
	JDLA.
	 
	“
	Technology
	” means inventions, trade secrets, Know-How,
	data and Intellectual Property, of any kind, including any
	proprietary materials (such as the “
	yarrowia lipolytica
	recombinant strain with 6 copies of
	the lip2 gene permitting to overexpress the acid resistant Yarrovia
	Lipolitica LIP2 lipase”), compounds, reagents, techniques,
	analytical methodology, or processes that are not included in
	Patent Rights
	.
	 
	“
	Termination Agreement Amount
	”
	means the amount of Shared Costs due to Buyer from Seller in
	connection with the JDLA that is in excess of the three hundred
	thirty four thousand euro (334.000€) (excluding tax through
	the Effective Date) amount that was already paid by Seller in 2018
	under the JDLA.
	 
	“
	Third Party
	” means any legal
	person, entity or organization other than Buyer, Seller or an
	Affiliate of either Party.
	 
	“
	Trading Day
	” means a day on which
	Buyer Stock trades on the NASDAQ exchange.
	 
	“
	Transferred Contracts
	” means (a)
	the Reciprocal License and (b) the other contracts listed on
	Exhibit C
	, if
	any.
	 
	Section
	1.2
	 
	Interpretation
	. When used in this
	Agreement the words “include”, “includes”
	and “including” will be deemed to be followed by the
	words “without limitation.” Any terms defined in the
	singular will have a comparable meaning when used in the plural,
	and vice-versa.
	 
	Section
	1.3
	 
	Currency
	. All currency amounts referred
	to in this Agreement are in Euros, unless otherwise
	specified.
	 
	ARTICLE 2
	PURCHASE AND SALE OF ASSETS
	 
	Section
	2.1
	 
	Purchase and Sale
	. Seller hereby sells,
	assigns, transfers, conveys and delivers to Buyer, and Buyer hereby
	purchases, acquires and accepts, all right, title and interest in
	and to the Purchased Assets, free and clear of all
	Encumbrances.
	 
	Section
	2.2
	 
	Assumption of Assumed Liabilities; Excluded
	Liabilities
	. Buyer hereby assumes and will be liable for
	only the Assumed Liabilities. Buyer will not assume or be liable
	for any of the Excluded Liabilities. Seller shall pay, discharge
	and satisfy, as they become due, all Excluded
	Liabilities.
	 
	Section
	2.3
	 
	Deliveries
	. On the Effective Date,
	Seller will deliver to Buyer (a) any tangible materials included in
	the Purchased Assets, (b) copies (in the format in which they are
	maintained by Seller) of all Books and Records included in the
	Purchased Assets and (c) a duly executed copy of the Patent
	Assignment Agreement, substantially in the form attached hereto as
	Exhibit F
	.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-6-
 
 
	 
	 
	Section
	2.4
	 
	Wrong Pockets
	. If at any time or from
	time to time after the Effective Date, Seller or any of its
	Affiliates, as the case may be, shall receive or otherwise possess
	any asset that should belong to Buyer pursuant to this Agreement or
	that may be necessary or useful to exploit the Purchased Assets,
	Seller or its Affiliate, as applicable, shall promptly transfer, or
	cause to be transferred, such asset to Buyer. Prior to any such
	transfer, the Person receiving or possessing such asset shall hold
	such asset in trust for Buyer.
	 
	ARTICLE 3
	FINANCIAL TERMS
	 
	Section
	3.1
	 
	Purchase Price
	.
	 
	(a)
	 
	As consideration
	for the Purchased Assets, in addition to Buyer’s assumption
	of the Assumed Liabilities, Buyer shall forgive all amount of
	Shared Costs owed from Seller to Buyer that are in excess of the
	Termination Agreement Amount; and Buyer will pay to Seller (i) the
	Closing Payment Stock; (ii) a total of € 1,500,000 in cash
	and Restricted Shares of Buyer Stock payable on the dates and in
	the form set forth in the below table (each a “
	Milestone
	Date
	”); and (iii) the 2019 IP
	Costs, which will be paid by Buyer within thirty (30) days of the
	receipt of an invoice along with reasonable supporting
	documentation. Each payment contemplated below (each a
	“
	Milestone
	Payment
	”) shall be payable in the form indicated in
	the column below labeled “Consideration Mix”. Any
	Milestone Payment payable in Buyer Stock, in whole or in party,
	will be released from escrow by the Escrow Holder (defined below)
	within five (5) Business Days of the occurrence of a Milestone Date
	to Seller. The Closing Payment Stock and all amounts set forth
	below paid for in Buyer Stock shall be referred to herein as (the
	“
	Equity
	Consideration
	”). For clarity, the Restricted Shares
	that will be issued to Seller in connection with each Milestone
	Payment will be issued along with the Closing Payment Stock, will
	be registered with such shares pursuant to Section 3.2 and will be
	released in accordance with Section 3.1(b) below.
	 
| 
 
	Milestone
 
	 
 
 | 
 
	Consideration Amount
 
	 
 
 | 
 
	Consideration Mix
 
	 
 
 | 
| 
 
	December
	31, 2019
 
 
 | 
 
	€
	800,000
 
 
 | 
 
	(a)
	€ 400,000 in cash and (b) the 2019 Escrow
	Stock.
 
 
 | 
| 
 
	December
	31, 2020
 
 
 | 
 
	€
	700,000
 
 
 | 
 
	(a)
	€ 350,000 in cash and (b) the 2020 Escrow
	Stock.
 
 
 | 
 
	 
	 
	For the
	avoidance of doubt, the Equity Consideration for a given Milestone
	Payment will be issued one-time only. Any shares of Buyer Stock to
	be issued pursuant to this Agreement have not been registered under
	the Securities Act of 1933, as amended (the “
	Securities Act
	”), or state
	securities laws and may not be offered or sold in the United States
	absent registration with the Securities and Exchange Commission
	(“
	SEC
	”) or an
	applicable exemption from such registration requirements. The
	issuance of Buyer Stock pursuant to this Agreement is subject to
	the representations, covenants, restrictions and other terms and
	conditions set forth in
	Exhibit
	E
	, all of which are hereby incorporated by reference. Seller
	hereby represents and warrants that as of the Effective Date, and
	each date that any Equity Consideration is issued to it, that the
	representations and warranties in Exhibit E are true, complete and
	correct.
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-7-
 
 
	 
	(b)
	 
	On the Effective
	Date, certificates issued in the name of the Seller for the Escrow
	Stock shall be held by the Secretary of the Buyer as escrow holder
	(the “
	Escrow
	Holder
	”), until the respective Milestone Date (the
	“
	Escrow
	Period
	”). During the applicable Escrow Period, the
	Escrow Agent shall hold and keep such certificates representing the
	Escrow Shares in its possession and such shares shall not be sold,
	assigned, transferred, pledged, or otherwise hypothecated by it
	during the Escrow Period. 
	 
	(i) The
	Escrow Holder will disburse the Escrow Shares on the applicable
	Milestone Dates in accordance with Section 3.1(a) above. Upon
	disbursement of the Escrow Shares as set forth in this Section
	3.1(b), the Escrow Account shall terminate.
	 
	(ii)
	The Escrow Holder shall be obligated only for the performance of
	such duties as are specifically set forth herein and may rely and
	shall be protected in relying or refraining from acting on any
	instrument reasonably believed by the Escrow Holder to be genuine
	and to have been signed or presented by the proper Party or
	Parties. The Escrow Holder shall not be liable for any act that
	he/she may do or omit to do hereunder as Escrow Holder while acting
	in good faith and in the exercise of his/her own good judgment, and
	any act done or omitted by the Escrow Holder pursuant to the advice
	of his/her own attorneys shall be conclusive evidence of such good
	faith.
	 
	(iii)
	The Seller and Buyer hereby jointly and severally expressly agree
	to indemnify and hold harmless the Escrow Holder and his/her
	designees against any and all claims, losses, liabilities, damages,
	deficiencies, costs and expenses, including reasonable
	attorneys’ fees and expenses of investigation and defense,
	incurred or suffered by the Escrow Holder and his/her designees,
	directly or indirectly, as a result of any of his/her actions or
	omissions or those of his/her designees while acting in good faith
	and in the exercise of his/her judgment under this Agreement or
	written instructions from the Seller or Buyer.
	 
	(iv)
	The Escrow Holder’s responsibilities as Escrow Holder
	hereunder shall terminate if he/she shall resign by written notice
	to each Party. In the event of any such termination, the Parties
	shall jointly appoint a successor Escrow Holder.
	 
	(v) The
	Escrow Holder is expressly authorized to, and hereby does, delegate
	his/her duties as Escrow Holder hereunder to the law firm of
	Disclosure Law Group, a Professional Corporation, which delegation
	shall survive his/her resignation as Escrow Holder.
	 
	(vi)
	If, from time to time during the Escrow Period, there is
	(A) any cash or stock dividend, stock split or other change
	with respect to the Escrow Shares being held in escrow or
	(B) any merger or sale of all or substantially all of the
	Buyer’s assets or other acquisition of the Buyer, any and all
	new, substituted or additional securities or property to which the
	Seller is entitled by reason of the Seller’s ownership of the
	Escrow Shares being held in escrow shall be deposited with the
	Escrow Holder and shall be included within the definition of Escrow
	Shares. All numbers contained in, and all calculations required to
	be made pursuant to, this Agreement with respect to the Escrow
	Shares shall be adjusted as appropriate to reflect the events set
	forth in subclauses (A) and (B) or a similar transaction
	effected by the Buyer after the date hereof.
	 
	Section
	3.2
	 
	Registration Statement
	. Buyer shall, no
	later than thirty (30) days after the issuance of the Closing
	Payment Stock and within 30 days of the issuance of each
	tranche
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-8-
 
 
	 
	of
	Buyer Stocks issued in relation to the Milestone Payments (to the
	extent not previously registered), file a registration statement
	(the “
	Registration
	Statement
	”) under the Securities Act of 1933, as
	amended (the “
	Securities
	Act
	”) for the sale by Seller of the Closing Payment
	Stock. The Registration Statement shall comply as to form in all
	material respects with applicable rules of the Securities Exchange
	Commission (“
	SEC
	”) providing for offers and
	sales by Seller of the Closing Payment Stock.
	 
	Section
	3.3
	 
	Taxes
	. Each Party agrees to report (and
	to cause its Affiliates to report) the transactions contemplated by
	this Agreement in a manner consistent with Applicable Laws and with
	the terms of this Agreement, and agrees not to take any position
	inconsistent therewith on any tax return, in any tax refund claim,
	in any litigation or otherwise. For the avoidance of doubt, any and
	all Liabilities with respect to taxes arising from Seller’s
	ownership of the Purchased Assets prior to or on the Effective Date
	will be for the account of Seller, and any and all Liabilities with
	respect to taxes arising from ownership of the Purchased Assets
	after the Effective Date will be for the account of Buyer. Seller,
	at their sole cost and expense, shall (A) prepare and timely file
	all tax returns to be filed on or prior to the Effective Date with
	respect to the Purchased Assets, and (B) timely pay all taxes that
	are shown as payable with respect to such tax returns. All such tax
	returns shall be prepared in accordance with existing procedures,
	practices, and accounting methods of the Seller. Each Party will
	bear fifty percent (50%) of any transfer, sales, value added, or
	stamp duty taxes payable in connection with the transactions
	contemplated hereby (collectively, “
	Transfer Taxes
	”). The Party
	required by Applicable Laws shall, at its own expense, prepare and
	file all necessary tax returns and other documentation with respect
	to all such Transfer Taxes, promptly provide the other Party such
	tax returns and related documentation and, to the extent required
	by Applicable Laws, Seller or Buyer, as applicable, shall join in
	the preparation and execution of any such tax returns and other
	documentation. Buyer shall have no obligation for any capital gains
	or other income taxes owed by Seller, whether as a result of the
	transaction or otherwise. [*****].
	 
	Section
	3.4
	 
	Fees for Patent Assignment; Assistance with
	Patent Assignment
	. Buyer shall be responsible for any and
	all fees associated with transferring title of Patents purchased
	hereunder from Seller to Buyer, including, but not limited to, the
	formalities requested by WIPO for patent assignment from Seller to
	Buyer or by any other Government Authority. Seller will reasonably
	assist Buyer with the transfer of any such Patents, including by
	executing any consents, assignments or other documents reasonably
	requested by Buyer in connection with such transfer. Buyer and
	Seller will cooperate in good faith to transfer such Patents from
	Seller to Buyer as soon as reasonably practicable after the
	Effective Date. During any period in which the Patents remain in
	Seller’s name, Seller will maintain, or cause to be
	maintained, such Patents in substantially the same manner as they
	had been maintained prior to the Effective Date. Buyer will
	reimburse Seller for any reasonable and documented maintenance fees
	that incurs with respect to the Patents during this period. Seller
	will share with Buyer any invoices related to the maintenance of
	the Patents that it receives within two (2) Business Days of
	receiving same.
	 
	ARTICLE 4
	REPRESENTATIONS AND WARRANTIES OF SELLER
	 
	Seller
	hereby represents and warrants to Buyer as follows:
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-9-
 
 
	 
	Section
	4.1
	 
	Organization; Authority; Execution and
	Delivery
	. Seller is a company duly organized, validity
	existing and in good standing under the laws of the country of
	France. Seller has the requisite corporate power and authority to
	enter into this Agreement and to consummate the transaction
	contemplated hereby. The execution and delivery of this Agreement
	by Seller and the consummation of the transactions contemplated
	hereby have been validly authorized. This Agreement has been
	executed and delivered by Seller and, assuming the due
	authorization, execution and delivery of this Agreement by Buyer,
	will constitute the legal and binding obligation of Seller,
	enforceable against it in accordance with its terms, subject to
	applicable bankruptcy, insolvency, reorganization, moratorium,
	fraudulent transfer and other similar laws affecting
	creditors’ rights generally from time to time in effect and
	to general principles of equity (including concepts of materiality,
	reasonableness, good faith and fair dealing) regardless of whether
	considered in a proceeding in equity or at law.
	 
	Section
	4.2
	 
	Consents; No Violation, Etc
	. The
	execution and delivery of this Agreement do not, and the
	consummation of the transactions contemplated hereby (including the
	transfer of the Purchased Assets to Buyer) and the compliance with
	the terms hereof will not: (i) violate any Applicable Laws, (ii)
	conflict with any provision of the certificate of incorporation or
	by-laws (or similar organizational document) of Seller, (iii)
	conflict with or violate any Transferred Contract or any other
	contract to which Seller is a party or by which it is otherwise
	bound or (iv) require Seller to obtain any approval, authorization,
	consent, license, exemption, filing or registration from or with
	any court, arbitrator, Governmental Authority or pursuant to any
	contract by which Seller is bound or that otherwise relates to any
	of the Purchased Assets or the Product, except for the INRA
	Consent, which has already been obtained.
	 
	Section
	4.3
	 
	Litigation
	. Prior to and as of the
	Effective Date, there are no claims, suits, actions or other
	proceedings pending or threatened in writing against Seller at law
	or in equity before or by any Governmental Authority, domestic or
	foreign, involving or related to the Purchased Assets or the
	Assumed Liabilities or which may in any way adversely affect the
	performance of Seller’s obligations under this Agreement or
	the transactions contemplated hereby.
	 
	Section
	4.4
	 
	Title to Purchased Assets
	. Immediately
	prior to the transfer of the Purchased Assets to Buyer, Seller is
	the sole and exclusive owner of, has good and valid title to all of
	the Purchased Assets, free and clear of all Encumbrances, and has
	the right to convey the same to Buyer without conflicting with the
	terms of any contract to which Seller or any of its Affiliates is
	bound. No Third Party holds any license, option, reversionary
	interest or other right with respect to any of the Purchased
	Assets, the Active Ingredient or the Product.
	 
	Section
	4.5
	 
	No Undisclosed Liabilities.
	There are no
	Liabilities related to the Purchased Assets other than (i) the
	Assumed Liabilities; and/or (ii) the Excluded Liabilities; and/or
	(iii) Liabilities arising after the Effective Date pursuant to the
	express terms of executory Transferred Contracts identified in
	Exhibit C
	.
	 
	Section
	4.6
	 
	Transferred Contracts.
	Seller has
	delivered to Buyer complete copies of each of the Transferred
	Contracts, including any and all amendments thereto and (i) each
	Transferred Contract is valid, binding and enforceable on Seller
	(subject to applicable bankruptcy, insolvency, reorganization,
	moratorium, fraudulent transfer and other similar laws affecting
	creditors’ rights generally from time to time in effect and
	to general principles of equity regardless of whether considered in
	a proceeding in equity or at law) and is in full force
 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-10-
 
 
	 
	and
	effect, (ii) neither Seller (nor to Seller’s knowledge, any
	other party to a Transferred Contract) is in material breach or
	violation of, or default under, any Transferred Contract and (iii)
	no consent of any Person is required in connection with the
	assignment of the Transferred Contracts to Buyer pursuant to this
	Agreement. Except for the Termination Agreement, the Transferred
	Contracts include all agreements between Seller or any of its
	Affiliates and another Person with respect to the Development Plan,
	JDLA or the Purchased Assets.
	 
	Section
	4.7
	 
	Compliance with Applicable Law.
	The
	research and development of the Active Ingredient and the
	Technology, including but not limited to any research and
	development work performed by or on behalf of Seller under the
	JDLA, has at all times been conducted in compliance with all
	Applicable Laws. Seller is solely responsible for compliance with
	US security laws in relation to the receipt, holding and transfer
	of Buyer Stock, including, but not limited to, the Restricted
	Shares.
	 
	Section
	4.8
	 
	Product Intellectual Property
	. There are
	no Patent Rights that are owned or otherwise Controlled by Seller
	or any of its Affiliates that relate to the Active Ingredient, the
	Products or the Purchased Assets, other than the Patents that are
	licensed listed on
	Exhibit
	D
	. All of the Intellectual Property Rights included in the
	Purchased Assets are valid, enforceable and in full force and
	effect. To Seller’s knowledge, the use of the Active
	Ingredient and the Technology in connection with the development,
	manufacture, use, sale and commercialization of any Products does
	not and would not infringe, misappropriate or violate any patent,
	copyright, trade secret or other intellectual property or
	contractual right of any Third Party, in each case, as of the
	Effective Date. Seller declares that prior and until the Effective
	Date it has not received any charge, complaint, claim, demand, or
	notice alleging any such infringement, misappropriation, or
	violation (including any claim that Seller must license or refrain
	from using any Intellectual Property Rights relating to the
	Technology, the Active Ingredient or any Product).
	 
	Section
	4.9
	 
	No Other Product or JDLA Related Assets.
	Except for the Termination Agreement, the Purchased Assets
	constitute all of the assets of Seller or its Affiliates related to
	the Active Ingredient, the Products, the Development Plan and/or
	the JDLA. Except for the Purchased Assets, neither Seller nor any
	of its Affiliates holds or retains any ownership, license, option,
	right of reference or other right or interest in or to any patent,
	copyright, trade secret, trademark, data, know-how, contractual
	right or other tangible or intangible asset that is necessary or
	useful for the development or commercialization of the Technology,
	any Active Ingredient or any Product.
	 
	Section
	4.10
	 
	Taxes.
	Seller does not have any
	Liability with respect to any taxes arising from Seller’s
	ownership of the Purchased Assets prior to or on the Effective Date
	for which Buyer would reasonably be expected to become liable as a
	transferee or that would reasonably be expected to adversely affect
	Buyer’s right to use and enjoy any of the Purchased Assets,
	free and clear of any Encumbrances, including liens for
	Taxes.
	 
	Section
	4.11
	 
	No Brokers.
	Neither Seller nor any of
	its Affiliates has any liability or obligation to pay any fees or
	commissions to any broker, finder or other agent with respect to
	this Agreement for which Buyer could become liable or obligated or
	which could result in an Encumbrance being filed against any of the
	Purchased Assets.
	 
	Section
	4.12
	 
	Books and Records.
	All of the Books and
	Records are complete and accurate in all material
	respects.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-11-
 
 
	 
	Section
	4.13
	 
	Regulatory Documentation.
	Seller has
	complied in all material respects with all Applicable Laws
	pertaining to privacy and security of protected health information
	within the Know-How or the Books and Records. Neither Seller nor
	any of its Affiliates has received any written communication
	alleging any violation of Applicable Laws pertaining to the privacy
	and security of protected health information within the Know-How or
	the Books and Records.
	 
	Section
	4.14
	 
	Intentionally Omitted
	.
	 
	Section
	4.15
	 
	No Other Representations or Warranties.
	Except for the representations and warranties of Seller expressly
	set forth in this
	Article
	4
	and in
	Exhibit E
	,
	neither Seller nor any other Person makes any other express or
	implied representation or warranty on behalf of Seller. Except as
	specifically set forth in this Agreement, Seller does not represent
	and warrant that (i) the use of Active Ingredient and the
	Technology in connection with the development, manufacture, use,
	sale and commercialization of any Products does not infringe,
	misappropriate or violate any patent, copyright, trade secret or
	other intellectual property or contractual right of any Third Party
	and (ii) Buyer will be able to (a) commercialize products based on
	the Purchased Assets or (b) patent additional intellectual property
	rights relating to Technology; provided that, Seller represents and
	warrants that neither it, nor any of its Affiliates knows of any
	reason why Buyer would be restricted from (1) commercializing
	products based on the Purchased Assets (assuming additional
	necessary development activities) or (b) patenting additional
	intellectual property rights relating to Technology.
	 
	ARTICLE 5
	REPRESENTATIONS AND WARRANTIES OF BUYER
	 
	Buyer
	hereby represents and warrants to Seller as follows:
	 
	Section
	5.1
	 
	Organization; Authority; Execution and
	Delivery
	. Buyer is a corporation duly organized, validly
	existing and in good standing under the laws of the State of
	Delaware. Buyer has the company power and authority to enter into
	this Agreement and to consummate the transactions contemplated
	hereby. The execution and delivery of this Agreement by Buyer and
	the consummation of the transactions contemplated hereby have been
	authorized. This Agreement has been executed and delivered by Buyer
	and, assuming the due authorization, execution and delivery of this
	Agreement by Seller, constitutes the legal and binding obligation
	of Buyer, enforceable against Buyer in accordance with its terms,
	subject to applicable bankruptcy, insolvency, reorganization,
	moratorium, fraudulent transfer and other similar laws affecting
	creditors’ rights generally from time to time in effect and
	to general principles of equity (including concepts of materiality,
	reasonableness, good faith and fair dealing regardless) of whether
	considered in a proceeding in equity or at law.
	 
	Section
	5.2
	 
	Consents; No Violations, Etc
	. The
	execution and delivery of this Agreement do not, and the
	consummation of the transactions contemplated hereby (including the
	transfer of the Purchased Assets to Buyer) and the compliance with
	the terms hereof will not: (i) violate any Applicable Laws
	applicable to Buyer, (ii) conflict with any provision of the
	operating agreement (or similar organizational document) of Buyer,
	(iii) conflict with or violate any contract to which Buyer or any
	of its Affiliates is a party or by which it is otherwise bound or
	(iv) require Buyer or any of its Affiliates to obtain any
	approval,
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-12-
 
 
	 
	authorization,
	consent, license, exemption, filing or registration from or with
	any court, arbitrator, Governmental Authority or pursuant to any
	contract by which Buyer or any of its Affiliates is
	bound.
	 
	Section
	5.3
	 
	No Brokers.
	Neither Buyer nor any of its
	Affiliates has any liability or obligation to pay any fees or
	commissions to any broker, finder or other agent with respect to
	this Agreement for which Seller could become liable or
	obligated.
	 
	Section
	5.4
	 
	No Other Representations or Warranties.
	Except for the representations and warranties of Buyer expressly
	set forth in this
	Article
	5
	, neither Buyer nor any other Person makes any other
	express or implied representation or warranty on behalf of Buyer.
	Buyer makes no representation or warranty with respect to the steps
	that Seller must take to comply with applicable US securities laws
	in relation to its receipt, holding or transfer of any Buyer Stock,
	including, but not limited to, the Restricted Shares.
	 
	 
	ARTICLE 6
	OTHER AGREEMENTS
	 
	Section
	6.1
	 
	Restrictive Covenants.
	As a material
	inducement for Buyer to enter into this Agreement, Seller agrees to
	the covenants and restrictions set forth below in this
	Section 6.1
	, and Seller hereby
	acknowledges and agrees that Buyer would not execute and deliver
	this Agreement and consummate the transactions contemplated hereby
	in the absence of such covenants by Seller.
	 
	Neither Seller, nor any of its
	Affiliates: (i) shall, directly or indirectly, disclose or use or
	otherwise exploit for their own benefit or for the benefit of any
	other Person, any of the Intellectual Property Rights, Books and
	Records or other non-public information included in the Purchased
	Assets (collectively, “
	Confidential Information
	”), (ii)
	develop, manufacture, commercialize or otherwise exploit the Active
	Ingredient (in any form), alone or in combination with any other
	active or inactive ingredients, in any country in the world, except
	as permitted by the License Agreement and (iii) shall safeguard any
	Confidential Information in their possession or control by all
	reasonable measures. Seller acknowledges and agrees that any and
	all Confidential Information will be, as of the Effective Date, the
	exclusive property of Buyer.
	 
	Section
	6.2
	 
	Further Assurances
	. Each Party, upon the
	request of the other Party and without further consideration, will
	do, execute, acknowledge and deliver or cause to be done, executed,
	acknowledged or delivered all such further acts, deeds, documents,
	assignments, transfers, conveyances, powers of attorney and
	assurances as may be reasonably necessary to effect complete
	consummation of the transactions contemplated by this Agreement.
	Seller will be responsible for all compensation due to [*****], if
	any, in connection with the sale of the Patent Rights.
	 
	Section
	6.3
	 
	Patent Rights
	. Within ten (10) business
	days of the Effective Date, Seller shall have entered into an
	agreement with [*****], in form and substance reasonably acceptable
	to Buyer, under which [*****] will assign all of his right, title
	and interest in and to the Patent Rights to Seller (the
	“
	After Acquired
	Rights
	”). Upon consummation of the acquisition of the
	After Acquired Rights, (i) Seller will and hereby does, assign to
	Buyer all of its right title and interest in the After Acquired
	Rights to Buyer and (ii) the After Acquired Rights will be included
	within the scope of the defined term “Purchased Assets”
	and all
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-13-
 
 
	 
	representations,
	warranties and covenants given with respect to the Purchased Assets
	on the Effective Date will be deemed to have been given again on
	the date of the subject acquisition with respect to the After
	Acquired Rights. On the date of the consummation of the acquisition
	of the After Acquired Rights, Seller will cause [*****] to execute
	a Patent Assignment Agreement, substantially in the form attached
	hereto as Exhibit H, assigning the subject Patents from [*****] to
	Buyer and will deliver the executed agreement to
	Buyer.
	 
	Section
	6.4
	 
	Other Fees
	. As between the Parties,
	Buyer shall be responsible for fees that accrue with respect to the
	maintenance of the Patent Rights included in the Purchased Assets
	after the Effective Date, including, but not limited to, any and
	all application and/or renewal and/or maintenance and/or defense
	fees.
	 
	ARTICLE
	7
	INDEMNIFICATION; LIABILITY
	 
	Section
	7.1
	 
	Indemnification by Seller
	. Seller hereby
	agrees to indemnify and defend Buyer and its Affiliates, and their
	respective officers, directors and employees (the
	“
	Buyer Indemnified
	Parties
	”) against, and agrees to hold them harmless
	from, any Losses to the extent such Losses arise from or in
	connection with the following:
	 
	(a)
	 
	any breach by
	Seller of any representation or warranty made by Seller under this
	Agreement;
	 
	(b)
	 
	any breach by
	Seller of any of its covenants, agreements or obligations contained
	in this Agreement;
	 
	(c)
	 
	any Loss incurred
	by Buyer in connection with a failure of Seller to have assigned to
	meet its obligations under Section 6.3.
	 
	(d)
	 
	any taxes of Seller
	that accrue or relate to periods that ended prior to or on the
	Effective Date; and
	 
	(e)
	 
	any of the Excluded
	Liabilities.
	 
	Section
	7.2
	 
	Indemnification by Buyer
	. Buyer hereby
	agrees to indemnify and defend Seller and its officers, directors
	and employees (the “
	Seller
	Indemnified Parties
	”) against, and agrees to hold them
	harmless from, any Losses to the extent such Losses arise from or
	in connection with the following:
	 
	(a)
	 
	any breach by Buyer
	of any representation or warranty made by Buyer under this
	Agreement;
	 
	(b)
	 
	any breach by Buyer
	of any of its covenants, agreements or obligations contained in
	this Agreement; and
	 
	(c)
	 
	any taxes of Buyer
	that accrue or relate to periods that begin after the Effective
	Date;
	 
	(d)
	 
	any of the Assumed
	Liabilities.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-14-
 
 
	 
	Section
	7.3
	 
	Survival of Representations and
	Warranties.
	Except for the Fundamental Representations
	(which shall survive and remain in full force and effect at all
	times after the Effective Date), the representations and warranties
	set forth in
	Article
	4
	and
	Article
	5
	shall survive and remain in full force and effect until
	the date that is twenty-four (24) months after the Effective
	Date.
	 
	Section
	7.4
	 
	Sole Remedy.
	Except in the event of
	fraud, gross negligence or willful misconduct, the Parties
	acknowledge and agree that their sole and exclusive remedy with
	respect to any and all claims with respect to breaches of any
	representation or warranty stated in
	Article 4
	or
	Article 5
	shall be pursuant to
	the rights to indemnification set forth in this
	Article 7
	.
	 
	Section
	7.5
	 
	Indemnity
	Procedures.
	 
	(a)
	 
	In order for an
	indemnified party under this
	Article 7
	(an
	“
	Indemnified
	Party
	”) to be entitled to any indemnification provided
	for under this Agreement, the Indemnified Party will, within a
	reasonable period of time following the discovery of the matters
	giving rise to any Losses, notify its applicable insurer and the
	indemnifying party under this
	Article 7
	(the
	“
	Indemnifying
	Party
	”) in writing of its claim for indemnification
	for such Losses, specifying in reasonable detail the nature of the
	Losses and the amount of the liability estimated to accrue
	therefrom;
	provided
	,
	however
	, that failure to give
	notification will not affect the indemnification provided
	hereunder, except to the extent the Indemnifying Party will have
	been actually prejudiced as a result of the failure. Thereafter,
	the Indemnified Party will deliver to the Indemnifying Party,
	within a reasonable period of time after the Indemnified
	Party’s receipt of such request, all information, records and
	documentation reasonably requested by the Indemnifying Party with
	respect to such Losses. The Indemnifying Party shall control all
	litigation reflecting to the indemnification. Without limiting the
	foregoing, the Indemnified Party shall control choice of counsel,
	staffing, and all decisions to be made with the
	litigation.
	 
	(b)
	 
	If the
	indemnification sought pursuant hereto involves a claim made by a
	Third Party against the Indemnified Party (a “
	Third Party Claim
	”), the
	Indemnifying Party will be entitled to participate in the defense
	of such Third Party Claim and, if it so chooses, to assume the
	defense of such Third Party Claim with counsel selected by the
	Indemnifying Party. Should the Indemnifying Party so elect to
	assume the defense of a Third Party Claim, the Indemnifying Party
	will not be liable to the Indemnified Party for any legal expenses
	subsequently incurred by the Indemnified Party in connection with
	the defense thereof. If the Indemnifying Party assumes such
	defense, the Indemnifying Party will control such defense. The
	Indemnifying Party will be liable for the reasonable fees and
	expenses of counsel employed by the Indemnified Party for any
	period during which the Indemnifying Party has not assumed the
	defense thereof (other than during any period in which the
	Indemnified Party will have failed to give notice of the Third
	Party Claim as provided above). If the Indemnifying Party chooses
	to defend or prosecute a Third Party Claim, all of the parties
	hereto will cooperate in the defense or prosecution thereof. Such
	cooperation will include the retention and (upon the Indemnifying
	Party’s request) the provision to the Indemnifying Party of
	records and information, which are reasonably relevant to such
	Third Party Claim, and making employees available on a mutually
	convenient basis to provide additional information and explanation
	of any material provided hereunder. If the indemnifying Party
	chooses to defend or prosecute any Third Party Claim, the
	Indemnifying Party will seek the approval of the Indemnified Party
	(not to be unreasonably withheld) to any settlement, compromise or
	discharge of such Third Party Claim the Indemnifying Party may
	recommend and which by its terms obligates the Indemnifying Party
	to pay the full amount of the liability in connection with such
	Third Party Claim. Whether or not the Indemnifying Party will have
	assumed the defense of a Third Party Claim, the Indemnified Party
	will not admit any liability with respect to, or settle, compromise
	or discharge, such
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-15-
 
 
	 
	Third
	Party Claim without the Indemnifying Party’s prior written
	consent). The Indemnifying Party shall reimburse upon demand, all
	reasonable costs and expenses incurred by the Indemnified Party in
	cooperation with the defense or prosecution of the Third Party
	Claim.
	 
	Section 7.6
	 
	Right of
	Set-Off.
	 
	Notwithstanding anything herein to
	the contrary, in addition to any other rights available to any
	Buyer Indemnified Party under this Agreement or otherwise, Buyer
	shall have the right to set-off any Milestone Payment payable to
	Seller hereunder to provide recourse to any Buyer Indemnified Party
	with respect to (a) amounts finally determined to be owed to any
	Buyer Indemnified Party in respect of their indemnification rights
	under this
	Article
	7
	or (b) amounts reasonably determined by Buyer to satisfy
	pending claims brought by any Buyer Indemnified Party in respect of
	their indemnification rights under this
	Article 7
	;
	provided
	,
	however
	, that with respect to
	clause (b), to the extent that it is finally determined that a
	Buyer Indemnified Party is not entitled to indemnification for the
	full amount of the portion of the Milestone Payment so set-off,
	Buyer shall promptly thereafter pay or cause to be paid to Seller
	such portion of the Milestone Payment to which Seller is so
	entitled to receive. In the event that Buyer exercises its right to
	set-off all or any portion of a Milestone Payment, Seller shall
	remain liable for any unsatisfied indemnification obligations under
	this
	Article
	7
	.
	 
	ARTICLE 8
	GENERAL PROVISIONS
	 
	Section
	8.1
	 
	Expenses
	. Except as otherwise specified
	in this Agreement, all costs and expenses, including fees and
	disbursements of counsel, financial advisors and accountants,
	incurred in connection with this Agreement and the transactions
	contemplated hereby will be paid by the Party incurring such costs
	and expenses.
	 
	Section
	8.2
	 
	Notices
	. All notices and other
	communications required or permitted to be given or made pursuant
	to this Agreement shall be in writing signed by the sender and
	shall be deemed duly given: (a) on the date delivered, if
	personally delivered, (b) on the date sent by facsimile with
	automatic confirmation by the transmitting machine showing the
	proper number of pages were transmitted without error, (c) on the
	Business Day after being sent by Federal Express or another
	recognized overnight mail service which utilizes a written form of
	receipt for next day or next business day delivery, or (d) upon
	receipt after mailing, if mailed by related country postage-prepaid
	certified or registered mail, return receipt requested, in each
	case addressed to the applicable party at the address set forth
	below; provided that a Party may change its address for receiving
	notice by the proper giving of notice hereunder:
	 
	if to
	Buyer, to:
	 
	AzurRx
	Biopharma, Inc.
	760
	Parkside Avenue
	Downstate
	Biotechnology Incubator
	Suite
	304
	Brooklyn, NY
	11226
	Tel:
	646-699-7855
	info@azurrx.com
	 
	with a
	copy to:
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-16-
 
 
	 
	Lowenstein Sandler
	LLP
	One
	Lowenstein Drive
	Roseland, New
	Jersey 07068
	Facsimile: (973)
	597-2400
	Attn:
	Michael J. Lerner, Esq.
	 
	if
	Seller, to:
	 
	Laboratoires Mayoly
	Spindler
	6 avenue de
	l'Europe,
	78401
	Chatou, France
	Attention:
	President
	 
	with a
	copy to:
	 
	Laboratoires Mayoly
	Spindler
	6 avenue de
	l'Europe,
	78401
	Chatou, France
	Attention: Legal
	Department
	 
	Section
	8.3
	 
	Headings
	. The table of contents and
	headings contained in this Agreement are for reference purposes
	only and will not affect in any way the meaning or interpretation
	of this Agreement.
	 
	Section
	8.4
	 
	Severability
	. If any term or other
	provision of this Agreement is invalid, illegal or incapable of
	being enforced under any law or public policy, all other terms and
	provisions of this Agreement will nevertheless remain in full force
	and effect so long as the economic or legal substance of the
	transactions contemplated hereby is not affected in any manner
	materially adverse to any Party. Upon such determination that any
	term or other provision is invalid, illegal or incapable of being
	enforced, the Parties will negotiate in good faith to modify this
	Agreement so as to effect the original intent of the Parties as
	closely as possible in an acceptable manner in order to ensure that
	the transactions contemplated hereby are consummated as originally
	contemplated to the greatest extent possible.
	 
	Section
	8.5
	 
	Counterparts
	. This Agreement may be
	executed in any number of counterparts, each of which shall be
	deemed an original, and all of which together shall constitute one
	and the same instrument. Signatures provided by facsimile
	transmission or in Adobe Portable Document Format (PDF) sent by
	electronic mail shall be deemed to be original
	signatures.
	 
	Section
	8.6
	 
	Entire Agreement; No Third Party
	Beneficiaries.
	This Agreement constitutes the entire
	agreement and supersede all prior agreements and understandings
	both written and oral (including any letter of intent, memorandum
	of understanding electronic communicators, e-mail or term sheet),
	between the Parties with respect to the subject matter hereof.
	Except as specifically provided herein, this Agreements is not
	intended to confer upon any Person other than the Parties any
	rights or remedies hereunder.
	 
	Section
	8.7
	 
	Governing Law
	. This Agreement and all
	matters arising directly or indirectly herefrom shall be governed
	by and construed and enforced in accordance with the
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-17-
 
 
	 
	laws of
	the State of New York applicable to agreements made and to be
	performed entirely in such state, without giving effect to the
	conflict of law principles thereof.
	 
	Section
	8.8
	 
	Jurisdiction; Venue, Service of Process
	.
	Buyer and Seller each agrees to irrevocably submit to the sole and
	exclusive jurisdiction of the state and federal courts located in
	New York County, New York for any suit, action or other proceeding
	arising out of this Agreement or any transaction contemplated
	hereby, and hereby waives any objection to the laying of venue in
	such courts. Each Party agrees that service of any process,
	summons, notice or document by registered mail or recognized
	international courier service to such Party’s address set
	forth in this Agreement shall be effective service of
	process.
	 
	Section
	8.9
	 
	Publicity
	. Neither Party will make any
	public announcement concerning, or otherwise publicly disclose, any
	information with respect to the transactions contemplated by this
	Agreement or any of the terms and conditions hereof without the
	prior written consent of the other Party. Notwithstanding the
	foregoing (a) either Party may make any public disclosure
	concerning the transactions contemplated hereby that in the opinion
	of such Party’s counsel may be required by any Government
	Rule or the rules of any stock exchange on which such Party’s
	or any of its Affiliates’ securities trade and (b) Buyer may
	publicize its development of the Active Ingredient, the Technology
	and/or any resulting Products without approval from
	Seller.
	 
	Section
	8.10
	 
	Assignment
	. Neither Party may assign its
	rights or obligations under this Agreement without the prior,
	written consent of the other Party;
	provided
	,
	however
	, that notwithstanding
	the foregoing, either Party may assign its rights and obligations
	under this Agreement, without any obligation to obtain the other
	Party’s consent, to (i) any of its Affiliates or (ii) in
	connection with any merger, consolidation, sale of all or
	substantially all of the assets of such Party (or, in the case of
	Buyer, Buyer’s business related to the Product) or any
	similar transaction. Any permitted assignee or
	successor-in-interest will assume all obligations of its assignor
	under this Agreement. No assignment will relieve either Party of
	its responsibility for the performance of any obligation. This
	Agreement will be binding upon and inure to the benefit of the
	Parties hereto and their respective successors and permitted
	assigns. For the avoidance of doubt, in the event that prior the
	milestones set forth in Section 3.1 Buyer is subject to any merger,
	consolidation, sale of all or substantially all of its assets, in
	particular Buyer’s business related to the Product, or any
	similar transaction, or any assignment of rights or obligations
	under this Agreement, Buyer covenants and agrees that i) it will
	assign its payment rights to its successor-in-interest through a
	dedicated covenant for such purpose and failing the payment by its
	successor-in-interest, Buyer remains jointly and severally liable
	for the payment of the Milestone Payment as set forth in Section
	3.1.
	 
	Section
	8.11
	 
	Amendments and Waivers
	. This Agreement
	may not be amended except by an instrument in writing signed by
	both Parties. Each Party may, by a signed written instrument, waive
	compliance by the other Party with any term or provision of this
	Agreement that such other Party was obligated to comply with or
	perform.
	 
	 
	 
	[Remainder of Page Intentionally Left Blank- Signature Page to
	Follow]
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-18-
 
 
	 
	 
	IN
	WITNESS WHEREOF, the Parties have caused this Agreement to be
	signed by their respective representatives thereunto duly
	authorized, all as of the date first written above.
	 
	 
	 
| 
 
	AzurRx BioPharma, Inc.
 
 | 
 
	Laboratoires Mayoly Spindler SAS
 
 | 
| 
 
	 
 
	By:
	/s/ Thijs
	Spoor
 
 | 
 
	 
 
	By:
	/s/ Claude
	Brunet
 
 | 
 
	 
 
 | 
| 
 
	Name:
	Thijs Spoor
 
 | 
 
	Name:
	Claude Brunet
 
 | 
 
	 
 
 | 
| 
 
	Title:
	President & CEO
 
 | 
 
	Title:
	Chief Executive Officer
 
 | 
 
	 
 
 | 
 
	 
	 
	 
	[signature page to AzurRx/LMS Asset Purchase
	Agreement]
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-19-
 
 
	 
	EXHIBIT A
	 
	Termination Agreement
	 
	 
	 
	TERMINATION
	AGREEMENT
	 
	This
	Termination Agreement (this “
	Agreement
	”) dated March
	27, 2019 (the “
	Effective
	Date
	”), is between
	Laboratoires Mayoly Spindler SAS, a corporation created and
	organized under French laws (“
	LMS
	”) and AzurRx BioPharma, Inc.,
	a Delaware corporation (“
	AZRX
	”) executing on behalf of its
	wholly-owned subsidiary, AzurRx BioPharma SAS (formerly ProteaBio
	Europe SAS) (“
	AZRX
	SAS
	”). LMS and AZRX are referred to collectively as
	the “Parties” and individually as a
	“Party.”
	 
	RECITALS
	 
	A.   
	LMS and AZRX SAS
	are parties to that certain Joint Development and License
	Agreement, executed as of January 1, 2014 (the “
	JDLA
	”).
	 
	B.   
	A
	ZRX is the direct
	parent of its wholly-owned subsidiary, AZRX SAS, and therefore has
	the authority to execute this Agreement on its behalf.
	 
	C.   
	LMS has
	executed that certain term sheet, dated as of November 28, 2018,
	pursuant to which LMS agreed to make certain payments in connection
	with the termination of the JDLA.
	 
	D.   
	T
	he Parties now
	desire to terminate the JDLA by written agreement in accordance
	with and subject to the terms of this Agreement.
	 
	E.   
	Immediately after
	the termination of the JDLA becomes effective, upon the terms and
	conditions set forth in that certain Asset Purchase Agreement,
	dated as of the date hereof, between AZRX and LMS (the
	“
	APA
	”),
	AZRX shall purchase all of LMS’ right, title and interest in
	and to the Purchased Assets (as defined in the APA) and the JDLA
	Assets (as defined in the APA).
	 
	 
	NOW,
	THEREFORE, in consideration of the foregoing and the mutual
	covenants contained in this Agreement, the Parties agree as
	follows:
	 
	1.
	 
	Certain Defined Terms
	. Certain
	terms capitalized and not otherwise defined herein shall have the
	meanings given to such terms in the JDLA.
	 
	2.    
	Amendment of the JDLA
	. The
	Parties hereby agree that the JDLA shall be amended (the
	“
	Amendment
	”) to add the
	following as a new clause 15.1.4:
	 
	“The Parties
	may terminate this Agreement by mutual written
	Agreement.”
	 
	3.    
	Termination of JDLA
	. The JDLA
	is hereby terminated and of no further force
	 
	CERTAIN
	CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY
	[*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	or effect
	immediately after the effectiveness of the Amendment, which for the
	avoidance of doubt, shall be on the Effective Date. Upon the
	termination of the JDLA i.e the Effective Date, the full and
	exclusive rights relating to the JDLA shall be reverted by each
	Party to the other Party pursuant to the terms and conditions set
	forth in this Agreement and AZRX SAS shall immediately cease
	incurring or committing towards LMS any further fees and expenses
	in connection with the JDLA. For the avoidance of doubt, the grant
	of licenses and sub-licenses under the JDLA is terminated as of the
	Effective Date.
	 
	4.    
	Payments Due AZRX SAS
	. LMS
	shall pay to AZRX SAS (or its designee) in immediately available
	funds to an account designated by AZRX SAS to LMS:
	 
	its part of Shared
	Costs as defined in Article 4.2 of the JDLA in the year 2018 for
	any work under Development Program (for chronic pancreatitis as
	well as for cystic fibrosis or any other indication in the Field)
	which was decided to be carried out prior to the Effective Date.
	This Shared Cost is set at three hundred thirty four thousand euros
	(334.000€) (excluding tax) through the Effective Date (the
	“
	Shared Cost
	Amount
	”). Any amount due from LMS to AZRX SAS under
	the JDLA that is in excess of the Shared Cost Amount, shall be
	forgiven as part of the purchase price for the Purchased Assets (as
	defined in the APA) under the APA. The Shared Cost Amount has
	already been paid by LMS.
	 
	5.    
	Release by AZRX
	SAS
	. AZRX agrees that no payment of Shared Costs in excess
	or in addition to the Shared Cost Amount (other than applicable
	taxes through the Effective Date) shall be due to AZRX SAS or any
	of its Affiliates. Any invoice issued by AZRX SAS in respect of
	Shared Costs that is in excess of the Shared Cost Amount shall be
	cancelled by issuance of a corresponding credit note within ten
	(10) days from the Effective Date indicating that the amounts set
	forth on Exhibit A have been forgiven in accordance with the
	APA.
	 
	6.
	 
	Rights of the Parties-Survival
	.
	Except as set forth herein, this Agreement does not extinguish,
	waive or otherwise alter any rights, including, but not limited to,
	rights relating to ownership of Intellectual Property and/or
	confidentiality that have accrued to either Party under the JDLA as
	of the Effective Date. All rights of each Party with respect to
	ownership of Intellectual Property and/or confidentiality as set
	forth in Sections 11, 15.5.1 and 12.1.1 – 12.1.4 (inclusive)
	shall survive termination of the JDLA. In addition, to the extent
	that any rights in Intellectual Property were or would be conferred
	to either Party under Sections 12.1.5 – 12.1.8 (inclusive),
	the Party owning such rights on the Effective Date shall retain
	those ownership rights. And, with respect to rights retained by or
	reverting to LMS, such Intellectual Property rights shall be
	included in the Purchased Assets.
	 
	7.    
	Governing Law
	. This Agreement
	will be governed by and construed in accordance with the laws of
	the country of France.
	 
	8.
	 
	Dispute Resolution
	. All
	disputes arising out of or in connection to this Agreement shall be
	settled by French Court in Paris
	.
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
 
	 
	9.
	 
	Integration; Amendments
	. This
	Agreement, the APA and the JDLA set forth the final and complete
	understanding of the Parties hereto and supersedes any prior
	agreement with respect to the subject matter hereof and may not be
	modified, amended, or otherwise altered except in a writing
	executed by the Parties.
	 
	10.
	 
	Counterparts
	. This Agreement
	may be executed in multiple counterparts, each of which will be
	deemed an original, but all of which, when taken together, will
	constitute one and the same instrument.
	 
	11.
	 
	Further Acts
	. Each party agrees
	to sign and have acknowledged and delivered to the other party, as
	may be appropriate, any and all additional instruments and
	assurances reasonably requested or appropriate to evidence or give
	effect to the provisions of this Agreement.
	 
	 
	[
	Signature
	blocks appear on the following page
	]
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	A-3
 
 
	 
	IN
	WITNESS HEREOF, the parties have executed and delivered this
	Termination Agreement.
	 
	LMS
	 
	LABORATOIRES
	MAYOLY SPINDLER SAS
	 
	By:
	/s/ Claude
	Burnet
	Its:
	Chief Executive
	Officer
	 
	 
	 
	AZRX
	 
	AZURRX
	BIOPHARMA, INC.
	 
	By:
	/s/ Thijs Spoor
	Its:
	President &
	CEO
	 
	  
	Acknowledged
	and Agreed:
	 
	AZURRX
	BIORPHARMA SAS
	 
	 By:
	/s/ Thijs
	Spoor
	 Its:
	President &
	CEO
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	A-4
 
	 
	Exhibit A
	 
	Cancelled Invoices
 
 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	A-5
 
 
	 
	EXHIBIT B
	 
	License Agreement
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	B-1
 
 
	 
	EXHIBIT C
	 
	Transferred Contracts
	 
	Reciprocal
	License
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	C-1
 
 
	 
	EXHIBIT D
	 
	Patents
	 
	[*****]
	 
	  
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	D-1
 
 
	 
	EXHIBIT E
	 
	Private Placement Rider
	 
	1.
	Seller is an entity with total assets in excess of $5,000,000, not
	formed for the specific purpose of acquiring Buyer Stock pursuant
	to this Agreement, and is an “accredited investor”
	within the meaning of Rule 501(a) of the Securities Act of 1933, as
	amended.
	 
	2.
	Seller and its representatives have had the opportunity to review
	the current business prospects, financial condition and operating
	history of Buyer, as set forth or incorporated by reference in its
	filings made by Buyer with the U.S. Securities and Exchange
	Commission. Seller and its representatives have such knowledge and
	experience in financial and business matters that they are capable
	of evaluating the merits and risks of investment in Buyer Stock.
	Seller and its representatives have had the opportunity to ask
	questions and receive answers from Buyer regarding the terms and
	conditions of the sale of Buyer Stock pursuant to this Agreement
	and have received all the information they consider necessary or
	appropriate for deciding whether to participate in such
	transactions. Seller has consulted with its own legal, tax and
	accounting advisors as to the consequences of participating or not
	participating in such transactions.
	 
	3. Any
	Buyer Stock acquired pursuant to this Agreement is for the account
	of Seller, for investment purposes and not with any view to the
	distribution thereof, and Seller will not sell, assign, transfer or
	otherwise dispose of any such Buyer Stock, or any interest therein,
	in violation of the Securities Act of 1933, as amended, or any
	applicable state securities law.
	 
	4.
	Seller understands that until it is registered (i) any Buyer Stock
	acquired pursuant to this Agreement may not be sold or otherwise
	disposed of except in a transaction registered under the Securities
	Act of 1933, as amended, and any applicable state securities law,
	or exempt from registration, and (ii) any certificates or
	book-entry records representing Buyer Stock acquired pursuant to
	this Agreement will bear appropriate legends restricting the
	transferability thereof.
	 
	5.
	Seller understand that Buyer will rely upon the completeness and
	accuracy of these representations and warranties in establishing
	that the contemplated transactions are exempt from the Securities
	Act of 1933, as amended, and applicable state securities
	laws.
	 
	6.
	Seller understands that its investment in the Buyer Stock involves
	a high degree of risk and that no representation is being made as
	to the business or prospects of Buyer after completion of the
	transaction contemplated in the Agreement or the future value of
	the Equity Consideration. Seller, either alone or together with its
	representatives, has the knowledge, sophistication and experience
	in financial and business matters as to fully understand and be
	capable of evaluating the merits and risks of an investment in
	Buyer Stock and has the ability to bear the economic risks of an
	investment in the Equity Consideration. Seller has carefully
	reviewed and considered the risk factors included in the
	Buyer’s annual reports and quarterly reports filed with the
	Securities and Exchange Commission (the “
	Risk Factors
	”). Seller hereby
	acknowledges and confirms that it has carefully reviewed and
	considered the risks and uncertainties described in the Risk
	Factors before making a decision to accept Buyer Stock as
	consideration in the Agreement.
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	E-1
 
 
	 
	Exhibit F
	 
	Patent Assignment Agreement LMS
	 
	 
	 
	ASSIGNMENT
	 
	I,
	LABORATOIRES
	MAYOLY SPINDLER
	, a corporation having a
	place of business at 6, Avenue de L’Europe, 78400 Chatou,
	France, (hereinafter “ASSIGNOR”), in consideration of
	good and valuable consideration, the sufficiency of which and
	receipt of which are hereby acknowledged, paid to ASSIGNOR
	by
	 
	 
	A Delaware corporation, located at 760 Parkside Avenue, Downstate
	Biotechnology Incubator, Suite 304, Brooklyn, NY 11226, USA
	(hereinafter “ASSIGNEE“), do hereby sell and assign to
	said ASSIGNEE, its successors and assigns, the below indicated
	right, title, and interest,
	throughout the
	world
	, in and to said
	Invention(s), and to said applications and to any and all patents
	to be obtained therefore, including but not limited to, the
	inventions listed in the attached patent schedule I and patent
	schedule II,
	 
	and all patents, divisions, reissues, continuations and any
	extensions thereof and rights of priority therein, and all
	applications for industrial property protection including, without
	limitation, all applications for patents, utility models,
	inventor’s certificates and designs and rights of priority
	therein that may be filed for said Invention(s) in any country, and
	including the right to claim the same priority rights from any
	previously filed applications under the International Agreement for
	the Protection of Industrial Property, or any other international
	agreement, or the domestic laws of the country in which any such
	application is filed, as may be applicable; said interest
	being
	my entire ownership
	interest
	in the same, to be
	held and enjoyed by said ASSIGNEE, its successors, assigns, or
	other legal representatives, to the full end of the term thereof,
	as fully and entirely as the same would have been held and enjoyed
	by me if this Assignment and sale had not been
	made.
	 
	And for the consideration aforesaid, I hereby covenant and agree to
	and with said ASSIGNEE, its successors and assigns, that whenever
	ASSIGNEE, its counsel or representative, or the counsel or
	representative of its successors or assigns, shall advise that an
	amendment to, or a division of, or any other proceeding or action
	in connection with an application concerning said Invention,
	including interference proceedings, is lawful and desirable, orthat
	a reissue or continuation or extension of such application or
	patent issuing therefrom is lawful and desirable, I will sign all
	papers and drawings, take all rightful oaths and affidavits, and do
	all acts necessary or required to be done for the procurement or
	enforcement of all lawful rights associated with the Invention, or
	for the reissue or continuation or extension of the same, will do
	all acts necessary or required to secure in said ASSIGNEE, its
	successors or assigns, the title to and full benefit of all rights
	hereby assigned, without charge to said ASSIGNEE or its successors
	or assigns, but at its or their expense; and I hereby appoint every
	present or future officer of said ASSIGNEE as my agent to sign all
	such papers and to do all such necessary acts on my behalf, to the
	fullest extent permitted by law.
	 
	And I hereby authorize and request the Commissioner of Patents and
	Trademarks and any other granting authority to issue any Letters
	Patent or other evidence or forms of industrial property protection
	resulting from said Invention and application(s) concerning same to
	said ASSIGNEE, its successors or assigns.
	 
	I hereby grant Lowenstein Sandler LLP power to insert in this
	Assignment any further identification that may be necessary or
	desirable in order to comply with the rules of the United States
	Patent and Trademark Office or any other patent office for
	recordation of this document.
	 
	CERTAIN
	CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY
	[*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	I hereby represent that I have the full right to convey the entire
	interest herein assigned, and that I have not executed, and will
	not execute, any agreement in conflict with this
	Assignment.
	 
	I declare under penalty of perjury under the laws of the United
	States of America, and under penalty of the laws of any other
	jurisdiction before which this document may be presented, that I
	have signed this document as my own free act and that all of the
	foregoing is true and correct.
	 
	 
	 
| 
 
	Date: March 27, 2019
 
	 
 
 | 
 
	/s/
	Claude Burnet
 
	Signature of Officer of LABORATOIRES MAYOLY SPINDLER
	(Assignor)
 
 | 
| 
 
	 
 
 | 
 
	 
 
	Claude
	Burnet
 
	Print Name and Title of Officer of LABORATOIRES MAYOLY SPINDLER
	(Assignor)
 
	 
 
	 
 
 | 
| 
 
	Date: March 27, 2019
 
 | 
 
	/s/
	Thijs Spoor
 
	Signature of Officer of AZURRX BIOPHARMA, INC.
	(Assignee)
 
 | 
| 
 
	 
 
 | 
 
	 
 
	Thijs
	Spoor
 
	Print Name and Title of Officer of AZURRX BIOPHARMA, INC.
	(Assignee)
 
	 
 
	 
 
 | 
 
	 
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	F-2
 
	Attorney Docket No.: 34921-4
	 
 
 
	 
	Patent Schedule I
	 
	[*****]
	 
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	F-3
 
	Attorney Docket No.: 34921-4
	 
 
 
	 
	Patent Schedule II
	 
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	F-4
 
 
	 
	Exhibit G
	 
	Description of Restricted Shares
	 
	This Appendix is intended to provide you with a description of
	certain rules, regulations and limitations with respect to the sale
	of securities in the United States. The following descriptions are
	for informational purposes only, and are not intended to constitute
	a complete analysis of all applicable laws and regulations that may
	apply to the sale of the securities described in the Agreement.
	Nothing contained herein shall be construed as legal advice which
	may be relied upon by any party in possession of this Appendix. You
	should consult your independent legal counsel for specific guidance
	regarding any intended offer and sale of securities described in
	the Agreement.
	 
	In
	general, all offers and sales of securities in the United States
	must either be registered under the Securities Act of 1933, as
	amended (the “
	Securities
	Act
	”), or exempt from registration in accordance
	certain exemptions provided under the Securities Act. The shares of
	AzurRx BioPharma, Inc. common stock issuable to you as Closing
	Payment Stock in accordance with the terms and conditions of this
	Agreement will not be registered when issued, and instead will be
	considered restricted securities.
	 
	Should
	the Company file a registration statement under the Securities Act
	that registers the Closing Payment Stock, as is required by Section
	3.2 of the Agreement, and such registration statement is declared
	effective by the United States Securities and Exchange Commission
	(the “
	SEC
	”),
	such shares will no longer be considered restricted securities,
	and, instead, may be freely sold. The Company will contact you upon
	receiving notice that any such registration statement has been
	declared effective by the SEC, and will provide you with the
	applicable prospectus and provide any additional information that
	may be required, including information from the Company’s
	transfer agent, to facilitate the removal of any restrictions from
	your securities.
	 
	Absent
	an effective registration statement under the Securities Act,
	restricted securities may be sold in the United States pursuant to
	an exemption from registration under applicable rules promulgated
	under the Securities Act. The most frequently utilized exemption is
	Securities Act Rule 144, often referred to simply as Rule 144.
	Pursuant to Rule 144, restricted securities may be resold to the
	public if the following conditions are satisfied:
	 
	1.
	The restricted
	securities have been held by the stockholder for a minimum of six
	months;
 
 
	 
	2.
	The stockholder is
	not, and, for the three-month period preceding the proposed resale,
	has not been an affiliate (as such term is defined under the
	Securities Act) of the issuer of the securities; and
 
 
	 
	3.
	The issuer of the
	securities files reports under the Securities Exchange Act of 1934,
	as amended, and is current in its reporting
	obligations.
 
 
	 
	Sales
	of restricted securities in reliance on Rule 144 often require
	certain documentation, including an executed representation letter,
	confirming that the conditions of Rule 144 have been satisfied, and
	an opinion of counsel delivered to the transfer agent opining that
	the conditions for resale of the securities under Rule 144 have
	been satisfied. To reach the company’s securities counsel,
	contact:
	 
	Disclosure Law
	Group
	One America
	Plaza
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	G-1
 
 
	 
	600 West Broadway, Suite
	700
	San Diego, CA 92101
	(619) 272-7050
	Attention Daniel Rumsey
	 
	Should
	you have any questions with respect to the current status of your
	securities, or about a potential sale of restricted securities,
	please contact either the Company or its transfer
	agent:
	 
	Colonial Stock
	Transfer
	66 Exchange Place, Ste 100
	 
	Salt Lake City, UT 84111
	 
	(801) 355-5740
	 
	shareholders@colonialstock.com
	 
	www.colonialstock.com
	 
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	G-2
 
 
	 
	Exhibit G
	 
	Patent Assignment Agreement – [*****]
	 
	 
	ASSIGNMENT
	I,
	[*****]
	,
	 
	and
	each of us, if more than one person is identified above
	 
	(hereinafter
	“ASSIGNOR”), in consideration of good and valuable
	consideration, the sufficiency of which and receipt of which are
	hereby acknowledged, paid to ASSIGNOR by
	 
	AZURRX BIOPHARMA, INC.
	 
	a
	Delaware corporation, located
	at
	760 Parkside Avenue, Downstate Biotechnology
	Incubator, Suite 304, Brooklyn, NY 11226, USA (hereinafter
	“ASSIGNEE“), do hereby sell and assign to said
	ASSIGNEE, its successors and assigns, the below indicated right,
	title, and interest,
	throughout the
	world
	, in and to my Invention
	entitled:
 
	 
	CLONING AND EXPRESSING AN ACID-RESISTANT EXTRACELLULAR LIPASE OF
	YARROWIA LIPOLYTICA
	 
	invented by me and described in
	the patents listed in attached Patent Schedule II,
	and all patents, divisions, reissues, continuations and any
	extensions thereof and rights of priority therein, and all
	applications for industrial property protection including, without
	limitation, all applications for patents, utility models,
	inventor’s certificates and designs and rights of priority
	therein that may be filed for said Invention in any country, and
	including the right to claim the same priority rights from any
	previously filed applications under the International Agreement for
	the Protection of Industrial Property, or any other international
	agreement, or the domestic laws of the country in which any such
	application is filed, as may be applicable; said interest being my
	entire ownership interest in the same, to be held and enjoyed by
	said ASSIGNEE, its successors, assigns, or other legal
	representatives, to the full end of the term thereof, as fully and
	entirely as the same would have been held and enjoyed by me if this
	Assignment and sale had not been made.
	 
	And for the consideration aforesaid, I hereby covenant and agree to
	and with said ASSIGNEE, its successors and assigns, that whenever
	ASSIGNEE, its counsel or representative, or the counsel or
	representative of its successors or assigns, shall advise that an
	amendment to, or a division of, or any other proceeding or action
	in connection with an application concerning said Invention,
	including interference proceedings, is lawful and desirable, or
	that a reissue or continuation or extension of such application or
	patent issuing therefrom is lawful and desirable, I will sign all
	papers and drawings, take all rightful oaths and affidavits, and do
	all acts necessary or required to be done for the procurement or
	enforcement of all lawful rights associatedwith the Invention, or
	for the reissue or continuation or extension of the same, will do
	all acts necessary or required to secure in said ASSIGNEE, its
	successors or assigns, the title to and full benefit of all rights
	hereby assigned, without charge to said ASSIGNEE or its successors
	or assigns, but at its or their expense; and I hereby appoint every
	present or future officer of said ASSIGNEE as my agent to sign all
	such papers and to do all such necessary acts on my behalf, to the
	fullest extent permitted by law.
	 
	And I hereby authorize and request the Commissioner of Patents and
	Trademarks and any other granting authority to issue any Letters
	Patent or other evidence or forms of industrial property protection
	resulting from said Invention and application(s) concerning same to
	said ASSIGNEE, its successors or assigns.
	 
	 
	 
	I hereby grant Lowenstein Sandler LLP power to insert in this
	Assignment any further identification that may be necessary or
	desirable in order to comply with the rules of the United States
	Patent and Trademark Office or any other patent office for
	recordation of this document.
	 
	I hereby represent that I have the full right to convey the entire
	interest herein assigned, and that I have not executed, and will
	not execute, any agreement in conflict with this
	Assignment.
	 
	I declare under penalty of perjury under the laws of the United
	States of America, and under penalty of the laws of any other
	jurisdiction before which this document may be presented, that I
	have signed this document as my own free act and that all of the
	foregoing is true and correct.
	 
| 
 
	 
 
	Date: _______________________
 
	 
 
 | 
 
	 
 
	__________________________________
 
	Signature of [*****] (Assignor)
 
 | 
| 
 
	 
 
 | 
 
	 
 
	__________________________________
 
	Name and Title (Assignor)
 
	 
 
	 
 
 | 
 
	 
| 
 
	 
 
	Date: _______________________
 
	 
 
 | 
 
	 
 
	Signature of Officer of AZURRX BIOPHARMA, INC.
	(Assignee)
 
 | 
| 
 
	 
 
 | 
 
	 
 
	Print Name and Title of Officer of AZURRX BIOPHARMA, INC.
	(Assignee)
 
	 
 
	 
 
 | 
 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
 
	H-3
	Attorney Docket No.: 34921-4
	 
 
 
	 
	Patent Schedule II
	 
	[*****]
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
 
 
	Exhibit 10.26
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
 
 
	 
	 
	PATENT LICENSE AGREEMENT
	 
	THIS PATENT LICENSE AGREEMENT
	(this
	“
	Agreement
	”) is
	entered into effective as of the 27 day of March, 2019 (the
	“
	Effective
	Date
	”) by and between AzurRx BioPharma, Inc., a
	Delaware corporation (“
	Licensor
	”) and Laboratoires Mayoly
	Spindler SAS, a corporation created and organized under French laws
	(“
	Licensee
	”)
	(collectively, the “
	Parties
	” and each, a
	“
	Party
	”).
	Capitalized terms in this Agreement not otherwise defined will have
	the meaning set forth in
	Section 1
	.
	 
	WHEREAS,
	pursuant to that certain Asset
	Purchase Agreement by and between Licensor and Licensee dated as of
	the Effective Date (the “
	Asset Purchase Agreement
	”),
	Licensee is assigning to Licensor all of Licensee’s, right,
	title and interest in and to, among other things, the Licensed
	Patent Rights; and
	 
	WHEREAS,
	subject to the terms and
	conditions of this Agreement, Licensor wishes to grant, and
	Licensee wishes to receive, an exclusive, royalty-bearing license
	under the Licensed Patent Rights to Exploit the Licensed Products
	solely for sale and use in the Territory; and
	 
	NOW, THEREFORE,
	in consideration of the
	mutual promises and for other good and valuable consideration, the
	receipt of which is hereby acknowledged, the Parties agree as
	follows:
	 
	 
	The
	following definitions will control the construction of each of the
	following items wherever they appear in this
	Agreement.
	 
	1.1
	 
	“Affiliate”
	means, with respect to any Person, any other Person which directly
	or indirectly controls, is controlled by, or is under common
	control with, such Person. A corporation or other entity shall be
	regarded as in control of another corporation or entity if it owns
	or directly or indirectly controls more than 50% of the voting
	securities or other ownership interest of the other corporation or
	entity, or if it possesses, directly or indirectly, the power to
	direct or cause the direction of the management and policies of the
	corporation or other entity.
	 
	1.2
	 
	“Applicable
	Law”
	means any laws, treaties, statutes, ordinances,
	judgments, decrees, directives, rules, injunctions, writs,
	regulations, binding arbitration rulings, orders, judicial or
	administrative interpretations or authorization of any Governmental
	Authority applicable to the manufacture, distribution, promotion,
	marketing, handling, storage and/or sale of and/or sale of any
	Licensed Product or the performance of either Party’s
	obligations under this Agreement, in each case to the extent
	applicable and relevant to such Party.
	 
	1.3
	 
	“
	Commercially
	Reasonable Efforts
	” means, with respect to activities
	that Licensee is required to perform hereunder with respect to
	Licensed Products, the level of effort that would generally be used
	by a similarly-situated company to conduct such activities for any
	product owned by it or to which it has rights, which is of
	comparable market potential, profit potential or strategic value to
	such party and is at a similar stage in its development or product
	life, taking into account, without limitation, issues of safety and
	efficacy, product profile, the proprietary position, the
	then-current competitive environment for such product, the likely
	timing of the product’s entry into the market, the then
	current market penetration, the return on investment potential of
	such product, the regulatory environment and status of the product,
	and other relevant scientific, technical and commercial factors, in
	each case as measured by the facts and circumstances at the time
	such efforts are due.
	 
	 
	 
	 
	 
	1.4
	 
	“
	Exploit
	”
	means to register, manufacture or have manufactured, sell, offer
	for sale, and “
	Exploitation
	” has a correlative
	meaning.
	 
	1.5
	 
	“
	Governmental
	Authority
	” means any court, governmental agency,
	department or commission or other governmental authority or
	instrumentality, including, but not limited to, the United States
	Food and Drug Administration.
	 
	1.6
	 
	“
	IFRS
	” shall mean
	International Financial Reporting Standards applied on a consistent
	basis.
 
	 
	1.7
	 
	“License
	Term”
	means the period that begins on the Effective
	Date and ends, on a country-by-country basis with respect to the
	countries in the Territory, on the date on which all Valid Claims
	applicable to Licensed Products that are sold or sued in such
	country have expired, have been held unenforceable or invalid
	and/or have been abandoned.
	 
	1.8
	 
	“Licensed
	Patent Rights”
	means: (i) the patents and patent
	applications in the Territory that are set forth on
	Appendix A
	hereto, (ii) any divisional,
	continuation and continuation-in-part (excluding new matter)
	applications in the Territory that claim priority based on any of
	the patents and patent applications set forth on
	Appendix A
	and (iii) any patents in the
	Territory that may issue from any of the foregoing, and any
	reexamination certificates, corrections, extensions, renewals and
	reissues with respect to any of the foregoing (in each case, solely
	within the Territory).
	 
	1.9
	 
	“Licensed
	Product
	” means any product or service or component of
	either of the foregoing, the Exploitation of which would, in the
	absence of the license granted to Licensee hereunder, infringe at
	least one Valid Claim (whether such Valid Claim is in an issued
	patent or a pending patent application).
	 
	1.10
	 
	“Net
	Sales”
	means the gross amounts invoiced by Licensee,
	any of its Affiliates or any Sublicensee for sales of a Licensed
	Product for use in a given country during the License Term that
	applies to such country to customers who are not Affiliates of
	Licensee or Sublicensees,
	less
	the following deductions
	determined in accordance with IFRS, as consistently applied by
	Licensee (or, if applicable, its Affiliate or a Sublicensee), to
	the extent such deduction is for an amount that was included in the
	invoiced amount of Licensed Product sales:
	 
	(i) 
	trade, quantity and
	cash discounts, coupons, rebates and other price reductions for the
	Licensed Product;
 
 
	 
	(ii) 
	credits and
	allowances for rejection or return of Licensed Products previously
	sold;
 
 
	 
	(iii) 
	amounts written off
	as bad debt; and
 
 
	 
	(iv) 
	sales and
	value-added taxes and other taxes and governmental charges related
	to sale of the Licensed Product (but not including taxes assessed
	against the net income derived from such sale).
 
 
	 
	1.11
	 
	“Person”
	means an individual, corporation, partnership, limited liability
	company, trust, business trust, association, joint venture,
	non-profit organization, pool, syndicate, sole proprietorship,
	unincorporated organization, university, Governmental Authority or
	any other form of entity not specifically listed
	herein.
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-2-
 
 
	 
	 
	1.12
	 
	“Sublicensee”
	means: (i) any Third Party that has entered into an agreement with
	Licensee or any of its Affiliates sublicensing to such Third Party
	any of the rights granted to Licensee by Licensor pursuant to
	Section 2.1
	and
	(ii) any other Third Party that has entered into a license
	agreement with any other Sublicensee sublicensing to such Third
	Party the rights granted to such Sublicensee.
	 
	1.13
	 
	“Territory”
	means [*****].
	 
	1.14
	 
	“Third
	Party”
	mean any Person other than Licensee, Licensor
	or any of their respective Affiliates.
	 
	1.15
	 
	“Valid
	Claim”
	means
	 
	a claim of: (i) an issued and
	unexpired patent that is included in the Licensed Patent Rights,
	which claim has not been revoked or held unenforceable or invalid
	by a decision of a court of governmental agency of competent
	jurisdiction from which no further appeal can be taken or has been
	taken within the time allowed for appeal or (ii) a pending patent
	application that is included in the Licensed Patent Rights which
	was filed and is being prosecuted in good faith and has not been
	abandoned or finally disallowed without the possibility of appeal
	or re-filing of the application (provided that such prosecution has
	not been ongoing for more than seven (7) years from the date of
	entry into the national stage or request for reexamination,
	whichever is later, with respect to such claim in such
	country).
	 
	1.16
	 
	Additional
	Definitions.
	Each of the following terms is defined in the
	Section set forth opposite such term:
	 
| 
 
	Term
 
 | 
 
	Section
 
 | 
| 
 
	Agreement
 
 | 
 
	Preamble
 
 | 
| 
 
	Asset
	Purchase Agreement
 
 | 
 
	Recitals
 
 | 
| 
 
	Applicable
	Infringement
 
 | 
 
	6.2
 
 | 
| 
 
	Effective
	Date
 
 | 
 
	Preamble
 
 | 
| 
 
	Invalidity
	Claim
 
 | 
 
	6.4
 
 | 
| 
 
	Licensee
 
 | 
 
	Preamble
 
 | 
| 
 
	Licensor
 
 | 
 
	Preamble
 
 | 
| 
 
	Licensor
	Indemnitees
 
 | 
 
	8.1
 
 | 
| 
 
	Losses
 
 | 
 
	8.1
 
 | 
| 
 
	Parties
 
 | 
 
	Preamble
 
 | 
| 
 
	Party
 
 | 
 
	Preamble
 
 | 
| 
 
	Remaining
	Funds
 
 | 
 
	6.2(ii)
 
 | 
| 
 
	Royalty
	Statement
 
 | 
 
	4.3
 
 | 
| 
 
	Royalties
 
 | 
 
	4.1
 
 | 
| 
 
	Sell-Off
	Period
 
 | 
 
	5.3.2
 
 | 
| 
 
	Sublicense
	Income
 
 | 
 
	4.2
 
 | 
| 
 
	Sublicense
	Income Payments
 
 | 
 
	4.2
 
 | 
| 
 
	Term
 
 | 
 
	5.1
 
 | 
| 
 
	Third
	Party Claims
 
 | 
 
	8.1
 
 | 
 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-3-
 
 
	 
	2.1
	 
	License
	Grant.
	Licensor hereby grants to Licensee, during the
	License Term, an exclusive (subject to Section 2.2),
	sub-licensable, royalty-bearing (as provided in
	Section 4
	), non-transferable
	(except as permitted under
	Section 10.7
	) license under the
	Licensed Patent Rights, to Exploit any Licensed Products, solely
	for sale and use in the Territory.
	 
	2.2
	 
	Exclusivity
	.
	 
	During
	the Term, Licensor shall not itself market, sell, offer for sale,
	and shall not grant any right to any of its Affiliates or to any
	Third Party to market, sell, offer for sale, any Licensed Product
	in the Territory. For the avoidance of doubt, during the Term,
	Licensor shall refrain from using the right to Exploit (and to
	license any Third Party to use and/or to Exploit) any and all
	Licensed Patent Rights that it has in connection with any Licensed
	Product to sell or commercialize Licensed Products in the
	Territory. This Section 2.2 shall not apply to a country in the
	Territory to the extent that the license granted under this
	Agreement has expired with respect to such country. It shall not be
	a breach of this Section 2.2 or of Section 2.1 for Licensor to
	develop, use, import or manufacture Licensed Products or to use any
	Licensed Patent Rights, in each case, in the Territory solely in
	connection with the development of a Licensed Product and/or for
	commercialization of a Licensed Product outside of the
	Territory.
	 
	2.3
	 
	Sublicenses.
	Licensee will notify Licensor in writing of each proposed
	Sublicensee and will provide Licensor with a copy of the applicable
	sublicense agreement promptly after the execution of the sublicense
	agreement. Licensee will ensure that the rights granted to each
	Sublicensee do not conflict with the provisions of this Agreement,
	and will be responsible to Licensor for the performance of each
	Sublicensee.
	 
	2.4
	 
	Reservation
	of Rights.
	Licensor reserves all rights not expressly
	granted to Licensee hereunder. Without limiting the foregoing,
	Licensor reserves the right to use (and to license any Third Party
	to use) any and all Licensed Patent Rights in connection with any
	Licensed Product for sale or use outside the
	Territory.
	 
	3.
	DEVELOPMENT,
	MANUFACTURING AND COMMERCIALIZATION
 
 
	 
	3.1
	 
	Generally.
	Licensee (itself or through Sublicensees) will use Commercially
	Reasonable Efforts to Exploit one or more Licensed Products for
	sale in the Territory. Licensee shall be solely responsible, at its
	expense, for all regulatory, marketing, promotional and pricing
	activities in connection with the Licensed Products for sale in the
	Territory. Licensee shall be responsible for obtaining marketing
	authorization in each country in the Territory at its sole cost and
	expense. At Licensor’s request, Licensee will, or will cause
	its Sublicensee to, enter into a pharmacovigilance agreement and
	any other reasonable or customary agreement that would be necessary
	to ensure the safe administration of the Licensed
	Product.
	 
	3.2
	 
	Minimum
	Sales Milestone
	. Licensee will use Commercially Reasonable
	Efforts to achieve [*****].
	 
	3.3
	 
	No
	Sales Outside Territory.
	Licensee will (and will require
	each Sublicensee to) use its best efforts to ensure that no
	Licensed Products manufactured or distributed by or on behalf of
	Licensee or any Sublicensee are introduced into any market outside
	the Territory. If Licensee becomes aware that any such Licensed
	Products are introduced to any market outside the Territory,
	Licensee will promptly notify Licensor and will reasonably
	cooperate with Licensor to stop the distribution and sale of such
	Licensed Products outside the Territory.
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-4-
 
 
	 
	3.4
	 
	Manufacturing
	.
	Licensee shall have the sole responsibility for, subject to
	compliance with this Agreement and at its sole cost and expense,
	all manufacturing-related activities (including, but not limited
	to, all activities required to qualify a manufacturer and/or to
	enable the manufacture of Licensed Product) related to the sale of
	commercial Licensed Product in the Territory. Licensee will ensure
	that Licensed Product manufactured by or on behalf of it or
	Sublicensee will be manufactured in accordance with all Applicable
	Laws, including, but not limited to, current good manufacturing
	practices. Should Licensor establish manufacturing operations
	through a Third Party manufacturer for the sale of Licensed Product
	outside of the Territory, Licensor shall, at Licensee’s
	request, agree to negotiate in good faith a supply agreement (that,
	if it is receiving supply from a Third Party, substantially
	reflects its general supply terms) with Licensee for the Territory
	on a cost plus basis. Should Licensee decide to manufacture or have
	manufactured Licensed Product itself, Licensor shall reasonably
	assist Licensee, at Licensee’s expense (at a rate to be
	agreed between the parties in good faith) with its efforts to
	enable the manufacture of Licensed Product for use in the
	Territory.
	 
	 
	 
	4.1
	 
	Royalties.
	Licensee shall pay Licensor royalties equal to [*****] of Net Sales
	(the “
	Royalties
	”). For the avoidance of
	doubt, the definition of Net Sales includes sales of Licensed
	Product by any Sublicensee (as well as sales by Licensee and its
	Affiliates).
	 
	4.2
	 
	Sublicense
	Income Payments.
	Licensee will pay Licensor [*****] of any
	up-front fees, milestone payments and other amounts (other than
	amounts included in Net Sales for which Royalties shall be payable
	as set forth in Section 4.1) received by Licensee or any of its
	Affiliates from any Sublicensee in consideration of the
	sublicensing of any Licensed Patent Rights (the “
	Sublicense Income
	”) within
	forty-five (45) days of the Sublicensee’s payment of such
	Sublicense Income to Licensee or its Affiliate. Such payments to
	Licensor are referred to herein as “
	Sublicense Income
	Payments
	”.
	 
	4.3
	 
	Royalty
	Statements:
	Within thirty (30) days after the end of each
	calendar quarter during the License Term during which any Net Sales
	are earned, Licensee will deliver to Licensor a complete and
	accurate report, giving such particulars of the business conducted
	during the preceding quarter under this Agreement as are pertinent
	to an accounting of Royalties that may be due to Licensor under
	this Agreement (the “
	Royalty
	Statement
	”). The Royalty Statement will include the
	following information:
	 
	(a)
	the
	units of Licensed Product sold by Licensee, its Affiliates and any
	Sublicensees during such quarter;
 
 
	 
	(b)
	gross
	sales for the Licensed Product by Licensee and any Sublicensees for
	such calendar quarter;
 
 
	 
	(c)
	a
	detailed breakdown by category of deduction of the deductions taken
	from such gross sales amounts and the calculation of Net Sales for
	such calendar quarter;
 
 
	 
	(d)
	a
	breakdown of Royalties due based on such Net Sales;
 
 
	 
	(e)
	any
	Sublicense Income payments received from any Sublicensee;
	and
 
 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-5-
 
 
	 
	(f)
	a
	copy of each report from each Sublicensee as may be pertinent to an
	accounting of royalties and other payments that are due to
	Licensor.
 
 
	 
	4.4
	 
	Records
	and Audits.
	Licensee and its Affiliates will keep (and
	Licensee will cause any Sublicensees to keep) such books of account
	containing such particulars as may be reasonably necessary for the
	purpose of showing the amounts payable to Licensor under this
	Agreement during the most recent three (3) year period. During the
	License Term and for one (1) year thereafter, Licensee and its
	Affiliates will make (and Licensee will cause any Sublicensees to
	make) such books of account available (no more than once per year
	upon reasonable prior, written notice to Licensee) for inspection
	by Licensor and/or its designated accounting firm, for the purpose
	of verifying Licensee’s Royalty Statements. Licensor will be
	responsible for the cost of any such inspection;
	provided
	,
	however
	, that if an inspection
	shows for any year an underpayment in excess of [*****] of
	Royalties and Sublicense Income Payments payable with respect to
	any calendar year, then Licensee will reimburse Licensor for the
	reasonable, documented out-of-pocket expenses incurred by Licensor
	to conduct the inspection. In the event that any such inspection
	reveals an underpayment in the amount of Royalties and/or
	Sublicense Income Payments that should have been paid by Licensee
	to Licensor, then the underpaid amount will be paid within ten (10)
	business days after Licensor makes a demand therefor. Licensor will
	cause its accounting firm to retain all information subject to
	review under this Section in strict confidence. In addition,
	Licensee will have the right to require that such accounting firm,
	prior to conducting such inspection, enter into a reasonable
	non-disclosure agreement with Licensee regarding such
	information.
	 
	4.5
	 
	Form
	of Payment; Currency Conversions.
	All payments under this
	Agreement will be non-refundable and non-creditable, and will be
	paid in United States dollars by wire transfer or electronic funds
	transfer to such bank account as Licensor may from time-to-time
	designate by notice. For the purposes of determining Royalties and
	Sublicense Income Payments, Net Sales or Sublicense Income (as
	applicable) shall first be determined in the currency in which such
	Net Sales or Sublicense Income are earned and then converted to its
	equivalent in United States currency. The buying rates of exchange
	for the currencies involved into the currency of the United States
	quoted by Citibank (or its successor in interest) in New York, New
	York or any source of information agreed to by the Parties in
	writing, at the close of business on the last business day of the
	quarterly period in which the Net Sales were earned shall be used
	to determine any such conversion.
	 
	4.6
	 
	Late
	Payments.
	Interest will accrue on payments that are not
	disputed in good faith or paid when due from the date such payments
	are due at the prime rate of interest, as published in The Wall
	Street Journal (Eastern United States Edition) (or if such rate
	exceeds the maximum rate permitted by Applicable Law, the such
	lesser rate as is the maximum rate allowed pursuant to Applicable
	Law).
	 
	4.7
	 
	Taxes.
	Licensee will be responsible for all sales, use, value-added and
	other taxes, customs duties and other governmental charges with
	respect to the transactions contemplated by this Agreement, other
	than any income taxes of Licensor. The amounts payable by Licensee
	to Licensor pursuant to this Agreement will not be reduced on
	account of any taxes unless required by Applicable Law. Any taxes,
	duties, or other levies which Licensee is required by Applicable
	Law to withhold on remittance of any payment(s) due under this
	Agreement will be deducted from such payment(s) to Licensor and
	timely paid to the appropriate taxing authority. Licensee will
	secure and send to Licensor proof of any such taxes, duties or
	other levies withheld and paid by Licensee for the benefit of
	Licensor, and cooperate, at Licensor’s expense, with any
	reasonable request to help ensure that amounts withheld and/or paid
	are reduced and/or recovered to the extent permitted by the
	relevant jurisdiction.
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-6-
 
 
	 
	 
	5.1
	 
	Term.
	This Agreement will become effective on the Effective Date and will
	remain in effect until the end of the License Term, unless and
	until terminated pursuant to
	Section 5.2
	(the
	“Term”
	).
	 
	5.2
	 
	Termination.
	 
	5.2.1
	Termination for Convenience by Licensee.
	Licensee may terminate this Agreement at any time upon three (3)
	months prior, written notice to Licensor.
 
 
	 
	5.2.2
	Termination for Material Breach.
	This
	Agreement may be terminated upon ninety (90) days prior written
	notice by either Party if the other Party materially breaches any
	of the terms, conditions or provisions of this Agreement and fails
	to remedy the breach within such ninety (90) day
	period.
 
 
	 
	5.2.3
	Termination for Challenge to Licensed Patent
	Rights.
	If Licensee, its Affiliate or Sublicensee challenges
	the validity or enforceability of any of the Licensed Patent Rights
	in any forum through any means, or otherwise indicate the payment
	of any royalty due under this Agreement is made under protest or
	with any objection on account of a claim by Licensee, its Affiliate
	or Sublicensee that any of the Licensed Patent Rights are invalid
	or unenforceable, Licensee agrees that Licensor shall have the
	right, but not the obligation, in addition to any other remedy it
	may have available to it at law and/or in equity, to terminate this
	Agreement immediately upon providing written notice of the same to
	Licensee.
 
 
	 
	5.3
	 
	Effect
	of Expiration or Termination.
	In the event of any expiration
	or termination of this Agreement:
	 
	5.3.1
	Upon any
	termination of this Agreement, the license granted to Licensee
	under
	Section 2.1
	shall terminate, subject to
	Section 5.3.2
	below.
 
 
	 
	5.3.2
	Notwithstanding
	anything to the contrary, for one hundred eighty (180) days
	following the effective date of any termination of this Agreement
	(the “
	Sell-Off
	Period
	”), Licensee (and its Affiliates and any
	Sublicensees) shall have the right, but not the obligation, to
	sell-off any excess Licensed Product that was manufactured or on
	order prior to the effective date of termination. Any revenues
	during the Sell-Off Period in connection with the sale of Licensed
	Products shall be subject to the Royalty payment provisions set
	forth herein.
 
 
	 
	5.4
	 
	Survival.
	The following provisions shall survive any expiration or
	termination of this Agreement:
	Section 1
	(“Definitions”),
	Section 4.1
	(“Royalties”) (to the extent provided in
	Section 5.3
	),
	Section 4.4
	(“Records and
	Audits”),
	Section
	4.5
	(“Form of Payment; Currency Conversions”),
	Section 4.6
	(“Late Payments”),
	Section 4.7
	(“Taxes”),
	Section 5.3
	(“Effect of
	Expiration or Termination”), this
	Section 5.4
	(“Survival”),
	Section 7.2
	(“Disclaimer”),
	Section 8
	(“Indemnification”),
	Section 9
	(“Liability”) and
	Section 10
	(“Miscellaneous Provisions”).
	 
	6.
	PROSECUTION,
	MAINTENANCE, ENFORCEMENT AND DEFENSE OF LICENSED INTELLECTUAL
	PROPERTY
 
 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-7-
 
 
	 
	6.1
	 
	Prosecution
	and Maintenance.
	Licensor shall be responsible for, and
	shall use its commercially reasonable efforts in connection with,
	the prosecution and maintenance of any patent applications and
	patents included in the Licensed Patent Rights in each country in
	the Territory (to the extent such Licensed Patent Rights are
	currently registered in such country in the Territory). Licensor
	shall bear all fees, costs or expenses incurred in connection with
	its obligations under the prior sentence. In the event that the
	Licensor cannot afford or does not want to assume the prosecution
	or maintenance fees, costs and expenses, it may ask the Licensee to
	reimburse it for such fees, costs and expenses and Licensee shall
	reimburse such amounts within thirty (30) days of the relevant
	request; provided that, the Licensee shall be entitled to offset
	the amount reimbursed by Licensee to Licensor from the Royalties
	paid by Licensee to Licensor as set forth in Article
	4.
	 
	6.2
	 
	Notice
	and Prosecution of Applicable Infringements.
	During the
	Term, if either Party learns of any potential infringement of the
	Licensed Patent Rights in the Territory (an “
	Applicable Infringement
	”), such
	Party shall promptly notify the other Party in writing and shall
	promptly provide such other Party with available evidence of such
	Applicable Infringement. Licensee shall have the first right, but
	not the obligation, to attempt to resolve such alleged Applicable
	Infringement at its own expense, including without limitation the
	filing of an infringement suit using counsel of its own choice. If
	Licensee does not secure cessation of such Applicable Infringement
	nor institute an infringement proceeding against an offending Third
	Party within one-hundred and eighty (180) days of learning of such
	Infringement (or if Licensee earlier determines that it does not
	wish to take action with respect to such Applicable Infringement
	and notifies Licensor of such), then Licensor may at its option and
	cost institute and control proceedings relating to such Applicable
	Infringement. Each Party shall execute all necessary and proper
	documents, take such actions as shall be appropriate to allow the
	other Party to institute and prosecute such Applicable Infringement
	actions and shall otherwise cooperate in the institution and
	prosecution of such actions (including, without limitation,
	consenting to being named as a party thereto). Any award paid by
	Third Parties as a result of an Applicable Infringement action
	undertaken pursuant to
	Section 6.2
	(whether by
	way of settlement or otherwise) shall be allocated as
	follows:
	 
	(i)
	the
	Party that has instituted and maintained such action, shall be
	entitled first to deduct all costs and expenses incurred by such
	party with respect to such action and from any remainder shall
	reimburse the other Party for any costs and expenses incurred by
	such other Party with respect to such action; and
 
 
	 
	(ii)
	if after such deduction, reimbursement and payment
	any funds remain (the “
	Remaining
	Funds
	”), such Remaining
	Funds will be shared fifty percent (50%) to Licensee and fifty
	percent (50%) to Licensor.
 
 
	 
	6.3
	 
	Acknowledgement.
	For the avoidance of doubt, Licensor shall have the sole right, but
	not the obligation, in Licensor’s sole and absolute
	discretion, to attempt to resolve any potential infringement of the
	Licensed Patent Rights that is not covered by the definition of
	Applicable Infringement.
	 
	6.4
	 
	Invalidity
	Claims.
	If a Third Party at any time asserts a claim that
	any of the Licensed Patent Rights is invalid or otherwise
	unenforceable (an “
	Invalidity
	Claim
	”), whether as a defense in an infringement
	action brought by either Party pursuant to
	Section 6.2
	or otherwise, the
	Parties shall cooperate with respect to such Invalidity Claim, and
	Licensor shall, in consultation with Licensee (but subject to
	Licensor’s final decision on all matters) and at
	Licensor’s cost, use Commercially Reasonable Efforts to
	contest, and if necessary settle such Invalidity
	Claim.
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-8-
 
 
	 
	7.
	REPRESENTATIONS
	AND WARRANTIES; DISCLAIMER
 
 
	 
	7.1
	 
	Mutual
	Representations and
	Warranties
	. Each Party makes the
	following representations and warranties to the other Party as of
	the Effective Date:
	 
	7.1.1
	Organization.
	Such Party (i) is a
	company validly existing and in good standing under the laws of the
	jurisdiction where such company was formed or incorporated, and
	(ii) has all necessary company power and authority to own its
	properties and to conduct its business, as currently
	conducted.
 
 
	 
	7.1.2
	Authorization.
	The execution and
	delivery of this Agreement and the consummation of the transactions
	contemplated hereby are within the company power of such Party,
	have been duly authorized by all necessary company proceedings of
	such Party, and this Agreement has been duly executed and delivered
	by such Party.
 
 
	 
	7.1.3
	No Conflict.
	The execution and delivery
	of this Agreement and the consummation of the transactions
	contemplated hereby do not: (i) conflict with or result in a
	breach of any provision of such Party’s organizational
	documents; (ii) result in a material breach of any material
	agreement to which such Party is bound; (iii) result in a
	violation of any order to which such Party is subject;
	(iv) require such Party to obtain any material approval or
	consent from any governmental authority or other Third Party other
	than those consents and approvals which have been obtained prior to
	the date hereof; or (v) violate any Applicable Law applicable
	to such Party in any material respect.
 
 
	 
	7.1.4
	Enforceability.
	This Agreement
	constitutes the valid and binding obligation of such Party,
	enforceable against such Party in accordance with its terms,
	subject to bankruptcy, reorganization, insolvency and other similar
	laws affecting the enforcement of creditors’ rights in
	general and to general principles of equity (regardless of whether
	considered in a proceeding in equity or an action at
	law).
 
 
	 
	7.2
	 
	Disclaimer.
	EXCEPT AS SET FORTH IN THIS
	SECTION 7
	AND WITHOUT LIMITING
	ANY REPRESENTATIONS AND WARRANTIES MADE BY LICENSEE IN THE ASSET
	PURCHASE AGREEMENT, NEITHER PARTY MAKES, AND EACH HEREBY EXPRESSLY
	DISCLAIMS, ANY AND ALL REPRESENTATIONS AND WARRANTIES OF ANY KIND
	ARISING FROM OR RELATING TO THIS AGREEMENT OR SUCH PARTY’S
	PERFORMANCE HEREUNDER, OR THE LICENSED PATENT RIGHTS OR ANY
	LICENSED PRODUCT, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT
	LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR
	A PARTICULAR PURPOSE, NON-INFRINGEMENT AND ANY REPRESENTATIONS OR
	WARRANTIES ARISING FROM A COURSE OF DEALING, COURSE OF PERFORMANCE
	OR USAGE OF TRADE.
	 
	 
	8.1
	 
	Indemnity
	by Licensee.
	Licensee shall defend, at its cost, indemnify
	and hold harmless Licensor and its Affiliates, and their respective
	members, managers, directors, employees, officers and agents
	(collectively, the “
	Licensor
	Indemnitees
	”) from and against any and all liability,
	demands,
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-9-
 
 
	 
	damages, fines,
	costs and expenses (including, without limitation reasonable legal
	fees and expenses) and losses (including, without limitation, with
	respect to death, personal injury, illness or property damage)
	(collectively, “
	Losses
	”), in connection with any
	Third Party claim, complaint, demand, suit, action, investigation
	or proceeding (collectively, “
	Third Party Claims
	”) to the extent
	arising from (i) the Exploitation of any Licensed Product by or on
	behalf of Licensee, any of its Affiliates or any Sublicensee or
	(ii) breach by Licensee of any representation, warranty, covenant
	or other provision set forth in this Agreement.
	 
	8.2
	 
	Indemnity
	Procedures.
	In the event that Licensor intends to seek
	indemnification for any Third Party Claim under
	Section 8.1
	, Licensor shall
	inform Licensee of the Third Party Claim promptly after receiving
	notice of the Third Party Claim;
	provided
	,
	however
	, that any failure to
	provide such notice shall not relieve Licensee of its obligations
	under this
	Section
	8.1
	except to the extent the Licensee is materially
	prejudiced by such failure. Licensor shall permit Licensee to
	direct and control the defense of such Third Party Claim and shall
	provide such reasonable assistance as is reasonably requested by
	Licensee (at Licensee’s cost) in the defense of the Third
	Party Claim, provided that nothing in this
	Section 8.2
	shall permit
	Licensee to make any admission on behalf of any Licensor
	Indemnitee, or to settle any claim or litigation which would impose
	any financial obligations on any Licensor Indemnitee without the
	prior, written consent of Licensor, such consent not to be
	unreasonably withheld or delayed.
	 
	 
	9.1
	 
	Liability
	Exclusion.
	NEITHER PARTY SHALL BE LIABLE TO THE OTHER PARTY
	FOR ANY INCIDENTAL, CONSEQUENTIAL, INDIRECT, SPECIAL, PUNITIVE OR
	EXEMPLARY DAMAGES (INCLUDING DAMAGES FOR LOSS OF BUSINESS, LOSS OF
	PROFITS OR THE LIKE) ARISING OUT OF OR RELATING TO THIS AGREEMENT
	OR SUCH PARTY’S PERFORMANCE HEREUNDER, EVEN IF SUCH PARTY HAS
	BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES AND REGARDLESS OF
	THE CAUSE OF ACTION (WHETHER IN CONTRACT, TORT, BREACH OF WARRANTY
	OR OTHERWISE), AND NOTWITHSTANDING ANY FAILURE OF THE ESSENTIAL
	PURPOSE OF ANY LIMITED REMEDY PROVIDED HEREIN.
	 
	9.2
	 
	Limitation
	on Damages.
	EACH PARTY’S MAXIMUM CUMULATIVE LIABILITY
	ARISING OUT OF OR RELATING TO THIS AGREEMENT OR SUCH PARTY’S
	PERFORMANCE HEREUNDER, REGARDLESS OF THE CAUSE OF ACTION (WHETHER
	IN CONTRACT, TORT, BREACH OF WARRANTY OR OTHERWISE), WILL NOT
	EXCEED THE AGGREGATE AMOUNTS PAID TO LICENSOR BY LICENSEE UNDER
	THIS AGREEMENT DURING THE ONE (1) YEAR PERIOD PRECEDING THE DATE ON
	WHICH SUCH CLAIM ARISES.
	 
	9.3
	Exceptions.
	Notwithstanding anything to
	the contrary, the exclusions and limitations of liability set forth
	in
	Section 9.1
	and
	Section 9.2
	will
	not apply: (i) to the extent that acts or omissions of a Party
	constitute fraud, willful misconduct, or the infringement or
	misappropriation of the other Party’s intellectual property
	rights, (ii) Licensee’s indemnity and defense obligations
	under
	Section 8.1
	with respect to Third Party Claims or (iii) Licensee’s
	payment obligations under this Agreement.
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-10-
 
 
	 
	10.1
	 
	Compliance
	with Applicable Laws.
	Each Party agrees that it will comply
	with all Applicable Laws in carrying out its responsibilities under
	this Agreement.
	 
	10.2
	 
	Publicity.
	Any press releases regarding the relationship contemplated by this
	Agreement will be mutually agreed upon by the Parties (such
	agreement not to be unreasonably withheld or delayed by either
	Party); provided, however, that notwithstanding the foregoing (a)
	either Party may disclose to Third Parties or otherwise publicize
	the fact that Licensor has granted Licensee a license to Exploit
	the Licensed Patent Rights for the Licensed Product in the
	Territory and (b) nothing in this Agreement will prohibit a Party
	from disclosing this Agreement or the relationship contemplated by
	this Agreement to the extent required under applicable federal or
	state securities laws or any rule or regulation of any nationally
	recognized securities exchange.
	 
	10.3
	 
	Relationship
	of the Parties.
	The Parties are and will be independent
	contractors and neither Party has any right, power or authority to
	act or create any obligation on behalf of the other
	Party.
	 
	10.4
	 
	Notices.
	All notices and other communications required or permitted to be
	given or made pursuant to this Agreement shall be in writing signed
	by the sender and shall be deemed duly given: (a) on the date
	delivered, if personally delivered, (b) on the date sent by
	facsimile with automatic confirmation by the transmitting machine
	showing the proper number of pages were transmitted without error,
	(c) on the Business Day after being sent by Federal Express or
	another recognized overnight mail service which utilizes a written
	form of receipt for next day or next business day delivery, or (d)
	upon receipt after mailing, if mailed by United States
	postage-prepaid certified or registered mail, return receipt
	requested, in each case addressed to the applicable party at the
	address set forth below; provided that a Party may change its
	address for receiving notice by the proper giving of notice
	hereunder:
	 
	if
	to Licensor, to:
	 
	AzurRx
	Biopharma, Inc.
	760
	Parkside Avenue
	Downstate
	Biotechnology Incubator
	Suite
	304
	Brooklyn, NY
	11226
	Tel:
	646-699-7855
	info@azurrx.com
	 
	with
	a copy to:
	 
	Lowenstein Sandler
	LLP
	One
	Lowenstein Drive
	Roseland, New
	Jersey 07068
	Facsimile: (973)
	597-2400
	Attn:
	Michael J. Lerner, Esq.
	 
	if
	Licensee, to:
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-11-
 
 
	 
	Laboratoires Mayoly
	Spindler
	6 avenue de
	l'Europe,
	78401
	Chatou, France
	Attention:
	President
	 
	with a
	copy to:
	 
	Laboratoires Mayoly
	Spindler
	6 avenue de
	l'Europe,
	78401
	Chatou, France
	Attention: Legal
	Department
	 
	10.5
	 
	Unenforceable
	Provisions.
	If any provision of this Agreement is held
	invalid or unenforceable by any court of competent jurisdiction,
	the other provisions of this Agreement will remain in full force
	and effect, and, if legally permitted, such offending provision
	shall be replaced with an enforceable provision that as nearly as
	possible effects the Parties’ intent.
	 
	10.6
	 
	Waiver
	and Amendment
	.
	 
	No amendment or modification of
	any provision hereof will be effective unless in writing and signed
	by both Parties. No failure or delay by either Party in exercising
	any right, power, or remedy hereunder will operate as a waiver of
	any such right, power or remedy nor create an expectation of
	non-enforcement of that or any other provision or right. No waiver
	of any provision hereof will be effective unless in a signed
	writing by the person charged with making such waiver.
	 
	10.7
	 
	Assignment.
	 
	Neither
	Party may transfer or assign this Agreement or assign any rights
	hereunder or delegate any duties hereunder without the other
	Party’s prior, written consent, such consent not to be
	unreasonably withheld. Notwithstanding the foregoing, (A) either
	Party may transfer or assign this Agreement, without any
	requirement to obtain the other Party’s consent: (i) to any
	of its Affiliates or (ii) in connection with any merger,
	consolidation, sale of all or substantially all assets, sale of
	equity interests or other change of control transaction involving
	such Party or such Party’s line of business to which this
	Agreement relates and (B) Licensor shall be entitled to assign the
	right to receive Royalties to any Third Party. Subject to the
	foregoing, this Agreement will bind and inure to the benefit of the
	Parties and their respective successors and permitted
	assigns.
	 
	10.8
	 
	Governing
	Law
	. This Agreement and all matters arising directly or
	indirectly herefrom shall be governed by and construed and enforced
	in accordance with the laws of the State of New York, U.S.A.
	applicable to agreements made and to be performed entirely in such
	state, without giving effect to the conflict of law principles
	thereof.
	 
	10.9
	 
	Jurisdiction;
	Venue, Service of Process
	. Licensor and Licensee each agrees
	to irrevocably submit to the sole and exclusive jurisdiction of the
	state and federal courts located in New York County, New York,
	U.S.A. for any suit, action or other proceeding arising out of this
	Agreement or any transaction contemplated hereby, and hereby waives
	any objection to the laying of venue in such courts. Each Party
	agrees that service of any process, summons, notice or document by
	U.S. registered mail or recognized international courier service to
	such Party’s address set forth in this Agreement shall be
	effective service of process.
	 
	10.10
	 
	Entire
	Agreement
	.
	 
	This Agreement constitutes the
	final, complete and exclusive agreement of the Parties concerning
	the subject matter hereof, and supersedes all previous
	agreements,
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-12-
 
 
	 
	communications,
	representations and understandings, either oral or written, between
	the Parties relating to the subject matter hereof.
	 
	10.11
	 
	Headings.
	The headings of the several articles are inserted for convenience
	of reference only and are not intended to be a part of or to affect
	the meaning or interpretation of this Agreement.
	 
	10.12
	 
	Counterparts.
	This Agreement may be executed in two or more counterparts (which
	may be exchanged by facsimile or via email .pdf copies), each of
	which shall be deemed an original, but all of which together shall
	constitute one and the same instrument.
	 
	(signature page follows)
	 
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	 
	-13-
 
 
	 
	IN WITNESS WHEREOF
	, the Parties have executed this Agreement
	by their duly authorized representatives.
	 
| 
 
	AZURRX BIOPHARMA, INC.
 
 | 
 
	LABORATOIRES MAYOLY SPINDLER SAS
 
 | 
| 
 
	 
 
	By:
	/s/ Thijs
	Spoor
 
 | 
 
	 
 
	By:
	/s/ Claude
	Brunet
 
 | 
 
	 
 
 | 
| 
 
	Name:
	Thijs Spoor
 
 | 
 
	Name:
	Claude Brunet
 
 | 
 
	 
 
 | 
| 
 
	Title:
	President & CEO
 
 | 
 
	Title:
	Chief Executive Officer
 
 | 
 
	 
 
 | 
 
	 
	 
	 
	[signature page to Patent License Agreement]
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-14-
 
 
	 
	Appendix A
	 
	Certain Licensed Patent Rights
	 
	[*****]
	 
	 
	 
	 
	CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED
	BY [*****], HAS BEEN OMITTED BECAUSE AZURRX BIOPHARMA, INC. HAS
	DETERMINED THE INFORMATION (I) IS NOT MATERIAL AND (II) WOULD
	LIKELY CAUSE COMPETITIVE HARM TO AZURRX BIOPHARMA, INC.
	IF PUBLICLY DISCLOSED.
	 
	-15-