UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 8-K
 
CURRENT REPORT
 
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934
 
Date of Report (Date of earliest event reported): October 9, 2020
Tenax Therapeutics, Inc.
(Exact name of registrant as specified in its charter)
 
 
Delaware
 
001-34600
 
26-2593535
(State or other jurisdiction of incorporation)
 
(CommissionFile Number)
 
(IRS EmployerIdentification No.)
 
ONE Copley Parkway, Suite 490
Morrisville, NC 27560
(Address of principal executive offices) (Zip Code)
 
919-855-2100
(Registrant’s telephone number, including area code)
 
N/A
(Former name or former address, if changed since last report)
 
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
  ☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
  ☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
  ☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
  ☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class
 
Trading Symbol(s)
 
Name of each exchange on which registered
 
Common Stock, $0.0001 par value per share
TENX
The Nasdaq Stock Market LLC
 
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (17 CFR 230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR 240.12b-2).
 
Emerging growth company           ☐
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
 

 
 
 
Item 1.01. Entry into a Material Definitive Agreement.
 
On October 9, 2020, Tenax Therapeutics, Inc. (the “Company”) entered into an Amendment (the “Amendment”) to the License Agreement between the Company and Orion Corporation (“Orion”), dated as of September 20, 2013 (the “Agreement”), to include two new oral products containing Levosimendan, in capsule and solid dosage form, and a subcutaneously administered product containing Levosimendan to the scope of the Agreement, subject to specified limitations. The Amendment also amends the tiered royalty payments based on net sales of the Product in the Territory (each as defined in the Agreement, as amended by the Amendment) made by the Company and its sublicensees. Pursuant to the Amendment, the term of the Agreement has been extended until 10 years after the launch of the Product in the Territory, provided that the Agreement will continue after the end of the term in each country in the Territory until the expiration of Orion’s patent rights in the Product in such country. In the event that no regulatory approval for the Product has been granted in the United States on or before September 20, 2028, however, either party will have the right to terminate the Agreement with immediate effect.
 
The foregoing description of the Amendment is qualified by reference to the full text of the Amendment, which is attached to this Current Report on Form 8-K as Exhibit 10.1 and is incorporated herein by reference.
 
Item 8.01 Other Items.
 
On October 15, 2020, the Company issued a press release announcing that it gained the North American rights to oral Levosimendan through the Amendment with Orion.
 
Pursuant to the General Instruction B.2 of Current Report on Form 8-K, the information in Item 8.01 of this report, including the press release attached as Exhibit 99.1, is furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section. Furthermore, such information shall not be deemed incorporated by reference into the filings of the Company under the Securities Act of 1933, as amended.
 
Item 9.01. Exhibits.
 
(d) Exhibits.
 
Exhibit No.
 
Description
 
 
 
 
Amendment to License Agreement, dated as of October 9, 2020, by and between Tenax Therapeutics, Inc. and Orion Corporation*
 
Press Release dated October 15, 2020

* Asterisks located within the exhibit denote information which has been redacted pursuant to Item 601(b)(10)(iv) of Regulation S-K because it is both not material and would likely cause competitive harm to the Company if publicly disclosed.
 
 
 
 
SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
Date: October 15, 2020
Tenax Therapeutics, Inc.
 
 
 
 
 
 
 
 
By: /s/ Michael B. Jebsen
 
 
Michael B. Jebsen
 
 
President and Chief Financial Officer
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 10.1
 
Portions of this exhibit marked as “[***]” have been excluded because they are both not material and would likely cause competitive harm to the registrant if publicly disclosed.
 
AMENDMENT
TO THE LICENSE AGREEMENT OF SEPTEMBER 20, 2013
 
 
This amendment agreement (hereinafter referred to as the “Amendment”) is made and executed as of this 9th day of October, 2020 (“Effective Date of Amendment”) by and between:
 
Orion Corporation, Business Identity Code 1999212-6, a company registered under the laws of Finland and having its principal office at Orionintie 1, 02200 Espoo, Finland (hereinafter referred to as “Orion”); and
 
Tenax Therapeutics, Inc., Business Identity Code 26-2593535, a company registered under the laws of the State of Delaware, and having its principal office at ONE Copley Parkway, Suite 490, Morrisville, NC 27560, USA (hereinafter referred to as “Licensee”).
 
Orion and Licensee are collectively referred to herein as the “Parties” and each individually as a “Party”.
 
 
WHEREAS, 
this Amendment pertains to that certain agreement titled “License Agreement” and existing between the Parties and dated September 20, 2013 (hereinafter referred to as the “Agreement”); and
 
WHEREAS, 
it is the intention of the Parties to amend the Agreement by, inter alia, adding a certain orally administered Levosimendan product as well as a subcutaneously administered Levosimendan product (as both having been defined in more detail herein) to the scope of the Agreement and to modify the term of the Agreement on the terms and conditions set out hereinafter.
 
NOW, THEREFORE, the Parties, in consideration of the premises and of the mutual agreement, covenants and conditions hereinafter set forth, hereby agree and convene as follows:
 
 
1
TERMS USED IN THIS AMENDMENT
 
1.1
Unless otherwise explicitly agreed herein, all capitalized terms used herein shall have the same meaning as given to them under the Agreement.
 
2
AMENDMENTS AND CLARIFICATIONS TO THE AGREEMENT
 
2.1
The following pharmaceutical product shall be referred to as the “Oral Product” under this Amendment and the Agreement:
 
o
The orally administered pharmaceutical product in capsule formulation, containing Levosimendan as an active pharmaceutical ingredient and having a strength of 1mg/capsule, the composition of which has been described in Schedule 1 to this Amendment (attached hereto).
 
2.2
The following pharmaceutical product shall be referred to as the “Modified Oral Product” under this Amendment and the Agreement:
 
o
An orally administered pharmaceutical product in solid dosage form, containing Levosimendan as an active pharmaceutical ingredient, which deviates from the Oral Product solely in terms of its excipients and/or strength of the active pharmaceutical ingredient.
 
 
1
 
 
2.3
The following pharmaceutical product shall be referred to as the “Subcutaneously Administered Product” under this Amendment and the Agreement:
 
o
A subcutaneously administered injectable pharmaceutical product containing Levosimendan as an active pharmaceutical ingredient.
 
2.4
The definition of “Development” under the Agreement shall be replaced with the following:
 
o
Development” means any and all technical formulation development, as well as any and all pre-clinical and clinical development activities reasonably related to the submission of information to a Regulatory Authority and other activities related to obtaining Regulatory Approval for the Product in the Field in the Territory, but excluding Commercialization activities. When used as a verb, “Develop” means to engage in Development.
 
2.5
The Oral Product, the Modified Oral Product and the Subcutaneously Administered Product shall be added to the definition of the “Product” under the Agreement. However, notwithstanding the foregoing, no manufacturing or supply obligations of Orion with respect to the Product under the Agreement shall be applicable to the Modified Oral Product or the Subcutaneously Administered Product, unless the Parties separately agree otherwise.
 
2.6
For purposes of this Amendment and the Agreement, the “Phase III Study” shall mean the phase III study to be conducted by Licensee in respect of the Product and initiated before the end of 2022 and completed before the end of 2026.
 
2.7
Solely with respect to the Oral Product, the Modified Oral Product and the Subcutaneously Administered Product, the “Field” shall be restricted to mean:
 
o
The use of the Oral Product, the Modified Oral Product and the Subcutaneously Administered Product solely for Type 2 pulmonary hypertension in heart failure patients with preserved ejection fraction (PH-HFpEF), or other pulmonary hypertension or heart failure related indications, or any other human indication for which the Oral Product, the Modified Oral Product or the Subcutaneously Administered Product (as applicable) has been registered in the Territory by Licensee on the basis of the results of the Phase III Study.
 
2.8
Solely with respect to the Oral Product, Orion undertakes to provide to Licensee any relevant CMC (chemistry, manufacture and controls) and safety data relating to the Oral Product generated by or for Orion that are in Orion’s possession or control. For clarity, Orion shall be under no obligation to generate any additional data or documentation for the purposes of the Agreement and the rights and licenses granted to Licensee thereunder. Moreover, upon Licensee’s request, Orion may, at Orion’s sole discretion, provide to Licensee scientific support and advice in relation to the Oral Product to a reasonable extent, in which case Licensee shall reimburse Orion for any out-of-pocket expenses paid to third parties and incurred by Orion in connection therewith. The practicalities relating to such possible provision of scientific support and advice shall be separately agreed upon by the Parties.
 
2.9
Solely with respect to the Oral Product, the Modified Oral Product and the Subcutaneously Administered Product, Section 7.8 and Section 8.9 of the Agreement shall not be applicable. Instead, the provisions under Exhibit D (Key Terms For The Supply Agreement – Development) and Exhibit E (Key Terms For The Supply Agreement – Commercial) shall as such apply to the deliveries of the Oral Product (but not, for clarity, of the Modified Oral Product or the Subcutaneously Administered Product) by Orion to Licensee; however, subject to the following amendments to the Agreement:
 
i.
Orion shall have the right and the obligation to supply the required amounts of the Oral Product as well as the respective Placebo-Product to Licensee for the Phase III Study. Orion shall charge a transfer price from Licensee in respect of such supplies of the Oral Product and the Placebo-Product corresponding to [***], respectively.
 
 
2
 
 
ii.
Orion shall have the right but not the obligation to supply the Oral Product to Licensee for Commercialization in the Territory (the “Supply Option”). In the event Orion uses the Supply Option, the Parties shall separately negotiate on such supply of the Oral Product, it being agreed that Orion may not require a higher transfer price for the Oral Product than [***]. In the event Orion has chosen not to supply the Oral Product to Licensee for Commercialization in the Territory, Orion undertakes to arrange the transfer of the relevant manufacturing information and know-how in respect of the Oral Product existing in Orion’s possession to Licensee, or a Third Party manufacturer appointed by Licensee for such purpose (the “Technical Transfer”). The costs and expenses of such Technical Transfer incurred by Orion shall be borne by the Parties in equal shares. Following such Technical Transfer, Orion may, at Licensee’s sole discretion, supply Levosimendan to Licensee (or a Third Party manufacturer appointed by Licensee) at a supply price mutually agreed upon. In the event Orion chooses not to use the Supply Option, Orion shall notify Licensee thereof in writing at the latest before the end of 2021. Further, if Orion does use the Supply Option, Orion shall provide a minimum of twenty-four (24) months advance notice to Licensee if Orion intends to terminate its supplies of the Oral Product to Licensee. For the avoidance of doubt, in the event of Orion not having used the Supply Option or Orion having terminated its supplies of the Oral Product to Licensee, Licensee may source the Oral Product from a Third Party manufacturer. For clarity, the Modified Oral Product and the Subcutaneously Administered Product are not covered by the Supply Option, and, Licensee is entitled to source the Modified Oral Product and the Subcutaneously Administered Product from a Third Party manufacturer accordingly.
 
2.10
Subsection 4.1.1 of the Agreement, pertaining to the royalty payments on Net Sales in Territory, shall be replaced with the following:
 
4.1.1            
During the Term:
 
(a)
[***] of Annual Net Sales of the Product in the Territory during the relevant Calendar Year [***]; and
 
(b)
[***] of Annual Net Sales of the Product in the Territory during the relevant Calendar Year [***].
 
2.11
Solely with respect to the Oral Product, the Modified Oral Product and the Subcutaneously Administered Product, the Product Trademark shall be defined to mean the following:
 
o
A trademark other than Simdax® selected by the Parties, to be registered and owned by Orion to be used for the Oral Product, the Modified Oral Product or the Subcutaneously Administered Product (as applicable) in the Territory.
 
2.12
Section 16.1 (Term) of the Agreement shall be replaced with the following:
 
o
16.1 Term. This Agreement shall become binding upon the Effective Date and shall continue thereafter in full force and effect, unless terminated sooner pursuant to this Section 16, for ten (10) years after the launch of the Product in the Territory; provided, however, that, to the extent any of the Orion Patent Rights continue in existence in any country in the Territory at the end of such ten (10) year period, this Agreement shall continue in full force and effect on a country-by-country basis until the expiration of such Orion Patent Rights (the “Term”). For purposes of this Agreement, the Product shall be considered launched upon the occurrence of the first commercial sale of the Product by Licensee to a Third Party in an arm’s length transaction following the grant of the Regulatory Approval for the Product in the United States of America by the FDA or in Canada by the relevant Regulatory Authority. However, notwithstanding the foregoing, in the event no Regulatory Approval for the Product has been granted in the United States of America on or before September 20, 2028, either Party shall have the right to terminate this Agreement with immediate effect by notifying the other Party thereof in writing.
 
2.13
For the avoidance of doubt, any product containing the proprietary chemical entity of Orion, which has been previously known as [***] and is currently identified by Orion by [***], and whose chemical composition is [***] shall not constitute a Product or a Line Extension Product under the Agreement.
 
3
EFFECTIVE DATE
 
3.1
The amendments to the Agreement agreed upon herein shall become effective as of the Effective Date of Amendment.
 
4
OTHER PROVISIONS
 
4.1
For the avoidance of doubt it is stated that except for what has been stipulated herein above, all other terms and conditions of the Agreement will remain unchanged.
 
4.2
The terms and conditions of the Agreement with regard to the choice of law and dispute resolution will apply to this Amendment.
 
***Balance of page left blank. Signature page follows.***
 
 
3
 
 
IN WITNESS WHEREOF, the Parties, through their authorized representatives, have executed two (2) identical counterparts of this Amendment.
 
 
Orion Corporation
 
 
 
By:
 
/s/ Satu Ahomäki
 
By:
 
/s/ Jukka Muhonen
 
Name:
Satu Ahomäki
Name:
Jukka Muhonen
Title:
 
Senior Vice President, Commercial Operations
 
Title:
 
Director / Global Business Development and Alliance Management
 
 
 
 
Tenax Therapeutics, Inc.
 
 
 
By:
 
/s/ Anthony DiTonno
 
By:
 
/s/ Michael Jebsen
 
Name:
Anthony Ditonno
Name:
Michael Jebsen
Title:
 
CEO
 
Title:
 
CFO/President
 
 
 
 
4
 
SCHEDULE 1
to the Amendment to the License Agreement of September 20, 2013
 
 
 
Description of the composition of the Oral Product:
 
 
 
Component
Quantity (mg/capsule)
Levosimendan
1.0
[***]
[***]
[***]
[***]
[***]
[***]
[***]capsule[***]
1 capsule
 
5
Exhibit 99.1
 
Tenax Therapeutics Gains North American Rights to Oral Levosimendan through Expanded License Agreement with Orion Corporation
 
 
Tenax gains developmental and commercial rights for a fully-developed oral levosimendan formulation in the U.S. and Canada
 
Oral formulation expected to be used in upcoming Phase 3 registration trial
 
Morrisville, NC, October 15, 2020 - Tenax Therapeutics, Inc. (Nasdaq: TENX), a specialty pharmaceutical company focused on identifying, developing, and commercializing products for the critical care market, today announced that it has entered into an amendment to the existing licensing agreement with Orion Corporation to include the rights to develop and commercialize in the United States and Canada an oral formulation of levosimendan for use with Type 2 pulmonary hypertension in heart failure patients with preserved ejection fraction (PH-HFpEF), or other pulmonary hypertension or heart failure related indications. The Company recently completed a Phase 2 study in PH-HFpEF using an intravenous formulation of levosimendan, which the Company has exclusive development and commercialization rights to in the US and Canada under the existing license agreement. The Company now plans to utilize the oral formulation in its upcoming Phase 3 trial in PH-HFpEF. Currently, there are no approved products for treating PH-HFpEF.
 
Tenax CEO Anthony DiTonno stated “Adding the oral formulation to our existing agreement represents a significant opportunity for us. Use of the currently available 1mg capsule of levosimendan should allow us to conduct our upcoming Phase 3 trial with significantly faster enrollment versus the IV formulation. We expect an oral formulation will also enable us to enjoy greater market acceptance upon FDA approval for marketing”.
 
The oral formulation is a fully developed capsule that has already been used in a large number of patients over an extended period of time, up to one year in many cases. The amendment allows Tenax to access all of the manufacturing, preclinical and clinical data generated on oral levosimendan to support its use in the US and Canada, which we anticipate will expedite development efforts.
  
The Company intends to review its plans to use the oral levosimendan formulation in a Phase 3 trial in PH-HFpEF patients with the FDA during its End-of-Phase 2 meeting.
 
About Phase 2 HELP Trial
 
The HELP Study (Hemodynamic Evaluation of Levosimendan in PH-HFpEF) was a multi-center, double-blind, placebo-controlled Phase 2 clinical trial designed to evaluate levosimendan in 36 patients with pulmonary hypertension and heart failure with preserved ejection fraction (PH-HFpEF). Endpoints in the trial evaluated various invasive hemodynamic and clinical measures including a 6-minute walk test. The Company previously announced positive topline results from this Phase 2 trial. The trial demonstrated significant reduction in right atrial and pulmonary capillary wedge pressures. It also demonstrated a significant improvement with 6-minute walk distance.
 
About Tenax Therapeutics
 
Tenax Therapeutics, Inc., is a specialty pharmaceutical company focused on identifying, developing, and commercializing products that address cardiovascular and pulmonary diseases with high unmet medical need. The Company has a world-class scientific advisory team including recognized global experts in pulmonary hypertension. The Company owns North American rights to develop and commercialize levosimendan and has recently released topline data regarding their Phase 2 clinical trial for the use of levosimendan in the treatment of Pulmonary Hypertension associated with Heart Failure and preserved Ejection Fraction (PH-HFpEF). For more information, visit www.tenaxthera.com.
 
 
 
 
About Levosimendan
 
Levosimendan is a calcium sensitizer that works through a unique triple mechanism of action. It initially was developed for intravenous use in hospitalized patients with acutely decompensated heart failure. It was discovered and developed by Orion Pharma, Orion Corporation of Espoo Finland, and is currently approved in over 60 countries for this indication and not available in the United States. Tenax Therapeutics acquired North American rights to develop and commercialize levosimendan from Phyxius Pharma, Inc.
 
Caution Regarding Forward-Looking Statements
 
This news release contains certain forward-looking statements by the Company that involve risks and uncertainties and reflect the Company’s judgment as of the date of this release. The forward-looking statements are subject to a number of risks and uncertainties, including, but not limited to matters beyond the Company’s control that could lead to delays in the clinical study including delays in patient enrollment, new product introductions and customer acceptance of these new products; matters beyond the Company’s control that could impact the Company’s continued compliance with Nasdaq listing requirements; the impact of management changes on the Company’s business and unanticipated charges, costs and expenditures not currently contemplated that may occur as a result of management changes; and other risks and uncertainties as described in the Company’s filings with the Securities and Exchange Commission, including in its annual report on Form 10-K filed on March 30, 2020, and its quarterly report of Form 10-Q filed on August 14, 2020, as well as its other filings with the SEC. The Company disclaims any intent or obligation to update these forward-looking statements beyond the date of this release. Statements in this press release regarding management’s future expectations, beliefs, goals, plans or prospects constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.
 
 
Contacts
Investor Contact:
Westwicke
Stephanie Carrington, 646-277-1282
Stephanie.carrington@westwicke.com