CRDF 10-Q Quarterly Report Sept. 30, 2024 | Alphaminr
Cardiff Oncology, Inc.

CRDF 10-Q Quarter ended Sept. 30, 2024

CARDIFF ONCOLOGY, INC.
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10-Q
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Table of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

(Mark One)

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

For the quarterly period ended September 30, 2024

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

For the transition period from to

COMMISSION FILE NUMBER 001-35558

CARDIFF ONCOLOGY, INC.

(Exact Name of registrant as specified in its charter)

Delaware

27-2004382

(State or other jurisdiction of incorporation or organization)

(I.R.S. Employer Identification No.)

11055 Flintkote Avenue , San Diego , California

92121

(Address of principal executive offices)

(Zip Code)

( 858 ) 952-7570

(Registrant’s telephone number, including area code)

Title of each class:

Trading Symbol(s)

Name of each exchange on which registered:

Common Stock

CRDF

The Nasdaq Stock Market LLC

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

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

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 definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☐

Accelerated filer ☐

Non-accelerated filer

Smaller reporting company

Emerging growth company

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

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

As of November 4, 2024, the issuer had 51,133,747 shares of Common Stock issued and outstanding.


Table of Contents

CARDIFF ONCOLOGY, INC.

Table of Contents

Page

PART I

FINANCIAL INFORMATION

3

Item 1.

Financial Statements (unaudited)

3

Condensed Balance Sheets

3

Condensed Statements of Operations

4

Condensed Statements of Comprehensive Loss

5

Condensed Statements of Stockholders’ Equity

6

Condensed Statements of Cash Flows

8

Notes to Condensed Financial Statements

9

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

16

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

22

Item 4.

Controls and Procedures

23

PART II

OTHER INFORMATION

24

Item 1.

Legal Proceedings

24

Item 1A.

Risk Factors

24

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

24

Item 3.

Defaults Upon Senior Securities

24

Item 4.

Mine Safety Disclosures

24

Item 5.

Other Information

24

Item 6.

Exhibits

24

SIGNATURES

25

2


Table of Contents

PART I. FIN ANCIAL INFORMATION

ITEM 1. FINANCIAL STAT EMENTS

CARDIFF ONCOLOGY, INC.

CONDENSED BALANC E SHEETS

(in thousands, except par value)

(Unaudited)

September 30,
2024

December 31,
2023

Assets

Current assets:

Cash and cash equivalents

$

13,038

$

21,655

Short-term investments

44,629

53,168

Accounts receivable and unbilled receivable

618

288

Prepaid expenses and other current assets

1,047

2,301

Total current assets

59,332

77,412

Property and equipment, net

993

1,238

Operating lease right-of-use assets

1,304

1,708

Other assets

1,267

1,279

Total Assets

$

62,896

$

81,637

Liabilities and Stockholders’ Equity

Current liabilities:

Accounts payable

$

4,643

$

1,966

Accrued liabilities

7,175

7,783

Operating lease liabilities

707

691

Total current liabilities

12,525

10,440

Operating lease liabilities, net of current portion

979

1,458

Total Liabilities

13,504

11,898

Commitments and contingencies (Note 6)

Stockholders’ equity

Preferred stock, 20,000 shares authorized; 277 designated as Series A
Convertible Preferred Stock;
61 shares outstanding at September 30, 2024 and
December 31, 2023 with liquidation preference of $
1,086 and $ 1,068 at
September 30, 2024 and December 31, 2023, respectively

Common stock, $ 0.0001 par value, 150,000 shares authorized; 48,731 and 44,677
shares issued and outstanding at September 30, 2024 and December 31, 2023,
respectively

5

4

Additional paid-in capital

421,697

409,343

Accumulated other comprehensive gain (loss)

82

( 67

)

Accumulated deficit

( 372,392

)

( 339,541

)

Total stockholders’ equity

49,392

69,739

Total liabilities and stockholders’ equity

$

62,896

$

81,637

See accompanying notes to the unaudited condensed financial statements.

3


Table of Contents

CARDIFF ONCOLOGY, INC.

CONDENSED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

(Unaudited)

Three Months Ended September 30,

Nine Months Ended September 30,

2024

2023

2024

2023

Royalty revenues

$

165

$

141

$

532

$

332

Costs and expenses:

Research and development

9,640

8,022

27,140

25,094

Selling, general and administrative

3,126

2,939

9,471

10,318

Total operating expenses

12,766

10,961

36,611

35,412

Loss from operations

( 12,601

)

( 10,820

)

( 36,079

)

( 35,080

)

Other income (expense), net:

Interest income, net

741

1,068

2,472

3,061

Other income (expense), net

5

21

( 37

)

( 85

)

Total other income, net

746

1,089

2,435

2,976

Net loss

( 11,855

)

( 9,731

)

( 33,644

)

( 32,104

)

Preferred stock dividend payable on Series A Convertible
Preferred Stock

( 6

)

( 6

)

( 18

)

( 18

)

Net loss attributable to common stockholders

$

( 11,861

)

$

( 9,737

)

$

( 33,662

)

$

( 32,122

)

Net loss per common share — basic and diluted

$

( 0.25

)

$

( 0.22

)

$

( 0.74

)

$

( 0.72

)

Weighted-average shares outstanding — basic and diluted

46,865

44,677

45,461

44,677

See accompanying notes to the unaudited condensed financial statements.

4


Table of Contents

CARDIFF ONCOLOGY, INC.

CONDENSED STATEMENTS OF COM PREHENSIVE LOSS

(in thousands)

(Unaudited)

Three Months Ended September 30,

Nine Months Ended September 30,

2024

2023

2024

2023

Net loss

$

( 11,855

)

$

( 9,731

)

$

( 33,644

)

$

( 32,104

)

Other comprehensive loss:

Unrealized gain (loss) on securities available-for-sale

179

24

149

( 12

)

Total comprehensive loss

( 11,676

)

( 9,707

)

( 33,495

)

( 32,116

)

Preferred stock dividend payable on Series A Convertible Preferred
Stock

( 6

)

( 6

)

( 18

)

( 18

)

Comprehensive loss attributable to common stockholders

$

( 11,682

)

$

( 9,713

)

$

( 33,513

)

$

( 32,134

)

See accompanying notes to the unaudited condensed financial statements.

5


Table of Contents

CARDIFF ONCOLOGY, INC.

CONDENSED STATEMENTS OF STOCKH OLDERS’ EQUITY

(in thousands)

(Unaudited)

Preferred
Stock
Shares

Preferred
Stock
Amount

Common
Stock
Shares

Common
Stock
Amount

Additional
Paid-In
Capital

Accumulated
Other
Comprehensive
Loss

Accumulated
Deficit

Total
Stockholders’
Equity

Balance, December 31, 2023

61

$

44,677

$

4

$

409,343

$

( 67

)

$

( 339,541

)

$

69,739

Modified-retrospective adoption of
ASU 2020-06
(1)

( 793

)

793

Stock-based compensation

1,124

1,124

Issuance of common stock upon
exercise of stock options

33

107

107

Other comprehensive loss

( 65

)

( 65

)

Net loss

( 10,011

)

( 10,011

)

Balance, March 31, 2024

61

44,710

4

409,781

( 132

)

( 348,759

)

60,894

Issuance of common stock, net
of expenses
(2)

792

1

1,804

1,805

Stock-based compensation

1,179

1,179

Issuance of common stock upon
exercise of stock options

100

253

253

Other comprehensive gain

35

35

Net loss

( 11,778

)

( 11,778

)

Balance, June 30, 2024

61

45,602

5

413,017

( 97

)

( 360,537

)

52,388

Issuance of common stock, net
of expenses
(3)

3,129

7,427

7,427

Stock-based compensation

1,253

1,253

Other comprehensive gain

179

179

Net loss

( 11,855

)

( 11,855

)

Balance, September 30, 2024

61

$

48,731

$

5

$

421,697

$

82

$

( 372,392

)

$

49,392

(1)
See Note 2.
(2)
Net of expenses of $ 197,000 .
(3)
Net of expenses of $ 285,000 .

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CARDIFF ONCOLOGY, INC.

CONDENSED STATEMENTS OF STOCKHOLDERS’ EQUITY

(in thousands)

(Unaudited)

Preferred
Stock
Shares

Preferred
Stock
Amount

Common
Stock
Shares

Common
Stock
Amount

Additional
Paid-In
Capital

Accumulated
Other
Comprehensive
Loss

Accumulated
Deficit

Total
Stockholders’
Equity

Balance, December 31, 2022

61

$

44,677

$

4

$

404,834

$

( 395

)

$

( 298,100

)

$

106,343

Stock-based compensation

1,064

1,064

Other comprehensive gain

319

319

Net loss

( 11,223

)

( 11,223

)

Balance, March 31, 2023

61

44,677

4

405,898

( 76

)

( 309,323

)

96,503

Stock-based compensation

1,581

1,581

Other comprehensive loss

( 355

)

( 355

)

Net loss

( 11,150

)

( 11,150

)

Balance, June 30, 2023

61

44,677

4

407,479

( 431

)

( 320,473

)

86,579

Stock-based compensation

955

955

Other comprehensive loss

24

24

Net loss

( 9,731

)

( 9,731

)

Balance, September 30, 2023

61

$

44,677

$

4

$

408,434

$

( 407

)

$

( 330,204

)

$

77,827

See accompanying notes to the unaudited condensed financial statements.

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CARDIFF ONCOLOGY, INC.

CONDENSED STATEMENTS OF CASH FLOWS

(in thousands)

(Unaudited)

Nine Months Ended September 30,

2024

2023

Operating activities

Net loss

$

( 33,644

)

$

( 32,104

)

Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation

308

295

Stock-based compensation expense

3,556

3,600

Accretion of discounts on short-term investments, net

( 440

)

( 716

)

Changes in operating assets and liabilities:

Accounts receivable and unbilled receivable

( 330

)

573

Prepaid expenses and other current assets

1,084

3,188

Operating lease right-of-use assets

404

408

Other assets

12

Accounts payable and accrued liabilities

2,087

1,428

Operating lease liabilities

( 463

)

( 420

)

Net cash used in operating activities

( 27,426

)

( 23,748

)

Investing activities

Capital expenditures

( 80

)

( 574

)

Maturities of short-term investments

22,595

80,534

Purchases of short-term investments

( 23,563

)

( 67,491

)

Sales of short-term investments

10,265

10,165

Net cash provided by investing activities

9,217

22,634

Financing activities

Proceeds from sales of common stock, net of expenses of $ 482 and $ 0 , respectively

9,232

Proceeds from exercise of options

360

Net cash provided by financing activities

9,592

Net change in cash and cash equivalents

( 8,617

)

( 1,114

)

Cash and cash equivalents—Beginning of period

21,655

16,347

Cash and cash equivalents—End of period

$

13,038

$

15,233

See accompanying notes to the unaudited condensed financial statements.

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Table of Contents

CARDIFF ONCOLOGY, INC.

NOTES TO CONDENSED FI NANCIAL STATEMENTS

(Unaudited)

1. Organization and Basis of Presentation

Business Organization and Overview

Cardiff Oncology, Inc. (“Cardiff Oncology” or the “Company”) headquartered in San Diego, California, is a clinical-stage biotechnology company leveraging Polo-like Kinase 1 (“PLK1”) inhibition, to develop novel therapies across a range of cancers. The Company’s lead asset is onvansertib, a PLK1 inhibitor that is being evaluated in combination with standard-of-care ("SoC") therapeutics in clinical programs targeting indications such as RAS-mutated metastatic colorectal cancer (“mCRC”), as well as ongoing or planned investigator-initiated trials in metastatic pancreatic ductal adenocarcinoma (“mPDAC”), small cell lung cancer (“SCLC”), and triple negative breast cancer (“TNBC”). These programs and the Company’s broader development strategy are designed to target tumor vulnerabilities in order to overcome treatment resistance and deliver superior clinical benefit compared to SoC alone. The Company's common stock is listed on the Nasdaq Capital Market under the ticker symbol "CRDF".

Basis of Presentation

The accompanying unaudited interim condensed financial statements of Cardiff Oncology have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) and the rules and regulations of the Securities and Exchange Commission (“SEC”) related to a quarterly report on Form 10-Q. Certain information and note disclosures normally included in annual financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to those rules and regulations. The unaudited interim condensed financial statements reflect all adjustments consisting of normal recurring adjustments which, in the opinion of management, are necessary for a fair statement of the Company’s financial position and the results of its operations and cash flows for the periods presented. The unaudited condensed balance sheet at December 31, 2023, has been derived from the audited financial statements at that date but does not include all of the information and disclosures required by GAAP for annual financial statements. The operating results presented in these unaudited interim condensed financial statements are not necessarily indicative of the results that may be expected for any future periods. These unaudited interim condensed financial statements should be read in conjunction with the audited financial statements and the notes thereto for the year ended December 31, 2023, included in the Company’s annual report on Form 10-K filed with the SEC on February 29, 2024.

Liquidity

The Company has incurred net losses since its inception and has negative operating cash flows. As of September 30, 2024, the Company had $ 57.7 million in cash, cash equivalents and short-term investments and believes it has sufficient cash to meet its funding requirements for at least the next 12 months following the issuance date of these financial statements.

For the foreseeable future, the Company expects to continue to incur losses and require additional capital to further advance its clinical trial programs and support its other operations. The Company cannot be certain that additional funding will be available on acceptable terms, or at all. To the extent that the Company can raise additional funds by issuing equity securities, the Company’s stockholders may experience additional dilution.

2. Summary of Significant Accounting Policies

During the nine months ended September 30, 2024, there have been no changes to the Company’s significant accounting policies as described in its Annual Report on Form 10-K for the fiscal year ended December 31, 2023.

Net Loss Per Share

Basic and diluted net loss per common share is determined by dividing net loss applicable to common stockholders by the weighted-average common shares outstanding during the period. Preferred dividends are included in net loss attributable to common stockholders in the computation of basic and diluted earnings per share.

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Table of Contents

The following table sets forth the outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share because their effect was anti-dilutive:

September 30,

2024

2023

Options to purchase Common Stock

8,348,344

6,652,427

Warrants to purchase Common Stock

2,807,353

2,807,948

Series A Convertible Preferred Stock

877

877

11,156,574

9,461,252

Recently Adopted Accounting Pronouncement

In August 2020, the FASB issued ASU No. 2020-06 ("ASU 2020-06"), Debt – Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging – Contracts in Entity’s Own Equity (Subtopic 815-40) (“ASU 2020-06”). ASU 2020-06 eliminates the beneficial conversion and cash conversion accounting models for convertible instruments. It also amends the accounting for certain contracts in an entity’s own equity that are currently accounted for as derivatives because of specific settlement provisions. In addition, ASU 2020-06 modifies how particular convertible instruments and certain contracts that may be settled in cash or shares impact the diluted EPS computation. This update was effective for the Company on January 1, 2024. The amendment is to be adopted through either a fully retrospective or modified retrospective method of transition. Early adoption is permitted. The Company adopted this standard as of January 1, 2024 using the modified-retrospective method. As a result of the adoption the Company reversed the accretion of preferred stock dividends originally recorded in 2005 related to the Series A Convertible Preferred Stock of $ 793,000 .

3 . Fair Value Measurements

The following table presents the Company’s assets and liabilities that are measured and recognized at fair value on a recurring basis classified under the appropriate level of the fair value hierarchy as of September 30, 2024, and December 31, 2023:

Fair Value Measurements at
September 30, 2024

(in thousands)

Quoted Prices in Active Markets for Identical Assets and Liabilities
(Level 1)

Significant Other Observable Inputs
(Level 2)

Significant Unobservable Inputs
(Level 3)

Total

Assets:

Money market fund

$

12,591

$

$

$

12,591

U.S. treasury securities

298

298

Total included in cash and cash equivalents

12,889

12,889

Available for sale investments:

Certificate of deposit

334

334

Corporate debt securities

25,091

25,091

Commercial paper

310

310

U.S. treasury securities

18,894

18,894

Total available for sale investments

18,894

25,735

44,629

Total assets measured at fair value on a recurring basis

$

31,783

$

25,735

$

$

57,518

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Fair Value Measurements at
December 31, 2023

(in thousands)

Quoted Prices in Active Markets for Identical Assets and Liabilities
(Level 1)

Significant Other Observable Inputs
(Level 2)

Significant Unobservable Inputs
(Level 3)

Total

Assets:

Money market fund

$

21,606

$

$

$

21,606

Total included in cash and cash equivalents

21,606

21,606

Available for sale investments:

Certificate of deposit

8,333

8,333

Corporate debt securities

19,373

19,373

Commercial paper

6,202

6,202

U.S. government agencies

834

834

U.S. treasury securities

18,426

18,426

Total available for sale investments

18,426

34,742

53,168

Total assets measured at fair value on a recurring basis

$

40,032

$

34,742

$

$

74,774

The Company’s policy is to recognize transfers between levels of the fair value hierarchy on the date of the event or change in circumstances that caused the transfer. There were no transfers into or out of Level 3 during the nine months ended September 30, 2024 .

4. Supplementary Balance Sheet Information

Investments available for sale

Investments available for sale consisted of the following:

As of September 30, 2024

(in thousands)

Amortized Cost

Gross Unrealized Gains

Gross Unrealized Losses

Fair Market Value

Maturity less than 1 year:

Certificate of deposit

$

334

$

$

$

334

Corporate debt securities

16,213

36

( 2

)

16,247

Commercial paper

308

2

310

U.S. treasury securities

18,896

8

( 10

)

18,894

Total maturity less than 1 year

35,751

46

( 12

)

35,785

Maturity 1 to 2 years:

Corporate debt securities

8,796

49

( 1

)

8,844

Total maturity 1 to 2 years

8,796

49

( 1

)

8,844

Total short-term investments

$

44,547

$

95

$

( 13

)

$

44,629

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Table of Contents

As of December 31, 2023

(in thousands)

Amortized Cost

Gross Unrealized Gains

Gross Unrealized Losses

Fair Market Value

Maturity less than 1 year:

Certificate of deposit

$

8,317

$

16

$

$

8,333

Corporate debt securities

10,948

8

( 16

)

10,940

Commercial paper

6,193

9

6,202

U.S. government agencies

835

( 1

)

834

Total maturity less than 1 year

26,293

33

( 17

)

26,309

Maturity 1 to 2 years:

Corporate debt securities

8,437

6

( 10

)

8,433

U.S. treasury securities

18,505

( 79

)

18,426

Total maturity 1 to 2 years

26,942

6

( 89

)

26,859

Total short-term investments

$

53,235

$

39

$

( 106

)

$

53,168

We periodically review our portfolio of debt securities to determine if any investment is impaired due to credit loss or other potential valuation concerns. For debt securities where the fair value of the investment is less than the amortized cost basis, we have assessed at the individual security level for various quantitative factors including, but not limited to, the nature of the investments, changes in credit ratings, interest rate fluctuations, industry analyst reports, and the severity of impairment. Unrealized losses in investments available for sale debt securities at September 30, 2024, were substantially due to changes in interest rates, not due to increased credit risks associated with specific securities. Accordingly, we have not recorded an allowance for credit losses. It is not more likely than not that we will be required to sell the investments before recovery of their amortized cost bases, which may be at maturity.

Investments available for sale that have been in a continuous unrealized loss position for greater than one-year consisted of the following:

As of September 30, 2024

(in thousands)

Fair Market Value

Gross Unrealized Loss

Total

$

$

As of December 31, 2023

(in thousands)

Fair Market Value

Gross Unrealized Loss

Corporate debt securities

$

397

$

( 3

)

Property and equipment

Property and equipment consisted of the following:

(in thousands)

As of September 30,
2024

As of December 31,
2023

Furniture and office equipment

$

1,067

$

1,067

Leasehold improvements

2,568

2,568

Laboratory equipment

1,414

1,355

Property and equipment, gross

5,049

4,990

Less—accumulated depreciation and amortization

( 4,056

)

( 3,752

)

Property and equipment, net

$

993

$

1,238

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Table of Contents

Accrued Liabilities

Accrued liabilities consisted of the following:

(in thousands)

As of September 30,
2024

As of December 31,
2023

Clinical trials

$

4,271

$

4,309

Accrued compensation

1,993

2,737

Research agreements and services

637

530

Other accrued liabilities

274

207

Total accrued liabilities

$

7,175

$

7,783

5. Stockholders’ Equity

Stock Options

Stock-based compensation expense related to Cardiff Oncology equity awards have been recognized in operating results as follows:

Three Months Ended September 30,

Nine Months Ended September 30,

(in thousands)

2024

2023

2024

2023

Included in research and development expense

$

436

$

294

$

1,223

$

985

Included in selling, general and administrative expense

817

661

2,333

2,615

Total stock-based compensation expense

$

1,253

$

955

$

3,556

$

3,600

The unrecognized compensation cost related to non-vested stock options outstanding at September 30, 2024, net of estimated forfeitures, was $ 8.1 million, which is expected to be recognized over a weighted-average remaining vesting period of 2.4 years. The weighted-average remaining contractual term of outstanding options as of September 30, 2024, was approximately 7.7 years. The total fair value of stock options vested during the nine months ended September 30, 2024 and 2023, were $ 3.6 million and $ 4.0 million, respectively.

The estimated fair value of stock option awards was determined on the date of grant using the Black-Scholes option valuation model with the following weighted-average assumptions during the following periods indicated:

Nine Months Ended September 30,

2024

2023

Risk-free interest rate

4.06

%

3.62

%

Dividend yield

0

%

0

%

Expected volatility of Cardiff Oncology common stock

106

%

109

%

Expected term

5.8 years

5.3 years

A summary of stock option activity and changes in stock options outstanding is presented below:

Total Options

Weighted-Average
Exercise Price
Per Share

Intrinsic
Value

Balance outstanding, December 31, 2023

6,650,954

$

4.27

$

23,926

Granted

1,899,096

$

3.40

Exercised

( 133,614

)

$

2.69

Forfeited and expired

( 68,092

)

$

23.06

Balance outstanding, September 30, 2024

8,348,344

$

3.94

$

2,542,885

Exercisable at September 30, 2024

4,431,853

$

4.64

$

1,235,936

Vested and expected to vest at September 30, 2024

8,132,900

$

3.97

$

2,451,731

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Table of Contents

2021 Equity Incentive Plan

In June 2021 the Company's stockholders approved the 2021 Omnibus Equity Incentive Plan ("2021 Plan"). As of September 30, 2024 the number of authorized shares in the 2021 Plan is equal to the sum of (i) 8,150,000 shares, plus (ii) the number of shares of Common Stock reserved, but unissued under the 2014 Plan; and (iii) the number of shares of Common Stock underlying forfeited awards under the 2014 Plan. As of September 30, 2024 , there were 3,155,783 shares available for issuance under the 2021 Plan.

2014 Equity Incentive Plan

Subsequent to the adoption of the 2021 Plan, no additional equity awards can be made under the terms of the 2014 Plan.

Inducement Grants

The Company issues equity awards to certain new employees as inducement grants outside of its 2021 Plan. As of September 30, 2024, an aggregate of 1,380,248 shares were issuable upon the exercise of inducement grant stock options approved by the Company.

Rescinding and reissuance of March 2024 stock options

On May 30, 2024, the Board of Directors of the Company approved the rescinding of an aggregate of 1,697,712 shares of common stock issuable upon exercise of stock options granted on March 7, 2024 at an exercise price of $ 3.51 per share to employees and officers of the Company. On May 30, 2024, the Board of Directors of the Company approved the grant of an aggregate of 1,697,712 shares of common stock issuable upon exercise of stock options at an exercise price of $ 3.51 per share to employees and officers of the Company, subject to stockholder approval of an increase in the shares of common stock available for issuance pursuant to the Company’s 2021 Equity Incentive Plan at the Company’s annual meeting on June 20, 2024. The increase of shares available was approved by shareholders at the June 20, 2024 meeting, thus completing the requirements for the reissuance of the grant. The terms of the reissued grant were identical to the rescinded grant, therefore the transaction does not represent a stock option modification.

Warrants

A summary of warrant activity and changes in warrants outstanding, classified as equity is presented below:

Total Warrants

Weighted-Average
Exercise Price
Per Share

Weighted-Average
Remaining Contractual
Term

Balance outstanding, December 31, 2023

2,807,948

$

2.45

1.9 years

Expired

( 595

)

$

252.72

Balance outstanding, September 30, 2024

2,807,353

$

2.40

1.2 years

Sale of Common Stock

During the three months ended September 30, 2024 , the Company received net proceeds of $ 7.4 million from the sale of 3.1 million shares of its common stock under the Sales Agreement with Jefferies LLC.

During the nine months ended September 30, 2024 , the Company received net proceeds of $ 9.2 million from the sale of 3.9 million shares of its common stock under the Sales Agreement with Jefferies LLC.

6. Commitments and Contingencies

Executive Agreements

Certain executive agreements provide for severance payments in case of terminations without cause or certain change of control scenarios.

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Table of Contents

Research and Development Agreements

In March 2017, the Company entered into a license agreement with Nerviano which granted the Company development and commercialization rights to NMS-1286937, which Cardiff Oncology refers to as onvansertib. Terms of the agreement also provide for the Company to pay development and commercial milestones, and royalties based on sales volume. These potential development milestones include: (a) dosing of the first subject in the first Phase III Clinical Trial for the first Product, a registration enabling Phase II Clinical Trial, or after completion of a Phase II Clinical Trial that is used as the basis for an NDA submission; and (b) upon filing of the first NDA or equivalent for the first product candidate. During the nine months ended September 30, 2024 and 2023 no milestone or royalty payments were made.

The Company is a party to various agreements under which it licenses technology on an exclusive basis in the field of oncology therapeutics. These agreements include License fees, Royalties and Milestone payments. For the nine months ended September 30, 2024 and 2023, payments have not been material. The Company also has a legacy license agreement in the field of oncology diagnostics under which royalty payments are due to the Company. These royalty payments are calculated as a percent of revenue.

Litigation

On May 13, 2024, a purported stockholder of the Company filed a putative class action in the Court of Chancery of the State of Delaware captioned Vrana v. James O. Armitage et al. , C.A. No. 2024-0507-MTZ (Del. Ch.) (“Action”). The Action was mooted on June 20, 2024 when the Company’s stockholders voted: (i) to elect all 7 nominees for director to serve until the 2025 Annual Meeting of Stockholders; and (ii) to approve an amendment to the Company’s 2021 Equity Incentive Plan to increase the number of shares issuable thereunder to 8,150,000 shares. On June 26, 2024, the Court entered an order dismissing the Action but retained jurisdiction solely for the purpose of resolving the plaintiff’s counsel’s anticipated motion for an award of attorneys’ fees and expenses. Without admitting any fault or wrongdoing, the Company agreed to pay $ 400,000 in attorneys’ fees and expenses to the plaintiff’s counsel in connection with the mooted claims. In entering the order, the Court did not review, and did not pass judgment on, the payment of the attorneys’ fees and expenses. The Company paid the plaintiff’s counsel fees and expenses during September 2024, which was recorded within selling general and administrative expense.

From time to time, the Company may become involved in various lawsuits and legal proceedings that arise in the ordinary course of business. Litigation is subject to inherent uncertainties, and an adverse result in matters may arise from time to time that may harm the Company’s business. As of the date of this report, management believes that there are no claims against the Company, which could result in a material adverse effect on the Company’s business or financial condition.

7. Subsequent Events

Sale of Common Stock

From October 1, 2024 through November 4, 2024, the Company sold 2.4 million shares of its common stock under the Sales Agreement with Jefferies LLC. Gross proceeds from these sales was $ 7.0 million .

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Table of Contents

ITEM 2. MANAGEMENT’S DISCUSSION AN D ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward-Looking Statements

This Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”) and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements other than statements of historical facts contained in this Quarterly Report, including statements regarding the future financial position, business strategy and plans and objectives of management for future operations, are forward-looking statements. The words “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “expect,” and similar expressions, as they relate to us, are intended to identify forward-looking statements. We have based these forward-looking statements largely on current expectations and projections about future events and financial trends that we believe may affect our financial condition, results of operations, business strategy and financial needs. These forward-looking statements are subject to a number of risks, uncertainties and assumptions.

In addition, our business and financial performance may be affected by the factors that are discussed under “Risk Factors” in the Annual Report on Form 10-K for the year ended December 31, 2023, filed on February 29, 2024. Moreover, we operate in a very competitive and rapidly changing environment. New risk factors emerge from time to time and it is not possible for us to predict all risk factors, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements.

You should not rely upon forward-looking statements as predictions of future events. We cannot assure you that the events and circumstances reflected in the forward-looking statements will be achieved or occur. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance or achievements.

The following discussion and analysis is qualified in its entirety by, and should be read in conjunction with, the more detailed information set forth in the financial statements and the notes thereto appearing elsewhere in this Quarterly Report on Form 10-Q. This discussion should not be construed to imply that the results discussed herein will necessarily continue into the future, or that any conclusion reached herein will necessarily be indicative of actual operating results in the future. Such discussion represents only the best present assessment of our management.

Overview

We are a clinical-stage biotechnology company leveraging PLK1 inhibition, a well-validated oncology drug target, to develop novel therapies across a range of cancers with the greatest unmet medical need. Our goal is to target tumor vulnerabilities with treatment combinations of onvansertib, our oral and highly selective PLK1 inhibitor, and standard-of-care ("SoC") therapeutics. We are focusing our clinical program in indications such as RAS-mutated metastatic colorectal cancer ("mCRC"), as well as in investigator-initiated ongoing or planned trials in metastatic pancreatic ductal adenocarcinoma ("mPDAC"), small cell lung cancer ("SCLC"), and triple negative breast cancer ("TNBC"). Our clinical development programs incorporate tumor genomics and biomarker assays to refine assessment of patient response to treatment.

Our Lead Drug Candidate, Onvansertib

Onvansertib is an oral, small molecule drug candidate that is highly specific for PLK1 inhibition with a 24-hour half-life.

We believe the attributes of onvansertib described below, as well as early clinical evidence of favorable safety and efficacy, with expected on-target, manageable and transient side effects, may prove beneficial in addressing clinical therapeutic needs across a variety of cancers:

Onvansertib is highly potent and highly selective against the PLK1 enzyme (IC 50 = 2nM; IC 50 is the concentration for 50% inhibition), compared to prior PLK1 inhibitors that were pan-inhibitors of several PLK targets. Low or no activity of onvansertib was observed on a panel of 63 kinases (IC50>500 nM), including the PLK members PLK2 and PLK3 (IC 50 >10,000 nM);
Onvansertib is orally bioavailable, allowing for relative ease and flexibility of dosing;
Onvansertib has a relatively short drug half-life of 24 hours, allowing for flexible dosing and scheduling which has shown favorable safety and tolerability across multiple clinical trials.

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Table of Contents

In vitro studies have shown synergistic effects when onvansertib was administered in combination with different cytotoxic agents including microtubule-targeting agents, topoisomerase 1 inhibitors, antimetabolites, alkylating agents, proteasome inhibitors, kinase inhibitors, PARP inhibitors, BCL-2 inhibitors, and androgen biosynthesis inhibitors.

In addition, in vivo combination studies have confirmed the positive results obtained in vitro and additive or synergistic effects on efficacy have been observed in xenograft models of onvansertib in combination with irinotecan, 5-fluorouracil ("5-FU"), abiraterone, PARP inhibitors, venetoclax, paclitaxel, or bevacizumab. Combining onvansertib with SoC cancer agents provides opportunities for synergy with many cancer therapies.

There are several ongoing and planned clinical trials of onvansertib in multiple indications: one trial (CRDF-004) in first-line treatment in patients with RAS-mutated mCRC, and investigator-initiated trials in first-line mPDAC, relapsed SCLC and unresectable locally advanced or metastatic TNBC.

RAS-mutated mCRC Program:

CRDF-004 Randomized Clinical Trial in First-Line RAS-mutated mCRC

CRDF-004 is a Phase 2 open-label, randomized multi-center clinical trial of onvansertib in combination with SoC FOLFIRI and bevacizumab or FOLFOX and bevacizumab for the first-line treatment of patients with RAS-mutated mCRC. The primary objectives of the CRDF-004 trial are to evaluate onvansertib’s safety and efficacy in combination with the SoC, as well as to evaluate two doses of onvansertib, 20mg and 30mg, given in combination with SoC, against SoC alone. The primary endpoint of the trial is objective response rate ("ORR"). Progression-free survival and duration of response will be secondary endpoints. We anticipate releasing initial data from the CRDF-004 trial in the fourth quarter of 2024. This trial is conducted in partnership with Pfizer Ignite, an end-to-end service for biotech companies, and it is expected to enroll approximately 90 evaluable patients. In February 2024 it was announced that the first patient dosed for this trial. For more information, please visit NCT06106308 at www.clinicialtrials.gov .

Contingent upon the results of CRDF-004, we plan to initiate CRDF-005, a Phase 3, randomized trial with registrational intent. The FDA has agreed that a seamless trial with ORR at an interim point is an acceptable endpoint to pursue accelerated approval, with progression-free survival and trend in overall survival being the endpoints for full approval.

Phase 1b/2 Clinical Trial in Second-Line KRAS-mutated mCRC

TROV-054, a Phase 1b/2 open-label multi-center clinical trial of onvansertib in combination with SoC FOLFIRI and bevacizumab for the second-line treatment of patients with KRAS-mutated mCRC, completed enrollment in October 2022.

The primary objectives of this trial were to evaluate the Dose-Limiting Toxicities ("DLTs"), maximum tolerated dose ("MTD") and recommended Phase 2 dose ("RP2D") of onvansertib in combination with FOLFIRI and bevacizumab (Phase 1b) and to continue to assess the safety and preliminary efficacy of onvansertib in combination with FOLFIRI and bevacizumab patients with KRAS-mutated mCRC (Phase 2). For more information, please visit NCT03829410 at www.clinicialtrials.gov .

Data presented on August 7, 2023, provided an update of the ongoing TROV-054 Phase 1b/2 single arm clinical trial in KRAS-mutated metastatic colorectal cancer:

ORR across all evaluable patients was 29%, with 19 of 66 evaluable patients achieving an objective response. Responses have been observed across multiple KRAS variants;
Median duration of response ("mDoR") across all evaluable patients was 12.0 months (95% confidence interval ("CI"): 8.9 – not reached);
Median progression free survival ("mPFS") across all evaluable patients was 9.3 months (95% CI: 7.8 – 14). Historical control trials of different drug combinations, including the SoC of FOLFIRI with bevacizumab, in similar patient populations have shown ORR and mPFS of 5 – 13% and ~4.5 – 6.7 months, respectively;
A subgroup analysis of patients who were bevacizumab naïve when they entered second-line therapy vs. patients who had received prior bevacizumab in first-line therapy showed that patients who were bevacizumab naïve (n=15) had an ORR of 73% and mPFS of 15 months, which is well above historical controls. In contrast, patients previously treated with bevacizumab (n=51) had an ORR of 16% and mPFS of 7.8 months;

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Data on Treatment Emergent Adverse Events ("TEAEs") on the trial showed that onvansertib is well-tolerated when used in combination with FOLFIRI and bevacizumab. The more severe, grade 4 TEAEs are either neutropenia or leukopenia, which are common events in patients treated with FOLFIRI and bevacizumab. None of the patients with grade 4 TEAEs discontinued treatment due to their condition and all resolved without issue. There were no major or unexpected toxicities seen in the trial;
Data from the Phase 1b portion of this trial was published in the peer-reviewed journal Clinical Cancer Research, February 6, 2024 edition;
Data from the Phase 2 portion of this trial was published online in the peer-reviewed journal of Clinical Oncology on October 30, 2024.

Based on the interim results of the TROV-054 trial, we previously designed the ONSEMBLE trial (CRDF-003) as the next phase of our mCRC program. Upon further review of the clinical data from the bevacizumab naïve subgroup (those patients who did not receive bevacizumab in their first-line therapy), the preclinical data on the mechanism of action and the feedback from the FDA on our clinical development strategy, we made the decision to discontinue enrollment in the ONSEMBLE trial and to initiate the CRDF-004 clinical trial.

Phase 2 Clinical Trial in Second-Line RAS-mutated mCRC

The ONSEMBLE trial (CRDF-003) is a Phase 2 randomized, open-label multi-center clinical trial of onvansertib in combination with SoC FOLFIRI and bevacizumab for the second-line treatment of patients with RAS-mutated mCRC. The primary objectives of the ONSEMBLE trial are to evaluate onvansertib’s safety and efficacy in combination with FOLFIRI and bevacizumab, as well as to evaluate two doses of onvansertib, 20mg and 30mg, given in combination with FOLFIRI and bevacizumab, against FOLFIRI and bevacizumab alone. The primary endpoint of the trial is ORR. For more information, please visit NCT05593328 at www.clinicialtrials.gov .

The ONSEMBLE trial enrollment was closed in August 2023 as part of our shift to a first-line mCRC program, and the 23 patients enrolled continued treatment per protocol.

Data presented on February 29, 2024, provided the first update of the ongoing ONSEMBLE Phase 2 randomized clinical trial in RAS-mutated mCRC:

ORR data for each arm of the trial and for the two experimental arms combined are shown in the table below. The table also presents ORR data for two subgroups of patients: those who were bevacizumab naïve when they entered second-line therapy vs. patients who had received prior bevacizumab in first-line therapy.

Objective Response Rate

Bevacizumab Naïve
Patients
(1)

Bevacizumab
Exposed Patients

All Patients

FOLFIRI/bev (SoC alone); (N=6)

0% (0 of 3)

0% (0 of 3)

0% (0 of 6)

Onvansertib 20mg + SoC; (N=8)

50% (1 of 2)

0% (0 of 6)

13% (1 of 8)

Onvansertib 30mg + SoC; (N=7)

50% (1 of 2)

0% (0 of 5)

14% (1 of 7)

Onvansertib (all doses) + SoC; (N=15)

50% (2 of 4)

0% (0 of 11)

13% (2 of 15)

(1)
The two partial responses were confirmed on the patients' subsequent scans.
Data on TEAEs on the trial showed that onvansertib is well-tolerated when used in combination with FOLFIRI and bevacizumab. No Grade 4 TEAEs were observed for the arms of FOLFIRI and bevacizumab alone and onvansertib 30mg given in combination with FOLFIRI and bevacizumab. Two Grade 4 TEAEs of neutropenia were seen in patients receiving 20mg onvansertib given in combination with FOLFIRI and bevacizumab. Both patients recovered within 7 and 10 days after withholding the study treatment and no dose reductions in subsequent treatment cycles were needed. There were no major or unexpected toxicities seen in the trial.

The ORR data from the randomized ONSEMBLE trial validates the findings observed in our earlier single-arm Phase 1b/2 KRAS-mutated mCRC trial (TROV-054). In the ONSEMBLE trial, objective responses were observed only in bevacizumab naïve patients versus bevacizumab exposed patients. In addition, these objective responses were present only in bevacizumab naïve patients randomized to the experimental arms of onvansertib in combination with FOLFIRI and bevacizumab vs. bevacizumab naïve patients randomized to the FOLFIRI and bevacizumab alone control arm.

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mPDAC Program:

Phase 2 Investigator-Initiated Clinical Trial in First-Line mPDAC

In February 2024, the FDA approved NALIRIFOX as a first-line treatment option for mPDAC. As a result, we are currently planning to support a new investigator-initiated mPDAC Phase 2 trial of onvansertib in combination with first-line SoC NALIRIFOX, details of which we will announce when available. The trial would replace a previously planned two-cohort, non-randomized Phase 2 trial of onvansertib in combination with first-line SoC Gemzar ® and Abraxane ® which was to be conducted at the OHSU Knight Cancer Institute.

Phase 2 Clinical Trial in mPDAC

CRDF-001 is a Phase 2 open-label multi-center clinical trial of onvansertib in combination with nanoliposomal irinotecan (Onivyde ® ), leucovorin, and fluorouracil for 2 nd line treatment of patients with mPDAC, which is being conducted at six clinical trial sites across the U.S. – The Mayo Clinic Cancer Centers (Arizona, Minnesota, and Florida), Kansas University Medical Center, Inova Schar Cancer Institute, and the University of Nebraska Medical Center. Enrollment for this trial closed in October 2023.

The objective of this trial is to assess the safety and preliminary efficacy of onvansertib in combination with nanoliposomal irinotecan (Onyvide ® ), 5-FU and leucovorin as a 2 nd line treatment in patients with mPDAC who have failed first-line gemcitabine-based therapy. For more information, please visit NCT04752696 at www.clinicialtrials.gov .

Preliminary data presented on September 26, 2023 provided an update of the ongoing CRDF-001 Phase 2 open label clinical trial in mPDAC:

Preliminary data from 21 patients evaluable for radiographic response showed 1 patient achieving a confirmed partial response (“PR”) and 3 patients achieving unconfirmed PR that were awaiting confirmatory scans;
19% objective response rate ORR achieved compared to historical control of 7.7% in second-line setting;
5.0 months mPFS achieved compared to historical control of 3.1 months with SoC;

An update provided on February 29, 2024 indicated 3 of the 4 PRs are confirmed PRs and 1 of the 4 PRs did not confirm on their subsequent scan.

Other Clinical Programs:

Phase 2 Investigator-Initiated Clinical Trial in SCLC

A single-arm, two-stage, Phase 2 trial of onvansertib monotherapy in patients with relapsed SCLC at the University of Pittsburgh Medical Center ("UPMC"), completed enrollment in July 2023.In October 2024, the trial was re-opened for enrollment at the University of Maryland Greenebaum Comprehensive Cancer Center (“UMGCCC”) following the investigator’s relocation to this location. The primary endpoint of the trial is ORR, while key secondary endpoints include PFS and overall survival. For more information, please visit NCT05450965 at www.clinicialtrials.gov .

An examination of the safety data from the first six patients by the institutional review board confirmed the trial can continue to enroll as planned. Preliminary efficacy data for seven patients presented on September 26, 2023, showed one confirmed PR, three stable disease (“SD”) and three progressive disease (“PD”). The disease control rate (“DCR”), including PR and SD, is 57% (4 of 7 patients).

Phase 1b/2 Investigator-Initiated Clinical Trial in TNBC

A single-arm, Phase 1b/2 trial of onvansertib in combination with paclitaxel in patients with unresectable locally advanced or metastatic TNBC is open for enrollment at Dana Farber Cancer Institute ("DFCI"). In Phase 1b, approximately 14-16 patients will be treated with different doses of onvansertib in combination with a fixed dose of paclitaxel to determine the maximum tolerated dose and RP2D of onvansertib. In Phase 2, approximately 34 patients will be treated with the selected onvansertib RP2D in combination with paclitaxel.

The primary endpoint of Phase 2 of the trial is ORR, with PFS included as a secondary endpoint. For more information, please visit NCT05383196 at www.clinicialtrials.gov .

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Critical Accounting Policies

Our accounting policies are described in ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS of our Annual Report on Form 10-K as of and for the year ended December 31, 2023, filed with the SEC on February 29, 2024. There have been no changes to our critical accounting policies since December 31, 2023.

RESULTS OF OPERATIONS

Three Months Ended September 30, 2024 and 2023

Revenues

Total revenues were $0.2 million for the three months ended September 30, 2024, as compared to $0.1 million for the prior period. Revenues are from our sales-based or usage-based royalties on other intellectual property licenses, unrelated to onvansertib. Revenue recognition of the royalty depends on the timing and overall sales activities of the licensees.

Research and Development Expenses

Research and development expenses consisted of the following:

Three Months Ended September 30,

(in thousands)

2024

2023

Increase (Decrease)

Salaries and staff costs

$

1,579

$

1,615

$

(36

)

Stock-based compensation

436

294

142

Clinical trials, outside services, and lab supplies

7,153

5,603

1,550

Facilities and other

472

510

(38

)

Total research and development

$

9,640

$

8,022

$

1,618

Research and development expenses increased by $1.6 million for the three months ended September 30, 2024, compared to the same period in 2023. The overall increase in expenses was primarily due to costs associated with clinical programs and outside service costs related to the development of our lead drug candidate, onvansertib.

Selling, General and Administrative Expenses

Selling, general and administrative expenses consisted of the following:

Three Months Ended September 30,

(in thousands)

2024

2023

Increase (Decrease)

Salaries and staff costs

$

733

$

731

$

2

Stock-based compensation

817

661

156

Outside services and professional fees

1,176

1,011

165

Facilities and other

400

536

(136

)

Total selling, general and administrative

$

3,126

$

2,939

$

187

Selling, general and administrative expenses increased by $0.2 million for the three months ended September 30, 2024, compared to the same period in 2023. The overall increase in expenses was primarily from outside services and professional fees, due to the settlement of litigation during the quarter, offset by a decreases in corporate legal expenses. Stock-based compensation expense increased due to new grants issued during the current year. The decrease in facilities and other costs was primarily due to reduced insurance costs compared to the prior period.

Interest Income, Net

Interest income, net was $0.7 million for the three months ended September 30, 2024 as compared to $1.1 million for the same period of 2023. Our interest income is primarily from our our short-term investment portfolios and money market accounts. The amount of interest income earned varies each period based on the balance of our accounts and interest rates.

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N ine Months Ended September 30, 2024 and 2023

Revenues

Total revenues were $0.5 million for the nine months ended September 30, 2024, as compared to $0.3 million for the same period in 2023. Revenues are from our sales-based or usage-based royalties on other intellectual property licenses, unrelated to onvansertib. Revenue recognition of the royalty depends on the timing and overall sales activities of the licensees.

Research and Development Expenses

Research and development expenses consisted of the following:

Nine Months Ended September 30,

(in thousands)

2024

2023

Increase (Decrease)

Salaries and staff costs

$

5,161

$

4,475

$

686

Stock-based compensation

1,223

985

238

Clinical trials, outside services, and lab supplies

19,355

18,118

1,237

Facilities and other

1,401

1,516

(115

)

Total research and development

$

27,140

$

25,094

$

2,046

Research and development expenses increased by $2.0 million for the nine months ended September 30, 2024, compared to the same period in 2023. The overall increase in expenses was primarily due to costs associated with clinical programs and outside service costs related to the development of our lead drug candidate, onvansertib. Salaries and staff costs increased generally from key hires in research and development and clinical operations (research and development average headcount grew by 19% over the comparative period).

Selling, General and Administrative Expenses

Selling, general and administrative expenses consisted of the following:

Nine Months Ended September 30,

(in thousands)

2024

2023

Increase (Decrease)

Salaries and staff costs

$

2,447

$

2,888

$

(441

)

Stock-based compensation

2,333

2,615

(282

)

Outside services and professional fees

3,326

3,102

224

Facilities and other

1,365

1,713

(348

)

Total selling, general and administrative

$

9,471

$

10,318

$

(847

)

Selling, general and administrative expenses decreased by $0.8 million for the nine months ended September 30, 2024, compared to the same period in 2023. The overall decrease in expenses was primarily within salaries and staff costs due to an employee severance agreement which was expensed during the prior period. Stock-based compensation expense decreased due to a modification of stock options that occurred during the prior period. The decrease in facilities and other costs was primarily due to reduced insurance costs compared to the prior period. The increase in outside services and professional fees, was due to the settlement of litigation during the current period, offset by a decreases in corporate legal expenses.

Interest Income, Net

Interest income, net was $2.5 million for the nine months ended September 30, 2024 as compared to $3.1 million for the same period of 2023. Our interest income is primarily from our our short-term investment portfolios and money market accounts. The amount of interest income earned varies each period based on the balance of our accounts and interest rates.

LIQUIDITY AND CAPITAL RESOURCES

As of September 30, 2024, and December 31, 2023, we had working capital of $46.8 million and $67.0 million, respectively.

We have incurred net losses since our inception and have negative operating cash flows. As of September 30, 2024, we had $57.7 million in cash, cash equivalents and short-term investments and we believe we have sufficient cash to meet our funding

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requirements for at least the next 12 months following the issuance date of this Quarterly Report on Form 10-Q. Based on our current projections we expect that our capital resources are sufficient to fund our operations into the first quarter of 2026.

From October 1, 2024 through November 4, 2024, we raised gross proceeds of $7.0 million from the sale of 2.4 million shares of our Common Stock.

Our drug development efforts are in their early stages, and we cannot make estimates of the costs or the time that our development efforts will take to complete, or the timing and amount of revenues related to the sale of our drug candidates. The risk of completion of any program is high because of the many uncertainties involved in developing new drug candidates to market, including the long duration of clinical testing, the specific performance of proposed products under stringent clinical trial protocols, extended regulatory approval and review cycles, our ability to raise additional capital, the nature and timing of research and development expenses, and competing technologies being developed by organizations with significantly greater resources.

For the foreseeable future, we expect to continue to incur losses and require additional capital to further advance our clinical trial programs and support our other operations. We cannot be certain that additional funding will be available on acceptable terms, or at all. To the extent that we can raise additional funds by issuing equity securities, our stockholders may experience additional dilution.

Cash Flow Summary

Nine Months Ended September 30,

(in thousands)

2024

2023

Net cash used in operating activities

$

(27,426

)

$

(23,748

)

Net cash provided by investing activities

9,217

22,634

Net cash provided by financing activities

9,592

Net change in cash and equivalents

$

(8,617

)

$

(1,114

)

Operating Activities

Net cash used in operating activities for the nine months ended September 30, 2024, was $27.4 million. Our primary use of cash was from our net loss of $33.6 million, adjusted for non-cash items of $3.4 million primarily related to stock-based compensation. The net change in our operating assets and liabilities decreased cash used in operations by $2.8 million.

Net cash used in operating activities for the nine months ended September 30, 2023, was $23.7 million. Our primary use of cash was from our net loss of $32.1 million, adjusted for non-cash items of $3.2 million primarily related to stock-based compensation. The net change in our operating assets and liabilities decreased cash used in operations by $5.2 million.

At our current and anticipated level of operating loss, we expect to continue to incur an operating cash outflow for the next several years.

Investing Activities

Net cash provided by investing activities for the nine months ended September 30, 2024 was $9.2 million, primarily related to maturities and sales in excess of purchases of marketable securities.

Net cash provided by investing activities for the nine months ended September 30, 2023 was $22.6 million, primarily related to maturities and sales in excess of purchases of marketable securities.

Financing Activities

Net cash provided by financing activities for the nine months ended September 30, 2024 was $9.6 million, from the sale of common stock and employee stock options exercises.

Net cash provided by financing activities for the nine months ended September 30, 2023 was $0.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

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ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

We have performed an evaluation under the supervision and with the participation of our management, including our principal executive officer (CEO) and principal financial officer (CFO), of the effectiveness of our disclosure controls and procedures, as defined in Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Based on that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of September 30, 2024, to provide reasonable assurance that information required to be disclosed by us in the reports filed or submitted by us under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms.

Our disclosure controls and procedures are designed to provide reasonable assurance of achieving their objectives as specified above. Management does not expect, however, that our disclosure controls and procedures will prevent or detect all errors and fraud. Any control system, no matter how well designed and operated, is based upon certain assumptions and can provide only reasonable, not absolute, assurance that its objectives will be met. Further, no evaluation of controls can provide absolute assurance that misstatements due to error or fraud will not occur or that all control issues and instances of fraud, if any, within our company have been detected.

Changes in Internal Control over Financial Reporting

There was no change in our internal control over financial reporting during the three months ended September 30, 2024, that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER I NFORMATION

None.

ITEM 1A. RI SK FACTORS

There have been no material changes from the risk factors disclosed in our Form 10-K for the year ended December 31, 2023.

ITEM 2. UNREGISTERED SALE S OF EQUITY SECURITIES AND USE OF PROCEEDS

None .

ITEM 3. DEFAULTS UPON S ENIOR SECURITIES

None.

ITEM 4. MINE SAFET Y DISCLOSURES

Not applicable.

ITEM 5. OTHER IN FORMATION

During the three months ended September 30, 2024, none of the Company’s directors or officers adopted or terminated any “Rule 10b5-1 trading arrangements” or any “non-Rule 10b5-1 trading arrangements,” as each term is defined in Item 408 of Regulation S-K.

ITEM 6. EX HIBITS

Exhibit

Number

Description of Exhibit

31.1

Certification of Principal Executive Officer required by Rule 13a-14(a)/15d-14(a) under the Exchange Act.

31.2

Certification of Principal Financial Officer required by Rule 13a-14(a)/15d-14(a) under the Exchange Act.

32.1

Certification of Principal Executive Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2

Certification of Principal Financial Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS

Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document.

101.SCH

Inline XBRL Taxonomy Extension Schema With Embedded Linkbase Documents

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)

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SIGNA TURES

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

CARDIFF ONCOLOGY, INC.

November 7, 2024

By:

/s/ Mark Erlander

Mark Erlander

Chief Executive Officer

CARDIFF ONCOLOGY, INC.

November 7, 2024

By:

/s/ James Levine

James Levine

Chief Financial Officer

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