Forward-Looking Statements





This Quarterly Report on Form 10-Q includes forward-looking statements within
the meaning of the Private Securities Litigation Reform Act of 1995 that reflect
management's current views with respect to future events and financial
performance including meeting our obligations under the Melior license agreement
and our liquidity. The following discussion should be read in conjunction with
the financial statements and related notes contained in our Annual Report on
Form 10-K, for the year ended December 31, 2020, as filed with the Securities
and Exchange Commission ("SEC") on April 7, 2021. Forward-looking statements are
projections in respect of future events or financial performance. In some cases,
you can identify forward-looking statements by terminology such as "may,"
"should," "expects," "plans," "anticipates," "believes," "estimates,"
"predicts," "potential" or "continue" or the negative of these terms or other
comparable terminology.



Forward-looking statements are inherently subject to risks and uncertainties,
many of which we cannot predict with accuracy and some of which we might not
even anticipate. Although we believe that the expectations reflected in such
forward-looking statements are based upon reasonable assumptions at the time
made, we can give no assurance that such expectations will be achieved. Future
events and actual results, financial and otherwise, may differ materially from
the results discussed in the forward-looking statements. Readers are cautioned
not to place undue reliance on these forward-looking statements. We undertake no
obligation to publicly update or revise any forward-looking statements after the
date of this Quarterly Report on Form 10-Q or to conform them to actual results,
new information, future events or otherwise, except as otherwise required by
securities and other applicable laws.



The following factors, among others, could cause our or our industry's future results to differ materially from historical results or those anticipated:

? our ability to obtain additional funding for our company, whether pursuant to a

capital raising transaction arising from the sale of our securities, a

strategic transaction or otherwise;

? our ability to satisfy our disclosure obligations under the Securities Exchange

Act of 1934, as amended, and to maintain the registration of our common stock

thereunder; and

? our ability to attract and retain qualified officers, directors, employees and


  consultants as necessary.




These statements are only predictions and involve known and unknown risks,
uncertainties and other factors, including the risks in the section entitled
"Risk Factors" set forth in our Annual Report on Form 10-K, any of which may
cause our company's or our industry's actual results, levels of activity,
performance or achievements to be materially different from any future results,
levels of activity, performance or achievements expressed or implied by these
forward-looking statements. These risks may cause our or our industry's actual
results, levels of activity or performance to be materially different from any
future results, levels of activity or performance expressed or implied by these
forward-looking statements.


Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity or performance. Moreover, neither we nor any other person assumes responsibility for the accuracy and completeness of these forward-looking statements. We are under no duty to update any forward-looking statements after the date of this report to conform these statements to actual results.


As used in this quarterly report and unless otherwise indicated, the terms "we,"
"us," "our" or the "Company" refer to Adhera Therapeutics, Inc., a Delaware
corporation. and its wholly-owned subsidiaries, MDRNA Research, Inc., Cequent
Pharmaceuticals, Inc., Atossa Healthcare, Inc., and IthenaPharma, Inc. Unless
otherwise specified, all amounts are expressed in United States dollars. Our
common stock is currently listed on the OTC Pink Market, under the symbol
"ATRX."



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Corporate Overview



Nature of Business


We are an emerging specialty biotech company that, to the extent that resources and opportunities become available, is strategically evaluating its focus including a return to a drug discovery and development company.


On July 28, 2021, we as licensee and Melior Pharmaceuticals II, LLC entered into
an exclusive license agreement for the development, commercialization and
exclusive license of MLR-1019. MLR-1019 is being developed as a new class of
therapeutic for Parkinson's disease (PD) and is, to the best of our knowledge,
the only drug candidate today to address both movement and non-movement aspects
of PD. Under the Agreement, we were granted an exclusive license to use the MP
Patents and know-how to develop products in consideration for cash payments upon
meeting certain performance milestones as well as a royalty of 5% of gross
sales.



On August 24, 2021, we as licensee entered into an exclusive license agreement
with Melior Pharmaceuticals I, Inc. for the development, commercialization and
exclusive license of MLR-1023. MLR-1023 is being developed as a novel
therapeutic for Type 1 diabetes.



On October 20, 2021, we as licensee expanded the an exclusive licensing agreement with Melior Pharmaceuticals I, Inc. to include two additional clinical indications for Non-Alcoholic Steatohepatitis (NASH) and pulmonary inflammation.


To the extent that resources have been available, we have continued to work with
its advisors to restructure our company and to identify potential strategic
transactions, including the Melior transaction described above to enhance the
value of the company. Because of our substantial unpaid debt, if we do not raise
substantial additional capital in the immediate future, it is likely that the
company will discontinue all operations and seek bankruptcy protection.



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Results of Operations


Comparison of the Three Months Ended September 30, 2021 to the Three Months Ended September 30, 2020





Operating Expenses



Our operating expenses for the three months ended September 30, 2021, and 2020
are summarized as follows:



                                                           Three Months Ended
                                        September 30,          September 30,          Increase/
                                             2021                  2020               (Decrease)
(in thousands)
Sales and marketing                   $                -     $              20     $            (20 )

General and administrative expenses                  232                  

174                   58
Total operating expenses              $              232     $             194     $             38




Sales and Marketing


For the three months ended September 30, 2021, sales and marketing expense decreased by approximately $20,000 as compared to the three months ended September 30, 2020. Sales and marketing expenses for the three months ended September 30, 2020, and September 30, 2021 were primarily related to storage and other related costs incurred for Prestalia® inventory.





General and Administrative



General and administrative expense increased by approximately $58,000 for the
three months ended September 30, 2021, as compared to the three months ended
September 30, 2020. The increase was primarily due to an increase in public
company fees including legal expenses and fees paid for investor relation
services.



Other Expense



                                                  Three Months Ended
                                  September 30,       September 30,       Increase/
                                      2021                2020            (Decrease)
(in thousands)
Interest expense                 $          (261 )   $          (255 )   $          6
Other income                                   -                   5                5

Loss on extinguishment of debt              (177 )                 -       

177


Derivative expense                        (2,968 )                 -       

2,968


Amortization of debt discount               (101 )               (95 )     

        6
Total other expense, net         $        (3,507 )   $          (345 )   $      3,162
Interest expense for the three months ended September 30, 2021 increased by
$6,000 compared to the three months ended September 30, 2020 primarily due to an
increase in interest as a result of an increase in our outstanding convertible
notes. Other income for the three months ended September 30, 2020, was a result
of fees received from release of certain intellectual property rights in 2019
from a third-party vendor and fees received from the cancellation of a
contractual obligation with a third-party vendor. The increase of $2,968 for
derivative expense was due to conversion features and warrants on convertible
notes that were classified as a derivative on our balance sheet as of September
30, 2021. The loss on extinguishment of debt was due to the conversion of
principal and interest on our outstanding convertible notes.



Comparison of the Nine Months Ended September 30, 2021, to the Nine Months Ended September 30, 2020





Operating Expenses



Our operating expenses for the Nine months ended September 30, 2021, and 2020
are summarized as follows:



                                                          Nine Months Ended
                                        September 30,        September 30,          Increase/
                                            2021                  2020             (Decrease)
(in thousands)
Sales and marketing                   $              17     $            818     $          (801 )
General and administrative expenses                 454                1,055                (601 )
Total operating expenses              $             471     $          1,873     $        (1,402 )




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Sales and Marketing


For the three months ended September 30, 2021, sales and marketing expense decreased by approximately $801,000 as compared to the nine months ended September 30, 2020. Sales and marketing expenses for the nine months ended September 30, 2020 were primarily related to regulatory costs incurred for maintaining the Prestalia® NDA including approximately $679,000 of PFUFA fees. No such costs were incurred for the same period of 2021.





General and Administrative



General and administrative expense decreased by approximately $601,000 for the
nine months ended September 30, 2021, as compared to the nine months ended
September 30, 2020. The decrease was primarily due to a reduction in personnel
related expenses and public company fees including legal expenses and insurance
for the nine months ended September 30, 2021 as compared to the same period

of
2020.



Other Expense



                                                  Nine Months Ended
                                  September 30,       September 30,       Increase/
                                      2021                2020            (Decrease)
(in thousands)
Interest expense                 $          (749 )   $        (1,082 )   $       (333 )
Other income                                   -                  45               45
Derivative expense                        (3,055 )                              3,055

Loss on extinguishment of debt              (177 )                 -       

177


Amortization of debt discount               (230 )              (373 )     

     (143 )
Total other expense, net         $        (4,211 )   $        (1,410 )   $      2,801
Interest expense for the nine months ended September 30, 2021, decreased by
$333,000 compared to the nine months ended September 30, 2020 primarily due to a
decrease in the amortization of debt issuance costs for our term notes. The
amortization of debt discount decreased by $143,000 primarily due to the
maturity of our outstanding convertible notes. Other income for the nine months
ended September 30, 2020, was a result of fees received from release of certain
intellectual property rights in 2019 from a third-party vendor and fees received
from the cancellation of a contractual obligation with a third-party vendor. The
increase in derivative expense was due to conversion features on a convertible
notes that were classified as a derivative on our balance sheet as of September
30, 2021. The loss on extinguishment of debt was due to the conversion of
principal and interest on our outstanding convertible notes.



Liquidity & Capital Resources





Working Capital



(in thousands)             September 30, 2021       December 31, 2020
Current assets            $                151     $                 1
Current liabilities                    (20,390 )               (14,774 )
Working capital deficit   $            (20,239 )   $           (14,773 )




Negative working capital as of September 30, 2021, was approximately $20.2
million as compared to negative working capital of approximately $14.8 million
as of December 31, 2020. The decrease in working capital is primarily related to
an increase in current liabilities of approximately $3.5 million including
approximately $1.1 million in accrued dividends, $762,000 of accrued expenses
and $3.5 million for a derivative liability related to our convertible notes.



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Cash Flows and Liquidity


Net cash used in Operating Activities


Net cash used in operating activities was approximately $369,000 during the nine
months ended September 30, 2021. This was primarily due to our net operating
loss of approximately $4.6 million, partially offset by to our derivative
expense of approximately $3.1 million, non-cash interest expense related to term
loans of $749,000, non-cash amortization of debt discount of $230,000 and other
changes in operating assets and liabilities including an increase in accounts
payable and accrued expenses of approximately $102,000.



Net cash used in operating activities was approximately $0.5 million during the
nine months ended September 30, 2020. This was primarily due to our net loss of
approximately $3.3 million, partially offset by non-cash interest expense
related to our term loans of approximately $1.5 million and other changes in
operating assets and liabilities including an increase in accounts payable and
accrued expenses of approximately $1.0 million.



Net cash used in Investing Activities

There was no cash used in or provided by investing activities for the nine months ended September 30, 2021, or September 30, 2020.

Net cash provided by Financing Activities





Net cash provided by financing activities for the nine months ended September
30, 2021, and 2020 was approximately $519,000 and $448,000, respectively from
the issuance of convertible notes to certain accredited investors, net of
issuance costs



We will need to raise immediate additional operating capital to maintain our
operations and to realize our business plan. Without additional sources of cash
and/or the deferral, reduction, or elimination of significant planned
expenditures, we will not have the cash resources to continue as a going concern
thereafter.



Future Financing



We do not have sufficient funds to meet our working capital needs for the next
12 months.We will require immediate additional funds to continue our business.
Historically, we have raised additional capital to supplement our
commercialization, clinical development and operational expenses. We will need
to raise additional funds required through equity financing, debt financing,
strategic alliances or other sources, which may result in further dilution in
the equity ownership of our shares. There can be no assurance that additional
financing will be available when needed or, if available, that it can be
obtained on commercially reasonable terms. Failure to raise additional capital
through one or more financings, divesting development assets or reducing
discretionary spending could have a material adverse effect on our ability to
achieve our intended business objectives. These factors raise substantial doubt
about our ability to continue as a going concern.



Off-Balance Sheet Arrangements

As of September 30, 2021, we did not have any off-balance sheet arrangements, as defined in Item 303(a)(4)(ii) of SEC Regulation S-K.

Critical Accounting Policies and Estimates





Our significant accounting policies are more fully described in the notes to our
financial statements included herein for the period ended September 30, 2021,
and in the notes to our consolidated financial statements included in our Annual
Report on Form 10-K for the year ended December 31, 2020.



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New and Recently Adopted Accounting Pronouncements

Any new and recently adopted accounting pronouncements are more fully described in Note 1 to our financial statements included herein for the period ended September 30, 2021.

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