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Note 1 - Organization and Description of Business
9 Months Ended
Sep. 30, 2020
Notes to Financial Statements  
Nature of Operations [Text Block]
1.
Organization and Description of Business
 
Diffusion Pharmaceuticals Inc., a Delaware corporation, is an innovative biopharmaceutical company developing novel therapies that enhance the body's ability to deliver oxygen to the areas where it is needed most.  The Company's lead product candidate, TSC, is being developed to enhance the diffusion of oxygen to tissues with low oxygen levels, also known as hypoxia, a serious complication of many of medicine's most intractable and difficult-to-treat conditions.
 
TSC was designed to enhance the level of organization among water molecules by increasing the amount of hydrogen bonding.  This creates a less dense matrix of water molecules, which facilitates the diffusion of oxygen molecules from areas of high to low oxygen concentrations, such as from oxygenated red blood cells into tissues where the oxygen is used to power the cells. In animal models, this diffusion-enhancing mechanism of action has been observed to affect hypoxic tissue preferentially while avoiding excessive oxygen-related tissue toxicity, also known as hyperoxia.
 
TSC previously has been demonstrated safe and tolerable in over
160
subjects included in the Company's clinical program across a variety of medical conditions often complicated by hypoxia, including the Company's clinical studies conducted in patients afflicted with GBM, peripheral artery disease with intermittent claudication, and stroke, as well as its ongoing
100
-
303
COVID Trial.  In each of these conditions and many others, hypoxia is a significant contributor to morbidity and mortality, and a considerable treatment obstacle for medical providers.
 
In
September 2020,
the Company initiated the
100
-
303
COVID Trial, its ongoing Phase
1b
clinical trial evaluating TSC in hospitalized COVID-
19
patients and, on
September 10, 2020,
the Company announced the dosing of the
first
two
patients in the trial. As of the date of this Quarterly Report, patient enrollment continues and
no
dose-limiting toxicities have been observed. However, given the complex design of the
100
-
303
COVID Trial, the sequential nature of patient enrollment thereunder, and the resulting challenges to expediting the trial when ordinary course delays are encountered, protocol the Company now expects the
100
-
303
COVID Trial to be completed with topline data available by the end of
first
quarter of
2021.
 
In addition to TSC, the Company's product candidate DFN-
529,
a novel, allosteric
PI3K/Akt/mTOR
pathway inhibitor, is in early-stage development.  The Company previously completed
two
Phase
1
clinical trials evaluating DFN-
529
in age-related macular degeneration, and DFN-
529
was also previously in preclinical development in oncology, specifically GBM.