Item 8.01 - Other Events.

Acura Pharmaceuticals, Inc. announces that the LTX-03 (hydrocodone bitartrate with acetaminophen) tablets using Acura's LIMITx technology manufactured in the three New Drug Application ("NDA") required registration batches, passed testing at the eighteen month time point in an ongoing shelf life study when stored at normal temperature and humidity conditions, also known as controlled room temperature ("CRT"). The patented LIMITx technology is a composition of inactive ingredients formulated in a manner that reduces the risks of drug overdose by reducing peak drug levels when inappropriate numbers of tablets are ingested.

A known hydrocodone derivative continues to be detected in the CRT samples, as well as, unknown impurities. The unknown impurities remain at levels within standards typically accepted by the Food and Drug Administration ("FDA") for such impurities but the levels have increased since the twelve month analysis. We intend to continue the shelf life study with the CRT samples as previously planned.

The LTX-03 tablets were produced at the commercial contract manufacturer, in the to-be-marketed formulation, at commercial (equipment and process) scale. The data being generated in the shelf life study is intended to be used to support the manufacturing and shelf life requirements for an NDA. FDA Guidance allows for the use of CRT data to establish shelf life standards for a product.

LTX-03 (hydrocodone bitartrate with acetaminophen)

Recent reports suggest growing numbers of legitimate pain patients are going undertreated as they can no longer find doctors willing to treat them due to new prescribing guidelines associated with the opioid epidemic. Suicide is increasingly seen as the only remedy for some of these patients through opioid overdose. Our goal with LIMITx is to develop a treatment for effective pain relief at a one or two tablet dose while providing overdose protection by limiting high peak levels of drug in the bloodstream (Cmax) that can lead to respiratory depression and death when more than the recommended dose is ingested. LIMITx works by neutralizing stomach acid with buffering ingredients as increasing numbers of tablets are swallowed thereby reducing the stomach acid available to cause the release and subsequent systemic absorption of the active ingredient from micro-particles contained in the LIMITx tablets. In a human clinical study, formulations of LTX-03 demonstrated, under fasted conditions, analgesic levels of hydrocodone in the blood when taken at a recommended one or two tablet dose but reduced the maximum blood level (Cmax) up to 34% when subjects were exposed to higher buffer ingredient levels. Hydrocodone with acetaminophen remains the single largest prescribed opioid in the U.S. with excess oral ingestion as the most prevalent method of misuse. Clinical studies with hydromorphone (LTX-04) demonstrated reductions in Cmax of up to 65% when up to 8 tablets were ingested. Analysis of forensic data associated with hydrocodone overdose death suggests a typical consumption of approximately 16 immediate-release tablets, well within the number of tablets in an average filled opioid prescription. The Company intends to demonstrate that a meaningful reduction in Cmax associated with oral overdose can mitigate the risk of respiratory depression and death. LTX-03 may offer safety advantages over existing opioid therapies consistent with the FDA's recently proposed new guidelines for the approval of opioid products.





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Forward-Looking Statements


Statements in this Current Report constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance or achievements to be materially different from any future results, performance, or achievements expressed or implied by such forward-looking statements.

Forward-looking statements may include, but are not limited to:



   •  our ability to fund or obtain funding for our continuing operations,
      including the development of our products utilizing our LIMITx and IMPEDE
      technologies;


   •  whether we will receive FDA acceptance for an NDA for LTX-03 by the target
      date;

• whether our licensees will terminate the license prior to commercialization;




   •  the expected results of clinical studies relating to LTX-03 or any successor
      product candidate, the date by which such studies will complete and the
      results will be available and whether any product candidate will ultimately
      receive FDA approval;


   •  the ability of LTX-03 single tablets to achieve bioequivalence or to
      demonstrate efficacy in a clinical study;


   •  whether our licensing partners will develop any additional products and
      utilize Acura for such development;


   •  whether LIMITx will retard the release of opioid active ingredients as dose
      levels increase;


   •  whether the extent to which products formulated with the LIMITx technology
      mitigate respiratory depression risk will be determined sufficient by the
      FDA;


   •  our and our licensee's ability to successfully launch and commercialize our
      products and technologies;


   •  our and our licensee's ability to obtain necessary regulatory approvals and
      commercialize products utilizing our technologies;


   •  the market acceptance of, timing of commercial launch and competitive
      environment for any of our products;


   •  our ability to develop and enter into additional license agreements for our
      product candidates using our technologies;


   •  the ability to avoid infringement of patents, trademarks and other
      proprietary rights of third parties;


   •  the ability of our patents to protect our products from generic competition
      and our ability to protect and enforce our patent rights in any paragraph IV
      patent infringement litigation;


   •  the adequacy of the development program for our product candidates,
      including whether additional clinical studies will be required to support an
      NDA and FDA approval of our product candidates;

• changes in regulatory requirements;

• adverse safety findings relating to our commercialized products or product

candidates in development;

• whether or when we are able to obtain FDA approval of labeling for our

product candidates for the proposed indications and whether we will be able

to promote the features of our technologies; and

• whether our product candidates will ultimately perform as intended in


      commercial settings.



In some cases, you can identify forward- looking statements by terms such as "may," "will", "should," "could," "would," "expects," "plans," "anticipates," "believes," "estimates," "indicates", "projects," "predicts," "potential" and similar expressions intended to identify forward-looking statements. These statements reflect our current views with respect to future events and are based on assumptions and subject to risks and uncertainties. Given these uncertainties, you should not place undue reliance on these forward-looking statements. We discuss many of these risks in greater detail in our filings with the Securities and Exchange Commission.





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